Unprotected sex among gay men on the rise

From the Boston Globe

Federal health officials are reporting a sharp increase in unprotected sex among gay American men over the last decade, a development that makes it harder to fight the AIDS epidemic. The same trend has recently been documented among gay men in Canada, Britain, the Netherlands, France, and Australia, heightening concerns among public health officials worldwide.

According to the Centers for Disease Control and Prevention, the number of men who told federal health investigators that they had had unprotected anal sex in the last year rose nearly 20 percent from 2005 to 2011. In the 2011 survey, unprotected sex was more than twice as common among men who said they did not know whether they were infected with HIV.

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Gay men should be tested for Hepatitis C

 (Co-founder, GMHC; author, ‘We Must Love One Another or Die: The Life and Legacies of Larry Kramer’) writes on the Huffington Post…

Hepatitis C is the most common blood-borne infection in the U.S., and one of the most common worldwide. One in 50 Americans is infected. It accounts for more than 50 percent of all cases of end-stage liver disease and 50 percent of cases of liver cancer, and it is the reason for more than 50 percent of liver transplants. Yet it remains severely underdiagnosed. It’s estimated that upwards of 75 percent of those infected remain untested and undiagnosed, as compared with 25 percent of those with HIV. More people now die from hepatitis C than from HIV.

Those of us who struggled through the early period of AIDS understand the meaning of “Silence = Death,” the motto used by the AIDS activist organization ACT UP. So when hepatitis C began to emerge among MSM (men who have sex with men), the silence that ensued seemed eerily familiar. When I first started reporting on hepatitis C in gay men nearly a generation ago, the disease was already being called “the stealth epidemic,” in part because of the typically long, silent progression of the disease in its chronic form, sometimes taking 20 to 30 years from acute infection to cirrhosis of the liver, but also because of the public silence about it. If people had the disease, they mostly didn’t know it, and if they did have it and did know it, they didn’t go public with it. Nor did those with the disease often seek treatment, which had the reputation of being prolonged, difficult and of mixed efficacy. Since the principal risk group for the disease was injection drug users, the public wasn’t exactly clamoring to know more or be more involved.

Continue reading on the Huffington Post.

ACT UP commits to reinvigorate the national prevention agenda

From TheBody.com (written by ACT UP members  James Krellenstein and Jim Eigo)…

ACT UP commits to reinvigorate the national prevention agendaBefore Hillary Clinton stepped down as secretary of state, she presided over the official November 29, 2012, release of a Blueprint for an AIDS-Free Generation. With a trumpeter on the inside front cover, the 64-page document declared that the world was about to enter the third and final phase of the war against HIV infection. After AIDS as a full-scale plague, and AIDS as a manageable disease, we now had within our sites the elimination of symptomatic HIV. Twenty days later, however, another arm of the U.S. government released another document. Some news it contained struck a discordant note with Secretary Clinton’s battle cry. After reading it, many wondered if we hadn’t somehow traveled back to the dark early years of the epidemic.

According to U.S. Centers for Disease Control and Prevention (CDC) incidence estimates released on December 19, men who have sex with men (MSM; a category that includes transgender women), comprising less than two percent of the population, accounted for 66 percent of the 47,600 new HIV infections in 2010. Between 2008 and 2010, new infections rose 12 percent for all MSM and 22 percent for young MSM. Some subpopulations were at substantially higher risk: an African American man who had sex with men was six times likelier to acquire HIV infection than his white counterpart.

Spurred by news of the sharp upward trend of new infections, a core of grassroots activists of differing ages, sexes, orientations, colors, and serostatus began working on prevention issues for ACT UP/NY — they include the authors. Though the CDC numbers told of a prevention emergency, few in New York’s gay communities — from the rank-and-file to the top echelons of Gay, Inc. — seemed to realize what was going on. HIV was something that the community had taken care of back around 1997, wasn’t it? Effective antiretroviral therapy (ART) has made HIV manageable for most who have access to the drugs. For many younger men, AIDS was a disease — and a political cause — of the 1980s. Yet the successful treatment of HIV requires that strong drugs be taken over a lifetime. And those most likely to become infected — young, queer, and of color — are among the least likely to receive care, or even to know they’re infected.

