The Montana STD/HIV newsletter

2006·0.53 MB·English

by  Montana. Dept. of Public Health and Human Services

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NTANA
DPHHS STD/HIV Section
DepatlmenioiFunlicHealth&HumanServices Spring 2006
AIDS Drugs Show Prevention vention impact," said Thomas Folks, afed- choices all ofthetime, that'snotthereal-
Promise eral scientist sincetheearliestdays of ityofit," he said ofpracticingsafe sex.
ByMARILYNNMARCHIONE. APMedi- AIDS. "Ifit works, it could be distributed "ifI thoughtthere was a fallbackpara-
cal Writer TueMar28, 9:43AMET quicklyand could blunttheepidemic." chute, a preventative, I would definitely
Condoms a—ndcounselingalone havenot wantto addthat."
ATLANTA - Scientistshave longbe- beenenough HIV spreadsto 1 pAeople Some fear that thiscould makethings
lievedthata vaccine is thebestwayto every minute, 5 millioneveryyear. vac- worse.
stopthe spreadofHIV, buteffortsto in- cine remainsthe besthopebut none is in "I'vehad peoplemake commentstome,
vent onehavemiserably flopped. sight. 'Aren't youjust makingtheworldsafer
Nowthey mayhave found some- Iflargertests show thedrugs work, they forunsafesex?'" said Dr. Lynn Paxton,
thingalreadyon pharmacy shelves that could—be given to peopleathighestriskof team leader forthe project atthe Centers
seemstoprevent infection. HIV from gaymen inAmerican cities for Disease Control and Prevention.
It'sa combination oftwo drugs that to women inAfrica who catchthe virus The drugs would onlybe given topeo-
have shown such promise inearly experi- fromtheirpartners. plealong with counselingand condoms,
ments in monkeysthat officialsjust ex- People likeMatthew Bell, a 32-year-old andregulartestingto make surethey
panded tests ofthem in people around the hotel manager in San Franciscowho vol- haven't become infected. Health officials
unteered fora safety studyofone ofthe alsothink the strategy has potential for
world.
drugs. more people thanjust gay men, though
"This isthe first thing I've seenatthis
pointthat Ithinkreallycould have apre- "As much as I want to make the right (Continuedonpage4)
tive
towards life, UNITED STATES: Gilead Re- testing.
tay protected luctant to Tout AIDS Pill as Truvada, Viread and Emtriva are ap-
omAIDS Possible Preventive proved foruse by HIV- positivepa-
tients, not as apreventive for HIV-
AssociatedPress (03.30.06) - Thursday, negative people. Doctors, however, can
March 30, 2006 prescribe them for "off-label" use: in
PaulElias addition, they are available online. No
ReulersPhoto: Volunteerstakepartinamarch one knows how many people are taking
duringanAIDSawarenessrallyinNewDelhi, Researchers emboldened by monkey thepills forprevention, but some ex-
India... studyresults recently said they would ex- perts, including Mitchell Warren ofthe
pandtests ofthe pill Truvada, which com- AIDS Vaccine AdvocacyCoalition,
Inside Stories: bines Gilead Science Inc.'s Viread and suspect theirnumbers are growing.
Emtriva, as a possible preventive for Some analysts saythis off-
Montana Review 2 healthy people at high risk ofHIV infec- label use couldcome backto haunt
tion.
Gilead, in particular ifthe pills are
Clinton Supports Gilead, however, has acted to tamp
eventually found to be ineffective at
Wider Aids Testing... 3 down excitement about the development,
preventing infection.
Bush's AIDS Plan in part outoffearthat Truvada will be CDC, the National Institutes of
Questioned 3 seen as a "bio-medical condom." Health Health and the Bill & Melinda
Cervical Cancer officials, too, areworried: Theysaythe Gates Foundation are each funding
Vaccine 5 drugs should onlybe administered along separate human trials ofViread around
Notable Dates in with counseling, condoms and regular (Continuedonpage5)
AIDS Epidemic 5
Health Officials Cast PublishedbyMontana DPHHS
WebatSTDs 7 STD/HIVPreventionand Treatment
Spring State and Local
PEMS Update dent Union free ofcharge. We notified
Calendar: the Student Health Senices and Student
Training for implementation ofthe new Counseling Services ofourtesting and
Program Evaluation and Monitoring Sys- subsequently offered advice on ourtesting
tem (PEMS) has started, with the delivery procedures. Neitheragency had guide-
AIDS Review ofa computer based training program, lines for HIV testing and positive test pro-
which was mailed to all HIV Prevention tocol.
