Opinions
Walking among HIV’s dead at Congressional Cemetery
Look closely at the tombstones for a World AIDS Day history lesson
D.C.’s historic Congressional Cemetery is the final resting place for many single men who died between the early-‘80s and mid-’90s, between the ages of 25 and 55. (Washington Blade photo by Damien Salas)
By NATHAN A. PAXTON
I encounter the HIV epidemic in unexpected places, particularly when I take my dachshunds out for a walk.
I live near the Historic Congressional Cemetery in Washington, D.C., and one of the programs of the cemetery allows some of us to walk our dogs among graves of the well known and almost anonymous. The graves of J. Edgar Hoover, Elbridge Gerry (he of the “gerrymander”) and John Philip Sousa get most of the attention.
In quieter ways, I can read the toll of the killing years among gay men in Washington. Most often, the signs are demographic: single men, not buried in a family plot, who died between the early-‘80s and mid-’90s, between the ages of 25 and 55. Sometimes I’ll find these graves in clusters, as if friends and lovers wanted to share proximity in death as in life. Often, though, I will find these graves by themselves, and I wonder what story lies behind the solitariness.
Some graves proclaim their gayness loud and proud, like that of Leonard Matlovich, the first active duty member of the armed forces to challenge the ban on gay and lesbian people serving in the military. Another mentions being a “proud gay educator.” Once you know what to look for, you see these men everywhere. As Walter and Russell sniff and bound jauntily among the headstones, the three of us walk among HIV’s dead, just as we walk among Union and Confederate dead.
I study the politics of epidemics, especially HIV, and it’s often said that one’s research manifests one’s own demons. My own years of research on the development of different countries’ HIV/AIDS policies stemmed, I came to see, from a personal recognition, as much as intellectual motivations.
But for the accident of the year in which I was born, it is quite probable that—as a gay man in America—I would not have been alive to do my work and live my life. HIV, first understood as AIDS, made its first recognized appearance in gay men, and it is often still thought of as a “gay disease,” here in the United States and in the developing countries I study.
Had I been born just a few years earlier, I would be smack in the midst of that generation that first showed the evidence of one of the worst plagues in human history. It is quite probable that I would now be dead.
Living in the San Francisco Bay Area in the late ’90s, it was hard not to notice that gay men between 40 and 60 were sometimes rare, even missing. Friends who had been living there less than 10 years earlier told stories: My friend Billy spoke of attending two memorials a weekend for months on end; Len remembered wearing full sterile garb to visit dying friends in the hospital in 1982; and people at my church, gay and straight, remembered constant care rotas for a changing and diminishing set of friends and lovers. Len, a retired professor, told me that caring for his ailing mother in the late 1970s kept him home and out of the bars: “That’s probably what kept me alive.”
As a social scientist, I think I have a pretty good understanding of the probabilities behind many everyday actions and circumstances. It is sobering to realize that only a matter of years may separate one from the near-certainty of the disease. Even now, I accept as normal that some of my friends have not escaped the laws of probabilities and plagues. Friends of mine speak of a time in their lives when they could count more friends and lovers who were dead than alive.
Each Dec. 1 is World AIDS Day, and we generally don’t much mark the day here in the United States. For many folks, this titanic killer has become a “mere” chronic disease, thanks to the antiretroviral cocktail therapies available to us. As a result, gay men, for example, have been able to turn their social and political efforts toward a variety of other issues: marriage, employment protection, open military service.
We are hardly out of the woods, even in the United States. Recent CDC reports indicate that unprotected anal sex among gay men in America has increased 20 percent since 2005. The same trend has occurred in several other Western countries. While amazing progress has occurred in sub-Saharan Africa, HIV infections and AIDS deaths are on the rise in East Asia, Eastern Europe and Central Asia, and the Middle East and North Africa.
Even while MSM are the most-affected group in the United States and other developed countries, the most common type of HIV-infected person in the world today is a young woman of African descent. The epidemic varies greatly and remains consistent in its pervasive burrowing into those at the margins of our cultures: sexual minorities, drug users, women, sex workers and black people.
UNAIDS will tout good news this Dec. 1. The rate of annual new infections has decreased all over the world, falling by a third over the last decade. New infections and deaths are down in many regions and countries, including many of those most affected, in the Caribbean and sub-Saharan Africa. Treatment access has increased dramatically in this last decade. ARVs have transformed from global luxury to what scholars Joshua Busby and Ethan Kapstein have called “merit goods” — goods whose consumers assert they have a basic moral right to have, like lifesaving drugs once priced too high to consider providing on a mass basis throughout the developing world.
There will also be bad news. Men who have sex with men are 13 times more likely to be living with the disease. In east Asia and the Middle East, the number of infections is on the rise. Sexual behavior has become more risky in many places, with increasing numbers of partners and less consistent condom use. There are still more than 35 million people — roughly the population of California — infected with the virus.