Keep reading on TheBody.com.

“Speak Out: Let’s Bring HIV Out of the Closet”

From the Website Edge in Boston…

The signs are hard to miss. Exit a Muni train at the Castro station, and the wall-sized posters are greeting you as the doors slide open. The message – it is time to start talking about HIV and AIDS. Or, as Vincent Fuqua, program coordinator for the San Francisco Department of Public Health put it, “find our voice again.”

“As long as people are still becoming infected with HIV, as long as people are still HIV-positive,” Fuqua said, “it’s still a part of us.”

The Department of Public Health, along with the national Greater Than AIDS initiative and the Kaiser Family Foundation, recently introduced Speak Out: Let’s Bring HIV Out of the Closet, a social marketing campaign aimed at encouraging men not only to get tested for HIV regularly, but also to speak openly about their status and the disease in general, as a way to remove some of the stigma within the community associated with being HIV-positive.

“We understand that there’s been a lot of strides in the gay community, which is incredible. The thing is, though, HIV is still a big part of our community as well. So we wanted to make sure people don’t forget that,” Fuqua said.

The campaign was introduced October 10 at Blush Wine Bar in the Castro. It will extend to other cities next year.

Continue reading here.

First couples HIV prevention strategy for gay men to roll out in major cities

NEW YORK, NY–(Marketwired – Oct 17, 2013) – Today, Emory University’s Rollins School of Public Health announced that it is transitioning management of a valuable, new HIV training program to the Centers for Disease Control and Prevention (CDC). Brought to life with funding from the MAC AIDS Fund and modeled after a successful HIV testing program in Africa, the training prepares local HIV/AIDS organizations and health departments to deliver the first-ever couples HIV testing and counseling service in the United States for gay, bisexual, and other men who have sex with men. The new service — called “Testing Together” — enables male couples to learn their HIV status together and develop a customized HIV prevention and care strategy at no charge in most locations. After the transition, CDC will roll out the training — which has been successfully piloted in several major U.S. cities — to organizations across the country.

“Most HIV prevention programs focus on individuals or groups of gay men when, in fact, most new HIV infections come from main partners in a relationship. Our ‘Testing Together’ program is the first HIV testing service geared specifically toward meeting the needs of male couples,” said Patrick Sullivan, DVM, PhD and Professor at Emory University’s Rollins School of Public Health. “We’re happy that our collaboration with CDC is bringing this program to more HIV organizations in major cities throughout the nation. Bringing this service to scale for male couples was made possible by the generous support of the MAC AIDS Fund.”

In 2009, Sullivan and his colleagues at CDC conducted research that estimated one-to two-thirds of new HIV infections came from main partners among gay couples. Follow-up research, supported by the National Institutes of Health (NIH) and conducted by Emory University, found that a significant number of men in longer-term relationships were unaware of their partner’s HIV status. In fact, many gay men in relationships believed that they were less at risk for HIV and were therefore less likely to have been recently tested for HIV. NIH-supported research showed that providing HIV testing for male couples was promising, but bringing this new service to men beyond the initial study in Atlanta would be a challenge.

To encourage awareness and combat a growing rate of new HIV infections among gay men in the United States, Emory engaged the MAC AIDS Fund in March 2011 to provide startup funding to pilot the innovative “Testing Together” program in Atlanta, Chicago, Boston, San Diego and Seattle. Designed to prevent new infections and improve linkage to care, the program trains HIV community-support organizations in testing and counseling skills specifically for gay couples, including ways to cope with an HIV-positive status, maintain safer behaviors between partners and help navigate treatment when one or both partners is found to be HIV-positive.

“Even with the game changing strides made in AIDS treatment as a means of preventing HIV, we cannot end the epidemic without equally powerful breakthroughs in HIV behavioral prevention for people heavily affected by HIV like gay and bisexual men,” said Nancy Mahon, global executive director of the MAC AIDS Fund. “For this reason, the MAC AIDS Fund will continue to invest in innovative and effective initiatives like Emory’s ‘Testing Together’ program, and we are so gratified that the CDC will be bringing this program to scale to reach more people nationwide.”