Panel: contractors in March 2006. PEMS users During testing, our Health Educators
are in the process ofinstalling digital cer- documented client demographics, risk
tificates to access PEMS via the Centers factors, and testing history. Results show
May 11,2006—Helena for Disease Control (CDC) secure data 450% more tests were performed during
network. Once digital certificates have the free promotion than are performed
CPG Meetings: bpleeetnedintshtealcleodm,puatnedrPbEaMseSdutsrearisnihnagvceoucrosme,- dthuerrinegva2luraetgiuolnarsdhaoywssatthatthe6c0l%inioc.ftFhuerc-li-
the HIV Prevention staffwill scheduleon- ents tested had never been to Bridger
April 28 & 29, 2006—Helena 2si0t0e6t.raining, beginning early summer CHlIiVnictesbtefboerfeoraen.dT4w7e%nthyadpenrecveenrthreavdeaalned
they had engaged in high risk behavior
Governor's AIDS A new standardized HIV Counseling. such as past IV drug use. Demographic
Testing and Referral Form forcollecting evaluation shows that 60% ofthe clients
Council: data was also released in March 2006, by tested on the free HIV testingday were
the CDC. All sites receiving HIV preven- males, whereas, only 18% are males dur-
tion funds forcounseling and testing ser- inga regular day at Bridger Clinic. In
May 8, 2006—Helena vices are requiredto begin usingthe new addition, ofthe clientswho had never
form, which will enable the State to cap- been to BridgerClinic, 100% noted that
ture data electronically for submission to they would use BridgerClinic services in
Trainings: the CDC through the PEMS system. the future and 100% notedtheywould
consider having another HIV test.
Missoula, April 25, 26, 2006 University Ifyou would like additional information Contact:
of Montana, CTRS-open to college stu- related to PEMS, please contact Lisa Un- CindyBallew Stephanie HG
dents and by appointment derwood at [phone] or Lunder- Health Educator McDowell
woodfaimt.gov BridgerClinic, Inc. DevelopmentDirector
Wolf Point, May 31, June 1, 2006 Roo- _ 3200001N.Willson. Suite B3r0i0dgNerWCillilnsioc.n.InScu.ite
sevelt County Health Department, Bozeman, Mt 59715 2001
CTRS-open enrollment Bridger Clinic Offers Free, [phone] ext 13 Bozeman, Mt 59715
fax[phone] [phone] ext.31
Off-Site HIV Testing bchealthed@qwest. fax[phone]
For information on future trainings or net stepha-
registration call: 406-444-2675. This March, BridgerClinic ofBozeman [email protected]
hosted two free HIVtesting days to pro-
mote Women and Girls' HIV/AIDS The Word On MAC
Statewide Plan- Awareness Day. The event consisted of1
dayoffree rapid HIV testing in the clinic
ning Committee: facility and 1 day inthe Montana State In the words ofa Missoula AIDS Council
University Student Union Building. Both client, "the energy has gone from soft
days were advertised through demo- runny eggs to a nice French omelet." We
May 2006—Helena graphic appropriate radio and print adver- are trying more than everto meet the cli-
9,
tising targeting men and women aged 16- ents' and community's needs by increas-
MAC
55 years. ing the office buzz. Think of as a
Please visit the Back Page for upcom- The free testingday offered the opportu- honeycomb with new bees reconstructing
ing STD/HIV Prevention events from nity to network with campus services. a new hive. We like the theme. Ournews-
our partners in the field. The MSU Women's Centerpartnered with letter is calledthe B.E.E. our first ever
BridgerClinic to promote and execute the website is called the PeoplesHIVe (an
campus testingday by marketingthe event
(Continuedonpage 7)
and providing access to a room in the Stu-
Montana
National/International
Weighing in on Testing: Bush Admin. $15B AIDS Plan
Resources:
Questioned
Clinton supports wider AIDS BvRITA BEAMISHTueApr4, 10:00PM
ET
testing
Montana Targeted Prevention
BvPatriciaReaney WedMar29, 8:32
AMET The Bush administration's $15 billion MTAP) Partners: Updated Contacts
global AIDS initiative is emphasizing Connections: Eddie Rudd, 556-
sexual abstinence and fidelity more than 1139
LONDON (Reuters) - FormerU. Congress intended, andthat focus is un- Blackfeet Outreach Services:
S. President Bill Clinton voiced support derminingprevention efforts in poor Martha Harrison, 338-7808
on Tuesday formandatorytesting for
countries, congressional investigators said ButteAIDS Support Services:
HIV/ADS in countries with high infection Tuesday. Frank Gary, 491-7768
rates and the means toprovide lifesaving U.S. teams ontheground in Africa and FlatheadFamily Planning:
dWrhuegsn.the AIDS epidemic began two dec- omtehnetrApcocoorunatraeabsiltiotlydOCfofnigcreetshsa1tGtohveerren-- Wendy Doely, 751-8155.
