Tag: hiv

reflecting on a few news items

First up, something wonderful, because the last things are very, very disappointing. A couple of times, I have written previously about how I was really proud of athletes in the Olympics, specifically Michael Phelps, but there was one guy that I am beaming over even more. Matthew Mitcham is an Australian diver that took the gold in his event; even though it was highly favored to go to the Chinese (as all 7 other medals in diving did). One small thing… he’s gay! He was actually the only out gay male athlete to win a medal at the Olympics, and it was not only an upset victory, but he took home gold! After his medal ceremony, he ran up to the stands to embrace his mother and his partner. It’s great that the gay community can embrace another positive role model; an Olympic champion! Woo hoo! Make sure to check out the video of his performance and his medal ceremony, which apparently caused some controversy, because it wasn’t broadcast in full, and which is posted below:


Inspirational, to say the least!

Next, this harrowing revelation that HIV infection rates continue to not only soar, but that they are soaring at an even higher rate in New York City. We are more than 25 years into this disease; when are people going to take testing, safe sex, and prevention more seriously? I know that it is hard to do, but it is clear that people are ignoring something, because the increase in HIV rates cannot be described by “mistake” alone… get tested, and be safe people! YOUR LIFE depends on it!

This makes me feel so ill, that I want to violently puke. Seriously. Such a raping of human rights is disgusting, and should not be tolerated; especially in a country that we are currently occupying!!! What are we doing America? If we really want to make things better for the people of Iraq (which is continually touted as our mission), why not ALL Iraqi people?? Do the gay ones just not matter to us? It disgusts me that gay people are being treated so horribly, and being hunted in Iraq. Why can’t we offer them asylum? Why can’t we offer them protection? What are we even doing to help them? We have GOT to do something; these are freaking human beings, and they clearly have been put into a worse situation because of our actions. I can’t believe that things like this are allowed to happen; it really, REALLY lowers my faith in humanity. I will never understand how people can, a) be so cruel to their own people, and b) why we can’t do something to stop it if we are already there, ESPECIALLY since the situation they are in is a direct result of our military actions in Iraq? It’s not just gay people either, but they are actively being hunted… and it’s wrong! It just makes me shake my head, and hope that those gay people facing this “hunt” are lucky enough to get out with their lives intact. I will never ever understand religious fanaticism; it always seems to do way more harm than good.

Finally, a great piece of graffiti. Damn, sometimes, you just have to reflect, and feel good about the things that are going right in life; things could be worse.

really… are people really this stupid?

I saw this on towleroad this morning, and it seriously pissed me the fuck off:

Last night on Big Brother 9’s live feed, gay housemate Joshuah attempted to educate James, Chelsia, and Sharon on the ins and outs (so to speak) of gay sex. He also spreads some misinformation about protecting oneself from HIV:

“I do bareback with my boyfriend. We’ve both been tested for HIV and we’re both negative so it’s cool. I only do that with my boyfriend. I don’t do that on a random one night stand. That’s too risky. If you’re a top it’s okay because you can’t really get HIV from being the top because you’re penetrating them…”

I just want to know; are people really as stupid as this, or is this dumb ass alone in his thinking? Well, clearly, he isn’t alone, as the rates of infection continue to increase amongst gay men, which is not only disheartening, but it is disturbing. Yet, I still cannot even fathom why people are still this moronic about something as HUGE as HIV! Why on earth are people stupid enough to believe that you can’t get HIV if you are a top? Where did this moronic idea come from, and why is it, that gay men STILL believe it?!?!

It blows my mind. I have worked in HIV prevention for many years, and hearing shit like this just sends me over the edge. A part of me wants to say, “people just CAN’T believe that, because clearly, people are smarter than that… aren’t they?”, but I know that people really are this stupid. What has to happen to you for you to get it? Do you have to get IT? I just don’t understand how something as serious as HIV is taken so lightly, especially after it has been around for so very long. It is baffling.

