Laverne Cox coming to SF
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Oakland LGBT bar on track
ARTS
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Rita Moreno live
The
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Vol. 44 • No. 11 • March 13-19, 2014
Confab Castro health center progresses reveals prevention T gains by Seth Hemmelgarn
by Liz Highleyman
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ntiretroviral treatment as prevention, long-acting HIV drugs, HIV cure research, and new treatments for hepatitis C were among the highlights discussed last week in Boston Liz Highleyman at the 21st Conference Researcher on Retroviruses and Opportunistic Infections, Jens Lundgren the largest annual HIV/ AIDS medical meeting in the U.S.
Prevention highlights
On the HIV prevention front, researchers reported that no one in a large study of samesex and heterosexual couples was infected by a partner who was on effective antiretroviral treatment. An analysis from the multinational PARTNER study included 767 serodiscordant or mixed-status couples – about 60 percent heterosexual and 40 percent gay men – in which the HIV-positive partner was on antiretroviral therapy with very low viral load (under 200 copies). Collectively, they reported more than 44,000 acts of vaginal or anal sex without condoms. Over two years of follow-up, there were no cases of linked transmission in which the negative partner became infected with the same genetic strain of HIV as their primary partner. Without treatment, 50 to 100 new infections would have been expected. However, there were some new infections with different HIV strains, indicating that transmission happened outside the main relationship from sex partners who may not have been on treatment. While these findings show that HIV treatment-as-prevention is highly effective, lead researcher Jens Lundgren from the University of Copenhagen emphasized that they do not mean transmission from a treated partner cannot occur. Statistical models suggest the odds of transmission may be as high as one in 10 for anal sex or one in 25 for vaginal sex over a 10-year period. Whether this level of risk is acceptable “is not for us to say, but for people to decide,” Lundgren said. But he stressed that there is “no reasonable legal action you can take against people for not using condoms” if they are on effective HIV treatment.
he San Francisco AIDS Foundation’s CEO said recently he’s hopeful the nonprofit will be able to open its health center for gay and bi men in the Castro district in December, but he still won’t talk about money for the project. “We hope to be moved in and open by the end of this year,” Neil Giuliano said in an interview last week. “It will be December.” With people likely busy with the holidays, that timeframe “will give us a chance to ease into it a little bit,” he added. The city’s largest HIV/AIDS-related nonprofit announced in October 2012 that it would expand services and move Magnet, the gay men’s health center which provides HIV testing and other assistance; Stonewall, which focuses on substance use among gay and bisexual men; and the Stop AIDS Project into a building at 474 Castro Street. The organization last week announced that it’s hired a doctor known for his work on pre-exposure prophylaxis, or PrEP, to be its first-ever chief medical officer. SFAF, which is hoping the new center will help end HIV transmission in the city, is working to raise $10 million to cover the costs of renovation and expanding services. Initially, the foundation had pegged the cost at roughly $7.9 million. Despite the opening date getting closer,
Rick Gerharter
Walkers passed by the Castro Street construction site of the San Francisco AIDS Foundation’s new health center for gay and bi men.
Giuliano won’t say how much money his organization has raised, or how much it still needs to raise, and he doesn’t know when the public fundraising campaign will begin. “Entering into the public phase depends on how the whole campaign moves through the quiet phase,” which started last September, said Giuliano. However, he added, “We’re very pleased and feel really good about how it’s all going.”
LGBT aging panel seeks tech support by Matthew S. Bajko
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nowing some of its recommendations come with high price tags, a San Francisco panel focused on LGBT aging issues is seeking financial support from the city’s growing tech sector.
Members of the LGBT Aging Policy Task Force voted this week to add language to its report that calls on technology firms to consider funding some of its proposals. The panel is set to vote on its report March 25 and the gay members of the Board of Supervisors are expected to introduce legislation to implement
New HIV drugs
Development of new HIV drugs has taken a back seat to biomedical prevention and hepatitis C treatment in recent years. See page 14 >>
A “quiet phase” in fundraising efforts typically refers to the period when organizations work behind the scenes to approach potential big donors. Giuliano wouldn’t discuss whether any large donors have come forward with donations for the center, which doesn’t yet have a name. He indicated it’s common for organizations involved in similar efforts not to disclose details. See page 14 >>
Rick Gerharter
LGBT Aging Policy Task Force member Larry Saxxon, center, discusses the need for financial literacy training that targets LGBT older adults with fellow task force member Michelle Alcedo during Tuesday’s meeting as member Scott Haitsuka listens.
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its ideas in early April. As the Bay Area Reporter noted in a story last week, one of the main issues tackled in the report is housing for LGBT seniors and ensuring they can remain in San Francisco as they age. To meet that objective, the panel is strongly urging the city to build more affordable housing for LGBT seniors. Two of the proposals to accomplish that goal are to have the SF Land Trust create an LGBT senior housing co-op and for the city to build 200 very low-income units in the Castro area for LGBT seniors with incomes less than 30 percent of the area median income. Both ideas, however, will require substantial amounts of money. Thus, the panel members are asking leaders of technology firms to consider footing the bill. “Tech companies should help fund these recommendations,” said task force member Jorge Rodriquez, a retired case manager for HIV Clinica Esperanza. Added task force member L. Michael Costa, a health policy professional, “the people who write checks in the tech community may be interested in certain areas to support.” Other task force members said the recommendation should not be limited to the city’s technology sector and pushed to broaden it to include foundations and the business community in general. See page 16 >>