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Mexicans with HIV/AIDS struggle with treatment access

Government in 2019 created new health care entity

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Roberto Navarro (Photo courtesy of Roberto Navarro)

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. 

There are three health care systems in Mexico. (Washington Blade photo by Michael K. Lavers)

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.”

Members of the Gay Men’s Chorus of Mexico City who are living with HIV perform at Clínica Condesa, a public health clinic in Mexico City, on July 21, 2019. The clinic’s 20th anniversary coincided with the International AIDS Society’s Conference on HIV Science that took place in the Mexican capital. (Washington Blade photo by Michael K. Lavers)

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.

Migrants wait for humanitarian visas at the Ciudad Hidalgo port of entry in Ciudad Hidalgo, Mexico, on Jan. 30, 2019. (Washington Blade photo by Michael K. Lavers)

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.

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U.S. regains seat on U.N. Human Rights Council

Previous administration withdrew from body in 2018

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global forum, Human Rights Day, gay news, Washington Blade
(Photo by sanjitbakshi; courtesy Flickr)

The U.S. on Thursday regained a seat on the U.N. Human Rights Council, three years after the previous administration withdrew from it.

The U.S. won election to the council alongside Argentina, Benin, Cameroon, Eritrea, Finland, Gambia, Honduras, India, Kazakhstan, Lithuania, Luxembourg, Malaysia, Montenegro, Paraguay, Qatar, Somalia and United Arab Emirates.

The council in recent years has emerged as a champion of LGBTQ rights around the world, even though Cuba and other countries with poor human rights records are among the 47 countries that are currently members. Venezuela and Russia are also on the council.

Yoan de la Cruz, a gay man who used Facebook Live to livestream the first of more than two dozen anti-government protests that took place across Cuba on July 11, remains in custody and faces eight years in prison. The Washington Blade last month spoke with several Venezuelan LGBTQ activists who said persecution forced them to flee to neighboring Colombia.

Russia’s crackdown on LGBTQ rights and the Kremlin’s close relationship with Chechen President Ramzan Kadyrov continue to spark criticism around the world.

Then-U.S. Ambassador to the U.N. Nikki Haley during a 2018 press conference that announced the U.S. withdrawal from the council noted Cuba and other countries “with unambiguous and abhorrent human rights record” are members. Haley also said the council has a “chronic bias against” Israel.

U.S. Ambassador to the U.N.  Linda Thomas-Greenfield on Thursday in a statement said LGBTQ rights will be one of the U.S.’s focuses once it officially rejoins the council on Jan. 1.

“Our initial efforts as full members in the Council will focus on what we can accomplish in situations of dire need, such as in Afghanistan, Burma, China, Ethiopia, Syria and Yemen,” she said. “More broadly, we will promote respect for fundamental freedoms and women’s rights, and oppose religious intolerance, racial and ethnic injustices, and violence and discrimination against members of minority groups, including LGBTQI+ persons and persons with disabilities.  And we will oppose the council’s disproportionate attention on Israel, which includes the council’s only standing agenda item targeting a single country.”

President Biden in February issued a memorandum that commits the U.S. to promoting LGBTQ rights abroad.

The previous White House tapped then-U.S. Ambassador to Germany Richard Grenell to lead a campaign that encouraged countries to decriminalize consensual same-sex sexual relations, but many LGBTQ activists in the U.S. and around the world have questioned its effectiveness. The Washington Blade in August filed a federal lawsuit against the State Department that seeks Grenell’s emails around his work on the decriminalization initiative.

“The President and Sec. Blinken have put democracy and human rights—essential cornerstones of peace and stability—at the center of our foreign policy,” said State Department spokesperson Ned Price on Thursday after the U.S. regained a seat on the council. “We have eagerly and earnestly pursued these values in our relationships around the world.” 

“We will use our position to renew the council’s focus on the core human rights principles enshrined in the Universal Declaration of Human Rights and the U.N. Charter, which undergird the council’s founding,” added Price at the beginning of his daily press briefing. “Our goal is to hold the U.N. Human Rights Council accountable to the highest aspirations of its mandate and spur the actions necessary to carry them out.” 

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HRC global workplace initiative expands to Argentina, Brazil

Program based on Corporate Equality Index

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(Washington Blade photo by Michael Key)

The Human Rights Campaign on Thursday announced its initiative to promote LGBTQ equality in workplaces around the world has expanded to two South American countries.

A press release notes the HRC Foundation has launched Equidad AR in Argentina with the country’s Instituto de Políticas Públicas LGBT+, and Equidad BR in Brazil with Instituto + Diversidade.

