Health
‘The numbers are staggering’
14 percent of gay, bi men in D.C. have HIV: study
Local activists and health officials this week called for new approaches in HIV prevention following a city study that shows 14 percent of tested gay and bisexual men were HIV positive and 25 percent of black gay male participants were positive.
During a March 29 town hall meeting organized by the D.C. Center for the LGBT community to discuss the study’s findings, a number of AIDS activists noted the study included a sample of just 500 male respondents and did not cover the full demographics of all men who have sex with men.
But most activists speaking at the forum said the study reveals a number of important new findings showing high-risk behavior among those sampled and should not be dismissed because it’s less than perfect.
“Because we’ve determined that it is not a truly representative sample due to methodological limitations of the research, we can’t say that 14 percent of D.C.’s gay [and men who have sex with men] population is HIV positive,” said Daniel O’Neill, chair of the D.C. Center’s HIV Prevention Working Group.
“The reality: It’s probably far worse than 14 percent, as the data is both dated and under-represents some of the most at-risk subgroups.”
Dr. Shannon Hader, director of the D.C. HIV/AIDS Administration, opened the town hall meeting with a 45-minute presentation explaining the study’s findings and comparing it to existing city data on HIV prevalence among MSM, homosexuals and injection drug users, the three key groups used by researchers to measure the AIDS epidemic.
Hader and O’Neill were among five panelists who spoke at the town hall meeting and fielded questions from about 50 people who attended. The other panelists included Jose Gutierrez, a gay Latino activist affiliated with La Clinica Del Pueblo, a D.C. clinic that provides services to people with HIV/AIDS; Ken Pettigrew, director of programs for Us Helping Us, a local AIDS advocacy group that provides services for mostly black gay men; and Calvin Gerald, an organizer with the D.C. Center’s HIV Prevention Working Group.
Hader’s presentation followed the city’s release of the study’s findings March 26 at a news conference outside the Wanda Alston House for LGBT youth in Northeast D.C.
A first-of-its-kind look into the behavior of men who have sex with men in the District of Columbia, the study’s main finding was that 14 percent of those sampled were HIV positive. The figure represents an HIV-positive rate nearly five times higher than the 3 percent HIV infection rate among all adults and teens in the city, according to separate data gathered by the HIV/AIDS Administration.
The MSM study also found that black men who have sex with men, who participated in the study, had an HIV infection rate of 25 percent, compared to an 8 percent infection rate among white MSM who participated in the study.
“The numbers are staggering, but they are changeable,” says a report accompanying the study, which was conducted for the city by George Washington University’s School of Public Health and Health Services. “We are convinced that there are no foregone conclusions to getting HIV for men who have sex with men.”
Although gay and AIDS activists attending Monday’s town hall meeting said the high HIV positive rate findings among MSM did not surprise them, some expressed surprise and puzzlement over other findings. Among them are that men under age 30 “generally had safer sex behaviors” while men over 30 “got tested less and used condoms less and had more sex partners.”
The study also found that more than 40 percent of the men participating did not use a condom at the time of their last sexual encounter and more than one-third did not know the HIV status of their last sex partner.
Another development that came as a surprise to many activists, more than half of the study’s participants reported an annual income of $50,000 or greater, an education significantly higher than a high school degree, and were believed to be “socially connected” with the LGBT community.
Hader and some of the AIDS activists attending the town hall meeting said this suggests that many gay men who should be aware of the need for greater condom use and overall less risky behaviors were nevertheless continuing to engage in risky behavior.
In a finding said to highlight a seeming paradox among black MSM, the study found that black MSM of all ages used condoms more frequently than whites. Yet the infection rate for black MSM remains high, the report says, most likely because the number of infected black MSM is significantly higher than white MSM, increasing the chance of infection even if safer sex is practiced most of the time.
“Though white men were more likely to engage in higher risk sexual behavior, more men of color were impacted by HIV,” says the report.
The report also notes that, “Contrary to some perceptions, younger men generally had safer sex behaviors, while older men got tested less and used condoms less and had more sex partners.”
The study found that about 66 percent of black MSM reported using a condom during their most recent instance of anal sex, compared to about 47 percent of white MSM.
Hader said the study was conducted using protocols established by the U.S. Centers for Disease Control & Prevention for similar studies in other cities.
She said that similar MSM studies will be conducted every three years, alternating with studies of HIV-related heterosexual sexual behavior and studies of injection drug users conducted.
“The data are the data are the data,” she said at the town hall meeting. “They’re not the whole picture or the only picture, but they’re really useful information.