ades ago mandatorytesting was frowned Missoula AIDS Council: Nancy
quirement thatthey spend a specific per-
on because ofthe stigma attached to the centage oftheir moneyon abstinence is Cunningham, 543-4770
deadly illness and the lackoftreatment hurting some efforts to tailorprevention Northern Cheyenne Board of
Health: JanetWolfname, 477-
programs to countries'needs.
4510
The directives are creating confusion
Open Hands Foundation: Danae
and forcingreduction in some programs
deemed necessary forpregnantwomen, Kissner, 727-3064
high-risk groups like truckdrivers and sex Yellowstone AIDS Project: Becky
Webber-Dereszynski, 245-2029
workers, married couples and sexually
GAO
active youths, the said.
President Bush's five-year plan touts a
three—-pronged approach to AIDS—preven- For a comprehensive list ofSTD
tion commonlycalled "ABC" that Clinics, HIVTesting Sites, and HIV
dRCeeolunitfveeerrrsesnPhchieos.tsop:eeFcohrmaetrthUe.Sth.irPdreEsairdleyntWaBirlnliCnlginton cfaoimtbhfiunle")saanbdstcinoenndcoe,msfiidneltiatryg(e"tbceoiunngtries. PMroenvteanntaioDnPCHonHtSraScTtDo/rsH,IVviPsirtetvheen-
The GAO reportedtherewas "general tion Website:
consensus" amongpublic health experts http://www.dphhs.mt.gov/PHSD/STD-
forthose infected. internationallythatthethree-pronged pre- HlV/std-hiv-index.shtml
But Clinton said countries where vention approach "can have a positive
there was no discrimination against peo- impact in combating HIV/AIDS."
ple with the illness and where anti-AIDS But it recommended Congress evaluate Please visit the Back Page for upcom-
drugs were available should now consider the effectiveness ofthe abstinence spend- ing STD/HIV Prevention events from
universal testing. ing formulas, andthe administrationcon- our partners in the field.
"Ithinkthere needs to be a total rethink- sider changinghow it implements the law.
ing ofthis testingposition in the AIDS "Lackofclarity in the ABC guidance has The Montana STD/HIV News-
community and a real push forthis," Clin- created challenges fora majorityoffocus letter is as much for our con-
ton toldjournalists duringabriefing in countryteams," the GAO reported. tractors getting out informa-
London.
"Forexample, although the guidance
He said he onlysupported introducing restricts activities promoting condom use, tion as for us here at the
mandatorytesting ifthe country itself it does not clearlydelineate the difference State. Please look for quar-
wantedto do it and could guarantee there between condomeducation and condom terly requests for information
wouldbe no discrimination and full ac- promotion, causinguncertaintyover you would like to share with
ceMssortoeltihfaen-s4a0vinmgilmleidoincpaetoiopnl.e worldwide whethercertain condom-related activities your partners in STD/HIV pre-
are permissible," the report said.
are estimated to be living with HIV/AIDS The State Department told the GAO it vention.
but manydonot knowthey are infected. will workto change theregulationsto Thank you to the folks at
"Now we can save people's lives and we make them clearer. MTAP, MAC, and FDH & Asso-
can reduce the stigma. There is noway The GAOalso saidthe administration ciates and the Bridger Clinic
(Continuedonpage6) has gone beyondthe abstinence require- for their contributions.
