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D.C. prepares to host Int’l AIDS Conference

Event expected to draw more than 30,000 to city from July 22-27

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Gay News, Washington Blade, HIV/AIDS

Julie Scofield, executive director of the National Alliance of State and Territorial AIDS Directors (Blade photo by Michael Key)

The International AIDS Conference is expected to draw more than 30,000 people from around the world to D.C. July 22-27.

Former President Bill Clinton, former first lady Laura Bush, Bill Gates of the Bill and Melinda Gates Foundation, Health and Human Services Secretary Kathleen Sebelius, U.S. Global AIDS Coordinator Eric Goosby, ā€œThe Viewā€ co-host Whoopi Goldberg and singer Elton John are among those who are scheduled to speak at the Walter E. Washington Convention Center. The White House has yet to confirm whether President Obama will attend; California Rep. Barbara Lee and Michel SidibĆ©, executive director of UNAIDS, are among those who are scheduled to speak at the opening session on July 22. The Gay Menā€™s Chorus of Washington is also slated to perform.

ā€œWe are gathering at a defining moment in the AIDS epidemic where the science tells us we can turn the tide on HIV,ā€ said Dr. Elly Katabira, president of the International AIDS Society who serves as the conferenceā€™s international chair, and Dr. Diane Havlir of the University of California-San Francisco, who is the U.S. co-chair of AIDS 2012, in a statement that officially welcomed delegates to the nationā€™s capital. ā€œScientific advances are also propelling towards the efforts to find a cure and vaccine for HIV. AIDS 2012 will unite science, community and leadership from around the globe to develop strategies and mobilize support for translating new evidence into meaningful action that reflects HIVā€™s complex web of social, human rights and political issues.ā€

The conference ā€” the theme of which is ā€œTurning the Tide Togetherā€ ā€” will feature a number of workshops and other events that will specifically discuss the epidemicā€™s impact among men who have sex with men and other LGBT communities. These will include networking spaces in the Global Village that will allow LGBT people and MSM to share strategies to more effectively respond to HIV and advocate on behalf of those living with the virus. ā€œThe Lancetā€ will also present a symposium on the epidemicā€™s impact among MSM on July 24.

Debbie McMillan of Transgender Health Empowerment will be among the panelists on a July 26 plenary that will examine the virusā€™ effects on at-risk populations. A symposium on the same day will discuss the future of HIV prevention and related health and human rights issues among gay, transgender and MSM communities.

The Blade is also an official media sponsor of the conference and will host a photo exhibit chronicling AIDS in Washington in the Global Village, which is open to the public.

A call to action

The International AIDS Society and the University of California-San Francisco on Tuesday unveiled a nine-point plan designed to further combat the global epidemic.

The ā€œWashington, D.C., Declarationā€ specifically calls for an end to stigma, discrimination and human rights abuses against people with the virus and those who remain at-risk for HIV. It backs what it describes as evidence-based prevention, treatment and care that respects the human rights of ā€œthose at greatest risk and in greatest need.ā€ The declaration further stresses the need for accelerated research on new HIV prevention initiatives, treatments and a vaccine.

UNAIDS noted in its 2010 report that an estimated 33.3 million people around the world live with HIV. The agency further reported that the number of new infections has fallen 19 percent since 1999. UNAIDS also found that 5.2 million of the estimated 15 million people with the virus in developing countries who need antiretroviral treatment receive it.

ā€œIn a scenario unthinkable just a few years ago, we now have the knowledge to begin to end AIDS in our lifetimes,ā€ said Katabira, professor of medicine at Ugandaā€™s Makerere University. ā€œYet, at this moment of extraordinary scientific progress and potential, the global response to AIDS faces crippling financial challenges that threaten past success and future progress. Through this declaration, we stand together to call on world leaders across all sectors to provide increased resources, visionary leadership and a full-fledged commitment to seize the opportunity before us.ā€

This year marks the first time since 1990 that the International AIDS Conference has taken place in the United Statesā€”President Obama in 2009 completed the process that lifted the ban on people with HIV from entering the country. City officials and HIV/AIDS service providers alike plan to use the biennial gathering to highlight local efforts to combat the epidemic.

D.C. Officials, HIV/AIDS groups seek presence at conference

The Department of Healthā€™s HIV/AIDS, Hepatitis, Sexually Transmitted Disease and Tuberculosis Administration will present 15 scientific abstracts on the epidemic during the conference. The D.C. Center for AIDS Research, the body that coordinates HIV/AIDS-specific research in Washington, will highlight city-based research in a Global Village session. Mayor Vincent Gray is among those who will speak at a Memorial AIDS Quilt ceremony on July 22.

