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She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 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_212276":{"type":"posts","id":"stateofhealth_212276","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"212276","score":null,"sort":[1468443784000]},"guestAuthors":[],"slug":"sex-drugs-and-the-controversial-aids-activist","title":"Sex, Drugs and the Controversial AIDS Activist","publishDate":1468443784,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>As an AIDS activist 30 years ago, Michael Weinstein helped defeat an inflammatory ballot measure that could have quarantined Californians with the disease. Today, Weinstein has turned to the ballot to advance his own controversial vision for public health.\u003c/p>\n\u003caside class=\"pullquote alignright\">'He is an outlier, and in many corners he is a pariah.' \u003ccite>San Francisco Supervisor Scott Wiener \u003c/cite>\u003c/aside>\n\u003cp>President of the Los Angeles-based AIDS Healthcare Foundation, which has clinics around the world, Weinstein is the architect of two initiatives Californians will vote on in November: Proposition 60, which would require actors in adult films to use condoms, and Proposition 61, which would cap the price state health programs pay for prescription drugs.\u003c/p>\n\u003cp>The drug measure – which would limit the state to the discounted price paid by the U.S. Department of Veterans Affairs – taps into widespread frustration about \u003ca href=\"https://calmatters.org/articles/california-takes-measures-to-control-drug-spending-but-costs-soar/\" target=\"_blank\">expensive medication\u003c/a>, an issue that plagues the state budget and has surfaced in the presidential campaign. A condom requirement was popular with Los Angeles County voters, who approved a measure backed by Weinstein on their local ballot four years ago.\u003c/p>\n\u003cp>Yet both statewide propositions have sparked concern in segments of the communities they purport to help. Some patient advocates \u003ca href=\"https://calmatters.org/articles/would-a-california-ballot-measure-reduce-drug-spending-nobody-knows/\" target=\"_blank\">question\u003c/a> whether the drug-pricing measure could really contain costs for people whose health depends on expensive medicine, while many porn actors say the condom proposal would kill their business or drive it underground.\u003c/p>\n\u003cp>Similar fights have already occurred in the state Capitol, where bills have stalled that would have required \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1576_cfa_20140428_124049_asm_comm.html\" target=\"_blank\">condom use on adult movie sets \u003c/a>and mandated more \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0451-0500/ab_463_cfa_20160108_154309_asm_comm.html\" target=\"_blank\">disclosure from drug companies \u003c/a>in an effort to curb rising prices. Weinstein said he’s taking the issues directly to voters because lawmakers have kowtowed to the porn and pharmaceutical industries.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I have a hard time remembering any issue where the public was so strongly in one direction and the political system was so strongly stuck in inaction,” Weinstein said of his effort to cap drug prices.\u003c/p>\n\u003cp>The condom issue is related, he said, because of “inaction by government.”\u003c/p>\n\u003cp>The initiatives mark the latest iteration of Weinstein’s long advocacy career, one that has made him a maverick to some, anathema to others.\u003c/p>\n\u003cp>Weinstein, 63, said he experienced his political awakening in 1986, when, as a budding gay-rights activist, he campaigned against an initiative that would have barred AIDS patients from schools and some types of jobs.\u003c/p>\n\u003cp>He went on to open an AIDS hospice that eventually grew into the AIDS Healthcare Foundation. Today the organization spans 36 countries, operating health clinics, thrift shops and pharmacies that sell some of the high-priced drugs Weinstein is campaigning against.\u003c/p>\n\u003cp>“The more prices go up, the more we earn,” he said. “That’s the irony of this situation…. People say, ‘What’s in it for you?’ Nothing, from a financial point of view.”\u003c/p>\n\u003cp>Although Weinstein runs a global AIDS organization, he has publicly clashed with AIDS activists over his criticism of \u003ca href=\"http://www.nytimes.com/2014/11/17/upshot/aids-group-wages-lonely-fight-against-pill-to-prevent-hiv.html?_r=1\" target=\"_blank\">an HIV-prevention drug\u003c/a>. He says broad use could result in infection from unprotected sex, although most of the medical community recommends it to people at risk for the disease.\u003c/p>\n\u003cp>On the adult film issue, performers who say they contracted sexually transmitted diseases on the job rally behind him. Those who believe existing protections are adequate see him as a meddlesome nanny.\u003c/p>\n\u003cp>He is embroiled in planning disputes in Los Angeles, where he lives, and in San Francisco, where his effort to open a pharmacy in the famous Castro district put Weinstein – a gay man – at odds with the heavily gay community.\u003c/p>\n\u003cp>“He is an outlier, and in many corners he is a pariah,” said San Francisco Supervisor Scott Wiener, who represents the Castro neighborhood and \u003ca href=\"http://blog.sfgate.com/cityinsider/2014/08/06/aids-healthcare-foundation-sues-sf-over-chain-store-rules/\" target=\"_blank\">was sued\u003c/a> by Weinstein’s foundation over the pharmacy dispute. The lawsuit challenges regulations the supervisor authored.\u003c/p>\n\u003cp>Weinstein’s nonprofit AIDS Healthcare Foundation has spent $11 million so far to support the two measures it put on the November ballot. Opponents in the pharmaceutical industry have poured more than $69 million into fighting Proposition 61. Pornography producers have contributed roughly $60,000 against Proposition 60.\u003c/p>\n\u003cp>Since Weinstein’s take-it-to-the-people approach proved successful in Los Angeles in 2012, permits for X-rated film production have \u003ca href=\"http://www.latimes.com/entertainment/envelope/cotown/la-et-ct-onlocation-la-porn-industry-20140806-story.html\" target=\"_blank\">dropped dramatically \u003c/a>– fueling opponents’ arguments about pushing the $9-billion industry out of California.\u003c/p>\n\u003cfigure id=\"attachment_212278\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"size-full wp-image-212278\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/07/adult_performers.jpg\" alt=\"Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \" width=\"1200\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-960x720.jpg 960w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \u003ccite>(Laurel Rosenhall/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some in the adult film industry say they already minimize the spread of disease with frequent testing. Many of them filled a hearing room at the Capitol last month when lawmakers reviewed Proposition 60.\u003c/p>\n\u003cp>“We are not opposed to regulation itself, but instead [to] this new-age witch hunt perpetuated by the AIDS Healthcare Foundation,” said a performer who introduced herself as Mimosa.\u003c/p>\n\u003cp>On the other side was Cameron Adams, a former porn actor who said Proposition 60 could save others from her fate.\u003c/p>\n\u003cp>“Testing doesn’t stop infection,” Adams said through tears, addressing the panel of legislators. “I followed the adult film industry’s self-regulation, and I’m sitting here before you as an HIV-positive woman.”\u003c/p>\n\u003cp>State Sen. Isadore Hall (D-Compton) has carried bills in the Legislature that would have required condom use in porn movies. He described Weinstein as a “great guy” whose trailblazing work has protected lives and, naturally, made him controversial.\u003c/p>\n\u003cp>“That’s just the name of the game,” Hall said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters is a non-profit journalism venture dedicated to exploring state policies and politics. For more stories by Laurel Rosenhall, go to calmatters.org/newsanalysis\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Meet the man behind two contentious November ballot propositions.","status":"publish","parent":0,"modified":1475190962,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":991},"headData":{"title":"Sex, Drugs and the Controversial AIDS Activist | KQED","description":"Meet the man behind two contentious November ballot propositions.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Sex, Drugs and the Controversial AIDS Activist","datePublished":"2016-07-13T21:03:04.000Z","dateModified":"2016-09-29T23:16:02.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"212276 http://ww2.kqed.org/stateofhealth/?p=212276","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/07/13/sex-drugs-and-the-controversial-aids-activist/","disqusTitle":"Sex, Drugs and the Controversial AIDS Activist","nprByline":"Laurel Rosenhall\u003cbr />\u003ca href=\"https://calmatters.org/\">CALmatters\u003c/a>","path":"/stateofhealth/212276/sex-drugs-and-the-controversial-aids-activist","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>As an AIDS activist 30 years ago, Michael Weinstein helped defeat an inflammatory ballot measure that could have quarantined Californians with the disease. Today, Weinstein has turned to the ballot to advance his own controversial vision for public health.\u003c/p>\n\u003caside class=\"pullquote alignright\">'He is an outlier, and in many corners he is a pariah.' \u003ccite>San Francisco Supervisor Scott Wiener \u003c/cite>\u003c/aside>\n\u003cp>President of the Los Angeles-based AIDS Healthcare Foundation, which has clinics around the world, Weinstein is the architect of two initiatives Californians will vote on in November: Proposition 60, which would require actors in adult films to use condoms, and Proposition 61, which would cap the price state health programs pay for prescription drugs.\u003c/p>\n\u003cp>The drug measure – which would limit the state to the discounted price paid by the U.S. Department of Veterans Affairs – taps into widespread frustration about \u003ca href=\"https://calmatters.org/articles/california-takes-measures-to-control-drug-spending-but-costs-soar/\" target=\"_blank\">expensive medication\u003c/a>, an issue that plagues the state budget and has surfaced in the presidential campaign. A condom requirement was popular with Los Angeles County voters, who approved a measure backed by Weinstein on their local ballot four years ago.\u003c/p>\n\u003cp>Yet both statewide propositions have sparked concern in segments of the communities they purport to help. Some patient advocates \u003ca href=\"https://calmatters.org/articles/would-a-california-ballot-measure-reduce-drug-spending-nobody-knows/\" target=\"_blank\">question\u003c/a> whether the drug-pricing measure could really contain costs for people whose health depends on expensive medicine, while many porn actors say the condom proposal would kill their business or drive it underground.\u003c/p>\n\u003cp>Similar fights have already occurred in the state Capitol, where bills have stalled that would have required \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1551-1600/ab_1576_cfa_20140428_124049_asm_comm.html\" target=\"_blank\">condom use on adult movie sets \u003c/a>and mandated more \u003ca href=\"http://www.leginfo.ca.gov/pub/15-16/bill/asm/ab_0451-0500/ab_463_cfa_20160108_154309_asm_comm.html\" target=\"_blank\">disclosure from drug companies \u003c/a>in an effort to curb rising prices. Weinstein said he’s taking the issues directly to voters because lawmakers have kowtowed to the porn and pharmaceutical industries.\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>“I have a hard time remembering any issue where the public was so strongly in one direction and the political system was so strongly stuck in inaction,” Weinstein said of his effort to cap drug prices.\u003c/p>\n\u003cp>The condom issue is related, he said, because of “inaction by government.”\u003c/p>\n\u003cp>The initiatives mark the latest iteration of Weinstein’s long advocacy career, one that has made him a maverick to some, anathema to others.\u003c/p>\n\u003cp>Weinstein, 63, said he experienced his political awakening in 1986, when, as a budding gay-rights activist, he campaigned against an initiative that would have barred AIDS patients from schools and some types of jobs.\u003c/p>\n\u003cp>He went on to open an AIDS hospice that eventually grew into the AIDS Healthcare Foundation. Today the organization spans 36 countries, operating health clinics, thrift shops and pharmacies that sell some of the high-priced drugs Weinstein is campaigning against.\u003c/p>\n\u003cp>“The more prices go up, the more we earn,” he said. “That’s the irony of this situation…. People say, ‘What’s in it for you?’ Nothing, from a financial point of view.”\u003c/p>\n\u003cp>Although Weinstein runs a global AIDS organization, he has publicly clashed with AIDS activists over his criticism of \u003ca href=\"http://www.nytimes.com/2014/11/17/upshot/aids-group-wages-lonely-fight-against-pill-to-prevent-hiv.html?_r=1\" target=\"_blank\">an HIV-prevention drug\u003c/a>. He says broad use could result in infection from unprotected sex, although most of the medical community recommends it to people at risk for the disease.\u003c/p>\n\u003cp>On the adult film issue, performers who say they contracted sexually transmitted diseases on the job rally behind him. Those who believe existing protections are adequate see him as a meddlesome nanny.\u003c/p>\n\u003cp>He is embroiled in planning disputes in Los Angeles, where he lives, and in San Francisco, where his effort to open a pharmacy in the famous Castro district put Weinstein – a gay man – at odds with the heavily gay community.\u003c/p>\n\u003cp>“He is an outlier, and in many corners he is a pariah,” said San Francisco Supervisor Scott Wiener, who represents the Castro neighborhood and \u003ca href=\"http://blog.sfgate.com/cityinsider/2014/08/06/aids-healthcare-foundation-sues-sf-over-chain-store-rules/\" target=\"_blank\">was sued\u003c/a> by Weinstein’s foundation over the pharmacy dispute. The lawsuit challenges regulations the supervisor authored.\u003c/p>\n\u003cp>Weinstein’s nonprofit AIDS Healthcare Foundation has spent $11 million so far to support the two measures it put on the November ballot. Opponents in the pharmaceutical industry have poured more than $69 million into fighting Proposition 61. Pornography producers have contributed roughly $60,000 against Proposition 60.\u003c/p>\n\u003cp>Since Weinstein’s take-it-to-the-people approach proved successful in Los Angeles in 2012, permits for X-rated film production have \u003ca href=\"http://www.latimes.com/entertainment/envelope/cotown/la-et-ct-onlocation-la-porn-industry-20140806-story.html\" target=\"_blank\">dropped dramatically \u003c/a>– fueling opponents’ arguments about pushing the $9-billion industry out of California.\u003c/p>\n\u003cfigure id=\"attachment_212278\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg class=\"size-full wp-image-212278\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/07/adult_performers.jpg\" alt=\"Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \" width=\"1200\" height=\"900\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/07/adult_performers-960x720.jpg 960w\" sizes=\"(max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Speakers line up to testify at a Capitol hearing about Proposition 60, which would require condom use in porn films. \u003ccite>(Laurel Rosenhall/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some in the adult film industry say they already minimize the spread of disease with frequent testing. Many of them filled a hearing room at the Capitol last month when lawmakers reviewed Proposition 60.\u003c/p>\n\u003cp>“We are not opposed to regulation itself, but instead [to] this new-age witch hunt perpetuated by the AIDS Healthcare Foundation,” said a performer who introduced herself as Mimosa.\u003c/p>\n\u003cp>On the other side was Cameron Adams, a former porn actor who said Proposition 60 could save others from her fate.\u003c/p>\n\u003cp>“Testing doesn’t stop infection,” Adams said through tears, addressing the panel of legislators. “I followed the adult film industry’s self-regulation, and I’m sitting here before you as an HIV-positive woman.”\u003c/p>\n\u003cp>State Sen. Isadore Hall (D-Compton) has carried bills in the Legislature that would have required condom use in porn movies. He described Weinstein as a “great guy” whose trailblazing work has protected lives and, naturally, made him controversial.