(Continuedfrompagel)Prevention verypromising," and something keyresults, the Botswana study now
Promise neverbefore achieved in HIV pre- will be switched to the drugcombina-
theydon't intend to give it "to vention experiments, said Walid tion; the others are well underway
housewives in Peoria," as Paxton Heneine, a CDC scientistworking with tenofovir alone.
puts it. on the study. Furthest along is a study of400 het-
Some uninfected gay men al- What happenednext, when scien- erosexual women in Ghana by Family
readyare gettingthe drugs from tists quit givingthe drugs, was Health Initiative. The Bill & Melinda
friends with AIDS ordoctors will- equally exciting. Gates Foundation funded it and others
ing to prescribe them to patients "We wanted to see, wasthe drug in Cambodia, Nigeria, Cameroon and
who admit not using condoms. holding the virus down so we did- Malawi, but the rest were doomed by
This kind ofuse could lead to drug n't detect it," orwas it truly pre- rumors, including fears that scientists
resistance and is one reason offi- venting infection, said Folks, head wanted to deliberately expose people
cials are rushingto expand studies. ofthe CDC's HIV research lab. It to HIV or that studyparticipants who
"We need information about turned out to be the latter. "We're got infected might not have access to
whetherthis approach is safe and now four months followingthe ani- treatment. In other cases, activists de-
effective" before recommending it, mals with no drug, novirus. manded better health care orclean
said Dr. Susan Buchbinder, who They're uninfected and healthy." needles for drug users as a condition
leads one study in San Francisco. Years ofprevious monkey stud- for allowing the studies to proceed.
The drugs aretenofovir(Viread) ies usingtenofoviralone had Such problems are "part ofthe HIV
and emtricitabine, or FTC shown partial protection. The sci- prevention landscape" in many foreign
(Emtriva), sold in combination as entists thought to add the second countries, said Dr. Helene Gayle, who
Truvada by Gilead Sciences Inc., a drug, FTC, when Gilead's combi- formerlyoversaw AIDS research for
California company best known for nation pill, Truvada, came on the the Gates Foundation.
inventing Tamiflu, a drug showing market last year. Expense also could limit use ofthe
promise against bird flu. The results, announced ata sci- drugs. Gilead donatedthem for the
Unlike vaccines, which wor—k entific meeting last month in Den- studies and s—ellsthem in poorcoun-
through the immune syst—em the ver, so electrified the fieldthat pri- tries at cost 57 cents a pill for teno-
verything HIV destroys AIDS vate and government funders alike fovirand 87 cents for Truvada, the
drugs simply keep the virus from have been looking at ways to ex- combination drug. That's more than
reproducing. Theyalreadyare used pand human testing. the cost ofcondoms, available forpen-
to prevent infection in health care "This is an approach we've con- nies and donated bythe truckload in
workers accidentallyexposedto sidered fora long, longtime," but Africa, but often unused.
HIV, and in babies whose pregnant didn't trysoonerbecause AIDS In the United States, wholesale costs
mothers receive them. drugs had side effects and risks are $417 fora month oftenofovirand
Taking them dailyor wee—klybe- unacceptable foruninfected people, $650 for Truvada.
fore exposure to the virus —the said Dr. Mary Fanning, directorof Still, health officials are hopeful the
time frame isn't known yet may prevention research at the National drugs could fill an important gap.
keep it fromtaking hold,just as Institute ofAllergyand Infectious The National Institute ofHealth is
taking malaria drugs in advance Diseases. starting a tenofovir study in 1,400 gay
can prevent that disease when Tenofovir changed that when it men in Peru. Private and government
someone is bitten byan infected came on the market in 2001. It is funders are considering others. Teno-
mosquito, scientists believe. potent, safe, stays in the blood- foviralso is beingtested in microbi-
Monkeys suggest they are right. stream longenough that it can be cide gels that women could use vagi-
Specifically, six macaques were takenjust once aday, doesn't inter- nallyto tryto prevent catching HIV.
given the drugs and then chal- act with other medicines or birth "Ifyou're in an area where there's a
lenged with a deadlycombination control pills, and spurs less drug reallyhigh HIV incidence, something
ofmonkey and human AIDS vi- resistance than otherAIDS medica- that's even 40 percent effective could
ruses, administered in rectal doses tions. have a huge impact," Paxton said.
to imitate howthe germ spreads in The CDC last year launched $19 And in the Atlanta labs where
gay men. million worth ofstudies ofit in Heneine, Folks and others are still
Despite 14 weekly blasts ofthe drug users in Thailand, heterosex- minding the monkeys, "the level of
virus, none ofthe monkeys became ual men and women in Botswana, enthusiasm is pretty high," Heneine
infected. All but one ofanother and gay men in Atlanta and San said. "This is verypromising. For us to
group ofmonkeys that didn't get Francisco. A third U.S. city, not yet be involved in a potential solution to
the drugs did, typicallyafter two identified, will be added, CDC an- the big HIV crisis and pandemic is
exposures. nounced lastweek. very exciting."
