News
Biden’s update to HIV strategy hailed for recognizing racism as health issue
New blueprint outlines plan from 2022 to 2025
A recent update to the National HIV Strategy by the Biden administration is getting good reviews from advocates in the fight against HIV/AIDS, who are praising the new blueprint for recognizing challenges in the epidemic and racism as a public health issue.
Carl Schmid, executive director of the HIV & Hepatitis Policy Institute and member of the President’s Advisory Council on HIV/AIDS, assessed the update as “very, very positive,” saying it built on components of a previous iteration of the strategy issued during the Trump administration and made new ones.
“I think the community is extremely pleased,” Schmid said. “There’s a new component…racism is a public health issue. So, all these positive — the disparities, which is just so big. Anytime you’re addressing HIV, you’re always addressing disparities.”
Schmid also said the updated blueprint — which articulates a plan from 2022 through 2025 and was issued last week to coincide with the first World AIDS Day during the Biden administration — makes outreach to the private sector.
“I think that’s good because it’s the people who influence society like technology companies, people who have high gay and bisexual employees, like [the] travel industry, get them all involved,” Schmid said. “So, and that, I think should help with the stigma.”
Schmid also hailed the strategy for its promotion of the Affordable Care Act as a tool to fight HIV/AIDS, which he said was absent in the iteration of the report under former President Trump.
President Biden, in remarks on World AIDS Day last week before advocates in the fight against HIV/AIDS in the East Room the White House, said the uptrend strategy is “a roadmap for how we’re going to put our foot on the gas and accelerate our efforts to end the HIV epidemic in the United States by the year 2030.”
“That’s the goal,” Biden added. “And it centers on the kind of innovative, community solutions — community-driven solutions that we know will work.”
Consistent with his administration’s stated commitment to racial equity and recognizing disparities among diverse groups, including LGBTQ people, Biden said the plan ensures “the latest advances in HIV prevention, diagnosis and treatment are available to everyone, regardless of their age, race, gender identity, sexual orientation, disability, or other factors.”
“Critically, this strategy takes on racial and gender disparities in our health system that for much too long have affected HIV outcomes in our country — to ensure that our national response is a truly equitable response,” Biden said.
The updated blueprint is the fourth iteration of the National HIV Strategy, which was first issued during the Obama administration, then updated during the Obama years and again during the Trump administration before the Biden administration unveiled the version last week.
The 93-page strategy makes recognition of racism as a public health issue a key component of the plan to fight HIV/AIDS, calling it a “serious public health threat that directly affects the well-being of millions of Americans.”
“Racism is not only the discrimination against one group based on the color of their skin or their race or ethnicity, but also the structural barriers that impact racial and ethnic groups differently to influence where a person lives, where they work, where they play, and where they gather as a community,” the strategy says. “Over generations, these structural inequities have resulted in racial and ethnic health disparities that are severe, far-reaching, and unacceptable.”
Data shows racial disparities remain a significant obstacle in thwarting the HIV/AIDS epidemic. According to the Centers for Disease Control & Prevention, new HIV infections in the United States declined by 8 percent between 2015 and 2019, with much of the progress due to larger declines among young gay and bisexual men in recent years.
But although HIV infections among young gay and bisexual men have dropped 33 percent overall, with declines in young men among all races, the CDC finds “African Americans and Hispanics/Latinos continue to be severely and disproportionately affected.”
A senior Biden administration official, speaking last week on background in a conference call with reporters to promote the HIV strategy, said in response to a question from the Washington Blade the recognition of racism “as a serious public health threat” was a key difference from previous iterations of the blueprint.
“There are several updates in this,” the official said. “And some of those new features or new areas of focus have come about from both community input as well as sitting down with our federal partners and thinking about also the priorities of this administration, where there is a focus on equity, there is a focus on addressing stigma and discrimination and ensuring that also marginalized populations have access to healthcare, and that we are also working to ensure that the voices of those with lived experience are part of our response.”
Jennifer Kates, director of global health & HIV policy for the Kaiser Family Foundation, said the recognition of social and racial disparities is a key component of the updated strategy.
“One area in which the updated strategy stakes out new and stronger ground is in its explicit focus on the social/structural determinants of health,” Kates said. “The strategy doesn’t just mention them but seeks to address them through a variety of objectives. This is a departure and an important one.”
