California Has High Aspirations for Lowering HIV Infections
How a Florida Decision on HIV Medications May Affect California
S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug
How What Happened In San Francisco Led to World AIDS Day
Tough Road to Starting a Family for HIV-Positive Man
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FM","link":"/"}},"stateofhealth_266951":{"type":"posts","id":"stateofhealth_266951","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"266951","score":null,"sort":[1480711501000]},"guestAuthors":[],"slug":"california-has-high-aspirations-for-lowering-hiv-infections","title":"California Has High Aspirations for Lowering HIV Infections","publishDate":1480711501,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>Zero.\u003c/p>\n\u003cp>That’s the number of new HIV infections California officials are aiming for under a \u003ca href=\"https://www.cdph.ca.gov/programs/aids/Documents/IP_2016_Final.pdf\" target=\"_blank\">comprehensive initiative\u003c/a> released this fall.\u003c/p>\n\u003cp>The “Getting to Zero” plan, intended to guide the state’s AIDS policy from 2017 to 2021, is designed to boost surveillance, increase access to care and eliminate disparities in treatment.\u003c/p>\n\u003cp>“Thanks to better treatment and prevention options, new testing technology and better access to health care, California has reached a point where we can envision the possibility of zero new HIV infections,” said Dr. Karen Smith, director of the California Department of Public Health.\u003c/p>\n\u003cp>In the near term, however, the plan seeks to cut the number of new diagnoses in half, to fewer than 2,500 per year. It’s an ambitious goal in itself, but state health officials claim it is attainable.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We know how to do it from a clinical and from a public health perspective,” said Dr. Gilberto Chavez, deputy director for infectious disease programs at the public health department. “We have the tools to make it happen.”\u003c/p>\n\u003cp>Expanded testing is the cornerstone of California’s HIV response, Chavez said. “For folks with HIV infection, the sooner that they know about it the better, from both an individual and community perspective.”\u003c/p>\n\u003cp>\u003cstrong>Goals Versus Reality\u003c/strong>\u003c/p>\n\u003cp>Some say the goals in the plan may be easier stated than done.\u003c/p>\n\u003cp>“Getting to zero is aspirational,” said Dr. Hyman Scott, a researcher and clinician with Bridge HIV at the San Francisco Department of Public Health. “If we don’t address racial, ethnic and age disparities in HIV treatment we won’t get there.”\u003c/p>\n\u003cp>Dr. Paul Volberding, who codirects the AIDS Research Institute at the University of California San Francisco and has been involved in fighting the epidemic from its earliest days, also sees challenges ahead.\u003c/p>\n\u003cp>“We can’t just coast along and in five years get to zero,” he said. “Stigma is the biggest issue, because that’s what keeps people out of the system.”\u003c/p>\n\u003cp>Although enormous inroads have been made against HIV, and prominent researchers such as Volberding are talking about a cure as a possibility, the public health department’s Office of AIDS estimates that 139,000 people in the state were living with the virus in 2014, the latest year for which statistics were available. And nearly 10 percent of them were undiagnosed.\u003c/p>\n\u003cp>African-Americans, Latinos and immigrants have seen a disproportionate rise in infections and have the lowest rates for testing, according to Scott.\u003c/p>\n\u003cp>“We want people to be aware of their HIV status so they can access care and treatments that are really life-saving,” he said. The state’s plan encourages targeted testing in these communities, not only to link patients with treatment, but also to prevent new infections.\u003c/p>\n\u003cp>“If somebody is engaged in treatment and has a suppressed viral load, then the risk of onward transmission is negligible,” Scott said.\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-218028 size-khn-article-small\" src=\"https://californiahealthline.files.wordpress.com/2016/11/hiv-negative_770.jpg?w=370&h=247&crop=1\" alt=\"Blood sample with HIV negative\" width=\"370\" height=\"247\">\u003c/p>\n\u003cp>The state’s goal is to ensure that at least 95 percent of people with HIV get diagnosed. To get there, the blueprint encourages hospital emergency departments, primary care physicians and jail and prison health systems to offer routine testing. Such tests are free to Medi-Cal patients and Californians insured under the Affordable Care Act. Regardless of their coverage, patients are able to refuse testing.\u003c/p>\n\u003cp>The “Getting to Zero” plan seeks to have new patients begin antiretroviral treatment on the same day as diagnosis and to have them connected with a medical provider within 72 hours.\u003c/p>\n\u003cp>“In our plan, it’s not just about providing medication, but also providing a medical home and making sure that folks are getting evaluated regularly,” said Chavez.\u003c/p>\n\u003cp>The plan will be paid for through a mix of federal, state and local dollars. The state Department of Public Health says that it “utilizes existing state resources,” suggesting that it adds no new costs.\u003c/p>\n\u003cp>But California’s plan was constructed before the presidential election, which has injected uncertainty and “great fear” into the AIDS treatment community, said UCSF’s Volberding. We rely on a good deal of federal support, and if that is dramatically reversed I think we are in for some serious trouble.”\u003c/p>\n\u003cp>\u003cstrong>‘A Game Changer’\u003c/strong>\u003c/p>\n\u003cp>The best way to cure any epidemic, of course, is to prevent infections in the first place.\u003c/p>\n\u003cp>The state’s plan urges greatly expanded use of preexposure prophylaxis, known as PrEP.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-prevention.html\" target=\"_blank\">Centers for Disease Control and Prevention estimates \u003c/a>the prevention therapy could reduce infections by 70 percent by 2020. It involves taking a daily dose of Truvada, an antiviral pill that contains two AIDS medications (emtricitabine and tenofovir).\u003c/p>\n\u003cp>When people who take PrEP are exposed regularly to HIV through sex or injection drug use, the medication can reduce their risk of infection by more than 90 percent, according to the CDC. (Still, health officials emphasize it is still important to wear condoms to protect against other STDs, pregnancy and highly-resistant strains of HIV.)\u003c/p>\n\u003cp>PrEP costs about $1,400 per month, but the public health department’s Chavez said it is covered by Medi-Cal and most health insurers.\u003c/p>\n\u003cp>“PrEP is a game-changer that can really transform our HIV prevention strategies in California and across the nation,” said Scott, who has led efforts to increase PrEP use in San Francisco. The program, established last year, has approximately 300 people on PrEP across 18 primary care clinics.\u003c/p>\n\u003cp>Nineteen-year-old James has been taking PrEP for nearly a year. The freshman at California State University, Chico requested that his last name not be used to protect his privacy. He has, like many of his gay peers, grown up in fear of HIV infection.\u003c/p>\n\u003cp>James doesn’t have a steady boyfriend and says he uses condoms “most of the time.” The student, who is majoring in animation, learned about PrEP when he was being tested for sexually transmitted diseases.