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Housing for people with HIV in D.C. remains a problem

Nearly 1,000 remain on waiting list to access assistance

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Gregory Pappas, gay news, Washington Blade

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

The head of D.C.’s response to HIV conceded on Tuesday that city officials continue to grapple with the problem of a lack of housing for people with the virus.

“Housing is obviously a challenge that makes it more difficult for us to do what we need to do,” said Dr. Gregory Pappas of the Department of Health’s HIV/AIDS, Hepatitis, Sexually Transmitted Disease and Tuberculosis Administration. “Getting people to keep themselves safe, not getting infected, getting people to get tested, to get into treatment and stay in treatment is made more difficult when people are in a shelter.”

HAHSTA statistics indicate that 1,309 people in D.C., Northern Virginia and suburban Maryland have received subsidies through the Tenant-Based Rental Assistance program during this fiscal year that allows participants to obtain permanent affordable and quality housing in the private rental housing market through the federal Housing Opportunities for Persons with AIDS program. The agency distributes these funds through the metropolitan area and Jefferson County in the West Virginia panhandle.

Trenton Fedrick, manager of HAHSTA’s Housing Assistance Division, noted that some TBRA clients have been in the program for up to seven years, compared to an average of two years for those who receive transitional housing assistance. The agency’s own statistics indicate that 968 people with HIV remain on a waiting list to access housing-related assistance from the city.

Housing Works protesters heckled Mayor Vincent Gray on this point when he spoke at the International AIDS Conference at the Walter E. Washington Convention Center last month — the Blade spoke with one Southeast Washington resident with HIV who said he has been on a waiting list for access to housing for those with the virus since 2001.

Pappas acknowledged this backlog remains a problem. He stressed, however, that fewer than an estimated 20 of those on the waiting list are actually in homeless shelters or living on the streets.

“The waiting list is a bit contentious because people apply, but they can go on and have housing that we don’t know about,” he said. “It’s not like these people are all in the same situation. They apply and the number that’s kicked around is 1,000 people. What I don’t like is when people say 1,000 people are on the street. A thousand people have demonstrated need for some sort of support. Most of them like the rest of the housing problem in the United States and D.C. are staying with friends and relatives.”

Underlying socio-economic disparities and gentrification of traditionally lower-income neighborhoods also pose an ongoing challenge to securing housing for people with HIV.

Fedrick noted those with HIV who seek access to the city’s housing programs are unable to afford rents that average $1,400 a month for a one-bedroom apartment. Pappas further pointed out that many landlords are unwilling to rent apartments to those struggling with substance abuse and mental health issues.

“We’re talking about people who are not only HIV-positive, we’re talking about people who have socio-economic issues that put them in a situation where they are homeless,” added Fedrick. “You’re talking about people who have had in some ways a lifetime of issues, you’re talking about people who are in a position, at a point of time when our national economic issue is kind of dire with people being out of work. It’s not a simple fix. ”

Housing Works Director of National Organizing and Advocacy Larry Bryant agreed.

“The problem with HIV both here in the city and nationally is not just about people having unsafe sex,” he told the Blade. “It’s about people living in desperate situations, people who are on the edge of poverty or below poverty, people who are homeless. We’re not looking at it in a holistic kind of way.”

The city received roughly $8 million in HOPWA funds during this fiscal year for Tenant-Based Rental Assistance, the Short-Term Rental, Mortgage and Utility Assistance and transitional housing programs. Transgender Health Empowerment and Joseph’s House are among the local service providers that work with people with HIV who need housing assistance.

The U.S. Department of Housing and Urban Development in late 2009 threatened to cut $12.2 million in funding to the city over concerns that HAHSTA was not adequately tracking the use of HOPWA funds. Neither Pappas nor Fedrick were with the agency at the time of the audit, but they stressed to the Blade that HAHSTA has implemented a system of accountability that they maintain effectively monitors how local HIV/AIDS service providers use HOPWA funds it disseminates to them.

“We’re making sure that documentation of services are in place, that they’re providing services that are needed,” said Fedrick. “We’re taking a strong look at funds to see if there are places we can move funds or maybe we can move people off of waiting lists. We currently have providers who are providing good services and that aren’t stuck in issues of fraud, waste and abuse. I can’t speak to what happened then, but what’s happening now is a system of monitoring and mentoring with these programs so that our partnerships are stronger.”

Bryant said transparency remains a serious issue. He stressed, however, he remains equally concerned about what he described as the effectiveness of the funds used to address this problem.

“We have too many gaps where individuals who aren’t receiving housing and we’re not showing any long-term or even short-term improvement around how those housing dollars are benefitting, partly because we’re not sure that most entities know the importance [of] the relationship of safe and stable housing to an overall health outcome,” said Bryant. “Developing this comprehensive plan helps to ensure that any dollars used for housing, any dollars used for prevention and education is working together, working kind of across the board to help develop a stronger cohesive net to help improve all health outcomes.”

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Health

Cases of multi-drug resistant gonorrhea ‘super strain’ multiply

CDC and WHO have once again sounded alarm about STI

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Gonorrhea bacterium (CDC/Los Angeles Blade graphic)

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.

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EXCLUSIVE: Meet the director of Johns Hopkins Center for Transgender Health

Dr. Fan Liang on politicizing healthcare, fear among patients

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Fan Liang (Photo courtesy of Fan Liang)

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.

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CDC official discusses new STI prevention tool

Dr. Leandro Mena spoke with the Blade on Thursday

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Dr. Leandro Mena, director of the Centers for Disease Control and Prevention's Division of STD Prevention (Screen shot/YouTube)

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.”

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