Tag Archives: gay men

New York Times: Expanding HIV Treatment Necessary And Overdue

by D Gregory Smith

This hasn’t taken that long.

I’m blaming Hillary Clinton and Barack Obama.

The news that HIV treatment is prevention has taken a remarkably short time to hit the mainstream media, and it’s due to Secretary Clinton’s address to the NIH last month, and the President of The United States.

The NYT:

President Barack Obama announces a new compreh...

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Important new findings show that very early treatment of people infected with H.I.V. enhances their health and greatly lessens the likelihood that they will spread the virus that causes AIDS. We welcome the Obama administration’s announcement of a farsighted effort to treat millions more infected people abroad, especially in sub-Saharan Africa.

The administration expects that the expanded treatments can be paid for with existing resources, by pushing for greater efficiencies and more financing from recipient nations. But if that effort stalls, the administration should re-evaluate quickly whether to ask Congress for money.

… Mr. Obama also announced that he would commit an additional $50 million in this country in fiscal year 2012 to help pay for treatments at AIDS clinics and in-state programs that provide AIDS drugs to people who can’t afford them. The money may be drawn from $1 billion available through the health care reform law.

Working to get these changes made legislatively have proven impossible in a Republican-owned House and a Republican-bullied Senate- especially when it involves the health of gay and bisexual men- so policy and administrative action were required. And by beginning to make testing and immediate treatment for HIV routine, medical practices are established that will be hard to take back.

An estimated 1.2 million Americans were infected with the virus at latest count, of whom 240,000 people are unaware. The Centers for Disease Control and Prevention started a campaign last week to increase testing with special emphasis on warning black gay and bisexual men, whose infection rates have been soaring, to get tested and treated.

Meanwhile, the New York City Health Department became the second (after San Francisco’s) to recommend doctors offer drug therapy immediately to every person diagnosed as infected, instead of waiting for the virus to damage their immune systems. The city has made enormous strides in testing, treating and cutting the number of new infections. Some 110,000 infected residents are under treatment; aggressive testing might find another 2,500 immediately and perhaps 500 a year thereafter.

The investments here and abroad should pay off in the long run by reducing the number of people infected and easing the severity of illnesses.

Thanks to you both.

 

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My Online Dating Post on Qweerty

by D Gregory Smith

It’s Toot My Own Horn Time!

My Bilerico post on online dating companies and STD’s made it on to Qweerty today- along with some other commentary- it’s a good read: http://www.queerty.com/should-online-hook-ups-sites-take-responsibility-for-spreading-hiv-and-stis-20110825/

 

Joint Statement Regarding HIV Prevalence, Urgency For Gay/Bi Men

by D Gregory Smith

NEW HIV INCIDENCE ESTIMATES CONFIRM URGENCY TO ADDRESS CRISIS AMONG GAY MEN OF ALL RACES AND ETHNICITIES

Washington, DC – New HIV surveillance data released today by the Centers for Disease Control and Prevention (CDC) indicates that while the overall number of new HIV infections has remained fairly stable from 2006–2009, there continues to be cause for great concern about increasing numbers of new infections among gay men.

While the new HIV incidence estimates, published in the Public Library of Science Medicine, show that prevention activities in the United States have successfully held the number of new infections steady, the National Alliance of State and Territorial AIDS Directors (NASTAD)i and National Coalition of STD Directors (NCSD)ii, remain alarmed about the continued disproportionate impact of HIV and sexually transmitted disease (STD) infections among gay and bisexual men of all races and ethnicities in this country. New estimates indicate that the top most impacted populations include white gay men, Black gay men and Latino gay men, followed closely by Black women.

“An unacceptable increase of HIV incidence among gay men, particularly young Black gay men ages 13-29, requires an honest and critical examination of our prior efforts and a sharpening of our prevention-focused activities among gay men,” remarked Julie Scofield, NASTAD’s Executive Director. “We need to strengthen our communities by breaking down the silos across program and sector and by investing in targeted and innovative programming that promotes the health equity of gay and bisexual men of all races and ethnicities,” she added.

“Increasing HIV rates, coupled with increasing incidence of syphilis and a frequent neglect of rectal STD infections, underscore that we are not doing enough to prevent all STD infections and reduce their role in HIV acquisition,” said William Smith, NCSD’s Executive Director. “NASTAD and NCSD will continue to work with state and local health departments and other partners to develop and implement effective tools and initiatives to address all STDs among all gay and bisexual men,” he continued.In this peer-reviewed article, the CDC estimates 48,100 new infections occurred in the U.S. in 2009, with gay and bisexual men remaining the population most severely impacted by HIV and the only population in which new HIV infections have been increasing steadily since the 1990s. New infections among gay men of all races and ethnicities continue to increase as a proportion of all new infections, with those among young Black gay men ages 13-29 increasing by 48 percent since 2006. This new HIV surveillance data closely follows data released by CDC last month that showed a growing resistance of gonorrhea to antimicrobials, particularly in men who have sex with men (MSM). Gonorrhea is an STD that can facilitate HIV transmission.