Following Emory’s successful pilot program, CDC became interested in taking over the “Testing Together” program and expanding training for additional, major cities with high HIV prevalence in the United States. Emory University remains engaged in supporting training and technical assistance through its collaboration with CDC. To date, more than 300 HIV counselors have been trained at 73 testing sites in 21 cities, and more than 450 gay couples have learned their HIV status together. As a result, more than 8 percent of men tested were HIV-positive with at least 10 percent in previously undiagnosed discordant relationships where one partner is HIV positive and the other is not.

As a result of the multi-sectoral collaboration between Emory, MAC AIDS Fund and CDC, “Testing Together” will be rolling out in major cities in the U.S. to bring the first HIV testing service to male couples. In preparation for the transition, CDC has initiated partnerships with more than 18 key cities to date and will continue to build capacity at health departments and with the nation’s public health workforce to implement this training. In the future, “Testing Together” will be adapted for use with other types of couples as well. To learn more, visit the new Couples HIV Testing and Counseling section on the CDC’s Effective Interventions website or find a testing and counseling center offering couples testing at TestingTogether.org.

Read more

Latino group aims to stop stigma associated with HIV and AIDS

From the CBS affiliate in Philadelphia…

PHILADELPHIA (CBS) – With the AIDS Walk Philly just days away, a queer Latino group is carrying out a new campaign to stop the stigma associated with HIV and AIDS in North Philadelphia. Latinos make more than 13-percent of new HIV cases and, according to statistics, they are less likely to get tested. Experts believe the stigma of having HIV could discourage early testing. So “Positivo” is all about transforming negative attitudes about having HIV into positive.

“We kept hearing Latinos are homophobic, there’s more stigma in the Latino community,” says Elicia Gonzales, executive director of GALAEI. “But that’s not true.” Gonzales says the GALAEI conducted a small survey of about 100 people showing that Latinos are accepting of family members and friends who are gay, as well as those with a known HIV status. So she says they launched Positivo to help dispel the myth. The campaign includes positive images of Latinos from the neighborhood saying what’s positive about knowing your HIV state. “We canvassed in as many parts of North Philly as we could,” says Nikki Lopez, youth counselor at GALAEI. “We really wanted to integrate the images into the communities themselves, especially in areas that do not have the resources we have downtown.”

The group also started a social media campaign on Twitter, Instagram and Facebook with the hashtags #PositivoPhilly and #GALAEIPhilly. The group says Positivo is the first campaign of its kind.

Read the full article on CBS Philly. For more info on Positivo or on how to share your story, visit: www.GALAEI.org.

LGBT groups assist with “Obamacare”

From the Washington Blade

At least seven D.C.-based LGBT or LGBT-friendly organizations sprang into action on Tuesday to help members of the LGBT community and people with HIV choose a health insurance plan under the controversial U.S. Affordable Care Act that’s better known as “Obamacare.” Similar to reports surfacing from across the country, officials from the local groups said some of their clients encountered computer glitches on the website for D.C. Health Link, the city’s online health insurance marketplace or “exchange” on its first day of operations on Tuesday.

But all of the officials contacted by the Blade said they were optimistic that the exchange program in D.C. and those in neighboring Maryland and Virginia would soon be operating smoothly and would be an important resource for LGBT people looking for health insurance. “I’m excited about it,” said Ron Simmons, executive director of the D.C.-based Us Helping Us, an HIV services organization that reaches out to black gay men. “We have so many clients who don’t have health insurance,” Simmons said. “If you are HIV positive you need a certain type of insurance, and we are ready to help people choose the best policy suited for their needs.”

Read the full article on the Washington Blade.

