ESCALATE and ELEVATE Training Applications Now Open

NMAC’s ESCALATE (Ending Stigma through Collaboration and Lifting All to Empowerment) and ELEVATE (Engage Leadership through Employment, Validation, and Advancing Transformation and Equity) programs have opened new applications for trainings in 2021 and 2022.

ESCALATE trains and empowers participants to recognize and address HIV stigma within every level of the Ryan White HIV AIDS Program. Training is available for both individuals and organizations.

ESCALATE’s first four trainings of the second year of the program will be on the following dates:

Nov. 15-19: Indian Country (application deadline of Oct. 22)
Dec. 13-17: Open (application deadline of Nov. 1)
Jan. 18-22: Open (application deadline of Dec. 13
Feb. 14-18: Puerto Rico, conducted in Spanish (application deadline of Jan. 2)

To apply for an ESCALATE training, visit TargetHIV.org/ESCALATE.

ELEVATE builds the capacity of Persons with HIV (PWH) to be meaningfully involved in the planning, delivering, and improving of Ryan White HIV/AIDS Program services.

ELEVATE’s first three trainings will also each focus on a specific population:

Nov. 1-5: MSM (application deadline of Oct. 15)
Dec. 6-10: Latinx, conducted in English (application deadline of Nov. 15)
Jan. 10-14: Cisgender women (application deadline of Dec. 15)

To apply for an ELEVATE training, visit TargetHIV.org/ELEVATE.

NMAC will host an informational webinar on the ELEVATE program on Tuesday, Oct. 12, at 2:00 PM EST. The webinar will be available at https://us02web.zoom.us/j/85201291224.

ELEVATE is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $799,201.00 with 100 percentage funded by HRSA/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA/HHS, or the U.S. Government. 

ESCALATE is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) and the Minority HIV/AIDS Fund (MHAF) as part of a financial assistance award totaling $1,640,827. 100 percentage funded by HRSA/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA/HHS, or the U.S. Government.

2021 Gay Men of Color Fellows

Social Media Influencers PrEP Campaign

The Gay Men of Color Fellowship is based on a strong social media-based campaign informed by its members. Fellows are trained around biomedical prevention and provided with social media packages to startup their “biomedical prevention influencer” status. The campaigns seek to increase awareness around PrEP, PEP and TasP for men who have sex with other men. Fellows will also develop Facebook live events and to conceptualize social media posts around three thematic blocks: (1) Biomedical prevention basics, (2) Sex, desire, and pleasure, and (3) PrEP, PEP and Treatment adherence.

En Español

 

Adrian Parra

Adrian is a non-binary, Latinx, HIV+ individual who uses they, he, and she pronouns fluidly. They have been serving as the Executive Director at Youth OUTright WNC since January 2018. Adrian feels honored to build power with the LGBTQIA+ youth of WNC, cultivating a culture of consent, equity, and compassion. He prioritizes self-determination and facilitating intersectional and intergenerational dialogue within their youth organizing. She comes to social justice work from a background in fine art photography and printmaking and celebrates creative approaches to organizing for Justice. Outside of youth organizing, you might find them on a hiking trail chasing waterfalls with their pup DandyLion, or dancing in their living room to anything from clarinet to dubstep.

 

Alexi Díaz

Born in Aibonito, PR, Alexi has a BA in Accounting from the University of Puerto Rico and a Law Degree from the Interamerican University of Puerto Rico. He was a member of Homoerotica, a group of LGBTQ+ writers. In 2012, he moved to Miami where he served as a volunteer for SAVE Dade, Latinos Salud, and the non-profit Prevention305. Since publicly disclosing his HIV status in 2017 and moving back to San Juan, he has been actively advocating for people living with HIV on the island. He has been a volunteer for the SEX Team since 2018. In 2019 became a founding member of CAMPoz, a collective of artists living with HIV that use their art to educate and reduce stigma. In 2020 he also co-founded Convihvir a social media/web-based platform to educate about HIV care, treatment, and prevention but mostly to eliminate stigma. In 2020 he also joined NMAC’s Latinx CAP. He was also featured in BuzzFeed and as part of the Latinx Institute at USCHA that same year.

