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Pappas: D.C. making progress in fight against HIV

2.7 percent of Washingtonians were living with disease in 2010.

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Gay News, Washington Blade, HIV/AIDS

Dr. Gregory Pappas (Blade photo by Michael K. Lavers)

The head of D.C.’s response to HIV/AIDS stressed on Monday that the city continues to make progress in its fight against the epidemic.

“We’re catching people earlier in the disease,” noted Dr. Gregory Pappas, director of the Department of Health’s HIV/AIDS, Hepatitis, Sexually Transmitted Disease and Tuberculosis Administration. “It used to be everybody who was tested pretty much had AIDS or was very close to having AIDS. Now, we’re finding people earlier in the disease.”

Pappas spoke to the Blade less than a week after DOH released its annual epidemiology report that showed new diagnoses of HIV in D.C. continue to drop, even though the percentage of the population living with HIV remains more than two times higher than the World Health Organization’s definition of a generalized epidemic.

A total of 14,465 people — or 2.7 percent — of Washingtonians were living with the virus at the end of 2010. The report further noted that African Americans remain disproportionately impacted by the epidemic with 4.3 percent of black D.C. residents living with HIV. 6.3 percent of black D.C. men had the virus, compared with 2.4 percent of whites and three percent of Latinos. DOH further noted that black women accounted for 92.4 percent of D.C. women with HIV.

The report further indicates that the number of new HIV diagnoses among black Washingtonians between 2006 and 2010 decreased 24 percent, compared to a 36 percent decrease among white D.C. residents during the same period.

Same-sex and heterosexual sexual contact remain the two leading modes of HIV transmission in the city. Slightly more than 77 percent of white D.C. residents and 55.5 percent of Latino Washingtonians who tested positive between 2006 and 2010 contracted the virus through men who have sex with men, compared to only 30.7 percent of black D.C. residents. Nearly 39 percent of black Washingtonians who tested positive during this period contracted the virus through heterosexual sexual contact.

DOH further noted that it distributed more than five million male and female condoms in 2011, and has tripled the number of publicly supported HIV tests from 2007. The city recommends that Washingtonians get tested at least once a year – and MSM have an HIV test every six months. Pappas said that one-third of D.C. residents get tested annually.

“We’re a national leader on that, but it’s way off from where we need to be,” he said.

D.C. Council member David Catania [I-At Large] introduced a bill last fall that would require doctors and other health care providers to attend HIV/AIDS workshops as part of their ongoing education requirements. Lawmakers subsequently approved the measure.

“We’re using that as a way to try and promote doctors to offer the test,” said Pappas.

In addition to increased testing, the DOH report further noted that roughly 89 percent of the 4,879 people who tested positive for the virus in D.C. between 2005 and 2009 were connected to HIV-specific care by the end of 2010. “We do well with connecting to care,” said Pappas, stressing the need for improved coordination between publicly funded clinics and HIV/AIDS community service providers. “The big problem is people don’t stay in care. And that’s where we’re falling down.”

Pappas credited the city’s needle exchange program for a 72 percent drop in HIV rates among intravenous drug users between 2007 and 2010—the city disposed of more than 340,000 syringes through its needle exchange program last year, which is an increase of 3,000 from 2010.Mortality rates for Washingtonians with HIV also fell by almost 50 percent from 2006 to 2010.

Pappas noted that half of those with HIV who die each year succumb to an unrelated illness, while the remaining 50 percent of people with the virus in D.C. die from HIV-related causes. He said liver failure associated with Hepatitis C has become one of the leading causes of death among people with HIV.

“It’s about 75 people annually, but that’s still too high in the District of Columbia,” said Pappas, referring to the city’s overall HIV mortality rate. “We can get to near zero deaths. We’ve gotten to zero new infections among kids, we can get to zero deaths or very near.”

Pappas further stressed that these HIV-related deaths once again highlight what he describes as the need for people with the virus to stay in treatment and continue to take their medication. “At this point since there’s no one in the District of Columbia that’s totally virally resistant now, right now all those people should be able to live,” he said.

D.C. preps for AIDS conference

The city continues to make final preparations for the International AIDS Conference that will kick off at the Walter E. Washington Convention Center on July 22.

HAHSTA will present 15 scientific abstracts during the five-day conference. The D.C. Center for AIDS Research, the body that coordinates HIV/AIDS-specific research in Washington, will highlight city-based research in a Global Village session that will be free and open to the public.

Mayor Vincent Gray and Maryland Gov. Martin O’Malley wrote a letter to President Obama earlier this year in support of a more regional-based strategy that Pappas said would allow neighboring jurisdictions to more effectively coordinate their responses to HIV/AIDS.

“The jurisdictions are working well together well on HIV/AIDS, but we still got a long ways to go,” he said, pointing to a lack of regional data. “I can tell you about D.C. in great detail, but when we’re talking about what’s going on around us, it’s a more difficult picture. We’ve got to look at that.”

