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Obama nominates new Global AIDS office director

Physician, researcher to oversee changes in U.S. global program

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Barack Obama, Global AIDS, gay news, Washington Blade
Barack Obama, Global AIDS, gay news, Washington Blade

President Obama’s choice for the AIDS post was applauded by advocacy groups. (Washington Blade file photo by Lee Whitman)

President Obama on Jan. 9 nominated Dr. Deborah L. Birx, a retired Army colonel and AIDS researcher, to replace Dr. Eric Goosby as the new U.S. Global AIDS Coordinator.

The official title of the position is Ambassador at Large and Coordinator of United States Government Activities to Combat HIV/AIDS Globally.

The office, which is part of the State Department, is in charge of administering the multi-billion dollar President’s Emergency Plan for AIDS Relief, or PEPFAR.

Since its creation in 2003 by President George W. Bush and its approval by Congress, the PEPFAR program has been credited with saving the lives of millions of people with HIV/AIDS in developing countries in Africa, Asia and other places by dispensing AIDS drugs and helping host countries improve medical treatment.

Birx has served since 2009 as director of the Division of Global HIV/AIDS at the Center for Global Health, which is an arm of the U.S. Centers for Disease Control and Prevention. She served from 2005 to 2009 as director of the CDC’s Global AIDS Programs for the National Center for HIV, STD, and Tuberculosis Prevention.

According to biographical information released by the White House, Birx served on active duty in the Army for 29 years in a wide range of medical and AIDS-related research positions. Among other posts, she served as director of the U.S. Military HIV Research Program and as director of the Division of Retrovirology at the Walter Reed Army Institute of Research from 1996 to 2005.

She served from 1995 to 1996 as the Walter Reed institute’s laboratory director of HIV-1 Vaccine Development and from 1994 to 1995 as chief of the Department of Retroviral Research.

Birx also served as an adjunct professor at the University of North Carolina since 2012, a consultant to Walter Reed Army Medical Center since 1989, and an assistant professor at the Uniformed Services University of Health Sciences since 1985. She received her M.D. from Penn State University.

If confirmed by the Senate as expected, Birx will take the helm at the Global AIDS Office at a time when the Obama administration is seeking to shift some of the costs of operating the PEPFAR program to host countries under U.S. supervision. Some AIDS groups have criticized the administration for reducing funding for PEPFAR in 2010. The White House argued that although modest funding cuts were made, PEPFAR more than doubled the number of people for whom it provided life-saving drugs since Obama took office in 2009.

“We have been able to pivot the PEPFAR program from what was an emergency response that was not sustainable to a sustainable response,” Goosby told the Wall Street Journal at the time he stepped down as head of the Global AIDS Office in late October.

“Our role now is not as the person who goes in and builds clinics,” the Wall Street Journal quoted him as saying. “Now we’re watching our colleagues in countries do that themselves, and if there’s a drop in impact we are there with them strengthening the weak links.”

Goosby returned to the University of California in San Francisco, where he taught and conducted AIDS-related research prior to heading the Global AIDS Office in Washington.

The New York-based Foundation for AIDS Research known as AMFAR said it “enthusiastically welcomed” Obama’s decision to nominate Birx as the next Global AIDS Coordinator.

“Dr. Birx is an expert on HIV/AIDS who has contributed significantly to groundbreaking research throughout her illustrious career,” AMFAR CEO Kevin Robert Frost said in a statement. “She brings to the table just the right mix of technical, management and leadership skills, and a keen understanding of what needs to be done to accomplish the AIDS free generation goal reaffirmed by President Obama in his State of the Union address last year.”

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State Department

State Department releases annual human rights report

Antony Blinken reiterates criticism of Uganda’s Anti-Homosexuality Act

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(Photo courtesy of the Library of Congress)

Secretary of State Antony Blinken on Monday once again reiterated his criticism of Uganda’s Anti-Homosexuality Act upon release of the State Department’s annual human rights report.

