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2nd wave of AIDS epidemic is coming

A quiet war within our community

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Dave Purdy, Washington Blade, gay news

With last week’s news that the National Association of People with AIDS (NAPWA), the world’s first AIDS organization, would be no more, I feel strongly this marks only the beginning. The second wave of AIDS is coming.

AIDS organizations are about to go through a major restructuring, both in the United States and around the world. In the United States, sadly, it’s because we no longer are taking care of our own.

Funds are frighteningly scarce during these hard economic times. Corporations that in the past have helped fight the disease must be made aware how critically necessary their funds are — and that the need is immediate. Usually the big dogs win; the smaller ones get the scraps.   This includes the AIDS organization in my hometown of Fort Walton Beach, Fla.

What’s both amazing as well as tragic is that across our nation the “new” measure of success is the number of HIV-positive clients who maintain an undetectable viral load. The national average is around 25 percent. My hometown AIDS organization, OASIS, reports a viral suppression of almost 80 percent. However, OASIS is about to close its doors due to lack of funds. Sadly, it appears success does not guarantee continued funding. On the contrary. In this case, good work and excellent results are met with, “Who cares if you are a beacon of how to do it right? Close your doors and turn in the keys.”

NAPWA used to be a big dog, but became so thin and frail it was starved to death. Why was the voice of people living with HIV and AIDS silenced? Why was the helping hand cut off?

If the AIDS communities in the United States and in other nations do not come together — and work together — to win the war against AIDS, then the second wave of this epidemic is inevitable.

The inevitability of the second wave is not always apparent because many of us are too scared to look at what’s staring us in the face. Others are too frightened to admit this could happen. But it can and, unless the current course of funding is changed, it will.

AIDS’ second wave will come in phases. The first phase will be an increase in positive HIV test results. In other words, when the hidden epidemic does appear, it will show itself as full-blown AIDS.

The second phase will attack an aging HIV population who, because of drug resistance, can no longer benefit from the medications currently keeping them alive. These drugs work for them today, but will they tomorrow? Do we want a repeat of the ‘80s and ‘90s? Unfortunately, it’s happening every day. We just don’t want to talk about it.

The third phase centers on pharmaceutical companies, which are repackaging old drugs rather than creating new ones. In addition, fewer companies are focusing on AIDS drugs research and many are dropping out. Remember, when persons living with HIV become resistant to a class of drugs, that’s it. They must find other ones – that is, if any are available.

The AIDS epidemic has been around for almost 32 years, and the number of HIV-positive cases in the United States has not decreased. Worldwide, we can expect the number to grow, as some countries are performing fewer HIV tests and many have stopped altogether. Why?  Because if a patient tests positive, ethics and morals require treatment.

Fact: Overall funding for HIV in the United States and globally has gone down. Yet, people testing positive for HIV in the United States is increasing. Worldwide, the United Nations claims, the number testing positive for HIV is decreasing – but the U.N. neglects to point out that’s probably because fewer tests are conducted.

Today, there are more than 10 million people worldwide in need of life-saving AIDS drugs.

Let’s look at the second wave another way. We now know that being on AIDS drugs stops the spread of HIV by more than 96 percent. Let’s assume that one-fourth of the 10 million people worldwide who are not on treatment are having unprotected sex. Are they spreading the disease?  Damn right. So let’s go ahead and add another 2.5 million people to that 10 million. Then repeat the calculations with more than a quarter million people in the United States who aren’t aware they’re HIV positive. They are spreading the disease further.

We’re not taking care of our own. There is infighting and disorganization, made worse by a lack of cohesiveness and focus. When the second wave is upon us, we will have only ourselves to blame.

I’m not sure how many more closings of AIDS organizations I can handle. It’s just too painful.

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Religion, spirituality, and humanity: finding meaning in a complex world

LGBTQ refugees find hope in faith, common humanity

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A UNHCR-affiliated community center for refugees in Kraków, Poland, on April 5, 2024. LGBTQ refugees around the world often find hope in religion and their shared humanity. (Washington Blade photo by Michael K. Lavers)

Religion and spirituality continue to shape the lives of billions of people around the world. Whether expressed through organized faith traditions, personal beliefs, cultural practices, or philosophical reflection, they remain powerful influences on how people understand themselves, others, and the world around them.

