Although he was covered with lesions, it took four hours of phone calls, and then five hours in a Harlem emergency room, for Gabriel Morales to be tested for the monkeypox virus earlier this month.
And that was just the beginning of his wait. Mr. Morales was sent home and told the Department of Health would call with his results in less than a week.
The call never came. He spent the next eight days alone in his apartment in what he described as excruciating pain, trying to find someone to prescribe him pain medication and a hard-to-access antiviral drug.
As time passed, the disorganization in the public health response disturbed him more and more: the city’s vaccine website glitches; a vaccine rollout that seemed designed to reach the privileged and that turned him away; an opaque process to access medicine that he believed could help, but that he couldn’t find.