Most of the people who have died or will die from AIDS have not been and will not be obvious to those of us who walk in cemeteries, with or without canine companions. The statistics of their deaths won’t reveal the manner of that death so easily. We will not be able to tell who the African-American men and women who bear some of the highest burdens in this country were. There will be little evidence in their cemeteries of the widespread injection drug use in Eastern Europe and Central Asia that spreads the disease there. The same will be true of sex workers, transgender people, closeted men who have sex with men and poor women throughout the world. We will forget them more easily, in death as in life.
Just as HIV has proven amazingly adept and complex in the hiding places it finds in our human bodies, it has proven equally adept at hiding in the bodies of our societies. HIV survives and thrives in our biological and social bodies, adapting itself to work quietly and slowly, doing its work at the edges until it is powerful enough to harm those bodies. The complexity of HIV’s biological place pales before the social complexity in which it is enmeshed. If there is an evil in any disease, it lies not in the vector itself but in what we humans do or do not do for the people living with it, that is, by the evil we have done and the evil done on our behalf.
It is easy to miss the first casualties of the HIV epidemic, and most of my human cemetery friends have never noticed the plethora of these dead until I point the matter out. In another world, some of these dead would be alive and walking their dogs among the grass and granite, chapel and colombarium where they are now buried. The HIV-infected and -affected of the future will be much harder to find, more invisible than the men that Russell, Walter and I have become familiar with on our walks.
Nathan Paxton lives in Capitol Hill and teaches political science.
I was disappointed when the Blade didn’t publish my response to a personal attack on me in a column by Hayden Gise, in last week’s print edition. They did publish it online. To be clear, I have no problem with people disagreeing with my columns and opinions. That is absolutely fair. But when they get into personal attacks, it often means they don’t have enough to say about the ideas they are trying to criticize.
In a recent column ‘Why the Democratic Socialists of America are right for D.C.,’ the author decided to attack me personally. Here is the response I wrote to her column:
“I am responding to a column by Hayden Gise who says in her column she is a transgender, lesbian, Jewish, Democratic Socialist, and supports having the Democratic Socialists of America (DSA) in Washington, DC. She is definitely as entitled to her view on this, as I am to mine. However, I was surprised she clearly felt it important to use the column to attack me personally, without even knowing me. What she didn’t do is respond to the issues in the DSA platform I wrote having a problem with, and which I asked candidates endorsed by the DSA to respond to. 1. Are they for the abolishment of the State of Israel? 2. What is their definition of a Zionist? 3. What is their definition of antisemitism? 4. Will they meet with Zionist organizations? 5. Do they support BDS? One needs to know when a candidate claims they are only a member of the local DSA, according to the DSA bylaws no person can be a member of a local DSA without being a member of the national organization. So Hayden Gise has a little better idea of who I am she should know: I was a teacher and a union member. I worked for the most progressive member of Congress at the time, Bella S. Abzug (D-N.Y.), and supported her when she introduced the Equality Act in 1974, to protect the rights of the LGBTQ community, and have fought for its passage ever since. I have spent a lifetime fighting for civil rights, women’s rights, disability rights, and LGBTQ rights. I have no idea what Hayden Gise’s background is, or what her history of working for the causes she espouses is. But I would be happy to meet with her to find out. But she should know, I take a back seat to no one in the work I have done over my life fighting for equality, including economic equality, for all. So, I will not attack her, as I don’t know her, and contrary to her, don’t personally attack people I don’t know much about.
“I have, and will continue to attack, what the government of Israel is doing to the Palestinian people, and now to those in Lebanon and Iran. I will also attack the government of my own country, and the felon in the White House, and his sycophants in Congress, for what they are doing to our own people, and people around the world, and will continue to work hard to change things. However, I will also continue to stand for a two-state solution with the continued existence of the State of Israel, calling for a different government in Israel. I also strongly support the Palestinian people and believe they must have the right to their own free state.”
I have not heard from Gise, but I hope she knows that since she wrote her column indicating her support for Janeese Lewis George for mayor, her preferred candidate has attended a birthday party to celebrate a person who still refers to gay people as ‘fags.’
We should not personally attack people we don’t know as a way to criticize their views on an issue. Once again, I have no problem with people disagreeing with what I write, and having the Blade publish those contrary columns. But a plea to all who disagree with any columnist, or story: disagree with the issues and refrain from making personal attacks on the writer. That actually takes away from whatever point you are trying to make.
Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.
Imagine if researchers found that coffee drinking increased your risk of death by more than 50%. The public health response would be immediate – regulations, warnings, a swift mobilization of policy to match the evidence. We would act, because protecting people from documented harm is what evidence-based policy exists to do.
