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Biden’s update to HIV strategy hailed for recognizing racism as health issue

New blueprint outlines plan from 2022 to 2025

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5 years ago

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Biden's update to the National HIV Strategy outlines plan for HIV 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.”

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District of Columbia

Bowser, Office of LGBTQ Affairs announce LGBTQ+ History Month events

High Heel Race to take place Oct. 27

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12 hours ago

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October 5, 2026

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The annual 17th Street High Heel Race will take place in Dupont Circle on Oct. 27, 2026. It is one of the city's events that will celebrate LGBTQ+ History Month. (Washington Blade photo by Michael Key)

D.C. Mayor Muriel Bowser and the D.C. Mayor’s Office of LGBTQ Affairs have announced they will join the local LGBTQ community in celebrating LGBTQ+ History Month throughout October.

An Oct. 2 joint statement from Bowser and the Office of LGBTQ Affairs says the celebration will include several events in partnership with D.C. LGBTQ organizations and LGBTQ businesses. It says among the events will be a “Birthday Bash” celebrating the 20th anniversary of the Office of LGBTQ Affairs.

“Throughout October, Washingtonians are invited to honor the people, places, movements, and milestones that have shaped the District’s LGBTQIA+ community and the community’s ongoing contributions to Washington, D.C.,” the statement says.

“LGBTQIA+ History Month is a reminder that our history is not simply something we look back on — it is something we continue to make,” Japer Bowles, director of the Office of LGBTQ Affairs said in the statement.

Bowles added that in celebrating the 20th anniversary of the Office of LGBTQ Affairs “we honor the generations of advocates, artists, organizers, businesses, and residents who built our community and continue to shape its future. This milestone is an opportunity to celebrate how far we have come while continuing to build a more welcoming, inclusive and connected Washington, D.C.”

Equality Forum, the Philadelphia-based group that initiated the nationwide annual LGBTQ+ History Month in October, has said it recognizes the history, achievements, and contributions of LGBTQ people and the organizations they have led to advance the rights of LGBTQ people.

The statement released by Bowser and the D.C. Mayor’s Office of LGBTQ Affairs says these are among the upcoming events planned for October:

The Relationship Lab: A Healthy Relationships Series 

Join us for an engaging series exploring what makes relationships healthy and how to recognize the signs when they’re not. Facilitated by DC SAFE in partnership with MOLGBTQA (The Mayor’s Office of LGBTQ Affairs.)

MOLGBTQA Birthday Bash 
Join us for the 20th Anniversary Celebration! We will be hosting an upbeat gathering, highlighting community leaders, advocates, artists, and institutions who have advanced LGBTQIA+ progress in Washington, D.C. over the last two decades. This event will highlight key milestones and the contributions of LGBTQIA local community partners with live entertainment and free refreshments.

Mayor’s LGBTQ+ Advisory Committee 

Come get to know the newest members of the Mayor’s LGBTQ+ Advisory Committee. This diverse group of leaders, business owners, and advocates advise the mayor and Director Bowles on issues relating to DC’s LGBTQIA+ community and the Office of LGBTQ Affairs.

39th Annual 17th Street High Heel Race 

Join us for the High Heel Race, cheering the queens, kings, and our community members as they sprint down 17th Street in heels, creativity, and pure D.C. spirit. From lively drag performances to thousands of neighbors filling the street, don’t miss this D.C. night!

  • When: Tuesday, Oct. 27, 6-10 p.m.
  • Where: 17th Street between R and P Streets, N.W.
  • RSVP: s.dc.gov/2026HHR 

What appeared to be the first LGBTQ+ History Month-related event to take place in D.C., called PRIDEtoberfest, was held Saturday, Oct. 3 from noon to 11:30 p.m. at the city’s Wunder Garten outdoor beer garden and event facility at 1101 First St., N.E. A flyer announcing the event says the Capital Pride Alliance and the Mayor’s Office of LGBTQ Affairs were among the event’s participants.

“We proudly attended, tabled, and I gave remarks at the Pridetoberfest this weekend,” Japer Bowles, director of the LGBTQ Affairs Office told the Blade.”

