World
Mexicans with HIV/AIDS struggle with treatment access
Government in 2019 created new health care entity
Roberto Navarro has been a dancer since he was 17. Jazz became his passion and he fell in love with classical dancing after he took many classes. And he began to teach four years later.
“I’m so happy when I teach dancing to my girls because they bring me so much joy, I feel like I help my girls to become better women, without noticing I’m some kind of a therapist,” Navarro told the Washington Blade.
He discovered the discipline of dancing in heels in 2014, which made him connect and explore more with his sexuality. He did, however, suffer a lot of bullying because of it.
Navarro — a 33-year-old gay man who is originally from Sahuayo de Morelos in Michoacán state — currently owns a dance salon. Navarro said he started to become an entrepreneur, but it hasn’t been easy because of the pandemic.
He was diagnosed with HIV in 2016. Navarro suffered from depression for several months after he learned his status.
“I woke up very overwhelmed in the morning thinking that I had to go to the hospital to make a long line of patients; to have blood drawn for fast screening tests,” he said. “We arrived at 7 in the morning and left until 1 in the afternoon.”
Navarro has been receiving treatment for almost five years, and he is still dancing.
“Subsequently, I went to my consultations every three or six months depending on my results,” he stated. “By the third month I was undetectable.”
Navarro started with Atripla, an antiretroviral drug he received through Mexico’s Seguro Popular, and he was undetectable a month later.
A shortage of Atripla forced a change to Biktarby after President Andrés Manuel López Obrador in 2019 scrapped Seguro Popular and created the Health Institute for Wellbeing (INSABI). The pharmaceutical company Gilead has said there are many counterfeit versions of the drug on the market.
Seguro Popular in 2018 had almost 52 million beneficiaries. The National Council for the Evaluation of Social Development Policy (CONEVAL) said INSABI at the end of 2020 had more than 34 million beneficiaries.
Antiretroviral drugs have been available in Mexico since 2003, although the Mexican health system is divided into various subsystems based on where one works.
- Institute of Social Security and Services for State Workers (ISSSTE)
- Mexican Institute of Social Security (IMS)
- INSABI (Health Institute for Wellbeing) that was previously known as the Seguro Popular
They vary in the time it takes to receive medication and the time for CD4 viral load tests. The availability of appointments with infectious disease specialists varies in each of the three public health systems.
People with INSABI will take longer to get tests and have access to doctors. It must also be recognized that everyone, in theory, has the possibility of accessing medicines, but it also depends on the states in which they live.
From Seguro Popular to INSABI
The number of people without access to healthcare in Mexico rose from 20 million to almost 36 million between 2018-2020. INSABI, more than a year after its creation, still does not completely cover the same amount as its predecessor.
INSABI is an independent agency through the Ministry of Health that aims to “provide and ensure the free provision of health services, medicines and other inputs associated with people without social security.” The General Health Law says it was to replace Seguro Popular, which was in place from 2004-2019.
“The situation for treatment right now, it’s quite complex, particularly because there have been many changes in the health department of Mexico, and this has to do with the fact that in 2003 when the Seguro Popular was established; there was an increase to comprehensive care for people living with HIV and resources for prevention strategies which are mainly handled through civil society organizations that obtained money from the government.” stated Ricardo Baruch, who has worked at the International Family Planning Federation for almost 15 years.
López,, who took office in 2018, sought to eliminate Seguro Popular, which was the mechanism by which access to antiretroviral drugs were given to most people living with HIV in the states with greater vulnerability. This change was done in theory to expand access for everyone, but the opposite happened.
There is less access due to the modification of purchasing mechanisms and a huge shortage throughout the country. Baruch says this situation has caused a treatment crisis across Mexico.
“The truth is that the Seguro Popular helped me a lot to have my treatments on time, what I do not like is that there is not enough staff to attend all the patients that we are waiting for our consultations,” said Erick Vasquez, a person who learned in February he is living with HIV.
Vasquez, 34, is an artist who works in Guadalajara and Playa del Carmen.
Vasquez did not have health insurance like other people through IMS. He obtained access to Seguro Popular through an organization that supports people with HIV, but he has to wait until October for his first appointment.
Vasquez, who has a very low viral load, in March began a job through which he obtained IMS. He had access to his treatments through it.