As a displaced person, I have seen firsthand how religion and spirituality affect people’s lives during times of uncertainty, hardship, and hope. In communities facing displacement, poverty, illness, conflict, and long waits for resettlement opportunities, questions about meaning, purpose, resilience, and belonging are not abstract concepts. They are part of everyday survival.

Religion and spirituality are often discussed together, yet they are not identical. Religion generally involves organized systems of belief, sacred texts, rituals, and communities. Spirituality is often more personal and may involve an individual’s search for meaning, connection, and inner peace without necessarily belonging to a specific faith tradition.

Despite their differences, both seek to answer some of humanity’s oldest questions: Why are we here? How should we live? How do we cope with suffering? What gives life meaning?

A search shared across cultures

Human beings have always searched for answers to the mysteries of existence. Across continents and throughout history, people have developed different ways of understanding life, death, nature, and the universe.

Christians may turn to the Bible. Muslims may seek guidance from the Quran. Jews may draw wisdom from the Torah. Hindus, Buddhists, Sikhs, Indigenous peoples, and many others have their own spiritual traditions and teachings.

Recently, an Australian reader, Eveline Goy, shared a thoughtful reflection after reading one of my earlier articles. She noted that while some people may speak of “false prophets” based on their religious beliefs, others may find truth and wisdom in entirely different traditions. She also highlighted the rich spiritual heritage of Australia’s First Nations peoples, whose stories of the Rainbow Serpent continue to shape cultural identity and understanding of creation.

Her reflection reminded me that while beliefs vary widely, the desire to understand our place in the universe appears to be deeply human.

Religion, love, and LGBTQ people

For many LGBTQI+ people, religion can be both a source of comfort and a source of pain.

Throughout history, faith communities have offered people hope, belonging, and moral guidance. Yet many LGBTQI+ individuals have also experienced rejection, exclusion, or condemnation from religious institutions because of their sexual orientation or gender identity.

As a queer refugee, I know how deeply these experiences can affect a person’s sense of self-worth and belonging. Many LGBTQI+ refugees I work with were not only rejected by society but also by families and faith communities they once trusted. Some were told they were sinful, broken, or unworthy of love. Others were forced to hide their identities in order to remain accepted.

Yet this is not the whole story.

Across the world, there are also religious leaders, churches, mosques, synagogues, temples, and faith communities that embrace LGBTQI+ people and affirm their dignity. Many believers interpret their faith through the values of compassion, justice, mercy, and love rather than exclusion.

At its heart, love is one of the most universal values found across spiritual traditions. Whether expressed through faith, friendship, family, or community, love has the power to heal wounds, build bridges, and restore dignity.

For many LGBTQI+ people, the challenge is not choosing between faith and identity but finding spaces where both can coexist.

Religion and spirituality in difficult times

We live in a world facing numerous challenges. Wars continue across several regions. Climate change affects communities through droughts, floods, and extreme weather events. Economic uncertainty impacts millions of families. Refugees and displaced people face uncertain futures.

In such circumstances, many people turn to religion or spirituality for comfort and guidance.

Here in Gorom Refugee Settlement Camp, I see this every day. Some gather for prayer. Others find strength in sacred texts. Some find comfort in collective worship, while others seek peace through personal reflection and meditation.

For many, faith provides hope when circumstances seem hopeless.

Yet I have also observed something equally important. Not everyone draws strength from religion. Some find resilience through friendship, mutual support, activism, creativity, and the determination to keep moving forward despite adversity.

This reminds us that while religion and spirituality can be sources of strength, so too can our shared humanity.

The human values that unite us

One of the most remarkable aspects of religion and spirituality is that despite their differences, many traditions promote similar values: Compassion, kindness, forgiveness, generosity, honesty, and respect for others.

These values are not exclusive to any single religion or philosophy. They appear across cultures, faiths, and secular worldviews.

