Health
D.C. Dept. of Health reaches out to ‘all communities’
New gay interim director has worked on AIDS, substance abuse issues

‘My vision is that every one of us at some time is out in the community doing service work that really shows we are out there for the community,’ said Dr. Saul Levin. (Blade photo by Michael Key)
Dr. Saul Levin, the newly appointed interim director of the D.C. Department of Health, says his mission during his expected one-year tenure as head of the department is to educate the city’s diverse communities, including the LGBT community, about the wide range of services DOH offers to keep people healthy.
“One of the things I would like to put on the table is each and every one of us working here essentially comes from the community,” he told the Blade in an interview in his office. “My vision is that every one of us at some time is out in the community doing service work that really shows we are out there for the community.”
D.C. Mayor Vincent Gray on July 17 announced he had appointed Levin, a psychiatrist and senior deputy director of the DOH, as interim director, making him the first known out gay person to serve as head of a city department of that size.
A DOH spokesperson said the department has about 800 employees and a budget of about $268 million.
Gray said Levin would fill in for DOH Director Dr. Mohammad Akhter, who the mayor said is taking an unpaid leave of absence to become head of the executive board of the city’s newly created Health Benefit Exchange Authority, which is part of the Obama administration’s health insurance reform program.
In his role as senior deputy director of the DOH, Levin was in charge of the department’s Addiction Prevention and Recovery Administration, which operates the city’s programs to combat drug and alcohol abuse. He is expected to return to that post if Akhter resumes his role as DOH director.
A native of South Africa, Levin received his medical degree at a leading medical school in Johannesburg before completing his residency in psychiatry at the University of California’s Davis Medical Center.
Levin then joined the staff of the U.S. Department of Health and Human Services and later became coordinator of a special program within the department’s Substance Abuse and Mental Health Services Administration. The program integrated primary care, substance abuse, mental health and HIV/AIDS as part of an effort to improve treatment and care for people with both medical and substance abuse problems.
From there Levin returned to school, receiving a master’s degree in public administration from Harvard University’s Kennedy School of Government in 1994. Upon completion of his studies he started a health care consulting company for which he served as president for the next 10 years.
He said around 2004 he accepted an offer to become president and CEO of Medical Education for South African Blacks, a U.S.-based anti-apartheid educational trust that had provided scholarships to South African blacks prior to the end of country’s apartheid government in 1994.
Levin said leaders of the organization continued its work in the years following the apartheid system to ensure that black candidates would have the opportunity to enter jobs in the medical profession before improved educational institutions had been established in the country.
“It educated one-third of all black doctors up until six years ago,” he said. “It gave out 11,000 grants. It was truly about how someone can make a difference.”
Prior to coming to the D.C. DOH, earlier this year Levin served as vice president of the American Medical Association for Science, Medicine, and Public Health.
Levin said his involvement in AIDS-related work and the gay community began in the early 1980s during his medical school years in South Africa, when he helped to open the country’s first hospice for people dying of what was then known as “wasting disease.”
“You would just have these people who would waste away,” he said. “Their immune system would just go to pieces. So I got very involved in that way.”
Noting that he came out as gay in South Africa, Levin added, “In some ways today when you look at South Africa they have a huge problem both in the African community as well as in the white gay community” concerning AIDS. “Had they begun to see the early warning signs they could have really maybe have begun to do something a little differently to address the problem.”
Levin said the DOH’s HIV/AIDS, Hepatitis, Sexually Transmitted Disease and Tuberculosis Administration (HAHSTA) is redoubling its HIV prevention efforts directed toward black men in D.C., both gay and straight, who have the highest infection rate among all the groups at risk for HIV.
He noted that HAHSTA is headed by Dr. Greg Pappas, a gay physician with extensive experience in AIDS-related medicine and public health.
“I would say this,” Levin said in discussing the city’s programs to combat AIDS for all at-risk groups, including the gay men. “We would go anywhere and everywhere to try to get education and services to those who need it. Treatment is prevention. Prevention is treatment.”
