Office of National AIDS Policy Blog
- Posted byon October 20, 2011 at 9:26 AM EST
In earlier blog posts we outlined the topic and format for a series of regional dialogues that the White House Office of National AIDS Policy will convene to focus attention on issues related to implementation of the National HIV/AIDS Strategy. These events will be a forum for Federal, state and local agency representatives, researchers, clinicians, the HIV community, and leaders from the business, foundation, faith and media sectors to share their diverse expertise, and collaborative experience.
The events are free, open to the public, anyone can attend. To help us better plan each event we ask that you register in advance for each of the events that you are interested in attending. You may register for as many events as you wish to attend.
Using National Latino AIDS Awareness Day (NLAAD) to Redouble Our Efforts to Respond to the HIV Prevention and Care Needs of LatinosPosted byon October 16, 2011 at 3:58 PM EST
According to CDC estimates, 9,400 Latinos in the United States were newly infected with HIV in 2009. Latinos make up 16% of the U.S. population, but approximately 20% of new infections. Sixty-four percent (or nearly two-thirds) of all HIV infections in the Latino community occur among gay and bisexual men. Among women, 1,700 heterosexual Latinas became infected in 2009, making them more than four times more likely to become infected with HIV than white women.
As Latinos working to support the National HIV/AIDS Strategy (NHAS), we see our families and friends living with HIV and some who are newly infected, and we look at these numbers with a sense of both sadness and urgency. In this 30th year of the AIDS epidemic, it is completely unacceptable that HIV infection rates among Latinos are so high.
National Latino AIDS Awareness Day (NLAAD) gives us an opportunity to re-examine the impact of the HIV/AIDS epidemic on Latinos, and to redouble our efforts to find effective ways to respond to the epidemic in the U.S.
The NHAS is helping us to do this by requiring us to focus on three important goals: reducing HIV incidence; increasing access to care and improving health outcomes for people living with HIV/AIDS; and reducing HIV-related health disparities. The NHAS also calls on all of us to target our collective efforts at the populations at greatest risk. Latinos are not only disproportionately impacted, they also tend to be diagnosed later in the course of their HIV infection—meaning that they are more likely to develop AIDS within a year of their diagnosis. According to the National Institute of Allergy and Infectious Diseases, Latinos progress more quickly to AIDS after an HIV diagnosis than any other U.S. racial or ethnic group. Exciting new research data has been published this year showing how effective HIV treatment can be at stopping HIV transmission and current drugs are helping HIV positive individuals lead long and healthy lives. If Latinos are being diagnosed with advanced HIV infection and are quickly progressing to AIDS, they are missing important opportunities to get the maximum benefits of the highly effective treatments we currently have available.
- Posted byon October 12, 2011 at 2:06 PM EST
On October 4, 2011, the Office of National AIDS Policy (ONAP) hosted the second in a series of five Implementation Dialogues in Seattle Washington at Swedish Medical Center. The theme for this meeting was “Building Capacity Within the HIV Workforce so that it Delivers What We Need Today and Tomorrow”. The meeting was an opportunity to focus attention on the multi-faceted challenges we face with the HIV workforce, spark conversations around this issue, and encourage action and collaboration at the State and local levels. The meeting began with a Federal update, followed by a presentation on HIV workforce issues, a panel discussion, and a discussion between the panel and the audience, which included policy makers, academic experts, clinicians, providers, community advocates, patients, and other health professionals.
ONAP Director Jeffrey S. Crowley opened the meeting with remarks about the challenges we face with the HIV workforce and opportunities made available in the Affordable Care Act to bolster the workforce of clinicians and other health care providers. Dr. Todd Strumwasser, Vice President of Medical Affairs at Swedish Medical Center, provided opening remarks and emphasized that this meeting was a way to reaffirm our collective commitment to focus more attention on the domestic epidemic in our communities and around the country. Dr. David Spach, the Principal Investigator for the Northwest AIDS Education and Training Center at the University of Washington, gave an informative presentation on the key factors contributing to HIV workforce shortages in the nation. Dr. Spach focused on several key issues regarding the workforce supply, including the lack of exposure to an HIV curriculum during a medical student’s academic or residency training; the complexity of providing HIV care; the financial disincentives faced by medical students and medical residents; the competition between global HIV health work and domestic HIV health work; and the reluctance of some individuals to work with people living with HIV. Dr. Spach’s provided several recommendations that could be adopted to expand the HIV workforce, including the importance of active recruiting during a clinician’s medical school training or during their residency; increasing the amount of pilot programs for recruitment; supporting mentorships and building relationships between current HIV clinicians and future clinicians; providing innovative financial incentives for clinicians; and developing more programs that increase provider diversity.