\u003c/p>\n\u003cp>“That’s just the name of the game,” Hall said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>CALmatters is a non-profit journalism venture dedicated to exploring state policies and politics. For more stories by Laurel Rosenhall, go to calmatters.org/newsanalysis\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/212276/sex-drugs-and-the-controversial-aids-activist","authors":["byline_stateofhealth_212276"],"categories":["stateofhealth_14","stateofhealth_2746"],"tags":["stateofhealth_2821","stateofhealth_2925","stateofhealth_2808","stateofhealth_64","stateofhealth_2822","stateofhealth_2519","stateofhealth_2820"],"featImg":"stateofhealth_212279","label":"stateofhealth"},"stateofhealth_186776":{"type":"posts","id":"stateofhealth_186776","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"186776","score":null,"sort":[1463761505000]},"guestAuthors":[],"slug":"people-with-hiv-are-less-likely-to-get-cancer-treatment","title":"People with HIV Are Less Likely to Get Cancer Treatment","publishDate":1463761505,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>We’ve made great progress treating people who are infected with HIV, but if they get cancer they’re less likely to get the care they need, a \u003ca href=\"http://onlinelibrary.wiley.com/enhanced/doi/10.1002/cncr.30052\" target=\"_blank\">recent study\u003c/a> found.\u003c/p>\n\u003cp>Researchers examined treatment for a variety of cancers, including upper gastrointestinal tract, colorectal, prostate, lung, head and neck, cervix, breast, anal and two blood cancers. With the exception of anal cancer, treatment rates differed significantly between HIV-infected people and those who weren’t infected, according to the study.\u003c/p>\n\u003cp>For example, 33 percent of patients with HIV and lung cancer failed to receive any treatment for the cancer compared with 14 percent of those who weren’t infected. Similarly, 44 percent of people who were HIV positive didn’t receive treatment for upper GI cancer versus 18 percent of those where weren’t infected with HIV. Twenty-four percent of men with prostate cancer who were HIV positive didn’t get treatment compared with 7 percent of non-HIV infected men.\u003c/p>\n\u003cp>Cancer treatment was defined as radiation, chemotherapy and/or surgery.\u003c/p>\n\u003cp>“To have made such great strides with treating HIV only to have them succumb to cancer is devastating,” said Dr. Gita Suneja, a radiation oncologist at the University of Utah’s Huntsman Cancer Institute in Salt Lake City and the lead author of the study. It was published online this month in the journal Cancer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study used the National Cancer Data Base to analyze treatment for adults younger than 65 who were diagnosed with any of the 10 most common cancers to affect HIV patients between 2003 and 2011. The study included 10,265 HIV-infected adults and 2.2 million without HIV.\u003c/p>\n\u003cp>The data base, which is sponsored by the American Cancer Society and the American College of Surgeons, captures roughly 70 percent of newly diagnosed cancer cases in the United States.\u003c/p>\n\u003cp>The study noted that more than a third of the patients with HIV had stage 4 cancer — cancer that has metastasized — when they were diagnosed, while only 19 percent of those without HIV did.\u003c/p>\n\u003cp>Improvements in antiretroviral therapy to treat HIV have helped reduce the incidence of cancers such as \u003ca href=\"http://www.cancer.org/cancer/kaposisarcoma/detailedguide/kaposi-sarcoma-what-is-kaposi-sarcoma\" target=\"_blank\">Kaposi sarcoma\u003c/a> that are closely linked to AIDS, but rates for other cancers often associated with normal aging have increased among HIV patients. In addition, people with HIV have a higher incidence of some lifestyle-related cancers, such as lung cancer, which could be linked to higher rates of smoking. Cancer is now the \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60604-8/fulltext?_eventId=login\" target=\"_blank\">second most common cause of death\u003c/a> among HIV-infected people, behind AIDS-related causes.\u003c/p>\n\u003cp>HIV patients are more likely to be uninsured or underinsured, and lack of coverage can affect access to cancer care. But having insurance didn’t eliminate the problem: privately insured people with HIV were significantly more likely to be untreated for many cancers than were privately insured people without HIV, the study found.\u003c/p>\n\u003cp>“We know that people with Medicaid or who are uninsured receive subpar cancer treatment, and that’s a big public health issue,” said Suneja. “But even factoring that in, HIV-infected people are still less likely to receive cancer treatment. That means there are other drivers that we couldn’t measure in the study.”\u003c/p>\n\u003cp>Disparities in cancer treatment could exist for several reasons. For one thing, for most cancers there are no national treatment guidelines for HIV-infected patients, Suneja said. One of the few exceptions is anal cancer, the only cancer for which the study found little discrepancy in treatment among HIV-infected and non-infected patients. According to the research, the difference among those not receiving treatment was 4.8 percent for HIV patients versus 3.1 percent for others.\u003c/p>\n\u003cp>For other cancers, “the oncologist may pause and ask, ‘Does the HIV infection mean they shouldn’t get standard cancer treatment?’” Suneja added.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"With one exception, cancer treatment rates differed significantly between HIV-infected people and those who weren’t infected.\r\n","status":"publish","parent":0,"modified":1463761505,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":695},"headData":{"title":"People with HIV Are Less Likely to Get Cancer Treatment | KQED","description":"With one exception, cancer treatment rates differed significantly between HIV-infected people and those who weren’t infected.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"People with HIV Are Less Likely to Get Cancer Treatment","datePublished":"2016-05-20T16:25:05.000Z","dateModified":"2016-05-20T16:25:05.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"186776 http://ww2.kqed.org/stateofhealth/?p=186776","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/05/20/people-with-hiv-are-less-likely-to-get-cancer-treatment/","disqusTitle":"People with HIV Are Less Likely to Get Cancer Treatment","nprByline":"Michelle Andrews, Kaiser Health News","path":"/stateofhealth/186776/people-with-hiv-are-less-likely-to-get-cancer-treatment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’ve made great progress treating people who are infected with HIV, but if they get cancer they’re less likely to get the care they need, a \u003ca href=\"http://onlinelibrary.wiley.com/enhanced/doi/10.1002/cncr.30052\" target=\"_blank\">recent study\u003c/a> found.\u003c/p>\n\u003cp>Researchers examined treatment for a variety of cancers, including upper gastrointestinal tract, colorectal, prostate, lung, head and neck, cervix, breast, anal and two blood cancers. With the exception of anal cancer, treatment rates differed significantly between HIV-infected people and those who weren’t infected, according to the study.\u003c/p>\n\u003cp>For example, 33 percent of patients with HIV and lung cancer failed to receive any treatment for the cancer compared with 14 percent of those who weren’t infected. Similarly, 44 percent of people who were HIV positive didn’t receive treatment for upper GI cancer versus 18 percent of those where weren’t infected with HIV. Twenty-four percent of men with prostate cancer who were HIV positive didn’t get treatment compared with 7 percent of non-HIV infected men.\u003c/p>\n\u003cp>Cancer treatment was defined as radiation, chemotherapy and/or surgery.\u003c/p>\n\u003cp>“To have made such great strides with treating HIV only to have them succumb to cancer is devastating,” said Dr. Gita Suneja, a radiation oncologist at the University of Utah’s Huntsman Cancer Institute in Salt Lake City and the lead author of the study. It was published online this month in the journal Cancer.\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>The study used the National Cancer Data Base to analyze treatment for adults younger than 65 who were diagnosed with any of the 10 most common cancers to affect HIV patients between 2003 and 2011. The study included 10,265 HIV-infected adults and 2.2 million without HIV.\u003c/p>\n\u003cp>The data base, which is sponsored by the American Cancer Society and the American College of Surgeons, captures roughly 70 percent of newly diagnosed cancer cases in the United States.\u003c/p>\n\u003cp>The study noted that more than a third of the patients with HIV had stage 4 cancer — cancer that has metastasized — when they were diagnosed, while only 19 percent of those without HIV did.\u003c/p>\n\u003cp>Improvements in antiretroviral therapy to treat HIV have helped reduce the incidence of cancers such as \u003ca href=\"http://www.cancer.org/cancer/kaposisarcoma/detailedguide/kaposi-sarcoma-what-is-kaposi-sarcoma\" target=\"_blank\">Kaposi sarcoma\u003c/a> that are closely linked to AIDS, but rates for other cancers often associated with normal aging have increased among HIV patients. In addition, people with HIV have a higher incidence of some lifestyle-related cancers, such as lung cancer, which could be linked to higher rates of smoking. Cancer is now the \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(14)60604-8/fulltext?_eventId=login\" target=\"_blank\">second most common cause of death\u003c/a> among HIV-infected people, behind AIDS-related causes.\u003c/p>\n\u003cp>HIV patients are more likely to be uninsured or underinsured, and lack of coverage can affect access to cancer care. But having insurance didn’t eliminate the problem: privately insured people with HIV were significantly more likely to be untreated for many cancers than were privately insured people without HIV, the study found.\u003c/p>\n\u003cp>“We know that people with Medicaid or who are uninsured receive subpar cancer treatment, and that’s a big public health issue,” said Suneja. “But even factoring that in, HIV-infected people are still less likely to receive cancer treatment. That means there are other drivers that we couldn’t measure in the study.”\u003c/p>\n\u003cp>Disparities in cancer treatment could exist for several reasons. For one thing, for most cancers there are no national treatment guidelines for HIV-infected patients, Suneja said. One of the few exceptions is anal cancer, the only cancer for which the study found little discrepancy in treatment among HIV-infected and non-infected patients. According to the research, the difference among those not receiving treatment was 4.8 percent for HIV patients versus 3.1 percent for others.\u003c/p>\n\u003cp>For other cancers, “the oncologist may pause and ask, ‘Does the HIV infection mean they shouldn’t get standard cancer treatment?’” Suneja added.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/186776/people-with-hiv-are-less-likely-to-get-cancer-treatment","authors":["byline_stateofhealth_186776"],"categories":["stateofhealth_13"],"tags":["stateofhealth_64"],"featImg":"stateofhealth_186792","label":"stateofhealth"},"stateofhealth_127430":{"type":"posts","id":"stateofhealth_127430","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"127430","score":null,"sort":[1450721994000]},"guestAuthors":[],"slug":"fda-eases-30-year-ban-on-blood-donations-from-gay-men","title":"FDA Eases 30-Year Ban on Blood Donations from Gay Men","publishDate":1450721994,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The Food and Drug Administration \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm478031.htm\" target=\"_blank\">announced Monday \u003c/a>that it is easing the ban on blood donations from men who have sex with men.\u003c/p>\n\u003cp>The ban had been in place for more than 30 years, since the early days of the AIDS epidemic when little was known about AIDS or how it spread. But advocates had long argued that the policy was antiquated.\u003c/p>\n\u003cp>The new policy has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/12/23/fda-proposes-lifting-lifetime-ban-on-gay-blood-donors/\" target=\"_blank\">under review \u003c/a>for the last year and was issued today as a \"\u003ca href=\"http://www.fda.gov/downloads/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/Blood/UCM446580.pdf\" target=\"_blank\">final guidance\u003c/a>\" by the FDA. Under the revision, men who have sex with men may donate blood -- but only if they have not had sex with another man for the last year or more.\u003c/p>\n\u003cp>The policy matches that of many other countries, including the United Kingdom, Australia and Japan.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm478031.htm\" target=\"_blank\">a statement, \u003c/a>acting FDA Commissioner Dr. Stephen Ostroff said that the FDA's responsibility was to maintain a high level of safety in the nation's blood supply. “We have taken great care to ensure this policy revision is backed by sound science and continues to protect our blood supply.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But gay rights activists say the change doesn't go far enough.\u003c/p>\n\u003cp>\"It continues to stigmatize gay and bisexual men,\" David Stacy, of the Human Rights Campaign, \u003ca href=\"http://abcnews.go.com/Health/wireStory/fda-eases-restrictions-blood-donations-gay-men-35888660\" target=\"_blank\">told ABC News\u003c/a>. \"It simply cannot be justified in light of current scientific research and updated blood screening technology.\"\u003c/p>\n\u003cp>The National Gay Blood Drive said the change \"was a huge first step in the right direction,\" but also \u003ca href=\"http://www.gayblooddrive.com/#!updates/c1vwd\" target=\"_blank\">called on the FDA \u003c/a>to move toward a non-discriminatory policy and end discrimination based on sexual orientation.\u003c/p>\n\u003cp>Under the recommendations approved today, the FDA says the following donors should not be permitted to donate blood \"indefinitely\":\u003c/p>\n\u003cul>\n\u003cli>An individual who has ever had a positive test for HIV.\u003c/li>\n\u003cli>An individual who has ever exchanged sex for money or drugs.\u003c/li>\n\u003cli>An individual who has ever engaged in injection drug use that was not prescribed.\u003c/li>\n\u003c/ul>\n\u003cp>And these people should be deferred:\u003c/p>\n\u003cul>\n\u003cli>Defer for 12 months from the most recent contact any individual who has a history of sex with a person who: has ever had a positive test for HIV, ever exchanged sex for money or drugs, or ever engaged in non-prescription injection drug use.\u003c/li>\n\u003cli>Defer for 12 months from the most recent transfusion any individual who has a history of receiving a transfusion of Whole Blood or blood components donated by another person (allogeneic transfusion).\u003c/li>\n\u003cli>Defer for 12 months from the most recent exposure any individual who has a history of through-the-skin contact with the blood of another individual, such as a needle stick or blood contact with an open wound or mucous membrane.\u003c/li>\n\u003cli>Defer for 12 months from the most recent tattoo, ear or body piercing. However, individuals who have undergone tattooing within 12 months of donation are eligible to donate if the tattoo was applied by a state regulated entity with sterile needles and non-reused ink. Individuals who have undergone ear or body piercing within 12 months of donation are eligible to donate if the piercing was done using single-use equipment.\u003c/li>\n\u003cli>Defer for 12 months after completion of treatment any individual with a history of syphilis or gonorrhea or with a history of diagnosis or treatment for syphilis or gonorrhea in the past 12 months.\u003c/li>\n\u003cli>Defer for 12 months from the most recent contact a man who has had sex with another man during the past 12 months.\u003c/li>\n\u003cli>Defer for 12 months from the most recent contact a female who has had sex during the past 12 months with a man who has had sex with another man in the past 12 months.\u003c/li>\n\u003c/ul>\n\u003cp>The policy also addressed transgender donors, saying \"male or female gender should be self-identified and self-reported.