In June 2010, NASTAD and NCSD released a Statement of Urgency expressing concern regarding the HIV and STD crises among gay men and other MSM of all races and ethnicities in the United States. Pursuant to the recommendations made in the National HIV/AIDS Strategy (the Strategy), the joint statement calls for greater investment (financial and human) and leadership to address the epidemic among gay men. Given CDC’s decision to cut $20 million from core HIV prevention funding, our federal partners must continue to work with state and local health departments to ensure that all existing resources are leveraged to improve HIV prevention and care and treatment.

NASTAD and NCSD, with support from MAC AIDS Fund, will soon launch a series of targeted activities within HIV and STD programs that will examine and address stigma in public health practice. These efforts will aim to increase comprehensive and appropriate access to prevention, care and supportive services for young Black and Latino gay men, particularly those at-risk for STD transmission. Additionally, these efforts will target social and sexual networks to promote positive sexual health messages and reduce stigma. NASTAD and NCSD will work with their respective members to establish and promote evidence-based practices and tools to educate state and local health departments, service providers and other key community stakeholders about the sexual health of gay men.
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i- Founded in 1992, NASTAD is a nonprofit national association of state and territorial health department HIV/AIDS program directors who have programmatic responsibility for administering HIV/AIDS and viral hepatitis health care, prevention, education, and supportive services programs funded by state and federal governments. For more information, visit www.NASTAD.org.

ii- The National Coalition of STD Directors (NCSD) is a partnership of public health professionals dedicated to the prevention of STDs. NCSD provides dynamic leadership that strengthens STD Programs by advocating for effective policies, strategies, and sufficient resources and by increasing awareness of their medical and social impact. For more information, visit www.NCSDDC.org.

Thought You Didn’t Have To Worry About Hepatitis C?

by D Gregory Smith

Hot on the heels of Godzilla Gonorrhea, comes further buzzkill from Science Daily:

Sexual transmission of hepatitis C virus (HCV) is considered rare. But a new study by researchers at Mount Sinai School of Medicine, working with the Centers for Disease Control and Prevention (CDC), provides substantial evidence that men with HIV who have sex with other men (MSM) are at increased risk for contracting HCV through sex.

Yeah. I know- what next? And while it bears further watching, it’s still not the end of the world:

“While hepatitis C is rarely transmitted among stable heterosexual couples, this is clearly not the case among HIV-infected MSM in New York City,” said Dr. Daniel Fierer, Assistant Professor of Medicine and Infectious Diseases at Mount Sinai School of Medicine. “MSM, and to some extent their health care providers are generally not aware that having unprotected receptive sex can result in HCV infection. The good news is that the cure rate for new HCV infections is very high with early treatment, but without regular testing of the men at risk, these largely asymptomatic infections may be missed and this opportunity lost.”
“Our study suggests that HIV-infected MSM should take steps to protect themselves and others by using condoms. Also, health care providers should be screening these men for hepatitis C, and public education and outreach programs should include information about these risks,” Dr. Fierer concluded.

And if you think you’re at risk, (for more info, click this link) you should talk to your healthcare provider and/or ask to be tested.

Your health is YOUR health. Advocate for it.

Calling All HIV Negative Men- This Is Your Time

by D Gregory Smith

Damn! Mark King scooped me again. I was thinking about saying this for a while, but my friend did it beautifully, so why bother? I’ll just reprint it… 🙂

This is directed to HIV-negative gay men. Listen carefully. This is your time.

I’ve lived with HIV more than half of my life, and people often praise me far more than I deserve, simply for surviving. They use words like brave and courageous.

You know what takes courage? Getting an HIV test every few months. You, waiting nervously while your most personal sexual choices are literally being tested, waiting to find out if you’ve been good – or if you’re going to pay for a single lapse in judgment by testing positive, when the look on the faces of your friends will say you should have known better.

I have no idea what that must be like. I took the test over 25 years ago. The positive result was traumatic, no doubt about it, and I soldiered on during some awfully frightening times. But I have a significant psychological advantage over my HIV negative friends: I only took that damn test once.

Read the rest here. It’s excellent.

