Contest: Name the Syringe Exchange Policy!

March 1, 2012 in Uncategorized

**Please note: this contest is no longer active**

Help us win back federal funding for syringe exchange programs by entering the contest to name the policy banning federal funds for syringe exchange!

Last December, Congress passed a policy rider on an appropriations bill that banned local communities from using federal funds for syringe exchange programs (SEPs). SEPs are a key tool to achieving an “HIV-free generation” and are included in President Obama’s National HIV/AIDS Strategy.

People across the United States are working to end the federal ban on SEPs.  The HIV, viral hepatitis, and harm reduction communities CANNOT stand idly by as politicians restrict the ways we can save lives and prevent HIV and hepatitis C infections. The fight to win back federal funding for SEPs starts now!

We need your help thinking of strong and concise messages about SEPs that will get the attention of Congress!

The Contest

AIDS United and many other groups want to come up with a name for the rider that bans the usage of federal funds for SEPs. Think of how some groups have managed to rename the estate tax the “Death Tax.”

How to Enter

Just enter your suggestions in the comment box below. We’ll receive all of the suggestions here and post the best ones for people to see. The final names will be chosen by a committee of SEP experts and will be used in advocacy and lobbying literature. The individuals that submit the best ideas will receive a prize that will fall somewhere between a congratulatory pat on the back and a new car. Note that Bob Barker does not work for AIDS United, so the prize will likely be closer to the former than the latter.

For consideration, all entries must be received by Friday, March 16th.

If you have any questions about the contest, please email Jimmy Schneidewind at jschneidewind@aidsunited.org.

SEP Background

Before giving us your suggestions, please consider the bullet points listed below which summarize some of the strongest arguments against the federal ban on funding for SEPs.

Here is the actual language of the current rider which bans the usage of federal funds for SEPs: “Notwithstanding any other provision of this Act, no funds appropriated in this Act shall be used to carry out any program of distributing sterile needles or syringes for the hypodermic injection of any illegal drug.”

This policy:

  • Cuts off access to programs providing counseling and treatment services to people who inject drugs
  • Will cost millions of dollars to treat people with HIV and hepatitis C infections that could have been prevented
  • Denies local communities the option to spend federal funds in accordance with their own local prevention plan
  • Places outdated ideology over evidence, local control, and common sense

Click here to learn more about SEPs

The Best Suggestions We’ve Received So Far (updated daily)

  1. Promoting Dirty Needles Rider
  2. Blocking Local Solutions to Fighting HIV and Hepatitis Rider
  3. HIV and Hepatitis Promotion Bill (rider)
  4. Health and Science Last Bill (rider)
  5. Dirty Needle Requirement
  6. Let ‘Em Die Rider
  7. Spreading AIDS Rider
  8. AIDS Death Rider
  9. Spreading Death Rider
  10. Death Rider
  11. Stop People from Stopping AIDS Rider
  12. The Death over LIFE Rider
  13. Clean needle ban
  14. The Anti-Science HIV and Hepatitis-Promoting Rider
  15. Pay for the Works
  16. Death by Needle Rider
  17. The Injunction of Infection through Injection
  18. Un”fit”2 exchange
  19. The Disease Spreading Bill
  20. From Addiction to Death Bill
  21. The Bill to Condemn Addicts
  22. Condemn the Vulnerable Bill
  23. Death to the Vulnerable Rider
  24. Punish the Ill Rider
  25. Condemn the Healthy Bill
  26. The Health Ban
  27. The Pro-HIV Bill
  28. The Pro-Hepatitis & HIV Bill
  29. The Punitive Bill
  30. Punish the Healthy Bill
  31. The Promote Illness Bill
  32. Pro-Death Bill
  33. Anti-Health Bill
  34. The Pro-Hepatitis Party Bill
  35. The “Hep-C for You and Me” Rider
  36. The “I love HIV and Hep C” bill
  37. AIDS Transfusion Bill
  38. The Who Cares? Rider
  39. The Ignore the Science Rider
  40. The Spread the Disease Rider
  41. HIV Deficiency Indicator Economic Rider (HIVDIE Rider)
  42. I Choose Death over Science rider
  43. We Support HIV Infection rider
  44. Stopping HIV, Except for Some of You rider
  45. Congressional Act to Promote HIV Infection
  46. Encouraging Americans to Spread HIV rider
  47. Promoting the Spread of HIV rider
  48. I Don’t Want to Stop the Spread of HIV rider
  49. BAN (Block Access to Needles)
  50. Death Penalty for Drug Use Rider
  51. Exchange Death not Needles
  52. The Morbidity & Mortality Rider
  53. The Killer Rider
  54. The Killer Bill
  55. The No Money Yes Death Rider
  56. NOSEY SAMUEL = Needles or Syringes Equal Your Safety and More Useful Elite Legislation
  57. AIDS for America rider
  58. Death exchange rider
  59. The Pale Rider
  60. Death by Condemnation
  61. The Kill Bill
  62. We Love AIDS Act
  63. Just Die Already, Drug Addicts Act
  64. AIDS Exchange Rider
  65. Clean Syringe Ban
  66. The Rider to Promote AIDS and Addiction
  67. Common Sense is Obviously Not Common Bill
  68. PASS; Politicians Against Shared Syringes
  69. The Death Panel Rider

