Among black men in this region, the H. Sturdevant, born and raised in Metcalfe, a tiny Mississippi Delta town of about 1,, understands all too well the fear, stigma and isolation that can come with being a black gay man in the South. There were several times I thought about suicide. There were several times I wanted to get sick and die. Finally, my thought was, I just want to get out of here.
When he learned he had H. When his partner died the following year, he let the disease consume him.
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Sturdevant has shared his story too many times to count, to let young men know that he has been there, too, and to help them understand that they can survive this plague. He also knows that many black gay and bisexual men have been rejected and discarded, and has wrapped his arms around as many as he can grab hold of, treating them like family. He feeds them, sometimes houses them, but mostly listens to them.
Sturdevant moved his seat back, preparing for a long drive, and adjusted the radio to He was headed to a small town 90 miles east of the city to visit Jordon, an H. Sturdevant met the young man in and took him in; he later helped him deal with his H. Then he turned down a dead-end street and pulled up in front of the one-story brick home where Jordon lived.
He was rubbing his feet, wincing from H. Gray sweatpants pooled around his stick-thin legs, so fragile they looked as if you could snap them in two. His arms were marked with scars from hospital visits and IVs. Over six feet tall, he weighed barely pounds.
He smiled slightly when he saw Sturdevant, dimples folding into his hollow cheeks. He ended up in intensive care for three weeks. With effort, Jordon sat up slightly, untangling himself from a jumble of sheets. For many young men, the H. Jordon looked down.
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Sturdevant cut him off. Jordon let his head fall back on the pillow. Given the advances in research, information and treatment, it seems inconceivable that someone living with the virus today, like Jordon, could look as if he had stepped out of the early years of the epidemic. And yet a series of fateful decisions and omissions, dating back to the discovery of the disease, have led to a present that looks like the past — but only for some. Healthy people do not contract a disease like PCP, which had been largely confined until then to patients on medication to suppress their immune systems for an organ transplant or cancer patients on chemotherapy.
But there were two more documented cases, not mentioned in the notice, and these sixth and seventh cases were black — one of them a gay African-American, the other a heterosexual Haitian.
Michael Gottlieb, the lead author of the report and a renowned physician specializing in H. He explains that he discovered the case after the report was finalized. Including gay black men in the literature and understanding of the origins of the disease and its treatment could have meant earlier outreach, more of a voice and a standing in H. But 35 years of neglect, compounded by poverty and inadequate local health care infrastructure, have left too many black gay and bisexual men falling through a series of safety nets.
This has been true of even the most recent advances. In , the Obama administration unveiled the first National H. The data was so persuasive that the federal government began pushing new H. And in , the Food and Drug Administration approved the preventive use of Truvada, in the form of a daily pill to be taken as pre-exposure prophylaxis commonly called PrEP.
It has been found to be up to 99 percent effective in preventing people who have not been infected with H. But these measures have not extended to most black gay and bisexual men. In , nearly one in five black gay men who had received a diagnosis of H. Only a small percentage of black people use PrEP to prevent contracting the virus, accounting for only 10 percent of prescriptions; the vast majority of users are white.
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Turning things around would mean expanding testing and providing affordable treatment for those who are positive — to stop sickness and dying and also to block transmission of the virus. It would also require getting information and medication, including PrEP, to those most at risk. Even more challenging would be reducing the stigma, discrimination and shame that drive gay and bisexual men to hide their sexuality and avoid the health care system — and making sure providers have adequate resources and understand how to care for H.
Jonathan Mermin, the director of the C. Few believe there is the kind of energy, leadership, money and political will in the current political climate to fix the situation in the community that has fallen through the cracks for so long. Like most of the South, Mississippi refused Medicaid expansion, and nearly half of its citizens who are living with H. Named for an Indiana teenager who contracted H.
If the A. For nearly two decades, the United States has focused money and attention on the H. Barbara Lee, the longtime United States representative from Northern California, has signed her name as a sponsor to every piece of major federal H. The largest international health initiative in history to fight a single disease, Pepfar is considered a success story by any measure and a crowning achievement of George W.
Black America, however, never got a Pepfar. Though the raw numbers were much lower than in Africa, parts of our country looked like the continent the program was created to save. Yet while buckets of money went overseas, domestic funding for H. Greg Millett, a senior scientist for the C. Though the Bush administration did wonderful work in combating H. In place of effective sex education, these programs often discouraged condom use while teaching abstinence as the only way to prevent the spread of AIDS — even as well-regarded research established that this kind of sex education does not lower the risk of contracting H.
During this time, many scientists, researchers and government administrators were afraid to speak openly about condoms, needle exchange and L. Community organizations became targets of anti-gay crusades, subjected to intense scrutiny, including exhaustive audits, by federal agencies. Between March and December an estimated 30, people were cured of hepatitis C due to a new direct-acting antiviral therapy, which became universally available in Australia last year.
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News Ticker Live blog Follow our live coverage for the latest news on the coronavirus pandemic. Key points: Gonorrhoea has increased by 63 per cent over the past five years, with rises among young heterosexual people in major cities Syphilis on the rise among Indigenous people in remote areas of Queensland, the NT, WA and SA Health expert says there's no data to suggest fewer people using condoms or more people having casual sex due to dating apps The Kirby Institute at the University of New South Wales has released its annual surveillance report on STIs.
But here's some good news While chlamydia is still the most common STI in Australia, Dr Guy said the rate of that infection had remained stable over the past five years. Are you overdue for an STI check? Superbug report reveals rise in antibiotic-resistant gonorrhoea.
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