“And they’re not the answers So my hope is our data is to be used to start to come up with the answers, to reinforce anything we think we’re on the right track on, to bring up new ideas.”
‘We have more work to do’
D.C. Mayor Adrian Fenty joined Hader and other officials with the Department of Health and its HIV/AIDS Administration at the news conference March 26 announcing the release of the study.
D.C. Council member David Catania (I-At Large), who chairs the D.C. City Council’s Committee on Health, also participated in the news conference. He praised Fenty and Hader for working hard during the past three years to transform what he called a highly flawed public health data gathering system into a “world class” system recognized and praised by health departments in other cities and states.
Fenty joined Hader and Dr. Pierre Vigilance, director of the D.C. Department of Health, in noting that the study’s troubling findings of high HIV infection rates among MSM were offset by what they said were highly useful new data generated by the study.
“Knowing the facts about our HIV/AIDS epidemic improves how we fight this disease,” Fenty said.
Pointing to a separate study released last week, he noted that, “we’ve already shown that we can make progress against HIV by reducing AIDS cases and deaths and increasing people getting into medical care.”
“This study shows that we have more work to do to fight HIV/AIDS among men who have sex with men,” he said.
The D.C. MSM study consisted of 500 participants who were recruited “at open air venues, gyms, bars, restaurants, and clubs where men who have sex with men tend to frequent,” says the study report. “Participants were interviewed at these venues, which were located in Wards 1, 2, 5, 6 and 8.”
The study, which was conducted in 2008, doesn’t identify the specific venues, and representatives of the GWU team that conducted the survey declined at the news conference to disclose the names of the venues.
The report acknowledges that the study did not reach all MSM and most likely under-represents some groups, including MSM who don’t identify as gay or bisexual, and younger white MSM.
It notes that of the nearly 100 white men under age 30 who participated in the study, none were found to be HIV positive.
Vigilance and Hader said that while most of the MSM participants in the study reported having been tested for HIV, 40 percent did not know they were HIV positive until they were tested at the time of the study. Among those who tested positive during the study, nearly three-quarters had seen a doctor or other health care provider at least once in the previous 12 months, but were not tested.
Vigilance and Hader noted that a D.C. public health policy established four years ago calls for all adults in the city to be tested routinely for HIV during regular doctor visits, just as they are tested for high blood pressure and diabetes.
As a result of the study’s findings, Vigilance said the health department is calling on MSM to be tested for HIV twice a year instead of the once-a-year recommendation made four years ago.
Hader also announced at the press conference that the Department of Health is launching a new MSM HIV screening project in partnership with the Whitman-Walker Clinic and the Crew Club, a gay male gym and social venue.
According to Hader, the yearlong project will screen about 500 men at the Crew Club considered to be at high risk for HIV. She said pharmaceutical company Gilead Sciences, Inc., is contributing $40,000 to the project and the Crew Club is contributing more than $5,000 along with special accommodations on its premises to conduct the screening.
She said that while the 14 percent HIV infection rate among MSM in D.C. is too high, previous MSM studies in Baltimore, Los Angeles, Miami, New York and San Francisco found a combined infection rate of 25 percent in 2005. She noted that in Baltimore, the MSM infection rate was found to be 40 percent.
‘What are we doing wrong?’
The panelists who joined Hader at the town hall meeting and members of the audience expressed differing views on whether existing HIV prevention programs in the city, including those operated by community organizations like Us Helping Us and the Whitman-Walker Clinic, have been effective in their mission.
“There is a notion to say what are we doing wrong?” said Pettigrew of Us Helping Us. “But you can also ask, ‘What are we doing right?’”
He noted that one of the key findings in the MSM study was that men under 30 years old had a lower rate of HIV infection and were engaging in less risky behavior.
Ernest Hopkins, a veteran AIDS activist involved with programs in D.C. and San Francisco, said the D.C. government has been less aggressive and less visible in its AIDS prevention messages than in the past. He and D.C. Center Executive Director David Mariner called for greater city funding for community based HIV programs, including programs organized by the Center.
AIDS activist Chris Lane, a former official with the Sexual Minority Youth Assistance League, noted that a mental health component appeared to be missing from the MSM study.
Hader said the full scientific report on the study, which is to be published soon on the Department of Health’s web site, discusses mental health-related issues and that the city would pursue these issues when its reviews its overall HIV prevention programs in the next few months.
Gerald of the Center’s HIV Prevention Working Group cautioned against placing all the responsibility of HIV prevention on the city. He expressed concern that not enough black gay men have attended meetings and planning sessions to address the issue.