Living in a refugee community has reinforced this lesson. Some of the most generous people I have met are deeply religious. Others are not religious at all. What matters most is not necessarily what people believe, but how they treat one another.

When someone shares food with a hungry neighbor, that is compassion.

When a person comforts a frightened child, that is humanity.

When communities stand together despite differences, that is solidarity.

These actions often speak louder than doctrine.

Building bridges in a diverse world

Religion and spirituality have inspired extraordinary acts of kindness throughout history. Yet they have also contributed to division when people become convinced that only their own beliefs are valid.

In today’s interconnected world, we encounter a greater diversity of perspectives than ever before. This diversity can enrich societies, but it also requires humility, curiosity, and respect.

No individual, community, or tradition possesses all the answers to life’s mysteries.

The challenge is not to eliminate differences but to learn how to coexist peacefully despite them.

For LGBTQI+ people, refugees, people of faith, and those without religious beliefs, dialogue and mutual respect remain essential. We all benefit when societies create space for people to live authentically while respecting the dignity of others.

Religion and spirituality continue to play important roles in human life. They help many people find meaning, resilience, comfort, and community during difficult times.

At the same time, the values that often matter most compassion, dignity, kindness, justice, and love are not confined to any single religion or belief system.

My experiences as a queer refugee have shown me that hope can emerge from many places. Some find it in prayer. Some find it in philosophy. Some find it in activism. Some find it in human connection.

Perhaps what ultimately matters is not which path we follow, but whether that path encourages us to become more compassionate, understanding, and caring human beings.

In an uncertain world marked by division and conflict, our shared humanity may be the strongest foundation upon which we can build a more peaceful, inclusive, and loving future for LGBTQI+ people, for people of faith, and for all humanity.

Aby lives in the Gorom Refugee Settlement Camp in South Sudan.

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IDAHOBiT a reminder we all must stand up against transphobia

Trans rights remain under attack in U.S., around the world

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Máxima Mauricio Rodas, a transgender Latina activist and sex worker, participates in the Gender Liberation March that took place in D.C. on Sept. 14, 2024. The International Day Against Homophobia, Transphobia, and Biphobia is a reminder that we all must challenge transphobia. (Washington Blade photo by Erkki Forster)

May 17 is the International Day Against Homophobia, Transphobia, and Biphobia. 

In 2026, transphobia is the biggest issue out there: all the stereotypes that were used against the LGBTQ community in general in the past are now used to attack the rights of transgender people and to create a moral panic against them. As a person who understood that they were not a girl — despite being assigned female at birth — since they were four, and who in their 30s had to wait in line for a gender clinic, I am obviously worried about this situation. Trans people continue to be seen less as people and more as part of an “agenda,” and there is a greater risk that the international trend of attacks on trans rights is just a first step in a broader attack on the LGBTQ community, and that soon bi, gay, and lesbian people will lose part of their hard-won rights to have the same protections and opportunities as heterosexual people.

When, in U.S. states such as Kansas, trans people face escalating legal and political restrictions on recognition that affect their everyday lives — for example, requiring their driving licenses to match the gender assigned at birth even after transition — while trans people in the U.S. are banned from military service and federal funding is stopped for gender-affirming care for trans youth, it is obvious to everyone that the problem is real. It is also global.

For example, there have been significant attacks on trans rights in the UK in recent years, especially against trans youth, many of whom have been denied gender-affirming care. The day when I finally found the energy to write this story was the day of the local British elections, when surprisingly many seats in city and town councils were won by the queerphobic populist Reform Party, creating some new Reform-dominated councils. Reform Party leader Nigel Farage has praised U.S. President Donald Trump and expressed admiration for Russian dictator Vladimir Putin — both of whom are known for endangering the lives of their trans citizens and rejecting trans identity as something that should be accepted.

So, who can challenge it? The general public often takes cues from public figures. Celebrities play a significant role in shaping public opinion and framing how different social issues are understood.

We need trans celebrities to speak up against transphobia when “anti-trans” celebrities like JK Rowling oppose our rights. It seemed that when conservatives around the globe stood up together to support each other, the trans community should unite, and trans celebrities should protect their trans siblings, while the broader LGB community should recognize the threat and unite around trans rights.