“This year’s report also captures human rights abuses against members of vulnerable communities,” he told reporters. “In Afghanistan, the Taliban have limited work opportunities for women, shuttered institutions found educating girls, and increasing floggings for women and men accused of, quote, ‘immoral behavior,’ end quote. Uganda passed a draconian and discriminatory Anti-Homosexuality Act, threatening LGBTQI+ individuals with life imprisonment, even death, simply for being with the person they loved.”

Ugandan President Yoweri Museveni last May signed the law, which contains a death penalty provision for “aggravated homosexuality.”

The U.S. subsequently imposed visa restrictions on Ugandan officials and removed the country from a program that allows sub-Saharan African countries to trade duty-free with the U.S. The World Bank Group also announced the suspension of new loans to Uganda.

Uganda’s Constitutional Court earlier this month refused to “nullify the Anti-Homosexuality Act in its totality.” More than a dozen Ugandan LGBTQ activists have appealed the ruling.

Clare Byarugaba of Chapter Four Uganda, a Ugandan LGBTQ rights group, on Monday met with National Security Council Chief-of-Staff Curtis Ried. Jay Gilliam, the senior LGBTQI+ coordinator for the U.S. Agency for International Development, in February traveled to Uganda and met with LGBTQ activists who discussed the Anti-Homosexuality Act’s impact. 

“LGBTQI+ activists reported police arrested numerous individuals on the basis of their sexual orientation or gender identity and subjected many to forced anal exams, a medically discredited practice with no evidentiary value that was considered a form of cruel, inhuman, and degrading treatment and could amount to torture,” reads the human rights report.

The report, among other things, also notes Ugandan human rights activists “reported numerous instances of state and non-state actor violence and harassment against LGBTQI+ persons and noted authorities did not adequately investigate the cases.”

Report highlights anti-LGBTQ crackdowns in Ghana, Hungary, Russia

Ghanaian lawmakers on Feb. 28 approved the Promotion of Proper Human Sexual Rights and Ghanaian Family Values Bill. The country’s president, Nana Akufo-Addo, has said he will not sign the measure until the Ghanaian Supreme Court rules on whether it is constitutional or not.

The human rights report notes “laws criminalizing consensual same-sex sexual conduct between adults” and “crimes involving violence or threats of violence targeting lesbian, gay, bisexual, transgender, queer or intersex persons” are among the “significant human rights issues” in Ghana. 

The report documents Hungarian Prime Minister Viktor Orbán and members of his right-wing Fidesz party’s continued rhetoric against “gender ideology.” It also notes Russia’s ongoing crackdown against LGBTQ people that includes reports of “state actors committed violence against LGBTQI+ individuals based on their sexual orientation or gender identity, particularly in Chechnya.”

The report specifically notes Russian President Vladimir Putin on July 24 signed a law that bans “legal gender recognition, medical interventions aimed at changing the sex of a person, and gender-affirming care.” It also points out Papua New Guinea is among the countries in which consensual same-sex sexual relations remain criminalized.

The Hungarian Parliament on April 4, 2024. Prime Minister Viktor Orbán and his right-wing Fidesz party in 2023 continued their anti-LGBTQ crackdown. (Washington Blade photo by Michael K. Lavers)

The Cook Islands and Mauritius in decriminalized homosexuality in 2023.

The report notes the Namibia Supreme Court last May ruled the country must recognize same-sex marriages legally performed outside the country. The report also highlights the Indian Supreme Court’s ruling against marriage equality that it issued last October. (It later announced it would consider an appeal of the decision.)

Congress requires the State Department to release a human rights report each year. 

The Biden-Harris administration in 2021 released a memorandum that committed the U.S. to promoting LGBTQ+ and intersex rights abroad.

The full report can be read here.