Pappas also cited a hypothetical case of a Prince George’s County resident who may live across the street from a D.C. clinic that can have difficulties using their Maryland Medicaid to pay for HIV-related services in Washington as an example of the need for a more regional approach to fighting the epidemic. He also pointed to an estimate that treatment for a person with HIV costs $400,000 over the course of their lifetime—and the epidemic adds $1 million to D.C.’s long-term health care expenditures each day.

“Investment now will save huge amounts of money in the future,” said Pappas, referring to regional investment to combat HIV. “We can do better with the dollars we have if we coordinated better.”

 

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District of Columbia

Drag queens protest Trump at the Kennedy Center

President attended ‘Les Misérables’ opening night on Wednesday

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The Kennedy Center (Washington Blade photo by Michael Key)

On Wednesday night, four local drag performers attended the first night of the Kennedy Center’s season in full drag — while President Donald Trump, an outspoken critic of drag, sat mere feet away. 

Three queens — Tara Hoot, Vagenesis, and Mari Con Carne — joined drag king Ricky Rosé to represent Qommittee, a volunteer network uniting drag artists to support and defend each other amid growing conservative attacks. They all sat down with the Washington Blade to discuss the event.

The drag performers were there to see the opening performance of “Les Misérables” since Trump’s takeover of the historically non-partisan Kennedy Center. The story shows the power of love, compassion, and redemption in the face of social injustice, poverty, and oppression, set in late 19th century France. 

Dressed in full drag, the group walked into the theater together, fully aware they could be punished for doing so.

“It was a little scary walking in because we don’t know what we’re going to walk into, but it was really helpful to be able to walk in with friends,” said drag queen Vagenesis. “The strongest response we received was from the staff who worked there. They were so excited and grateful to see us there. Over and over and over again, we heard ‘Thank you so much for being here,’ ‘Thank you for coming,’ from the Kennedy Center staff.”

The staff weren’t the only ones who seemed happy at the act of defiance. 

“We walked in together so we would have an opportunity to get a response,” said Tara Hoot, who has performed at the Kennedy Center in full drag before. “It was all applause, cheers, and whistles, and remarkably it was half empty. I think that was season ticket holders kind of making their message in a different way.”

Despite the love from the audience and staff, Mari Con Carne said she couldn’t help feeling unsettled when Trump walked in.

“I felt two things — disgust and frustration,” Carne said. “Obviously, I don’t align with anything the man has to say or has to do. And the frustration came because I wanted to do more than just sit there. I wanted to walk up to him and speak my truth  — and speak for the voices that were being hurt by his actions right now.”

They weren’t the only ones who felt this way according to Vagenesis:

“Somebody shouted ‘Fuck Trump’ from the rafters. I’d like to think that our being there encouraged people to want to express themselves.”

The group showing up in drag and expressing themselves was, they all agreed, an act of defiance. 

“Drag has always been a protest, and it always will be a sort of resistance,” Carne said, after pointing out her intersectional identity as “queer, brown, Mexican immigrant” makes her existence that much more powerful as a statement. “My identity, my art, my existence — to be a protest.”

Hoot, who is known for her drag story times, explained that protesting can look different than the traditional holding up signs and marching for some. 

“Sometimes protesting is just us taking up space as drag artists,” Hoot added. “I felt like being true to who you are —  it was an opportunity to live the message.”

And that message, Ricky Rosé pointed out, was ingrained with the institution of the Kennedy Center and art itself — it couldn’t be taken away, regardless of executive orders and drag bans

“The Kennedy Center was founded more than 50 years ago as a place meant to celebrate the arts in its truest, extraordinary form,” said Ricky Rosé. “President Kennedy himself even argued that culture has a great practical value in an age of conflict. He was quoted saying, ‘the encouragement of art is political in the most profound sense, not as a weapon in the struggle, but as an instrument of understanding the futility of struggle’ and I believe that is the basis of what the Kennedy Center was founded on, and should continue. And drag fits perfectly within it.”

All four drag performers told the Washington Blade — independently of one another — that they don’t think Trump truly understood the musical he was watching.

“I don’t think the president understands any kind of plot that’s laid out in front of him,” Vagenesis said. “I’m interested to see what he thinks about “Les Mis,” a play about revolution against an oppressive regime. I get the feeling that he identifies with the the rebellion side of it, instead of the oppressor. I just feel like he doesn’t get it. I feel it goes right over his head.”

“Les Misérables” is running at the Kennedy Center until July 13.

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Comings & Goings

Kefalas, Czapary to open Yala Greek Ice Cream Shop in Georgetown

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Chrys Kefalas and Salah Czapary

The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected]

Congratulations to Chrys Kefalas and Salah Czapary on their new venture, the Yala Greek Ice Cream Shop, which will open in Georgetown, at 3143 N St. N.W., around July 4.