\u003c/p>\n\u003cp>“I used to always be really worried about STDs and especially HIV, and now it’s, like, okay, that’s one great big scary thing that I don’t have to worry so much about,” he said.\u003c/p>\n\u003cp>James, who is insured by Kaiser Permanente, has a prescription for Truvada with no copayment. To be effective, the medication must be taken every day.\u003c/p>\n\u003cp>James said he takes his pill “every morning after I brush my teeth,” and has experienced no side effects. He goes to the student health center at school for regular HIV testing, which is what health officials recommend.\u003c/p>\n\u003cp>James is among about 9,000 Californians now taking PrEP medication, according to the \u003ca href=\"https://www.cdph.ca.gov/programs/aids/Documents/California%20Needs%20Assessment%20-%202016%20-%20FINAL%2030Sept.pdf\">California Needs Assessment for HIV\u003c/a>. Still, officials say the treatment is indicated for up to 240,000 people in the state.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We are just now at the beginning of our PrEP program,” Chavez said, “so there’s a long way to go.”\u003c/p>\n\n","blocks":[],"excerpt":"Expanded testing is the cornerstone of California’s HIV response.","status":"publish","parent":0,"modified":1480715841,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1200},"headData":{"title":"California Has High Aspirations for Lowering HIV Infections | KQED","description":"Expanded testing is the cornerstone of California’s HIV response.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Has High Aspirations for Lowering HIV Infections","datePublished":"2016-12-02T20:45:01.000Z","dateModified":"2016-12-02T21:57:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"266951 http://ww2.kqed.org/stateofhealth/?p=266951","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/12/02/california-has-high-aspirations-for-lowering-hiv-infections/","disqusTitle":"California Has High Aspirations for Lowering HIV Infections","source":"Kaiser Health News","nprByline":"\u003ca href=\"http://californiahealthline.org/news/author/elaine-korry/\">Elaine Korry\u003c/a> ","path":"/stateofhealth/266951/california-has-high-aspirations-for-lowering-hiv-infections","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Zero.\u003c/p>\n\u003cp>That’s the number of new HIV infections California officials are aiming for under a \u003ca href=\"https://www.cdph.ca.gov/programs/aids/Documents/IP_2016_Final.pdf\" target=\"_blank\">comprehensive initiative\u003c/a> released this fall.\u003c/p>\n\u003cp>The “Getting to Zero” plan, intended to guide the state’s AIDS policy from 2017 to 2021, is designed to boost surveillance, increase access to care and eliminate disparities in treatment.\u003c/p>\n\u003cp>“Thanks to better treatment and prevention options, new testing technology and better access to health care, California has reached a point where we can envision the possibility of zero new HIV infections,” said Dr. Karen Smith, director of the California Department of Public Health.\u003c/p>\n\u003cp>In the near term, however, the plan seeks to cut the number of new diagnoses in half, to fewer than 2,500 per year. It’s an ambitious goal in itself, but state health officials claim it is attainable.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We know how to do it from a clinical and from a public health perspective,” said Dr. Gilberto Chavez, deputy director for infectious disease programs at the public health department. “We have the tools to make it happen.”\u003c/p>\n\u003cp>Expanded testing is the cornerstone of California’s HIV response, Chavez said. “For folks with HIV infection, the sooner that they know about it the better, from both an individual and community perspective.”\u003c/p>\n\u003cp>\u003cstrong>Goals Versus Reality\u003c/strong>\u003c/p>\n\u003cp>Some say the goals in the plan may be easier stated than done.\u003c/p>\n\u003cp>“Getting to zero is aspirational,” said Dr. Hyman Scott, a researcher and clinician with Bridge HIV at the San Francisco Department of Public Health. “If we don’t address racial, ethnic and age disparities in HIV treatment we won’t get there.”\u003c/p>\n\u003cp>Dr. Paul Volberding, who codirects the AIDS Research Institute at the University of California San Francisco and has been involved in fighting the epidemic from its earliest days, also sees challenges ahead.\u003c/p>\n\u003cp>“We can’t just coast along and in five years get to zero,” he said. “Stigma is the biggest issue, because that’s what keeps people out of the system.”\u003c/p>\n\u003cp>Although enormous inroads have been made against HIV, and prominent researchers such as Volberding are talking about a cure as a possibility, the public health department’s Office of AIDS estimates that 139,000 people in the state were living with the virus in 2014, the latest year for which statistics were available. And nearly 10 percent of them were undiagnosed.\u003c/p>\n\u003cp>African-Americans, Latinos and immigrants have seen a disproportionate rise in infections and have the lowest rates for testing, according to Scott.\u003c/p>\n\u003cp>“We want people to be aware of their HIV status so they can access care and treatments that are really life-saving,” he said. The state’s plan encourages targeted testing in these communities, not only to link patients with treatment, but also to prevent new infections.\u003c/p>\n\u003cp>“If somebody is engaged in treatment and has a suppressed viral load, then the risk of onward transmission is negligible,” Scott said.\u003c/p>\n\u003cp>\u003cimg class=\"alignleft wp-image-218028 size-khn-article-small\" src=\"https://californiahealthline.files.wordpress.com/2016/11/hiv-negative_770.jpg?w=370&h=247&crop=1\" alt=\"Blood sample with HIV negative\" width=\"370\" height=\"247\">\u003c/p>\n\u003cp>The state’s goal is to ensure that at least 95 percent of people with HIV get diagnosed. To get there, the blueprint encourages hospital emergency departments, primary care physicians and jail and prison health systems to offer routine testing. Such tests are free to Medi-Cal patients and Californians insured under the Affordable Care Act. Regardless of their coverage, patients are able to refuse testing.\u003c/p>\n\u003cp>The “Getting to Zero” plan seeks to have new patients begin antiretroviral treatment on the same day as diagnosis and to have them connected with a medical provider within 72 hours.\u003c/p>\n\u003cp>“In our plan, it’s not just about providing medication, but also providing a medical home and making sure that folks are getting evaluated regularly,” said Chavez.\u003c/p>\n\u003cp>The plan will be paid for through a mix of federal, state and local dollars. The state Department of Public Health says that it “utilizes existing state resources,” suggesting that it adds no new costs.\u003c/p>\n\u003cp>But California’s plan was constructed before the presidential election, which has injected uncertainty and “great fear” into the AIDS treatment community, said UCSF’s Volberding. We rely on a good deal of federal support, and if that is dramatically reversed I think we are in for some serious trouble.”\u003c/p>\n\u003cp>\u003cstrong>‘A Game Changer’\u003c/strong>\u003c/p>\n\u003cp>The best way to cure any epidemic, of course, is to prevent infections in the first place.\u003c/p>\n\u003cp>The state’s plan urges greatly expanded use of preexposure prophylaxis, known as PrEP.