Ending the HIV Epidemic in the U.S.

40 million people worldwide were living with HIV in 2024

HIV AIDSOn the HIV.gov page is What Is Ending the HIV Epidemic in the U.S.? (EHE) “The initiative aims to substantially reduce HIV infections in the U.S. by focusing resources in the 57 jurisdictions where they’re needed most. It does that by scaling up four science-based strategies: diagnose, treat, prevent, and respond…. The bold plan… aims to end the HIV epidemic in the United States by 2030.”

Here are some statistics. “Approximately 1.2 million people in the U.S. have HIV. About 13 percent of them don’t know it and need testing…

“According to the latest estimates from the Centers for Disease Control and Prevention (CDC), approximately 31,800 people acquired HIV in the United States in 2022. Annual infections in the U.S. have been reduced by more than two-thirds since the height of the epidemic in the mid-1980s. Further, CDC estimates of annual HIV infections in the United States show hopeful signs of progress in recent years.

“The decline [in new infections] was driven by a 30% decrease among young people aged 13-24 years. Increases in pre-exposure prophylaxis (PrEP) prescriptions, viral suppression, and HIV testing likely contributed to the decline.”

Worldwide 

In 2024, a “report from UNAIDS showed that the world is at a critical moment that will determine whether world leaders meet their commitment to end AIDS as a public health threat by 2030. The report, The Urgency of Now: AIDS at a Crossroads, brings together new data and case studies which demonstrate that the decisions and policy choices taken by world leaders this year will decide the fate of millions of lives and whether the world’s deadliest pandemic is overcome.” 

Worldwide, approximately 40 million people were living with HIV in 2024. Over a million people became newly infected with HIV that year, and over half a million people died from AIDS-related illnesses.

Since the start of the epidemic, more than 75 million people have become infected with HIV, and more than 40 million people have died from AIDS-related illnesses, including my high school friend Vito.

Not “over”

I point this out periodically because occasionally, I run into comments suggesting that HIV/AIDS is “over.” It certainly isn’t the death sentence that it was when first defined in the 1980s.  New HIV infections have been reduced by 61% since the peak in 1996, while AIDS-related deaths have decreased by 70% since the peak in 2004.

In July, my old buddy Amy Barlow Liberatore, a/k/a Sharp Little Pencil, posted a song she wrote years ago for World AIDS Day, in memory of her dear friend Jeff French. It’s called “The Day I Saw an Angel Fly.” 

I’m reminded that this is the 35th anniversary of the album Red Hot + Blue: A Tribute To Cole Porter, which “raised nearly $1m for the activist group ACT UP. It was the first of a series of compilations designed to fight the scourge of HIV/AIDS. You can hear the album here; I was and am very fond of it. 

December 1st

among other things, vote

Every December 1, I’m torn about what to write. Item #1: It’s World AIDS Day. “This year’s theme is “World AIDS Day 35: Remember and Commit.” This annual event serves as a reminder of the global struggle to end HIV-related stigma, an opportunity to honor those we have lost, and a rallying cry to commit to working toward a day when HIV is no longer a public health threat.

In the national goal of ending the HIV epidemic by 2030, GLAAD “noted an alarming generation gap. Gen Z, the youngest generation in population surveys, is the most diverse and most out LGBTQ generation in history. According to our study, Gen Z is also the least knowledgeable about HIV.” Ignorance is NOT bliss.

Wyoming

Here’s a JEOPARDY clue:

#8974, aired 2023-11-16 THE NAME OF THE LAW $1600: The Hate Crimes Prevention Act of 2009 was named for James Byrd Jr. & this Casper, Wyoming man

The $1,600 clue was a Triple Stumper, with no one even ringing in to say the name of Matthew Shepard, born on December 1, 1976, whose brutal death in Wyoming in 1998 because he was gay I mentioned here and elsewhere.

(In case you’ve forgotten Byrd, he was the black man “who was tied to a truck by two white supremacists and a third man who had no racist background, dragged behind it, and decapitated in Jasper, Texas” in the same year.”)

It only took a decade and a black President to enact the bill.

Per Wikipedia:

“The measure expands the 1969 United States federal hate-crime law to include crimes motivated by a victim’s actual or perceived gender, sexual orientation, gender identity, or disability.

“The bill also:

  • Removes, in the case of hate crimes related to the race, color, religion, or national origin of the victim, the prerequisite that the victim be engaging in a federally protected activity, like voting or going to school;
  • Gives federal authorities greater ability to engage in hate crime investigations that local authorities choose not to pursue;
  • Provides $5 million per year in funding for fiscal years 2010 through 2012 to help state and local agencies pay for investigating and prosecuting hate crimes;
  • Requires the Federal Bureau of Investigation (FBI) to track statistics on hate crimes based on gender and gender identity (statistics for the other groups were already tracked).”
Sister Rosa

The other December 1st recollection involves Rosa Parks being arrested on a Montgomery city bus in 1955 for failing to cede her seat to a white man.

As I noted back in 2010, Rosa was hardly the first person unwilling to give up her bus seat. Claudette Colvin had done the same nine months earlier, but she was young, loud, and brash.

