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AIDS 2012: Fenton stresses an end to HIV/AIDS is “within our grasp”

Head of CDC’s HIV/AIDS response stressed more needs to be done to fight epidemic

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Gay News, Washington Blade, HIV/AIDS

Dr. Kevin Fenton of the Centers for Disease Control and Prevention. (Photo courtesy of CDC)

The head of the Centers for Disease Control and Prevention’s response to HIV/AIDS stressed on Wednesday that he is confident that an end to the epidemic is near.

“Ending the epidemic really means really reducing the numbers of new infections which are occurring as well as protecting the lives of those who are infected,” Dr. Kevin Fenton, director of the CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, told the Blade during the International AIDS Conference at the Walter E. Washington Convention Center. “The cure discussion is very exciting. I think we’re moving along and understanding what the elements of a cure are likely to be, but it will take some time to reach there. Ending the epidemic I think is within our grasp, and we must continue to push for a cure as well.”

Fenton spoke to the Blade a few hours before he took part in a panel that discussed older adults with the virus. The CDC estimates that nearly 11 percent of the roughly 50,000 new HIV infections that occur each year in the United States are among those older than 50. Statistics further indicate that 16.7 percent of new diagnoses in 2009 were among this demographic, with half of them also having AIDS.

The CDC further predicts that half of people with HIV in the country by 2015 will be 50 or older.

“We’re all getting older,” said Fenton. “The baby boomers are now coming out of the workforce, many of whom are HIV infected and are going to be living their lives.”

Stigma, a lack of health care, financial insecurity and a lack of information about the virus are among the challenges that public health officials and HIV/AIDS service providers continue to confront in their efforts to curb new infection rates among older people. In spite of these hurdles, increased access to anti-retroviral drugs and other medications have allowed people with HIV to live longer lives.

“That’s a huge difference to where we were 30 years ago,” noted Fenton. “We now need to prepare for the other health conditions that come with aging: high blood pressure, strokes, diabetes, etc., as people age. This is an appropriate time for us to be reflecting on that.”

Fenton stressed that both the health care reform law that President Obama signed in 2010 and the White House’s National HIV/AIDS Strategy provide what he described as a “framework” to effectively address older adults and other at-risk populations.

“We need to be honest that most infections are occurring among young people in the United States — those under 40 years, so we need to ensure that our resources are being used to address the epidemic in those who are at greatest risk,” he added. “Nevertheless, we still see a substantial proportion of new infections occurring in older adults and I think the conversations that we need to have collectively is how do we ensure that there are proportionate investments to meet the needs of older adults in the U.S. and that we’re mindful of their needs and actively planning for their needs as well.”

Fenton: Conference highlights American leadership on fight against HIV/AIDS

AIDS 2012 is the first time that the United States has hosted the International AIDS Conference since 1990.

“It’s wonderful that we’re able to bring the international community back to the United States to both celebrate the progress we’ve made in the global response against HIV and to reflect on certainly U.S. leadership in the fight against AIDS at home as well as abroad,” said Fenton. “It’s also been fantastic that new concepts and calls for a greater sense of urgency in moving towards an AIDS-free generation, the beginning of the end of AIDS — fantastic themes for everyone across the U.S. as well as around the world for everyone to begin to reflect on.”

More than 30,000 delegates, journalists and HIV/AIDS activists have traveled to D.C. for the five-day gathering that will end on Friday. Some, such as the AIDS Healthcare Foundation, have used the conference as an opportunity to criticize the Obama administration’s response to the epidemic.

“You have to think about where we’ve come from, especially in the last few years,” said Fenton who once again referred to the health care reform bill and the National HIV/AIDS Strategy. He also pointed to safer-sex campaigns that specifically target black men who have sex with men and further engagement with communities impacted by the epidemic. “There’s a lot that we have done over the last few years. We always can do more and we need to do more faster.”

One specific challenge to which Fenton pointed is the underlying socio-economic issues that prevent people with HIV from accessing treatment once they learn their status. He noted that only 28 percent of Americans with the virus are “maximally benefitting from treatment.”

“People may not want to go to an HIV clinic because they’re too embarrassed, they’re afraid of seeing their friends or colleagues or they may not be able to simply afford just to be there because a day in the clinic means a day not working and when you have a family to feed or rent to pay, sometimes you make decisions which are not necessarily to the benefit of your health,” he said. “So there are many issues and what we’re hearing at this conference is we need to be honest about that cascade and we need to think about improving on every aspect of the cascade to have an overall benefit.”