His background in substance abuse issues and mental health has made him especially aware of substance abuse issues affecting the LGBT community, Levin said.
“I used to have a research project when I had my company, and NIH wanted me to try to get to the guys in the gym, the gay gyms,” he said. “They were exercise fanatics and the next thing I would see was photos of them out at all these parties where crystal meth and ecstasy – you name it – was used.
“And I would try to say why is it that you have so divorced yourself from your healthy bodies? You spend a lot of your life in the gym and yet you are still doing this to yourself,” he said. “Addiction is just like diabetes, hypertension or HIV. It’s a chronic relapsing treatable disease.”
Levin added that DOH offers a “full choice” treatment program for people with substance abuse problems that he highly recommends.
“Any LGBT person can come to our assistance center at 51 N St.,” he said. “It’s at the corner of First Street and N streets in Northeast. You go in there – anyone can walk in. You will be evaluated. And we will then say this is the level of care you will need,” Levin said.
“If you don’t have insurance, we will pay for it. And you will choose the program you go to.”
When told of how the recent suicide of a popular D.C. gay bartender shocked friends and co-workers, who perceived the bartender as happy and upbeat, Levin said suicide is a “difficult” issue to address.
“Someone who is clearly getting to the point of that kind of depression needs help,” he said. “Your friends can help you. Your friends and your support system and your co-workers – when you see someone becoming more depressed, not being as energetic, withdrawing from the usual things they love to do – you’ve got to address the issue,” he said.
“You know your family,” he said. “You know your partners…People do give signs when they’re thinking of suicide. You should address it.”
Health
United States Conference on HIV/AIDS grapples with federal budget cuts
Annual gathering is largest of its kind in the country
Advocates, public health experts, and healthcare providers gathered for the United States Conference on HIV/AIDS on Sept. 17 in Anaheim, Calif.
The conference is the largest of its kind in the nation and came amid a wave of new challenges for HIV research and treatment. Since the beginning of the second Trump-Vance administration, federal spending cuts have targeted HIV/AIDS programs, including the gutting of the U.S. Agency for International Development and proposed cuts to PEPFAR, which supports HIV testing and treatment globally, in 2025.
Last year, Congress maintained funding for HIV programs after proposed cuts faced opposition from advocacy groups and bipartisan criticism. Yet, this year Congress has proposed similar cuts to many of the same programs, which would cut nearly one billion dollars in HIV funding. The majority of the cuts would impact HIV prevention and outreach, which includes ending nearly all Centers for Disease Control and Prevention HIV prevention activities.
“If we continue down this path,” said Jeremiah Johnson, the executive director of PrEP4ALL, an advocacy group that supports expanding access to HIV prevention. “We’re going to see more people falling off treatment. We’re going to see more wait lists. That’s going to lead to more people dying from AIDS-related complications.”
Cuts and challenges
The funding cuts loomed over the conference and inspired protest from activists.
On the first day of USCHA, activists with Save HIV Funding organized a mock funeral outside the convention center. Advocates living with HIV wrote eulogies for themselves, meant to show the consequences of diminished access to treatment. Then activists marched through the conference carrying fake coffins.
Johnson, who helped organize the protest, said that “the Trump administration has eviscerated global aid … and the fears that many of us are just talking about hypothetically for ourselves at the moment are already happening [internationally]. And so we wanted to place that front and center at this conference.”
The attacks on funding for HIV research and outreach come at a complicated time for the movement to end the AIDS epidemic. While options for prevention and treatment have never been more accessible, such as PrEP and antiretroviral therapy, there have been some concerning upticks in infections, particularly among communities of color.
Southern states account for the majority of new HIV infections in the country, despite making up only 38 percent of the population. And these infections impact disproportionately Black and Latino communities. According to the CDC, even as overall HIV infections decreased from 2018 to 2022, diagnoses of HIV among Latinos grew by 17 percent, with a majority of this increase happening in the South.
Stigma is still the biggest barrier for people seeking out HIV treatment, said Guillermo Chacón, president of the Latino Commission on AIDS.