He received three months worth of Biktarvy at the end of June; one prescription for each month. He said the drug is not difficult to obtain.
“I have not had any problem with the medication, it is not difficult to get it when you are on the insurance, but there is still a long time left until October,” said Vasquez.
The cost of the antiretroviral treatment in Mexico is approximately $650 per month, and one bottle has only 30 pills.
“I have not had side effects, I have not had nausea, I don’t vomit, I take a pill daily, it is one every 24 hours,” Vasquez said. “I feel very well and I hope very soon to be undetectable.”
Infrastructure over health
Prevention resources were eliminated, and health resources today are used to finance the Felipe Ángeles International Airport at the Santa Lucía military base in Zumpango in Mexico state, a new refinery, the Mayan train and other major infrastructure projects. And this causes many people who want to access treatment not to receive them. It takes much
The cost of the work, including the land connected with the Mexico City International Airport and various military facilities, is set at 82,136,100,000 Mexican pesos and there are provisions to serve 19.5 million passengers the first year of operations, according to a report from the Secretariat of National Defense (SEDENA).
There are, on the other hand, far fewer HIV tests and this shortage has led to a much higher arrival of late-stage HIV cases and even AIDS in hospitals. This trend is particularly serious among transgender women and men who have sex with men.
“Here in Mexico we concentrate the HIV pandemic, and that we are at a time when this issue of shortages has not stabilized, that there is already more clarity in purchases, but it is well known that all these changes in health systems continue for a year over the years they cause the situation to be increasingly fragile and in the matter of migrants that previously there was certainty so that they could access medicines through the Seguro Popular, now there is a legal limbo for which in some states it depends: on the states, the clinic or social worker; whether or not they give you medications,” said Baruch.
“If you are not a resident or a national here in Mexico, this is a matter won for people in transit seeking political asylum or who had stayed in Mexico,” he added.
Migrants lack access to HIV treatment
Mexico is located between the three regions with the world’s highest rates of HIV: the Caribbean, Central America, and the U.S. This has been used as a foundation for a culture of hatred against migrants, according to Siobhan McManus, a biologist, philosopher, and researcher at the Center for Interdisciplinary Research in Sciences and Humanities of the National Autonomous University of Mexico.
The lack of opportunities, violence and climate change that forces people whose livelihoods depend on agriculture to abandon their homes prompts migration from Central America.
Most migrants — LGBTQ or otherwise — experience violence once they arrive in Mexico.
Chiapas and other states have created an extensive network of clinics known by the Spanish acronym CAPASITS (Centro Ambulatorio para la Prevención y Atención en SIDA e Infecciones de Transmisión Sexual) that are specific HIV and STD units in major towns. They are often within close proximity to most people’s homes.
Sonora and Chihuahua states, which border the U.S., often have such clinics in only one or two cities. This lack of access means people will have to travel up to six hours to access these treatments.
People who have already been receiving treatment for a long time were previously given up to three months of treatment. They now must travel every month to receive their medications because of the shortages.
PrEP available in Mexico
The shortage of medical drugs for people who already live with HIV is a current issue for the Mexican government, but they have made free PrEP available for those who want to prevent themselves from the virus.
Ivan Plascencia, a 24-years old, who lives in Guadalajara, the capital of Jalisco state , has been using PrEP for several years since he became sexually active and he never had any complaints about the medication. Plascencia instead recommends his close friends to take advantage of this prevention drug that is available in one of the CAPASITS where he lives.
Post-pandemic screening tests
There are an estimated 260,000 people in Mexico who are living with HIV. Upwards of 80 percent of them knew their status before the COVID-19 pandemic.
The number of new cases that were detected in 2020 were 60 percent less than the previous year, but this figure does not mean HIV rates have decreased.
In Jalisco, which is one of Mexico’s most populous states with upwards of 8 million people, there was a 40 percent increase in positive cases in 2020 compared to 2019. This increase has put a strain on service providers.
Canada
Shooter who killed 7 people inside Canada school was transgender
Advocacy groups have condemned efforts to link trans people to mass shootings
Canadian authorities on Wednesday said the person who killed seven people and injured more than two dozen others at a school in Tumbler Ridge, British Columbia, the day before was transgender.