So I’m going to put this out there, for all the morons: YES Virginia, you CAN get HIV if you are a top. Wear a condom you idiot, because clearly, you aren’t smart enough to know better. Wake the fuck up, and realize that this thing is called a goddamned epidemic for a reason.

/rant

why don’t we help the sick?

I read this article this morning, and frankly, it made me mad. I mean, we spend so much money on so many things that we shouldn’t, and yet, we cut funding that provides for those suffering from AIDS (which I definitely think anyone can agree that is something that is important). The weird thing about these cuts, is that AIDS cases, and the needs of those afflicted with HIV/AIDS, are increasing every year. It is estimated that 40k new cases of HIV a year are diagnosed in the US alone, and of those cases, many of them are being found among the minorities and poor of this country. Adding insult to injury, the drugs, treatment, care, and supplies that they need to live on are exuberantly priced, and as such, they are in a lose-lose situation.

Since we know this, where is the (moral?) justification for cutting the funding provided for these things, that work to provide people with services? This is a clear example of how we lack a basic sense of true social security in our nation. Frankly, it scares me on another level, because it shows how, as a society, we are lacking the area of compassion, even when we have more than enough means to make it reality. What’s probably worse, is that this happens to those that are in an area where it is truly deserved; because of the nature of the system that our society operates within.

When I read things like this, I think, what’s next? Throwing old people out of their homes, and using their social security checks to beef up military contracts? When are we going to focus more on the “homeland” that we are supposedly doing so much to protect? I ask, because we constantly hear about protecting “this great nation”, and securing freedom and safety for the citizens of this country, all while we constantly shift our efforts away from the actual people that need our help in this country. It seems that we are only securing the “homeland” for a select few; those that are lucky enough not to get sick, and that have found themselves in a position of wealth without bad luck, or worse, failure.

The scary thing, is that the rich will be just fine, and the poor will just die out, if this continues. The middle class will become the new poor, and eventually, we will die out too. This is a bleak and realistic future for our country if we continue down this ridiculous track; so I ask, why don’t we help the sick? Is it inconceivable to think that, not only do we have the money to take care of every medical funding problem we currently face, we give it to contracts and a handful of corporations, instead of our own people? I don’t think that these are shocking revelations, so why isn’t it something that is being taken care of? Oh yeah… why would you give money to a poor person, when you are too greedy to do so, and instead, want it, and more, for yourself?

Earlier today I was misclassified as following current democratic trains of thought with regards to the war, and as I stated, I don’t always agree with what anyone in politics does. I find a lot of corruption, and not a lot of true philanthropic action. As of right now, I feel alone. The politicians are not people that truly represent the little guys (and increasingly, not even us “middle” guys), and funding cuts like this make it more and more clear that there is no interest in actually making this nation great for anyone other than the elite. There is no definitive compassion that comes without a bribe, an accompanying lobbyist, or greedy grin. I think that I am going to be sick the more I think about this; I just hope that I can afford to take care of myself, because my society is not willing help me out.

I feel helpless right now, and that just sucks. I am having the same feelings I had when I read Joseph’s post the other day, because it comes from the same line of thinking, only his has a specific focus on what we will do when we get older. If you don’t have the money, and your family will not, or cannot, take care of you, you are seriously fucked; the government is probably not coming to your aid. That is what these AIDS patients are facing, and I just don’t understand how that is okay. That is scary, but real, and I frankly am worried as hell.

Speaking of helpless, I read this article, and it made me so utterly sad for that kid (as well as other people that are disregarded in the name of “saving” them). Sometimes, I question what people really are doing when they say that they are working for the good of mankind; because sometimes (and more often than not it seems), it seems that they got it so wrong, that by their method of “helping”, they are causing way more harm than good. Frustrating.

see, I told you I would give praise where it was due…

Today, I am going to write a post PRAISING George W. Bush. That’s right, you heard me correctly. I am going to praise him for something wonderful he has done. Something that is so close to my heart, and my life’s cause, that I can’t let it go by without acknowledgement. Does this mean that I think that this nullifies all of his other fuck ups? No, but it does mean that I can definitely see good where it truly shines; and today, that is in Bush’s recent requests from Congress.