\"\u003c/p>\n\u003cp>This does little to clarify \"a policy that some blood banks have interpreted as a ban on all transgender donors,\" \u003ca href=\"http://www.buzzfeed.com/dominicholden/new-fda-policy-relaxes-ban-on-gay-men-donating-blood#.djy8W0PPV\" target=\"_blank\">reports BuzzFeed News and continued\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>One national blood donation company — facing two discrimination lawsuits from transgender women who were allegedly turned away — has \u003ca href=\"http://www.buzzfeed.com/dominicholden/why-are-blood-banks-rejecting-transgender-women#.rf04yR9Z\">argued\u003c/a> in court records that previous FDA policy banned all transgender women. It is unclear that donors self-reporting their gender, as specified by the new guidance, clarifies that issue.\u003c/p>\n\u003cp>The FDA did not immediately reply to questions Monday from BuzzFeed News about whether all transgender people are banned from donating blood under the new guidelines.\u003c/p>\u003c/blockquote>\n\u003cp id=\"story-continues-4\" class=\"story-body-text story-content\">All U.S. blood donations are screened for HIV, the virus that causes AIDS. But there is a roughly 10-day window between initial infection and when the virus can be detected in the bloodstream. The American Red Cross estimates the risk of getting an HIV-positive blood donation is 1 in 1.5 million for U.S. patients. About 15.7 million blood donations are collected in the U.S. each year.\u003c/p>\n\u003cp class=\"story-body-text story-content\">In 2006 the Red Cross, the American Association of Blood Banks, and America's Blood Centers called the ban \"medically and scientifically unwarranted.\"\u003c/p>\n\u003cp class=\"story-body-text story-content\">The FDA concluded that moving to a one-year abstinence requirement would not change the safety of the U.S. blood supply, based on data from Australia and other sources.\u003c/p>\n\u003cp class=\"story-body-text story-content\">On the current blood donor questionnaire, men are asked if they have ever had sex with another man since 1977 -- the start of the AIDS epidemic in the U.S. Potential donors who answer positively are barred from donating blood. The new questionnaire, as outlined by the FDA, would ask men if they have had sex with another man in the last 12 months.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp class=\"story-body-text story-content\">\u003cem>This story includes reporting from the Associated Press.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Men who have sex with men have been barred from donating blood since 1983. ","status":"publish","parent":0,"modified":1450722194,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":927},"headData":{"title":"FDA Eases 30-Year Ban on Blood Donations from Gay Men | KQED","description":"Men who have sex with men have been barred from donating blood since 1983. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"FDA Eases 30-Year Ban on Blood Donations from Gay Men","datePublished":"2015-12-21T18:19:54.000Z","dateModified":"2015-12-21T18:23:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"127430 http://ww2.kqed.org/stateofhealth/?p=127430","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/12/21/fda-eases-30-year-ban-on-blood-donations-from-gay-men/","disqusTitle":"FDA Eases 30-Year Ban on Blood Donations from Gay Men","path":"/stateofhealth/127430/fda-eases-30-year-ban-on-blood-donations-from-gay-men","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Food and Drug Administration \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm478031.htm\" target=\"_blank\">announced Monday \u003c/a>that it is easing the ban on blood donations from men who have sex with men.\u003c/p>\n\u003cp>The ban had been in place for more than 30 years, since the early days of the AIDS epidemic when little was known about AIDS or how it spread. But advocates had long argued that the policy was antiquated.\u003c/p>\n\u003cp>The new policy has been \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/12/23/fda-proposes-lifting-lifetime-ban-on-gay-blood-donors/\" target=\"_blank\">under review \u003c/a>for the last year and was issued today as a \"\u003ca href=\"http://www.fda.gov/downloads/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/Blood/UCM446580.pdf\" target=\"_blank\">final guidance\u003c/a>\" by the FDA. Under the revision, men who have sex with men may donate blood -- but only if they have not had sex with another man for the last year or more.\u003c/p>\n\u003cp>The policy matches that of many other countries, including the United Kingdom, Australia and Japan.\u003c/p>\n\u003cp>In \u003ca href=\"http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm478031.htm\" target=\"_blank\">a statement, \u003c/a>acting FDA Commissioner Dr. Stephen Ostroff said that the FDA's responsibility was to maintain a high level of safety in the nation's blood supply. “We have taken great care to ensure this policy revision is backed by sound science and continues to protect our blood supply.”\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>But gay rights activists say the change doesn't go far enough.\u003c/p>\n\u003cp>\"It continues to stigmatize gay and bisexual men,\" David Stacy, of the Human Rights Campaign, \u003ca href=\"http://abcnews.go.com/Health/wireStory/fda-eases-restrictions-blood-donations-gay-men-35888660\" target=\"_blank\">told ABC News\u003c/a>. \"It simply cannot be justified in light of current scientific research and updated blood screening technology.\"\u003c/p>\n\u003cp>The National Gay Blood Drive said the change \"was a huge first step in the right direction,\" but also \u003ca href=\"http://www.gayblooddrive.com/#!updates/c1vwd\" target=\"_blank\">called on the FDA \u003c/a>to move toward a non-discriminatory policy and end discrimination based on sexual orientation.\u003c/p>\n\u003cp>Under the recommendations approved today, the FDA says the following donors should not be permitted to donate blood \"indefinitely\":\u003c/p>\n\u003cul>\n\u003cli>An individual who has ever had a positive test for HIV.\u003c/li>\n\u003cli>An individual who has ever exchanged sex for money or drugs.\u003c/li>\n\u003cli>An individual who has ever engaged in injection drug use that was not prescribed.\u003c/li>\n\u003c/ul>\n\u003cp>And these people should be deferred:\u003c/p>\n\u003cul>\n\u003cli>Defer for 12 months from the most recent contact any individual who has a history of sex with a person who: has ever had a positive test for HIV, ever exchanged sex for money or drugs, or ever engaged in non-prescription injection drug use.\u003c/li>\n\u003cli>Defer for 12 months from the most recent transfusion any individual who has a history of receiving a transfusion of Whole Blood or blood components donated by another person (allogeneic transfusion).\u003c/li>\n\u003cli>Defer for 12 months from the most recent exposure any individual who has a history of through-the-skin contact with the blood of another individual, such as a needle stick or blood contact with an open wound or mucous membrane.\u003c/li>\n\u003cli>Defer for 12 months from the most recent tattoo, ear or body piercing. However, individuals who have undergone tattooing within 12 months of donation are eligible to donate if the tattoo was applied by a state regulated entity with sterile needles and non-reused ink. Individuals who have undergone ear or body piercing within 12 months of donation are eligible to donate if the piercing was done using single-use equipment.\u003c/li>\n\u003cli>Defer for 12 months after completion of treatment any individual with a history of syphilis or gonorrhea or with a history of diagnosis or treatment for syphilis or gonorrhea in the past 12 months.\u003c/li>\n\u003cli>Defer for 12 months from the most recent contact a man who has had sex with another man during the past 12 months.\u003c/li>\n\u003cli>Defer for 12 months from the most recent contact a female who has had sex during the past 12 months with a man who has had sex with another man in the past 12 months.\u003c/li>\n\u003c/ul>\n\u003cp>The policy also addressed transgender donors, saying \"male or female gender should be self-identified and self-reported.\"\u003c/p>\n\u003cp>This does little to clarify \"a policy that some blood banks have interpreted as a ban on all transgender donors,\" \u003ca href=\"http://www.buzzfeed.com/dominicholden/new-fda-policy-relaxes-ban-on-gay-men-donating-blood#.djy8W0PPV\" target=\"_blank\">reports BuzzFeed News and continued\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>One national blood donation company — facing two discrimination lawsuits from transgender women who were allegedly turned away — has \u003ca href=\"http://www.buzzfeed.com/dominicholden/why-are-blood-banks-rejecting-transgender-women#.rf04yR9Z\">argued\u003c/a> in court records that previous FDA policy banned all transgender women. It is unclear that donors self-reporting their gender, as specified by the new guidance, clarifies that issue.\u003c/p>\n\u003cp>The FDA did not immediately reply to questions Monday from BuzzFeed News about whether all transgender people are banned from donating blood under the new guidelines.\u003c/p>\u003c/blockquote>\n\u003cp id=\"story-continues-4\" class=\"story-body-text story-content\">All U.S. blood donations are screened for HIV, the virus that causes AIDS. But there is a roughly 10-day window between initial infection and when the virus can be detected in the bloodstream. The American Red Cross estimates the risk of getting an HIV-positive blood donation is 1 in 1.5 million for U.S. patients. About 15.7 million blood donations are collected in the U.S. each year.\u003c/p>\n\u003cp class=\"story-body-text story-content\">In 2006 the Red Cross, the American Association of Blood Banks, and America's Blood Centers called the ban \"medically and scientifically unwarranted.\"\u003c/p>\n\u003cp class=\"story-body-text story-content\">The FDA concluded that moving to a one-year abstinence requirement would not change the safety of the U.S. blood supply, based on data from Australia and other sources.\u003c/p>\n\u003cp class=\"story-body-text story-content\">On the current blood donor questionnaire, men are asked if they have ever had sex with another man since 1977 -- the start of the AIDS epidemic in the U.S. Potential donors who answer positively are barred from donating blood. The new questionnaire, as outlined by the FDA, would ask men if they have had sex with another man in the last 12 months.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp class=\"story-body-text story-content\">\u003cem>This story includes reporting from the Associated Press.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/127430/fda-eases-30-year-ban-on-blood-donations-from-gay-men","authors":["240"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_64","stateofhealth_2519","stateofhealth_461"],"featImg":"stateofhealth_127455","label":"stateofhealth"},"stateofhealth_116824":{"type":"posts","id":"stateofhealth_116824","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"116824","score":null,"sort":[1449006456000]},"guestAuthors":[],"slug":"major-insurer-says-it-will-offer-individual-life-insurance-to-people-with-hiv","title":"After Decades of Exclusion, People with HIV Can Access Life Insurance","publishDate":1449006456,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{},"content":"\u003cp>Prudential Financial Inc., one of the nation’s largest life insurers, plans to announce this week that it will offer traditional individual policies to eligible people living with HIV, a condition that for decades has excluded most of them from any but the skimpiest of coverage, company officials said.\u003c/p>\n\u003cp>It is the first such offering to be publicly announced by a major American insurer, and it signals a growing recognition that HIV/AIDS has evolved from a death sentence into a chronic but manageable disease, HIV advocates and insurance agents said.\u003c/p>\n\u003caside class=\"pullquote alignright\">The announcement from a major insurer comes as World AIDS Day is celebrated.\u003c/aside>\n\u003cp>The coverage, in the form of convertible 10- or 15-year term life insurance policies, will be available to people who are HIV-positive but otherwise healthy, according to the insurer. \u003ca href=\"http://www.dfs.ny.gov/consumer/que_top10/pr_que_life_ter.htm\" target=\"_blank\">“Convertible”\u003c/a> term policies can be converted to permanent policies covering an entire life.\u003c/p>\n\u003cp>The insurer provided no further details Monday on eligibility criteria or the pricing of policies, although some insurance agents said coverage would likely be higher than for completely healthy people.\u003c/p>\n\u003cp>“With advances in the successful treatment of people with HIV, we are now able to offer this population the opportunity to apply for life insurance -- a milestone we see as a significant step in the right direction,” said Mike McFarland, vice president, underwriting, for Prudential Individual Life Insurance, in a prepared statement.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As World AIDS Day is observed Tuesday, \u003ca href=\"http://www.cdc.gov/hiv/statistics/overview/ataglance.html\" target=\"_blank\">more than 1.2 million Americans are living with HIV\u003c/a>, the virus that causes AIDS, according to statistics from the U.S. Centers for Disease Control. An estimated 50,000 are newly diagnosed with the virus each year.\u003c/p>\n\u003cp>Life expectancies for HIV-positive people now are rising to the point that some American and Canadian patients diagnosed at a young age \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0081355\" target=\"_blank\">can live into their 70s\u003c/a>. But no cure exists for the disease, which requires access and adherence to medication. And the longer that HIV/AIDS patients live, the more they are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4058441/\" target=\"_blank\">at risk for developing other conditions\u003c/a>, including cancer, osteoporosis, and heart, liver and kidney disease.\u003c/p>\n\u003cp>The life insurance industry routinely covers people with other chronic diseases, including cancer and Hepatitis C, although at a higher price than for healthy applicants. But HIV-positive people typically cannot buy individual life insurance policies, beyond minimal coverage, at any price, insurance agents said.\u003c/p>\n\u003caside class=\"pullquote alignright\">'... it seems like a fantastic development for people living with HIV.'\u003cbr>\n\u003ccite>Scott Schoettes, Lambda Legal\u003c/cite>\u003c/aside>\n\u003cp>People with HIV/AIDS can’t legally be excluded from the “guaranteed issue” group life insurance policies offered by some employers, but those policies typically don’t pay out more than $50,000. A positive HIV test remains cause for automatic denial of higher-value individual term life insurance policies that require a medical review, agents said. That’s true even if the applicant has an undetectable viral load.\u003c/p>\n\u003cp>“We have not yet seen the terms of the life insurance product being offered … but it seems like a fantastic development for people living with HIV in need of term life insurance,” said Scott Schoettes, HIV Project National Director of Lambda Legal, an organization that works to protect the rights of the LGBT and HIV/AIDS community.\u003c/p>\n\u003cp>“Finally, an insurance company has realized that this is the right thing to do and that it is profitable from a business perspective to offer this product to people living with HIV. Now that there is one company out there doing this, it will encourage others to do the same when they see that there is money to be made in this market,” Schoettes said.\u003c/p>\n\u003cp>In offering the new coverage, Prudential has partnered with \u003ca href=\"http://myaequalis.com/\" target=\"_blank\">ÆQUALIS\u003c/a>, a financial services startup serving HIV-positive people, which has researched medical underwriting, life expectancy and other data on HIV/AIDS and has been key to developing the product. The startup will provide information to consumers and insurance agents as well as manage the application process for Prudential.\u003c/p>\n\u003cp>In its research, ÆQUALIS co-founder Bill Grant said, the company used data from “viaticals” -- insurance policies sold for their cash value by people after their HIV diagnosis -- to plot new mortality curves. Many of those sold policies haven’t generated income for the buyers because the patients survived much longer than expected. That analysis was convincing to Prudential and to a German re-insurer that will accept some of the financial risk of insuring HIV-positive patients, Grant said.