 

Andrés Acosta

Andres Acosta is a Colombian-American first-generation immigrant. He is a veteran of the United States Navy having served on board the USS Essex while stationed in Sasebo, Japan. Upon his return to civilian life, Andres attended the University of Central Florida where he earned a bachelor’s in industrial/Organizational Psychology. He works at Heart Of Florida United Way as the program coordinator for the Central Florida HIV Planning Council, where he uses his skills to guide and train the council members in charge of overseeing the Ryan White System of Care for the Lake, Osceola, Orange, Seminole, and Brevard counties. He is the community relations manager for the Contigo Fund, the largest funder of LGBTQ issues in Central Florida. Andres is also the program manager for the Maven Leadership Collective, which consistently invests in talented queer and trans social impact leaders of color and allies to create more resilient communities. Andres served as the chair of the Community Advisory Board for the phase 3 HIV vaccine (HVTN 706 Mosaico) trials at Orlando Immunology Center. He also sits on the board of directors for Peer Support Space and is the chair of their advocacy committee.

 

Bill Le

Bill is a PrEP Education Specialist for an NIH-funded research study, PrEP-Talk, at APLA Health. His research interests are working with YBMSM (Young Black Men who have sex with Men) and their friends to learn more about PrEP (pre-exposure prophylaxis). He graduated from the University of California, San Diego with a B.A. in Critical Gender Studies, in addition to completing the post-baccalaureate program in Psychology & Social Behavior at the University of California, Irvine. His passion for implementing evidence-based research interventions for gender and sexual minorities is increasing preventative health and education for the LGBTQIA+ community.

 

Bryan Ellicott

Bryan Ellicott is a Program Coordinator who works with all staff to both maintain and grow the Princess Janae Place. Bryan believes in the mission of Princess Janae Place because he knows what it is like to be a transgender person who believes that everything is set up for them to fail. The mission of Princess Janae Place is a deeply personal one. Bryan has come to Princess Janae Place, and helped take the process and organization to the next level. Every day, Bryan has found a new way for Princess Janae Place to grow and do things better for our clients and the TGNCNBI community especially those who are HIV+ or at risk of becoming HIV+.
In 2017, Bryan Ellicott was honored by Gay City News Impact Awards for his courageous work in suing the New York City Parks Department for discrimination against Transgender New Yorkers who wish to use public pools. Bryan holds a Bachelor of Science in Political Science/ Public Administration from the City University of New York – College of Staten Island in the Class of 2012.

 

Christopher Walker

Christopher Walker is a project coordinator II at Education Training and Research (ETR )with six years of experience working in HIV/ STI prevention. Currently, he coordinates and provides logistical support for several projects on the HIV, Sexual & Reproductive Health services team at ETR. His career began in college while attending the University of Memphis. During his time there, he worked with several campus organizations assisting them in creating on-campus HIV/STI testing events and educational forums on cultural inclusivity. Shortly after graduation, he moved to Dallas, Texas, and took his learned skills to the non-profit world. He was a field supervisor for the CDC-funded National HIV Behavioral Surveillance and has experience working directly with marginalized communities. He has a Master’s in Public Health from the University of Texas School of Public Health. With a passion for advocacy, he aspires to fight disparities faced by individuals who lack access to equitable healthcare and education. In his spare time, he is a proud board member of the House of Rebirth, a transitional living space for transgender women of color, Momentum Health a non-profit organization focuses on creating community-based solutions for at-risk youth and cast member of three podcasts that tackle social justices issues through innovative ways, “BlaQberry View”, “What does it take to End it”, and “CommuniTEA”. Living by the motto “People helping people helping people” and fighting for what is right, he wants to make the world a better place for all.

 

Christian Sandate Estrada

Christian Sandate Estrada (he/him) was born in Mexico and immigrated to Seattle, WA at the age of 12. Has worked for different non-profits/ASOs such as Entre Hermanos, GayCity Health, Hawaii Island HIV/AIDS Foundation (HIHAF), and Kumukahi Health & Wellness. He’s currently employed with Kumukahi Health & Wellness as a Prevention specialist & PrEP Navigator. Christian has a partner of 12 years and two wonderful but crazy dogs, named Dex and Lulu. He is a DACA recipient and has been so for the past 10 years. In his free time, Christian loves to spend time at the beach, hop on a plane to a different island, and hit the road in his truck.