But not everything is so simple. Surprisingly, at a time of the greatest attack on trans rights in this century, many lesbian, gay, bi and even trans celebrities and influencers openly support transphobic policies and ideologies.

One of the clearest examples is Caitlyn Marie Jenner, a retired Olympic gold medal–winning decathlete and public figure known for her participation in the reality show “Keeping Up with the Kardashians.” She is one of the most famous trans people in the world.

From 2015 to 2016, she starred in the reality television series “I Am Cait”on E!, which focused on her gender transition and on telling a story to inspire the younger generation of trans people. In the first episode, Jenner also visited the mother of Kyler Prescott, a 14-year-old trans child who died by suicide earlier that year, and spoke openly about using her privilege to fight for awareness, equality, and dignity for trans people. The idea of supporting trans youth was one of the core themes of her TV series. 

That was then.

Jenner’s perspective on trans rights became more and more transphobic. For example, in 2021 she opposed trans girls participating in girls’ school sports. In 2023, she launched a PAC campaign attacking trans youth rights. She also expressed support for Donald Trump and said about herself that she would never be a “real woman.”

Another famous example is transmasculine sex educator and activist Buck Angel, a former adult film actor. He was seen as a modern and progressive person in the 2000s and early 2010s, praised for increasing visibility for trans men through sex education, documentaries, public speaking, and media work. But later he started calling himself “transsexual” rather than “transgender,” following a more transphobic and rigid view of trans identity, and openly showed support for Trump and MAGA.

Of course, there are plenty of trans celebrities who continue to fight for trans rights — the most obvious example is Lana and Lilly Wachowski, notable film directors who gave us “The Matrix” films and the “Sense8” TV series. But the Wachowski sisters were known for being politically left-wing and progressive even before their transition. They are part of a progressive movement, not just a “famous trans person” like Jenner was.

So, why is this happening? Why have more mainstream and conservative trans celebrities, as well as some LGBTQ groups, turned away from trans rights? And what do we need to do?

One of the reasons is fear. 

Popular and privileged people — whether they are socialites, actors or leaders of big organizations — are not used to being outcasts, and so they follow dominant trends. For them, the fear of not fitting in, being rejected by the audience and losing their position in society became bigger than their sense of justice. This is probably one of the reasons why some LGBTQ groups, such as the Log Cabin Republicans in the U.S., became more transphobic, or why the LGB Alliance in the UK became more popular.

Another reason is the polarization of society. 

Some LGBTQ activists may hate me for saying this, but it is partly our fault. Mainstream trans communities sometimes make trans identity look like a “trend” or part of an ideology. The media — especially tabloids — are even more to blame for this stereotype than the trans community itself. When uninformed people hear about trans people today, many of them imagine left-wing, maybe even socialist, non-religious young supporters of Palestine who are good at understanding ecological issues and worried about global warming. Of course, many trans people are like that. But many are not. And those who are not often feel excluded and become more prone to public self-hatred.

It created a cycle in which people who did not feel part of the community started searching for an alternative that rejected them for being trans and encouraged them to accept transphobic rhetoric, betraying themselves and their trans siblings. This led to greater polarization and hatred against conservative trans people, pushing them even further away.

The International Day Against Homophobia, Transphobia, and Biphobia needs to be a day when we stand up against all transphobia, including the kind expressed by trans people, while at the same time supporting all trans people, no matter how uncomfortable their views may be for us.

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Disillusioned about democracy? Think of it as a community garden

May 17 is the International Day Against Homophobia, Transphobia, and Biphobia

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Julia Ehrt (Photo by Ben Buckland for ILGA World)

A short walk from where I live, there is a community garden. People of all ages can participate in designing its areas and learn how to cultivate plants. Together, they build and maintain the space for the benefit of the entire community.

Democracy works the same way. It flourishes when people can bring their energy, knowledge, and presence to the common ground. It works precisely because most of us want to nurture neighborhoods where every life can flourish — no matter where we live, the color of our skin, or the food we enjoy on our tables.

