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State Department releases 2022 human rights report

Conversion therapy, treatment of intersex people documented

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The State Department (Photo courtesy of the Library of Congress)

The State Department’s annual human rights report that was released on Monday details the prevalence of so-called conversion therapy and the treatment of intersex people around the world.

The report notes LGBTQ and intersex rights groups in Kenya have “reported an increase in so-called conversion therapy and ‘corrective rape’ practices, including forced marriages, exorcisms, physical violence, psychological violence, or detainment.” The report cites the Kenya National Commission on Human Rights that said “infants and children born with physical sex characteristics that did not align with either a typical male or female body were subjected to harmful medical practices for years in attempt to ‘normalize’ them.” 

A landmark law that extended legal protections to intersex Kenyans took effect last July.

The report notes “many reports of conversion attempts conducted or recommended by evangelical and Catholic churches” in Brazil, even though the country has banned conversion therapy. It also cites the case of Magomed Askhabov, a man from the Russian republic of Dagestan who “demanded a criminal case be opened” against a rehabilitation center in the city of Khasavyurt in which he and other residents “were physically abused and subjected to forced prayer as part of their ‘treatment’ for homosexuality.”

“There were reports police conducted involuntary physical exams of transgender or intersex persons,” notes the report. “The Association of Russian-speaking Intersex reported that medical specialists often pressured intersex persons (or their parents if they were underage) into having so-called normalization surgery without providing accurate information about the procedure or what being intersex meant.”

The report notes Afghan culture “insists on compulsory heterosexuality, which forced LGBTQI+ individuals to acquiesce to life-altering decisions made by family members or society.” The report also refers to LGBTQ and intersex activists in the Philippines who criticized former President Rodrigo Duterte after he “mockingly” endorsed conversion therapy and joked he had “cured” himself of homosexuality.

The report indicates “social, cultural and religious intolerance” in Kiribati “led to recurrent attempts to ‘convert’ LGBTQI+ individuals informally through family, religious, medical, educational, or other community pressures.”

Hungarian law “prohibits transgender or intersex individuals from changing their assigned sex/gender at birth on legal and identification documents and there is therefore no mechanism for legal gender recognition.” The report also cites statistics from the Háttér Society, a Hungarian LGBTQ and intersex rights group, that indicate one out of 10 LGBTQ and intersex Hungarians have “gone through some form of ‘conversion therapy.'”

The report notes then-British Prime Minister Boris Johnson’s government in April 2022 announced plans to ban conversion therapy based on sexual orientation in England and Wales. Activists sharply criticized the exclusion of transgender people from the proposal, and the British government later cancelled an LGBTQ and intersex rights conference after advocacy groups announced a boycott.

‘Human rights are universal’

Congress requires the State Department to release a human rights report each year. 

President Joe Biden last June signed a sweeping LGBTQ and intersex rights executive order. Secretary of State Antony Blinken at the beginning of this year’s report notes the mandate directed the State Department to “specifically include enhanced reporting on so-called conversion ‘therapy’ practices, which are forced or involuntary efforts to change a person’s sexual orientation, gender identity, or gender expression, as well as additional reporting on the performance of unnecessary surgeries on intersex persons.” 

“Human rights are universal,” Blinken told reporters on Monday as he discussed the report. “They aren’t defined by any one country, philosophy, or region. They apply to everyone, everywhere.”

The Biden-Harris administration in 2021 released a memorandum that committed the U.S. to promoting LGBTQ and intersex rights abroad.

The State Department released the report hours before U.S. Ambassador to the U.N. Linda Thomas-Greenfield hosted a meeting at the United Nations that focused on the integration of LGBTQ and intersex rights into the U.N. Security Council’s work.

Lawmakers in Uganda on Tuesday approved a bill that would further criminalize LGBTQ and intersex people in the country. Consensual same-sex sexual relations remain criminalized in dozens of other countries around the world.

Activists in Ukraine with whom the Washington Blade has spoken since Russia launched its war against the country in February 2022 have said LGBTQ and intersex people who lived in Russia-controlled areas feared Russian soldiers would target them because of their sexual orientation or gender identity. The report’s release also coincides with Republican efforts to curtail LGBTQ rights in states across the U.S.