New primary care practice in Pennsylvania catering to the LGBT community

new practice in PAFrom lehighvalleylive.com

Bethlehem resident Allen Smith was in his 40s before he felt comfortable telling his doctor he was gay. And when he worked for 10 years at Lehigh Valley Health Network’s AIDS Activities Office in Allentown, most of the patients he saw also lacked primary care physicians they were open with. It’s a trend Smith hopes to help end. After working for more than three years, he’s opened a primary care practice in Bethlehem especially to provide medical care for lesbian, gay, bisexual and transgender people.

Smith’s Novus Adult Care Services is the third primary care practice in Pennsylvania catering to the LGBT community, Equality Pennsylvania President Adrian Shankersaid. A U.S. Centers for Disease Control and Prevention listing shows only 13 such practices nationwide. “With any underserved population, sometimes there are needs that aren’t met by general practice health centers,” said Shanker, a Bethlehem resident. “It’s important for people to see a doctor you feel comfortable being out with.”

In addition to serving as a medical office where patients feel comfortable disclosing their sexuality, LGBT specialty providers also are better versed in health concerns specific to the community, including HIV and AIDS and transgender issues, Smith said.

Read the full article on lehighvalleylive.com

Activists campaign for better access to HIV “morning after pill”

From the Guardian.com

Two years ago, James Krellenstein had unprotected sex. Luckily, the 22-year-old knew exactly what to do. The next day, he took a train from his parents’ house on Long Island to see a doctor at Bellevue Hospital inNew York City. The doctor prescribed James PEP – a strong combination of drugs usually prescribed for people who already have HIV. Months later, Krellenstein found out his partner from that night was indeed HIV-positive. But James remained negative. PEP’s little-known effectiveness in preventing the virus taking hold in someone’s body has led it to be dubbed the “morning-after pill for HIV”.

Yet Krellenstein’s experience remains rare. While the idea of treating people who may have been exposed to HIV with PEP has gained ground among doctors and activists over the last few years, most local governments in the United States have yet to implement a comprehensive PEP distribution or education program. That’s left many who are most at risk from contracting HIV unaware the option even exists. Now, as HIV diagnoses continue to rise among gay men, activists and experts are urging governments to invest money in PEP awareness campaigns and treatment programs. Otherwise, they say, many communities might be heading for a new HIV and AIDS crisis in coming years.

“We’re going to have to deal with [HIV] one way or another,” said Krellenstein, a member of the HIV awareness and activism group Act Up. “And I’d rather do it on the prevention side rather than waiting for everyone to be positive.” Krellenstein’s concern about “everyone” contracting HIV may sound like hyperbole. But if current infection rate trends continue, 54% of all men who have sex with men (MSM) will have HIV by the time they are 50, according to a 2009 University of Pittsburgh study. Among African American men who have sex with men, half will have HIV by the time they are 35. And while contracting HIV is no longer a death sentence, many worry that the increasing incidence of infection will burden the already-strained US healthcare system. The lifetime cost of treating someone with HIV can reach over $1m.

Those staggering numbers are what’s led groups like Act Up to campaign for increased funding for PEP, and increased awareness within the gay community. Act Up’s involvement is notable. The group made a name for itself pushing for politicians to take the HIV crisis seriously in the 1980s. But as treatment for HIV improved, gay marriage and other social issues replaced health at the forefront of the LGBT rights movement, and Act Up faded from view. Now, the group has found renewed purpose in calling notice to the increasing prevalence of HIV and the lack of funding for unorthodox solutions like PEP. While no one in Act Up thinks PEP is a cure-all in the ongoing fight to stop the spread of HIV, many believe it’s a missing piece in comprehensive “prevention pipeline” that includes condoms, regular testing, and education.

“A lot of young gay guys, even well-informed ones, don’t know a lot about HIV,” said Jim Eigo, an activist with Act Up who also petitioned governments to take action on HIV in the 1980s. “We’ve got to open up the eyes of the gay community … and say if you’re HIV-negative, there’s an individual value and a community value in staying that way.”

Continue reading the full article here.

Today is National HIV/AIDS and Aging Awareness Day

Today is National HIV/AIDS and Aging Awareness Day (NHAAAD). This year’s theme for NHAAAD is Aging is a part of life: HIV doesn’t have to be.