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/nchhstp/newsroom/2016/croi-press-release-prevention.html\" target=\"_blank\">Centers for Disease Control and Prevention estimates \u003c/a>the prevention therapy could reduce infections by 70 percent by 2020. It involves taking a daily dose of Truvada, an antiviral pill that contains two AIDS medications (emtricitabine and tenofovir).\u003c/p>\n\u003cp>When people who take PrEP are exposed regularly to HIV through sex or injection drug use, the medication can reduce their risk of infection by more than 90 percent, according to the CDC. (Still, health officials emphasize it is still important to wear condoms to protect against other STDs, pregnancy and highly-resistant strains of HIV.)\u003c/p>\n\u003cp>PrEP costs about $1,400 per month, but the public health department’s Chavez said it is covered by Medi-Cal and most health insurers.\u003c/p>\n\u003cp>“PrEP is a game-changer that can really transform our HIV prevention strategies in California and across the nation,” said Scott, who has led efforts to increase PrEP use in San Francisco. The program, established last year, has approximately 300 people on PrEP across 18 primary care clinics.\u003c/p>\n\u003cp>Nineteen-year-old James has been taking PrEP for nearly a year. The freshman at California State University, Chico requested that his last name not be used to protect his privacy. He has, like many of his gay peers, grown up in fear of HIV infection.\u003c/p>\n\u003cp>James doesn’t have a steady boyfriend and says he uses condoms “most of the time.” The student, who is majoring in animation, learned about PrEP when he was being tested for sexually transmitted diseases.\u003c/p>\n\u003cp>“I used to always be really worried about STDs and especially HIV, and now it’s, like, okay, that’s one great big scary thing that I don’t have to worry so much about,” he said.\u003c/p>\n\u003cp>James, who is insured by Kaiser Permanente, has a prescription for Truvada with no copayment. To be effective, the medication must be taken every day.\u003c/p>\n\u003cp>James said he takes his pill “every morning after I brush my teeth,” and has experienced no side effects. He goes to the student health center at school for regular HIV testing, which is what health officials recommend.\u003c/p>\n\u003cp>James is among about 9,000 Californians now taking PrEP medication, according to the \u003ca href=\"https://www.cdph.ca.gov/programs/aids/Documents/California%20Needs%20Assessment%20-%202016%20-%20FINAL%2030Sept.pdf\">California Needs Assessment for HIV\u003c/a>. Still, officials say the treatment is indicated for up to 240,000 people in the state.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We are just now at the beginning of our PrEP program,” Chavez said, “so there’s a long way to go.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/266951/california-has-high-aspirations-for-lowering-hiv-infections","authors":["byline_stateofhealth_266951"],"categories":["stateofhealth_2746"],"tags":["stateofhealth_65","stateofhealth_2808","stateofhealth_64","stateofhealth_2519"],"featImg":"stateofhealth_266955","label":"source_stateofhealth_266951"},"stateofhealth_24803":{"type":"posts","id":"stateofhealth_24803","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24803","score":null,"sort":[1427919113000]},"guestAuthors":[],"slug":"how-a-florida-decision-on-hiv-medications-may-affect-california","title":"How a Florida Decision on HIV Medications May Affect California","publishDate":1427919113,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_24805\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/107091586-e1427918866261.jpg\">\u003cimg class=\"size-large wp-image-24805\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/107091586-640x415.jpg\" alt=\"Truvada is an anti-retroviral pill used to treat HIV infection. It can also help reduce the risk new infections. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"415\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Truvada is an anti-retroviral pill used to treat HIV infection. It can also help reduce the risk of new infections. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2015/4/hiv-medication-decision-in-florida-may-have-implications-in-california\" href=\"http://www.californiahealthline.org/capitol-desk/2015/4/hiv-medication-decision-in-florida-may-have-implications-in-california\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>A health insurer in Florida agreed last week to\u003ca title=\"http://www.bloomberg.com/news/articles/2015-03-27/aetna-to-cut-co-payments-for-most-aids-drugs-after-complaint\" href=\"http://www.bloomberg.com/news/articles/2015-03-27/aetna-to-cut-co-payments-for-most-aids-drugs-after-complaint\" target=\"_blank\"> lower the price of some HIV medications\u003c/a>, moving them from a specialty tier to a generic medication tier.\u003c/p>\n\u003cp>The change will reduce out-of-pocket copayments from roughly $1,000 a month for some medications to anywhere from $5 to $100, according to advocates. The change goes into effect in Florida on June 1.\u003c/p>\n\u003cp>The move by Aetna was prompted, in part, by a lawsuit filed by the National Health Law Program (NHLP). Wayne Turner, staff attorney at NHLP, says the Florida news has ramifications in California -- for HIV/AIDS patients, and possibly for others with conditions requiring specialty medications.\u003c!--more-->\u003c/p>\n\u003cp>\"The formularies in California have been more balanced than other parts of the country, so it's not the same as Florida,\" Turner said. \"But there definitely are implications for California. This will have direct impact for HIV/AIDS patients in California.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Other advocates say the change will certainly help the effort to end adverse price-tiering in California, but aren't so sure of the direct impact. Anne Donnelly is director of public policy for the San Francisco-based Project Inform. Project Inform published \u003ca href=\"http://www.projectinform.org/pdf/CCformularies.pdf\" target=\"_blank\">an analysis\u003c/a> of the medication formularies used by plans in Covered California and has participated in outreach efforts held by exchange officials to address the issue.\u003c/p>\n\u003cp>\"Whether or not it will have a direct effect is a bit of a question, just because there's a lot of work already going on here in California, and a lot of progress being made, particularly with Covered California,\" Donnelly said. \"We're thrilled [NHLP] won that lawsuit, and it will help. ... It's that 'tipping point' idea. It will start to tip insurers in that direction.\"\u003c/p>\n\u003cp>The next step, NHLP attorney Turner says, is to apply that shift from specialty to generic tier to other conditions with expensive treatment costs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Aetna's announcement protects people living with HIV/AIDS, but not those managing other serious or disabling medical conditions requiring costly medications that are often placed in similarly high cost-sharing tiers,\" Turner said. \"[We] will continue our efforts so that all low-income individuals can … access the care they need.\"\u003c/p>\n\n","blocks":[],"excerpt":"A health insurer in Florida agreed to lower the price of HIV medications. ","status":"publish","parent":0,"modified":1427931080,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":400},"headData":{"title":"How a Florida Decision on HIV Medications May Affect California | KQED","description":"A health insurer in Florida agreed to lower the price of HIV medications. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How a Florida Decision on HIV Medications May Affect California","datePublished":"2015-04-01T20:11:53.000Z","dateModified":"2015-04-01T23:31:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24803 http://blogs.kqed.org/stateofhealth/?p=24803","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/04/01/how-a-florida-decision-on-hiv-medications-may-affect-california/","disqusTitle":"How a Florida Decision on HIV Medications May Affect California","path":"/stateofhealth/24803/how-a-florida-decision-on-hiv-medications-may-affect-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_24805\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/107091586-e1427918866261.jpg\">\u003cimg class=\"size-large wp-image-24805\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/04/107091586-640x415.jpg\" alt=\"Truvada is an anti-retroviral pill used to treat HIV infection. It can also help reduce the risk new infections. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"415\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Truvada is an anti-retroviral pill used to treat HIV infection. It can also help reduce the risk of new infections. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2015/4/hiv-medication-decision-in-florida-may-have-implications-in-california\" href=\"http://www.californiahealthline.org/capitol-desk/2015/4/hiv-medication-decision-in-florida-may-have-implications-in-california\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>A health insurer in Florida agreed last week to\u003ca title=\"http://www.bloomberg.com/news/articles/2015-03-27/aetna-to-cut-co-payments-for-most-aids-drugs-after-complaint\" href=\"http://www.bloomberg.com/news/articles/2015-03-27/aetna-to-cut-co-payments-for-most-aids-drugs-after-complaint\" target=\"_blank\"> lower the price of some HIV medications\u003c/a>, moving them from a specialty tier to a generic medication tier.\u003c/p>\n\u003cp>The change will reduce out-of-pocket copayments from roughly $1,000 a month for some medications to anywhere from $5 to $100, according to advocates. The change goes into effect in Florida on June 1.\u003c/p>\n\u003cp>The move by Aetna was prompted, in part, by a lawsuit filed by the National Health Law Program (NHLP). Wayne Turner, staff attorney at NHLP, says the Florida news has ramifications in California -- for HIV/AIDS patients, and possibly for others with conditions requiring specialty medications.\u003c!--more-->\u003c/p>\n\u003cp>\"The formularies in California have been more balanced than other parts of the country, so it's not the same as Florida,\" Turner said. \"But there definitely are implications for California. This will have direct impact for HIV/AIDS patients in California.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Other advocates say the change will certainly help the effort to end adverse price-tiering in California, but aren't so sure of the direct impact. Anne Donnelly is director of public policy for the San Francisco-based Project Inform. Project Inform published \u003ca href=\"http://www.projectinform.org/pdf/CCformularies.pdf\" target=\"_blank\">an analysis\u003c/a> of the medication formularies used by plans in Covered California and has participated in outreach efforts held by exchange officials to address the issue.\u003c/p>\n\u003cp>\"Whether or not it will have a direct effect is a bit of a question, just because there's a lot of work already going on here in California, and a lot of progress being made, particularly with Covered California,\" Donnelly said. \"We're thrilled [NHLP] won that lawsuit, and it will help. ... It's that 'tipping point' idea. It will start to tip insurers in that direction.\"\u003c/p>\n\u003cp>The next step, NHLP attorney Turner says, is to apply that shift from specialty to generic tier to other conditions with expensive treatment costs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Aetna's announcement protects people living with HIV/AIDS, but not those managing other serious or disabling medical conditions requiring costly medications that are often placed in similarly high cost-sharing tiers,\" Turner said. \"[We] will continue our efforts so that all low-income individuals can … access the care they need.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24803/how-a-florida-decision-on-hiv-medications-may-affect-california","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_65","stateofhealth_64"],"featImg":"stateofhealth_24805","label":"stateofhealth"},"stateofhealth_21575":{"type":"posts","id":"stateofhealth_21575","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21575","score":null,"sort":[1410998538000]},"guestAuthors":[],"slug":"san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","title":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","publishDate":1410998538,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21582\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-e1410998460649.jpg\">\u003cimg class=\"size-large wp-image-21582\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-640x480.jpg\" alt=\"San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Scott Wiener publicly announced Wednesday afternoon that he is taking Truvada, an FDA-approved drug that dramatically reduces the risk of HIV infection. He appears to be the first public official to make such an announcement.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My hope is that by disclosing my PrEP use… I can get more people thinking about PrEP as a possibility.\" \u003c/aside>\n\u003cp>Wiener said he began taking the medication earlier this year. This preventive approach is also referred to as pre-exposure prophylaxis or PrEP.\u003c/p>\n\u003cp>\"I am using PrEP as a personal health choice that I made in consultation with my physician,\" he said in an interview at his office at City Hall. \"My hope is that by disclosing my PrEP use publicly that I can help move the conversation forward and get more people thinking about PrEP as a possibility, and encouraging people to consult with their medical provider.\"\u003c/p>\n\u003cp>Truvada combines two different drugs into a single pill that, when taken daily, can reduce the risk of HIV infection by more than 90 percent. It was approved by the FDA in 2012, and was developed by the Foster City company Gilead. Both the \u003ca title=\"Pre-Exposure Prophylaxis\" href=\"http://www.cdc.gov/hiv/pdf/PrEP_fact_sheet_final.pdf\" target=\"_blank\">Centers for Disease Control\u003c/a> and the \u003ca title=\"WHO Consolidated Guidelines\" href=\"http://www.who.int/hiv/pub/guidelines/keypopulations/en/\" target=\"_blank\">World Health Organization\u003c/a> recommend its use by people who are at high risk of HIV infection. Still, it is the subject of debate, especially within the gay community.\u003c!--more-->\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/168221334\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height='166' iframe=\"true\" /]\u003c/p>\n\u003cp>Wiener, 44, was first elected to the Board of Supervisors in 2011 representing the Castro district. He says he started coming out as a gay man in 1990, at what he called the height of the AIDS epidemic.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Coming out in that environment was challenging and stressful,\" he said. \"Immediately associating sex with illness and death was very stressful and many, many people, I think, had that same experience.