Team NOLA on MLK Day

February 28, 2012 in AmeriCorps

On MLK Day, Team NOLA joined more than 200 volunteers at the Success Preparatory Academy (SPA) for a day of service organized by City Year New Orleans.

SPA is one of many charter schools in New Orleans that seeks to close the “achievement gap” present in the city’s schools. Promoting the core values of Achievement, Enthusiasm, Respect, Service, Teamwork, and Ubuntu, SPA serves some of the most at-risk students in the country– 96% of whom receive free or reduced lunch.

Our mission for the day was to beautify the school. To that end, Team NOLA helped paint two murals. One mural depicted the core values over the New Orleans skyline. The other was of a quote by Dr. King from “Letter from a Birmingham Jail.”  Dr. King wrote this letter in response to a few moderate white clergymen who denounced him as an outsider stirring up racial tension in their city of Birmingham. Dr. King argued that the tension he was causing was necessary in order for society to make true progress in civil rights. And, though he was based in Atlanta, Dr. King felt morally obligated to take part in the civil rights battles being fought in Birmingham.

It is in this context that he wrote: “Injustice anywhere is a threat to justice everywhere. We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly.”

This quote echos the school’s core value of Ubuntu, a southern African philosophy which stresses the interconnectedness of all human beings.

After we finished painting, we were treated to a buffet featuring everything from jambalaya to injera.

Overview of the President’s FY 2013 Budget Request

February 17, 2012 in Policy/Advocacy

by Donna Crews, Director of Government Affairs

The annual federal budget and appropriation process kicked off this week with the release of the President’s FY 2013 proposed budget.  The budget request projects total spending of $3.8 trillion for the fiscal year that begins Oct. 1, 2012.  The President’s FY ’13 budget request for overall domestic HIV funding demonstrates a continued priority for implementing the National HIV/AIDS Strategy.  In a total budget that reflects the fiscal crisis that is forcing record setting cuts in total spending, the proposed budget includes moderate increases or flat funding for the majority of domestic HIV programs.  And, despite some disturbing proposed cuts as well AIDS United is pleased that most these life-saving programs remain intact during this challenging financial climate.

The Ryan White HIV/AIDS Program would receive a $74 million increase.  Most of that increase is for the AIDS Drug Assistance Program, funding for which would increase by $66.7 million.  That amount is on top of the $50 million that was added in FY 2012 following the President’s 2011 World AIDS Day remarks.  Part C would get a $15 million increase, which also is on top of the $15 million announced by the President on World AIDS Day.  The other parts of the Ryan White Program, including Part A, would be flat funded under the President’s proposed budget.  Regrettably Part D of the program would face a nearly $8 million dollar cut.

The President also proposed a $2 million dollar cut to the HOPWA (Housing Opportunities for People with AIDS) program, and a $5 million cut to tuberculosis prevention.

Domestic HIV prevention and surveillance programs would receive an increase of $40 million.  STI prevention programs are virtually flat funded under the President’s budget.

The President’s budget request includes a provision that would allow local communities to use federal funds for syringe exchange programs (SEPs). AIDS United is pleased about this provision, because the ban on the use of federal funds for SEPs was reinstated in the last bill to complete the FY 2012 spending plan.  AIDS United joined others throughout the HIV/AIDS community in calling for the President to support Congress lifting that ban.