“The progress that we [made] in the past two years has been demolished,” he said.
Chacón blames the federal government for stigmatizing HIV treatment by using harmful rhetoric about queer people.
“The level of homophobia and transphobia right now is even higher because it has been used as a political message to create fear and division in our country,” he said.
Chacón believes that research and outreach must be done to reverse the rising HIV infections among Latinos. However, this is exactly the type of research that the Trump-Vance administration is targeting most intensely. Research into “health disparities” — why some health problems impact certain communities more than others — has been heavily criticized by the White House, along with other research that it considers “woke” and claims is not supported by science.
Impact felt at conference
The opening plenary for the conference addressed some of the funding challenges the movement was facing but tried to shift the focus to the victories the movement has seen over the years. Speakers highlighted historic successful activist campaigns like ACT UP, and recent improvements in medical care and access to treatment.
Randevyn Pierre, head of U.S. external affairs at ViiV Healthcare, the sponsor of the plenary, took the stage to celebrate the success of the U = U campaign (undetectable viral load =
untransmittable HIV virus), and ViiV’s investment of $33 million in HIV community organizations across the U.S. This comes as the Trump-Vance administration has made moves to end direct funding of community-based organizations, opting to give the funding to state healthcare agencies.
The speakers at the conference discussed reducing stigma for those living with HIV and the joy of living authentically. They also emphasized the diverse groups of people that are impacted by HIV and how they can come together to fight for a cure. Longtime AIDS activist Rae Lewis Thorton exclaimed, “When they tell me there’s a cure to HIV, I’m gonna take off my 4-inch heels and put on gold slippers,” to applause from the audience.
The opening plenary also featured song and dance from a variety of artists, many of whom spoke about how HIV has impacted their own lives and how advocacy has uplifted their spirits. However, the joyous atmosphere at the conference would not last.
On the final day of USCHA, Geri Donenberg, the associate director of AIDS research at the National Institutes of Health, took the stage to address the conference.
As she spoke, phones began to buzz around the room with breaking news: the Trump-Vance administration was drafting an executive order to create an external board to oversee NIH grants and screen them for political content. NMAC CEO Harold Philips took the stage after Donenberg to address the crowd. “It’s up to us,” Philips said, “to hold NIH accountable.” He added that HIV advocates “have supporters inside NIH who are struggling and working to do the right thing. We have to have their back.”
Chants of “stand up, fight back, fight AIDS” erupted from the crowd as Philips spoke. “We do have to fight back. We do have to continue to fight,” Philips replied.
Caleb Kaufman is a California Local News Fellow placed with the Los Angeles Blade. The California Local News Fellowship is a state-funded initiative to support and strengthen local news reporting. Learn more about it at fellowships.journalism.berkeley.edu/cafellows.
Health
AIDS Healthcare Foundation announces 3 million people globally in its care
Los Angeles-based group lauded ‘historic milestone’
The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the world’s largest HIV/AIDS organization, has announced it has three million people in care around the world.
In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.
The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.
“Today, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,” the statement says.
“This accomplishment is far more than a number — it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,” Condessa M. Curley, the AHF board chair, said in a statement. “We extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,” Curley said.
The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to “fighting for the living and caring for the dying” at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers “and building a new paradigm for HIV care both in the United States and around the world.”
The statement adds, “Under the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.” It says Weinstein “has been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.”
The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, “while hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.”
It says AHF’s response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, “underscoring the organization’s continued emphasis on both prevention and treatment.”
In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000].
Cannabis Culture
LGBTQ people, weed, and mental health: what you need to know
Community uses marijuana at much higher rates than general population
Uncloseted Media published this story on May 7.
By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.
In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.
As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression aren’t painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.
Here’s what the research demonstrates about marijuana and its effects on mental health:
- Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
- One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.
The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers don’t know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.
- A systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:
They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.
- While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
- A 2025 systematic review found that “medicinal” weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
- Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.
Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.
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