- Posted byon October 7, 2011 at 10:15 AM EST
The first of a series of five Implementation Dialogues was held on September 27 in Birmingham, Alabama, at the University of Alabama at Birmingham’s Alys Robinson Stephens Preforming Arts Center. The meeting focused on “Incorporating Prevention and Care Research Into HIV Programs” brought together speakers and panelists from across federal, state and local government, as well as experts from the HIV/AIDS community and research areas. Jeffrey S. Crowley, Director of the Office of National AIDS Policy (ONAP) welcomed the more than 150 guests, and thanked them for their work in support of the National HIV/AIDS Strategy. UAB President Carol Garrison, and Dr. Howard Koh, Assistant Secretary for Health, U.S. Department of Health and Human Services also spoke. Dr. Koh encouraged participants to make the National HIV/AIDS Strategy real in the southeast and around the country. He recalled the early days of the AIDS epidemic thirty years ago, and the extreme fear and stigma surrounding the treatment of the first patients, and the challenge of providing care with no plan or coordinated approach in place. He noted that while there is still a great deal of stigma and health disparities around HIV/AIDS, there is now a plan of action in the National HIV/AIDS Strategy, which he said has, “catalyzed the country”.
- Posted byon October 6, 2011 at 1:25 PM EST
The White House Office of Social Innovation and Civic Participation and the Office of National AIDS Policy held a joint meeting on Friday, September 9th on “Mobilizing Public and Private Sector Investments to Support the Goals of the National HIV/AIDS Strategy,” in which 25 members from the private sector and philanthropic community gathered to discuss ways to enhance existing support and investments targeted at HIV/AIDS prevention, care and treatment, as well as to strategize on ways to bring new people to the table to foster new investments and commitments.
Office of National AIDS Policy (ONAP) Director, Jeffrey Crowley welcomed guests and reiterated the President’s message that the Federal government cannot do this essential work alone. At this “all-hands-on-deck” moment, we must work together in new ways to make lasting progress on persistent social problems. Marta Urquilla, Senior Policy Advisor in the Office of Social Innovation and Civic Participation, explained how the Social Innovation Fund (SIF), which invested in AIDS United as part of its inaugural portfolio in 2010, reflects a new way of doing business for the federal government. The SIF invests in intermediaries to identify promising community solutions that are achieving results and support the growth, validation and scale of those innovations. A vehicle for public-private investment, the SIF leverages 3 private dollars for every 1 Federal dollar, and drives capital to communities in need, including those that are historically under-resourced.
- Posted byon September 27, 2011 at 8:00 AM EST
In 1981, our nation and its public health system were grappling with a new disease that was taking the lives of gay men across the United States. Thirty years later, HIV/AIDS continues to be a crisis among gay and bisexual men. The latest data show men who have sex with men (MSM) remain most affected in this country. Although MSM represent 2% of the population, they account for 64% of all new infections (including 3% among MSM who are injection drug users [IDUs]). CDC estimates that there were more than 30,000 new HIV infections in 2009 among MSM, including MSM-IDU. Though the numbers have gone down dramatically, approximately 7,000 MSM with an AIDS diagnoses still die each year and nearly 300,000 MSM with AIDS have died since the beginning of the epidemic.
Today, we commemorate the fourth annual National Gay Men’s HIV/AIDS Awareness Day, an observance founded by the National Association of People with AIDS to raise awareness of the HIV/AIDS epidemic among gay and bisexual men. This annual observance is one way we are focusing attention and resources on those populations at highest risk for HIV infection, including gay and bisexual men. This focus is a top priority outlined in the National HIV/AIDS Strategy (NHAS).
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