President Obama included a $6 million increase for the Social Innovation Fund (SIF) and a $5 million decrease for the AmeriCorps program.  AIDS United has both a SIF grant and an AmeriCorps grant with a focus on HIV and AIDS that we fund throughout the United States.  The SIF grant must be matched by our organization and by the grantee on the local level thus leveraging $2 additional dollars for each $1 federal dollar invested.  Often, the AmeriCorps young people who work in the HIV arena remain involved in HIV policy, care, treatment, or research for their careers.  This is an important pipeline to new HIV workforce members as many of the HIV workforce begin to retire.

AIDS United is pleased and encouraged that many domestic HIV/AIDS programs remain intact, but remains very concerned about the cuts that have been proposed for AIDS housing, and the program for women, children, youth, and families.  Watch for continuing analysis here on the AIDS United blog.

Click here to see the White House’s Office of Management and Budget’s overview of the FY 2013 President’s budget.

Click here for a chart of the domestic HIV programs in the President’s proposed budget.

Team Detroit Honors MLK Day

February 7, 2012 in AmeriCorps

In the spirit of community service, compassion, and commitment to what Dr. King famously called “beloved community,” AmeriCorps AIDS United Team Detroit joined AmeriCorps members across the nation in making this year’s Martin Luther King holiday a day on – not a day off.  In contrast with past years, when activists boldly took to the streets, our team chose a less public display of solidarity and commitment to social justice. From behind dimly-lit warehouse walls, this year’s Team Detroit decided we would take to the shelves.

While friends and family slept in late, I’m proud to say that Team Detroit arrived bright and early, at a kick-off rally hosted by City Year Corps members, serving nearby. Once the formalities of introduction, historical acknowledgement, and preparation were complete, the team converged on an unlikely building, just a few miles north of the downtown core. Outside the small office space, we waited for the clank of a chain-link gate’s opening, then followed dozens of other volunteers through a discreet side door, and into the warehouse stowed behind.

Clambering away from the icy January wind, we piled into a cramped aisle, tucked between two columns of metal shelves, on top of which lay countless stacks upon stacks of books. Greeted by an older man who beamed from ear to ear, Team Detroit was introduced to the work of the Kiwanis Book Club. Kiwanis, we learned, was an organization committed to promoting literacy in Detroit youth. As we further surveyed our surroundings, Team Detroit members realized that the two towering bookshelves were just the beginning of what was actually a mountainous literary collection. There were books piled everywhere, so that it was nearly impossible for the scores of volunteers to avoid brushing shoulders—or, occasionally, stepping on toes. All these books—donations collected from near and far—were to be sorted, packed, and sent off to teachers who could then send them home with a student unable to afford to purchase literature.

As we got to work, it was hard to avoid grinning. Smiling to myself, I thought, if I had to pick just one, I’d say MLK day was my favorite team day, so far. That’s because, of all the national holidays, Martin Luther King Day has always been my favorite. Its spirit is beautifully in sync with the core value of the AmeriCorps program – to serve, and participate actively in community. This past MLK day, we didn’t sleep in late, spend money, or dress up in our nicest clothes; but we did give a gift. And, after some reflection, I think it’s safe to say we were given a gift, ourselves, too.

Team New Mexico | Martin Luther King Jr. Day

in AmeriCorps

Team New MexioAn individual has not started living until he can rise above the narrow confines of his individualistic concerns to the broader concerns of all humanity.”

On Martin Luther King Jr. Day, a day which many people take to recognize racial and other social inequalities that still exist in our nation, Team New Mexico promoted diversity and equality in a parade in Albuquerque. We teamed up with N’MPower, an organization for young gay and bisexual men aimed at raising HIV/AIDS awareness and education through positive social connections and peer support. We met early in the morning and decorated our banner, then joined the parade route around 1 p.m.

Surrounded by the cacophony of beating drums and buzzing vuvuzelas, we marched proudly with our banner amongst others who held signs bearing paintings and quotes of Martin Luther King Jr. The parade itself was rather informal, but the passion behind those marching in it was clear and abundant. We marched a few miles from the University of New Mexico’s campus to the courthouse downtown, where several others rallied together and a number of key speakers recited some of Dr. King’s speeches, stressed the importance of the holiday, and provided various forms of traditional New Mexico entertainment.