\u003c/p>\n\u003cp>“There’s been just enough history to project long enough into the future to get started on this path,” Grant said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"RgCKn69rGzGIztJxetZu9DSXzLyqG0wj\"]Grant said he started the company with business partner Andrew Terrell to address inequities in coverage and to help change the national conversation about HIV/AIDS. He and insurance agents noted that life insurance often is necessary not just to protect loved ones but also for certain business transactions or to adopt children. Grant said he learned that his brother was HIV-positive only when he was denied life insurance coverage that the two brothers needed to complete a business deal.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalenquirer.com/Charlie-Sheen-HIV-Positive-Cover-Story-New-Issue\" target=\"_blank\">tabloid media coverage\u003c/a> surrounding actor Charlie Sheen’s recent disclosure that he is HIV-positive -- emphasizing his long-kept “secret” -- “is an incredible reminder that this stigma still exists,” he said.\u003c/p>\n\u003cp>Before now, some insurance companies have quietly experimented with underwriting policies for HIV-positive clients, but the criteria have been tough to meet. Potential buyers had to be on aggressive antiretroviral treatment since diagnosis, confirm that their viral loads were undetectable and meet certain CD4 lymphocyte (T cell) counts, in addition to meeting age and other health requirements, according to insurance agents who had sought the coverage.\u003c/p>\n\u003cp>Aaron Baldwin, a San Francisco insurance agent who is open about being HIV-positive and specializes in financial planning for people with HIV, said that he provided health and financial information on 20 HIV-positive prospects in good health to one such company, Lincoln Financial Group. All were rejected, he said.\u003c/p>\n\u003cp>Ed Hinerman, an independent insurance agent in Nathrop, Colorado, said he also sent Lincoln an HIV-positive client whom he believed met the company’s stringent criteria. “The denial came within hours,” Hinerman said.\u003c/p>\n\u003cp>Asked to comment, a Lincoln Financial Group spokesman said he could not speak to the agents’ experiences and added that the company did not currently have a specific underwriting program for HIV-positive people.\u003c/p>\n\u003cp>Baldwin acknowledged, however, that medical underwriting is complex, and data are lacking on the long-term effects of HIV/AIDS drugs. Underwriters may not understand the subtleties of HIV/AIDS treatment research, he said.\u003c/p>\n\u003cp>For example, a patient may temporarily stop HIV/AIDS medications to participate in a study on “structured treatment breaks” to reduce side effects, Baldwin said. An underwriter might see that as noncompliance. Or an underwriter might note an applicant taking an HIV medication and not understand that it’s for prevention, not treatment, Baldwin said.\u003c/p>\n\u003cp>“For an underwriter, it’s probably a hot mess,” Baldwin said.\u003c/p>\n\u003cp>Baldwin said the Prudential/ÆQUALIS initiative “represents new hope” for his clients -- and himself.\u003c/p>\n\u003cp>He is particularly looking forward to obtaining a life insurance policy for one of his clients, a young HIV-positive man whose parents had co-signed on a new round of loans for his medical school education, unaware of his diagnosis. The young man wanted to buy a life insurance policy to protect his parents from that debt if he died.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“The new offerings will continue to open doors and allow HIV-positive people to protect their loved ones, their families and their businesses,” Baldwin said.\u003c/p>\n\n","blocks":[],"excerpt":"The announcement from Prudential Life, a major insurer, comes as World AIDS Day is celebrated.","status":"publish","parent":0,"modified":1449016052,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1326},"headData":{"title":"After Decades of Exclusion, People with HIV Can Access Life Insurance | KQED","description":"The announcement from Prudential Life, a major insurer, comes as World AIDS Day is celebrated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"After Decades of Exclusion, People with HIV Can Access Life Insurance","datePublished":"2015-12-01T21:47:36.000Z","dateModified":"2015-12-02T00:27:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"116824 http://ww2.kqed.org/stateofhealth/?p=116824","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/12/01/major-insurer-says-it-will-offer-individual-life-insurance-to-people-with-hiv/","disqusTitle":"After Decades of Exclusion, People with HIV Can Access Life Insurance","source":"Kaiser Health News","sourceUrl":"http://khn.org/news/major-insurer-says-it-will-offer-individual-life-insurance-coverage-to-people-with-hiv/","nprByline":"Barbara Feder Ostrov","path":"/stateofhealth/116824/major-insurer-says-it-will-offer-individual-life-insurance-to-people-with-hiv","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Prudential Financial Inc., one of the nation’s largest life insurers, plans to announce this week that it will offer traditional individual policies to eligible people living with HIV, a condition that for decades has excluded most of them from any but the skimpiest of coverage, company officials said.\u003c/p>\n\u003cp>It is the first such offering to be publicly announced by a major American insurer, and it signals a growing recognition that HIV/AIDS has evolved from a death sentence into a chronic but manageable disease, HIV advocates and insurance agents said.\u003c/p>\n\u003caside class=\"pullquote alignright\">The announcement from a major insurer comes as World AIDS Day is celebrated.\u003c/aside>\n\u003cp>The coverage, in the form of convertible 10- or 15-year term life insurance policies, will be available to people who are HIV-positive but otherwise healthy, according to the insurer. \u003ca href=\"http://www.dfs.ny.gov/consumer/que_top10/pr_que_life_ter.htm\" target=\"_blank\">“Convertible”\u003c/a> term policies can be converted to permanent policies covering an entire life.\u003c/p>\n\u003cp>The insurer provided no further details Monday on eligibility criteria or the pricing of policies, although some insurance agents said coverage would likely be higher than for completely healthy people.\u003c/p>\n\u003cp>“With advances in the successful treatment of people with HIV, we are now able to offer this population the opportunity to apply for life insurance -- a milestone we see as a significant step in the right direction,” said Mike McFarland, vice president, underwriting, for Prudential Individual Life Insurance, in a prepared statement.\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>As World AIDS Day is observed Tuesday, \u003ca href=\"http://www.cdc.gov/hiv/statistics/overview/ataglance.html\" target=\"_blank\">more than 1.2 million Americans are living with HIV\u003c/a>, the virus that causes AIDS, according to statistics from the U.S. Centers for Disease Control. An estimated 50,000 are newly diagnosed with the virus each year.\u003c/p>\n\u003cp>Life expectancies for HIV-positive people now are rising to the point that some American and Canadian patients diagnosed at a young age \u003ca href=\"http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0081355\" target=\"_blank\">can live into their 70s\u003c/a>. But no cure exists for the disease, which requires access and adherence to medication. And the longer that HIV/AIDS patients live, the more they are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4058441/\" target=\"_blank\">at risk for developing other conditions\u003c/a>, including cancer, osteoporosis, and heart, liver and kidney disease.\u003c/p>\n\u003cp>The life insurance industry routinely covers people with other chronic diseases, including cancer and Hepatitis C, although at a higher price than for healthy applicants. But HIV-positive people typically cannot buy individual life insurance policies, beyond minimal coverage, at any price, insurance agents said.\u003c/p>\n\u003caside class=\"pullquote alignright\">'... it seems like a fantastic development for people living with HIV.'\u003cbr>\n\u003ccite>Scott Schoettes, Lambda Legal\u003c/cite>\u003c/aside>\n\u003cp>People with HIV/AIDS can’t legally be excluded from the “guaranteed issue” group life insurance policies offered by some employers, but those policies typically don’t pay out more than $50,000. A positive HIV test remains cause for automatic denial of higher-value individual term life insurance policies that require a medical review, agents said. That’s true even if the applicant has an undetectable viral load.\u003c/p>\n\u003cp>“We have not yet seen the terms of the life insurance product being offered … but it seems like a fantastic development for people living with HIV in need of term life insurance,” said Scott Schoettes, HIV Project National Director of Lambda Legal, an organization that works to protect the rights of the LGBT and HIV/AIDS community.\u003c/p>\n\u003cp>“Finally, an insurance company has realized that this is the right thing to do and that it is profitable from a business perspective to offer this product to people living with HIV. Now that there is one company out there doing this, it will encourage others to do the same when they see that there is money to be made in this market,” Schoettes said.\u003c/p>\n\u003cp>In offering the new coverage, Prudential has partnered with \u003ca href=\"http://myaequalis.com/\" target=\"_blank\">ÆQUALIS\u003c/a>, a financial services startup serving HIV-positive people, which has researched medical underwriting, life expectancy and other data on HIV/AIDS and has been key to developing the product. The startup will provide information to consumers and insurance agents as well as manage the application process for Prudential.\u003c/p>\n\u003cp>In its research, ÆQUALIS co-founder Bill Grant said, the company used data from “viaticals” -- insurance policies sold for their cash value by people after their HIV diagnosis -- to plot new mortality curves. Many of those sold policies haven’t generated income for the buyers because the patients survived much longer than expected. That analysis was convincing to Prudential and to a German re-insurer that will accept some of the financial risk of insuring HIV-positive patients, Grant said.\u003c/p>\n\u003cp>“There’s been just enough history to project long enough into the future to get started on this path,” Grant said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Grant said he started the company with business partner Andrew Terrell to address inequities in coverage and to help change the national conversation about HIV/AIDS. He and insurance agents noted that life insurance often is necessary not just to protect loved ones but also for certain business transactions or to adopt children. Grant said he learned that his brother was HIV-positive only when he was denied life insurance coverage that the two brothers needed to complete a business deal.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.nationalenquirer.com/Charlie-Sheen-HIV-Positive-Cover-Story-New-Issue\" target=\"_blank\">tabloid media coverage\u003c/a> surrounding actor Charlie Sheen’s recent disclosure that he is HIV-positive -- emphasizing his long-kept “secret” -- “is an incredible reminder that this stigma still exists,” he said.\u003c/p>\n\u003cp>Before now, some insurance companies have quietly experimented with underwriting policies for HIV-positive clients, but the criteria have been tough to meet. Potential buyers had to be on aggressive antiretroviral treatment since diagnosis, confirm that their viral loads were undetectable and meet certain CD4 lymphocyte (T cell) counts, in addition to meeting age and other health requirements, according to insurance agents who had sought the coverage.\u003c/p>\n\u003cp>Aaron Baldwin, a San Francisco insurance agent who is open about being HIV-positive and specializes in financial planning for people with HIV, said that he provided health and financial information on 20 HIV-positive prospects in good health to one such company, Lincoln Financial Group. All were rejected, he said.\u003c/p>\n\u003cp>Ed Hinerman, an independent insurance agent in Nathrop, Colorado, said he also sent Lincoln an HIV-positive client whom he believed met the company’s stringent criteria. “The denial came within hours,” Hinerman said.\u003c/p>\n\u003cp>Asked to comment, a Lincoln Financial Group spokesman said he could not speak to the agents’ experiences and added that the company did not currently have a specific underwriting program for HIV-positive people.\u003c/p>\n\u003cp>Baldwin acknowledged, however, that medical underwriting is complex, and data are lacking on the long-term effects of HIV/AIDS drugs. Underwriters may not understand the subtleties of HIV/AIDS treatment research, he said.\u003c/p>\n\u003cp>For example, a patient may temporarily stop HIV/AIDS medications to participate in a study on “structured treatment breaks” to reduce side effects, Baldwin said. An underwriter might see that as noncompliance. Or an underwriter might note an applicant taking an HIV medication and not understand that it’s for prevention, not treatment, Baldwin said.\u003c/p>\n\u003cp>“For an underwriter, it’s probably a hot mess,” Baldwin said.\u003c/p>\n\u003cp>Baldwin said the Prudential/ÆQUALIS initiative “represents new hope” for his clients -- and himself.\u003c/p>\n\u003cp>He is particularly looking forward to obtaining a life insurance policy for one of his clients, a young HIV-positive man whose parents had co-signed on a new round of loans for his medical school education, unaware of his diagnosis. The young man wanted to buy a life insurance policy to protect his parents from that debt if he died.\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>“The new offerings will continue to open doors and allow HIV-positive people to protect their loved ones, their families and their businesses,” Baldwin said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/116824/major-insurer-says-it-will-offer-individual-life-insurance-to-people-with-hiv","authors":["byline_stateofhealth_116824"],"categories":["stateofhealth_11"],"tags":["stateofhealth_64","stateofhealth_2519"],"featImg":"stateofhealth_116826","label":"source_stateofhealth_116824"},"stateofhealth_100119":{"type":"posts","id":"stateofhealth_100119","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"100119","score":null,"sort":[1446167875000]},"guestAuthors":[],"slug":"san-francisco-dedicates-more-money-to-end-hiv","title":"San Francisco Dedicates More Money to End HIV","publishDate":1446167875,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>San Francisco is putting up another $1.2 million in its fight against HIV and to further its goal of becoming the first city in the world to reduce its number of new HIV infections and deaths to zero.\u003c/p>\n\u003cp>Other cities have signed on to meet the challenge by 2030. But San Francisco believes it has the strategy to meet the goal before then.\u003c/p>\n\u003cp>“If anyone can do it, San Francisco can do it,” said Supervisor David Campos.\u003c/p>\n\u003cp>The city is relying heavily on two initiatives.\u003c/p>\n\u003cp>The first is getting people with HIV into antiretroviral treatment much faster, sometimes the same day they’re diagnosed. These medications reduce the level of HIV in the blood, making it harder to transmit.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The second is expanding use of the HIV prevention pill, Truvada. This has been somewhat controversial. \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract?sid=2f65f7e1-fee1-490a-adba-5b832bcc0b0e\">A recent Kaiser study\u003c/a> found that some men who took the drug used condoms less and contracted other sexually transmitted diseases.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\" target=\"_blank\"> But none got HIV\u003c/a>.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/230815563\" 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>Other studies show the drug “could be over 90 percent effective in preventing new infections, if taken on a daily basis,” said Dr. Susan Buchbinder, director of HIV research at the city’s health department. She added there's no reason to withhold a lifesaving preventive drug for fear of promiscuity.\u003c/p>\n\u003cp>“I liken it to me telling my patients that I'm not going to give them a cholesterol-lowering drug because they might eat more ice cream,” she said. “I would never do that.\"\u003c/p>\n\u003cp>San Francisco participated in the first pilot studies for the preventive therapy, also known as Pre-Exposure Prophylaxis (PrEP), and is now a leader in its use, Buchbinder said.\u003c/p>\n\u003cp>Health officials from Paris and Amsterdam visited San Francisco recently to study the city’s program, in anticipation of the drug getting licensed in Europe.