Whether you are 50+ and living with HIV yourself, or you are taking care of someone older who does, NHAAAD provides an opportunity to bring attention to the complex issues of HIV and aging, and to take action.

Here are three ways you can recognize NHAAAD:

Know Your HIV Status

Share the Facts

Join the Conversation

Want to be a part of today’s dialog on HIV and aging? All you have to do is follow or tweet with the hashtag #NHAAAD Exit Disclaimer on Twitter, post a message on Facebook, or comment on this blog post or other AIDS.gov posts. We want to hear about your plans to observe NHAAAD!

Find out more at AIDS.gov.

Men can use a female condom for anal sex

From the Pacific Standard online…

fc2-condom-290x290“We see sexy commercials for Trojan. We see sexy commercials for Durex,” says Jennifer Medina Matsuki, condom availability director for the New York City Department of Health and Mental Hygiene, addressing a breakout session on FC2, the new female condom, at the National Harm Reduction Conference in October. “There was no sexy marketing. People would see it at various events and say, ‘What is that?’”

FC2 was approved by the Food and Drug Administration in 2009, and bears considerable advantages over both its predecessor and male condoms—namely, they put more power in the hands of the receptive sex partner and feel better than the first female condom, also lacking its trademark rattling sound—but is still a minor player in the world of safer sex.

Matsuki’s department started stocking the first female condom in 1998, seven years after its introduction, and now buys 1.5 million female condoms per year, compared to 35.5 million male condoms. Worldwide, FC2s account for just 1.6 percent of total condom distribution. So far, there’s just one manufacturer, as opposed to the dozens of male condom manufacturers, though other companies—such as Origami, which is working on insertable condoms for both anal and vaginal sex—have devices in development. Where FC1 was advertised aggressively in women’s magazines—only to be mocked in the same publications as a noisy, awkward novelty—FC2 has been sold via social media and gatekeepers at public health organizations. But it’s yet to shrug off FC1′s bad rap.

Read the full article here.  You can find out how to use a female condom in this YouTube video.

Facebook chats help minority men get tested for HIV

From opb.org online…

It didn’t take long for people to figure out that Facebook could be a great place to connect with other people dealing with the same health problems. But public health officials have moved cautiously, lest their efforts backfire. Do you really want to “like” STDs?

But there is now evidence the social media approach can help, even when the health condition is sensitive. Facebook can play a role in persuading people at high risk of HIV/AIDS to use a home HIV test kit, a study finds.

To reach young gay Latino and African-American men, researchers at the David Geffen School of Medicine and School of Public health at the UCLA trained men in the same demographic as peer leaders, giving them information on how HIV spreads. That’s a time-honored public health technique. They also created a comparison group, with peer leaders trained to share general health information.

The peer leaders then tried to communicate on Facebook with men who had volunteered to participate in a study. Because there are no best practices for using social media to communicate health information, the peer leaders had to make it up as they went along. First, they tried a friendly message and then some social chat, with messages tailored to the participants’ interests. Then they invited participants to join either a closed Facebook group with information on HIV prevention, or if they were in the control group, on general health.

For their part, the participants, who were recruited through Facebook and community organizations, were told to use Facebook as they normally would. Most interacted with the peer leaders, a fact that the study authors say reflects the fact that African-Americans and Latinos are more likely to use social networking sites than the general population.

Read the full article here.

Luzerne County lawmaker proposes ban on gay conversion therapy

From the Times-Tribune online…

youth holding handsHARRISBURG – Mental health providers would be prohibited from counseling gay and lesbian youths to change their sexual orientation under a bill being introduced by a Luzerne County lawmaker.

Reps. Gerald Mullery, D-119, Newport Twp., and Brian Sims, D-182, Philadelphia, are seeking to ban this type of therapy for patients under age 18. They cite the precedent of a new law in New Jersey signed last week by Gov. Chris Christie. Citing studies by the American Psychological Association, Mr. Mullery said he considers sexual orientation conversion therapy to be harmful to children and causing some to even have suicidal thoughts. Conversion therapy is described as counseling and psychotherapy attempting to eliminate or suppress homosexuality. “They (patients) are being asked to change who they are,” said Mr. Mullery. “I view it like mental bullying.”