“We should not just wait for the government to do something,” he said. “We should educate our own people in the black community. We can let the government go so far, but we have to take it up from there.”
The study, titled “MSM in D.C.: A Life Long Commitment to Stay HIV Free,” is available through the Department of Health’s website, www.doh.dc.gov.
Health
Cases of multi-drug resistant gonorrhea ‘super strain’ multiply
CDC and WHO have once again sounded alarm about STI

The Centers for Disease Control and Prevention along with the World Health Organization are raising red flags for the second time this year as cases multiply of a “super strain” of drug-resistant gonorrhea globally, but particularly among men who have sex with men.
This strain of gonorrhea has been previously seen in Asia-Pacific countries and in the U.K., but not in the U.S. A genetic marker common to two Massachusetts residents and previously seen in a case in Nevada, retained sensitivity to at least one class of antibiotics. Overall, these cases are an important reminder that strains of gonorrhea in the U.S. are becoming less responsive to a limited arsenal of antibiotics.
Gonorrhea is a STI with most people affected between ages 15-49 years. Antimicrobial resistance in gonorrhea has increased rapidly in recent years and has reduced the options for treatment.
Last February, cases of XDR, or “extensively drug resistant,” gonorrhea, are on the rise in the U.S., the CDC said.
Gonococcal infections have critical implications to reproductive, maternal and newborn health including:
- a five-fold increase of HIV transmission
- infertility, with its cultural and social implications
- inflammation, leading to acute and chronic lower abdominal pain in women
- ectopic pregnancy and maternal death
- first trimester abortion
- severe neonatal eye infections that may lead to blindness.
This past January, Fortune reported the U.S. is experiencing “a rising epidemic of sexually transmitted disease,” Dr. Georges Benjamin, executive director of the American Public Health Association, said with some experts referring to the issue as a “hidden epidemic.”
Cases of gonorrhea — an STI that often shows no signs, but can lead to genital discharge, burning during urination, sores, and rashes, among other symptoms — rose by 131 percent nationally between 2009 and 2021, according to public health officials. While rates of STI transmission in the U.S. fell during the early months of the pandemic, they surged later in the year, with cases of gonorrhea and syphilis eventually surpassing 2019 levels, according to the CDC.
Health
EXCLUSIVE: Meet the director of Johns Hopkins Center for Transgender Health
Dr. Fan Liang on politicizing healthcare, fear among patients

The topic of gender affirming healthcare has never attracted more attention or scrutiny, presenting challenges for both patients and providers, including Dr. Fan Liang, medical director of the Johns Hopkins Center for Transgender and Gender Expansive Health and assistant professor of plastic and reconstructive surgery.
Speaking with the Washington Blade by phone last week, Liang shared her perspective on a variety of topics, including her concerns about the ways in which media organizations and others have shaped the discourse about gender affirming care.
Too often, she said, the public is provided incomplete or inaccurate information, framed with politically charged and polarizing language rather than balanced and nuanced reporting for the benefit of audiences who might have little to no familiarity with the topics at hand.
“This is an evolving field that requires input from many different types of specialists,” Liang noted, so one issue comes when providers “start to comment outside of their scope of practice, or extrapolate into everybody’s experience.”
A more intractable and difficult problem, Liang said, is presented by the fact that, “issues with transgender health have really taken center stage with regard to national politics, and as a result of that, the narrative has really been reduced to an unsophisticated representation of what’s going on.”
“I think that is dangerous for patients and for the community that these patients live in and have to work in and survive in because it paints a picture that is really inaccurate,” she said.
Conservative state legislatures across the country have introduced a record number of anti-LGBTQ bills this year, passing dozens, including a slew of anti-trans healthcare restrictions. The Human Rights Campaign reports 35.1 percent of transgender youth now live in states that have passed bans on gender affirming care, many of which carry criminal penalties for providers.
A big part of the Center’s work, Liang told the Blade, involves working closely with trans patients and organizations like Trans Maryland and the Trans Rights Advocacy Coalition “to make sure that the community’s voices are being heard, so that we’re able to represent those interests here.”
She described “a generalized sense of anxiety and fear,” concerns that she said are “pervasive throughout the community,” over “access to surgery and to overall gender healthcare.”
“I get a lot of questions about that,” she said.
While Liang has not yet worked with any patients who traveled to the Center because gender affirming care was banned in the states where they reside, she said, “I do anticipate that will happen in the relatively near future.”
