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Newly diagnosed HIV cases increased slightly in D.C. in 2021

Report cautions fewer people were tested during COVID-19 pandemic

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Clover Barnes, Director of the D.C. Department of Health’s HIV/AIDS, Hepatitis, STD and TB Administration (HAHSTA), was among those playing a lead role in preparing the newly released D.C.HIV/AIDS surveillance report. (Washington Blade file photo by Michael Key)

The D.C. Department of Health’s Annual Epidemiology and Surveillance Report released on Tuesday shows there were 230 newly diagnosed HIV cases in the D.C. in 2021, the most recent year in which data have been analyzed.

The report says the 230 cases in 2021 represents an 83 percent decline in new cases from the peak number of 1,374 cases in 2007, but a slight increase from 219 cases reported in 2020. The report shows there were 273 newly reported HIV cases in 2019, 331 cases in 2018 and 386 in 2017.

In addition to HIV, the report includes data related to the number of newly reported cases of hepatitis, tuberculosis, and other sexually transmitted infections such as syphilis, gonorrhea and chlamydia. 

“Annual surveillance data is critical to our understanding of disease trends and our planning and programmatic efforts to control and prevent disease,” the report says. “However, the data in this year’s report must be examined in the context of the COVID-19 pandemic. The pandemic continues to have an immense impact on the availability, accessibility and utilization of disease screening, prevention, and care services,” according to the report.

Among other things, the report says the D.C. Department of Health, to which it refers as D.C. Health, saw a 20 percent decline in the volume of HIV, chlamydia, gonorrhea, syphilis and hepatitis laboratory reports received in 2020 compared to 2019, indicating fewer people were being tested and diagnosed for the diseases. 

“HIV lab volume decreased further from 2020 to 2021 with a 20 percent decline, and an overall decline from 2019 to 32 percent,” the report says. “Given disruptions to screening services, the potential for underdiagnosis and underreporting is most substantial for those with asymptomatic infections,” it says.

The Annual Epidemiology and Surveillance Report was released at a Tuesday event at the city’s Town Hall Education Arts Recreation Campus in Southeast D.C. in commemoration of Black HIV/AIDS Awareness Day. 

Among those who attended or spoke were Harold Phillips, director of the White House Office of National AIDS Policy, and Dr. Demetre Daskalakis, deputy coordinator of the White House Mpox Response who’s on leave from his role as director of HIV/AIDS Prevention at the U.S. Centers for Disease Control and Prevention.

Also participating in the event were Rita Harcrow-Flegel, drector of the U.S. Department Housing and Urban Development’s Office of HIV/AIDS Housing; Dr. Sharon Lewis, interim director of D.C. Health; Clover Barnes, senior deputy director of D.C. Health’s HIV/AIDS, STD, and TB Administration, and Erin Whelan, executive director of the D.C. LGBTQ youth advocacy group SMYAL.

Statements at the event by the White House and D.C. officials and a statement released by the office of D.C. Mayor Muriel Bowser point to stepped up efforts by D.C. to provide HIV testing and treatment services to all those at risk for HIV, including services free of charge for those unable to pay for them.

Among the services announced is the availability of Post Exposure Prophylaxis, or PEP, a medication D.C. Health is offering free of charge that is taken to prevent HIV infection if taken within 72 hours of being exposed to HIV. Also available, officials said, is the medication known as Pre-Exposure Prophylaxis, or PrEP, which, when taken as a daily pill, prevents people from becoming infected with HIV. That too is available free of charges for those in need, the statement from the mayor’s office says.

“We want people in D.C. to know their status and get connected to the right care at the right time — with no shame or stigma attached,” Bowser said in the statement. “We have so many fantastic healthcare partners in D.C., and they have helped us expand access to free PEP, free PrEP, free condoms, free at-home tests, and more,” the mayor said. “Now, we need to make sure people know what’s available and how to access it.”

The statement calls on the public, especially those at risk for HIV, to access information about the city’s HIV prevention and support related services through a new website: sexualbeing.org.

It says the city continues to push for its “bold goal” of having fewer than 21 new HIV diagnoses each year by 2030. It says the city is also stepping up efforts to ensure that everyone who tests positive for HIV will quickly access the anti-retroviral medication that, if used as directed, prevents HIV related illness and suppresses a person’s HIV viral load to a point where they cannot transmit HIV to another person through sexual contact.

The newly released report includes these findings for the year 2021:

• There were 11,904 current D.C. residents, or 1.8 percent of the population, living with HIV in 2021.

• Sexual contact was the leading mode of transmission of newly diagnosed HIV cases in 2021. 

• There were 230 newly diagnosed HIV cases in 2021, a small increase over the 219 new cases reported in 2020, but a significant drop from the 1,373 cases in the peak year of 2007 and the continued decline in cases in subsequent years.