ā€œItā€™s appropriate that AIDS 2012 is taking place in the District, its first return to the U.S. in 22 years, as the District has in so many ways been the face of our nationā€™s epidemic,ā€ said D.C. Council member David Catania (I-At Large.) ā€œFrom years of an inadequate and failed response to now, an increasingly effective and aggressive one, the District embodies the varied and diverse experience our nation has endured with the deadly disease.Ā AIDS2012 will be a fantastic opportunity for the District to showcase its innovative prevention and treatment programs for the best and brightest in the field. The District stands as an example of what can occur when data-driven, evidence-based policies are put in place.ā€

Whitman-Walker Health will hold a forum on the state of the epidemic at the Lisner Auditorium, where the cityā€™s first AIDS forum took place in 1983, on July 24. Metro Teen AIDS and Us Helping Us have also scheduled a series of events to coincide with the conference. Organizers have also organized tours of Helping Individual Prostitutes Survive, Food and Friends, La Clinica del Pueblo and other D.C. HIV/AIDS service organizations for delegates.

ā€œWe are pleased and honored to have the International AIDS Conference come to D.C.,ā€ Dr. Ray Martins, chief medical officer at Whitman-Walker, told the Blade. ā€œThe conference gives the world a chance to learn more about the state of HIV/AIDS in the District of Columbia, but also the breadth of the response to the epidemic locally. It will allow us to highlight the tremendous efforts made by outreach workers and volunteers as well as health care providers and our elected officials.ā€

A number of gatherings, panels and other events will also take place throughout the city in the days leading up to the conference. These include the Gay Menā€™s Health Summit at George Washington University and the Global Forum on MSM and HIV on July 21, a panel on stigma in transgender and other HIV-vulnerable communities at the Human Rights Campaign on July 21 and Youth Forceā€™s annual conference at Gallaudet University in Northeast Washington from July 17-19 and the International Network of Religious Leaders Living with or Personally Affected by HIV/AIDS’ conference at Howard University from July 17-19.

ā€œItā€™s really an incredible event, so Iā€™m glad itā€™s coming back here,ā€ Ron Simmons, president of Us Helping Us, told the Blade. ā€œWith the eyes of the world focused on you, this is the time to take advantage of it.ā€

Calls to bolster response to domestic epidemic

HIV/AIDS activists also plan to use the conference to urge lawmakers in this country and around the world to reaffirm their commitment to ending the epidemic.

The Rev. Al Sharpton, journalist Tavis Smiley and former Atlanta Mayor Andrew Young are among those scheduled to speak at the ā€œKeep the Promiseā€ March that will wind its way from the Washington Monument to the intersections of 3rd Street, N.W., and Constitution and Pennsylvania Avenues, N.W., on July 22. Members of the We Can End AIDS coalition told the Blade earlier this month that they plan to hold a five-point march on July 24 that organizers said could end in acts of non-violent civil disobedience.

Policy makers also plan to urge Congress to adequately fund policies they say effectively combat the domestic epidemic.

ā€œWhen people think of AIDS today, most probably donā€™t realize that AIDS is still really in a crisis mode in our country,ā€ said Carl Schmid, deputy executive director at the AIDS Institute, during a press conference at the National Press Club in D.C. on Tuesday. He noted that 20 percent of the 1.2 million Americans with HIV today do not know their status. Schmid also pointed to roughly 50,000 new diagnoses each year. ā€œMany, including our youth, have become complacent. With nearly 40 percent of new infections occurring in those under age 29 and with more HIV in our country than ever before, it is imperative that we raise our countryā€™s consciousness.ā€

President Obama in 2010 unveiled a National HIV/AIDS Strategy that seeks to reduce rates of HIV and HIV-related health disparities and increase access to care for people with the virus.

Under the White Houseā€™s proposed budget for fiscal year 2013, funding for HIV prevention programs would increase by $40 million. The president also seeks a $75 million increase in funding for the AIDS Drug Assistance Program under the Ryan White Comprehensive AIDS Response Emergency Act.

Julie Scofield, executive director of the National Alliance of State and Territorial AIDS Directors, applauded the Obama administration for what she described during the National Press Club press conference as its ongoing commitment to fight the domestic epidemic. She stressed, however, that federal funding has not kept pace with the needs of those with HIV.

ā€œIt has always been important to acknowledge from the very beginning of this fight that the goals of the strategy cannot be achieved without significant increases in funding for critical domestic HIV/AIDS discretionary programs,ā€ said Scofield.

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Health

MISTR announces itā€™s now prescribing DoxyPE

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MISTR, the telemedicine provider that offers free online PrEP and long-term HIV care in all 50 states, D.C., and Puerto Rico, announced it is now prescribing Doxycycline Post-Exposure Prophylaxis (DoxyPEP), an antibiotic that reduces bacterial STIs, including gonorrhea, chlamydia, and syphilis. Patients can now use MISTRā€™s telehealth platform to receive DoxyPEP online for free, according to a release from the company.

With this launch, MISTR plans to offer patients access to post-exposure care, in addition to its existing preventive and long-term HIV treatment options, which include PrEP and antiretroviral therapy (ART). This comes at a time when the rate of STIs continue to rise. In 2022, more than 2.5 million cases of syphilis, gonorrhea, and chlamydia were reported in the U.S; of that population, gay and bisexual men are disproportionately affected, the company reported.