Challenges for clinicians
The political climate “really interferes in physician autonomy and basically using our training and discretion to provide the best therapies that we can,” based on research and evidence-based guidelines from medical organizations on best practices standards of care, Liang said.
“I earnestly believe that people who go into medicine try to do right by their patients and try to provide exceptional care whenever they can,” she said. “When I speak to other providers who are engaged in trans care, the reason they entered the field was because they saw patients that were suffering and had no other providers to go to and they were filling a need that desperately needed to be filled.”
“It is unfortunate that their motives are being misinterpreted, because it is causing significant emotional harm to these providers who are being targeted,” Liang said, noting “there is so much vitriol from the anti-trans side of things,” including “this narrative out there that physicians are providing trans care because of financial reasons or because of some sort of politically motivated, I don’t know, conspiracy.”
The political climate, along with the realities of practicing in this speciality, may threaten to stem the pipeline of new providers whose practice would otherwise include gender affirming care, said Liang, who serves on the interview board for incoming residents who are looking to specialize in plastic surgery.
Many, perhaps even most, she said, are eager to explore transgender care, often because, particularly among young trainees, they are friends with trans and non-binary people. “I don’t know how much of that interest persists as they move through the training pipeline, because — especially if they are at an institution that does provide trans care — they do see a lot of the struggles that physicians encounter in being able to offer these services.”
Liang noted the “significant hurdles from an insurance standpoint” and the “significant prerequisites in order to access surgery,” which require “a tremendous amount of back-end coordination and optimization of the logistics for surgical readiness.”
“And then,” she said, “they see a lot of the backlash in the media against trans providers, and I think that that does discourage residents who otherwise would be interested in the field because physicians, by and large, are a pretty conservative bunch. And having them start their practice where they’re sort of stepping into a political minefield is not ideal.”
Speaking up can be beneficial but risky
“Some physicians feel like they can make the most amount of impact by being advocates for the patient population on a national stage or being more vocal about how anti-trans legislation has been impacting their patients,” Liang said.
“My goal, as the director for the Center for Transgender Health here at Hopkins is really to normalize this care to allow for the open conversation and discussion amongst providers to create a safe space for people to feel comfortable providing this care,” she said.
Destigmatizing gender affirming care and connecting clinicians who practice in this space will help these providers understand they are not “functioning in isolation” and instead are part of “a national effort and a nationally concerted effort toward delivering state-of-the-art health care,” Liang said.
“It’s important,” she said, to “bring the generalized healthcare community to the table in offering these services and have a frank discussion when it comes to education, research and teaching.”
Other providers, however, “do not feel comfortable putting themselves into that place of vulnerability,” Liang said, “and I don’t fault them for it because I personally know people who’ve received death threats and who have been targeted because of what they say to the media,” in many cases because their comments were reported incorrectly or out of context.
In July, Liang participated in an emergency trans rights roundtable on Capitol Hill with representatives from advocacy groups like the Southern Poverty Law Center and the Transgender Law Center, as well as members of Congress including U.S. Reps. Mark Takano (D-Calif.), Barbara Lee (D-Calif.), and Sara Jacobs (D-Calif.).
She told the Blade it was “a really wonderful experience” to “hear the heartfelt stories” of the panelists advocating on behalf of themselves, their friends, and their families, earning the attention of members of Congress.
“I do think advocacy is important,” Liang told the Blade. “I try to make time for it when I can,” she said, “but I have to balance that with all of my other clinical obligations.”
Finding compassion and lowering the temperature
On Aug. 1, The Baltimore Banner reported that the director of the Mayor’s Office of LGBTQ Affairs in Baltimore filed a discrimination complaint with the city’s Office of Equity and Civil Rights against the Hopkins Center for Transgender and Gender Expansive Health. (The story was also published by the Washington Blade, which has a media partnership with the Banner.)
Asked for comment, Liang said “it was an upsetting article to read,” adding, “I was upset that there wasn’t more due diligence done to investigate a little bit further” because instead the article presents “just this one person’s account of things.”
She noted there is “not much I can say from a physician standpoint because everything is contained within HIPAA,” the federal Health Insurance Portability and Accountability Act, which prohibits providers from even acknowledging which patients they may or may not have worked with.
The Banner article underscores the importance of journalists’ obligations to “make sure there is due diligence to confirm sources and make sure things are accurate,” Liang said, including, of course, when covering complicated and politically fraught subjects like gender affirming care.
“On the one hand, it’s really wonderful that there’s a fair amount of press being dedicated to trans issues around the country,” Liang said, but what is “frustrating for me is these conversations always seem to be so loaded and politically charged, and there doesn’t seem to be much space for people to ask earnest and honest questions” without taking heat from either side.