The initiatives, which are based on HRC’s Corporate Equality Index, have three specific objectives for the businesses that take part. They are the adoption of non-discrimination policies that include sexual orientation and gender identity, the creation of employee resource groups or “diversity and inclusion councils” and “engagement in public activities to support LGBTQ+ inclusion.”

“Argentina is one of the most advanced countries in terms of rights for the collective of lesbian, gay, bisexual, trans and non-binary people in the region,” said Instituto de Políticas Públicas LGBT+ President Esteban Paulón in the press release. “However, the formal equality achieved does not always transform into real equality of opportunities. We believe that in the corporate sphere there is a great opportunity to achieve the equality that we dream.” 

HRC’s annual Corporate Equality Index is the blueprint for Equidad AR and Equidad BR. Similar indexes have been launched with LGBTQ rights groups in Chile and Mexico.

“An index that recognizes inclusive companies and practices is a must to push forward and accelerate LGBTI+ inclusion in Brazil,” said Instituto + Diversidade Executive President Joao Torres.

Thursday’s announcement comes less than two months after HRC fired then-President Alphonso David after his implication in the sexual harassment scandal around now former New York Gov. Andrew Cuomo. Joni Madison is HRC’s interim president.

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LGBTQ Venezuelan migrants in Colombia struggle to survive

People with HIV again suffering from Kaposi’s sarcoma

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The Simón Bolívar International Bridge over the Táchira River that marks the Colombia-Venezuela border on Sept. 18, 2021. (Washington Blade photo by Michael K. Lavers)

BOGOTÁ, Colombia — Edgar García and his partner, Dannys Torres, on Oct. 3, 2018, used a canoe to cross the Arauca River that marks the Venezuela-Colombia border.

García was a member of the board of directors of Alianza Lambda de Venezuela, a Venezuelan LGBTQ rights group, before he fled Venezuela. Torres worked as a hairdresser in Caracas, the Venezuelan capital.

The couple now lives in Rafael Uribe Uribe, a working-class neighborhood in Bogotá, the Colombian capital.

Torres continues to work as a hairdresser. García most recently worked for a telecommunications company.

“We are settled here in Bogotá,” García told the Washington Blade on Sept. 21 during an interview with him and Torres that took place at a shopping mall near their home. “You have your life here.”

From left: Dannys Torres and his partner, Edgar García, at a shopping mall in Bogotá, Colombia, on Sept. 21, 2021. (Washington Blade photo by Michael K. Lavers)

García and Torres are two of the more than 5.4 million Venezuelans who the Coordination Platform for Migrants and Refugees from Venezuela say have left their country as of November 2020 because of its ongoing economic and political crises.

Statistics from the Colombian government indicate there are currently more than 1.7 million Venezuelans in the country. More than 50 percent of them live in Bogotá and the departments of Norte de Santander, Atlántico and Antioquia.

Colombian President Iván Duque in February announced the country would legally recognize Venezuelan migrants who are registered with the government.

Sources in Colombia with whom the Blade has spoken say there are likely many more Venezuelan migrants in the country than official statistics indicate. Venezuelan migrants who are LGBTQ and/or living with HIV remain disproportionately vulnerable to discrimination and violence and often lack access to health care and formal employment.

A report the Red de Movilidad Humana LGBTI+—a network of advocacy groups in Venezuela, Colombia, Ecuador, Peru, Chile, Brazil, Argentina, Guatemala and Mexico—published with the support of the U.N. Refugee Agency notes sex trafficking and even death are among the myriad threats that LGBTQ migrants from Venezuela face once they enter Colombia. The report indicates they also face discrimination in shelters because of their sexual orientation and gender identity, sexual violence and a lack of access to the Colombian judicial system.

Trans woman left Venezuela ‘in search of a better quality of life’

Vanesa, a 25-year-old transgender woman from the Venezuelan city of Maracaibo, came to Colombia eight years ago “in search of a better quality of life.”

She told the Blade on Sept. 14 during an interview at Fundación de Atención Inclusiva, Social y Humana (FUVADIS)—an organization in Barranquilla, a city in Atlántico department that is near the mouth of the Magdalena River in northern Colombia, that serves Venezuelan migrants—she entered Colombia near Maicao, a city in La Guajira department via an informal border crossing known as a “trocha.” Vanesa said she was nearly kidnapped.

“The people who were standing on the sides (of the “trocha”) who ask you for money were supposedly security,” she said. “There was no security. They left me there because I was trans. They said a lot of ugly things. They assaulted me, including one (man) who was not going to let me go. They wanted me to kidnap me or have me there to do whatever they wanted to me.”