What got me thinking about this was a new movie about Bayard Rustin, which I have not yet seen. He was the most important civil rights organizer that most people never heard of. It was his study of Gandhian nonviolence that informed much of Martin Luther King, Jr.’s strategies.    He was also instrumental in forming the Southern Christian Leadership Conference and organized the 1963 March on Washington for Jobs and Freedom.

You probably didn’t know him because he was gay at a time when, at best, it was inconvenient to the civil rights movement. At worst, he could have been jailed.

This makes me think about how well we marginalize folks who either don’t fit a particular narrative or else we cast aspersions on them to make them less than.

Alternative narratives

The defense in the Shepard case suggested that his ruthless murder was just a drug purchase gone wrong.

Many high-profile murder of a black person while dealing with law enforcement since the Black Lives Matter movement began has involved the victims painted as criminals. George Floyd allegedly passed a counterfeit $20 bill. Philando Castile was stopped for a traffic violation. Eric Gardner was selling loose cigarettes. And so on.

So, December 1st often fills me with hope. The Civil Rights Act of 1964 and the Voting Rights Act of 1965 wouldn’t have happened if Martin Luther King Jr. and MANY others hadn’t used the Montgomery bus boycott as a launching pad for another phase of the Civil Rights movement.

December 1st shows how marriage equality, from Loving v. Virginia (1967) to Obergefell v. Hodges  (2015) can take place.

But I have no illusion that these hard-won victories can’t be rolled back. Since Shelby County v.  Holder, when SCOTUS gutted the Voting Right Act, the “Brennan Center has consistently found that states previously covered by the preclearance requirement have engaged in significant efforts to disenfranchise voters.”

Books being banned and challenged usually highlight black people, brown people, gay people, trans people… you get the drift.

My Christmas wish is for people to register and vote, not just in presidential years. Folks should be voting in school and library board selections, city and town council races, state and county legislative contests, etc. If possible, get involved in campaigns. Or – if you’re brave enough, and in this social media environment, it is brave – run yourself.

Ending AIDS, racism: world falling short

Rosa refuses to stand; AIDS continues

cdc-hiv-race
https://www.cdc.gov/hiv/group/racialethnic/africanamericans/index.html New HIV Diagnoses in the US and Dependent Areas, 2018

Back in July 2020, I came across this article. “Ending AIDS: World Will Fall Short of 2020 Targets.” It noted that the “COVID-19 pandemic [is] on track to blow HIV progress off course, experts say

“The 2020 targets set by UNAIDS to control global HIV infection will not be met with ‘COVID-19 risks blowing HIV progress way off course,’ officials reported.

“According to the 2020 Global AIDS Update, 1.7 million people worldwide were newly infected in 2019 with HIV.” The target for this year was 500,000 “for 2020, according to the report at the International AIDS Conference virtual meeting.”

But on this World AIDS Day, don’t blame it all on the pandemic. “Our progress towards ending AIDS as a public health threat by 2030 was already off track before the COVID-19 outbreak.”

Three score and five

Meanwhile, it’s been 65 years since Rosa Parks refused to yield her seat in Montgomery, AL. The problems with the perception of the Civil Rights era of the 1950s and ’60s are several. For one, it seems to have been oversimplified. Rosa sat, Martin spoke and justice was won.

The push for equality started much earlier and remains necessary to this day. Why it took George Floyd’s death for a bunch of people to figure that out I’m sure some sociologists are analyzing.

Surely, we know about the perils of jogging while black or sleeping while black.

But it’s the everyday things that I find troubling. This story of a racist Pennsylvania judge resigning right before his own misconduct trial was set to begin happened to be in my feed. There are far too many examples to note.

About three and a half years ago, there was this blog post by a local author called “Why so many blacks in ads?” Knowing vaguely the guy who wrote it – he’s thrilled that IMPOTUS is going – I think the query was naive but not malicious. But the responses were, for the most part, virulent. Over 300 comments, 10% in 2020. There is a lot of use of the N-word.

Interestingly, the complaints aren’t all from the US. “My father fought in wwll for white British people this is our country and feel we are getting pushed out by black people ..their are to many black people in adverts.” It’s so comforting that racism and bad grammar are international.

The point is…

We ain’t there yet. We still need to work to eradicate these scourges. And, as you can see in the graphic from 2018, there is a relationship between race (systemic racism?) and HIV. AIDS is defeatable. And racism… well, I’m not so sure, but we need to keep on trying.

2019: significant anniversary for HIV/AIDS

The virus is still very much around.

what is HIVBecause some folks seem to believe that HIV/AIDS is cured, some statistics:

In 2018 (the latest data available)…
37.9 million [32.7 million–44.0 million] people globally were living with HIV.
23.3 million [20.5 million–24.3 million] people were accessing antiretroviral therapy.
1.7 million [1.4 million–2.3 million] people became newly infected with HIV.
770 000 [570 000–1.1 million] people died from AIDS-related illnesses.

In the United States, “approximately 1.1 million people… are living with HIV today. About 15 percent of them (1 in 7) are unaware they are infected. An estimated 38,700 Americans became newly infected with HIV in 2016.”