\" He spoke of friends who have started using PrEP recently who \"have told me that their general anxiety level around intimacy has gone down significantly.\"\u003c/p>\n\u003cp>Wiener said that only a few people knew that he was taking PrEP. James Loduca, vice president of philanthropy for the San Francisco AIDS Foundation, called Wiener's disclosure \"incredibly courageous.\"\u003c/p>\n\u003cp>\"We need more people like Supervisor Wiener,\" Loduca said. \"In my own personal network, many of my HIV-negative gay male friends are on PrEP. None of them talk about it publicly, and that is a reflection of the enormous stigma and shame that we still have around sex, around a desire to have intimacy. … It's an important watershed moment for our community that someone so visible steps forward and says 'PrEP is helping me.'\"\u003c/p>\n\u003cp>Wiener spoke openly of people availing themselves of all options to prevent acquiring the virus, including the use of condoms and being tested regularly. If someone becomes infected with HIV, identifying the infection sooner yields more immediate treatment, which can lead to improved long-term health outcomes.\u003c/p>\n\u003cp>\u003cspan style=\"color: #111111\">When taken to prevent HIV infection, Truvada\u003c/span>\u003ca style=\"color: #4774cc\" title=\"Truvada\" href=\"http://start.truvada.com/\" target=\"_blank\"> carries a risk of side effects\u003c/a>\u003cspan style=\"color: #111111\"> that include headache, abdominal pain and weight loss. Potentially serious side effects include kidney problems, liver damage and a buildup of lactic acid in the blood. Not everyone is affected. Wiener says he is not suffering from any side effects of the treatment.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Move to Subsidize PrEP Treatment\u003c/strong>\u003c/p>\n\u003cp>Wiener's announcement comes on the eve of a rally to be held Thursday, coordinated by San Francisco Supervisor David Campos. Campos is calling for San Francisco to make PrEP available to San Franciscans regardless of income. New York Gov. Andrew Cuomo has made a\u003ca title=\"End AIDS in New York State\" href=\"https://www.governor.ny.gov/press/06292014-end-aids-epidemic\" target=\"_blank\"> similar proposal\u003c/a> for his state.\u003c/p>\n\u003cp>Despite a massive public health campaign to fight the spread of HIV, nationally there have been 50,000 new HIV infections every year for the last 20 years. \"PrEP is the first new tool in our fight to protect ourselves from HIV since the epidemic began,\" Campos said in a release.\u003c/p>\n\u003cp>Wiener backs the effort. \"In order for PrEP to be successful, we have to do three things,\" he said. \"We need to raise awareness about it, make sure people know about it. … We need to secondly remove the stigma around it, so people are able to talk about it, are able to consider it, and finally, we need to expand access.\"\u003c/p>\n\u003cp>But that kind of community-wide campaign is exactly the wrong idea, some advocates say.\u003c/p>\n\u003cp>\"To deploy (PrEP) as a community-wide preventive is a public health disaster in the making,\" said Ged Kenslea, spokesman for AIDS Healthcare Foundation, a global advocacy group. He stressed the organization is not opposed to the use of PrEP on a case-by-case basis.\u003c/p>\n\u003cp>\"The crucial problem is adherence to the medication,\" he said. He also pointed out that condoms are not only effective against protecting against HIV infection, but also against other sexually transmitted diseases \"for which PrEP does nothing.\" Kenslea said that he's worried that people \"seem to be throwing condoms out the window.\"\u003c/p>\n\u003cp>Dr. Robert Grant with the UCSF Gladstone Institute \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21091279\" target=\"_blank\">led the research \u003c/a>that ultimately showed Truvada's effectiveness as a preventive agent against HIV and has followed it since.\u003c/p>\n\u003cp>He said that there's \u003ca title=\"No Link Between Truvada and High Risk Sexual Behavior\" href=\"http://www.ucsf.edu/news/2013/12/110831/no-link-between-hiv-prevention-pill-truvada-and-increased-sexual-risk-behavior\" target=\"_blank\">no link \u003c/a>between PrEP and increasing high-risk sexual behavior. He also supports efforts to make PrEP available more widely and compared having a variety of tools to fight HIV with having a variety of methods of birth control available.\u003c/p>\n\u003cp>\"Just like contraception,\" he said. \"We're happy to have people using different methods. Same way with HIV. We have to have lots of different methods for people to use, so people can find one that's attractive to them.\"\u003c/p>\n\u003cp>Grant said that in his research \"we have not seen anyone become infected who has taken PrEP daily or nearly daily.\"\u003c/p>\n\u003cp>\u003cem>Wiener published an essay in the \u003ca title=\"Coming out of the PrEP Closet\" href=\"http://www.huffingtonpost.com/scott-wiener/coming-out-of-the-prep-closet_b_5832370.html\" target=\"_blank\">Huffington Post \u003c/a>Wednesday about his decision to use Truvada.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>UPDATE: The headline in an earlier version of this story inaccurately described the medication as an \"AIDS preventive.\" The drug protects against acquiring HIV, the virus that causes AIDS. KQED regrets the error.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The drug, Truvada, can reduce risk of HIV infection by more than 90 percent. ","status":"publish","parent":0,"modified":1456269618,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1064},"headData":{"title":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug | KQED","description":"The drug, Truvada, can reduce risk of HIV infection by more than 90 percent. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","datePublished":"2014-09-18T00:02:18.000Z","dateModified":"2016-02-23T23:20:18.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21575 http://blogs.kqed.org/stateofhealth/?p=21575","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/17/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada/","disqusTitle":"S.F. Supervisor Wiener Announces He's Taking HIV Preventive Drug","path":"/stateofhealth/21575/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21582\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-e1410998460649.jpg\">\u003cimg class=\"size-large wp-image-21582\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/photo-640x480.jpg\" alt=\"San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco Supervisor Scott Wiener (left) says he started taking a drug to prevent HIV infection earlier this year. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>San Francisco Supervisor Scott Wiener publicly announced Wednesday afternoon that he is taking Truvada, an FDA-approved drug that dramatically reduces the risk of HIV infection. He appears to be the first public official to make such an announcement.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"My hope is that by disclosing my PrEP use… I can get more people thinking about PrEP as a possibility.\" \u003c/aside>\n\u003cp>Wiener said he began taking the medication earlier this year. This preventive approach is also referred to as pre-exposure prophylaxis or PrEP.\u003c/p>\n\u003cp>\"I am using PrEP as a personal health choice that I made in consultation with my physician,\" he said in an interview at his office at City Hall. \"My hope is that by disclosing my PrEP use publicly that I can help move the conversation forward and get more people thinking about PrEP as a possibility, and encouraging people to consult with their medical provider.