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Brazil

Transgender woman elected to Brazilian Chamber of Deputies

Thabatta Pimenta is first trans person from northeast Brazil elected to Congress

Published

14 hours ago

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October 5, 2026

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Thabatta Pimenta will represent Rio Grande do Norte state in the Brazilian Chamber of Deputi

SÃO PAULO — Voters in Brazil’s Rio Grande do Norte state on Sunday elected a transgender woman to the country’s Chamber of Deputies.

Natal Municipal Councilwoman Thabatta Pimenta, who is a member of the Green Party, won with 92,743 votes. She is the first trans woman from northeast Brazil elected to the country’s Congress.

Pimenta became emotional when she was speaking to her supporters after she won. Her brother Ryan, who has cerebral palsy, was by her side.

“This victory belongs to the people of Rio Grande do Norte,” she said. “It is a victory built from the ground up … the people themselves rose up, and you saw the result: today they elected the first female travesti federal deputy from northeast Brazil.”

Pimenta will join Erika Hilton, a travesti member of the leftist Socialism and Liberty (PSOL) party who was a sex worker before her election to the São Paulo Municipal Council, and Duda Salabert, a trans woman and fellow PSOL member from Minas Gerais state, in the Chamber of Deputies.

Hilton on Sunday won re-election with 1,596,472 votes, the most any female member of Congress has received in Brazilian history. Dudabert also won re-election with 215,192 votes.

“Thank you Minas Gerais,” said Dudabert on social media after she won re-election.

Five openly bisexual Chamber of Deputies candidates also won their races on Sunday.

• Guilherme Cortez, a PSOL member in São Paulo state

• Dandara Tonatzin, a member of President Luiz Inácio Lula da Silva’s Workers’ Party in Minas Gerais

• Anielle Franco, a Workers’ Party member in Rio de Janeiro state

• Maria Marighella, a Workers’ Party member in Bahia state

• Giovana Mondardo, a Brazilian Communist Party member in Santa Catalina state

Fabio Félix, a gay PSOL member of the Chamber of Deputies who represents the Federal District in which Brasília, the country’s capital, is located won re-election with 224,224 votes. Rick Azevedo, a gay PSOL member from Rio de Janeiro state, won his Chamber of Deputies race.

Daiana Santos, a lesbian Brazilian Communist Party member who represents Rio Grande do Sul state in the Chamber of Deputies, won re-election with 114,315 votes.

Two lesbian women won their Chamber of Deputies campaigns.

• Rosa Amorin, a Workers’ Party member from Pernambuco state

• Bella Gonçalves, a Workers’ Party member from Minas Gerais who is a member of the Belo Horizonte Municipal Council

Samanda de Lula, a lesbian Workers’ Party member, will represent Rio Grande do Norte in the Brazilian Senate.

Rio de Janeiro Municipal Councilwoman Mônica Benício, who is a PSOL member, came up short in her bid for the Senate. Her then-partner, Rio de Janeiro Municipal Councilwoman Marielle Franco, and her driver, Anderson Gomes, were assassinated on March 14, 2018.

Fabiano Contarato, a gay senator from Espíritu Santo who is a member of the Workers’ Party, also lost his re-election bid.

“I receive the election results with respect and serenity,” he said on social media. “The popular will is sovereign, and democracy must always be respected.”

Jean Wyllys is a gay former member of the Chamber of Deputies who previously represented Rio de Janeiro state. He resigned in 2019 and fled Brazil after he received death threats. Wyllys this year ran to represent São Paulo state in the Chamber of Deputies, but he did not win his race.

VoteLGBT, an organization that seeks to increase LGBTQ representation in Brazilian politics, noted 529 openly LGBTQ candidates ran in the election. The group on Sunday said 35 of them won their races across the country.

Natasha Ferreira, a Workers’ Party member, became the first travesti elected to public office in Rio Grande do Sul when she won a seat in the state’s Legislative Assembly. Voters in other states across the country also elected more than 20 LGBTQ candidates to their respective Legislative Assemblies.