Kates, however,.cautioned: “Of course, the devil will be in the details and there will always be a tension between what the federal government itself can do and the power that state and local jurisdictions actually have.”
One aspect of note during Biden’s remarks on World AIDS Day was his articulation of 2030 as the target date to beat HIV, with the goal of reducing new infection rates by 90 percent in that year. That 2030 goal was established by health officials during the Trump administration, but Biden had campaigned on 2025 — much to the skepticism of some observers.
The Department of Health & Human Services, in response an inquiry from the Blade on whether a decision was made to forgo 2025 and stick with 2030 as the target date, deferred comment to the White House, which didn’t immediately respond.
Schmid, who was among those during the election who expressed skepticism of the 2025 target date, said he spoke to the White House after an initial Blade report on the changed target date and was told the administration determined 2025 was “not feasible.”
“That was a campaign statement,” Schmid said. “I said then that it was not realistic, and I think others agreed with me particularly because of COVID, and we were during the campaign, but he said it and sometimes people say things during the campaign that they might not always live up to because it was unrealistic.”
Schmid, however, downplayed the importance of Biden articulating a different target date to beat HIV/AIDS compared to the one he promised during the presidential campaign, saying the initial date had demonstrated his “strong commitment” on the issue.
Now that the Biden administration has issued the new strategy, the work turns toward implementation, which would mean acting on the blueprint in conjunction with the Ending the HIV Epidemic initiative already underway.
Schmid said the next step in the process is making sure funding is robust, HIV testing continues despite the coronavirus pandemic — and working to make PrEP more accessible.
Key to the effort, Schmid said, would be new legislation introduced before Congress to set up a national PrEP program, one introduced by Rep. Bonnie Watson Coleman (D-N.J.), another by Rep. Adam Schiff (D-Calif.) and another by Sen. Tina Smith (D-Minn.). Those bills, Schmid said, would ensure the uninsured have access to PrEP and health plans cover them without cost.
“I’ve been focusing a lot on that,” Schmid said. “It would be great to get the administration’s support for these as well, and money in the budget to implement these national PrEP programs.”
Georgia
Everton Blair makes history as first openly gay congressman from Ga.
Former Gwinnett County Board of Education member to serve remainder of David Scott’s term
Georgia made history last week when Everton Blair, Jr., was sworn into the U.S. House of Representatives, becoming the state’s first openly LGBTQ member of Congress and the latest LGBTQ addition to the chamber.
Blair, who represents Georgia’s 13th Congressional District, was sworn in on Sept. 1 after winning a special election to fill the vacancy left by the late-Congressman David Scott. Blair defeated Marcye Scott, the late congressman’s daughter, in the Aug. 25 runoff, winning 53.2 percent of the vote to Scott’s 46.8 percent.
He will serve the remainder of Scott’s term through Jan. 3, 2027. Blair is not running in the November general election for a full term.
Blair brings a progressive platform to Congress.
The 34 year-old supports Medicare for All, a Green New Deal, raising the minimum wage, and universal gun background checks. His campaign platform also included positions on LGBTQ rights, reproductive freedom, workers’ rights, climate, and gun violence.
Since joining the House, Blair has joined the Congressional Black Caucus and Congressional Progressive Caucus. He is also a co-chair of the Congressional Equality Caucus.
Before joining the House, Blair served on the Gwinnett County Board of Education, where he became the first Black member and youngest-ever member elected to the board, as well as its first openly gay member. He was later unanimously selected as chair.
Blair also served as a fellow in President Barack Obama’s White House Initiative on Educational Excellence that focused on improving academic outcomes and expanding opportunities for minority students.
The son of Jamaican immigrants, Blair was born and raised in Georgia’s 13th Congressional District. He earned a bachelor’s degree in applied mathematics from Harvard University, a master’s degree in policy, organization, and leadership from Stanford University, and a Doctor of Education Leadership degree from Harvard.
Blair’s campaign received endorsements from a number of organizations, including the LGBTQ+ Victory Fund and progressive Democratic groups such as Future Democrats.
The Equality PAC, a political action committee dedicated to electing openly LGBTQ candidates to office, celebrated Blair’s victory and provided a statement to the Washington Blade about the historic nature of his election.
“This is a historic election for Georgia, the South, and our entire country,” Equality PAC said in an email. “Everton Blair brings a strong record of public service and a deep commitment to making government work for working families.”