Volunteers with the Parasol Patrol, a group that protects children and young people from protesters at drag queen story hours and other LGBTQ-specific events in the U.S., at a recent protest. (Photo by Jon Farina)

The report notes LGBTQ and intersex rights advances around the world in 2022.

Antigua and Barbuda, Barbados, St. Kitts and Nevis and Singapore decriminalized consensual same-sex sexual relations last year. 

The report notes Chile’s marriage equality law took effect on March 10, 2022, but lists violence against LGBTQ and intersex people as one of the “significant human rights issues” in the country. Switzerland, Slovenia and Cuba also extended marriage rights to same-sex couples in 2022.

Jaime Nazar, left, Javier Silva with their two children shortly after they married in Santiago, Chile, on March 10, 2022. (Washington Blade photo by Michael K. Lavers)

The report cites the case of Brenda Díaz, a trans Cuban woman with HIV who is serving a 14-year prison sentence because she participated in an anti-government protest in July 2021. The report also notes several LGBTQ and intersex journalists — including Nelson Álvarez Mairata and Jancel Moreno — left the country because of government harassment and threats. 

The Cuban government also blocked the websites of Tremenda Nota, the Blade’s media partner on the island, and other independent news outlets. 

The full report can be found here:

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State Department

Vance swears in gay State Department official

Jacob Helberg is Under Secretary of State for Economic Growth, Energy, and the Environment

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Vice President JD Vance, right, swears in Jacob Helberg, left, as under secretary of state on Oct. 17, 2025, as his husband, Keith Rabois, center, looks on. (Photo courtesy of Helberg's LinkedIn page)

Vice President JD Vance on Oct. 17 swore in Under Secretary of State for Economic Growth, Energy, and the Environment Jacob Helberg.

Helberg stood alongside his husband, Keith Rabois, during the ceremony.

“An unforgettable moment being sworn in by Vice President Vance alongside my husband, Keith Rabois,” wrote Helberg in a LinkedIn post that included two photos of the swearing in ceremony. “VP Vance is a friend and a role model for a generation of patriots who look to the future with excitement and optimism while always putting America First.”

“Grateful to serve under President Trump and Secretary Rubio’s historic leadership, as we unleash America’s economic power — fueling growth, energy abundance, and technological leadership for a new American century,” added Helberg.

President Donald Trump before his inauguration announced he would nominate Helberg.

Treasury Secretary Scott Bessent and former U.S. Ambassador to Germany Richard Grenell, who Trump named as interim executive director of the Kennedy Center in D.C., are among the Trump-Vance administration’s openly gay members. Former State Department spokesperson Tammy Bruce, who Trump has nominated to become deputy representative at the U.N., describes herself as a “gay woman.”

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Congress

State Department urged to restore LGBTQ-specific information in human rights reports

Congressional Equality Caucus sent Secretary of State Marco Rubio a letter on Sept. 9

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Secretary of State Marco Rubio during his confirmation hearing on Jan. 15, 2025. (Washington Blade photo by Michael Key)

The Congressional Equality Caucus has called upon the State Department to once again include LGBTQ and intersex people in their annual human rights report.

U.S. Reps. Robert Garcia (D-Calif.), Julie Johnson (D-Texas), and Sarah McBride (D-Del.), who co-chair the caucus’s International LGBTQI+ Rights Task Force, spearheaded a letter sent to Secretary of State Marco Rubio on Sept. 9.

The 2024 human rights report the State Department released last month did not include LGBTQ-specific references. Jessica Stern, the former special U.S. envoy for the promotion of LGBTQ and intersex rights under the Biden-Harris administration who co-founded the Alliance for Diplomacy and Justice, described the removal of LGBTQ and intersex people and other groups from the report as “deliberate erasure.”

“We strongly oppose your decision to remove the subsection on Acts of Violence Criminalization, and Other Abuses Based on Sexual Orientation, Gender Identity or Expression, or Sex Characteristics (SOGIESC Subsection) from the State Department’s Annual Country Reports on Human Rights Practices (Human Rights Reports),” reads the letter. “We urge you to restore this information, or else ensure it is integrated throughout each human rights report.”

Congress requires the State Department to release a human rights report each year.

The Congressional Equality Caucus’s letter points out the human rights reports “have been a critical source of information on human rights violations and abuses against LGBTQI+ persons around the world.” It specifically notes consensual same-sex sexual relations remain criminalized in more than 60 countries, and the 2017 human rights report included “details on the state-sponsored and societal violence against LGBTQI+ persons in Chechnya, including extrajudicial killings.”