Through our presence in the parade, we worked to educate the community on the importance of the intersection between the rights and lifestyles of black and LGBTQ communities and how they’re affected by HIV/AIDS. We handed out flyers for an upcoming event we’re participating in at N’MPower for National Black HIV/AIDS Awareness Day on February 7th. We will be administering free HIV testing at a health fair, followed by a candlelight vigil and some fun entertainment. We hope our outreach done during the parade will reflect a good turnout for this upcoming event!

PrEP, African-Americans, and the Future of Prevention

in HIV/AIDS Awareness Days

Charles Stephensby Charles Stephens, Regional Organizer, Southern  Region

African-Americans remain the population most disproportionately impacted by HIV in the United States . Comprising only 14% of the population in 2009, they accounted for 44% of HIV infections that year. Of the 1.1 million people living with HIV in the United States, 545,000 are African-American. In addition, new HIV infections among young African-American men who have sex with me (MSM) increased by 48% from 2006–2009. This suggests the urgency and critical place we find ourselves in as we grapple with the HIV epidemic in African-American communities that are facing the most severe burden of the epidemic.  HIV in the United States will not be eradicated until it’s confronted head on in the African-American community.

Over the past three decades there have been a number of key advances in HIV prevention. Condom education for example, has become an institutionalized part of comprehensive sexual health education. We have also seen the overwhelming success of syringe exchange programs as another critical step in reducing HIV infection among injecting drug users. Over the past few years, the advances in biomedical HIV prevention have offered additional hopeful signs in our HIV prevention efforts. Pre-Exposure Prophylaxis or (PrEP), is one of those advances. PrEP is a strategy in which HIV negative people take HIV medicine (antiretrovirals or ARVs) prior to a possible HIV exposure to reduce  risk of infection. Using ARVs to decrease the risk of HIV transmission has already been successful in reducing transmission in HIV positive mothers to their infants.

Two recent studies make this point even clearer, demonstrating that PrEP can be both safe and effective. The iPrEx study was a multinational randomized controlled study in 2,499 HIV-negative men who have sex with men (MSM) and transgender women who have sex with men. The Partners PrEP study enrolled 4,758 HIV serodiscordant couples, in which one partner has HIV and the other does not, from nine research sites in Kenya and Uganda. Both studies indicated the safety and efficacy of PrEP within their respective populations.

With the proliferation of information about PrEP, especially as information is disseminated into communities, there has been understandable excitement, caution, and in some cases alarm. The Final Call, the newspaper of the Nation of Islam recently published a story about PrEP and black communities. The article highlighted some of the anxieties and concerns that the introduction of PrEP into our national HIV prevention toolbox might create. Understandably the present relationship and history between researchers and marginalized communities have contributed to some of the ambivalence. Any mention of scientific research and African-Americans is usually coupled with reflections of Tuskegee.  Tuskegee refers to the now infamous research conducted from 1932 and 1972 in Tuskegee, Alabama by the U.S. Public Health Service to study syphilis that went untreated in poor black men. The black men in the study thought they were receiving free health care from the government. In the aftermath of Tuskegee there have been a number of precautions taken and policies implemented to ensure the safety and understanding of study participants. There has also been the development of very successful community engagement programs like The Legacy Project. The Legacy Project is an initiative of The Office of HIV/AIDS Network Coordination (HANC), and has sought to remedy the broken relationship with education, and even promote the value of participating and engaging in research to people of color.

Currently, Gilead Sciences Inc. is seeking approval with the US Food and Drug Administration for the HIV drug Truvada to be used as PrEP. And if approved, will present another historical milestone for the history of the HIV epidemic in this country.

Besides effectively engaging communities another challenge is cost. Cost of expensive HIV drugs, staffing support to ensure treatment adherence, and expanded HIV testing and counseling efforts, is a inescapable factor to successful deployment of our HIV prevention toolbox.  As government assisted AIDS Drug Assistance Programs (ADAP) waiting lists grow, what does it mean to provide HIV medications to negative people? There are very tough questions we have to struggle with.

The HIV rates among African-Americans indicate that innovation in prevention is not only a scientific necessity, but a moral one. The implications around PrEP and African-American communities is a highly complex issue that must be examined both with rigor and courage.   One thing is certain, we need more research into how PrEP operates in a real-world context, particularly within the African-American community. This National Black HIV/AIDS Awareness Day provides us an opportunity to acknowledge the challenges such strategies like PrEP, but also the hope of effectively reducing HIV rates in African-American communities.