The group said Blair would “fight to lower costs, expand access to quality health care, create economic opportunity, and ensure every community has a voice in Washington.”
“At the same time, Everton understands the importance of standing up for equality and defending the rights and freedoms of LGBTQ Americans and every community facing discrimination,” Equality PAC said. “His historic election as Georgia’s first openly LGBTQ Member of Congress and the first openly LGBTQ man elected from the South is a powerful reminder of how far our country has come — and how much work remains.”
Equality PAC said it was “proud to welcome Everton to the House” and looked forward to working with him.
El Salvador
Mujer trans salvadoreña es encontrada sin vida
La muerte de Yoisi Villalta vuelve a poner sobre la mesa la violencia
SANTA ANA, El Salvador — La muerte de Yoisi Villalta, mujer trans y vendedora de tortas en Texistepeque, Santa Ana Norte, ha vuelto a colocar en el centro del debate una realidad que durante años ha acompañado a la población LGBTQ en El Salvador: la violencia no termina con una agresión o con una muerte. También puede manifestarse en la manera en que una persona es buscada, nombrada, registrada, despedida y recordada.
Villalta fue reportada como desaparecida por su familia a finales de agosto de 2026. Días después, medios de comunicación y plataformas digitales informaron sobre el hallazgo de su cuerpo sin vida. Un reporte publicado el 5 de septiembre señala que el cuerpo fue localizado en Tacuba, Ahuachapán, ocho días después de su desaparición, mientras que la Policía Nacional Civil no había confirmado hasta entonces la causa de muerte ni clasificado oficialmente el caso como homicidio intencionado.
La precisión es importante; hasta el momento no debe afirmarse como un hecho que Yoisi haya sido víctima de un crimen de odio o de un homicidio motivado por su identidad de género, mientras no exista una investigación oficial que determine las circunstancias y causa de su muerte. Lo que sí existe es una profunda preocupación expresada por organizaciones de la sociedad civil y por personas de la comunidad LGBTQ, especialmente ante el contexto de violencia y discriminación que históricamente han enfrentado las mujeres trans en El Salvador.
Una mujer detrás de una noticia
Antes de convertirse en noticia, Villalta tenía una vida. Era una mujer trans que trabajaba como vendedora de tortas en Texistepeque. Desde su negocio desarrollaba una actividad cotidiana para ganarse la vida, pero también había convertido aquel espacio en una expresión de solidaridad con su comunidad.
De acuerdo con la información difundida por organizaciones LGBTQ, Villalta compartía alimentos con las brigadas de salud sexual que realizaban jornadas en la zona. Esa faceta de su vida permite verla más allá de las circunstancias de su muerte: como una mujer trabajadora, solidaria y vinculada a acciones comunitarias.
La Federación Salvadoreña LGBTI pidió precisamente que su memoria fuera abordada desde esa perspectiva. En el mensaje difundido tras conocerse su muerte, la organización llamó a recordarla por “su vida, su trabajo, su generosidad, y sobre todo desde su nombre”, y pidió que su historia no fuera reducida al morbo.
Ese llamado resulta especialmente importante en tiempos en que las redes sociales pueden convertir una tragedia humana en una sucesión de comentarios, fotografías, especulaciones y publicaciones hechas sin sensibilidad. Una persona fallecida no deja de tener dignidad.
Y una mujer trans no deja de ser mujer porque haya muerto.
El derecho a ser nombrada
Uno de los aspectos que más indignación ha provocado en torno al caso es el tratamiento de la identidad de Villalta durante la búsqueda. Organizaciones y personas cercanas han denunciado que durante el proceso de búsqueda se utilizó el nombre que aparece en su Documento Único de Identidad (DUI), en lugar del nombre con el que Villalta vivía y era reconocida socialmente.
Este aspecto no es meramente una cuestión semántica. Para las personas trans, el nombre puede representar una parte fundamental de su identidad y de la manera en que construyen su vida frente a la sociedad. Ser reconocidas por el nombre con el que se identifican constituye también una forma de respeto.
En el caso de Villalta, la Federación Salvadoreña LGBTI expresó que negar el nombre y la identidad de una persona trans también constituye una forma de violencia. La situación adquiere una dimensión todavía más compleja en El Salvador, donde continúa sin existir un mecanismo legal general que permita a las personas trans modificar su nombre y marcador de género en sus documentos de identidad conforme a su identidad de género.