Researchers from the National Institutes of Health and the HIV Prevention Trials Network earlier this week released a study that found high rates of HIV, unemployment and incarceration among black gay men in six cities. The report notes that even though black gay men more likely to practice safer-sex than other groups, they remain at higher risk for the virus.

“It’s not just about individual risk behaviors; but poverty, homelessness, having a sexually transmitted infection, who you’re having sex with really matters, and the kind of sex you’re having really matters,” said Fenton in response to the study. “We now need to be thinking about ways of supporting black gay men — in fact all gay men in this country — to make the right choices for their individual health, but how do we create those social and structural support environments so that they can make the right choices for optimal health. And that’s really important moving forward.”

Fenton added that D.C.’s 2.7 percent HIV prevalence rate provides an accurate snapshot of the epidemic in the United States.

“We often think of it as being a very rare disease, but what we do know is that it isn’t really. Most people with HIV live in cities with more than 500,000 inhabitants and that four states in the United States account for more than 50 percent of the epidemic and the top 10 states account for about 73 percent of the epidemic,” he said. “The epidemic isn’t randomly distributed and you have these geographic pockets which are hard hit. The fact that we’re in D.C. allows us to both celebrate some of the successes we’re now having in D.C. with HIV response, but it challenges us again to do more.”

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Health

AIDS Healthcare Foundation announces 3 million people globally in its care

Los Angeles-based group lauded ‘historic milestone’

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An AIDS Healthcare Foundation float in the Lima Pride parade in Lima, Peru, on July 1, 2023. (Photo courtesy of Jacob Kessler)

The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the world’s largest HIV/AIDS organization, has announced it has three million people in care around the world.

In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.

The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.

“Today, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,” the statement says.   

“This accomplishment is far more than a number — it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,” Condessa M. Curley, the AHF board chair, said in a statement. “We extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,” Curley said.

The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to “fighting for the living and caring for the dying” at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers “and building a new paradigm for HIV care both in the United States and around the world.”  

The statement adds, “Under the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.” It says Weinstein “has been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.”

The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, “while hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.”

It says AHF’s response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, “underscoring the organization’s continued emphasis on both prevention and treatment.”

In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000]. 

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Cannabis Culture

LGBTQ people, weed, and mental health: what you need to know

Community uses marijuana at much higher rates than general population

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(Photo courtesy of NORML)

Uncloseted Media published this story on May 7.

By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.

In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.

As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression aren’t painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.

Here’s what the research demonstrates about marijuana and its effects on mental health:

  • Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
  • One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.

The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers don’t know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.

  • systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:

They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.

  • While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
    • A 2025 systematic review found that “medicinal” weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
    • Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.

Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.

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Health

UPDATED: Trans-led HIV clinic in Portsmouth struggles amid funding cuts

As states across the U.S. cut funding for HIV care this small clinic in Va, is still fighting

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Nyonna L. Byers (Photo courtesy of Nyonna L. Byers)

Two years ago, Nyonna Byers, a transgender woman from Portsmouth, Va., founded Ending Transmission of Sexual Infections (ETSI) Health Clinic to support a community she saw struggling with rising HIV rates. Now, as costs continue to climb and funding for HIV healthcare initiatives is being cut across the United States, Byers says her transgender identity has made it harder to secure the financial support her clinic needs to survive.

Portsmouth, with just under 100,000 people, is right across the Elizabeth River from Norfolk.

“We’re an HIV-led organization here in Portsmouth, providing services throughout the Hampton Roads area,” Byers told the Blade. “As a trans-led organization—with me as the founder and executive director—I’ve received a lot of rejection when it comes to funding. That’s one of the main reasons why we’re struggling to keep the clinic open. Without funding, we can’t provide HIV treatment or care, and then we’re just a theoretical organization—we can’t be impactful in the community we serve.”

She said the data clearly shows a need for increased investment in HIV care in Portsmouth, but the response from leadership has not matched the urgency of the crisis.

“Portsmouth is one of the smallest cities with one of the highest HIV rates, and there are very few HIV-led organizations or clinics here. The need is urgent, but the response doesn’t match it. We’re doing the work on the ground, but we’re not getting the support to sustain it. That disconnect is what’s hurting people the most.”

That need, Byers explained, continues to grow as ETSI struggles to meet the financial demands of the life-saving work it provides.

Portsmouth has one of the highest HIV prevalence rates in Virginia, with roughly 736.9 cases per 100,000 people—a rate that exceeds both state and national averages.