ā€œDespite an ongoing STI epidemic affecting the LGBTQ+ community, there are few resources available for this underserved, vulnerable community to get the preventative medication they need,ā€ said Tristan Schukraft, CEO and founder of MISTR. ā€œIā€™m proud that MISTR is democratizing access to PrEP, HIV care, and now DoxyPEP.ā€

An NIH-funded study published by the New England Journal of Medicine in April 2023 found that doxycycline as post-exposure prophylaxis, now known as DoxyPEP, reduced syphilis by 87%, chlamydia by 88%, and gonorrhea by 55% in individuals taking HIV PrEP, and reduced syphilis by 77%, chlamydia by 74% and gonorrhea by 57% in people living with HIV. 

MISTR is a telemedicine platform offering free online access to pre-exposure prophylaxis (PrEP) and long-term HIV care Visit mistr.com for more information.

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Health

UNAIDS to commemorate Zero Discrimination Dayā€™s 10th anniversary

UN agency urges global action to protect human rights

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A UNAIDS anti-discrimination exhibit at Tocumen International Airport in Panama in 2018. (Washington Blade photo by Michael K. Lavers)

As the world marks the 10th anniversary of Zero Discrimination Day; UNAIDS is sounding the alarm on the increasing threats to human rights, calling for renewed efforts to protect the rights of all individuals as a fundamental step towards ensuring health for everyone.

Established by UNAIDS a decade ago, Zero Discrimination Day aims to promote equality and fairness regardless of gender, age, sexuality, ethnicity or HIV status. The progress achieved over the past years is now in jeopardy, however, due to rising attacks on the rights of women, LGBTQ people and other marginalized communities.

UNAIDS Executive Director Winnie Byanyima emphasized the critical link between protecting human rights and safeguarding public health. 

“The attacks on rights are a threat to freedom and democracy and are harmful to health,ā€ she said in a press release. ā€œStigma and discrimination obstruct HIV prevention, testing, treatment and care and hold back progress towards ending AIDS by 2030. It is only by protecting everyoneā€™s rights that we can protect everyoneā€™s health.”

Despite challenges, there has been notable progress. 

At the onset of the AIDS pandemic more than 40 years ago, two-thirds of countries criminalized consensual same-sex sexual relations. They are now decriminalized in two-thirds of countries. An additional 38 countries around the world have pledged to end HIV-related stigma and discrimination, contributing to positive changes that include 50 million more girls attending school compared to 2015.

To sustain and enhance these advancements; UNAIDS urges global support for womenā€™s rights movements, LGBTQ rights, racial justice, economic justice, climate justice and peace initiatives. By standing with communities advocating for their rights, the U.N. aims to reinforce the collective effort towards a more inclusive and equitable world.

Zero Discrimination Day is observed on March 1.

Events and activities that will take place around the world throughout the month will serve as reminders of the essential lesson and call to action: Protecting everyoneā€™s health is synonymous with protecting everyoneā€™s rights.

“Through upholding rights for all, we will be able to achieve the Sustainable Development Goals and secure a safer, fairer, kinder and happier world ā€” for everyone,” said Byanyima.

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New CDC report finds transgender women at higher risk for HIV

More than 1,600 people in seven cities surveyed

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The Centers for Disease Control and Prevention in Atlanta (Photo courtesy of the CDC)

The Centers for Disease Control and Prevention issued a new study report this week that revealed that restricted by employment and housing discrimination and lack of access to needed gender-affirming healthcare for transgender women increasing the risk of contracting HIV. 

Researchers reviewed data from a 2019-2020 survey, theĀ National HIV Behavioral Surveillance Among Transgender Women, which found that the demographics of HIV/AIDS have been disproportionally high, especially among Black and Latina trans women, who had experienced employment and housing discrimination coupled with lack of access to gender-affirming healthcare.

The Jan. 25Ā Morbidity and Mortality Weekly Report was based on data studies of more than 1,600 trans women in seven major urban locales. Participants from Atlanta, Los Angeles, New Orleans, New York, Philadelphia, San Francisco and Seattle were chosen by referrals from people and community-based organizations who knew or were part of the local population of trans women.

The studyā€™s researchers noted: ā€œEmployment discrimination occurs at the overlapping nexus of poverty, homelessness, incarceration, health insurance, disability, food insecurity and survival sex work. These issues are interconnected.ā€

The study stated that trans womenā€™s inability to access quality healthcare, including gender-affirming treatment or access to PrEP, and can expose them to potential incarceration as many turn to ā€œsurvival sex workā€ and violence, which increases the risk of contracting HIV. 

The studyā€™s authorā€™s pointed out: ā€œWhen economically marginalized transgender women are refused employment, this refusal cyclically contributes to economic hardships. This analysis ā€¦demonstrates the importance of transgender women working and living with dignity and without fear of unfair treatment.ā€

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