Yesterday, Bush requested that Congress authorize $30 billion dollars to combat AIDS, and to provide medications for those afflicted with the disease. This money would go towards stopping AIDS worldwide, and providing medications for those that cannot afford it, in areas that are too poor to afford outrageous pharmaceutical mark ups. This is in addition to the $15 billion that he asked for back in 2003, and shows a clear and concentrated effort to truly help those afflicted with AIDS worldwide. This is amazing coming from the president, especially when you consider, that Reagan never even said the world AIDS during his presidency. Truly a monumental achievement to have our president focused on such an amazingly humanitarian effort.

I am honestly speechless that this amazingly large support for ending AIDS worldwide comes from a president that still touts abstinence only as the only method we can use in teaching our children how to prevent HIV infection in the states. At least somewhere in him, he realizes that the need for more than that is real, and as such, he is actually working with world leaders to make this a global effort.

There are critics to his plan, that focus on the fact that this is not enough money to truly make the type of dent that is necessary to take control of the epidemic. While I do agree that it is not enough, and while I see where they are coming from, I think that Bush has the right idea; it is important for every nation that can throw money at this thing to throw money at it. It can’t be something that the US does alone; if we want to stop it worldwide, we have got to use the rest of the world to do it with us. I for one, am excited to see what comes out of the upcoming global summit, with regards to what other top nations are going to offer as well. I will also have my attention focused on what Bush says about climate change, but we won’t get into that today, because I want to focus on the positive.

Bush, you have done a great thing. Even if one of your main motivators is giving the US good face, since we have been responsible for the killing of hundreds of thousands of Iraqis, it is STILL a good thing. I do, however, find it extremely odd that Christians, and Christian conservatives are so willing to embrace these efforts to help those that need it most in developing nations, when they continue to turn their backs on the people right at their doorsteps. I also find it weird that the focus on ridding the world of AIDS seems to be solely focused on the developing world, when it is still a real problem here in the US. I know that you can’t always have your cake and eat it too, and I certainly don’t want to look a gift horse in the mouth, so these are things that I will just silently ponder; because while they are still important points, I don’t want to shit on the good that is being done with this initiative.

Again, THANK YOU Mr. Bush for showing that you have a compassionate bone in your body. Perhaps, this effort for the US to provide more generosity (even if it is only for the sake of saving face) will spill over into other issues, and we can continue to do more good in the world; perhaps so much, that we can stop doing the bad things, and focus solely on the good things. This is the direction we need to be going in as a nation, and I for one, am glad to see that not only are we capable of doing it, but there is at least some momentum that is going in that direction; even if it is only a little bit. If we want to have a great nation, we have to have it in a great world, and the only way we are going to make that happen, is through leadership, support, and compassion. The only way to make ourselves truly great, is to help those that we can, and do what is right.

(source; for the image too)

what does idol REALLY give back?

Last night, I went over to my buddy John’s to watch the spectacle that was “Idol Gives Back”, a charity event where every celebrity they could muster showed up in support of “raising awareness” for people in need. The focus, was raising money to give to kids in Africa, as well as those still in need here in America (did someone say Katrina?). While I honestly want to believe that their hearts were in the right place, this absurd spectacle of “giving back” just made me angrier and angrier as the show wore on. Basically, they showed clip after clip of celebrities going to Africa, walking through the ghettos, and showing these poor unfortunate souls (Ursula!) suffering and dying in the slums.