“Leaders like the mayor and city council don’t focus on public health or social health. They focus more on development—building the city up physically—rather than investing in the health of the people. I’ve applied for funding multiple times and been denied. Every time I’ve asked for resources, I’ve been turned away.”

When asked why, Byers said the answer felt clear to her.

“I honestly believe I was denied funding because I’m trans. I told the mayor I was going to go public with it, because it’s not fair. We’re on the ground doing the work to end HIV, and we’re still not getting the support we need. That’s not just frustrating—it’s harmful.”

While she said local support has been lacking, Byers noted that the state has stepped in—though the funding still falls short of what is needed to sustain the clinic long term.

ETSI Health Clinic was included as a recipient of funding in the Virginia 2027–2028 Senate budget, receiving $50,000 per year from the Virginia General Fund. Byers specifically credited State Sen. Lillie Louise Lucas with helping secure that funding, which she said did not come from city leadership.

Byers shared that she has given up a lot to keep ETSI afloat, but the costs just keep coming.

“I’ve worked a lot of contracts—jobs paying $30 to $40 an hour—and poured that money into my clinic. But the downside is that I’m struggling personally. I’ve lost cars, I’ve lost a house—I’ve lost a lot to keep this clinic going. This work has cost me almost everything.”

Nyonna L. Byers and HIV/AIDS activist Jeanne White-Ginder (Photo courtesy of Nyonna L. Byers)

She added that the impact of federal policy shifts is also being felt locally. As the Trump-Vance administration continues to roll back what it has described as unnecessary “DEI” spending, Byers said those decisions are affecting clinics like hers.

There was a time when the clinic was able to receive funding from Sentara Cares, the philanthropic program of Sentara Health, a not-for-profit healthcare system based in Virginia and North Carolina, but now they can’t.

“We had funding from Sentara Cares for three years, and it helped keep us going. Then when DEI initiatives started getting rolled back, that funding stopped. I was told directly that because of federal policy changes, they couldn’t fund the clinic. I broke down during that meeting, because it felt like they were really saying they couldn’t support us because of who we are.”

That lack of funding is compounded by broader gaps in healthcare access in the region. Portsmouth—the ninth most populous city in Virginia—does not have a hospital.

“There’s very limited access to care in Portsmouth. We don’t even have a hospital—people have to be transported to Norfolk. We’ve had high rates of syphilis, and the health department is only open a few days a week. A lot of people don’t trust it, and that leaves entire communities without care.”

Byers made it clear that this is more than a passion project for her—it is her life’s calling, and she would do nearly anything to keep it going.

“To be honest, I would go back to sex work before I let my clinic close. This is something I built from the ground up. I built this clinic with money I earned myself. I’m not going to let it disappear without a fight.”

She also pointed to gaps in education and outreach, which she says exacerbate HIV rates despite the availability of preventive measures.

“There’s almost no marketing or education about PrEP in the Hampton Roads area. If you go to places like D.C. or Atlanta, you see billboards and campaigns—but here, you don’t see anything. If people don’t see it, they don’t know about it. That lack of awareness is putting people at risk.”

It is also a deeply personal fight, she explained.

“I’ve lost friends to HIV. People say you can’t die from HIV anymore, but you can if you’re not in care. I’ve seen it firsthand, and that’s what motivates me to keep going. HIV doesn’t have to be a death sentence—but without support, it can become one.”

The Blade reached out to Portsmouth Mayor Shannon E. Glover for comment.

Glover disputed Byers’ claims that her clinic was treated unfairly, including her allegation that her transgender identity played a role in funding decisions.

“There’s no issue with Miss—with her and her organization. We have been in discussion, and quite frankly, the claims that she made as it relates to ‘we’re not treating her equitably and fairly because of her [being] transgender’ that is totally untrue,” Glover told the Blade via phone call. “I’ve talked to Miss Nyonna on a number of occasions, and that is categorically not true.”

Glover added that the city provides funding to various organizations and said he had directed Byers to seek support elsewhere.

“So I’m not understanding what her issues are,” he said. “But in any event, you know, we have funding that we provide to organizations. I’ve recommended other organizations to her. I’ve recommended that she go to the state where they have more flexibility with their budget and they could help her. So that’s what I’m prepared to tell you today. I’m not going to answer any questions. I just wanted to respond that her claim that we are mistreating her, not treating her fair, is totally untrue.”

To donate to ETSI, visit their donation page at ESTIhcvas.org/donate

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