Six top experts resigned from Trump’s HIV/AIDS advisory panel

From the Huffingtonpost.com

Scott Schoettes, Counsel and HIV Project Director at the pioneering LGBTQ legal group Lambda Legal, resigned late last week from the Presidential Advisory Council on HIV/AIDS (PACHA), along with five other council members, in protest of Donald Trump’s polices ― or lack of polices ― to combat the HIV epidemic.

On Friday, Schoettes lambasted Trump as callous, a president who “simply does not care,” laying out the reasons for the resignations in a piece on Newsweek.com:

As advocates for people living with HIV, we have dedicated our lives to combating this disease and no longer feel we can do so effectively within the confines of an advisory body to a president who simply does not care. The Trump Administration has no strategy to address the on-going HIV/AIDS epidemic, seeks zero input from experts to formulate HIV policy, and—most concerning—pushes legislation that will harm people living with HIV and halt or reverse important gains made in the fight against this disease.

PACHA, created in 1995 during the Clinton administration, advises the Secretary of Health & Human Services, who is now Tom Price, the former Georgia GOP congressman with an abominable anti-LGBTQ voting record. In 2013, Price, on a conference call of far-right activists, responded to a question about the “medical health impact” of the “homosexual agenda” by stating that “the consequences of activity that has been seen as outside the norm are real and must be explored completely and in their entirety prior to moving forward with any social legislation that would alter things.”

Price is now spearheading Trump’s and the GOP’s efforts to repeal the Affordable Care Act and replace it with Trumpcare, which the Congressional Budget Office estimated would cause 23 million people to lose health care within ten years. This would harm hundreds of thousands of people with HIV across the country as well as many more HIV-negative gay and bisexual men and transgender women at risk who need insurance for pre-exposure prophylaxis (PrEP), the drug therapy to prevent HIV infection. And any advances to stem the epidemic could be dramatically halted or reversed.

One of the most ominous signs of Price’s and the Trump administration’s lack of concern about HIV is that the website for the Office of AIDS Policy was taken down shortly after Trump took office and has not been replaced ― another reason cited by the six members of PACHA who resigned.

Read the article here.

 

 

Undetectable viral load and HIV prevention: what do gay and bi men need to know?

What does undetectable mean? What about undetectable viral load and HIV transmission? And if I’m living with HIV, can I use “undetectable viral load” as an HIV prevention strategy?

From thebody.com

Risk of HIV transmission is virtually eliminated when people living with HIV are consistently taking effective HIV medication, (known as antiretroviral therapy or ARVs). It’s well-verified by research, and backed up by many years of real world observation: There have been no cases of transmission in couples where the HIV-positive partner was on meds and had “undetectable” viral load test results for at least six months.

But what does this mean for gay and bi men making decisions about sex, whether in ongoing partnerships, casual dating or anonymous encounters?

Get the answers on thebody.com.

Canandian HIV activists: Your Nostalgia Is Killing Me

From thebody.com

[Chevalier and Bradley-Perrin’s] piece, titled “Your Nostalgia is Killing Me,” features that wry line, emphatically rendered in bright-yellow, drop-shadowed letters, against the backdrop of a computer-illustrated bedroom. Keith Haring and General Idea graphics serve as wallpaper; visual ephemera from the ’80s — ACT UP reproductions, Therese Frare’s famous photo of mourners at a patient’s bedside, promotional images for the films Philadelphia and Blue — are presented as teenybopper posters, plastered on the wall like pin-ups.

It was a bold comment on how romanticizing the past can obscure present priorities and impede real action. But not everyone read it that way. For many, especially those who had lived through those crisis years, the poster was a lightning rod. On social media, older activists attacked Ian and Vincent for what they perceived as undermining or dismissing the lived experience of survivors, calling them “stupid fucking brats” and accusing them, among other things, of committing “a little Oedipal murder.”

“It became really clear to me that there was this generational divide among people living with HIV, where younger people and older people interpreted the poster differently,” Ian says. He was struck, he notes, by how different generational experiences of HIV are from one another and he felt compelled to investigate that difference.

“It was personal, political, historical,” he continues. “That combination of factors is what my work is now, and what it has always been.”

The posterVIRUS clash was a particularly heated and visible example of Ian’s activist work, but it was far from his first foray into challenging the dominant paradigm. A lifelong critical thinker, Ian can trace the origins of his militant consciousness back to his time as a high school student in Oakville, Ontario, a well-heeled suburb of Toronto.