Así, una persona puede construir durante años una vida social, familiar, laboral y comunitaria con un nombre determinado y, sin embargo, encontrarse ante instituciones que continúan identificándola exclusivamente mediante los datos registrales que no corresponden a la identidad con la que vive. El caso de Villalta vuelve a evidenciar esa tensión entre la identidad vivida y el reconocimiento institucional.
Un problema que va más allá de un solo caso
El caso de Villalta ocurre en un país donde las organizaciones de derechos humanos han advertido durante años sobre la violencia y discriminación que afectan a la población LGBTQ. La información disponible también muestra un problema relacionado con la documentación de estos hechos.
Organizaciones defensoras de derechos humanos han cuestionado la ausencia o insuficiencia de registros públicos actualizados y desagregados que permitan conocer con precisión cuántos delitos violentos afectan a personas LGBTQ y cuántos de ellos tienen como posible motivación la orientación sexual, identidad o expresión de género. La falta de información no significa necesariamente ausencia de violencia. Por el contrario, puede hacerla más difícil de identificar.
Un crimen que no registra la identidad de género de la víctima, o que no investiga adecuadamente una posible motivación relacionada con prejuicios, termina incorporándose estadísticamente como un hecho aislado, sin permitir comprender patrones. Ese problema tampoco es exclusivo de El Salvador. Sin embargo, en el país constituye una preocupación recurrente para las organizaciones que documentan vulneraciones contra personas LGBTQ.
301 denuncias en 2025
Un indicador permite dimensionar que el problema trasciende los homicidios. El Informe 2025 sobre las vulneraciones de los derechos humanos de las personas LGBTQ en El Salvador, elaborado por el Observatorio de Derechos Humanos LGBTIQ+ de ASPIDH con apoyo de Hivos y Arcus Foundation, registró 301 denuncias de vulneraciones de derechos entre el 1 de enero y el 22 de septiembre de 2025. La Comisión Interamericana de Derechos Humanos también recogió estos datos en su informe anual.
Según esa información, las mujeres trans representaron el 53,5 por ciento de las víctimas registradas y los hombres gays el 26,6 por ciento. El informe también señaló como principales presuntos responsables a cuerpos uniformados, entre ellos la Policía Nacional Civil, los cuerpos de agentes municipales y militares desplegados bajo el régimen de excepción.
Estos datos deben leerse con cautela: se trata de denuncias de vulneraciones de derechos, no de una cifra de homicidios ni de todos los casos ocurridos en el país.
Pero muestran algo importante: la violencia contra las personas LGBTQ no puede analizarse exclusivamente desde los asesinatos. También existe violencia en la discriminación, en el acceso a servicios, en el trato institucional, en la familia, en el trabajo, en los espacios públicos y en la imposibilidad de ejercer plenamente derechos fundamentales.
El precedente de Zashy Zuley
La historia reciente de El Salvador ofrece antecedentes que ayudan a comprender por qué el caso de Villalta genera preocupación. En abril de 2021 fue asesinada en San Miguel Zashy Zuley del Cid, una mujer trans y activista vinculada al trabajo comunitario de personas LGBTQ.
ACNUR condenó entonces su asesinato y señaló que Zuley había sido previamente desplazada de su hogar debido a amenazas. La agencia de Naciones Unidas explicó que trabajaba junto con COMCAVIS TRANS para apoyarla en un proceso de emprendimiento y medios de vida.
Su muerte también puso en evidencia otra forma de violencia: después de morir, hubo dificultades para que su identidad de género fuera respetada durante sus honras fúnebres. Medios que documentaron el caso señalaron que fue sepultada con una expresión masculina y que existieron obstáculos para la participación de personas LGBTQ cercanas a ella.
El caso de Zuley se convirtió así en un símbolo de una problemática que tiene dos dimensiones: la violencia contra el cuerpo y la violencia contra la identidad.
Más de cinco años después, la muerte de Villalta vuelve a colocar ambas preocupaciones en la conversación pública.
¿Dónde están los datos oficiales?
Una de las preguntas que surgen nuevamente es cuántos casos de violencia contra personas LGBTQ han ocurrido en los últimos años y cuántos han sido investigados considerando una posible motivación por prejuicio.
La ausencia de información pública reciente y desagregada dificulta responder.
Esta falta de datos no solo afecta a las organizaciones defensoras de derechos humanos. También afecta a las instituciones encargadas de diseñar políticas públicas, prevenir la violencia y garantizar justicia.