"Seeing complete protection is Because ofthe exciting new mon-
, 1
(Continuedfrompage ItRelUCtant Notable Dates in AIDS AIDS virus has spread three sepa-
the world to learn whether it could be Epidemic rate times from c—himpanzeesto
an effective prevention pill. Otherthan Bv TheAssociatedPress Mon Mar people in Africa one ofthe
providing the Viread, Gilead is not 27, 2:51 PMET transmissions startingthe world-
deeply involved in these studies. The wide epidemic.
idea that anyoftheirdrugs can be June 5, 1981: The U.S. Centers for _June 2001: Atthe 20th anniver-
used to prevent AIDS is promisingbut Disease Control and Prevention re- saryofAIDS, the numberof
preliminary, company officials say, ports five gay men in Los Angeles Americans diagnosed with the dis-
because most ofthe available data ease tops 700,000. More than
are suffering from a rare pneumonia
come from monkey studies. But be- 420,000have died. Worldwide,
found in patients with failing im-
cause the monkeytrial results have mune systems. more than 36 million people are
been so promising, officials are now May 1983: The virus that causes now infected with the AIDS virus,
planningto switch one human trial AIDS is identified. with more than 16,000 new infec-
from Viread to the combination. _December 1984: Ryan White, a 13- tions each day.
Aug. 23, 2001: The growing scale
year-old Indiana boy, is diagnosed
UNITED STATES; CAN- with AIDS. He contracted it through ofthe AIDS epidemic in China is
ADA; BRAZIL a blood-clotting agent used to treat acknowledged forthe firsttime by
: his hemophilia. The following year its government.
"Cervical Cancer Vac- he is barred from school for fearthe _Oct. 16, 2001: South African
cine—Gives Long Protec- diseasewill spread. health officials issue a report on the
tion Study" back to top Oct. 2, 1985: Hollywood superstar devastating impact ofthe HIV/
Reuters, (04.06.2006) Rock Hudson dies aftera yearlong AIDS epidemic in that country.
battle with AIDS, the first reported Nov. 7, 2002: The FDA approves
Inanewstudy, researchers re- celebrityAIDS death. an easy-to-use 20-minute HIVtest.
port that women given the vaccine May26, 1988: The U.S. govern- Jan. 28, 2003: President Bush in
Cervarix maintained high levels of ment mails "Understanding AIDS," his State ofthe Union address pro-
antibodies against twotypes ofhu- an educational pamphlet to 110 mil- poses $15 billion in funding over
man papillomavirus (HPV) for up to lion Americanhomes. the next five years foremergency
4.5 years after receivingtheir last _Aug. 18, 1989: The number of AIDS reliefin Africa and the Car-
dmoosree. tHhPanV7s0trpaeirncsen16t aonfdce1r8viccaaulse AStIaDteSscraesaecshersep1o0r0t,e0d00i.n the United _iFbbeeba.n.17, 2004: AUN report warns
cancer, adisease that kills 230,000 _April 8, 1990: Ryan White dies. ofthe growing AIDS crisis in East-
women a year, chiefly in the devel- _June 1991: Bythe 10-yearanniver- ern Europe andthe former Soviet
Union.
oping world. saryofAIDS, more than250,000
_Mar. 24, 2004: The FDA ap-
"These findings set the stage for Americans have been diagnosed
widescale adoption ofHPV vaccina- with it and upto 1.5 million more proves an oral HIV test that gives
tion forprevention ofcervical can- people are infectedwith HIV. results in 20 minutes.
cer," said lead author Dr. Diane _Nov. 7, 1991: Los Angeles Lakers Jan. 6, 2005: Nelson Mandela,
HarperofDartmouth Medical star Magic Johnson announces he formerPresident ofSouth Africa,
School. has HIV and says he isretiring from announces the death ofhis son due
Harper and colleagues followed basketball. He encourages Ameri- to AIDS-related complications
800 women who tookpart in the cans to practice safe sex. hoping that such openness will
ocroimgpinaarletdritalo,ainplwahciecboh.CTehrveayrifxouwnads _ADdmeicn.is7,tr1a9t9i5o:nTahpeprFoovoesdaanndewDrculgass fiNgohvt.th2e1,st2i0g0m5a:oAfAnIeDwS.UN report
the vaccinated women had high lev- ofdrugs fortreating HIV, protease contains some good news about
els ofantibodies to strains 16 and inhibitors, amove the government decreases in HIV infection rates in
o1v8,erantidmet.heIlneavdedlistdiiond,ntohtedveaccrceiansee cinalylseasrosmfeoroAfIthDeSmpoasttiehntosp.efTuhlenews tshoembeacdonunetwrsietshabtutthaelsnouminbcelrusdeosf
conferred protection against new and drugs help transform the disease to a AIDS cases is still on the increase.