\u003c/p>\n\u003cp>[contextly_sidebar id=\"cFp5wV3hR1Hh2hpqoQnSTiU5ZVhdnzSx\"]“Of course, we were a city where HIV started and was discovered, and reached epidemic levels,” said Mayor Ed Lee, “but we're also a city at the forefront of the appropriate response.”\u003c/p>\n\u003cp>At a time when the federal government continues to cut HIV/AIDS funding, San Francisco consistently backfills the loss, Lee said.\u003c/p>\n\u003cp>But other counties in California haven’t. \u003ca href=\"http://kvpr.org/post/hiv-infections-fresno-county-increase-especially-among-youth\">In Fresno\u003c/a>, for example, HIV infection rates have gone up as funding has been cut. In 2011, new cases of HIV \u003ca href=\"http://www.co.fresno.ca.us/uploadedFiles/Departments/Public_Health/Divisions/CH/content/CD/content/Epidemiology/content/At%20a%20glance%20HIV.pdf\" target=\"_blank\">spiked 73 percent \u003c/a>over the county’s previous five-year average. Annual rates dipped slightly after that, then went up again last year.\u003c/p>\n\u003cp>In total, San Francisco spends $54 million on HIV prevention and care each year. In addition to the $1.2 million the city dedicated to the effort from its own coffers this week, the MAC AIDS Fund, a philanthropic arm of the MAC cosmetics company, gave another $500,000 to the city.\u003c/p>\n\u003cp>Most of the new funding will go toward hiring more patient navigators, who will help patients sign up for health insurance, find a clinic to get care or find resources to help pay for the prevention drugs -- the Truvada daily pill can cost more than $1,000 a month.\u003c/p>\n\u003cp>The city will focus a lot of its outreach on young men and men of color, who are disproportionately affected by HIV. African-American gay men have the highest rate of new diagnoses.\u003c/p>\n\u003cp>Johanna Brown, a black transgender woman living with AIDS, remembers how difficult life was after she got her diagnosis.\u003c/p>\n\u003cp>“I lost my job, I lost my apartment, I got on drugs real heavy,” she said. “I lost my self-esteem, got disconnected from my family.”\u003c/p>\n\u003cp>She came to San Francisco in 2011 and found the \u003ca href=\"http://apiwellness.org/site/\" target=\"_blank\">API Wellness Center\u003c/a>, where she got a new doctor, therapist and case manager. They helped her get treatment, housing and a job. They also have a special support program for transgender people living with HIV and AIDS.\u003c/p>\n\u003cp>“There, we as girls get to come together, we get to socialize within ourselves, but we get to learn about our disease,” she said. “We don’t have to be worried about stigma, being judged, people pointing fingers at us. So we live a healthier life.”\u003c/p>\n\u003cp>Today, Brown’s T-cell count is good, and the virus is undetectable in her blood.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I'm not dying,” she said. “I'm going to live a long life.”\u003c/p>\n\n","blocks":[],"excerpt":"The city wants to become the first in the world to reduce its number of new HIV infections and deaths to zero.","status":"publish","parent":0,"modified":1446242122,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":776},"headData":{"title":"San Francisco Dedicates More Money to End HIV | KQED","description":"The city wants to become the first in the world to reduce its number of new HIV infections and deaths to zero.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"San Francisco Dedicates More Money to End HIV","datePublished":"2015-10-30T01:17:55.000Z","dateModified":"2015-10-30T21:55:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"100119 http://ww2.kqed.org/stateofhealth/?p=100119","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/10/29/san-francisco-dedicates-more-money-to-end-hiv/","disqusTitle":"San Francisco Dedicates More Money to End HIV","path":"/stateofhealth/100119/san-francisco-dedicates-more-money-to-end-hiv","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is putting up another $1.2 million in its fight against HIV and to further its goal of becoming the first city in the world to reduce its number of new HIV infections and deaths to zero.\u003c/p>\n\u003cp>Other cities have signed on to meet the challenge by 2030. But San Francisco believes it has the strategy to meet the goal before then.\u003c/p>\n\u003cp>“If anyone can do it, San Francisco can do it,” said Supervisor David Campos.\u003c/p>\n\u003cp>The city is relying heavily on two initiatives.\u003c/p>\n\u003cp>The first is getting people with HIV into antiretroviral treatment much faster, sometimes the same day they’re diagnosed. These medications reduce the level of HIV in the blood, making it harder to transmit.\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>The second is expanding use of the HIV prevention pill, Truvada. This has been somewhat controversial. \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract?sid=2f65f7e1-fee1-490a-adba-5b832bcc0b0e\">A recent Kaiser study\u003c/a> found that some men who took the drug used condoms less and contracted other sexually transmitted diseases.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\" target=\"_blank\"> But none got HIV\u003c/a>.\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/230815563&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/230815563'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Other studies show the drug “could be over 90 percent effective in preventing new infections, if taken on a daily basis,” said Dr. Susan Buchbinder, director of HIV research at the city’s health department. She added there's no reason to withhold a lifesaving preventive drug for fear of promiscuity.\u003c/p>\n\u003cp>“I liken it to me telling my patients that I'm not going to give them a cholesterol-lowering drug because they might eat more ice cream,” she said. “I would never do that.\"\u003c/p>\n\u003cp>San Francisco participated in the first pilot studies for the preventive therapy, also known as Pre-Exposure Prophylaxis (PrEP), and is now a leader in its use, Buchbinder said.\u003c/p>\n\u003cp>Health officials from Paris and Amsterdam visited San Francisco recently to study the city’s program, in anticipation of the drug getting licensed in Europe.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>“Of course, we were a city where HIV started and was discovered, and reached epidemic levels,” said Mayor Ed Lee, “but we're also a city at the forefront of the appropriate response.”\u003c/p>\n\u003cp>At a time when the federal government continues to cut HIV/AIDS funding, San Francisco consistently backfills the loss, Lee said.\u003c/p>\n\u003cp>But other counties in California haven’t. \u003ca href=\"http://kvpr.org/post/hiv-infections-fresno-county-increase-especially-among-youth\">In Fresno\u003c/a>, for example, HIV infection rates have gone up as funding has been cut. In 2011, new cases of HIV \u003ca href=\"http://www.co.fresno.ca.us/uploadedFiles/Departments/Public_Health/Divisions/CH/content/CD/content/Epidemiology/content/At%20a%20glance%20HIV.pdf\" target=\"_blank\">spiked 73 percent \u003c/a>over the county’s previous five-year average. Annual rates dipped slightly after that, then went up again last year.\u003c/p>\n\u003cp>In total, San Francisco spends $54 million on HIV prevention and care each year. In addition to the $1.2 million the city dedicated to the effort from its own coffers this week, the MAC AIDS Fund, a philanthropic arm of the MAC cosmetics company, gave another $500,000 to the city.\u003c/p>\n\u003cp>Most of the new funding will go toward hiring more patient navigators, who will help patients sign up for health insurance, find a clinic to get care or find resources to help pay for the prevention drugs -- the Truvada daily pill can cost more than $1,000 a month.\u003c/p>\n\u003cp>The city will focus a lot of its outreach on young men and men of color, who are disproportionately affected by HIV. African-American gay men have the highest rate of new diagnoses.\u003c/p>\n\u003cp>Johanna Brown, a black transgender woman living with AIDS, remembers how difficult life was after she got her diagnosis.\u003c/p>\n\u003cp>“I lost my job, I lost my apartment, I got on drugs real heavy,” she said. “I lost my self-esteem, got disconnected from my family.”\u003c/p>\n\u003cp>She came to San Francisco in 2011 and found the \u003ca href=\"http://apiwellness.org/site/\" target=\"_blank\">API Wellness Center\u003c/a>, where she got a new doctor, therapist and case manager. They helped her get treatment, housing and a job. They also have a special support program for transgender people living with HIV and AIDS.\u003c/p>\n\u003cp>“There, we as girls get to come together, we get to socialize within ourselves, but we get to learn about our disease,” she said. “We don’t have to be worried about stigma, being judged, people pointing fingers at us. So we live a healthier life.”\u003c/p>\n\u003cp>Today, Brown’s T-cell count is good, and the virus is undetectable in her blood.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I'm not dying,” she said. “I'm going to live a long life.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/100119/san-francisco-dedicates-more-money-to-end-hiv","authors":["3205"],"categories":["stateofhealth_11"],"tags":["stateofhealth_64","stateofhealth_2519"],"featImg":"stateofhealth_100155","label":"stateofhealth"},"stateofhealth_71914":{"type":"posts","id":"stateofhealth_71914","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"71914","score":null,"sort":[1441259919000]},"guestAuthors":[],"slug":"no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","title":"No New Infections in Hundreds Taking Pill to Prevent HIV","publishDate":1441259919,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Among hundreds of HIV-negative people using pre-exposure prophylaxis, known as PrEP, there were no new HIV infections over a two-and-a-half-year period, according to \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract\" target=\"_blank\">an analysis \u003c/a>by researchers at Kaiser San Francisco published Wednesday.\u003c/p>\n\u003cp>In the study, researchers at Kaiser San Francisco followed 657 of its patients who were referred for PrEP and then followed the regimen. In an interview, lead author Dr. Jonathan Volk, an infectious disease specialist with Kaiser called the results \"incredibly exciting.\"\u003c/p>\n\u003cp>\"I was optimistic, but this is even more ... reassuring than I had expected initially,\" he said. \"It really reinforces how well this medication can work to help reduce risk for HIV for patients who are using it daily.\"\u003c/p>\n\u003cp>In the study, published in Clinical Infectious Diseases, almost all the participants -- 99 percent -- were men who have sex with men.\u003c/p>\n\u003cp>In 2012, the FDA \u003ca href=\"http://ww2.kqed.org/news/2012/07/16/fda-approves-truvada-as-first-medication-to-reduce-hiv-risk-in-healthy-people\" target=\"_blank\">approved the drug Truvada\u003c/a> to help people who are HIV-negative to avoid becoming infected. While studies showed it to be highly effective, some advocates were concerned that use of the drug would lead to unsafe behavior -- and HIV infection.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"Z3PBxmIAbFpdzMPl82A4D1i3wxvUuOkG\"]Yet in 2014, the U.S. Public Health Service published guidelines for PrEP and in July, President Obama \u003ca href=\"https://www.whitehouse.gov/the-press-office/2015/07/30/fact-sheet-national-hivaids-strategy-updated-2020\" target=\"_blank\">signed an executive order\u003c/a> updating the National HIV/AIDS Strategy to include full access to PrEP for those who want it.\u003c/p>\n\u003cp>Volk said the Kaiser study is significant in part because of the success during real-world application. Researchers tracked condom use and sexually transmitted infections and found that 41 percent of participants reported a decrease in their use of condoms, and half were diagnosed with a sexually transmitted disease in the first year after starting PrEP.\u003c/p>\n\u003cp>\"The fact that we've seen as many sexually transmitted infections as we have and not seen any new HIV infections really reinforces that this medication seems to work very well, even in a high-risk setting,\" Volk said.\u003c/p>\n\u003cp>\u003cstrong>\"Remarkable Study\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Susan Buchbinder is director of the HIV Research Section for the San Francisco Department of Public Health and was not involved with the analysis.\u003c/p>\n\u003cp>\"It's a remarkable study,\" she said. \"It's critically important. This really demonstrates that in a ... very busy clinical setting, the systems can be developed to adequately and accurately screen people for PrEP, put them on PrEP, and follow them over time.\"\u003c/p>\n\u003cp>Paul Marcelin started PrEP in July, 2013 as part of a separate one-year study. When that wrapped up, Marcelin, 40, who lives in Alameda but is a Kaiser San Francisco patient, continued on PrEP with Kaiser.\u003c/p>\n\u003cp>\"It's been wonderful to receive this care from my regular provider,\" he said in an interview.\u003c/p>\n\u003cp>Marcelin's boyfriend of one year is HIV positive. Fifteen years ago, Marcelin said he dated another man who was HIV positive. \"It was a barrier in our sex life and in our intimacy,\" he said. \"It's amazing to think that today I've met a new person, an amazing person, and we don't have any fear. We have a completely natural sex life.\"\u003c/p>\n\u003cp>Marcelin says he's experienced no side effects from taking Truvada. It is recommended that anyone on Truvada is tested for HIV and other sexually transmitted infections every three months. Patients are also monitored for drug side effects, especially changes in kidney function.\u003c/p>\n\u003cp>\u003cstrong>Stigma Remains\u003c/strong>\u003c/p>\n\u003cp>Despite the success of PrEP as a preventive, stigma remains. People who take PrEP are sometimes viewed as promiscuous, Marcelin told me. \"People say, 'Why are you not just using condoms?' ... Sometimes people say, 'You must be slut.' So there's negative stigma.\"\u003c/p>\n\u003cp>Another barrier may be cost -- $15,000 annually or $1,250 per month. Insurance does cover at least some of the cost, but how much is dependent on the type of insurance an individual has. Gilead, which makes Truvada, will reimburse patients up to $300 per month. Marcelin's cost sharing after his Kaiser plan is $35 per month, and he says Gilead reimburses that.\u003c/p>\n\u003cp>[contextly_sidebar id=\"TYpef1eMvxU4HPsSLQDHrpynDtuBeiCQ\"]Buchbinder helps direct an ambitious campaign to eliminate new HIV infections in San Francisco called \u003ca href=\"http://www.gettingtozerosf.org\" target=\"_blank\">Getting to Zero\u003c/a>. For years, new infections have been declining. Between 2006 and 2014, new infections in men who have sex with men fell from 357 to 221, nearly a 40 percent decline. The decline in new infections by race/ethnicity are also significant. Again, new HIV infections declined as follows, from 2006 to 2014:\u003c/p>\n\u003cul>\n\u003cli>Whites: 278 to 136\u003c/li>\n\u003cli>African American: 75 to 33\u003c/li>\n\u003cli>Latino: 113 to 82\u003c/li>\n\u003c/ul>\n\u003cp>PrEP is a strong component of the campaign, but it's \"really the culmination of many, many different things that the city has been doing in particular over the last five years,\" Buchbinder said. \u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Kaiser is continuing to monitor its patients on PrEP. Demand for PrEP is growing. Volk said that at the time the analysis was submitted, there were the 600-plus patients, today it's closer to 900.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What is exciting for me as a clinician,\" Volk said \"is now I have many different tools I can use to help prevent HIV, and PrEP is one of them. PrEP is probably not right for all my patients ... but it is for many of them.\"\u003c/p>\n\n","blocks":[],"excerpt":"Despite a decline in use of condoms, there were no new HIV infections among the 650 people in the San Francisco study. ","status":"publish","parent":0,"modified":1441296949,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":872},"headData":{"title":"No New Infections in Hundreds Taking Pill to Prevent HIV | KQED","description":"Despite a decline in use of condoms, there were no new HIV infections among the 650 people in the San Francisco study. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"No New Infections in Hundreds Taking Pill to Prevent HIV","datePublished":"2015-09-03T05:58:39.000Z","dateModified":"2015-09-03T16:15:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"71914 http://ww2.kqed.org/stateofhealth/?p=71914","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/","disqusTitle":"No New Infections in Hundreds Taking Pill to Prevent HIV","path":"/stateofhealth/71914/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Among hundreds of HIV-negative people using pre-exposure prophylaxis, known as PrEP, there were no new HIV infections over a two-and-a-half-year period, according to \u003ca href=\"http://cid.oxfordjournals.org/content/early/2015/09/01/cid.civ778.abstract\" target=\"_blank\">an analysis \u003c/a>by researchers at Kaiser San Francisco published Wednesday.\u003c/p>\n\u003cp>In the study, researchers at Kaiser San Francisco followed 657 of its patients who were referred for PrEP and then followed the regimen. In an interview, lead author Dr. Jonathan Volk, an infectious disease specialist with Kaiser called the results \"incredibly exciting.\"\u003c/p>\n\u003cp>\"I was optimistic, but this is even more ... reassuring than I had expected initially,\" he said. \"It really reinforces how well this medication can work to help reduce risk for HIV for patients who are using it daily.\"\u003c/p>\n\u003cp>In the study, published in Clinical Infectious Diseases, almost all the participants -- 99 percent -- were men who have sex with men.\u003c/p>\n\u003cp>In 2012, the FDA \u003ca href=\"http://ww2.kqed.org/news/2012/07/16/fda-approves-truvada-as-first-medication-to-reduce-hiv-risk-in-healthy-people\" target=\"_blank\">approved the drug Truvada\u003c/a> to help people who are HIV-negative to avoid becoming infected. While studies showed it to be highly effective, some advocates were concerned that use of the drug would lead to unsafe behavior -- and HIV infection.\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>\u003c/p>\u003cp>\u003c/p>\u003cp>Yet in 2014, the U.S. Public Health Service published guidelines for PrEP and in July, President Obama \u003ca href=\"https://www.whitehouse.gov/the-press-office/2015/07/30/fact-sheet-national-hivaids-strategy-updated-2020\" target=\"_blank\">signed an executive order\u003c/a> updating the National HIV/AIDS Strategy to include full access to PrEP for those who want it.\u003c/p>\n\u003cp>Volk said the Kaiser study is significant in part because of the success during real-world application. Researchers tracked condom use and sexually transmitted infections and found that 41 percent of participants reported a decrease in their use of condoms, and half were diagnosed with a sexually transmitted disease in the first year after starting PrEP.\u003c/p>\n\u003cp>\"The fact that we've seen as many sexually transmitted infections as we have and not seen any new HIV infections really reinforces that this medication seems to work very well, even in a high-risk setting,\" Volk said.\u003c/p>\n\u003cp>\u003cstrong>\"Remarkable Study\"\u003c/strong>\u003c/p>\n\u003cp>Dr. Susan Buchbinder is director of the HIV Research Section for the San Francisco Department of Public Health and was not involved with the analysis.\u003c/p>\n\u003cp>\"It's a remarkable study,\" she said. \"It's critically important. This really demonstrates that in a ... very busy clinical setting, the systems can be developed to adequately and accurately screen people for PrEP, put them on PrEP, and follow them over time.\"\u003c/p>\n\u003cp>Paul Marcelin started PrEP in July, 2013 as part of a separate one-year study. When that wrapped up, Marcelin, 40, who lives in Alameda but is a Kaiser San Francisco patient, continued on PrEP with Kaiser.\u003c/p>\n\u003cp>\"It's been wonderful to receive this care from my regular provider,\" he said in an interview.\u003c/p>\n\u003cp>Marcelin's boyfriend of one year is HIV positive. Fifteen years ago, Marcelin said he dated another man who was HIV positive. \"It was a barrier in our sex life and in our intimacy,\" he said. \"It's amazing to think that today I've met a new person, an amazing person, and we don't have any fear. We have a completely natural sex life.\"\u003c/p>\n\u003cp>Marcelin says he's experienced no side effects from taking Truvada. It is recommended that anyone on Truvada is tested for HIV and other sexually transmitted infections every three months. Patients are also monitored for drug side effects, especially changes in kidney function.\u003c/p>\n\u003cp>\u003cstrong>Stigma Remains\u003c/strong>\u003c/p>\n\u003cp>Despite the success of PrEP as a preventive, stigma remains. People who take PrEP are sometimes viewed as promiscuous, Marcelin told me. \"People say, 'Why are you not just using condoms?' ... Sometimes people say, 'You must be slut.' So there's negative stigma.\"\u003c/p>\n\u003cp>Another barrier may be cost -- $15,000 annually or $1,250 per month. Insurance does cover at least some of the cost, but how much is dependent on the type of insurance an individual has. Gilead, which makes Truvada, will reimburse patients up to $300 per month. Marcelin's cost sharing after his Kaiser plan is $35 per month, and he says Gilead reimburses that.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Buchbinder helps direct an ambitious campaign to eliminate new HIV infections in San Francisco called \u003ca href=\"http://www.gettingtozerosf.org\" target=\"_blank\">Getting to Zero\u003c/a>. For years, new infections have been declining. Between 2006 and 2014, new infections in men who have sex with men fell from 357 to 221, nearly a 40 percent decline. The decline in new infections by race/ethnicity are also significant. Again, new HIV infections declined as follows, from 2006 to 2014:\u003c/p>\n\u003cul>\n\u003cli>Whites: 278 to 136\u003c/li>\n\u003cli>African American: 75 to 33\u003c/li>\n\u003cli>Latino: 113 to 82\u003c/li>\n\u003c/ul>\n\u003cp>PrEP is a strong component of the campaign, but it's \"really the culmination of many, many different things that the city has been doing in particular over the last five years,\" Buchbinder said. \u003cstrong>\u003cem> \u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Kaiser is continuing to monitor its patients on PrEP. Demand for PrEP is growing. Volk said that at the time the analysis was submitted, there were the 600-plus patients, today it's closer to 900.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What is exciting for me as a clinician,\" Volk said \"is now I have many different tools I can use to help prevent HIV, and PrEP is one of them. PrEP is probably not right for all my patients ... but it is for many of them.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/71914/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv","authors":["240"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_64","stateofhealth_461","stateofhealth_320"],"featImg":"stateofhealth_72049","label":"stateofhealth"},"stateofhealth_55527":{"type":"posts","id":"stateofhealth_55527","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"55527","score":null,"sort":[1438491348000]},"guestAuthors":[],"slug":"why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","title":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","publishDate":1438491348,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>LOS ANGELES – Late on a Friday night at The New Jalisco Bar downtown, a drag show featuring dancers dressed in sequined leotards and feathered headdresses had drawn a crowd -- most of them gay Latino men.\u003c/p>\n\u003cp>Inside the bar and out, three health workers chatted with customers, casually asking questions: Do you know about the HIV prevention pill? Would you consider taking it? A few men said they had never heard of it. Others simply said it wasn’t for them.\u003c/p>\n\u003cp>“It hasn’t really hit the Latino community yet,” Jesse Hinostroza, an HIV prevention specialist with AltaMed health clinics, said while sitting at a table with a bowl of condoms and a stack of bilingual pamphlets about the pill. “They aren’t educated about it.”\u003c/p>\n\u003cp>In California, New York, Texas and elsewhere, health workers are trying to get more high-risk Latino men to use the drug, Truvada. The medication, which is used for “Pre-Exposure Prophylaxis” or PrEP, was approved by the FDA in 2012 for HIV prevention and has been shown to be more than 90 percent effective when used correctly. But health workers are encountering barriers among many Latinos.\u003c/p>\n\u003cp>Among them are a lack of knowledge about the drug and the stigma attached to sleeping with men or perceived promiscuity. Many Latinos also have concerns about costs and side effects.\u003c/p>\n\u003cfigure id=\"attachment_55529\" class=\"wp-caption aligncenter\" style=\"max-width: 1318px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\">\u003cimg class=\"size-full wp-image-55529\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\" alt=\"AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \" width=\"1318\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png 1318w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-400x266.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-1180x786.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-960x640.png 960w\" sizes=\"(max-width: 1318px) 100vw, 1318px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even for people who have heard about it, that makes them reluctant to use or hesitant to even inquire about it,” said Phillip Schnarrs, assistant professor of health promotion at the University of Texas at San Antonio and research director for the Austin PrEP Access Project.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Schnarrs, who is conducting a study with gay and bisexual Latino men in Texas, said 58 percent of those surveyed see themselves as good candidates for PrEP, compared to 82 percent of non-Hispanic whites, according to preliminary data.\u003c/p>\n\u003cp>In an ongoing study of 20 Latino gay couples in New York City, 37 of the 40 people had never heard about PrEP when interviewed last year, said Omar Martinez, assistant professor of social work at the Temple University College of Public Health.\u003c/p>\n\u003cp>Martinez said doctors and health workers need to focus on reaching young minority men at highest risk of getting HIV and transmitting it to others, including those who don’t regularly use condoms. “We need to do something,” he said. “And PrEP may be the solution.”\u003c/p>\n\u003cp>Latinos are disproportionately affected by HIV. They make up about 21 percent of new infections nationally, though they represented about 17 percent of the population, according to the U.S. Centers for Disease Control and Prevention. Latinos are also more likely than non-Hispanic whites and blacks to get diagnosed later in the course of their illness, raising the risks to their health and the likelihood of transmission to others.\u003c/p>\n\u003cfigure id=\"attachment_55530\" class=\"wp-caption aligncenter\" style=\"max-width: 1334px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\">\u003cimg class=\"size-full wp-image-55530\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\" alt=\"In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA.\" width=\"1334\" height=\"596\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png 1334w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-400x179.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-800x357.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-1180x527.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-960x429.png 960w\" sizes=\"(max-width: 1334px) 100vw, 1334px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Latinos are less likely than non-Hispanic whites to be insured or have a regular doctor, although the Affordable Care Act has helped reduce that gap.\u003c/p>\n\u003cp>Truvada can cost up to $1,300 a month. Most insurance companies and Medicaid programs are covering at least part of that, and many local governments are also covering the pill for uninsured residents. But the high sticker price can dampen interest among patients.\u003c/p>\n\u003cp>Truvada, which blocks the virus from spreading in the body, is helping to significantly reduce new infections, said Robert Grant, a professor at UC San Francisco School of Medicine who leads research on PrEP’s effectiveness.\u003c/p>\n\u003cp>But the pill does not protect against other sexually transmitted diseases, requires daily use and can cause side effects in some patients, including kidney problems.\u003c/p>\n\u003cp>“It is a very valuable option, but it is only one option,” Grant said. “Condoms are still very important part of a sexual health strategy.”\u003c/p>\n\u003cp>As customers at the New Jalisco Bar danced to traditional Mexican music beneath a disco ball and rainbow lights, Jaime Cardenas conducted HIV tests in a mobile unit parked in front. Anyone who tested on the spot received a free drink coupon, courtesy of AltaMed and the bar.\u003c/p>\n\u003cp>One of the first to agree was Erik Quezada, a counselor at a Los Angeles high school.\u003c/p>\n\u003cp>Cardenas drew a few drops of blood from Erik Quezada’s finger for the rapid test. Within minutes, Cardenas gave him the good news: He didn’t have HIV. Cardenas quickly followed up with information about the HIV prevention pill.\u003c/p>\n\u003cp>“One way you can prevent yourself from acquiring HIV is by taking PrEP,” Cardenas said, offering to take down Quezada’s number so the clinic could call him later.\u003c/p>\n\u003cp>Quezada, 35, responded that he had heard it was like the birth control pill for gay people. He agreed to be contacted but quickly added, “I don’t know I would ever sign up for it.”\u003c/p>\n\u003cfigure id=\"attachment_55531\" class=\"wp-caption aligncenter\" style=\"max-width: 1328px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\">\u003cimg class=\"size-full wp-image-55531\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\" alt=\"Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \" width=\"1328\" height=\"880\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png 1328w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-800x530.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-1180x782.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-960x636.png 960w\" sizes=\"(max-width: 1328px) 100vw, 1328px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Others were even less interested. Jose Arriola, 25, a self-described “diva,” said he didn’t want to take any medication. “It’s better to use condoms,” he said, sitting by his boyfriend at the bar.\u003c/p>\n\u003cp>A short video produced by AltaMed played between acts. The video featured different Latino men getting dressed: a cowboy for a night out, a day laborer for work, a buff young man for the gym. Each took the HIV-prevention pill as part of their routine. At the end of each segment, one word popped up on the screen: listo, or ready.\u003c/p>\n\u003cp>“We are really trying to project the message that taking PrEP can be a normal part of your everyday life,” said Dr. Scott Kim, medical director of HIV Services for AltaMed, which runs more than 40 health clinics in Southern California.\u003c/p>\n\u003cp>That, he hopes, will reduce stigma. Kim said health workers need to be more creative in places like East Los Angeles, where many gay and bisexual Latinos are still in the closet and aren’t getting information through traditional health-care sources. Talking about PrEP at a doctor’s office may not be as effective as doing so on social media, by text message or in a bar, he said. “There are a lot of social obstacles and challenges we have to negotiate here because it’s harder to be out,” Kim said.\u003c/p>\n\u003cp>AltaMed’s efforts are being paid for by Gilead, the pharmaceutical company that makes Truvada. The goal of its $80,000 grant is to help 100 high-risk gay Latino men throughout Los Angeles County get prescriptions for PrEP. The grant pays for the outreach but does not cover the cost of the medication.\u003c/p>\n\u003cp>Since the project began late last month, about half a dozen patients have received prescriptions. Hinostroza of AltaMed said there is more interest and more knowledge in gay-friendly Hollywood and West Hollywood. “But for East Los Angeles, where we are, it’s a struggle,” she said.\u003c/p>\n\u003cp>Louis Arevalo, 27, is a college student and AltaMed patient who lives in Los Angeles. He said he decided to go on the medication last month after getting scared when a condom broke. He said he uses condoms regularly and gets HIV-tested every three months, but the medication is “an extra layer of protection.”\u003c/p>\n\u003cp>“I’m not as anxious anymore,” he said.\u003c/p>\n\u003cp>But Arevalo said he understands the stigma that might prevent others from taking the drug. For years, he said, he has hidden his boyfriends from his mother, an immigrant from El Salvador. Arevalo said her church pastor repeatedly has said that homosexuality is a sin. “It’s just part of the culture, and it’s the religion,” he said.