Vanesa said a woman helped her escape.

“The experience was horrible,” she said.

Vanesa traveled to Cartagena, a popular tourist destination that is less than two hours southwest of Barranquilla, and began to work at her friend’s hair salon. Vanesa told the Blade that her friend’s mother “never liked me because … she is a Christian.”

Vanesa now lives in Barranquilla and supports herself through video chats. Vanesa also competes in local beauty pageants and is able to send money to her mother in Venezuela.

“I work here,” she said. “I am relatively well off.”

Vanesa, a 25-year-old transgender woman from Venezuela, at the offices of Fundación de Atención Inclusiva, Social y Humana (FUVADIS) in Barranquilla, Colombia, on Sept. 14, 2021. (Washington Blade photo by Michael K. Lavers)

Andy, a trans man from Venezuela’s Maracay state, left Venezuela four years ago with his partner and their daughter. Andy, like Vanesa, entered Colombia via a “trocha” near Maicao.

“I migrated because the situation was becoming worse and worse each day,” Andy told the Blade on Sept. 14 as he attended a workshop that Caribe Afirmativo, an LGBTQ group in northern Colombia, organized at a Barranquilla hotel.

Caribe Afirmativo has opened three “Casas Afirmativos” in Barranquilla, Maicao and Medellín that provide access to health care and other services to Venezuelan migrants who are LGBTQ and/or living with HIV/AIDS. Caribe Afirmativo also operates several “Casas de Paz” throughout northern Colombia that support the implementation of an LGBTQ-inclusive peace agreement between the government and the Revolutionary Armed Forces of Colombia that came into force in 2016.

Andy said his work in Venezuela allowed him to learn how “to sell whatever product,” but he told the Blade he struggled to find a job once he arrived in Colombia.

Andy told the Blade that he, his partner and their daughter now have stable housing in Barranquilla. Andy said he also has received a job offer in Medellín, the country’s second-largest city that is the capital of Antioquia department.

Andy, a transgender man from Venezuela, at a Caribe Afirmativo workshop in Barranquilla, Colombia, on Sept. 14, 2021. (Washington Blade photo by Michael K. Lavers)

Jesús Gómez is a 33-year-old gay man from Venezuela’s Trujillo state in the Venezuelan Andes that are close to the country’s border with Colombia.

He previously worked with Venezuela Diversa, a Venezuelan LGBTQ advocacy group, and accepted a position with the municipality of Chacao that is part of Caracas. Gómez, whose mother was born in Colombia, also joined a student protest movement against the government.

Gómez fled to Colombia and is pursuing his asylum case with the help of UNHCR.

“I feel bad emotionally, but I am well-off compared to other people,” he told the Blade on Sept. 16 during an interview at a hotel in Cúcuta, a city in Norte de Santander department that is a few miles from the country’s border with Venezuela. “I am working to help other people who are in the same situation.”

Gómez in December is scheduled to graduate from nursing school. He also works with Fundación Censurados, a Cúcuta-based HIV/AIDS service organization that works with Venezuelan migrants, and has supported other organizations in the area that serve them.

Jesús Gómez in Cúcuta, Colombia, on Sept. 16, 2021. (Washington Blade photo by Michael K. Lavers)

FUVADIS Executive Director Luis Meneses, like Gómez, was an LGBTQ activist in Venezuela.

Meneses, who is from Venezuela’s Zulia state, in 2010 unsuccessfully ran for Venezuela’s National Assembly. Meneses in February 2018 fled to Colombia because of the “political persecution” he said he suffered.

“Discrimination and prejudice against me began when I came out to defend LGBTI rights,” Meneses told the Blade on Sept. 14 during an interview at his office.

Meneses in August 2018 launched FUVADIS, which receives support from groups that includes UNHCR and the International Organization for Migration. FUVADIS provides health care, antiretroviral drugs and a host of other services to Venezuelan migrants with HIV/AIDS and other populations that include sex workers. Vanessa and nearly 900 other FUVADIS clients are LGBTQ.

“We cannot work for the migrant population by only giving them humanitarian assistance,” said Meneses. “It’s also about guaranteeing access to their rights.”

Venezuelans with HIV/AIDS die because of lack of medications

The New York-based Aid for AIDS International estimates more than 10,000 Venezuelans with HIV have left the country in recent years. Activists and health care service providers in Venezuela with whom the Blade has spoken in recent years have said people with HIV/AIDS in the country have died because of a lack of antiretroviral drugs.

The Venezuelan government has also targeted HIV/AIDS service organizations.