persistent infections and showed ef- manageable chronic illness. December2005: UNAIDS esti-
mates the numberofdeaths world-
fectiveness against strains 45 and 3 Feb. 27, 1997: The government
which are the third- and fourth-most1 reports a 13 percent drop in AIDS wide from AIDS in 2005 at 3.
prevalent cancer-causing types of deaths in the first halfof 1996, the million; the number ofpeople liv-
HPV. first significant drop in the epi- ing with the AIDS virus is esti-
"The results show sustained im- demic's history. mated at40.3 million.
mune response and long-term effi- Jan. 31, 1999: Researchers report
(Continuedonpage 7) theyhave convincing proofthat the
(Continuedfrompage3)CHntOfl (ContinuedfrompageJlBlJSh to appease the radical right."
we are goingto reduce the spreadof ment fora majornew accountCon- Rep. Chris Smith, R-N.J., defended the
this epidemic without more testing gresscreated to fight AIDS, mostly in administration's approach, sayingthe
because 90 percent ofthe people who 15 target countrieswith high rates of report was "politicallybiased."
are HIV positive don't know it," he the disease. Congress said athird of "One ofthe most underreported inter-
added. those prevention funds must go to ab- national stories is the President's Emer-
stinence and fidelityprograms. gencyPlan forAIDS Reliefand the
LESOTHO TEST CASE The administration, however, ex- ABC approach areworking," Smith said.
Clinton, whose foundation hasbeen tendedthe same spending formulas to GAO reportauthor David Gootnick
workingto bring quality medical care other U.S. funds that fight HIV/AIDS saidthe nonpartisan agency used stan-
and cheaperdrugs to sufferers inpoor in countries around the world, drawing dards that were "methodologicallyrigor-
countries, saidthis year Lesotho sharp criticism from some Congress ous, vetted extensively," includinga
wouldbecome the first countryto do members and activists. standard set ofquestions andevaluations
universal testing. MarkDybul, the State Department's for U.S. field workers.
He said he regarded it as atest case deputyglobal AIDS coordinator, said The GAO surveyedthe 15 target coun-
to see whether rapidtests, costing49- the Bush administration believes all tries, plus five others that receive more
65 cents each, anddrugs can reduce three components needtobe empha- than $10 million in U.S. helpto fight the
the 27 percent infection rate inthe sized in all 120 countriesthatget U.S. epidemic.
southern African country. A budget of money for HIV/AIDS, notjust the tar- U.S. teams in 17 countries toldthe
GAO
$100 million could pay for200 million get countries. that meeting the spendingrequire-
tests. "It's important to have guidance that ments forabstinence and fidelity
"The whole idea is to treatthis as a shifted us from where we were, which "challenges theirability to develop inter-
public health problem, not as some was not a good situation," he said. "It ventions that are responsiveto local epi-
source ofshame ordisgrace andto wastoo much 'C (condoms)" priorto demiologyand social norms."
keep as manypeople alive aspossi- Bush's three-year-oldprogram, he While Bush's AIDS program also in-
ble," he explained. added. cludes unprecedented spending fortreat-
The first aim is to stop infections As to the GAO's findingthatthe ap- ment and care, the GAO report focused
andthe second to save the lives of proach is undermining some anti- on prevention.
those who are infected. AIDS efforts, Dybul said, "There are The administration follows a congres-
"I would be for whateveraccom- always challenges when you are sional recommendation that 20 percent
plishes those objectives," Clinton said. changing things." He said U.S. teams ofthe overall AIDS money be reserved
He addedthe question was not in some countries exceededthe mini- for preventing HIV/AIDS, and mandates
whether a country was rich orpoorbut mum required spending forabstinence a third ofprevention money emphasize
its infection rate. When the level of because they found it wasthe most abstinence until marriage and faithful-
infection reached a critical point it im- effective strategy. ness to onepartner. The rest goes to con-
periled the public health structure and The Associated Press reported ear- doms and efforts to reduce mother-to-
social stability, making it more diffi- lierthis yearthat the administration child transmission and intravenous trans-
cult to bringrates down. has handed out nearly one-quarterof mission.