Kefalas is the CEO and founder, Czapary is the co-founder/director of experience and operations. The third co-founder is Steve Shyn, COO. From what I hear Chrys and Salah will at times both be doing the scooping to the lucky people who stop by their shop. The word “Yala” is a play on the Greek word for “milk,” and fittingly, Yala Greek Ice Cream is made using hand-crafted techniques passed down through three generations of Greek ice cream makers. 

Kefalas told the Blade, “This is not frozen yogurt, just inspired by Greek flavors or a trendy twist on gelato. This is true Greek ice cream, finally making its American debut. It is crafted with farm-fresh milk from Maryland, Greek yogurt and honey, fruit preserves from the Mediterranean, and ingredients sourced directly from Greece, Italy, and the Middle East, including premium pistachios and sustainably harvested vanilla.” 

The two come from different backgrounds. Kefalas has a family in the restaurant business but is currently the head of the brand division at the National Association of Manufacturers. He is a former Justice Department attorney; worked as Attorney General Eric Holder’s speech writer; Gov. Bob Erlich’s counsel in Maryland; and ran for U.S. Senate in Maryland (endorsed by the Baltimore Sun). Born and raised in Baltimore, he’s a Washingtonian of nine years. He told the Blade, “Yala Ice Cream is a tribute, a legacy, and a love letter across generations.” He spent his early years working in his grandfather’s restaurant in Baltimore, Illona’s. Kefalas hopes, “Just like Greek yogurt changed everything, Greek ice cream is going to set the new standard for ice cream. But, for us, it isn’t just about ice cream; it’s about making my Papou, my grandfather, proud.” 

Many people in D.C. know Czapary. He is the son of a Palestinian refugee, and Hungarian immigrant, and a longtime Washington, D.C. resident. Czapary served as a police officer and community engagement leader with the MPD. He then ran for D.C. Council, and although didn’t win, was endorsed by the Washington Post. After that race, D.C. Mayor Muriel Bowser realized how accomplished he is and asked him to join her administration, where he served as director of the Mayor’s Office of Nightlife and Culture. 

Czapary told the Blade, “We’re bringing the first authentic Greek ice cream shop to the U.S., and we’re doing it with heart. We’re building a space where kindness, community, and a scoop of something extraordinary come together. Our Georgetown scoop shop is designed to be a welcoming haven where every guest feels a sense of belonging.”

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Delaware

Delaware Senate passes bill to codify same-sex marriage

Measure assigned to House Administration Committee

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Delaware state Sen. Russ Huxtable introduced the original bill in April. (Blade photo by Daniel Truitt)

The bill that would enshrine same-sex marriage into Delaware’s Constitution passed the State Senate Tuesday afternoon. 

Senate Substitute Two for Senate Bill 100 passed with a 16 to 5 vote, garnering the two-thirds majority necessary to pass. The bill has been assigned to the House Administration Committee.

SB 100 was introduced in April by Democratic Sen. Russ Huxtable of the sixth district of Delaware. It is the first leg of an amendment to the Delaware Constitution. The act would “establish the right to marry as a fundamental right and that Delaware and its political subdivisions shall recognize marriages and issue marriage licenses to couples regardless of gender.”

Senate Substitute One was adopted in lieu of the original bill on May 16. SB 100 originally focused exclusively on marriage equality relating to gender and the bill was tweaked to include protection for all classes that fall under Delaware’s Equal Rights Amendment, including race, color, national origin, and sex. Senate Substitute Two was then adopted in lieu of SB 100 on June 5 after being heard by the Senate Executive Committee on May 21. 

SS 2 differs from SB 100 by clarifying that the right to marry applies to marriages that are legally valid under the laws of Delaware and that all state laws that are applicable to marriage, married spouses, or the children of married spouses apply equally to marriages that are legally valid. It also removed the need for gender-specific provisions by including gender in the first sentence and revised the language clarifying that the right to marry does not infringe on the right to freedom of religion under Article One of the Delaware Constitution.

“We’re not here to re-litigate the morality of same-sex marriage. That debate has been settled in the hearts and minds of most Americans, and certainly here in Delaware,” Sen. Huxtable said at Tuesday’s hearing. “We are here because the fundamental rights should never be left vulnerable to political whims or the ideological makeup of the U.S. Supreme Court.”

Other states such as California, Colorado, and Hawaii have introduced and passed similar bills to protect the right of all people of all genders to marry under state law. 

“This bill sends a strong message that Delaware protects its people, that we will not wait for rights to be taken away before we act,” Sen. Huxtable said at the hearing. “Voting in favor of this amendment is not just the legal mechanism of marriage, it’s about affirming the equal humanity of every Delawarean.”

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