Members of Venezuela’s General Directorate of Military Counterintelligence in January raided the offices of Azul Positivo, an HIV/AIDS service organization and arrested President Johan León Reyes and five other staff members. Venezuelan police on Feb. 15, 2019, raided the offices of Fundación Mavid, another HIV/AIDS service organization in Valencia, a city in Carabobo state, and arrested three staffers after they confiscated donated infant formula and medications for people with HIV/AIDS

Deyvi Galvis Vásquez, a doctor who is the manager of prevention and testing for AIDS Healthcare Foundation Colombia on Sept. 17 during an interview at AHF’s Cúcuta clinic showed the Blade pictures of Venezuelans with HIV/AIDS in Colombia who had cases of Kaposi’s sarcoma.

“The conditions are of extreme vulnerability,” said Galvis.

People wait in the waiting room at an HIV/STI clinic in Caracas, Venezuela, on Feb. 13. 2019. Venezuelan HIV/AIDS service providers tell the Washington Blade that people with HIV/AIDS have died because of an acute shortage of available antiretroviral drugs in the country. (Photo courtesy of Alianza Lambda de Venezuela)

Andrés Cardona, director of Fundación Ancla, a Medellín-based group that works with migrants and other vulnerable groups, during a Sept. 13 interview with the Blade in his office echoed Galvis. Cardona added stigma specifically against Venezuelans with HIV/AIDS is one of the myriad issues he and his colleagues confront.

“The issue of the elimination of HIV also implies not only an issue of communication and prevention, but also an issue of effective attention,” said Cardona. “We have our conservative culture, an idea that the Venezuelans who are coming are going to give us HIV.”

“This is totally discriminatory,” he added.

Cardona, like those inside Venezuela with whom the Blade has spoken, said there are no services in the country for people with HIV/AIDS.

“There are many Venezuelan migrants with HIV who enter Colombia, because they are going to die if they don’t,” he said.

AHF operates clinics throughout Colombia

AHF operates other facilities in Bogotá and in the cities of Bucaramanga, Yopal, Valledupar and Ríohacha. The organization, along with the Colombian Red Cross and the government of Santander department, in March began to distribute condoms, food and water and offer rapid HIV tests to Venezuelan migrants who travel through Páramo de Berlín, a high plateau in the Colombian Andes through which a highway between Cúcuta and Bucaramanga passes.  

AHF, among other things, offers migrants rapid HIV and syphilis tests and counseling for people who test positive. AHF also provides lab tests, formula for children of mothers with HIV and health care with an “interdisciplinary health care team.”

AHF Colombia Country Program Manager Liliana Andrade Forero and AHF Colombia Data Manager Sandra Avila Mira on Sept. 20 noted to the Blade during an interview at AHF’s Bogotá clinic that upwards of 2,000 migrants currently receive care from the organization. They also pointed out that 1,952 of them are taking antiretroviral drugs the Brazilian government donates.

Galvis noted to the Blade that many of AHF’s patients also have access to mental health care and social workers.

“AHF’s policy is to reach out to everyone,” he said.

Pandemic has made migrants even more vulnerable

Galvis, Fundación Censurados Director Juan Carlos Archila and other Colombian HIV/AIDS service providers with whom the Blade spoke say the pandemic has made Venezuelan migrants with HIV/AIDS in the country even more vulnerable.

Lockdowns prevented sex workers and others who work in the informal economy from earning money. A “pico y género” rule implemented by Bogotá Mayor Claudia López that allowed women to leave their homes on even days and men to leave their homes on odd days sparked criticism among trans activists.

Archila, who is a nurse, on Sept. 16 told the Blade during an interview at a Cúcuta hotel the pandemic has also left Censurados in a precarious situation.

“We endured practically two years with the doors closed, with expenses increasing,” he said. “The need of people who come to us for the issue of HIV remains, and yet we are all trying to cope with the situation.”

Andrade noted AHF’s Bogotá was closed for several months at the beginning of the pandemic because of the city’s strict lockdown.

The pandemic also forced FUVADIS to close its offices in March 2020, but Meneses told the Blade the organization was able to see a handful of patients at a time. He said “basic humanitarian assistance” that included hygiene kits and food were among the things that FUVADIS was able to provide its patients during the pandemic.

“Understanding how the situation for the LGBTI community, people with HIV, the migrant population and the refugee population is, we could not allow (our services) to shut down,” Meneses told the Blade.

Venezuelan migrants attend a workshop at Fundación de Atención Inclusiva, Social y Humana (FUVADIS) in Barranquilla, Colombia, on Sept. 14, 2021. (Washington Blade photo by Michael K. Lavers)
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