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.”
Ecuador
Caso Karlina: Una sentencia histórica contra las terapias de «conversión»
Karlina Quiroz, una mujer trans de Chone, fue internada contra su voluntad
La última vez que Karlina Quiroz, una mujer trans de 57 años, salió sola a la calle en Chone, terminó encerrada contra su voluntad en un centro de rehabilitación donde intentaron “corregir” su identidad de género mediante humillaciones, amenazas y agresiones.
Han pasado cinco años desde ese episodio, ocurrido en 2021; y el 11 de septiembre de 2026 Karlina por fin obtuvo justicia.
La Fiscalía informó, el 14 de septiembre, que el Tribunal de Garantías Penales de Chone sentenció a seis personas por actos de odio contra Karlina, al ser víctima de violencia basada en su identidad de género.
Entre los seis sentenciados están sus dos hermanos, que —según la denuncia de Karlina— ordenaron su encierro a este centro.
El caso de Karlina refleja el odio y la violencia hacia personas trans en Ecuador y vuelve a poner bajo la lupa la existencia de centros conocidos como clínicas de “deshomosexualización” o espacios de “terapias de conversión”.
De acuerdo con la denuncia presentada por Karlina, en julio de 2021 fue interceptada por varios hombres y trasladada contra su voluntad a un centro para el tratamiento de adicciones ubicado en Chone, Manabí, en la vía a Pedernales. Allí permaneció retenida y sometida a tratos degradantes, violencia psicológica y agresiones físicas.
Según su testimonio, durante el encierro recibió insultos relacionados con su identidad de género y amenazas orientadas a “modificarla”.
Karlina denunció, además, que esta no habría sido la primera vez. Según su relato, en 2019 permaneció aproximadamente tres meses internada de manera forzada en otro centro de rehabilitación, también ubicado en la vía a Pedernales, en Chone. Durante ese período habría sido sometida a dinámicas similares de aislamiento, control y presiones dirigidas a modificar su identidad y expresión de género.
Según información de la Fiscalía, en septiembre de 2021, como parte de las diligencias investigativas, se allanó el centro clandestino en Chone. Allí se recabaron indicios relacionados con el internamiento forzoso de Karlina durante tres meses.
Con esos y otros elementos de convicción obtenidos durante la investigación, la Fiscalía inició un proceso penal contra las seis personas, quienes fueron luego llamadas a juicio.
El proceso, explicó Karlina, incluyó los dos casos: el de 2019 y 2021. “El crimen se investigó desde que comenzó la primera gota de sangre”, señaló Karlina, en alusión a la violencia física que sufrió en su primer encierro.
De los seis sentenciados, tres fueron condenados como autores directos a cuatro años de pena privativa de libertad. Se trata de los dos hermanos de Karlina y un sobrino, por ordenar su encierro al centro de adicciones.
Los otros tres recibieron una pena de dos años, como cómplices.
De acuerdo con Karlina, uno de ellos es el director del primer centro al que fue ingresada contra su voluntad en 2019 por tres meses, y los otros dos son quienes la interceptaron la segunda ocasión, en julio de 2021, para llevarla al centro. Ella los señala como “capturadores” de las personas que son recluidas en los centros.
“Cuando recibí la noticia (el viernes 11 de septiembre durante la audiencia de juzgamiento) no podía creerlo. Las piernas me temblaron y las lágrimas se me salieron. Estoy tranquila y satisfecha”, señaló Karlina en una llamada telefónica.
Para Pedro Gutiérrez, abogado especialista en derechos humanos, la sentencia es importante no solo por reconocer un delito de odio, sino también por las características de los hechos: el ingreso (por orden de sus hermanos) a un centro de “deshomosexualización” en el que se cometen actos de tortura y violencia física.
Durante la audiencia, constó el testimonio de Karlina. La Fiscalía también presentó el informe de reconocimiento del lugar de los hechos, la inspección ocular técnica, el levantamiento de evidencias y los testimonios de personas que confirmaron que los actos de violencia por perjuicio hacia su identidad de género fueron ejecutados de manera reiterada por los ahora sentenciados.