But today, reactionary political movements and governments worldwide are poisoning our gardens with the invasive weeds of their authoritarian policies and exclusionary legislation. According to the CIVICUS Monitor, 73 percent of the world’s population lives in countries where governments repress fundamental civil society freedoms.

By now, we know the playbook. Whenever authoritarians seize our common garden, they drive out those they deem dispensable first. Very often, LGBTI people, racialized persons, and migrants are at the forefront of weathering the storm. 

Only half a century ago, the wins that our movement has obtained seemed unthinkable. But those advances are always on the line, always one election away from the strongman of the hour deciding to unravel them.

On May 17, 1990, the World Health Organization removed homosexuality from the International Classification of Diseases (almost 30 years later, also in May, the removal of “gender identity disorder” followed.) The world celebrates this anniversary every year as the International Day against Homophobia, Transphobia, and Biphobia. This was a milestone in the global struggle for the rights of LGBTI people. Back then, 114 countries and territories worldwide still criminalized consensual same-sex sexual acts. Today, still 65 of them maintain those laws.

Progress has been steady. But in 2025, for the first time in years, that number started to grow again. Burkina Faso introduced a criminalizing law for the first time in its history. Trinidad and Tobago reversed recent gains. Senegal further tightened the threat after years of intensifying violence

The obsession of legislators and policymakers with people’s bodies has translated into paroxysmal attacks against trans and intersex folks — from the 771 bills currently under consideration in the United States, to the disgraceful and misguided policy of the International Olympic Committee reintroducing sex testing and banning trans and intersex women athletes from competing in the female category.

And isn’t it ironic, really, that legislators worldwide put so much effort into driving LGBTI people out of public spaces, when at least 61 UN member states still have legal barriers that prevent civil society organizations working on sexual, gender and bodily diversity issues from formally registering and operating?

Political scientists Phillip Ayoub and Kristina Stoeckl, writing in the “Journal of Democracy”, show that illiberal governments deliberately deploy state-sponsored LGBTI-phobia to mobilize constituencies and frame liberal democracy as a cultural threat. These governments weaponise democratic pluralism for endless culture wars. 

The playbook passes from one authoritarian to the next, activist Rémy Bonny showed. What started in Russia in 2013, with a law against the “promotion of non-traditional sexual relationships,” has grown into a pattern that illiberal leaders worldwide use to silence opposition and gain international influence amongst conservatives.

What makes this strategy particularly vicious is how it pits discriminated groups against one another. Time and again, reactionary people in power speak of “protecting women” just to attack trans and intersex people — manufacturing conflict among communities that, in fact, share a common struggle to protect the freedom to decide over their own bodies.

Whenever governments need to distract the public from their failures to create a better garden for everyone, they need a scapegoat. More often than not, it is LGBTI folks. Often, it is those fighting for safe abortions or against racism. Some other times, it is those advocating respectful relations with our land and natural resources. But the attacks never stop at a single movement. Case in point? Only 10 days ago, a government caved in to foreign influence and cancelled the largest global gathering on human rights in the digital age.

At ILGA World, we serve and work with LGBTI communities globally. We know that time and again, LGBTI people have resisted these pests, rolled up their sleeves alongside all the good people caring about their communities, and sown the seeds of change.  

This year, the world will join to celebrate May 17 under the theme “At the heart of democracy.” Because, as disillusioned with the concept as people may be, deep down most of us believe that we all deserve a space where we can feel safe and thrive. And together, we can contribute to the beautiful, shared community garden that we deserve.

Julia Ehrt (she/her) is the Executive Director at ILGA World and a widely respected LGBTI activist and community leader. 

Before joining ILGA World, she was the Executive Director of Transgender Europe, where she contributed significantly to how trans issues are perceived and debated today in Europe and beyond. She served as a founding Steering Committee member of the International Trans Fund (ITF) until 2019 and as a board member of the Association for Women’s Rights in Development (AWID) for six years. She is a member of the board of directors of the Astraea Lesbian Foundation for Justice, and a signatory to the Yogyakarta Principles plus 10

Julia holds a PhD in mathematics and lives with her partner and child in Berlin and Geneva.

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