Since leavingthe White HouseClin- its AIDS grants toreligious groups, The Bush administration refined the
ton has devoted much ofhis attention and has been aggressivelypursuing mandateto require that halfofall pre-
to getting anti-AIDS drugs to poor new church partners that often empha- vention moneybe reserved for programs
countries at the cheapest possible size prevention through abstinence and against sexual transmission ofHIV, with
prices through the Clinton Foundation fidelityover condoms. two-thirds ofthat amount for abstinence
HIV/AIDS Initiative (CHAI). Dybul said Congress, which in- and fidelity.
It is working with 22 countries in creased Bush's overall AIDS money Rep. Henry Waxman (news, bio, vot-
Africa, the Caribbean andAsiatopro- requests, allocated 12 percent less than ing record), D-Calif, in a letter Tuesday
vide anti-AIDS drugs to more thana Bush asked forthe 15 target countries. to SecretaryofState Condoleezza Rice,
quarterofa million patientsthrough That extra moneycould have beefed said those abstinence messages don't al-
special drugdeals. up all prevention strategies instead of ways work in countries with high rates
"I made up my mind that I would not forcing teams on the ground to make ofsexual transmission.
spend the rest ofmy life wishing I was tradeoffs, he said. "The effect maywell be to misallocate
still president," he said when asked The reportre-ignited debate over funds in countries with fast-growing
abouthis post-presidencyprojects. how best to fight HIV/AIDS. Rep. HIV epidemics driven primarily by intra-
"Once you let it go, you have got to Barbara Lee (news, bio, votingre- venous drug use or commercial sex, such
let it go." cord), D-Calif., said it "demonstrates as Russia and India," Waxman said.
the Bush administration's willingness
to make AIDS prevention policya po-
litical plaything in theirongoing effort
.
UNITED STATES: Health Of- (Continuedfrompage5)Cancer Vaccine prevention, Christopher and Kristie
ficials Cast Web at STDs cacyagainst HPV-16 and HPV-18 in- arrange housing forclients, Gary
fection," Harper said. supports the community, and
LosAngeles Times (04.04.06) - Wednes-
The makerofCervarix, GlaxoSmith- Heather supervises outreach.
day, April05. 2006 —
DanielCostello Kline Pic, in March submitted an appli- 1 Play musical chairs let every-
cation seeking approval by the Euro- one recreate their space and delve
FHWreeaanblctiahsscooaf,fmicaeinaadlnssoitonhfeLrborcsiintAigneigsnegalredesi,usesSaisnaegnptrhee- pMEeeuarrnocpkMeea&dniCcaoip.nperIsonvcA.aglaeponpfclyiit.esdHInfPoDrVeUcvSeamcacbniendre., 2Yi.notuAotmthphleSiiurfryrveiosvpraoilngsiPinbrailolgiprtriaoemgs,.raHmIsV:+
Gardasil. Speakers Bureau, riskreduction,
vention online.
"Clearly, we are at the beginningof The full report, "Sustained Efficacy housing, HIV counseling and test-
Up to 4.5 Years ofa Bivalent LI Virus- ing, outreach, and general social
tapping this technology," said Dr.
Ronald Valdiserri ofCDC's National Like Particle Vaccine Against Human support.
Center forHIV, STD and TB Preven- Papillomavirus Types 16 and 18: Fol- 3. Build a pantryand fill it with
tion. "We're startingto find that we can low-up from a Randomised Control household/healthcare items low-
Trial," was published online in The income individuals cannot acquire
use the Internet to help reach people in
ways we couldn't otherwise." Lancet (doi: 10.1016/S0140-6736(06) at the local food bank.
People who meet others on the Web 68439-0). 4. Create a social service coordina-
are more likelyto practice risky sex and tor position forsomeone gregarious
have an STD, research shows. One Los to act as a liaison between adminis-
ters and clientele.
Angeles study foundthat nearly25 per-
cent of587 gay men diagnosed with 5. Publish a newsletter to share the
organizations dreams and happen-
syphilis had met one or more partners
online around thetime theywere in- ings. Include an open forum forcli-
fected; ofthem, two-thirds were HIV- ents to express themselves.
positive. The Internet is also used by 6. Construct awebsiteto meet the
men to serosort, ormeet those who have nPuLmWbeHrAone intervention tool for
the same HIV serostatus, orto date only needs.
those who do ordo not usecondoms. 7. Sharethe success with other pro-
"The Internet removes the embarrass- viders.
ment factor, so people can honestlytalk It's great here!