Dwayne McDonald, the deputy commissioner for the Royal Canadian Mounted Police in British Columbia, during a press conference said Jesse Van Rootselaar, 18, “was born as a biological male who approximately … six years ago began to transition as female and identified as female both socially and publicly.” McDonald added it is “too early to say whether” the shooter’s gender identity “has any correlation in this investigation.”
The shooter died by suicide, and authorities found her body inside the school.
“We have a history of police attendance at the family residence,” said McDonald. “Some of those calls were related to mental health issues.”
Egale Canada, the country’s LGBTQ and intersex rights group, on Wednesday said it is “heartbroken by the horrific shooting in Tumbler Ridge.”
“Our deepest condolences are with the victims, their families, and the entire community as they navigate unimaginable grief,” said the group in a statement. “We unequivocally condemn this act of violence. There is no place for violence in our schools or in our communities. At this profoundly difficult time, we hold the people of Tumbler Ridge in our thoughts and stand in solidarity with all those affected.”
Mass shootings are relatively rare in Canada, unlike in the U.S.
GLAAD notes statistics from the Gun Violence Archive that indicate trans people carried out less than 0.1 percent of the 5,748 mass shootings in the U.S. between Jan. 1, 2013, and Sept. 15, 2025. The Human Rights Campaign, the National LGBTQ Task Force, and other advocacy groups last August condemned efforts to scapegoat the community after a trans woman shot and killed two children and injured 17 others inside the Annunciation Catholic School in Minneapolis.
Russia
Russia’s anti-LGBTQ crackdown takes absurd turn
Authorities targeted one of the country’s largest bookstore chains last month
While MAGA continues to attack LGBTQ rights in the U.S. — including erasing queer history and removing children’s books with LGBTQ characters from libraries and pushing an ever‑broader censorship agenda — and as the UK faces MAGA‑inspired campaigns demanding the removal of LGBT literature from public libraries, Russia’s assault on LGBTQ‑related media has taken an extreme and frankly absurd turn. It is a cautionary tale for Western countries of just how far censorship can go once it becomes normalized. From books to anime, TV shows, and even academia, queer existence is being systematically erased.
In January, one of Russia’s largest private bookstore chains, Chitai‑Gorod-Bukvoed, faced the risk of being shut down over alleged “LGBT propaganda” under a law that prohibits any positive mention of LGBTQ content and equates LGBTQ material with pornography and pedophilia.
Among the books targeted were “Beartown,” “Us Against You,”and “The Winners”by Fredrik Backman, “The Left Hand of Darkness” by Ursula K. Le Guin, and “The Heart’s Invisible Furies” by John Boyne.
According to Chitai‑Gorod-Bukvoed CEO Alexander Brychkin, once it became known in mid‑December that law enforcement agencies had launched inspections, the Chitai‑Gorod–Bukvoed network immediately removed these titles from sale nationwide. In a comment to Kommersant, Brychkin stressed that the chain “operates strictly within the legal framework,” noting that the books were not listed in any official register of banned materials at the time the inspections began and had been on sale for several years.
Previously, two of the biggest online film distribution companies were charged as well under the “LGBT Propaganda law.”
Private businesses had no more right to speak up than writers or artists who are persecuted for their work. This is a nightmare scenario for many Americans who believe the free market itself can protect freedom of expression. This is the reality of modern‑day Russia.
A censored version of the anime “Steins;Gate” has also been released on Russia’s most prominent streaming platform, “Kinopoisk,” in which the storyline of one of the main characters was altered due to the ban on so‑called “LGBT propaganda,” as reported by opposition outlets Verstka and Dozhd, as well as fans on Reddit.
In the original series, the character Ruka Urushibara is a young person with an androgynous appearance who struggles to accept themself in a male body — an obvious indication that Ruka is a transgender girl. Ruka wears women’s clothing and dreams of becoming a girl. In episode eight, Ruka is given the chance to intervene in the past by sending a message to their mother in order to be born female.
In the Kinopoisk version, released in late 2025, Ruka is instead portrayed as a girl living with HIV — something entirely absent from the original anime and invented in translation. The storyline and dialogue were rewritten accordingly, completely distorting the original meaning: in this version, Ruka attempts to change the past in order to be born “healthy,” without HIV, rather than to be born a girl. This is not only absurd, but deeply offensive to the LGBTQ community, which has long been stigmatized in relation to HIV.
