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www.ebar.com
Serving the lesbian, gay, bisexual, transgender, and queer communities since 1971
Vol. 52 • No. 11 • March 17-23, 2022
After 2 years, SF’s Castro is surviving COVID by Eric Burkett
Courtesy UCSF
Dr. Monica Gandhi will be among the speakers at an HIV rally Monday.
SF rally planned for HIV/AIDS support by Eric Burkett
C
oncerned that San Francisco’s historic focus on HIV/AIDS services and care have been diminished, several advocacy groups are planning a rally and die-in at City Hall on Monday, March 21. Organizers are calling on San Francisco’s leaders “to ‘take back’ HIV as a major priority in our city,” according to a news release quoting Dr. Monica Gandhi, the medical director of Ward 86, the HIV clinic at Zuckerberg San Francisco General Hospital. Gandhi is a featured speaker at the event, scheduled for 11 a.m. outside City Hall at 1 Dr. Carlton B. Goodlett Place. Calling it “a lack of attention” to HIV on the city’s part, organizer Paul Aguilar, a gay man and chair of the Harvey Milk LGBTQ Democratic Club’s HIV Caucus, said, “The lack of interest is 40 years of complacency.” Forty years later, he added, there is neither a vaccine nor a cure. Last year marked the 40th anniversary of the first reported cases by the federal Centers for Disease Control and Prevention of what would come to be known as AIDS. Statistics from 2020’s HIV Epidemiology Annual Report, issued last year by the San Francisco Department of Public Health, show some alarming numbers concerning HIV, particularly in regard to the impact of COVID on HIV care in the city. Compared with 2019 – before COVID – screening for HIV fell by 44% from March 2020 to March 2021. Viral suppression fell from 75% of people living with HIV to 70%; for the city’s homeless, those figures are even more dramatic with viral suppression rates falling to just 20% from 39%. The COVID pandemic produced some statistical curiosities, too. In 2020, overall HIV infections rates fell in San Francisco by 22%, far surpassing the previous years’ average decline of 16% but that simply may be a result of fewer people being tested due to the lockdown, health officials noted at the time. The report, released August 30, showed 131 HIV cases in 2020, down from 168 in 2019. The total number of San Franciscans living with HIV was listed at 12,242. (https:// www.ebar.com/news/news//308414) Gay District 8 Supervisor Rafael Mandelman, the lone LGBTQ member on the Board of Supervisors, said he’s supportive of the rally. “It is clear that San Francisco’s excellent COVID-19 response came at the expense of other public health priorities,” he wrote in See page 10 >>
W
hile few people will likely forget the silent pall that fell over San Francisco beginning two years ago March 17 with the COVID-19 lockdown, businesses in the LGBTQ Castro neighborhood are still struggling with the fallout from the impact of the pandemic. “The COVID‐19 pandemic has had a debilitating impact on small businesses in San Francisco,” according to a report issued jointly in May 2021 by the San Francisco Office of Small Business and San Francisco State University, titled “Impact of COVID-19 on Small Businesses in San Francisco.” “While demand has dried up due to the lack of tourists and shelter-in-place mandates, city mandates around capacity limits, opening dates, and a lack of transparent rollouts of programs have been devastating. Various sectors have been affected in disparate ways,” the report states. One can see that firsthand in the Castro. Local Take, a shop specializing in San Francisco-made crafts at 3979-B 17th Street, fared reasonably well, said assistant manager Andy Eaglesham. While traffic fell notably in the
Eric Burkett
Employee Brynn Soderlund, left, and assistant manager Andy Eaglesham stand inside Local Take, which Eaglesham said has largely survived the COVID pandemic.
