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Biden rounds out team to take on HIV/AIDS domestically, globally

Experts say ‘too soon’ to assess domestic efforts

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4 years ago

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Biden names a global AIDS coordinator and new PACHA members

With the goal of beating HIV by 2025 domestically and a pledge for a renewed effort to fight the disease globally, President Biden has put in place officials charged with making that happen.

The White House kicked off the week with the announcement that John Nkengasong, who has served as a top official on global health at the Centers for Disease Control, would be nominated as ambassador-at-large and coordinator of U.S. government activities to combat HIV/AIDS globally at the State Department.

Meanwhile, leadership within the Presidential Advisory Council on HIV/AIDS, otherwise known as PACHA, was restructured in August as the Biden administration has continued the Ending the HIV Epidemic plan health officials started in the Trump administration.

Carl Schmid, who served as co-chair of PACHA during the Trump years, no longer holds that position, and has been replaced by Marlene McNeese, a woman of color and deputy assistant director of the Houston Health Department. John Wiesman, former secretary of health for Washington State, will continue to serve as co-chair.

McNeese is among eight new members of PACHA. The others are:

  • Guillermo Chacón, president of the Latino Commission on AIDS;
  • Tori Cooper, director of community engagement for the Transgender Justice Initiative at the Human Rights Campaign;
  • Raniyah Copeland, CEO of the Black AIDS Institute;
  • Leo Moore, medical director for clinic services at the Los Angeles County Department of Public Health;
  • Kayla Quimbley, national youth HIV and AIDS Awareness Day ambassador for Advocates for Youth;
  • Adrian Shanker, founder and executive director of Bradbury-Sullivan LGBT Community Center; and
  • Darrell Wheeler, senior vice president for academic affairs at Iona College in New Rochelle, N.Y.

The changes underscore the new approach to HIV/AIDS Biden promised during his presidential campaign. Among them is beating HIV/AIDS domestically by 2025, which is five years earlier than the plan under the Ending the HIV Epidemic initiative that began in the Trump administration. Whether or not Biden will meet that ambitious goal remains to be seen.

Winnie Byanyima, executive director of UNAIDS, hailed the nomination of Nkengasong to the global AIDS position upon news of the announcement.

“John Nkengasong’s vast experience in combatting HIV, combined with his position as Africa’s leading disease expert fighting Ebola, COVID-19 and more, position him extremely well to guide the United States’ global contribution towards ending the AIDS pandemic,” Byanyima said. “Today, the HIV and COVID-19 pandemics are colliding in communities throughout the world, and the threat of a resurgent AIDS pandemic is very real. We need the kind of bold thinking and commitment he has brought throughout his career.”

While the global AIDS appointment will have a role in international programs, such as PEPFAR and U.S. participation in the Global Fund to Fight AIDS, Tuberculosis & Malaria, the PACHA appointments will focus on both domestic and global perspectives.

Schmid, executive director of the HIV+Hepatitis Policy Institute, said despite the change in leadership he will maintain his role as head of the subcommittee on the Ending the HIV Epidemic initiative.

“It’s good,” Schmid said.”They appointed a lot of African-American community, Latino community [members] and they said they’ll rotate co-chairs,” Schmid said. “I think it’s good that they put on new blood, and new leadership.”

Schmid has been a vocal skeptic about Biden being able to meet his goal to beat HIV by 2025 — as opposed to the 2030 target set by the previous administration — but said the realignment in PACHA was “not at all” related to that.

“I think I was replaced because the Biden administration wanted the leadership of PACHA to be more representative of the current epidemic in the United States,” Schmid said.

Schmid, however, refused to back down from his prediction that Biden won’t be able to make his 2025 goal a reality.

“I think you will find wide agreement within the HIV community that it is not feasible to end HIV by 2025,” Schmid said. “There is just too much work to do and change to happen.”

The new appointments will add to the cadre of Biden appointees engaged on HIV/AIDS, including Harold Phillips, who was appointed in June to lead the White House Office of National AIDS Policy after that position remained vacant for the entirety of the Trump administration.

‘Too early’ to gauge effort to beat HIV domestically

The focus of the appointees on the domestic front will be the Ending the HIV Epidemic initiative, a plan heavily focused on PrEP as a means of preventing HIV in an effort to reduce new incidents of infections by 90 percent within 10 years. The program was launched in 2019.

Although Congress has appropriated money for the initiative, and just last week, the Department of Health & Human Services distributed $48 million to HRSA centers as part of the effort, experts say not enough data is available to tell to whether or not the program has been effective.

Jennifer Kates, senior vice president and director of global health & HIV policy at Kaiser Family Foundation, said data isn’t yet available on whether new incidents of HIV are reduced because the latest data is from fiscal year 2019.