• The proportion of people living with HIV in D.C. in 2021 that are Black is 71 percent

• The proportion of Black men diagnosed with HIV in 2021 who have sex with men (MSM) was 35 percent.

• The proportion of white men diagnosed with HIV in 2021 who have sex with men (MSM} was 8 percent. 

• The proportion of Black heterosexual men diagnosed with HIV in 2021 was 8 percent.

• The proportion of Black heterosexual women diagnosed with HIV in 2021 was 15 percent.

• The report does not show the proportion of white heterosexual men who tested positive for HIV in 2021.

• The proportion of transgender persons diagnosed with HIV in 2021 was 3.5 percent. 

• In 2021, the overall gender breakdown in the proportion of newly diagnosed HIV cases was 73.9 percent male and 22.6 percent female. 

The report was expected to be posted for access on the D.C. Health website at www.dchealth.dc.gov

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District of Columbia

How Pepper the courthouse dog helps victims of abuse

Reshaping how the legal system balances compassion with procedure

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Abby Stavitsky and Pepper (Courtesy photo)

Deborah Kelly’s blind husband, Alton, was dragged for blocks to his death by a hit-and-run driver who had already plowed into her on Alabama Ave., S.E., in June 2024. 

But her trauma had only just begun. It took 10 months before the driver, Kenneth Trice, Jr., was arrested, and another six months before he was sentenced to just six months behind bars.  

As she heaved and sobbed in the courtroom in November, Kelly had a steady four-legged presence by her side: Pepper the Courthouse Dog, as the black Labrador retriever is known in D.C. Superior Court.

Abby Stavitsky, a former federal prosecutor who now serves as a victims’ advocate, is the owner and handler of nine-year-old Pepper. She says that one of the things that has made Pepper such a great asset in the court in the past six years is the emotional support and comfort she provides to victims.  

“She absorbs all of the feelings and the emotions around her, but she’s very good at handling it,” Stavitsky said. 

Pepper and Stavitsky started working in Magistrate Judge Mary Grace Rook’s courtroom — and now works in Magistrate Judge Janet Albert’s — to provide support for youth who suffer trauma, especially young survivors of commercial sexual exploitation.

These specially trained dogs offer emotional support to trauma victims of all ages. Courthouse dogs can reduce victims’ and witnesses’ anxiety and stress, making it easier for them to provide clear statements in the courtroom, according to a 2019 report in the Criminal Justice Review. 

“Having something to pet and interact with is a distraction that results in victims being calmer when testifying in court,” says Stavitsky. “This gives them an extra level of comfort.” 

What brought Stavitsky and Pepper together

Stavitsky, who spent 25 years as an assistant U.S attorney, handled a lot of victim-based crimes, mostly domestic violence and sex offenses. She was also a dog lover, and once she learned about courthouse dogs and their use, she was inspired.

In 2019, Pepper was given to Stavitsky by a Massachusetts-based organization, NEADS, formerly known as the National Education for Assistance Dog Services. Although Pepper was originally trained to be a service dog, evaluators determined her character was best suited for a courthouse dog.

Pepper now works regularly in various treatment court cases involving juveniles, many of whom have experienced trauma or are involved in the child welfare system. She also sits with victims while they are testifying in a trial.

“She loves people, especially children,” Stavitsky said. “She loves that interaction.”

Courthouse dogs have a long history 

In courthouses across the U.S. specially trained “facility dogs” are becoming an important part of how the justice system supports vulnerable victims and witnesses.

Since the late 1980s, these dogs were used to help trauma survivors and anxious children during testimonies and interviews. The first dog to make an appearance in a courtroom was Sheba, a German shepherd who assisted child sexual abuse victims in the Queens (N.Y.) District Attorney’s Office. Courthouse dogs help them communicate more clearly, especially in these settings that make them anxious and stressed.

Unlike service dogs, courthouse facility dogs are professionally trained through accredited assistance dog organizations and work daily alongside prosecutors, victim advocates, and forensic interviewers. For example, courthouse dogs can have more social interaction, unlike service dogs.

Courthouse dogs’ growing use has prompted state laws and professional guidelines to recognize the dogs as a trauma-informed tool that helps victims participate in the justice process without compromising courtroom fairness.

As more jurisdictions adopt these programs, courthouse dogs are reshaping how the legal system balances compassion with procedure, ensuring that victims’ voices can be heard in environments that might otherwise silence them.

Pepper makes it easy to see why. 

“I really love people, especially kids, and can provide emotional support and comfort during all stages of the court process,” reads the business card Stavitsky hands out with Pepper’s picture. “I’m calm, quiet and can stay in place for several hours.” 

(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)

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District of Columbia

How new barriers to health care coverage are hitting D.C.