In a legislative memo, Mr. Mullery and Mr. Sims said youth need to be protected from the harm caused by sexual orientation change efforts. “Studies have concluded that there is insufficient evidence that sexual orientation change efforts are effective for changing sexual orientation, and that such efforts could result in damaging long-term effects for minors,” the lawmakers said. “Therefore, like any other harmful act that is prohibited by Pennsylvania law, we must protect Pennsylvania’s youth from sexual orientation change efforts.”

Mr. Mullery said he started researching the issue after becoming aware of the legislation moving to passage in New Jersey and Mr. Christie’s support for it. The lawmaker said he hopes Mr. Christie’s action will motivate Republican state lawmakers in Harrisburg to join as bill cosponsors.

New Jersey’s law bans state-licensed counselors, therapists and social workers from practicing conversion therapy.

 

Activist: AIDS is gay again

From , writer and activist, posted on the Huffington Post Gay Voices…

Between 2008 and 2010, new infections rose 12-percent for gay men while falling or remaining stable in all other populations. Transmission for young gay men spiked upwards 22 percent. MSM faced 30 times the HIV risk that straight guys faced. A gay African-American man was six times likelier to be infected with HIV than a white gay man, and a Hispanic man was three times likelier. Researcher Ron Stall’s 2009 prediction that more than half of young gay men would be HIV-positive by age 50 suddenly seemed a chilling underestimate.

In the early 1980s, faced with seeming extinction, gay men invented safer sex. Supported by pamphlets, videotapes and workshops, promulgated across gay sexual networks, safer sex emphasized lower-risk sex acts and using condoms for high-risk anal sex. Empowered to take control of their lives in the face of a deadly virus, gay guys drove HIV incidence down by 75 percent between 1984 and 1993. Believing that safer sex was all the prevention we’d ever need, we who were AIDS activists never fought for prevention research or the development of new prevention tools. We focused on securing treatments for the sick and potentially sick.

But we were wrong to think the original community consensus behind safer sex could survive an evolving epidemic. As early as 1993, even as AIDS deaths mounted, HIV incidence for gay men began a slow upward drift. Combination antiretroviral therapy, introduced in 1997, would make HIV a manageable disease for most who received treatment. The term “barebacking” came into use to refer to a conscious decision to discard condoms, at first an exceptional position that soon spread. Most ongoing prevention programs, unequal to the new epidemic, simply tinkered with the safer sex workshops of an earlier generation. A slow rise in HIV incidence for gay guys continued until the recent acceleration captured in the latest incidence report.

Read the full article on the Huffington Post.

Facing AIDS theme of National HIV Testing Day

From AIDS.gov

Facing AIDS is a digital photo sharing initiative with the goal of reducing HIV-related stigma and promoting HIV testing. Many AIDS.gov blog readers have contributed personal messages to the Facing AIDS photo gallery, most recently in recognition of World AIDS Day (December 1, 2012 – visit the gallery to see the inspiring messages collected over the five years of the initiative). Many of your Facing AIDS messages highlight the importance of confronting stigma and echo the theme of National HIV Testing Day: Take the Test. Take Control. That consistency made it easy for our team to re-purpose the photos into the newest video in our Facing AIDS series. To learn how participate in Facing AIDS, read this blog post. To watch other videos in the Facing AIDS series, please use this playlist Exit Disclaimer. Click here to learn more about locating HIV testing near you. Please watch and share the “Facing AIDS for National HIV Testing Day” video.

Huffington Post blog addresses HIV stigma

The HIV Shame Game: What Role Do You Play?

 – Freelance columnist and fiction writer; creator, The Needle Prick Project

[…] According to the Center for Disease Control, 44 percent of people who are HIV positive are unaware of their status. Unfortunately, the people who may be perpetuating the shame game may soon find that it is they who need the bath. This is where the real danger lies. Allowing language like this to permeate our culture only serves to promote the continuation of the HIV epidemic and enforce a second viral class among the gay community.