\"\u003c/p>\n\u003cp>Truvada combines two different drugs into a single pill that, when taken daily, can reduce the risk of HIV infection by more than 90 percent. It was approved by the FDA in 2012, and was developed by the Foster City company Gilead. Both the \u003ca title=\"Pre-Exposure Prophylaxis\" href=\"http://www.cdc.gov/hiv/pdf/PrEP_fact_sheet_final.pdf\" target=\"_blank\">Centers for Disease Control\u003c/a> and the \u003ca title=\"WHO Consolidated Guidelines\" href=\"http://www.who.int/hiv/pub/guidelines/keypopulations/en/\" target=\"_blank\">World Health Organization\u003c/a> recommend its use by people who are at high risk of HIV infection. Still, it is the subject of debate, especially within the gay community.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/168221334&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/168221334'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Wiener, 44, was first elected to the Board of Supervisors in 2011 representing the Castro district. He says he started coming out as a gay man in 1990, at what he called the height of the AIDS epidemic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Coming out in that environment was challenging and stressful,\" he said. \"Immediately associating sex with illness and death was very stressful and many, many people, I think, had that same experience.\" He spoke of friends who have started using PrEP recently who \"have told me that their general anxiety level around intimacy has gone down significantly.\"\u003c/p>\n\u003cp>Wiener said that only a few people knew that he was taking PrEP. James Loduca, vice president of philanthropy for the San Francisco AIDS Foundation, called Wiener's disclosure \"incredibly courageous.\"\u003c/p>\n\u003cp>\"We need more people like Supervisor Wiener,\" Loduca said. \"In my own personal network, many of my HIV-negative gay male friends are on PrEP. None of them talk about it publicly, and that is a reflection of the enormous stigma and shame that we still have around sex, around a desire to have intimacy. … It's an important watershed moment for our community that someone so visible steps forward and says 'PrEP is helping me.'\"\u003c/p>\n\u003cp>Wiener spoke openly of people availing themselves of all options to prevent acquiring the virus, including the use of condoms and being tested regularly. If someone becomes infected with HIV, identifying the infection sooner yields more immediate treatment, which can lead to improved long-term health outcomes.\u003c/p>\n\u003cp>\u003cspan style=\"color: #111111\">When taken to prevent HIV infection, Truvada\u003c/span>\u003ca style=\"color: #4774cc\" title=\"Truvada\" href=\"http://start.truvada.com/\" target=\"_blank\"> carries a risk of side effects\u003c/a>\u003cspan style=\"color: #111111\"> that include headache, abdominal pain and weight loss. Potentially serious side effects include kidney problems, liver damage and a buildup of lactic acid in the blood. Not everyone is affected. Wiener says he is not suffering from any side effects of the treatment.\u003c/span>\u003c/p>\n\u003cp>\u003cstrong>Move to Subsidize PrEP Treatment\u003c/strong>\u003c/p>\n\u003cp>Wiener's announcement comes on the eve of a rally to be held Thursday, coordinated by San Francisco Supervisor David Campos. Campos is calling for San Francisco to make PrEP available to San Franciscans regardless of income. New York Gov. Andrew Cuomo has made a\u003ca title=\"End AIDS in New York State\" href=\"https://www.governor.ny.gov/press/06292014-end-aids-epidemic\" target=\"_blank\"> similar proposal\u003c/a> for his state.\u003c/p>\n\u003cp>Despite a massive public health campaign to fight the spread of HIV, nationally there have been 50,000 new HIV infections every year for the last 20 years. \"PrEP is the first new tool in our fight to protect ourselves from HIV since the epidemic began,\" Campos said in a release.\u003c/p>\n\u003cp>Wiener backs the effort. \"In order for PrEP to be successful, we have to do three things,\" he said. \"We need to raise awareness about it, make sure people know about it. … We need to secondly remove the stigma around it, so people are able to talk about it, are able to consider it, and finally, we need to expand access.\"\u003c/p>\n\u003cp>But that kind of community-wide campaign is exactly the wrong idea, some advocates say.\u003c/p>\n\u003cp>\"To deploy (PrEP) as a community-wide preventive is a public health disaster in the making,\" said Ged Kenslea, spokesman for AIDS Healthcare Foundation, a global advocacy group. He stressed the organization is not opposed to the use of PrEP on a case-by-case basis.\u003c/p>\n\u003cp>\"The crucial problem is adherence to the medication,\" he said. He also pointed out that condoms are not only effective against protecting against HIV infection, but also against other sexually transmitted diseases \"for which PrEP does nothing.\" Kenslea said that he's worried that people \"seem to be throwing condoms out the window.\"\u003c/p>\n\u003cp>Dr. Robert Grant with the UCSF Gladstone Institute \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/21091279\" target=\"_blank\">led the research \u003c/a>that ultimately showed Truvada's effectiveness as a preventive agent against HIV and has followed it since.\u003c/p>\n\u003cp>He said that there's \u003ca title=\"No Link Between Truvada and High Risk Sexual Behavior\" href=\"http://www.ucsf.edu/news/2013/12/110831/no-link-between-hiv-prevention-pill-truvada-and-increased-sexual-risk-behavior\" target=\"_blank\">no link \u003c/a>between PrEP and increasing high-risk sexual behavior. He also supports efforts to make PrEP available more widely and compared having a variety of tools to fight HIV with having a variety of methods of birth control available.\u003c/p>\n\u003cp>\"Just like contraception,\" he said. \"We're happy to have people using different methods. Same way with HIV. We have to have lots of different methods for people to use, so people can find one that's attractive to them.\"\u003c/p>\n\u003cp>Grant said that in his research \"we have not seen anyone become infected who has taken PrEP daily or nearly daily.\"\u003c/p>\n\u003cp>\u003cem>Wiener published an essay in the \u003ca title=\"Coming out of the PrEP Closet\" href=\"http://www.huffingtonpost.com/scott-wiener/coming-out-of-the-prep-closet_b_5832370.html\" target=\"_blank\">Huffington Post \u003c/a>Wednesday about his decision to use Truvada.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>UPDATE: The headline in an earlier version of this story inaccurately described the medication as an \"AIDS preventive.\" The drug protects against acquiring HIV, the virus that causes AIDS. KQED regrets the error.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21575/san-francisco-supervisor-announces-hes-taking-aids-preventive-drug-prep-truvada","authors":["240"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_14"],"tags":["stateofhealth_65","stateofhealth_64","stateofhealth_320"],"featImg":"stateofhealth_21582","label":"stateofhealth"},"stateofhealth_16472":{"type":"posts","id":"stateofhealth_16472","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16472","score":null,"sort":[1385743110000]},"guestAuthors":[],"slug":"how-what-happened-in-san-francisco-led-to-world-aids-day","title":"How What Happened In San Francisco Led to World AIDS Day","publishDate":1385743110,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n","blocks":[],"excerpt":"It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply. Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives. \r\n","status":"publish","parent":0,"modified":1386193837,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":928},"headData":{"title":"How What Happened In San Francisco Led to World AIDS Day | KQED","description":"It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply. Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives. \r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"How What Happened In San Francisco Led to World AIDS Day","datePublished":"2013-11-29T16:38:30.000Z","dateModified":"2013-12-04T21:50:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"16472 http://blogs.kqed.org/stateofhealth/?p=16472","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/29/how-what-happened-in-san-francisco-led-to-world-aids-day/","disqusTitle":"How What Happened In San Francisco Led to World AIDS Day","path":"/stateofhealth/16472/how-what-happened-in-san-francisco-led-to-world-aids-day","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16479\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-e1385742653284.jpg\">\u003cimg class=\"size-large wp-image-16479\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/93537922-640x423.jpg\" alt=\"San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\" width=\"640\" height=\"423\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco City Hall is lit red on World AIDS Day in 2009. (Steve Jennings/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jim Bunn\u003c/strong>\u003c/p>\n\u003cp>It was the summer of 1983 and my first day on the job at KPIX -- San Francisco's CBS television affiliate. My assignment: cover a news conference at the Irwin Memorial Blood Bank. It was about the new and mysterious disease, AIDS, and the blood supply.\u003c/p>\n\u003caside class=\"pullquote alignleft\">“We need a day. Like 'Cold-Turkey' in the States where people quit smoking for a day.”\u003c/aside>\n\u003cp>Sitting in the car to return to the station, my head was reeling. I had heard about AIDS in my previous job on the east coast, but nothing more than that. Clearly this had all the earmarks of a tremendously important story. It was a fearful time. People were dying. The nation’s blood supply was somehow at risk. There was an international race to find the cause and, hopefully, some way to treat this terrible disease and save countless lives.\u003c/p>\n\u003cp>The kind of story a reporter yearns to cover.\u003c/p>\n\u003cp>But at the center of it was science. Significant, because not too many years earlier I was the stupidest high school biology student in the history of public education. No joke. Two weeks before graduation I still had an “incomplete” for sophomore biology. Only through the good graces of my biology teacher, who gave me an oral exam, during which he fed me the answers to his questions, was I able to graduate.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So the science of the AIDS “story” stared me in the face –- and scared me.\u003c!--more-->\u003c/p>\n\u003cp>Little could I anticipate that within a very few years of that news conference my coverage of the story would be the centerpiece of KPIX’s “AIDS Lifeline,” a community service project that won the country’s first national Emmy ever awarded to a local station, The Presidential Citation for Private-Sector Initiatives, and The Peabody Award, broadcasting’s highest honor.\u003c/p>\n\u003cp>The premise of “AIDS Lifeline” was simple. A television station in a community where there was a public health crisis had the tools to impact that crisis –- with clear information. Separating fact from fiction. Helping people understand what to be afraid of, and, what \u003cem>not\u003c/em> to be afraid of. Producer Nancy Saslow and Managing Editor Kim Montour were champions of the project.\u003c/p>\n\u003cp>I overcame my fear of science. I asked the stupid questions. Learned the language of scientists, about scientific method, what constituted a good study -- and which theories didn’t warrant coverage. Also during that time, I went from being an advocate for the story to becoming an advocate for the issue.\u003c/p>\n\u003cp>“AIDS Lifeline” was a unique partnership between KPIX, the San Francisco AIDS Foundation, and the Department of Public Health. I believed that we could still do our jobs as journalists, \u003cem>and \u003c/em>our company could be good corporate citizens, helping our community respond to this public health threat.\u003c/p>\n\u003cp>Our coverage put me in the company of the top people in the world who were grappling with this disease. One of them was Dr. Jonathan Mann, a brilliant epidemiologist for the Centers for Disease Control. One day, while I was covering a scientific conference in Washington, D.C., Dr. Mann told me that he was being assigned to work for the United Nations, to head up the Global Programme on AIDS for the World Health Organization (WHO). Before I could finish congratulating him he said, “I want you to come with me, be the Public Information Officer” for the group. My jaw dropped. All I could think was –- \"Wow, the stupidest high school biology student in the history of public education…\"\u003c/p>\n\u003cp>Weeks later, I was in Geneva working for the UN. One of the most important assignments for me and Tom Netter, my colleague in the Public Information Office, was to make sure we knew whenever anyone working for the UN said \u003cem>anything\u003c/em> about AIDS. The reason? The politics of AIDS were electric, and even the slightest misstep or misstatement would lead to a bevvy of reporters calling our office –- and Dr. Mann –- for comment.\u003c/p>\n\u003cp>In August of 1987, Tom was reading aloud a speech given by Dr. Halfdan Mahler, the Director-General of WHO. Buried in it was an oblique reference for the need to mobilize countries in the global fight against AIDS. Before Tom finished I interrupted, “Yeah, we need a day. Like 'Cold-Turkey' in the states where people quit smoking for a day.” Tom got up out of his chair. “Yes,” I said, as he walked over to the white board and started writing, “you know, something like Global or World AIDS Day.”\u003c/p>\n\u003cp>Ideas went up on the white board fast and furious. We chose December 1\u003csup>st\u003c/sup> because we knew it was a dead spot in the news calendar, so editors would be looking for stories. We would create “Action Kits” for AIDS support groups and tell them how to put on events that would draw media coverage. We would send press kits to media outlets telling them to look out for the kinds of events we were suggesting to the AIDS support groups. We would get them to begin a conversation. We would get the media and these groups to see how they could work together. Just as we did with “AIDS Lifeline” in San Francisco.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Now, 25 years later, that conversation continues.