“From the perspective of the timeline of the goals of the initiative, it’s too early, we wouldn’t know that anyway, but just even given the context and what’s happened since it started, I just don’t know how you’d evaluate it,” Kates said. “What I do believe is important though, is the idea of dedicated new funding. It was the first new funding provided to HIV for years that’s been channeled to local jurisdictions [and] has the potential to catalyze new and better responses, but we don’t know yet that’s happened.”

The coronavirus pandemic, which has been the top priority for health officials around the world, is also obfuscating any potential assessment of the Ending the HIV Epidemic initiative.

Daniel Bruner, senior director of policy at the D.C.-based Whitman-Walker Institute, said the coronavirus has “dramatically impacted medical care,” including HIV/AIDS efforts.

“The pandemic has also necessitated substantial shifts in federal, state, and local resources into COVID prevention, diagnosis and treatment,” Bruner said. “Therefore, it is premature to draw any conclusions about the EHE initiative’s effectiveness. The federal government has emphasized its continuing commitment to the EHE initiative, and Whitman-Walker also remains committed to that work.”

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Ecuador

Adolescentes trans en Ecuador podrán cambiar datos en su cédula, pero con condicionamientos

Pueden modificar el campo de género en su documento de identidad con requisitos

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3 hours ago

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March 13, 2026

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Edición Cientonce es el socio mediático del Washington Blade en Ecuador. Esta nota salió en su sitio web el 12 de marzo.

Por VICTOR H. CARREÑO | En una sentencia del 5 de febrero de 2026, la Corte Constitucional declaró inconstitucional el requisito legal de mayoría de edad para modificar el campo de sexo o género en la cédula de identidad y fija lineamientos para que adolescentes trans puedan cambiar estos datos.

El máximo organismo de control e interpretación constitucional incorpora dos requerimientos: que la persona adolescente se presente al procedimiento administrativo con sus padres y que informes psicosociales acrediten un grado de madurez.

El fallo resuelve una consulta de constitucionalidad de una unidad judicial que lleva una acción de protección contra el Registro Civil presentada por la familia de un adolescente trans que solicitó, en junio de 2023, modificar el campo de género en la cédula.

La institución se negó porque la Ley Orgánica de Gestión de la Identidad y Datos Civiles establece que la rectificación de sexo o género es un procedimiento para personas mayores de 18 años.

El adolescente, cuya identidad se protege en la sentencia, cuenta con el apoyo de sus padres en su transición, que inició en 2020. En una audiencia, su madre expuso que si bien en el ámbito familiar y en el sistema educativo se respeta la identidad de su hijo, fuera de estos hay situaciones, como en consultas médicas en el Seguro Social, en que debe presentar la cédula de él y quienes la reciben preguntan si es el documento equivocado.

En el desarrollo de la sentencia, la Corte expone por qué el requisito de tener mayoría de edad para acceder a la modificación de datos en la cédula es inconstitucional.

Entre varios motivos, explica que restringe los derechos al libre desarrollo de la personalidad e identidad, que la edad no puede exigirse como “criterio determinante y único” para determinar la madurez de un adolescente, y que la medida puede generar impactos negativos en el bienestar psicológico y emocional.

Por ello, indica que existen mecanismos alternativos como la evaluación individualizada, el acompañamiento técnico y la consideración del contexto familiar.

En ese sentido, la Corte dispone al Registro Civil que debe proceder al cambio de los datos de adolescentes trans cuando acudan acompañades de sus representantes legales y con el respaldo de informes psicosociales.

Estos informes, agrega la sentencia, deben ser de profesionales acreditados o de órganos técnicos públicos competentes que sean considerados por el Registro Civil.

El fallo tiene efectos para este caso y otros similares. A diferencia de otras sentencias, la Corte no ordena una reforma a la legislación.

La organización Silueta X, que difundió el caso en un comunicado el 11 de marzo, calificó el fallo como histórico y explicó que este crea jurisprudencia de cumplimiento obligatorio.

Sin embargo, otras organizaciones cuestionan los requisitos. Fundación Pakta indica que si bien la sentencia derriba la barrera etaria de la mayoría de edad, la inclusión de informes psicosociales contradice la tendencia global y regional hacia la despatologización.

Pakta menciona, por ejemplo, la Opinión Consultiva 24/17 de la Corte Interamericana de Derechos Humanos, instrumento que reconoce la identidad autopercebida de las personas y los derechos patrimoniales de parejas del mismo sexo.

El documento, recuerda Pakta en un comunicado, establece que para el reconocimiento de la identidad de género no se debe exigir certificados médicos ni psicológicos. Además, que la Organización Mundial de la Salud reconoció que la identidad trans no es una patología psiquiátrica.