It was in his teens that the seeds of his current interest in the intersections of public health and marginalized communities were planted. In 2007, during Ian’s final year of high school, he began dating his first boyfriend, who was grappling with addiction and mental health issues and struggling to find ongoing care and treatment.

Through the lens of first love, Ian’s eyes were opened to the shortcomings in the Canadian healthcare system — the dearth of detox, addictions and recovery services, and the challenges of finding a therapist for someone struggling with serious mental health needs. In a time of crisis, the only option seemed to be to go to the emergency room. “I was watching the outer limits of what was possible in Canada for healthcare,” he says.

Read the full article.

Who we are… 

m4mHealthySex.org is a joint effort between the HIV Prevention and Care Project and the Pitt Men’s Study at the Graduate School of Public Health, University of Pittsburgh. Our goal is to provide up-to-date sexual health information for men who have sex with men. Click on the menu or the page links above to find testing and care resources, including information about PrEP.

You can also scroll down for the latest blog posts as part of our archive of sexual health information…

Do doctors need to know their patients’ sexual orientation and gender identity?

From the New York Times

A growing number of federal agencies has been pushing health care providers to ask. Federally funded community health centers, which treat millions of patients, have begun to collect the data. Electronic health software must be able to store it. And blueprints for national health goals recommend collecting the information from all patients.

By knowing whether a patient is lesbian, gay, bisexual, transgender or straight, say public health experts, clinicians can be more alert to a person’s medical needs and more thoughtful in interactions. If hospitals report statistics on all patients, health care disparities among L.G.B.T. patients can be identified and redressed more effectively.

Read the full article.

Is technology increasing the rate of STDs among certain populations?

by Laurie Saloman, MS

It’s known that men who have sex with men tend to have disproportionately high rates of sexually transmitted diseases (STDs) compared with the general population, particularly African American and Latino men. A new study has discovered a link between the methods that these men use to find sexual partners and STD infection rates.   The study, conducted by scientists at the Centers for Disease Control and Prevention (CDC), was comprised of 853 African American and Latino men who lived in Chicago, Illinois, Kansas City, Missouri, and Fort Lauderdale, Florida, who indicated that they had engaged in sex with at least 1 man during the previous year. The men were recruited either online or through some form of community outreach. Questions included their HIV status, whether they identified as gay or bisexual, how many male partners they’d had in the previous 3 months, and whether they used the Internet (via computer) and mobile-phone applications (apps) to look for sex partners.

Read the full article.

Laurie Saloman, MS, is a health writer with more than 20 years of experience working for both consumer and physician-focused publications. She is a graduate of Brandeis University and the Medill School of Journalism at Northwestern University.

Mental health care is key to ending AIDS

From Advocate.com

Research shows a strong correlation between mental health disorders and living with HIV or AIDS, a correlation that is often overlooked. According to the National Institutes of Health, people with HIV have an increased risk for developing mood, anxiety, and cognitive disorders and are twice as likely to live with depression as those who do not have HIV. A 2010 U.K. study showed that one-third of HIV-positive men who participated in the survey met the criteria for a post-traumatic stress disorder diagnosis.

For those living with HIV or AIDS, depression is more than just mental hell — it can be a silent killer. Studies show that if people living with HIV feel stigmatized or suffer from mental illness, they are less likely to take their medication properly, which not only puts their own health at risk by not suppressing the individuals’ viral load, but also raises the likelihood that they will pass HIV on to others. Individuals living with HIV and depression are also more likely to think about suicide or even attempt to take their own lives.

Despite what we know about the connection between mental health and HIV/AIDS, too few people living with HIV or AIDS, and those invested in their health and happiness, are getting the mental health support they need. That is why we are proud to announce the opening of the state-of-the-art GMHC Carl Jacobs Mental Health Clinic, which will allow us to incorporate innovative treatment and counseling into our service model. Services will be available to adult New Yorkers of all sexual orientations, gender identities, and income levels, regardless of HIV status.

Past traumas, stress, depression, reduced self-esteem, and other challenges can be grueling to deal with. We aim to offer holistic services that address not only our clients’ mental health issues, but their social, spiritual and health concerns as well. Meanwhile, the ability to reach more HIV-negative people with HIV-preventive interventions and mental health services will help us decrease new HIV infections.

Read the full article.