El caso volvió a poner la atención sobre las llamadas terapias de conversión en Ecuador, prácticas ampliamente cuestionadas por organismos internacionales de derechos humanos y señaladas como formas de tortura o violencia psicológica. Aunque el Estado ecuatoriano ha realizado operativos y clausuras de algunos centros en los últimos años, organizaciones sociales sostienen que estos espacios continúan funcionando de manera clandestina o bajo otras denominaciones.
La legislación ecuatoriana penaliza los actos de tortura con la intención de modificar la orientación sexual o identidad de género, pero no existe una sanción contra los centros que ofrecen las denominadas terapias de conversión.
En 2020, la Asamblea aprobó el Código Orgánico de Salud y una de sus disposiciones fue prohibir expresamente este tipo de terapias, pero fue vetado totalmente por el expresidente Lenín Moreno en medio de una campaña de sectores antiderechos.
La sentencia también dispuso, como reparación integral a favor de Karlina, tratamiento psicológico e indemnizaciones por daños materiales e inmateriales.
Gutiérrez considera que la reparación para Karlina es limitada, pues -por ejemplo- no hay llamados de atención al Ministerio de Salud o disculpas públicas a la víctima.
“Mi nombre es Ariel Karlina Zambrano, soy una mujer trans de Chone, Manabí. Desde niña supe que quería ser mujer, quería ser bonita, libre. Pero mi familia nunca lo aceptó. Mis hermanos y mi padre, profundamente machistas, me maltrataban constantemente”, contó Karlina en un testimonio en 2025 que recogió el Comité Permanente por la Defensa de los Derechos Humanos (CDH).
Para activistas y defensores de derechos humanos, el caso de Karlina evidencia además un patrón de violencia que suele permanecer oculto dentro de círculos familiares, religiosos y comunitarios. En muchos casos, explican, los internamientos forzados son promovidos bajo la idea de “corregir” orientaciones sexuales o identidades de género consideradas inaceptables.
Karlina intentó vivir en Chone, creyendo que con la denuncia y las medidas cautelares estaba a salvo, pero su hermano le pagaba a personas para que la acosaran, según su relato. Por ello, tuvo que esconderse por meses.
Las personas trans en Ecuador enfrentan altos niveles de discriminación, violencia y exclusión social, especialmente fuera de las grandes ciudades. Según la Encuesta Nacional sobre las Condiciones de Vida de la Población LGBTI+ del INEC, el 53,5 por ciento de las personas LGBTQ mayores de 18 años en el país ha sufrido algún tipo de discriminación o violencia a lo largo de su vida, siendo el entorno familiar uno de los principales espacios de agresión.
En materia de violencia letal, organizaciones como Asociación Silueta X y el Observatorio Runa Sipiy documentaron 30 asesinatos de personas LGBTQ y transfemicidios en Ecuador durante 2025. De esos casos, alrededor del 70 por ciento corresponden a mujeres trans, lo que las posiciona como el grupo más expuesto a crímenes de odio y violencia extrema.
Diversas organizaciones de derechos humanos han advertido además sobre la persistencia de centros de “deshomosexualización” o internamientos forzosos, prácticas denunciadas desde hace más de una década en Ecuador pese a prohibiciones estatales y operativos de control insuficientes.
El caso de Karlina pone a prueba algo más grande que una sentencia individual: si Ecuador está dispuesto o no a reconocer que estas prácticas siguen existiendo y que la violencia contra personas LGBTQ continúa ocurriendo, muchas veces con la complicidad o el silencio de sus propios entornos familiares.
“Con mi caso, debe quedar un precedente. Debemos luchar contra el odio que podemos encontrarlo dentro de nuestras propias familias. Por nuestra libertad y derechos, debemos luchar”, indicó Karlina.
Netherlands
Dutch prime minister visits Stonewall Inn
Rob Jetten is the Netherlands’ first openly gay prime minister
Dutch Prime Minister Rob Jetten on Monday visited the Stonewall Inn in New York.