Mientras que la activista Nua Fuentes, de Proyecto Transgénero, considera que los requisitos impuestos por la Corte pueden ser problemáticos. Menciona que frente al desconocimiento y prejuicios, profesionales de salud patologizan la identidad trans.

Además, señala que puede haber casos de que la familia y psicólogos expresen rechazo a la identidad trans y limiten los derechos de adolescentes trans. O también menciona casos de abandono de niñes y adolescentes trans y pregunta cómo reconocer su identidad si no cumplen con el requisito de acudir sin representantes legales.

Los condicionamientos para el cambio del campo de sexo o género en la cédula para adolescentes trans marcan también una diferencia con el procedimiento en personas trans de más de 18 años, pues estas —desde las reformas vigentes en 2024— no deben presentar requisitos. Solo su declaración expresa de ser una persona trans que desea que los datos de su cédula estén conformes a su identidad de género.

La madurez de niñeces y adolescencias ha sido un tema abordado en convenciones o instrumentos internacionales. La Convención sobre los Derechos del Niño de la ONU del 2009 es contundente al reconocerles como seres autónomos y capaces de formar sus propias opiniones a través de la experiencia, el entorno, las expectativas sociales y culturales.

Esta convención es mencionada en una sentencia de la Corte Constitucional en que reconoció la identidad de infancias y adolescencias trans en el sistema educativo.

En las Observaciones Generales del Comité de los Derechos del Niño, documentos de interpretación para los alcances de la mencionada Convención, se explica que la madurez es “la capacidad de comprender y evaluar las consecuencias de un asunto determinado”, lo cual debe considerarse en relación con su capacidad individual, contextos, entornos, experiencias de vida y familiar, desarrollo psicológico y no únicamente con su edad biológica.

Además, que la edad cronológica no determina la evolución de las capacidades de las niñeces y adolescencias porque estas crecen a lo largo del tiempo.

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Cameroon

Gay Cameroonian immigrant will be freed from ICE detention — for now

Ludovic Mbock’s homeland criminalizes homosexuality

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4 hours ago

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March 13, 2026

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Competitive gamer Ludovic Mbock, left, with his sister, Diane Sohna. (Photo courtesy of Diane Sohna)

By ANTONIO PLANAS | An immigration judge on Friday issued a $4,000 bond for a Cameroonian immigrant and regional gaming champion held in federal immigration detention for the past three weeks.

The ruling will allow Ludovic Mbock, of Oxon Hill, to return to Maryland from a Georgia facility this weekend, his family and attorney said.

“Realistically, by tomorrow. Hopefully, by today,” said Mbock’s attorney, Edward Neufville. “We are one step closer to getting Ludovic justice.”

The rest of this article can be found on the Baltimore Banner’s website.

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District of Columbia

Bowser appoints first nonbinary person to Cabinet-level position

Peter Stephan named Office of Disability Rights interim director

Published

1 day ago

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March 12, 2026

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The Wilson Building (Bigstock photo by Leonid Andronov)

D.C. Mayor Muriel Bower has named longtime disability rights advocate Peter L. Stephan, who identifies as nonbinary, as interim director of the D.C. Office of Disability Rights.

The local transgender and nonbinary advocacy group Our Trans Capital and the LGBTQ group Capital Stonewall Democrats issued a joint statement calling Stephan’s appointment an historic development as the first-ever appointment of a nonbinary person to a Cabinet-level D.C. government position.

“This milestone appointment recognizes Stephan’s extensive expertise in disability rights advocacy and marks a historic advancement for transgender and nonbinary representation in District government leadership,” the statement says.

The statement notes that Stephan, an attorney, held the position of general counsel at the Office of Disability Rights immediately prior to the mayor’s decision to name him interim director.

The mayor’s office didn’t immediately respond to a question from the Washington Blade asking if Bowser plans to name Stephan as the permanent director of the Office of Disability Rights. John Fanning, a spokesperson for D.C. Council member Anita Bonds (D-At-Large), said the office’s director position requires confirmation by the Council.

Stephan couldn’t immediately be reached for comment.

“At a time when trans and nonbinary people ae under attack across the country, D.C. continues to lead by example,” said Stevie McCarty, president of Capital Stonewall Democrats. “This appointment reflects what we have always believed that our community is always strongest when every voice is represented in government,” he said.

“This is a historic step forward,” said Vida Rengel, founder of Our Trans Capital. “Interim Director Stephan’s career and accomplishments are a shining example of the positive impact that trans and nonbinary public servants can have on our communities,” according to Rangel. 

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