 

Dwight Venson

Dwight Venson proudly serves as the Program Coordinator of Outreach, Linkage, and Engagement for the Gay Men’s Health Collaborative in Fairfax, VA. Originally from Cleveland, Ohio, Dwight received his bachelor’s in political science from John Carroll University. He is most passionate about issues impacting black queer communities and providing educational training around sexual liberation for black gay men. In his spare time, he enjoys the dramatic arts, creative writing, and developing (social) media content for his upcoming podcast brand “The Cleveland Hoochies.”

 

Ernest Brown

Ernest Brown has over 8 years working in the field of Public Health. Ernest also has extensive experience with working with young MSM’s of color and is currently serving on the SC HIV Planning Council as an active voting member. Ernest is also a member of the Positive Advocacy Committee working with individuals living with HIV. Ernest also has a vast social network which he uses to educate and inform people across all social media platforms about Safer Sex Practices and PrEP. Ernest continues to work to end the HIV Epidemic and is a strong advocate for U=U focusing on treatment as prevention, which he provides free HIV STI Testing services for young men of Color in Columbia S.C.

 

Ervin Gainer

Ervin Gainer was born and raised in Indianapolis, IN where he still resides. He attended Ball State University where he earned a Bachelor of Science degree. After finding out an HIV diagnosis in December of 2011, Gainer wanted to turn a negative into a positive by getting involved in STI/HIV work. He got his foot in the door at Bell Flower Clinic in 2013 as an Outreach Clinic Technician. Gainer later became a Disease Intervention Specialist (DIS) I in 2015 and was promoted to DIS II in 2018. Ervin parted ways with Bell Flower Clinic in January 2020 and joined Ryan White Services Department at Community Health Network in March where he currently works as an HIV testing/Outreach/Linkage to Care Specialist. A few fun facts about Ervin is that he loves musical theatre, has been to Europe, is a Disney Nerd, and loves horror movies. Oh, and a good cocktail!

 

J. Donté Prayer

J. Donté Prayer is the NC AIDS Action Network’s Health Access Coordinator and the founder of R.O.L.E Models. He is a native of Greenville, North Carolina but currently resides in Charlotte. Donté is a proud product of Elizabeth City State University. Prior to joining the NCAAN team, Donté was a Prevention Coordinator for a local AIDS service organization, focusing on community-based outreach and engagement, mobilization, health disparity education, counseling and assessment, sexual wellness, HIV and Hepatitis linkage to care, and other referral services including PrEP navigation. Donte’ served as the Chair of the Collaborative Council for Statusboiz and Statusgurlz, a University of North Carolina at Charlotte research study funded by the U.S. Centers for Disease Control and Prevention’s Minority AIDS Research Initiative. This $1.1 million project focused on HIV prevention for young African American gay/bisexual men and transgender women through culturally-based social networking. His involvement ensured the success of the project. Donté continues to serve on community councils, boards and planning bodies to eradicate the HIV disparity including the Black Treatment Advocates Network and the Ryan White Planning Body.

 

James Lewis

James Lewis, a native of New Orleans LA has worked in public health for 15 years with a community-based organization like Women with a Vision Inc., Tulane’s School of Public Health, and Brotherhood Inc. offering PrEP navigation and linkage to care services. He currently works for Tulane University in the School of Medicine as the Health Model’s Coordinator and is currently a board member of the New Orleans LGBTQ community center. James is also a male lead entertainer (Siaz FoXx) and competitor in the pageant community, he uses this platform to advocate for LGBTQ issues along with hosting a monthly Facebook live show called “Sip, Chat and Chew with The FoXx” in partnership with local agencies where the topics range from health inequalities, social challenges in his community, to being Sex and body positive. His message is simply, “the battle to end the epidemic will take soldiers that are willing to fight and sacrifice until the war is won.”

 

Manny Muro

Manny Muro is a Proud, Queer, Latinx man who was born and raised in Southern California. As a lifelong resident, Manny has a passion for serving the community that shaped him throughout his life. Manny is currently the Outreach and Education Coordinator for Radiant Health Centers which is Orange County’s largest provider of LGBTQ+ health and social services. Manny is working to eliminate stigma and overcome health disparities impacting the LGBTQ+ community. Manny also serves as the Chairman of the OC PrEP Coalition whose mission is to decrease HIV transmission rates by educating, empowering, and connecting individuals to biomedical prevention tools. Manny also held the title of Mr. Gay Orange County and is currently the Vice President of Orange County LGBT Pride where he works to strengthen the identity of the Lesbian, Gay, Bisexual, and Transgender Community within Orange County.