Of course, the burden of change rests on the shoulders of those affected the most by the shame game. It may seem easier for HIV-positive men to retreat into the shadows when friends and strangers alike unknowingly use language that make them feel like a pariah in dignitaries’ clothing. However, many of these accidental offenders are victim of the same phenomenon that was the basis of so much prejudice against gay men and women. They simply don’t have a personal connection to the disease. HIV-positive men owe it to themselves to speak out against language that demeans their worth. They also owe it to their HIV-negative friends to educate them on the reality so that they don’t continue to proliferate stigma or believe that they are removed from risk.

HIV-positive men aren’t victims, vampires, zombies or martyrs. The social and psychological factors surrounding infection are complex, difficult and impossible to simplify into one category.

Of course, the language we use and terminology we’ve chosen to isolate one another is just the one element of the shaming that goes on within the gay community. Combating HIV stigma is a multifarious problem that will require numerous endeavors and will take time before we start seeing measurable change.

Read the full post on The Huffington Post Blog.

Researchers investigate use of PrEP and risk-taking among men who have sex with men

From U.S. Centers for Disease Control and Prevention (posted on TheBody.com)

Truvada (tenofovir) is used for pre-exposure prophylaxis (PrEP) to reduce risk of HIV infection among risk-taking HIV-negative gay men. Researchers investigated whether use of Truvada as PrEP encouraged risk-taking among men who have sex with men (MSM). The researchers studied 400 gay men for 24 months between 2005 and 2007 in a randomized double-blind placebo study. One group of participants began taking Truvada at the outset of the study and the other began nine months later. Researchers interviewed the men at entry into the study and every three months concerning sexual risk-taking and use of recreational drugs and erectile dysfunction medications.

Participants had an average of 7.25 partners in the three months prior to the study. This number decreased to 6 partners between months 3 and 9 and to 5.71 in the second year. Before baseline, 57 percent of participants reported unprotected anal sex. The number dropped to 48 percent between months 3 and 9, and rose to 52 percent in the second year. Also, at baseline, 29 percent of participants reported unprotected intercourse with a man they knew to be HIV-positive. This number dropped to 21 percent between months 3 and 9 and increased slightly to 22 percent in the second year. Unprotected sex with partners they knew to be HIV-positive decreased from 2 at the beginning of the study to 1.37 during the second year, and unprotected anal intercourse with partners believed to be HIV-negative increased from 2.75 at baseline to 4 during year two.

Findings indicate that the use of Truvada as PrEP did not increase sexual risk-taking among HIV-negative MSM. However, findings are tempered by the fact that the study provided the participants with risk-reduction counseling, condoms and lubricant, routine HIV tests, STD testing, and links to prevention services. The researchers acknowledge that these measures may have affected the observed risk reduction and risk declines.

The full report, “Sexual Risk Behavior Among HIV-Uninfected Men Who Have Sex with Men (MSM) Participating in a Tenofovir Pre-Exposure Prophylaxis (PrEP) Randomized Trial in the United States,” is published online in the Journal of Acquired Immune Deficiency Syndromes.

May is Hepatitis Awareness Month

awarenessmonth_211x205From AIDS.gov

May 1 marks the start of the month-long observance of Hepatitis Awareness Month. The observance is an important element of government-wide efforts to raise awareness about viral hepatitis and decrease health disparities by educating communities about the benefits of viral hepatitis prevention, testing, care, and treatment.

Throughout the month of May, HHS and our partners who support the Action Plan for the Prevention, Care and Treatment of Viral Hepatitis will be engaged in a variety of activities to increase awareness—among the public and healthcare providers—about viral hepatitis, including the importance of testing, the availability of care and treatment, and associated adverse health effects resulting from undiagnosed and untreated viral hepatitis. In the coming weeks, we’ll be sharing several blog posts about implementation of the Action Plan. On May 19, we will observe the second annual Hepatitis Testing Day. Viral hepatitis is the leading cause of liver cancer and the most common reason for liver transplantation in the United States. An estimated 4.4 million Americans are living with chronic hepatitis; most do not know they are infected. This places them at greater risk for severe, even fatal, complications from the disease and increases the likelihood that they will spread the virus to others.