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National

Same-sex couples vulnerable to adverse effects of climate change

Williams Institute report based on Census, federal agencies

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Beach erosion in Fire Island Pines, N.Y. (Photo courtesy of Savannah Farrell / Actum)

A new report by the Williams Institute at the UCLA School of Law finds that same-sex couples are at greater risk of experiencing the adverse effects of climate change compared to different-sex couples.

LGBTQ people in same-sex couple households disproportionately live in coastal areas and cities and areas with poorer infrastructure and less access to resources, making them more vulnerable to climate hazards.

Using U.S. Census data and climate risk assessment data from NASA and the Federal Emergency Management Agency, researchers conducted a geographic analysis to assess the climate risk impacting same-sex couples. NASA’s risk assessment focuses on changes to meteorological patterns, infrastructure and built environment, and the presence of at-risk populations. FEMA’s assessment focuses on changes in the occurrence of severe weather events, accounting for at-risk populations, the availability of services, and access to resources.

Results show counties with a higher proportion of same-sex couples are, on average, at increased risk from environmental, infrastructure, and social vulnerabilities due to climate change.

“Given the disparate impact of climate change on LGBTQ populations, climate change policies, including disaster preparedness, response, and recovery plans, must address the specific needs and vulnerabilities facing LGBTQ people,” said study co-author Ari Shaw, senior fellow and director of international programs at the Williams Institute. “Policies should focus on mitigating discriminatory housing and urban development practices, making shelters safe spaces for LGBT people, and ensuring that relief aid reaches displaced LGBTQ individuals and families.”

“Factors underlying the geographic vulnerability are crucial to understanding why same-sex couples are threatened by climate change and whether the findings in our study apply to the broader LGBTQ population,” said study co-author Lindsay Mahowald, research data analyst at the Williams Institute. “More research is needed to examine how disparities in housing, employment, and health care among LGBT people compound the geographic vulnerabilities to climate change.”

Read the report

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Federal Government

Lambda Legal praises Biden-Harris administration’s finalized Title IX regulations

New rules to take effect Aug. 1

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U.S. Secretary of Education Miguel Cardona (Screen capture: AP/YouTube)

The Biden-Harris administration’s revised Title IX policy “protects LGBTQ+ students from discrimination and other abuse,” Lambda Legal said in a statement praising the U.S. Department of Education’s issuance of the final rule on Friday.

Slated to take effect on Aug. 1, the new regulations constitute an expansion of the 1972 Title IX civil rights law, which prohibits sex-based discrimination in education programs that receive federal funding.

Pursuant to the U.S. Supreme Court’s ruling in the landmark 2020 Bostock v. Clayton County case, the department’s revised policy clarifies that discrimination on the basis of sexual orientation and gender identity constitutes sex-based discrimination as defined under the law.

“These regulations make it crystal clear that everyone can access schools that are safe, welcoming and that respect their rights,” Education Secretary Miguel Cardona said during a call with reporters on Thursday.

While the new rule does not provide guidance on whether schools must allow transgender students to play on sports teams corresponding with their gender identity to comply with Title IX, the question is addressed in a separate rule proposed by the agency in April.

The administration’s new policy also reverses some Trump-era Title IX rules governing how schools must respond to reports of sexual harassment and sexual assault, which were widely seen as imbalanced in favor of the accused.

Jennifer Klein, the director of the White House Gender Policy Council, said during Thursday’s call that the department sought to strike a balance with respect to these issues, “reaffirming our longstanding commitment to fundamental fairness.”

“We applaud the Biden administration’s action to rescind the legally unsound, cruel, and dangerous sexual harassment and assault rule of the previous administration,” Lambda Legal Nonbinary and Transgender Rights Project Director Sasha Buchert said in the group’s statement on Friday.

“Today’s rule instead appropriately underscores that Title IX’s civil rights protections clearly cover LGBTQ+ students, as well as survivors and pregnant and parenting students across race and gender identity,” she said. “Schools must be places where students can learn and thrive free of harassment, discrimination, and other abuse.”

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