 

Omar Martínez González

Omar Martínez González is the LGBTQ+ Program Coordinator at the Multicultural AIDS Coalition in Boston, MA. In this role, he is working to build community and increase HIV/AIDS prevention and treatment services for LGBTQ+ people of color. He has also coordinated college access programs in Chicago and Washington, D.C., worked in and lobbied the U.S. House of Representatives, and did family immigration casework for a private immigration firm. As a gay, Latinx, DACAmented individual, he is passionate about bridging the access and success gap for underserved communities, advocating for social justice, and dismantling oppressive systems. Omar is a graduate of the Illinois Institute of Technology where he obtained his Bachelor’s and Master’s in Biology.

 

Richard Hutchinson Jr.

Richard Hutchinson Jr. is a Black Queer Liberationist, A public health professional, community activist, creative and social entrepreneur from Trenton, NJ. He received his Bachelor’s Degree in Journalism & Sociology from Rutgers University in 2012. Richard has been living with HIV since 2015, when he was 25 years old. Hutchinson is the Co-Founder and Executive Director of the Atlanta-based nonprofit social movement organization, He Is Valuable, Inc. (#HeIsValuable). The mission of He Is Valuable, Inc. is to identify, reinforce and celebrate the value of Black Queer Men and their communities as a way to address HIV and other health disparities/social justice issues that impact the lives of the Black Queer community. Richard has been working in the field of public health and HIV for 6 years. Since moving to Atlanta, Hutchinson has demonstrated a commitment to addressing HIV/AIDS and social justice issues regarding the Black LGBT community through community organizing amongst Black Queer and LGBT young people, advocacy for PLWHA, social marketing, and effective community outreach/engagement. Locally and nationally, he works as a public health consultant and facilitator/trainer with organizations like NMAC, Kaiser Family Foundation, and Morehouse School of Medicine. Richard’s transformative leadership and passions are centered on building collective community power, emotional intelligence, healing justice, growth mindset, and creative radical visibility.

 

Tarik Daniels

Tarik Daniels is an AfroQueer writer, performer, certified mental health peer specialist & HIV awareness activist. Tarik is the Founder and Executive Director of WhatsintheMirror?, a social movement that provides mental health awareness and suicide prevention through art and advocacy to communities of color. He is serving his second term as a City Commissioner for Austin’s LGBTQ Quality Of Life Advisory Board and Vice-Chair of the City of Austin’s HIV Planning Council. Tarik has written, directed, and produced several plays and released a novel, No Bonds So Strong in 2018, and hosts a black queer lifestyle podcast, What Works For Us. As a public speaker and storyteller, he uses his narrative as a person living with HIV to bring awareness to HIV and mental health stigma. He is the winner of the 2019 Austin Under 40 Awards in Arts & Entertainment, 2020 SXSW Community Service Award Honoree, & 2021 BEQ LGBTQ 40 Under 40.

 

Timothy S. Jackson

Timothy S. Jackson (he/him/his) works as the Director of Government Relations for AIDS Foundation Chicago (AFC). His work at AFC includes developing and managing the organization’s government relations activities specializing in HIV-related state legislative matters regarding appropriations, health care reform, HIV decriminalization, LGBTQ+ issues, housing, and addressing health disparities through a racial equity lens.
Prior to joining the Policy & Advocacy team at AFC, Timothy served as a Congressional legislative and constituent services staffer for nine years. During this time, he also served as Board President for Thrive Alabama—an AIDS Service Organization and Federally Qualified Health Center providing medical care and support service to people living with and vulnerable to HIV.

As a Black gay man living with HIV for nearly twelve years, Timothy’s career is centered on advocating on behalf of people living with HIV, amplifying the voices of those most impacted and addressing the effect HIV has on the communities where his identities intersect. Timothy is a national speaker and facilitator on the importance of self-empowerment through the creation of networks of people living with HIV.

