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‘HIV will never be curable,’ doctor tells forum

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“Get tested, listen to the experts, and lead the responsible life,” declared Michael Pistole, the sexagenarian sexologist and sometime wisecracking medical doctor speaking at a meeting on surviving the AIDS and hepatitis C viruses.

“Hepatitis C can be cured, but HIV will never be curable, since it gets into your DNA,” Pistole said.

Speaking before a group of about 100 doctors, nurses, patients and other community members gathered at the Hotel Palomar for dinner and a “Survival Forum,” Pistole summed up his message of safer sex this way: “Realize it’s not just you, it’s the rest of the world.”

Pistole’s message was punctuated by quips and risqué double-entrendres, to put people at ease and lighten the serious message about how exposure to HIV is still a real fear, while peppering the audience with sobering facts and figures underscoring that reality.

“Yes, it’s a controllable situation — with antiretroviral drugs — and you can live a normal lifespan, long enough in fact to die from something else, but we have to accept the fact that [HIV is] just like herpes, that will also never be cured, and you can’t take a vaccine for the common cold either.”

As for a vaccine to prevent exposure, he said, “I’d like to think we could get a vaccine for HIV but with the complexity of the virus, I’m not sure.” Hepatitis B, for example, has a vaccine, he pointed out, but hepatitis C does not.

As his slideshow continued, the audience could literally read the writing on the wall — currently 1.1 million adults and adolescents exposed to the virus in this country, with pockets of greater exposure according to race, ethnicity and gender.

For example, per 100,000 people in the U.S. in 2006, the most recent year for such data, there were an estimated 395 white males and 63 females exposed to the virus, compared to 2,388 African-American males and 1,122 females, and 883 Hispanic males and 263 females. Exposure rates per 100,000 people were estimated for 2006 at 220 among Asian males and 46 females and 340 American Indian and Alaska Native males and 127 females.

Pistole, 64, is an internal medicine specialist in private practice in the Washington, D.C., metropolitan area where he has been caring for HIV and hepatitis C patients since 1982. Exposure to the viruses continues, said Pistole, with risky sexual behavior rampant now in cities like D.C. where the incidence of virus carriers is skyrocketing, especially among African Americans.

According to Pistole, of total new infections recorded in 2006, 46 percent were African American, 36 percent were white, and 18 percent Hispanic, with approximately the same such proportions for men, but strikingly for women it was 61 percent African American versus 23 percent white. The highest risk factors remain IV drug use and male-to-male sexual contact, which had been decreasing as a cause of exposure but is now edging up again, said Pistole.

Among his other observations is what he called the antiviral “drug of the month” phenomenon, spurring some patients to say, “I want to try it,” something Pistole said should be discouraged by doctors.

Following his address, Pistole took questions and comments from the audience, including a memorable exchange with Michael Sainte-Andress, a 60-year-old resident of Logan Circle diagnosed with HIV in 1986.

“It’s very important to develop empowerment,” Sainte-Andress said. “You are the captain of your ship and everyone else on board is a deck hand.”

Pistole replied that “the doctor is not the captain of your ship, but he can be a little bit more than a deckhand. He can be on board as your engineer.”

Sainte-Andress is a local actor who recently played the role of Leonato in the Folger Theatre production of “Much Ado About Nothing.”

The event was sponsored by Peter Metaxotos, sole proprietor of Alpha Drugs, the Dupont Circle pharmacy at 1638 R Street, N.W., Suite 260. The next such forum, Survival Forum VIII, will be held in January with a transgender summit planned for March.

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State Department

Democracy Forward files FOIA request for State Department bathroom policy records

April 20 memo outlined anti-transgender rule

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(Photo courtesy of the Library of Congress)

Democracy Forward on Tuesday filed a Freedom of Information Act request for records on the State Department’s new bathroom policy.

A memo titled “Updates Regarding Biological Sex and Intimate Spaces, Including Restrooms” that the State Department issued on April 20 notes employees can no longer use bathrooms that correspond with their gender identity.

“The administration affirms that there are two sexes — male and female — and that federal facilities should operate on this objective and longstanding basis to ensure consistency, privacy, and safety in shared spaces,” State Department spokesperson Tommy Piggot told the Daily Signal, a conservative news website that first reported on the memo. “In line with President Trump’s executive order this provides clear, uniform guidance to the department by grounding policy in biological sex as determined at birth.”

President Donald Trump shortly after he took office in January 2025 issued an executive order that directed the federal government to only recognize two genders: male and female. The sweeping directive also ordered federal government agencies to “effectuate this policy by taking appropriate action to ensure that intimate spaces designated for women, girls, or females (or for men, boys, or males) are designated by sex and not identity.”

Democracy Forward’s FOIA request that the Washington Blade exclusively obtained on Tuesday is specifically seeking a copy of the memo that details the State Department’s new bathroom policy. Democracy Forward has also requested “all” memo-specific communications between the State Department’s Bureau of Global Public Affairs and the Daily Signal from April 1-21.

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Federal Government

House Republicans push nationwide ‘Don’t Say Gay’ bill

Measures would restrict federal funding for LGBTQ-affirming schools

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(Washington Blade photo by Michael Key)

Republicans have been gaining ground in reshaping education policy to be less inclusive toward LGBTQ students at the state level, and now they are turning their focus to Capitol Hill.