An article in US News notes that 2019 is a significant anniversary. “HIV and AIDS have been part of the world’s consciousness for 40 years now. In 1979 and 1980, doctors in Los Angeles and New York were suddenly reporting rare types of pneumonia, cancer, and other illnesses…

“Today, AIDS is fairly well controlled – in developed countries anyway. But the virus, which actually has been infecting humans since at least 1959, and perhaps since the late 1940s, according to the AIDS Institute, is still very much around.”

Why do nearly 1000 girls and young women contract HIV every day?

PrEP

A couple years back, there was a presentation at my church about Pre-exposure prophylaxis (or PrEP). It is “a way for people who do not have HIV but who are at very high risk of getting HIV to prevent HIV infection by taking a pill every day.

“The pill (brand name Truvada)” – which is advertised on American television – “contains two medicines (tenofovir and emtricitabine). [They are] used in combination with other medicines to treat the disease. When someone is exposed to HIV through sex or injection drug use, these medicines can work to keep the virus from establishing a permanent infection.”

Here’s what the US budget in fighting HIV/AIDS has looked like in the past decade or so.

I was happy to get to “know” Ruth, an HIV survivor, who is nursing others in Sierra Leone with the disease.

From April 2018 in the NYT magazine: Those we lost to the AIDS epidemic. Someone posted on Facebook recently six actors we lost prematurely. I DO remember two of the performers, Merritt Butrick and Tom Villard.

And Pedro Zamora died 25 years ago, hours after Real World San Francisco ended. Yes, I did watch that season.

The Library of Congress will house the archives of the famous AIDS quilt

July rambling #3: Everybody Knows

His affinity for intrigue often landed him in difficult situations, yet he always managed to extricate himself, usually leaving an innocent bystander as his victim.

From MAD via Vanity Fair

“I think I speak for a great number of Americans, in and out of government, when I say: One normal day. Is that too much to ask?” – Charles Pierce in Esquire, July 26, 2017

The Darkness and the Rot

This is the most clueless, incompetent, self-defeating and weakest, most chaotic, toxic, confusing administration in American history

A new interview reveals his ignorance to be surprisingly wide-ranging

The fact that we’re even talking about it is a measure of how far we’ve fallen

The NATIONAL REVIEW! Death of a Failing Salesman

Boy Scouts president has 85 billion reasons to excuse wildly inappropriate Jamboree speech; the Scouts apologize; cf President Obama Addresses 2010 Boy Scout Jamboree

An open letter from the father of a transgender soldier; BTW, Transgender Troops Fight for Israel, 17 Other Nations

Fatherly Advice to Eric and Don Jr.

Scaramouche – an unscrupulous and unreliable servant. His affinity for intrigue often landed him in difficult situations, yet he always managed to extricate himself, usually leaving an innocent bystander as his victim. Also – He was often beaten by Harlequin for his boasting and cowardice; The Mooch did his homework

“Nobody is standing on the rooftops begging for dirty water, dirty air, dirty soil, and those sorts of things.” – Rep. Mark Amodei (R-Nevada) to EPA Administrator Scott Pruitt (start at 1:42:00)

Wilbur Ross’ fishing ruling could harm conservation

Take Me To Your Leader

Here are the women who saved healthcare

This Is How Your Fear and Outrage Are Being Sold for Profit

HIV epidemic fight needs black church

Poverty is like a monster, sucking the life out of you

A Death Row Convict’s Final Words Set Two Innocent Men Free

Sperm counts continue to plummet in Western nations

Risks of Harm from Spanking Confirmed by Analysis of Five Decades of Research

The Surprising Truth About The Silent Treatment

Walking Myrtle Ave, end to end (Albany, NY)

Please Stop Saying These Ridiculous Phrases. I’d add “game changer” as a phrase I’ve tired of

A Very Awkward Breakup

The value of theatrical talk-backs

June Foray, RIP, the premier female voice talent of her era

RIP Flo Steinberg, Marvel’s ‘Fabulous Flo’

The 10-game winning streak that ignited Red Sox Nation

8 Things I Hate About HGTV

These Are Not School Supplies…

Tony Chapek, an original magic act

Many people can’t tell when photos are fake

MUSIC

Dancing Queen – ABBA. The Wife and I saw Mamma Mia at Capital Rep this month and liked it WAY more than the Times Union reviewer. And QE2 allegedly said, “I always try to dance when this song comes on because I am the queen, and I like to dance.”

Everybody Knows – Stephen Stills and Judy Collins

Coverville 1178: Roger McGuinn and The Byrds Cover Story

Mahler Symphony No. 1

K-Chuck Radio: You really needed to edit THAT song?

Can’t Prog Rock Get Any Respect Around Here?

Die Young – Sylvan Esso

A crowd of 65,000 sings ‘Bohemian Rhapsody’ while waiting for a Green Day concert

Ave Maria – Maria Callas

10 Best Guest Performances on Beatles Records

The 150 Greatest Albums Made By Women. I have 50 of them

Ramblin' with Roger
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