Timothy is a member of the Chicago Urban League’s MetroBoard, the National Gay Black Men’s Advocacy Coalition, and co-chair of the Illinois Harm Reduction and Recovery Coalition. He was also selected as a 2020 Fellow in Families USA Health Equity Academy in System Transformation. Finally, Timothy is also the founder of The Promises Project, an online clearinghouse of HIV-related resources and media content for advocates and allies.
A native of Jackson, Mississippi by way of Huntsville, Alabama, Timothy received his BA in Political Science and History from Mississippi State University and holds an Associate of Arts degree in Liberal Arts from Holmes Community College.

 

Tommy Young-Dennis

Tommy Young-Dennis, born in Omaha, Nebraska, is a gay Black man, LGBTQ+ advocate, HIV activist, and educator. After being diagnosed as HIV+ in 2010, Young-Dennis turned his devastation into action. Within three months of his diagnosis, he founded an HIV+ support group for young adults, began volunteering at Nebraska AIDS Project, and dedicated his time to supporting and educating others living with the disease. In 2017, Young-Dennis joined the Nebraska AIDS Project (NAP) full-time as their Prevention and Outreach Specialist, where he does onsite testing, Linkage to Care, and focuses on providing resources and education to the Black, Gay, and same gender- loving men. (BGBM) community), a population disproportionately affected by HIV. Tommy was promoted to Outreach Coordinator in June 2020. Additionally, Tommy serves as one of the co-chairs of the National LGBT Juvenile Justice HIV sub-group which focuses on De-criminalizing HIV laws and those who are impacted by them.

In 2018 Tommy was awarded the Young Black Influential Award for his Advocacy. In 2021 he was also the recipient of the Kuwasi Balagoon award for his work related to HIV education and Outreach from Black and Pink the nation’s largest LGBTQIA+ Prison abolitionist organization.

Lanzamiento de la Fraternidad de Hombres Gays de Color de NMAC

Luego de meses de planificación, la Fraternidad de Hombres Gay de Color sobre prevención biomédica ha sido lanzada. El compromiso de les miembres me inspira [link to bios]. Es un privilegio poder amplificar sus voces según desarrollamos juntos esta campaña para las redes sociales.

Este programa es muy significativo para mí porque busca romper con los silencios. Como hombre gay nacido y criado dentro de un contexto colonial, los conozco muy de cerca. Me refiero a los silencios que se me impusieron. De la misma manera en que el poder político inhibe la autodeterminación de la isla, la normativa cultural en Puerto Rico se impone sobre mi cuerpo y mi sexualidad.

El motor de la resistencia al no conformar con la norma, ha sido para muchos de nosotros, el poder auto-empoderarnos y reclamar nuestro espacio y nuestras vidas. Resistir es informarnos, llenar los vacíos de una educación sexual ineficiente fundamentada en el miedo y la heteronorma. Me correspondió a mí resignificar mi sexualidad como hombre gay y aprender a disfrutar del placer sin reparos.

Nos encontramos en un momento histórico, donde los avances en la prevención biomédica nos dan la oportunidad de enfocarnos en el placer y no en el miedo. Desde el 2012, la PrEP(Profilaxis pre-exposición, por sus siglas en inglés) está disponible para prevenir el VIH. De igual modo, la profilaxis post-exposición, o PEP por sus siglas en inglés, puede ser tomada luego de un evento de exposición. Las personas que viven con VIH no transmiten el virus si su carga viral está no detectable; empoderándose de su estado de indetectabilidad para también enfocarse en el placer. Sin embargo, son las personas afectadas desproporcionalmente por la epidemia las que carecen de un acceso apropiado a estas nuevas tecnologías para la prevención.

Las personas de color hemos sido históricamente inhibidas de los procesos de toma de decisiones y a la equidad en el accesos a los sistemas de salud, impactando no tan solo nuestras experiencias de vida sino también lo más cercano que tenemos, nuestro cuerpo. A pesar de que la prevención biomédica ha avanzado, aún faltan espacios donde se hable para la comunidad desde la comunidad.

Bajo este fundamento es que se desarrolla la Fraternidad de Hombres Gays de Color. Aunque nuestras propias experiencias informan el trabajo que hacemos como parte de NMAC, reconocemos la importancia de proveer nuestras plataformas y su alcance a la diversidad de voces que compone nuestra comunidad. Desde la fraternidad se desarrolla una campaña de redes sociales fundamentada en sus 18 miembres. Se reconoce que son elles les expertes en sus experiencias y en cómo enfrentar los silencios, especialmente aquellos alrededor del sexo y el placer entre personas de color.