Now, I am all for charity. In fact, I am all for the raising of awareness. I am all for giving to these people, because they need us. BUT, I am not okay with this dog and pony show parading these kids around in this manner. For the first hour of the program, they didn’t even say AIDS. Now, I understand that the “general” public doesn’t want to hear about the reality of AIDS in Africa, but the fact is, it is real. It isn’t going to go away if you throw a few million dollars at it. To say that it will enrich lives and make things all better is a lie, and that is what is wrong with what happened last night. Simon Cowell and Ryan Seacrest sitting in a one roomed house with a boy of twelve telling him to “just let it out” because he was sad that his parents were both dead was sickening. To top it off, they didn’t even address the fact that this kid’s parents likely died as a result of AIDS.

I truly want to believe that all of these celebrities give tons of money to help rid the world of poverty. I really want to believe that American Idol’s true motive behind this was nothing other than philanthropic; but it wasn’t. Even Ryan Seacrest said it, and said it well, “PART of the proceeds will go to charity”. If they were serious about helping these people in need, then all of it would go to charity. The POINT of the event was to raise money for charity, so where is the other PART going?

Additionally, if I see one more fucking celebrity “slumming” it up in Africa, surrounded by little AIDS infected orphans, saying how the antiretroviral drugs will save their lives and allow them to live happier and healthier lives, I will throw something at the fucking TV. Yes, Madonna, Bono, all of you, I am talking to YOU. Just because you put on a ragged t-shirt, go make-up-less on TV, and talk about how our $1 donation will “save lives”, doesn’t mean that it will. What it does mean, is that you are even further out of touch with reality than I would have ever believed possible. When you get on your private jet to fly home to your 15,000 square foot home, think about this: The only thing that will truly save these children is a continuous stream of money and support that doesn’t show up and then disappear. Spectacles like this merely shine a light on a problem that has been around for decades, and once that light goes out, and the show ends, the focus again dims, and the problem continues to get worse.

If they really wanted to do something lasting, do something good, and do something for these people, this would not be an “awareness” raising event; it would be a daily practice. These celebrities have more money than anyone else, and they have the gall to stand there and ask people to give and give and give some more. I think that we should all give, and I know that many of them do as well, but ask yourself; isn’t a bit hypocritical to live in your mansions on the top of the hill, and point out to the middle and lower class the plight of poverty throughout the world? Do you even know what it means to live paycheck to paycheck?

I would love for every problem in the world to be solved by a night of seeing Josh Groban surrounded by African children, and people calling in to donate money, PART of which will be given to charity. But over simplifying their problems by saying things like, “all they need is a $10 net to stop malaria”, and “if they could just get the antiretroviral HIV drugs, then their lives would be great” is disturbingly misleading. If you really want to do some good, focus on getting that money, ALL of it, to these people, and find a way to make sure that the focus does not wane; otherwise, you have done it in vain. The only way to stop AIDS is to talk about it and maintain a focus on it EVERYDAY. Events like this are a flash in the pan, and in the long run do practically nothing for the people suffering. This seriously frustrates the shit out of me.

</end rant>

the opinion post follow-up… uh, post.

So here it is, the follow up post to the post I wrote a few days ago requesting the answer to this question:

If you could describe the state of HIV and AIDS today, how would you describe it?

Alright, first of all, I didn’t realize something until sometime yesterday, which I honestly don’t know why I didn’t realize it sooner, but I think that I unintentionally intimidated people by posting this question, because of where I work. I have been pretty frank with my feelings about public health because of where I work, my educational background, and what I believe, and I know that did prevent some folks from responding and thinking that their perspective mattered. For that, I wish I would have realized it, and accommodated accordingly, but alas, I did not, and there it is. Regardless, I got some great perspectives, and I will focus on those, rather than the intimidation.