Si no sabemos cuántos casos existen, dónde ocurren, quiénes son las víctimas, qué tipos de violencia se presentan y qué resultados tienen las investigaciones, resulta mucho más difícil diseñar respuestas adecuadas. La documentación independiente adquiere entonces un papel fundamental, aunque nunca debería sustituir la obligación del Estado de generar estadísticas confiables y transparentes.
El desafío de no olvidar
El caso de Villalta vuelve a plantear una pregunta incómoda para El Salvador:
¿Qué ese está haciendo para que las personas LGBTQ puedan vivir y morir con dignidad? La respuesta no puede depender únicamente de las organizaciones LGBTQ, de las familias o de las comunidades.
Requiere instituciones que registren adecuadamente los hechos, investigaciones que determinen responsabilidades, y de acuerdo con activistas de sociedad civil, también “se necesita un Estado que cree y promueva políticas de prevención y que reconozca la identidad de las personas diversas, formación de funcionarios y una sociedad que comprenda que la diversidad no disminuye el valor de ninguna persona”. Por ahora, las circunstancias de la muerte de Yoisi dejan muchas dudas en lo sucedido y no corresponde afirmar que se trató de un crimen de odio sin una determinación oficial de una investigación que no existió.
Iceland
Iceland implements gender-neutral blood donor rules
New regulations took effect Sept. 1, allow more LGBTQ people to donate
New rules that will allow more gay and bisexual men to donate blood in Iceland took effect on Sept. 1.
The Iceland Review, an English-language magazine, notes the new regulations the country’s Health Ministry approved are gender-neutral. Some restrictions, however, remain in place for potential donors, regardless of their sexual orientation or gender identity.
“Specific sexual activity can be linked to higher risk of bloodborne infections, therefore thorough screening is very important in regards to blood donor eligibility,” states the Icelandic Blood Bank on its website.
Potential donors are asked these two questions:
• In the past four months, have you had sex with a new partner?
• In the past four months, have you engaged in what is considered sexual relation of higher risk?
The Icelandic Blood Bank defines “sexual relation of higher risk” as:
• Sexual relation where a condom is not used and relationship duration is less than 4 months.
• Sexual relation outside of pre-existing long-term relationship, where a condom is not used.
• Sexual relation with many individuals (more than one) with/without a condom.
• Sexual relation, where a condom is not used, with an individual whose behavior falls under sexual relation of higher risk.
• Sexual relation where a condom is not used, with an individual that injects narcotics. If more than four months have passed since the last injection, donation is permitted.
• Sexual relation, with/without the use of condom, in exchange for payment.
• Anal sex with/without a condom with a new partner.
• Sexual relation where chemicals are used to enhance sexual experience (chemsex).
• Sexual relation with/without the use of a condom, with an individual diagnosed with HIV, HTLV, Hepatitis B or C, or syphilis.
• Sexual relation with an individual using viral medication (PrEP or PEP) for HIV.
“If yes, evaluation for possible deferral from blood donation needs to be done,” says the Icelandic Blood Bank.
A person with HIV, Human T-lymphotropic virus-1, hepatitis B or C, or syphilis cannot donate blood. A person who has taken PrEP or PEP in the previous four months is also unable to become a donor.
“If more than four months have passed since the medication was taken, viral screening can be done,” says the Icelandic Blood Bank. “If results are negative, blood donation is permitted. Deferral period is longer if administrated intravenously.”
Any potential donor who had “sexual relation with an individual using viral medication (PrEP or PEP) for HIV” must wait four months since their “last sexual relation” before they can give blood.
Anyone who has “ever, even just once, shared a needle/syringe with someone or injected yourself with an illegal substance (non- doctor prescribed), e.g. drugs, anabolic steroids, hormones or peptides.” is permanently prohibited from donating blood.
Iceland is the latest country to lift restrictions for LGBTQ blood donors.
The Australian Red Cross Blood Service in April implemented a new policy that allows “gay and bisexual men and transgender people in long-term monogamous relations (of at least six months) to donate blood and platelets for the first time.”
The U.S. Food and Drug Administration in 2023 implemented a new screening policy for potential donors that asked them questions about their sexual activity, regardless of their sexual orientation or gender identity. The previous policy required men who have sex with men to not have sex for at least three months before they could donate blood.
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