Hepatitis Testing Day was established in the Action Plan as a means to raise awareness and educate health care providers and the public about who should be tested for chronic viral hepatitis. Unfortunately, many communities and populations remain uninformed about various facets of viral hepatitis, including associated adverse health effects, the need for testing and care, and the availability of vaccines (for hepatitis A and hepatitis B) and treatment – especially priority populations at high risk for viral hepatitis, such as injection drug users; people living with HIV; gay, bisexual, and other men who have sex with men; baby boomers (people born between 1945-1965); African Americans; and Asians and Pacific Islanders.

Please join us in promoting both of these important observances—Hepatitis Awareness Month and Hepatitis Testing Day—to enhance public awareness of viral hepatitis prevention, testing, care and treatment across the United States. Here are a few things you can do:

  • Learn more about awareness activities, including testing events, taking place in communities around the country to mark Hepatitis Testing Day. This page from CDC allows people to search for Hepatitis Testing Day events taking place near them in May. Event organizers can also list their events.
  • Review the web badges, digital tools, fact sheets, posters and other resources available from CDC on this page and find one you can use this month.
  • Take this 5-minute online hepatitis risk assessment developed by the CDC and get a personalized report on hepatitis testing and vaccination recommendations.
  • Read more about the Viral Hepatitis Action Plan on our recently updated page.

Won’t you please commit to learning more yourself and/or sharing information about viral hepatitis with at least two other people this month?  Working together, we can raise greater awareness about the epidemic of viral hepatitis in the United States and, in so doing, make great strides in improving the health of persons who are at risk for or living with viral hepatitis.

Task Force calls for every adult to be routinely screened for HIV

From WebMD

New guidelines from the U.S. Preventive Services Task Force call for virtually every adult to be routinely screened for HIV, the virus that causes AIDS.

The updated recommendations, which are published in the April 30 issue of the journal Annals of Internal Medicine, suggest that pregnant women and all people aged 15 to 65 be screened for HIV. The guidelines are now more in line with screening recommendations from the U.S. Centers for Disease Control and Prevention, the American College of Physicians and the American Academy of Pediatrics.

“HIV is a critical public health problem. There are 50,000 new infections in the U.S. each year, and we need to find ways to prevent and treat it,” said guideline author Dr. Douglas Owens, a professor of medicine at Stanford University and a senior investigator at the VA Palo Alto Health Care System, in California.

The guidelines, last updated in 2005, reflect new evidence about the effectiveness of treatment, especially when started early in the course of HIV infection.

“The best way to reduce HIV-related death and disability is to avoid getting infected,” Owens said. “Should someone become infected, we want them to understand that there are very good treatments that will help them live longer and reduce transmission.”

Experts agreed that such blanket screening is the best — and possibly only — way to stop the HIV epidemic in its tracks.

Knowing one’s HIV status is “a first step for both prevention and needed medical services, yet the history of the epidemic has set up barriers such that, in some states, it is still not straightforward to access an HIV test without the need for written consent or a fee,” said Dr. Sten Vermund, director of the Institute for Global Health at Vanderbilt University School of Medicine in Nashville. “Free, regular screening for HIV, much as we try to have regular blood pressure or breast cancer screening, is one of the best ways to start reducing the HIV epidemic in the U.S.”

Read the full article on WebMD.

Latest HIV vaccine doesn’t work; NIH halts study

From Seattlepi.com

The latest bad news in the hunt for an AIDS vaccine: The government halted a large U.S. study on Thursday [April 18, 2013] , saying the experimental shots aren’t preventing HIV infection. Nor did the shots reduce the amount of the AIDS virus in the blood when people who’d been vaccinated later became infected, the National Institutes of Health said.

“It’s disappointing,” said Dr. Anthony Fauci, head of NIH’s National Institute of Allergy and Infectious Diseases. But, “there was important information gained from this” study that will help determine what to try next.

Read more: http://www.seattlepi.com/news/