\u003c/p>\n\u003cfigure id=\"attachment_55532\" class=\"wp-caption aligncenter\" style=\"max-width: 1324px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\">\u003cimg class=\"size-full wp-image-55532\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\" alt=\"Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \" width=\"1324\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png 1324w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-1180x783.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-960x637.png 960w\" sizes=\"(max-width: 1324px) 100vw, 1324px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>AltaMed’s efforts are just one part of a larger effort to get the word out about Truvada. The nonprofit Latino Commission on AIDS, based in New York, also recently started a campaign in five cities —- Long Beach, Calif.; New York City; Chicago; Miami; and San Juan, Puerto Rico.\u003c/p>\n\u003cp>Gustavo Morales, the commission’s director of access to care services, said now is the time to educate people about PrEP -— lest too many people form negative opinions about it and health workers become “like salmon swimming against the current.”\u003c/p>\n\u003cp>Morales said patients aren’t the only ones who need more information. When he decided to go on PrEP late last year, he went to two different doctors who didn’t know about Truvada. A third asked him why he wanted to poison himself. Finally, he got a prescription from an HIV specialist.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I was definitely disappointed,” said Morales. “There is a lot of work that still has to be done.”\u003c/p>\n\n","blocks":[],"excerpt":"Truvada for HIV prevention is more than 90 percent effective, but health workers face lack of knowledge and stigma attached to sleeping with men as barriers among Latinos.","status":"publish","parent":0,"modified":1445452258,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1648},"headData":{"title":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It | KQED","description":"Truvada for HIV prevention is more than 90 percent effective, but health workers face lack of knowledge and stigma attached to sleeping with men as barriers among Latinos.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","datePublished":"2015-08-02T04:55:48.000Z","dateModified":"2015-10-21T18:30:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"55527 http://ww2.kqed.org/stateofhealth/?p=55527","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/01/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it/","disqusTitle":"Why Latinos Aren't Taking the Anti-HIV Pill -- and Why They Should Consider It","nprByline":"Anna Gorman, Kaiser Health News","path":"/stateofhealth/55527/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>LOS ANGELES – Late on a Friday night at The New Jalisco Bar downtown, a drag show featuring dancers dressed in sequined leotards and feathered headdresses had drawn a crowd -- most of them gay Latino men.\u003c/p>\n\u003cp>Inside the bar and out, three health workers chatted with customers, casually asking questions: Do you know about the HIV prevention pill? Would you consider taking it? A few men said they had never heard of it. Others simply said it wasn’t for them.\u003c/p>\n\u003cp>“It hasn’t really hit the Latino community yet,” Jesse Hinostroza, an HIV prevention specialist with AltaMed health clinics, said while sitting at a table with a bowl of condoms and a stack of bilingual pamphlets about the pill. “They aren’t educated about it.”\u003c/p>\n\u003cp>In California, New York, Texas and elsewhere, health workers are trying to get more high-risk Latino men to use the drug, Truvada. The medication, which is used for “Pre-Exposure Prophylaxis” or PrEP, was approved by the FDA in 2012 for HIV prevention and has been shown to be more than 90 percent effective when used correctly. But health workers are encountering barriers among many Latinos.\u003c/p>\n\u003cp>Among them are a lack of knowledge about the drug and the stigma attached to sleeping with men or perceived promiscuity. Many Latinos also have concerns about costs and side effects.\u003c/p>\n\u003cfigure id=\"attachment_55529\" class=\"wp-caption aligncenter\" style=\"max-width: 1318px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\">\u003cimg class=\"size-full wp-image-55529\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png\" alt=\"AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \" width=\"1318\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM.png 1318w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-400x266.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-800x533.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-1180x786.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.40.15-PM-960x640.png 960w\" sizes=\"(max-width: 1318px) 100vw, 1318px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">AltaMed health clinics are conducting HIV prevention outreach at several Latino gay bars in the Los Angeles area. Latinos make up about 21 percent of new infections nationally, according to the U.S. Centers for Disease Control and Prevention. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Even for people who have heard about it, that makes them reluctant to use or hesitant to even inquire about it,” said Phillip Schnarrs, assistant professor of health promotion at the University of Texas at San Antonio and research director for the Austin PrEP Access Project.\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>Schnarrs, who is conducting a study with gay and bisexual Latino men in Texas, said 58 percent of those surveyed see themselves as good candidates for PrEP, compared to 82 percent of non-Hispanic whites, according to preliminary data.\u003c/p>\n\u003cp>In an ongoing study of 20 Latino gay couples in New York City, 37 of the 40 people had never heard about PrEP when interviewed last year, said Omar Martinez, assistant professor of social work at the Temple University College of Public Health.\u003c/p>\n\u003cp>Martinez said doctors and health workers need to focus on reaching young minority men at highest risk of getting HIV and transmitting it to others, including those who don’t regularly use condoms. “We need to do something,” he said. “And PrEP may be the solution.”\u003c/p>\n\u003cp>Latinos are disproportionately affected by HIV. They make up about 21 percent of new infections nationally, though they represented about 17 percent of the population, according to the U.S. Centers for Disease Control and Prevention. Latinos are also more likely than non-Hispanic whites and blacks to get diagnosed later in the course of their illness, raising the risks to their health and the likelihood of transmission to others.\u003c/p>\n\u003cfigure id=\"attachment_55530\" class=\"wp-caption aligncenter\" style=\"max-width: 1334px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\">\u003cimg class=\"size-full wp-image-55530\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png\" alt=\"In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA.\" width=\"1334\" height=\"596\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM.png 1334w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-400x179.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-800x357.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-1180x527.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.41.51-PM-960x429.png 960w\" sizes=\"(max-width: 1334px) 100vw, 1334px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">In Los Angeles, health workers are trying to get more high-risk Latino men to use the drug, Truvada. AltaMed Health Services offered free HIV tests at The New Jalisco Bar in downtown LA. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Latinos are less likely than non-Hispanic whites to be insured or have a regular doctor, although the Affordable Care Act has helped reduce that gap.\u003c/p>\n\u003cp>Truvada can cost up to $1,300 a month. Most insurance companies and Medicaid programs are covering at least part of that, and many local governments are also covering the pill for uninsured residents. But the high sticker price can dampen interest among patients.\u003c/p>\n\u003cp>Truvada, which blocks the virus from spreading in the body, is helping to significantly reduce new infections, said Robert Grant, a professor at UC San Francisco School of Medicine who leads research on PrEP’s effectiveness.\u003c/p>\n\u003cp>But the pill does not protect against other sexually transmitted diseases, requires daily use and can cause side effects in some patients, including kidney problems.\u003c/p>\n\u003cp>“It is a very valuable option, but it is only one option,” Grant said. “Condoms are still very important part of a sexual health strategy.”\u003c/p>\n\u003cp>As customers at the New Jalisco Bar danced to traditional Mexican music beneath a disco ball and rainbow lights, Jaime Cardenas conducted HIV tests in a mobile unit parked in front. Anyone who tested on the spot received a free drink coupon, courtesy of AltaMed and the bar.\u003c/p>\n\u003cp>One of the first to agree was Erik Quezada, a counselor at a Los Angeles high school.\u003c/p>\n\u003cp>Cardenas drew a few drops of blood from Erik Quezada’s finger for the rapid test. Within minutes, Cardenas gave him the good news: He didn’t have HIV. Cardenas quickly followed up with information about the HIV prevention pill.\u003c/p>\n\u003cp>“One way you can prevent yourself from acquiring HIV is by taking PrEP,” Cardenas said, offering to take down Quezada’s number so the clinic could call him later.\u003c/p>\n\u003cp>Quezada, 35, responded that he had heard it was like the birth control pill for gay people. He agreed to be contacted but quickly added, “I don’t know I would ever sign up for it.”\u003c/p>\n\u003cfigure id=\"attachment_55531\" class=\"wp-caption aligncenter\" style=\"max-width: 1328px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\">\u003cimg class=\"size-full wp-image-55531\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png\" alt=\"Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \" width=\"1328\" height=\"880\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM.png 1328w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-800x530.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-1180x782.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.04-PM-960x636.png 960w\" sizes=\"(max-width: 1328px) 100vw, 1328px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Erik Quezada, 35, says he has heard Truvada is like the birth-control pill for gay people. Quezada, a counselor at a Los Angeles high school, says he’s not sure he would sign up for it. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Others were even less interested. Jose Arriola, 25, a self-described “diva,” said he didn’t want to take any medication. “It’s better to use condoms,” he said, sitting by his boyfriend at the bar.\u003c/p>\n\u003cp>A short video produced by AltaMed played between acts. The video featured different Latino men getting dressed: a cowboy for a night out, a day laborer for work, a buff young man for the gym. Each took the HIV-prevention pill as part of their routine. At the end of each segment, one word popped up on the screen: listo, or ready.\u003c/p>\n\u003cp>“We are really trying to project the message that taking PrEP can be a normal part of your everyday life,” said Dr. Scott Kim, medical director of HIV Services for AltaMed, which runs more than 40 health clinics in Southern California.\u003c/p>\n\u003cp>That, he hopes, will reduce stigma. Kim said health workers need to be more creative in places like East Los Angeles, where many gay and bisexual Latinos are still in the closet and aren’t getting information through traditional health-care sources. Talking about PrEP at a doctor’s office may not be as effective as doing so on social media, by text message or in a bar, he said. “There are a lot of social obstacles and challenges we have to negotiate here because it’s harder to be out,” Kim said.\u003c/p>\n\u003cp>AltaMed’s efforts are being paid for by Gilead, the pharmaceutical company that makes Truvada. The goal of its $80,000 grant is to help 100 high-risk gay Latino men throughout Los Angeles County get prescriptions for PrEP. The grant pays for the outreach but does not cover the cost of the medication.\u003c/p>\n\u003cp>Since the project began late last month, about half a dozen patients have received prescriptions. Hinostroza of AltaMed said there is more interest and more knowledge in gay-friendly Hollywood and West Hollywood. “But for East Los Angeles, where we are, it’s a struggle,” she said.\u003c/p>\n\u003cp>Louis Arevalo, 27, is a college student and AltaMed patient who lives in Los Angeles. He said he decided to go on the medication last month after getting scared when a condom broke. He said he uses condoms regularly and gets HIV-tested every three months, but the medication is “an extra layer of protection.”\u003c/p>\n\u003cp>“I’m not as anxious anymore,” he said.\u003c/p>\n\u003cp>But Arevalo said he understands the stigma that might prevent others from taking the drug. For years, he said, he has hidden his boyfriends from his mother, an immigrant from El Salvador. Arevalo said her church pastor repeatedly has said that homosexuality is a sin. “It’s just part of the culture, and it’s the religion,” he said.\u003c/p>\n\u003cfigure id=\"attachment_55532\" class=\"wp-caption aligncenter\" style=\"max-width: 1324px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\">\u003cimg class=\"size-full wp-image-55532\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png\" alt=\"Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \" width=\"1324\" height=\"878\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM.png 1324w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-400x265.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-800x531.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-1180x783.png 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-01-at-9.42.17-PM-960x637.png 960w\" sizes=\"(max-width: 1324px) 100vw, 1324px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Louis Arevalo, 27, says he decided to go on the medication last month after getting scared when a condom broke. The college student from Los Angeles says he uses the pill as an extra layer of protection. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>AltaMed’s efforts are just one part of a larger effort to get the word out about Truvada. The nonprofit Latino Commission on AIDS, based in New York, also recently started a campaign in five cities —- Long Beach, Calif.; New York City; Chicago; Miami; and San Juan, Puerto Rico.\u003c/p>\n\u003cp>Gustavo Morales, the commission’s director of access to care services, said now is the time to educate people about PrEP -— lest too many people form negative opinions about it and health workers become “like salmon swimming against the current.”\u003c/p>\n\u003cp>Morales said patients aren’t the only ones who need more information. When he decided to go on PrEP late last year, he went to two different doctors who didn’t know about Truvada. A third asked him why he wanted to poison himself. Finally, he got a prescription from an HIV specialist.\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>“I was definitely disappointed,” said Morales. “There is a lot of work that still has to be done.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/55527/why-latinos-arent-taking-the-anti-hiv-pill-and-why-they-should-consider-it","authors":["byline_stateofhealth_55527"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_64","stateofhealth_320"],"featImg":"stateofhealth_55528","label":"stateofhealth"},"stateofhealth_52895":{"type":"posts","id":"stateofhealth_52895","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"52895","score":null,"sort":[1438016617000]},"guestAuthors":[],"slug":"transgender-women-face-inadequate-health-care-shocking-hiv-rates","title":"Transgender Women Face Inadequate Health Care, 'Shocking' HIV Rates","publishDate":1438016617,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Transgender people are not getting adequate health care, and widespread discrimination is largely to blame, according to a recent \u003ca href=\"http://apps.who.int/iris/bitstream/10665/179517/1/WHO_HIV_2015.17_eng.pdf?ua=1\" target=\"_blank\">World Health Organization report\u003c/a>. And the story is told most starkly in the high rates of HIV among transgender women worldwide.\u003c/p>\n\u003cp>\u003ca href=\"http://transhealth.ucsf.edu/trans?page=ab-keatley\" target=\"_blank\">JoAnne Keatley\u003c/a>, one of the authors of that study, puts it plainly.