Immigration Equality in response to the 2024 human rights report said the reports “serve as key evidence for asylum seekers, attorneys, judges, and advocates who rely on them to assess human rights conditions and protection claims worldwide.”

“The information in these reports is critical — not just for human rights advocates — but also for Americans traveling abroad,” reads the Congressional Equality Caucus’s letter. “LGBTQI+ Americans and their families must continue to have access to comprehensive, reliable information about a country’s human rights record so they can plan travel and take appropriate precautions.”

The caucus’s full letter can be read here.

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State Department

PEPFAR to distribute ‘breakthrough’ HIV prevention drug

HIV/AIDS activists have sharply criticized proposed cuts to Bush-era program

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World AIDS Day 2023 at the White House. PEPFAR will distribute a "breakthrough" prevention drug in countries with high HIV prevalence rates. (Washington Blade Photo by Michael Key)

The State Department on Thursday announced PEPFAR will distribute a “breakthrough” drug in countries with high HIV prevalence rates.

A press release notes the initiative will “bring U.S.-based Gilead Sciences’ breakthrough drug lenacapavir to market in high-burden HIV countries.”

“The initiative, which will promote global scale in production and distribution of the medication and catalyze further global investment, has the potential to save hundreds of thousands of lives,” it reads.

Lenacapavir users inject the drug twice a year.

The State Department press release notes nearly everyone who participated in Gilead’s clinical trials remained HIV negative. It also indicates lenacapavir “has the potential to be particularly helpful for pregnant and breastfeeding mothers, as it safely protects them during and after pregnancy to prevent mother-to-child transmission.”

“This U.S. commitment exemplifies Secretary Rubio’s America First life-saving assistance agenda: it champions American innovation, advances the administration’s goal of ending mother-to-child transmission of HIV during President Trump’s second term, and will serve as an important catalyst for greater global and private sector investment in access to this groundbreaking medication,” said Under Secretary of State for Foreign Assistance, Humanitarian Affairs, and Religious Freedom Jeremy Lewin.

The press release notes Gilead is “offering this product to PEPFAR and the Global Fund at cost and without profit.” It does not identify the countries in which lenacapavir will become available.

“The support of the U.S. State Department through PEPFAR will accelerate access to lenacapavir and move us closer to ending the HIV epidemic,” said Gilead CEO Daniel O’Day. “Lenacapavir is one of the most important scientific breakthroughs of our time and the result of nearly two decades of work by Gilead scientists. We are providing the medicine at no profit in this partnership so we can support the U.S. government in delivering life-saving programs where the need is most urgent.”

Thursday’s announcement coincides with the U.S. Conference on HIV/AIDS that is taking place in D.C. this week. It also comes against the backdrop of widespread criticism over the Trump-Vance administration’s reported plans to not fully fund PEPFAR and to cut domestic HIV/AIDS funding.

The New York Times last month reported the Office of Management and Budget that Russell Vought directs “has apportioned” only $2.9 billion of $6 billion that Congress set aside for PEPFAR for fiscal year 2025. (PEPFAR in the coming fiscal year will use funds allocated in fiscal year 2024.)

Bipartisan opposition in the U.S. Senate prompted the White House in July withdraw a proposal to cut $400 million from PEPFAR’s budget. Vought on Aug. 29 said he would use a “pocket rescission” to cancel $4.9 billion in foreign aid that Congress had already approved.

HIV/AIDS activists who rallied in front of the Eisenhower Executive Office Building on Tuesday demanded the Trump-Vance administration fully fund PEPFAR. Housing Works CEO Charles King and five others later blocked traffic at the intersection of 17th and H Streets, N.W.

Incoming National Minority AIDS Council CEO Harold Phillips, U.S. Rep. Maxine Waters (D-Calif.), “RuPaul’s Drag Race” season nine finalist Peppermint, and “Hamilton” star Javier Muñoz are among those who spoke at a rally outside the U.S. Capitol on Wednesday the Save HIV Funding Campaign organized.

“The cuts being proposed will completely erase all of our progress, all of the progress we’ve made since the 1980s. Not just in programs, but in science and in lives saved. These cuts will kill,” said Peppermint.

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