early days of the pandemic, the shop’s online business kept things going as did its pop-up at Green Apple Books in the Richmond (that effort closed last summer). “People were happy to come back again,” said Eaglesham, a straight ally, once things began opening up in earnest. “We had a big uptick over the holidays,” he said, but shipping delays due to supply chain issues have caused their own problems, too. Around the corner and down the street at Fabulosa Books (489 Castro Street), formerly an outlet of Dog Eared Books in the Mis-
sion, the bookstore closed during the first few months of the pandemic but reopened in June 2020. Business dropped pretty dramatically, said Alvin Orloff, the shop’s “extra gay” owner, and “stayed very, very quiet for the year after.” At its worst point, he said, business was down 40%. While some online sales helped, the shop was able to count on a “loyal fan base,” who also made donations to then-owner Dog Eared Books to help cover that lost three months of rent. Orloff, the former manager, bought the Castro location last summer, as the Bay Area Reporter previously reported. Orloff had no interest in ramping up online sales, though. “We are very in-person,” he said. “We didn’t want to make an effort to compete with Amazon on sales.” Orloff said he’s looking forward to the resumption of business at the Castro Theatre because the bookstore used to receive a lot of cross business from people attending shows at the movie palace. As a result of the theater’s closure, the shop is still running on reduced hours because there’s little point in being open without that evening foot traffic the theater brings. See page 9 >>
Despite advances, problems persist in collecting LGBTQ health data by Matthew S. Bajko
A
s the COVID-19 pandemic enters into its third year, there is still no accurate, comprehensive data on how the health crisis has impacted LGBTQ Americans. Even in California, where state health officials have taken steps to address the issue, no report is forthcoming on how many of the state’s LGBTQ residents have contracted the virus, died from it, or been fully inoculated against it. The ongoing omissions in sexual orientation and gender identity data, or SOGI for short, not only shrouds how widespread COVID infections and deaths have been within the LGBTQ community but myriad maladies and illnesses that research indicates are disproportionally borne by LGBTQ individuals. The continued lack of data frustrates LGBTQ advocates who have been beseeching federal and state health officials for years to remedy the problem. “We have been asking this for two years now,” said Sean Cahill, Ph.D., a gay man who is director of health policy research at Boston’s Fenway Institute, of the SOGI COVID data in particular. In a recent interview with the Bay Area Reporter, Cahill said despite repeated calls for officials at the Centers for Disease Control and Prevention to specifically focus on the SOGI data for COVID, any “concrete steps” do not appear to have been taken. “Maybe they are in the works, but I don’t know that. I’m hopeful that is the case, but we are just really waiting to see,” he said. Using a limited data set of roughly 14,000 LGBTQ people from the National Immunization Survey Adult COVID Module conducted last fall, the CDC did issue a report February 4 that found gay or lesbian adults and bisexual adults were more confident than were heterosexual adults in COVID-19 vaccine safety and protection. Transgender or nonbinary adults were more confident in COVID-19 vaccine protection, but not safety, it found. Yet the authors noted COVID-19 vaccination data among LGBT persons “are limited” partly because of the lack of routine SOGI data
Sari Staver
People wait after getting vaccinated against COVID-19 in San Francisco in 2021. Problems still persist in collecting COVID data for LGBTQ people in California and across the country.
collection at the national and state levels. They pointed out that including SOGI questions “in surveys, as well as in COVID-19 testing, case reporting, and vaccination administration systems, can guide strategies to improve access to health care and prevention services among LGBT populations.” The CDC, however, did not respond to the B.A.R.’s inquiry on if it’s working on changes to the COVID-19 case reporting so it includes SOGI data on those three areas. Nor did it say if the federal agency will be releasing guidance to state and local health officials that encourages SOGI data be collected on COVID testing, vaccination and case reporting. In its final report and recommendations released in October, the Presidential COVID-19 Health Equity Task Force convened by President Joe Biden called for the federal government to fund “an equity-centered approach to data collection, including sufficient funding to collect data for groups” often left out of data collection like the LGBTQ community. It also specifically called for SOGI data to be collected in order “to understand the behavioral health impact of COVID-19 on LGBTQIA+ populations.” In it’s LGBTQ+ progress report on Biden’s first year in office, the Lambda Legal Defense and Education Fund listed SOGI data collection, including better information about the health needs of people living with HIV, as “a major goal” for the president to accomplish this year.
“The administration must collect additional data, provide analysis, and release to the public findings on HIV-related disparities in stigma, discrimination, new infections, knowledge of status, and more among marginalized segments of our society,” Lambda Legal’s report states. What is now needed, said Cahill, is for the Biden administration to put the various SOGI recommendations into effect. “We are still looking for CDC, and HHS more broadly, to take steps so we can better understand how the COVID pandemic is affecting LGBTQ people. That is what we need,” said Cahill, using the acronym for the federal Department of Health and Human Services. “They have been doing good work but nothing concrete on SOGI data and COVID.” Scott D. Bertani, a gay man who leads the National Coalition for LGBTQ Health, which from March 21 to 25 is holding its National LGBTQ Health Awareness Week, told the B.A.R. that LGBTQ individuals receive better care when their health care providers know their full health data. “Lack of SOGI data is a barrier to the inclusion of patients in their primary care and also with their specialty care and in supportive health services settings,” said Bertani, director of advocacy at Health HIV based in Washington, D.C. Whereas having such information “is the starting point to reducing health disparities and enhancing health outcomes,” said Bertani, for LGBTQ patients.
New report released
A lengthy report issued March 9 by the National Academies of Sciences, Engineering, and Medicine came to the same conclusion on the current state of SOGI data in the U.S. The nine scholars on its Committee on Measuring Sex, Gender Identity, and Sexual Orientation found “not only how much progress has been made in the development and refinement of sex, gender identity, and sexual orientation measures that identify sexual and gender minority populaSee page 8 >>