Some GOP lawmakers are pushing for a nationwide “Don’t Say Gay” bill, doubling down on their commitment to being the party of “traditional family values” by excluding anyone who does not identify with their sex at birth.

The largest anti-LGBTQ education legislation to reach the House chamber is House Bill 2616 — the Parental Rights Over the Education and Care of Their Kids Act, or the PROTECT Kids Act. The PROTECT Kids Act, proposed by U.S. Rep. Tim Walberg (R-Mich.), and co-sponsored by U.S. Reps. Burgess Owens (R-Utah), Mary Miller (R-Ill.), Robert Onder (R-Mo.), and Kevin Kiley (R-Calif.), would require any public elementary and middle schools that receive federal funding to require parental consent to change a child’s gender expression in school.

The bill, which was discussed during Tuesday’s House Rules Committee hearing, would specifically require any schools that get federal money from the Elementary and Secondary Education Act of 1965 — which was created to minimize financial discrepancies in education for low-income students — to get parental approval before identifying any child’s gender identity as anything other than what was provided to the school initially. This includes getting approval before allowing children to use their preferred locker room or bathroom.

It reads that any school receiving this funding “shall obtain parental consent before changing a covered student’s (1) gender markers, pronouns, or preferred name on any school form; or (2) sex-based accommodations, including locker rooms or bathrooms.”

LGBTQ rights advocates have criticized both national and state efforts to require parental permission to use a child’s preferred gender identity, as it raises issues of at-home safety — especially if the home is not LGBTQ-affirming — and could lead to the outing of transgender or gender-curious students.

A follow-up bill, HB 2617, proposed by Owens, one of the bill’s co-sponsors, prevents the use of federal funding to “advance concepts related to gender ideology,” using the definition from President Donald Trump’s 2025 Executive Order 14168, making that an enshrined definition in law of sex rather than just by executive order. There is also a bill making its way through the senate with the same text— Senate Bill 2251.

Advocates have also criticized this follow-up legislation, as it would restrict school staff — including teachers and counselors — from acknowledging trans students’ identities or providing any support. They have said that this kind of isolation can worsen mental health outcomes for LGBTQ youth and allows for education to be politicized rather than being based in reality.

David Stacy, the Human Rights Campaign’s vice president of government affairs, called this legislation out for using LGBTQ children as political pawns in an ideology fight — one that could greatly harm the safety of these children if passed.

“Trans kids are not a political agenda — they are students who deserve safety and affirmation at school like anyone else,” Stacy said in a statement. “Despite the many pressing issues facing our nation, House Republicans continue their bizarre obsession with trans people. H.R. 2616 does not protect children. It targets them. This bill is cruel, and we’re prepared to fight it.”

This is similar to Florida House Bills 1557 and 1069, referred to as the “Don’t Say Gay” bill and “Don’t Say They” bill, respectively, restricting classroom discussions on sexual orientation and gender identity, prohibiting the use of pronouns consistent with one’s gender identity, expanding book banning procedures, and censoring health curriculum.

The American Civil Liberties Union is tracking 233 bills related to restricting student and educator rights in the U.S.

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National

BREAKING NEWS: Shots fired at the White House Correspondents’ Dinner

Shooter reportedly opened fire inside hotel

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(Washington Blade photo by Joe Reberkenny)

Four loud bangs were heard in the International Ballroom of the Washington Hilton during the annual White House Correspondents’ Dinner on Saturday.

According to the Associated Press, a shooter opened fire inside the hotel outside the ballroom.

Attendees could hear four loud bangs as people started to duck and take cover. During the chaos sounds of salad and glasses were dropped as hotel employees, and guests ducked for cover.

The head table — which included President Donald Trump, Vice President JD Vance, first lady Melania Trump, and White House Correspondents Association President Weijia Jiang — were rushed off stage.

“The U.S. Secret Service, in coordination with the Metropolitan Police Department, is investigating a shooting incident near the main magnetometer screening area at the White House Correspondents’ Dinner,” the U.S. Secret Service said in a statement. “The president and the First Lady are safe along all protects. One individual is in custody. The condition of those involved is not yet known, and law enforcement is actively assessing the situation.”

Trump held a press conference at the White House after he left the hotel.

“A man charged a security checkpoint armed with multiple weapons and he was taken down by some very brave members of Secret Service,” said Trump.

Trump said the shooter is from California. He also said an officer was shot, but said his bullet proof vest “saved” him.

D.C. Mayor Muriel Bowser, interim D.C. police chief Jeffrey Carroll, U.S. Attorney for D.C. Jeanine Pirro, and other officials held their own press conference at the hotel.

Carroll said the gunman who has been identified as Cole Tomas Allen was armed with a shotgun, handgun, and “multiple” knives when he charged a Secret Service checkpoint in a hotel lobby. Carroll also told reporters that law enforcement “exchanged gunfire with that individual.”

Both he and Bowser said the gunman appeared to act alone.

“We are so very thankful to members of law enforcement who did their jobs tonight and made sure all guests were safe,” said Bowser. “Nobody else was involved.”

The Washington Blade will update this story as details become more available.

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