“The Stonewall Inn is not just a gay bar in New York, but the place where in 1969 riots took place as a reaction to years of discrimination and police violence,” wrote Jetten on X. “This is seen as the starting point of the global LGBTIQ+ emancipation and activism. Nowadays, the bar is a national monument, dedicated to the LGBTIQ+ rights movement.”
“For me, it is impressive and moving to be here tonight. And also fitting, because the defense of human rights is an important part of our foreign policy,” he added. “The Netherlands stands alongside the Stonewall Inn community when it comes to everyone’s right to live openly, safely, and with pride, no matter who you are or who you love.”
De Stonewall Inn is niet zomaar een gay bar in New York, maar de plaats waar in 1969 rellen plaatsvonden als reactie op jarenlange discriminatie en geweld van de politie. Dit wordt gezien als startpunt van de wereldwijde lhbtiq+-emancipatie en activisme. Tegenwoordig is de bar… pic.twitter.com/hJmFYjF91Z
— Rob Jetten (@MinPres) September 23, 2026
Jetten in February became the Netherlands’s first openly gay prime minister.
He opened last month’s World Pride Human Rights Conference in Amsterdam. Jetten also participated in a panel with former Irish Prime Minister Leo Varadkar, former San Marino Captain Regent Paolo Rondelli, and other current and former heads of government who are gay or lesbian.
Jetten is scheduled to speak to the U.N. General Assembly on Thursday.
District of Columbia
Capital Pride chair resigns from board after just 10 months
Anna Jinkerson ‘taking step back to move forward’
Anna Jinkerson, who has served as chair of D.C.’s Capital Pride Alliance Board of Directors for the past 10 months and has served on the board for the past four years, confirmed she is resigning from the board effective Sept. 30.
Capital Pride Alliance serves as the lead organizer of D.C.’s annual LGBTQ Pride events.
“I am taking a step back to move forward and plan to stay engaged in the community,” Jinkerson told the Washington Blade in a statement. “Serving as a volunteer leader during a period of transition following World Pride was both an honor and a challenge,” she said.
“Throughout my tenure, I focused on strengthening accountability, improving communications, supporting staff and volunteers, and helping position the organization for long-term success,” she told the Blade in her statement. “Meaningful organizational progress requires collaboration, dedication, and a shared commitment to serving the community, and I am proud of the work accomplished during this period.”
In February of this year, during Jinkerson’s tenure on the board, Capital Pride announced it had expanded the size of its board from 12 to 25 members.
Around that same time one of the existing board members, transgender activist Taylor Lianne Chandler, announced in a letter to fellow board members that the Blade obtained from an anonymous sender that she was resigning from the board. Among her reasons for resigning, she said in the letter, was the board’s failure to address “sexual misconduct” within the Capital Pride organization.
In the letter, which she confirmed for the Blade was authentic, Chandler said she and other board members raised “credible concerns” of alleged sexual misconduct within the Capital Pride organization and the board chose not to adequately respond to those concerns.
Chandler told the Blade a Capital Pride investigation identified an individual implicated in a “pattern” of sexual harassment related behavior, but said she was bound by a Non-Disclosure Agreement that applied to all board members and she could not provide further details.
When the Blade contacted Capital Pride for comment on Chandler’s allegations, Jinkerson responded with a statement saying Capital Pride was addressing her concerns.
“When concerns are brought to CPA, we act quickly and appropriately to address them,” Jinkerson said. “As we continue to grow our organization, we’re proactively strengthening the policies and procedures that shape our systems, our infrastructure, and the support we provide to our team and partners,” she said.
In her statement to the Blade this week commenting on her planned resignation from the Capital Pride board, Jinkerson appeared to refer to the concern raised by Chandler.
“I am proud to have advocated for sexual harassment training, supported staff and volunteers when concerns were raised, engaged community leaders in important conversations, and helped advance practices that strengthen safety, transparency, and accountability,” she said.
“As I step away from board service, I do so with gratitude for the opportunity to serve and with confidence in the organization’s future,” she added. “I am taking a step back to move forward, and I look forward to remaining actively engaged in our community and continuing to support efforts that advance equality, belonging, and pride for all.”
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