about what theyare doing and what their
risks are," said Deborah Levine, director
ofthe nonprofit STD prevention organi- The Montana STD/HIV
zation Internet Sexuality Information Newsletter is as much
Services. for our contractors
San Francisco's Department ofPublic getting out informa-
Health allows clients to schedule anony-
mous STD testing through a Web site, Reuters - MonApr 10. 2:58PMET tion as for us here at
where theycan also log in to receive test Grammy award-winning singer Alicia the State. Please look
results. Los Angeles County's inspotla. Keys (R), President ofAIDS Healthcare for quarterly requests
org, a site co-sponsored by AIDS Foundation Michael Weinstein (L), and for information you
Healthcare Foundation, allows clients Winnie, a 9-year-old who is HIV/AIDS would like to share
wpairtthneSrTsDtso stoeeakntoensytimnogu.sOlnyVaadlveinsteisneexs pAoIsiDtSivhe,eaplotshecafroerfaoupnhdoattoigornapinhMatasaaka. with your partners in
Day, AIDS Project Los Angeles STD/HIV prevention.
launched mysexycity.com, a site where (Continuedfrompage2)The Word On MAC Thank you to the folks
users can play characters facing risky electronic resource forpeople living with at MTAP, MAC, and
sexual choices and learn their conse- HIV—) and the office is taking on the moni- FDH & Associates and
quences. Sexual-oriented sites are also ker The Honeycomb. We want it to be a the Bridger Clinic for
opening up tothe presence ofAIDS edu- solid environment full oftrust, compas-
cators in chat rooms andto health adver- sion, and hope. their contributions.
tisements.
RECIPE FOR A MAKEOVER
Ingredients: Nancy Cunningham has re-
turned as the Executive Director, Jeri con-
tinues as the office manager. Lindsey leads
1
DPHHS
STD/HIV Prevention Section
—
C1o4g0s0wBelrloaRdmw.ayC-21 k*»"1T*. _«_MFNTS .**»*«*ON
Helena, MT 59620 AM
8 g __n.
Phone: [phone]
^IJS
Fax: [phone] fWfJtfg?*1
Email: [email protected] HELENA. MONTANA 59620
STATE LIBRARY
1515 6TH AVE
HELENA MT 59620*1800
We're on the WEB!!
http://www.dphhs.mt.gov/PHSD/STD-HIV/std-hiv-index.shtml
The Back Page
HIV News
April 27, 2006-ACDC SatelliteBroadcastonRecruitmentStrategiesforCTRcoverstherationalefortheuseofsocialnetworksasarecruitment
strategyforHIVcounseling,testing,andreferralservices:thecomponentsofthesocialnetworksstrategy;howtoassessanorganization'sreadiness
forusingthestrategy;andavailabletrainingandtechnicalassistance.Thiswillbroadcastfrom 11-1PM MST. Webcastat,www.phppo.cdc.gov/phtn
HIV+ Retreat May 1,2
The retreat is open to HIV+ people across the stateof Montana and isfree. However, accommodations are limited so RSVPASAP! To
Register contact BeckyWebber-Dereszynski at406-245-2029 for more Info! [Red Lodge. MT]
Gay Men's Chorus Spring ConcertMay6
7:30pm atthe Music Recital Hall on UM Campus. $12 general admission or $10 forstudents/seniors. For Information orcall406-370-
9876. [Missoula, MT]
National STD Prevention Conference May8-11 (Jacksonville. FL]
Rising Hope: HIV+ Partners Health Retreat May 12-14
Call 406-829-8075 or Email FDH for Information [Holland Lake Lodge. MT]
Open Hands Foundation Dance and Fundraiser May 12
At Black Eagle CommunityCenter. Formore info email [email protected] [Great Falls, MT]
PAWS forour Cause: 2nd Annual HIV/AIDS Awareness PetWalk May 20
Sponsored byYAP. AtWest High School. Registration starts at 8:30 AM and the walk starts at 9:30 AM. To Registercontact Becky
Webber-Dereszynski at 406-245-2029 oremail Beckyformore Infoorclick here! [Billings, MT]
Ryan White Workshops May 25
Topic: The Meth Impact. Presented by KathyWoodward. Workshops are held in the upstairs conference room at the Yellowstone City-
County Health Dept at 11:30 - 1pm. Contact Jay Goehring at 406-247-3376. [Billings, MT]
-'"
Stat- DPHHS STD/HIV Prevention and Treatment; Cogswell BuildingC-21 1. 1400 Broadway, Helena, MT