State Department
Blinken: PEPFAR ‘shows us what American diplomacy can do’
Secretary of state spoke at World AIDS Day event in D.C. on Friday
Secretary of State Antony Blinken on Friday noted the President’s Emergency Plan for AIDS Relief has saved more than 25 million lives since its launch in 2003.
Blinken, who spoke at the Business Council for International Understanding’s World AIDS Day event at the Hay-Adams Hotel in D.C., said the more than $100 billion the U.S. has earmarked for PEPFAR over the last two decades has funded 70,000 new community health clinics, 3,000 new laboratories and the hiring of 340,000 health care workers.
“Entire public health systems formed, with over a dozen countries which have either reached their HIV-treatment goals or managed control of the virus altogether,” said Blinken.
Then-President George W. Bush in 2003 signed legislation that created PEPFAR. California Democrat Barbara Lee, members of the Congressional Black Caucus and Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases and chief White House medical advisor who is retiring at the end of this month, are among those who played a key role in PEPFAR’s creation.
“PEPFAR has benefitted from bipartisan support, as we’ve heard, across four presidencies, across ten Congresses,” said Blinken. “It’s resulted in an investment of more than $100 billion to the global HIV/AIDS response. This is the largest commitment by one country ever to address a single disease.”
Lee and Fauci were among those who attended the event alongside U.S. Global AIDS Coordinator John Nkengasong; Assistant Health Secretary Rachel Levine; Dr. Deborah Birx, the former White House Coronavirus Response Director, and HIV and Hepatitis Policy Institute Executive Director Carl Schmid.
Blinken in his speech noted “the systems put in place by PEPFAR have become an integral part of the health security architecture of countries around the world.”
Blinken also said PEPFAR has bolstered responses to COVID-19, Ebola and the avian flu.
“We are continuing to build on PEPFAR’s many successes to create a stronger global health security architecture to prevent, to detect, to respond to future health emergencies. Doctor Fauci, you once said that PEPFAR ‘shows what the goodwill of a nation can do,’ and you were right,” said Blinken. “PEPFAR also shows us what American diplomacy can do: Bring together governments, bring together the public and private sectors, communities to tackle challenges that none of us can actually effectively deal with alone and that creates and has created a healthier, safer and ultimately more secure world.”
Five-year PEPFAR strategy to target LGBTQ people
Blinken acknowledged there is still “very serious work still required for us to end the global HIV health epidemic by 2030,” noting HIV/AIDS continues to disproportionately impact LGBTQ and intersex people and other marginalized groups.
“Too many countries still have fragile and insufficiently resourced public health systems, which makes it difficult to offer services beyond HIV/AIDS treatments, and that undercuts our capacity to respond to emerging threats,” he said.
Blinken noted the U.S. on Thursday announced a new PEPFAR strategy that will help “fill those gaps” over the next five years. It includes the following:
• Targeted programming to help reduce inequalities among LGBTQ and intersex people, women and girls and other marginalized groups
• Partnerships with local organizations to help reach “hard-to-reach” communities.
• Economic development and increased access to financial markets to allow countries to manufacture their own antiretroviral drugs, tests and personal protective gear to give them “the capacity to meet their own challenges so that they’re not dependent on anyone else.”
“This latest PEPFAR strategy will keep making advancements like that possible so that millions more people can live healthy lives and live lives to their full potential,” said Blinken.
Eswatini
PEPFAR delivers first doses of groundbreaking HIV prevention drug to two African countries
Lenacapavir now available in Eswatini and Zambia.
The State Department on Tuesday announced PEPFAR has delivered the first doses of a groundbreaking HIV prevention drug to two African countries.
The lenacapavir doses arrived in Eswatini and Zambia.
The State Department in September unveiled an initiative with Gilead Sciences to bring lenacapavir “to market in high-burden HIV countries.”
Lenacapavir users inject the drug twice a year.
The State Department in its September announcement noted everyone who participated in Gilead’s clinical trials remained HIV negative. It also said lenacapavir “has the potential to be particularly helpful for pregnant and breastfeeding mothers, as it safely protects them during and after pregnancy to prevent mother-to-child transmission.”