There is “compassion to be offered for patients who are struggling to receive basic health care” as well as for “people who are struggling to understand how this issue is evolving,” those for whom the matter is “uncharted territory” and therefore likely to “cause consternation and fear,” she said.
“Most of the time, the way to overcome” this is to cultivate “relationships with people who do identify as transgender or non-binary” on the grassroots level, she said, while leaving room “for people to ask earnest and honest questions.”
Removing the artificial “us-versus-them” paradigm provides “opportunity for more compassionate interactions,” Liang said.
At the same time, she conceded, amid the heightened polarization and escalation of an anti-trans backlash over the last few years, efforts to fight sensationalization with compassion and understanding have often fallen short, presenting hurdles that have long plagued other areas of science and medicine like abortions and vaccines.
Health
CDC official discusses new STI prevention tool
Dr. Leandro Mena spoke with the Blade on Thursday

The Centers for Disease Control and Prevention is expected to soon issue draft guidelines for the use of doxycycline to help prevent the spread of gonorrhea, chlamydia and syphilis in transgender women and gay and bisexual men who have sex with men.
Doctor Leandro Mena, director of the public health agency’s Division of STD Prevention, talked to the Washington Blade by phone on Thursday about the post-exposure prophylactic intervention — DoxyPEP for short — which he characterized as “the first important innovation that we have had in the field of STIs in almost three decades.”
Studies show a 200 mg dose of the widely available antimicrobial antibiotic, if taken within 72 hours after sex, has shown tremendous efficacy in reducing the risk of transmitting these three diseases, he said.
For now, research is limited to certain LGBTQ populations for whom “we know that network prevalence, the prevalence of STIs in the sexual network of this group, is sufficiently high that the benefits outweigh the potential risks,” Mena said, while “other strategies like the use of condoms, you know, are not really that feasible.”
Research on DoxyPEP conducted and published over the past couple of years has been game-changing, he said, “because it’s an antimicrobial that’s already approved, we know it’s very low-cost, and I think we have the evidence of its effectiveness.”
“Since the development of nucleic acid amplification test — which allows [providers to] diagnose gonorrhea and chlamydia by amplifying nucleic acids, by doing PCR, that really revolutionized access to STI testing — we really haven’t had much,” Mena said.
The CDC expects to work quickly on DoxyPEP, but a few hurdles must be cleared first.
“We have engaged with the communities, right, that are poised to benefit the most from this intervention,” Mena said. “And where we are is that we are finishing our guidance, we anticipate that it will be out for public comment close to the end of this fall, and shortly after we will be able to have the final guidance.”
“Guidelines like these that have important public health consequences goes all the way up to the highest levels of clearance in the CDC,” he added.
“While we know that that benefits are significant, there are some unknowns about the potential risks of taking antimicrobials to prevent infections, as they may perhaps have other effects [like] inducing resistance” in STIs and other types of bacteria, Mena said.
“Those are some of the unknowns that we’re trying to currently understand better, as we try to balance risk and benefits of the use of doxycycline as post exposure prophylaxis,” he said.
Another challenge for the CDC as it develops the guidelines, Mena said: They must be as relevant for folks in San Francisco as for people in Montgomery, Ala., and (the) Navajo Nation, based on each place’s “local epidemiology, local context and population.”
Additionally, the agency warns, doxycycline can carry side effects — namely, “phototoxicity, gastrointestinal symptoms, and more rarely esophageal ulceration.”
So, the CDC is working diligently, Mena said, to “better understand the potential risk that its use – its regular use, in this way, may present to the individual and potentially at the population level.”
Mena called DoxyPEP an “amazing tool,” noting the need for new ways to combat the increase in rates of STIs that has persisted for nearly a decade.
“In 2021, we had more than 2.5 million cases of syphilis, gonorrhea and chlamydia reported, and the reasons we’re seeing these increases, it’s really, you know, multifactorial,” he said. “There are subpopulations that are disproportionately affected — among these, racial-ethnic minorities, young people, men who have sex with men.”
-
Canada5 days ago
Canada’s conservatives take hard turn against transgender people
-
Arts & Entertainment2 days ago
2023 Best of LGBTQ DC Readers’ Choice Award Finalist Voting
-
United Nations2 days ago
Biden references LGBTQ, intersex rights in UN General Assembly speech
-
United Nations1 day ago
Global anti-LGBTQ rights backlash overshadows UN General Assembly