First of all, I got a strong sense of complacency that people recognize with respect to HIV/AIDS today. People definitely feel that HIV isn’t as focused on today, mainly because of the availability of treatments, and the diminished face of AIDS in the news and in the media. Basically, we try to cover up the real need for help with campaigns for ipods, and that just reinforces that sense of complacency. In addition to this complacency, we have become disillusioned to believe that the treatments available for HIV have actually made this a manageable disease that isn’t so difficult to live with; as, again, is illustrated by the lack of the true face of AIDS in the media and on the news. In addition to the complacency, many see that HIV/AIDS is hidden, and this is illustrated by the belief that HIV isn’t as bad in industrialized nations, and that the people that tend to become infected in the US are junkies, and really high risk individuals; not just anyone who happens to put themselves at risk by simply having sex.

This is the new, current face of HIV. There is a lack of reality, and it has caused us to see the disease as it isn’t. We don’t see it as a problem that we still face day to day, because we have it “under control”, and because we have “treatments” that will “let us live happy healthy lives” if we should somehow become infected. Sadly, this complacency for the disease is exactly what is wrong with the stance we have taken in fighting the epidemic. Many correctly pointed out the sheer willful ignorance in the lack of proper education for our nation’s youth, and the improper use of “values” that impose horribly useless abstinence only tactics to try and convince teens to not having sex. Regardless of this “head in the sand” take on preventing teen pregnancy and HIV transmission among youth, many of you again correctly surmised that these tactics are not only NOT working, but they are doing way more harm in the process. And that level of complacency is unacceptable.

The reason I initially posted this question, was because I was going over the data from the study that I work on, and a continual theme among the respondents was that HIV was not only manageable, but it wasn’t really that big of a deal anymore. People didn’t see the disease as a problem, and I wanted to see if that was reflective of the general population as well; well, at least the general population of people that read my blog. What I found was a similar belief, only with a definitive higher level of concern and awareness of that complacency; which was to be expected from those that are smart enough to be pretty internet savvy.

I also wanted to write this, because I honestly feel like the problem that is causing this increased complacency with the disease, and with the active participation of people in this country in preventing the spread of it, rests on only a few specific things. First, there is a major problem with people thinking that HIV is readily treatable, and is actually a manageable disease. HIV is still a terminal illness, and the drugs that you take for it are not like taking an aspirin for a headache. There are horrible side effects. Those drugs cost thousands of dollars, and without them, people still die quickly. This does even take into account the drug resistant strains of HIV, which are certainly a faster death sentence. The point I am trying to make, is that when the pharmaceutical companies portray a happy healthy HIV positive gay man in their ads, they are reinforcing a belief that having HIV isn’t really all that bad. That does so much harm, because it lulls us into a sense of complacency, and as we all saw, as represented by your comments, that is a large part of the problem. The pharmaceutical companies have got to change the way they portray the disease, as well as the media at large. Until we start to see the true face of AIDS again, much like we did in the early and late 80’s, we are only back peddling. Things have got to change. The face of AIDS must be seen, or the problem will continue to get worse. Part of the reason we don’t see this face of AIDS, is because that face has largely gone more and more brown over the years, and it is easy for the media to turn away from the disenfranchised. Again, this is bad, bad news for the epidemic. Hopefully, through our own awareness and education, we can all start to make changes.

The other problem that comes from this complacency, is the belief that we cannot be infected, which is largely a part of the media ignoring the disease, that is, except to sell a red ipod. Sure, it does some good, and we do help out a few of those suffering in Africa, but it isn’t enough. This is just putting a band-aid on a gaping wound, and it is clear that it is hurting more than helping. This lack of real action and realistic exemplification of the disease, displaces our belief that we are still at risk every time we have sex. Additionally, risk factors like drug use are rampant throughout the gay community, and this increases risk of HIV transmission so much so, that it makes me dizzy. Yet, people are still willing to take these risks. But why? Because they have displaced HIV to another part of the world, or to another community other than their own, and that, coupled with the idea that it is treatable, creates and implements a fatal combination of complacency and ignorance. It is used as an excuse for someone who was already looking for a way to say, “nope, not me, no need to worry”.