\u003c/p>\n\u003cp>\"Just shocking rates,\" she tells NPR's Arun Rath. \"There was a recent meta-analysis demonstrating that a transgender woman was 49 times as likely to be living with HIV [than the general population] in 15 countries in which data was looked at and analyzed.\"\u003c/p>\n\u003cp>Only 15 countries offered available, laboratory-confirmed data on HIV prevalence among transgender people — and no countries from Eastern Europe or Africa had released such information by the time the WHO report was compiled. Yet, in the available data, another number one stood out: Among sex workers, transgender women are nine times likelier to have HIV than their non-transgender counterparts.\u003c/p>\n\u003cp>Keatley, who is a transgender woman herself, works with the Center for Excellence for Transgender Health at UC San Francisco. And she explains that, behind the bleak statistics, widespread discrimination lurks at the root of this HIV prevalence.\u003c/p>\n\u003chr>\n\u003ch3>Interview Highlights\u003c/h3>\n\u003cp>\u003cstrong>On the ways that prejudice complicates how these HIV cases are treated\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It complicates things for health officials, but not as much as it complicates things for trans people themselves. Trans people are subjected to horrific rates of violence.\u003c/p>\n\u003cp>And we see this repeated all over the world. Transphobia is alive and well in many societies around the globe. And we see it play out in terms of verbal and physical violence, as well as denial of employment or education or familial support, or all kinds of ways in which transgender people are marginalized.\u003c/p>\n\u003cp>\u003cstrong>On the reasons why trans people are at more risk for HIV\u003c/strong>\u003c/p>\n\u003cp>I think a lot of it is stigma-driven. Trans people struggle in order to obtain identity documents that allow them to participate in the workforce. Many trans people are not able to obtain health coverage.\u003c/p>\n\u003cp>All of the ways in which we're denied opportunities to participate in a meaningful way in society then lead us to situations where there is additional risk-taking behavior. Often, for example, trans women have to rely on industries such as the sex work industry. And so that comes along with a lot of additional stigma from criminal justice.\u003c/p>\n\u003cp>What is driving the epidemic is really the refusal — I would say — of governments to pass legislation that allows them to function in society, and allows them to participate in the workplace.\u003c/p>\n\u003cp>\u003cstrong>On the prospects for improving HIV rates among transgender people\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>It's a daunting task. I think that it's not all bleak; I think we are making progress. For example, the recent publication of the World Health Organization policy brief, \u003ca href=\"http://www.who.int/hiv/pub/transgender/transgender-hiv-policy/en/\" target=\"_blank\">\"Transgender People and HIV,\"\u003c/a> which really is an attempt at educating health ministries and governments, so that health organizations will have some clarity around who the population is and what makes them distinct from other sexual and gender minorities.\u003c/p>\n\u003cdiv class=\"fullattribution\">\n\u003cp>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Transgender+Women+Face+Inadequate+Health+Care%2C+%27Shocking%27+HIV+Rates&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/p>\n\u003cp>\u003cstrong>Complete transcript :\u003c/strong>\u003c/p>\n\u003cp>ARUN RATH, HOST:\u003c/p>\n\u003cp>Transgender people are not getting adequate health care, and widespread discrimination is largely to blame. That's one of the findings of a recent World Health Organization report detailing alarming rates of HIV in transgender people worldwide. JoAnne Keatley is one of the report's authors.\u003c/p>\n\u003cp>JOANNE KEATLEY: We know that trans women are impacted by HIV and AIDS disproportionately - just shocking rates. There was a recent meta-analysis demonstrating that a transgender woman was 49 times as likely to be living with HIV in 15 countries in which data was looked at and analyzed. And so that data point was really quite shocking for us.\u003c/p>\n\u003cp>RATH: And obviously, transgender individuals face, in a lot of different places, not just prejudice, but violence for who they are. I have to imagine that must complicate things for health officials that are trying to get a handle on HIV cases globally.\u003c/p>\n\u003cp>KEATLEY: It complicates things for health officials, but not as much as it complicates things for trans people themselves. Trans people are subjected to horrific rates of violence. Transphobia is alive and well in many societies around the globe. And we see it play out in terms of physical and verbal violence, as well as denial of employment or education or, you know, familial support.\u003c/p>\n\u003cp>RATH: Can you run through some of the reasons why transgender individuals are at more risk for HIV?\u003c/p>\n\u003cp>KEATLEY: Well, I think a lot of it is stigma-driven. Trans people struggle in order to obtain identity documents that then allow them to participate in the workforce. Many trans people are not able to obtain health coverage. Often, trans women have to rely on industries such as the sex work industry, and so, you know, that comes along with a lot of additional kind of stigma from criminal justice. What is driving the epidemic is really the refusal, I would say, of governments to pass legislation that allows them to function in society and allows them to participate in the workplace.\u003c/p>\n\u003cp>RATH: I don't mean to sound pessimistic, but isn't that a rather tall order? If you need to improve fundamental conditions -- you know, basic rights -- for a group of people kind of across the board before HIV rates improve, that seems pretty difficult.\u003c/p>\n\u003cp>KEATLEY: Well, you're right. It's a daunting task. I think that it's not all bleak. I think we are making progress. For example, the recent publication of the World Health Organization policy brief \"Transgender People And HIV,\" which really is an attempt at educating health ministries and governments so that health organizations will have some clarity around who the population is and what makes them distinct from other sexual and gender minorities.\u003c/p>\n\u003cp>RATH: JoAnne Keatley of the University of California in San Francisco. She's one of the authors of the newly released World Health Organization report on high rates of HIV among transgender people worldwide. JoAnne, thanks very much.\u003c/p>\n\u003cp>KEATLEY: Thank you for having me.\u003c/p>\n\u003cp>Transcript provided by NPR, Copyright NPR.\u003c/p>\n\u003c/div>\n\n","blocks":[],"excerpt":"Trans women are 49 times more likely to have HIV than the general population, says a World Health Organization report.","status":"publish","parent":0,"modified":1438016617,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1040},"headData":{"title":"Transgender Women Face Inadequate Health Care, 'Shocking' HIV Rates | KQED","description":"Trans women are 49 times more likely to have HIV than the general population, says a World Health Organization report.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Transgender Women Face Inadequate Health Care, 'Shocking' HIV Rates","datePublished":"2015-07-27T17:03:37.000Z","dateModified":"2015-07-27T17:03:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"52895 http://ww2.kqed.org/stateofhealth/?p=52895","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/07/27/transgender-women-face-inadequate-health-care-shocking-hiv-rates/","disqusTitle":"Transgender Women Face Inadequate Health Care, 'Shocking' HIV Rates","nprByline":"NPR Staff","nprStoryId":"426492744","nprApiLink":"http://api.npr.org/query?id=426492744&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/2015/07/26/426492744/transgender-women-face-inadequate-health-care-shocking-hiv-rates?ft=nprml&f=426492744","nprRetrievedStory":"1","nprPubDate":"Sun, 26 Jul 2015 23:27:00 -0400","nprStoryDate":"Sun, 26 Jul 2015 17:13:00 -0400","nprLastModifiedDate":"Sun, 26 Jul 2015 23:27:39 -0400","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/07/20150726_atc_amid_diminished_outlets_for_help_hiv_rates_tower_among_transgender_women.mp3?orgId=1&topicId=1031&d=208&p=2&story=426492744&t=progseg&e=426434463&seg=5&ft=nprml&f=426492744","nprAudioM3u":"http://api.npr.org/m3u/1426509248-58cd55.m3u?orgId=1&topicId=1031&d=208&p=2&story=426492744&t=progseg&e=426434463&seg=5&ft=nprml&f=426492744","path":"/stateofhealth/52895/transgender-women-face-inadequate-health-care-shocking-hiv-rates","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/atc/2015/07/20150726_atc_amid_diminished_outlets_for_help_hiv_rates_tower_among_transgender_women.mp3?orgId=1&topicId=1031&d=208&p=2&story=426492744&t=progseg&e=426434463&seg=5&ft=nprml&f=426492744","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Transgender people are not getting adequate health care, and widespread discrimination is largely to blame, according to a recent \u003ca href=\"http://apps.who.int/iris/bitstream/10665/179517/1/WHO_HIV_2015.17_eng.pdf?ua=1\" target=\"_blank\">World Health Organization report\u003c/a>. And the story is told most starkly in the high rates of HIV among transgender women worldwide.\u003c/p>\n\u003cp>\u003ca href=\"http://transhealth.ucsf.edu/trans?page=ab-keatley\" target=\"_blank\">JoAnne Keatley\u003c/a>, one of the authors of that study, puts it plainly.\u003c/p>\n\u003cp>\"Just shocking rates,\" she tells NPR's Arun Rath. \"There was a recent meta-analysis demonstrating that a transgender woman was 49 times as likely to be living with HIV [than the general population] in 15 countries in which data was looked at and analyzed.\"\u003c/p>\n\u003cp>Only 15 countries offered available, laboratory-confirmed data on HIV prevalence among transgender people — and no countries from Eastern Europe or Africa had released such information by the time the WHO report was compiled. Yet, in the available data, another number one stood out: Among sex workers, transgender women are nine times likelier to have HIV than their non-transgender counterparts.\u003c/p>\n\u003cp>Keatley, who is a transgender woman herself, works with the Center for Excellence for Transgender Health at UC San Francisco. And she explains that, behind the bleak statistics, widespread discrimination lurks at the root of this HIV prevalence.\u003c/p>\n\u003chr>\n\u003ch3>Interview Highlights\u003c/h3>\n\u003cp>\u003cstrong>On the ways that prejudice complicates how these HIV cases are treated\u003c/strong>\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>It complicates things for health officials, but not as much as it complicates things for trans people themselves. Trans people are subjected to horrific rates of violence.\u003c/p>\n\u003cp>And we see this repeated all over the world. Transphobia is alive and well in many societies around the globe. And we see it play out in terms of verbal and physical violence, as well as denial of employment or education or familial support, or all kinds of ways in which transgender people are marginalized.\u003c/p>\n\u003cp>\u003cstrong>On the reasons why trans people are at more risk for HIV\u003c/strong>\u003c/p>\n\u003cp>I think a lot of it is stigma-driven. Trans people struggle in order to obtain identity documents that allow them to participate in the workforce. Many trans people are not able to obtain health coverage.\u003c/p>\n\u003cp>All of the ways in which we're denied opportunities to participate in a meaningful way in society then lead us to situations where there is additional risk-taking behavior. Often, for example, trans women have to rely on industries such as the sex work industry. And so that comes along with a lot of additional stigma from criminal justice.\u003c/p>\n\u003cp>What is driving the epidemic is really the refusal — I would say — of governments to pass legislation that allows them to function in society, and allows them to participate in the workplace.\u003c/p>\n\u003cp>\u003cstrong>On the prospects for improving HIV rates among transgender people\u003c/strong>\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>It's a daunting task. I think that it's not all bleak; I think we are making progress. For example, the recent publication of the World Health Organization policy brief, \u003ca href=\"http://www.who.int/hiv/pub/transgender/transgender-hiv-policy/en/\" target=\"_blank\">\"Transgender People and HIV,\"\u003c/a> which really is an attempt at educating health ministries and governments, so that health organizations will have some clarity around who the population is and what makes them distinct from other sexual and gender minorities.\u003c/p>\n\u003cdiv class=\"fullattribution\">\n\u003cp>Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Transgender+Women+Face+Inadequate+Health+Care%2C+%27Shocking%27+HIV+Rates&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/p>\n\u003cp>\u003cstrong>Complete transcript :\u003c/strong>\u003c/p>\n\u003cp>ARUN RATH, HOST:\u003c/p>\n\u003cp>Transgender people are not getting adequate health care, and widespread discrimination is largely to blame. That's one of the findings of a recent World Health Organization report detailing alarming rates of HIV in transgender people worldwide. JoAnne Keatley is one of the report's authors.\u003c/p>\n\u003cp>JOANNE KEATLEY: We know that trans women are impacted by HIV and AIDS disproportionately - just shocking rates. There was a recent meta-analysis demonstrating that a transgender woman was 49 times as likely to be living with HIV in 15 countries in which data was looked at and analyzed. And so that data point was really quite shocking for us.\u003c/p>\n\u003cp>RATH: And obviously, transgender individuals face, in a lot of different places, not just prejudice, but violence for who they are. I have to imagine that must complicate things for health officials that are trying to get a handle on HIV cases globally.\u003c/p>\n\u003cp>KEATLEY: It complicates things for health officials, but not as much as it complicates things for trans people themselves. Trans people are subjected to horrific rates of violence. Transphobia is alive and well in many societies around the globe. And we see it play out in terms of physical and verbal violence, as well as denial of employment or education or, you know, familial support.\u003c/p>\n\u003cp>RATH: Can you run through some of the reasons why transgender individuals are at more risk for HIV?\u003c/p>\n\u003cp>KEATLEY: Well, I think a lot of it is stigma-driven. Trans people struggle in order to obtain identity documents that then allow them to participate in the workforce. Many trans people are not able to obtain health coverage. Often, trans women have to rely on industries such as the sex work industry, and so, you know, that comes along with a lot of additional kind of stigma from criminal justice. What is driving the epidemic is really the refusal, I would say, of governments to pass legislation that allows them to function in society and allows them to participate in the workplace.\u003c/p>\n\u003cp>RATH: I don't mean to sound pessimistic, but isn't that a rather tall order? If you need to improve fundamental conditions -- you know, basic rights -- for a group of people kind of across the board before HIV rates improve, that seems pretty difficult.\u003c/p>\n\u003cp>KEATLEY: Well, you're right. It's a daunting task. I think that it's not all bleak. I think we are making progress. For example, the recent publication of the World Health Organization policy brief \"Transgender People And HIV,\" which really is an attempt at educating health ministries and governments so that health organizations will have some clarity around who the population is and what makes them distinct from other sexual and gender minorities.\u003c/p>\n\u003cp>RATH: JoAnne Keatley of the University of California in San Francisco. She's one of the authors of the newly released World Health Organization report on high rates of HIV among transgender people worldwide. JoAnne, thanks very much.\u003c/p>\n\u003cp>KEATLEY: Thank you for having me.\u003c/p>\n\u003cp>Transcript provided by NPR, Copyright NPR.\u003c/p>\n\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/52895/transgender-women-face-inadequate-health-care-shocking-hiv-rates","authors":["byline_stateofhealth_52895"],"categories":["stateofhealth_11"],"tags":["stateofhealth_64","stateofhealth_783"],"featImg":"stateofhealth_52896","label":"stateofhealth"}},"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. 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