• Keka Bagno, a bisexual PSOL member, was elected to the Federal District Legislative Chamber

• Açucena, a lesbian Workers’ Party member, was elected to the Espíritu Santo Legislative Assembly

• Fabricio Rosa, a gay Workers’ Party member, was elected to the Goiás Legislative Assembly

• Iza Lourença, a bisexual PSOL member, was elected to the Minas Gerais Legislative Assembly

• Tiago Botelho, a gay Workers’ Party member, was elected to the Minas Gerais Legislative Assembly

• Flávio Brasileiro, a gay Workers’ Party member, was elected to the Paraíba Legislative Assembly

• Dani Balbi, a trans Brazilian Communist Party member, was elected to the Rio de Janeiro Legislative Assembly

• Verônica Lima, a lesbian Workers’ Party member, was elected to the Rio de Janeiro Legislative Assembly

• Dani Monteiro, a bisexual PSOL member, was elected to the Rio de Janeiro Legislative Assembly

• Jean Volpato, a gay Workers’ Party member, was elected to the Santa Catarina Legislative Assembly

• Linda Brasil, a trans PSOL member, was elected to the Sergipe Legislative Assembly

• Sofia Favero, a trans PSOL member, was elected to the São Paulo Legislative Assembly

• Paula Nunes dos Santos, a bisexual PSOL member, was elected to the São Paulo Legislative Assembly

• Ediane Maria, a bisexual PSOL member, was elected to the São Paulo Legislative Assembly

• Monica das Pretas, a bisexual PSOL member, was elected to the São Paulo Legislative Assembly

• Duda Hidalgo, a bisexual Workers’ Party member, was elected to the São Paulo Legislative Assembly

• Rodrigo Mar, a bisexual Workers’ Party member, was elected to the São Paulo Legislative Assembly

• Thainara Faria, a bisexual Workers’ Party member, was elected to the São Paulo Legislative Assembly

• Keit Lima, a bisexual PSOL member, was elected to the São Paulo Legislative Assembly

Lula and Sen. Flávio Bolsonaro, whose father is former President Jair Bolsonaro, will face off in the presidential election’s second round on Oct. 25.

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Brazil

Lula, Flávio Bolsonaro to face off in second round of Brazilian presidential election

Neither man received at least 50 percent of the vote on Sunday

Published

1 day ago

on

October 4, 2026

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From left, Brazilian President Luiz Inácio Lula da Silva and Sen. Flávio Bolsonaro. (Photo of Lula by Celso Pupo via Bigstock; screen capture of Bolsonaro via TV Celular Flavio Bolsonaro/YouTube)

SÃO PAULO — President Luiz Inácio Lula da Silva will face off against Sen. Flávio Bolsonaro in the second round of Brazil’s presidential election on Oct. 25 after neither man received more than 50 percent of the vote in the first round that took place on Sunday.

Bolsonaro was ahead of Lula by a 47.03-45.16 percent margin with 100 percent of the vote counted.

Lula in 2022 defeated Bolsonaro’s father, then-President Jair Bolsonaro, in that year’s presidential election.

The Brazilian Supreme Court last year sentenced Bolsonaro — who repeatedly targeted LGBTQ Brazilians and other groups while in office — to more than 27 years in prison for his role in an attempted coup that saw thousands of his supporters storm the Congress, presidential palace, and the Supreme Court itself on Jan. 8, 2023. Bolsonaro is currently serving his sentence at his home in Brasília, the country’s capital, because of his poor health. His son has pledged to pardon him if he becomes the country’s next president.

Lula, who leads Brazil’s leftist Workers’ Party, was Brazil’s president from 2003-2010.

Sergio Moro, a judge who Jair Bolsonaro later tapped as his government’s Justice and Public Security Minister, in 2017 sentenced Lula to 9 1/2 years in prison after his conviction on money laundering and corruption charges that stemmed from Operation Car Wash. 

The Supreme Court in November 2019 ordered Lula’s release.

A Brazilian Workers’ Party supporter campaigns outside a Metro station in Rio de Janeiro’s Ipanema neighborhood on Oct. 3, 2026. President Luiz Inácio Lula da Silva heads the party. (Washington Blade photo by Michael K. Lavers)

VoteLGBT, an organization that seeks to increase LGBTQ representation in Brazilian politics, noted 529 openly LGBTQ candidates ran in this year’s election. More than 100 of them are either transgender or travesti.

The Washington Blade will cover the results of these races when they become available.

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