Federally qualified health centers bracing for influx of newly uninsured patients

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Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health. (Courtesy photo)

Washington, D.C. has the second-lowest rate of people who lack health insurance in the country, but many residents are facing new barriers to health care due to provisions of the sweeping federal law passed in July, which threatens access for thousands. 

Changes to insurance eligibility and the rising cost of premiums, which kicked in for some in October and others more recently, are expected to leave many more patients uninsured or unable to afford medical care. Federally qualified health centers, including D.C.’s Whitman-Walker Health, where 10 to 12 percent of patients are uninsured, are bracing for an influx of newly uninsured patients while facing their own financial challenges. 

Even in D.C., where uninsured rates have been among the lowest in the country, changes brought on by the passage of the Republican mega bill (known as the “Big Beautiful Bill”) will have major effects. 

The changes from the bill affect Medicaid, which is free to low-income patients, and subsidies for insurance that people buy on the health insurance exchanges that were started under the Affordable Care Act, which were allowed to expire on Dec. 31. 

Erin Loubier, vice president for access and strategic initiatives at Whitman-Walker Health, says some Whitman-Walker Health patients have received notices about premium increases, including several who say the increases are up to 1,000 percent more than they were paying. 

“That is like paying rent,” she says. “We live in an expensive city, so any increases are going to be really, really hard on people.”

Whitman-Walker Health and other healthcare providers are expecting the changes to have multiple effects — some patients may not be able to afford coverage or may avoid going to the doctor and allow health conditions to worsen because they can’t afford care, and many more will be seeking care who don’t have insurance. 

“I’m worried that we’re going to not just have people who can’t get care, but that they delay care until they’re really sick, and then the care is not as effective because they might have waited too long, and then we may have a less healthy population,” Loubier says.

Loubier says delaying care, and serving more people without insurance has major implications for Whitman-Walker Health and other health centers serving the community.

“There’s going to be a lot of pressure on us to try to find and raise more money, and that’s going to be harder, because I think all organizations who provide health care are going to be facing this,” she says. 

The U.S. health care system is the most expensive in the world, and has much higher out-of-pocket costs for individuals. But in other countries like the United Kingdom, Australia, Canada, and many others, health care is much less expensive — or even free.

Even though the U.S. has a high-priced healthcare system, critics say there are still ways to bring down costs by forcing insurance and pharmaceutical companies to absorb more of the costs, rather than transferring the costs to patients.

“In the U.S., they end up trying to cut costs at the person’s level, not at the level of the different corporations or structures that are making a lot of money in healthcare,” said Loubier. “Our system is so complicated and there is probably waste in it, but I don’t think that that cost and waste is at the ‘people’ level. I think it’s higher up at the system level, but that is much, much harder to get people to try to make cuts at that end.”

Ultimately at Whitman-Walker Health, healthcare providers and insurance navigators are planning to help with everyday necessities when it comes to healthcare coverage and striving to provide healthcare in partnership with patients, said Loubier.

“The key here is we’re going to have a lot of people who may lose insurance, and they’re going to rely on places like Whitman-Walker Health and other community health centers, so we have to figure out how we keep providing that care,” she said. 

(This article was written by a student in the journalism program at Bard High School Early College DC. This work is part of a partnership between the Washington Blade Foundation and Youthcast Media Group, funded through the FY26 Community Development Grant from the Office of D.C. Mayor Muriel Bowser.)

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Mayor Bowser signs bill requiring insurers to cover PrEP

‘This is a win in the fight against HIV/AIDS’

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D.C. Mayor Muriel Bowser (Washington Blade file photo by Michael Key)

D.C. Mayor Muriel Bowser on March 20 signed a bill approved by the D.C. Council that requires health insurance companies to cover the costs of HIV prevention or PrEP drugs for D.C. residents at risk for HIV infection.

Like all legislation approved by the Council and signed by the mayor, the bill, called the PrEP D.C. Amendment Act, was sent to Capitol Hill for a required 30-day congressional review period before it takes effect as D.C. law.

Gay D.C. Council member Zachary Parker (D-Ward 5) last year introduced the bill.

Insurance coverage for PrEP drugs has been provided through coverage standards included in the Affordable Care Act, known as Obamacare. But AIDS advocacy organizations have called on states and D.C. to pass their own legislation requiring insurance coverage of PrEP as a safeguard in case federal policies are weakened or removed by the Trump administration, which has already reduced federal funding for HIV/AIDS-related programs.

Like legislation passed by other states, the PrEP D.C. Amendment Act requires insurers to cover all PrEP drugs approved by the U.S. Food and Drug Administration.

Studies have shown that PrEP drugs, which can be taken as pills or by injection just twice a year, are highly effective in preventing HIV infection.

“I think this is a win for our community,” Parker said after the D.C. Council voted unanimously to approve the bill on its first vote on the measure in February. “And this is a win in the fight against HIV/AIDS.”  

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