A similar distortion appears in “Amediateka”’s translation — or, better to say, rewriting — of the new AMC series “Interview with the Vampire.” Translators rewrote dialogue in ways that fundamentally misrepresented the plot, downplaying the openly queer nature of the characters to the point that romantic partners were translated merely as “friends” or “pals,” rendering entire scenes meaningless. At the same time, even brief critical references to Russian or Soviet politics were removed.
As for queer romance, such as the popular Canadian TV show “Heated Rivalry,”it has no official Russian translation at all and circulates only through fan translations. The show remains popular among millennials and Gen Z, and Russian social media platforms like X (Twitter) and Instagram are full of positive reviews. Yet, in theory, promoting such a show could put someone at risk under the law. People still watch it, still love it, still build fan communities, but it all exists quietly, pushed under the carpet.
The prohibition is not total, but it is a grotesque situation when even such a nice and harmless show is stigmatized.
Books suffer even more. Some classics fall under bans, and books are physically destroyed. In other cases, the outcome is worse: texts are rewritten and censored, as with “Steins;Gate.” This affects not only fiction but also nonfiction. For example, in “Deep Color” by Keith Recker, an American researcher of visual arts, all mentions of queer, feminism or BDSM culture were erased in the Russian edition. Even historically necessary references were removed, including mentions of the pink triangle used by the Nazis.
In the Russian edition of Skye Cleary’s “The Thirst for Authenticity: How Simone de Beauvoir’s Ideas Help You Become Yourself,” dozens of paragraphs were blacked out. Passages discussing the fluidity of gender and a person’s right to define themselves outside the rigid male–female binary were removed. Sections on contraception and abortion, critiques of biological reductionism and social pressure on women, details of Simone de Beauvoir’s intimate life and her relationships with women, as well as reflections on non‑monogamous relationships, were all excised. Even footnotes referencing quotes about gender identity were hidden.
Those two books are one of the many examples of the fate of Russian-translated nonfiction. Actually, even books about animal reproduction were demanded to be censored because of the “LGBT propaganda law”. Apparently, the authorities couldn’t accept a neutral scientific description of same-sex behavior and reproductive diversity in animals.
The authorities know what they are doing. Most people are less likely to read dense nonfiction or search actual studies about animal sexual behavior than to watch a popular TV show about queer hockey players, which makes visual media easier to censor quietly and effectively. So they really could show LGBTQ as something negative and absolutely unnatural for most of the Russian population.
And this is the core of the problem. This is not just censorship of content — it is the rewriting of history, even the narrative around biology. It is the deliberate marginalization of queer existence, the systematic erasure of queer people’s ability to see themselves reflected in culture, literature, and art.
The U.S. still retains independence in academia, publishing, and private business when it comes to queer voices. Russia does not. History shows where this path leads: Nazi Germany burned books; the Taliban destroyed cultural and historical materials. This is always one of the first steps toward genocide — not immediate, perhaps, but inevitable once dehumanization becomes official policy. It never stops with just one group. In Russia, immigrants, people from the North Caucasus and Central Asia, Ukrainians, and even disabled citizens face daily dehumanization — it’s all part of the same system.
And now, alarmingly, the U.S. seems to be following in Russia’s footsteps — the same path that enabled war in Ukraine and the thriving of authoritarianism.
Senegal
A dozen Senegalese men arrested for ‘unnatural acts’
Popular journalist and musician among those taken into custody
Senegalese police have charged a dozen men with committing “unnatural acts.”
The New York Times reported Pape Cheikh Diallo, a popular television reporter, and Djiby Dramé, a musician, are among the men who authorities arrested. They appeared in court in Dakar, the Senegalese capital, on Monday.
Le Soleil, a Senegalese newspaper, reported authorities arrested the men on Feb. 6 “for intentional transmission of HIV, unnatural acts, criminal conspiracy, and endangering others.” The newspaper further notes the men have been placed in “pre-trial detention.”
Senegal is among the countries in which consensual same-sex sexual relations remain criminalized.
Police in Kaolack, a town that is roughly 135 miles southeast of Dakar, in 2015 arrested 11 people who allegedly engaged in same-sex sexual acts during “a celebration of a gay marriage.” The National Assembly in 2021 rejected a bill that would have further criminalized homosexuality in the country.
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