The same logic is why Colorado banned conversion therapy. The science was clear: research from The Trevor Project and others shows that exposure to conversion therapy increases suicidal ideation among LGBTQ+ youth, and more than doubles suicide attempts for transgender youth. Every major medical organization in the country – the American Medical Association, the American Psychological Association, and the American Academy of Pediatrics – has condemned the practice.
Colorado looked at the evidence and did what public health is supposed to do. It intervened.
On March 31, 2026, the Supreme Court struck down that intervention 8-1 in the Chiles v. Salazar case, ruling that conversion therapy is protected speech.
This decision should alarm anyone who believes that science has a role in protecting human lives. The court did not dispute evidence. It did not produce contradicting research or question the methodology of the studies Colorado relied on. Instead, it decided that the ideological underpinnings of conversion therapy deserve more constitutional protection than the children being harmed by it. In doing so, it severed the fundamental link between what science tells us is dangerous and what the law is willing to prohibit.
That severance has consequences far beyond Colorado, as Supreme Court Justice Ketanji Brown Jackson noted in her dissent. More than 20 states and Washington, D.C. have enacted conversion therapy bans. The court majority’s reasoning – that regulating talk-based practices constitutes censorship – hands challengers a blueprint. The scientific consensus that built those protections did not change on March 31, but its power to hold them in place did.
For LGBTQ+ public health researchers like us, this ruling is a reckoning. And a personal one. Both of us came to public health because it offered a way to ask questions that matter: How can we help people live safe, healthy, and happy lives?
As a Ph.D. student and an assistant professor focused on LGBTQ+ health, we have been energized by the possibility that rigorous research could inform policies that protect LGBTQ+ people. The Chiles v. Salazar ruling forces us to recognize something uncomfortable: the possibility of research driving policy is real, but it is not automatic. Evidence reaches policy only when researchers advocate to put it there. As it turns out, scientific evidence itself is not enough.
This means the work of LGBTQ+ health researchers cannot stop at the journal article. It has to extend into the spaces where policy is actually made and public opinion is actually influenced. Researchers must work alongside educators, communicators, and community organizers to make evidence impossible to ignore or misrepresent.
As Sylvia Rivera observed in 1971, “our family and friends have also condemned us because of their lack of true knowledge.” More than 50 years later, misinformation about conversion therapy, gender-affirming care, and LGBTQ+ health still fills the gap that researchers leave when they stay silent.
We also want to say this directly to LGBTQ+ young people: Science has not abandoned you. The evidence of your worth, your health, and your right to be protected is overwhelming and it is not going anywhere. The researchers, clinicians, and advocates who built that evidence are still here and still working to ensure it translates into the protection you deserve.
The Chiles v. Salazar ruling is a serious setback. But it is not the end of the argument.
Science has shown us how conversion therapy causes harm. It has shown us clearly, repeatedly, and with the backing of every credible medical institution in the country. The Supreme Court chose to look away. The only response to that is to make looking away harder. To build a public, cross-sector, science-informed movement that refuses to let evidence be sidelined when lives are on the line.
The evidence is on our side. Now, we have to make sure it counts.
Vincenzo Malo is a Health Services Ph.D. student at the University of Washington’s School of Public Health who studies affirming health systems. Dr. Harry Barbee is an assistant professor in the Johns Hopkins Bloomberg School of Public Health whose research focuses on LGBTQ+ health, aging, and public policy.
Eswatini
The emperor has no clothes: how rhetoric fuels repression in Eswatini
King Mswati III’s anti-LGBTQ comments can have deadly consequences
In an absolute monarchy, the words spoken by the sovereign can swiftly become a baton striking a citizen. When King Mswati III speaks, his words do not simply drift into the air as political “opinion”; they often quickly turn into, sometimes violently, state policy. This reflects the reality of Eswatini, where the right to freedom of expression, including the right to hold dissenting political views, is increasingly being systematically eroded by the very voice that claims to uphold “traditional values.”
To understand the current crisis facing the LGBTIQ+ community in Eswatini, one must view it through the lens of a broader strategy: the weaponization of culture to justify the erosion of democratic institutions, the rule of law, and human rights protections. As observed across Africa, from the streets of Harare and Dar es Salaam to the parliamentary courtrooms of Dakar and Kampala, African leaders are increasingly using the marginalised as an entry point to dismantle civil society. In Eswatini, this strategy has manifest its most brutal expression in the king’s recent harmful rhetoric concerning sexual orientation and gender identity.
The danger of the king’s words lies in how the state apparatus interprets them as a divine mandate for persecution. Recently, we have seen this “Rhetoric-to-Policy Pipeline” operate with chilling efficiency. Shortly after the Minister of Education made public vitriol against the existence of LGBTIQ+ students, reports emerged of children being expelled from schools. In a country where the king is culturally and traditionally called the “ingwenyama” (the lion), the bureaucracy acts as his pride; when leadership suggests that a particular group is “un-African” or “deviant,” the machinery of the state, along with the emboldened segments of the public, moves to purge that group from society.