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16472/how-what-happened-in-san-francisco-led-to-world-aids-day","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_65","stateofhealth_461","stateofhealth_371"],"featImg":"stateofhealth_16479","label":"stateofhealth"},"stateofhealth_15728":{"type":"posts","id":"stateofhealth_15728","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"15728","score":null,"sort":[1382027687000]},"guestAuthors":[],"slug":"tough-road-to-starting-a-family-for-hiv-positive-man","title":"Tough Road to Starting a Family for HIV-Positive Man","publishDate":1382027687,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_15731\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_6494-2-e1381958343292.jpg\">\u003cimg class=\"size-large wp-image-15731\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_6494-2-640x480.jpg\" alt=\"IMG_6494 (2)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Andrew Jolivette wants to start a family but because he is HIV-positive, he is having a hard time finding a place that will help him donate sperm to his friend. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: Andrew Jolivette was diagnosed with AIDS eleven years ago. Back then, he didn’t think he could ever have a family, since it was illegal for HIV-positive men to donate sperm. California reversed that law in 2007. Now, Jolivette hopes to start a family with a friend. As part of our ongoing series of first-person health profiles called “What’s Your Story?” Jolivette tells us how some medical facilities still can't handle this kind of situation.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Andrew Jolivette\u003c/strong>\u003c/p>\n\u003cp>You know, my mother passed away about a year ago and I think that that also, in all honesty, has had some impact on me saying: Well gosh, she was such a great mom and all these things she taught me, I want to be able to share that with someone, too.\u003c/p>\n\u003cp>Quite frankly, because [my viral load is] undetectable and there are measures they can take like sperm washing and the potential mother, can take anti-retrovirals beforehand to ensure that she nor the child will be infected, then why not?\u003c!--more-->\u003c/p>\n\u003cp>But the first response after we both did fertility tests, they said, well, as you know you’re HIV positive, so we don’t really have the capacity to do that here. So what they suggested, which I found rather insulting, was that we actually do insemination at home. I took that to mean -- that whole sort of outdated thing, it’s the stereotype when people say, you go get a turkey-baster type thing.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Really, if we're talking about people having equal rights to health care, if you're performing these services for other people who aren't (HIV) positive, then you should be performing these services for people who are positive.\u003c/p>\n\u003cp>They need to be prepared. If it’s been six years and you’re aware of the law, then why haven’t you done more to make this accessible to people who want to have children and raise families?\u003c/p>\n\u003cp>\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/15/permission-to-forego-condoms-for-hiv-men-wanting-children/\" target=\"_blank\">Re-thinking Unprotected Sex for HIV-Positive Men Who Want Children\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Listen to Jolivette's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201310170850c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201310170850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1392249637,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":12,"wordCount":394},"headData":{"title":"Tough Road to Starting a Family for HIV-Positive Man | KQED","description":"Editor’s note: Andrew Jolivette was diagnosed with AIDS eleven years ago. Back then, he didn’t think he could ever have a family, since it was illegal for HIV-positive men to donate sperm. California reversed that law in 2007. Now, Jolivette hopes to start a family with a friend. As part of our ongoing series of","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Tough Road to Starting a Family for HIV-Positive Man","datePublished":"2013-10-17T16:34:47.000Z","dateModified":"2014-02-13T00:00:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"15728 http://blogs.kqed.org/stateofhealth/?p=15728","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/10/17/tough-road-to-starting-a-family-for-hiv-positive-man/","disqusTitle":"Tough Road to Starting a Family for HIV-Positive Man","path":"/stateofhealth/15728/tough-road-to-starting-a-family-for-hiv-positive-man","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15731\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_6494-2-e1381958343292.jpg\">\u003cimg class=\"size-large wp-image-15731\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/IMG_6494-2-640x480.jpg\" alt=\"IMG_6494 (2)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Andrew Jolivette wants to start a family but because he is HIV-positive, he is having a hard time finding a place that will help him donate sperm to his friend. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s note: Andrew Jolivette was diagnosed with AIDS eleven years ago. Back then, he didn’t think he could ever have a family, since it was illegal for HIV-positive men to donate sperm. California reversed that law in 2007. Now, Jolivette hopes to start a family with a friend. As part of our ongoing series of first-person health profiles called “What’s Your Story?” Jolivette tells us how some medical facilities still can't handle this kind of situation.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Andrew Jolivette\u003c/strong>\u003c/p>\n\u003cp>You know, my mother passed away about a year ago and I think that that also, in all honesty, has had some impact on me saying: Well gosh, she was such a great mom and all these things she taught me, I want to be able to share that with someone, too.\u003c/p>\n\u003cp>Quite frankly, because [my viral load is] undetectable and there are measures they can take like sperm washing and the potential mother, can take anti-retrovirals beforehand to ensure that she nor the child will be infected, then why not?\u003c!--more-->\u003c/p>\n\u003cp>But the first response after we both did fertility tests, they said, well, as you know you’re HIV positive, so we don’t really have the capacity to do that here. So what they suggested, which I found rather insulting, was that we actually do insemination at home. I took that to mean -- that whole sort of outdated thing, it’s the stereotype when people say, you go get a turkey-baster type thing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Really, if we're talking about people having equal rights to health care, if you're performing these services for other people who aren't (HIV) positive, then you should be performing these services for people who are positive.\u003c/p>\n\u003cp>They need to be prepared. If it’s been six years and you’re aware of the law, then why haven’t you done more to make this accessible to people who want to have children and raise families?\u003c/p>\n\u003cp>\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/02/15/permission-to-forego-condoms-for-hiv-men-wanting-children/\" target=\"_blank\">Re-thinking Unprotected Sex for HIV-Positive Men Who Want Children\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Listen to Jolivette's story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201310170850c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201310170850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/15728/tough-road-to-starting-a-family-for-hiv-positive-man","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_65","stateofhealth_64","stateofhealth_2373"],"featImg":"stateofhealth_15731","label":"stateofhealth_2363"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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