I am sorry this post is as long as it is, but this is something that is truly passionate to me, and something I hope to do good with in my life. I want my mark on this world to be a positive benefit towards public health, and if that means helping one person, or many people, understand the real causes that force the epidemic to go on, then I am doing good. We must make pharmaceutical companies change their advertising methods. AIDS is not a pretty disease. You will not get infected, and then live a normal life. HIV should not be something we are complacent about, and we must really protect our youth. We must be more vocal about HIV, and make it way more visible. We must inform ourselves, and we must be realistic about this; because if we aren’t, it will just continue down this same old road. AIDS isn’t going anywhere, and it is just as bad as it was before; sure, more people are living longer lives, and there are less instances of HIV becoming AIDS, but HIV infection is still VERY high, even here in the US. Yet, still, we pretend that it isn’t a major concern. And that, is what’s wrong. We focus on getting people tested, without worrying about preventing them from getting the disease. We worry about knowing your status, but only for the few that believe they are at risk. This needs to extend to everyone, and HIV needs to become something that is talked about again. HIV needs to be made real again.

Thanks for weighing in your opinions, and feel free to weigh in more if you would like. I think finding a holistic view of the state of HIV today is a great conversation to move us out of complacency, and into really talking about and dealing with the epidemic. Until then, there are only a few that are forced to do the heavy lifting, and I for one, would like to see us coming in to help them carry the burden. It is up to us, we are the generation that can affect this change, and we need to get on it now.

another compelling reason to wear condoms

Remember how angry I have been over the misuse of information regarding circumcision as a viable option for prevention? Well, now I have an even more compelling reason why condoms always make more sense than misrepresented rhetoric; gonorrhea is now among the drug resistant superbugs, which are diseases that have no, or severely diminished options for treatment. Say what? I’ve known about the very real potential for antimicrobial resistance, but it is happening quicker than expected, as evidenced by this recent finding.

This is pretty scary, because gonorrhea, which is bad enough as it is, is now becoming steadily untreatable. For many, this is obviously not good news, especially because gonorrhea is actually kind of common among sexually active people (straight and gay), and worst of all, having it contributes to your chances of getting HIV. Not only that, it has permanent health problems associated with it, especially since it is becoming more likely to go untreated.

The point here is this; wear a fucking condom. Do it every time. If you don’t, you can end up with all kinds of nasty things, one more of which is becoming almost totally untreatable. Be sure that you know your partner’s status (STDs too!) if you want to go without a safety net, because it is getting serious here folks. Here’s the CDC’s description of complications related to gonorrhea:

Untreated gonorrhea can cause serious and permanent health problems in both women and men.

In women, gonorrhea is a common cause of pelvic inflammatory disease (PID). About one million women each year in the United States develop PID. Women with PID do not necessarily have symptoms. When symptoms are present, they can be very severe and can include abdominal pain and fever. PID can lead to internal abscesses (pus-filled “pockets” that are hard to cure) and long-lasting, chronic pelvic pain. PID can damage the fallopian tubes enough to cause infertility or increase the risk of ectopic pregnancy. Ectopic pregnancy is a life-threatening condition in which a fertilized egg grows outside the uterus, usually in a fallopian tube.

In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility if left untreated.

Gonorrhea can spread to the blood or joints. This condition can be life threatening. In addition, people with gonorrhea can more easily contract HIV, the virus that causes AIDS. HIV-infected people with gonorrhea are more likely to transmit HIV to someone else.

We can argue semantics about “more protective” until the cows come home, but this is a solid, and compelling argument for my take on the whole thing; which is WEAR CONDOMS. Protect yourself. Now, if you are sexually active, you have one more thing to think about catching, and you have the ability to be responsible about it. If you are mature enough to have sex, you should be mature enough to protect yourself. Don’t let yourself get caught up in the “maybe it won’t happen to me because of xyz” crap. Just do the responsible thing already! Wear condoms, okay!?