For an openly gay man who has dedicated most of his adulthood to advancing equality and dignity for all, especially marginalized communities, these are not merely policy changes; they pose existential threats. When a powerful leader speaks, they offer a moral shield for the dogmatist and a legal roadmap for the policeman. In Eswatini, where political parties are banned, and the “tinkhundla” system (constituency-based system) — a system that systematically silences dissent and favors those aligned with the sovereign — is celebrated as the sole “authentic” form of governance, any identity that falls outside the narrow, state-defined “tradition” is seen as treason. By branding LGBTIQ+ rights as “ungodly” and essentially unwelcome in Eswatini, the monarchy effectively views the mere existence of queer Swazis as a subversive act against the crown.
The most harrowing example of this pattern is the assassination of human rights lawyer Thulani Maseko in January 2023. Maseko’s murder did not happen in isolation. It followed a period of heated rhetoric directed at those calling for democratic reforms. The king had publicly warned those demanding change that they would face consequences. On the evening after the king had said, “[t]hese people started the violence first, but when the state institutes a crackdown on them for their actions, they make a lot of noise blaming King Mswati for bringing in mercenaries,” Maseko was shot dead at his home in front of his family.
The parallel here is unmistakable. When the king targets the LGBTIQ+ community with his words, he is aiming at the most vulnerable. If a world-renowned human rights lawyer can be silenced following royal condemnation, what chance does a queer youth in a rural area stand when the king’s words reach the local chief or school head? This is what I call “Chaos as Governance”: a state where the law is replaced by the monarch’s whims, leaving the population in a constant cycle of managed chaos that renders collective opposition nearly impossible. Despite strong condemnation from the organization I founded, Eswatini Sexual and Gender Minorities (ESGM), recent reports already suggest growing support for the rhetoric shared by the king, indicating treacherous weeks and months ahead for ordinary queer people in Eswatini.
The monarchy’s defense of these actions is almost always based on “African tradition.” As Mswati has shown, the ban on political parties and the suppression of minority rights are framed as a return to indigenous governance, the “tinkhundla” system. But we must ask: whose culture is being defended? Is it a culture that historically valued communal care and diverse social roles, or is it a modern, imported authoritarianism cloaked in the robes of the ancestors?
When he uses his platform at the “sibaya” (traditional gathering) to alienate a segment of his own people, he is not engaging in dialogue; he is delivering a monologue of exclusion. This weaponized version of culture serves a dual purpose. First, it offers a “neocolonial” defense against international criticism, portraying human rights as a foreign threat. Second, it creates an internal enemy, the “terrorist” political dissident or the “immoral” LGBTIQ+ person, to distract from the fact that nearly two-thirds of the population live below the poverty line. In contrast, the royal family resides in obscene luxury, acquiring fleets of expensive vehicles.
The silence of Eswatini’s neighbors worsens its situation. The Southern African Development Community (SADC), a regional organization ostensibly committed to democracy and human rights, has repeatedly allowed Mswati to evade accountability. By agreeing to remove Eswatini from the Organ Troika agenda at the king’s request in 2024, SADC sent a message to every authoritarian in the region. If you conceal your repression behind the guise of tradition, we will not intervene.
The call for freedom of expression, including LGBTIQ+ rights, is a fundamental human right vital for safety and dignity. It demands that a child should not be expelled from school because of who they are. It insists that a lawyer should not be murdered for expressing their beliefs. It states that a king’s word should not be a death sentence. We must resist the “politics of distraction” that portrays the fight for minority rights as separate from the fight for democratic reform. The dissolution of political parties in Burkina Faso, the attack on lawyers in Zimbabwe, and the criminalization of advocacy in Senegal, Tanzania, and Uganda are all parts of the same pattern. They reflect a leadership class that fears its own people.
It is time for the African Union and SADC to decide whether to uphold the ideals of their lofty charters or to prioritize political convenience across Africa. For the people of Eswatini, improving livelihoods and human development can only occur when the king’s words are limited by a constitution that protects every citizen, regardless of whom they love or how they pray. Until then, the chaos is not a failure; it is the purpose. The monarch’s word may be law today, but the universal right to dignity is the only law that will endure. We must demand an Eswatini, and by extension, an Africa that seeks to improve the lives of its people, and where the “lion” protects all his people, rather than hunting those he deems “unworthy” of the shade.
Melusi Simelane is the founder and board chair of Eswatini Sexual and Gender Minorities. He is also the Civic Rights Program Manager for the Southern Africa Litigation Center.
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