“Can I blame gay culture for my drug addiction, please?”

by D Gregory Smith

That’s the question my friend Mark King asks in a provocative piece that I wanted to share with you all. It comes from his blog, My Fabulous Disease, which is linked on my blogroll. Excerpt:

After a lifetime of sporadic, recreational drug use, I became a full-blown crystal meth addict ten years ago, and then eventually got clean and sober in January of 2009. But why would I, or anyone as engaged in life as I was, morph into a drug addict?

It seemed an unlikely turn of events for a gay advocate and outspoken community leader living with HIV. Was my drug addiction some sort of post-traumatic stress from the AIDS horror show of the 1980’s?

Maybe it pre-dated AIDS, and resulted from the stress and shame of growing up gay. It’s easy to understand why anyone who came of age believing they were perverted (and going straight to hell) might need a stiff drink. Research indicates that gay men and lesbians are more likely to smoke, drink and use drugs. Was I born this way, GaGa?

So I was immediately drawn to the new book, Gay Men and Substance Abuse: A Basic Guide for Addicts and Those Who Care for Them. I thought the book might bolster my hypothesis that I was a victim of gay culture and doomed from the start.

Does he answer the question? Read the rest here. I liked it a lot- it made me think.
How about you? Comments please….

Speaking of Coming Out…

by D Gregory Smith

Phoenix Suns President Rick Welts does just that. After 40 years of “suffering in silence”.

Why now?

Mostly, Welts said, he was inspired by young athletes who might be suffering in silence.

“I thought, there might be some young people out there who was in the same position I was, who love team sports …  but are afraid,” Welts said.

“If by telling my story, if even just a few young people are encouraged to follow their passion and have a successful career, then it will have been worth it.”

Are we seeing a groundswell? Time will tell, but we all know that being gay has nothing to do with ability or aptitude in any profession- including sports. By coming out, all we do is strengthen the diverse human factor of sexuality.

And that’s always good.

NYT story here. NY Daily News take here.

The Gay Imam

by D Gregory Smith

I get a lot of emails from friends who know that I love to read all sorts of things, but don’t have a lot of time to search for it myself. One of my friends looks at websites from The Netherlands and sends me items. From Radio Netherlands Worldwide came a little gem entitled “Gay Imam Says Homosexuality Not Sinful“.

“Huh? Really?”

I’ve spent a fair amount of time in Christian circles, where being gay is feared, celebrated, derided and, in some cases, simply no big deal. I’m used to it. Christian tradition seems built for such a struggle. But Islam?

I was eager to learn more. It seems South African Imam Muhsin Hendricks is a gay man who runs a foundation called The Inner Circle which helps Muslims struggling with their sexuality and their religion. He has openly proclaimed “It is okay to be Muslim and gay!”  From the article:

It’s a message not everyone agrees with and the reason why Mr Hendricks is no longer officially a cleric.
Muhsin Hendricks looks a little tired. He is in the Netherlands at the invitation of the Amsterdam branch of gay rights organisation COC and he’s on a punishing schedule. There is enormous public interest in the “pink imam”, as he’s been dubbed.
But every trace of fatigue vanishes as Mushin Hendricks talks about his faith and his sexuality.
“Being Muslim and being gay are both strong identities. And I think that they are both innate identities for me. So somewhere along the line I had to reconcile the two.”
This was far from easy for Muhsin Hendricks. He was born into an orthodox Muslim family in South Africa. His grandfather was a cleric in one of Cape Town’s most prominent mosques. Mushin discovered at an early age that he was different. He played with dolls rather than cars. He was seen as being feminine and was teased as a result. All this was long before he even knew there was such a thing as homosexuality.
Mushin Hendricks took comfort in his faith, in spite of the fact that many Muslims believe it offers no place to homosexual feelings. Sexual love between two men or two women is prohibited. It is seen as one of the worst possible sins, punishable in some Islamic countries by death.

It’s a story familiar to anyone with conflicts around faith and identity. It’s also an opportunity to learn more about the experience of our Muslim brothers and sisters- and maybe another reason to celebrate the shared humanity of the struggle for dignity and integrity.

Read the full story here.

Addendum:
Reader Michael writes:

Thought you might like to add an addendum to your article to inform readers that the gay Iman is featured in the documentary about gays and Islam called “A Jihad for Love” co-produced by Sandi Dubowski who made the doc about gay Jews I trust you’re familiar with: “Trembling Before G-d.” Those interested should be able to rent the DVD from any decent rental outlet. Website: http://www.ajihadforlove.com/home.html

While often fascinating–particularly the part revealing the Islamic countries that are liberal enough to tolerate gays and lesbians fleeing from other Islamic countries–and a kind of quasi-underground railroad to relocate them in Western countries–overall I found it as depressing as “Trembling” but without providing the Hope through Heart experienced through the personality of Dubowski who’s not in the later film. But it’s certainly informative.