“In our new America First Global Health Strategy, the Department of State is establishing a first-of-its-kind innovation fund to support American-led research, market-shaping, and other dynamic advancements in global health,” said PEPFAR on Tuesday in a press release.
“The arrivals of the first doses of lenacapavir in Eswatini and Zambia mark an important milestone in HIV prevention and reflect our commitment to supporting communities with the greatest need,” added Gilead CEO Daniel O’Day. “For the first time, a new HIV medicine is reaching communities in sub-Saharan Africa in the same year as its U.S. approval.”
The September announcement came against the backdrop of widespread criticism over the Trump-Vance administration’s reported plans to not fully fund PEPFAR and to cut domestic HIV/AIDS funding. The Washington Blade has previously reported PEPFAR-funded programs in Kenya and other African countries have been forced to curtail services or even close because of U.S. funding cuts.
State Department
Vance swears in gay State Department official
Jacob Helberg is Under Secretary of State for Economic Growth, Energy, and the Environment
Vice President JD Vance on Oct. 17 swore in Under Secretary of State for Economic Growth, Energy, and the Environment Jacob Helberg.
Helberg stood alongside his husband, Keith Rabois, during the ceremony.
“An unforgettable moment being sworn in by Vice President Vance alongside my husband, Keith Rabois,” wrote Helberg in a LinkedIn post that included two photos of the swearing in ceremony. “VP Vance is a friend and a role model for a generation of patriots who look to the future with excitement and optimism while always putting America First.”
“Grateful to serve under President Trump and Secretary Rubio’s historic leadership, as we unleash America’s economic power — fueling growth, energy abundance, and technological leadership for a new American century,” added Helberg.
President Donald Trump before his inauguration announced he would nominate Helberg.
Treasury Secretary Scott Bessent and former U.S. Ambassador to Germany Richard Grenell, who Trump named as interim executive director of the Kennedy Center in D.C., are among the Trump-Vance administration’s openly gay members. Former State Department spokesperson Tammy Bruce, who Trump has nominated to become deputy representative at the U.N., describes herself as a “gay woman.”
Congress
State Department urged to restore LGBTQ-specific information in human rights reports
Congressional Equality Caucus sent Secretary of State Marco Rubio a letter on Sept. 9
The Congressional Equality Caucus has called upon the State Department to once again include LGBTQ and intersex people in their annual human rights report.
U.S. Reps. Robert Garcia (D-Calif.), Julie Johnson (D-Texas), and Sarah McBride (D-Del.), who co-chair the caucus’s International LGBTQI+ Rights Task Force, spearheaded a letter sent to Secretary of State Marco Rubio on Sept. 9.
The 2024 human rights report the State Department released last month did not include LGBTQ-specific references. Jessica Stern, the former special U.S. envoy for the promotion of LGBTQ and intersex rights under the Biden-Harris administration who co-founded the Alliance for Diplomacy and Justice, described the removal of LGBTQ and intersex people and other groups from the report as “deliberate erasure.”
“We strongly oppose your decision to remove the subsection on Acts of Violence Criminalization, and Other Abuses Based on Sexual Orientation, Gender Identity or Expression, or Sex Characteristics (SOGIESC Subsection) from the State Department’s Annual Country Reports on Human Rights Practices (Human Rights Reports),” reads the letter. “We urge you to restore this information, or else ensure it is integrated throughout each human rights report.”
Congress requires the State Department to release a human rights report each year.
The Congressional Equality Caucus’s letter points out the human rights reports “have been a critical source of information on human rights violations and abuses against LGBTQI+ persons around the world.” It specifically notes consensual same-sex sexual relations remain criminalized in more than 60 countries, and the 2017 human rights report included “details on the state-sponsored and societal violence against LGBTQI+ persons in Chechnya, including extrajudicial killings.”
Immigration Equality in response to the 2024 human rights report said the reports “serve as key evidence for asylum seekers, attorneys, judges, and advocates who rely on them to assess human rights conditions and protection claims worldwide.”
“The information in these reports is critical — not just for human rights advocates — but also for Americans traveling abroad,” reads the Congressional Equality Caucus’s letter. “LGBTQI+ Americans and their families must continue to have access to comprehensive, reliable information about a country’s human rights record so they can plan travel and take appropriate precautions.”
The caucus’s full letter can be read here.
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