Desde el comienzo, les miembres han tenido la oportunidad de informar el desarrollo del branding, los temas a incluir y los visuales. Además de proveer un espacio para dialogar sobre las cosas que nos afectan como comunidad, el programa contiene varios componentes como entrenamientos, webinars dirigidos a nuestros constituyentes y oportunidades para extender sus redes, ya sea virtuales y personales.

Me siento honrado de contar con un grupo maravilloso de miembres con un compromiso y una pasión que me energiza. Abajo pueden encontrar algunos de sus trabajos. Si le interesa conocer más sobre la campaña siga #gmoc en todas las redes sociales. Para conocer más sobre cada uno de les miembres, presione aquí.

Damián Cabrera
Gerente de Programas- División de Tratamiento

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PTSD

Figuring out how to survive can be overwhelming. As I look back on my life, I see how the post-traumatic stress disorder (PTSD) of HIV still impacts my life. Combine that with the isolation and trauma of COVID, and my feelings of depression are real. Trauma informed HIV services are more critical than ever. Our staff, clients, and donors are all going thought it. How do you manage the PTSD of HIV in the middle of the COVID epidemic?

I thought life would start getting back to normal this fall, so the Delta variant has been a gut punch. With breakthrough infections and so many people unwilling to get vaccinated, I worry about the future. The worry can lead to depression because there is no end in sight. The excitement about vaccines has been tempered by the need for boosters.

I’m sharing my journey because there is so much stigma about depression and too often it goes untreated. I grew up in a family that believed depression was a luxury for the rich. Therapy was for people with money. Looking back on my parents, I believe the PSTD they suffered in the internment camps during WWII set the trajectory for their lives. To this day, life in the camps is not openly discussed in most Japanese families. As children of survivors, we have little to no information about what happened.

It’s time to take back the narrative. What happened in the camps to my parents was not their fault. What happened to my community at the start of the HIV epidemic was not our fault. What happened to the world during COVID is not our fault. My parents lived in shame with the burden of being Japanese when the US was at war with Japan. Too many gay men live in shame and take on the unfair burden that HIV was a punishment from God. Too many people will die from COVID because they don’t trust the government or vaccines.

As we fight our way back, the need for trauma informed HIV services is more critical than ever. We are a world in trauma trying to provide HIV services to communities who have been traumatized because they are different. Thank you Jeffrey Long for the infographic. It’s time to “come out of the closet” again. PTSD is real and its not our fault. I am crazy because of a chemical imbalance that was triggered by life experiences beyond my control. Too many people suffer from the stigma of living with HIV. This stigma can lead to isolation which is a pathway to depression. On better days I wear my depression as a badge of honor because it reminds me that I survived the early days of the HIV epidemic. The pain reminds me to never forget the people we lost and to fight like hell for the living. I’ve also learned that asking for help is not a bad or weak thing. There are healthcare professionals and medications that can make a difference. You are not alone. In my mind I will outlive COVID. Now I just need to convince my heart.

God is Love and Love is for Everyone,
Paul Kawata
NMAC

Paul Kawata

 

 

 

 

 

 

 

What Is Fair?


A White Gay colleague recently shared his concerns about speaking out and not getting canceled. I appreciated his courage and honesty. This is a difficult time. Between COVID, Black Lives Matter, the Jan. 6th insurrection, and climate change, the paradigm is shifting, and we are still working out what that means.  There are no clear rules and that can be scary. What some White folks don’t understand is that the world was built to accommodate them and their culture. Making a world that works for people of color and people who are different means taking some of that away. For example, “what is fair” usually is code for “what is fair to White people?” When something is fair to people of color but not White people, then it’s usually deemed unfair. Or the transverse, when something is fair to White people but not People of Color, then it is usually deemed fair.

Last year White America woke to the over policing of Black people through the killing of George Floyd and too many others to name. What happens when something is unfair to People of Color but needed in White communities? This is the paradigm shift that America is working to answer. In our fight to end HIV, PrEP users are 75% White, yet the majority of people living with HIV and the majority of new cases of HIV are among people of color. PrEP is reaching Gay White men, but not Gay Black men. What does that mean?

I remember talking with a White straight cisgender male federal official who told me he had the answers for ending the epidemic. Yet his leadership brought no changes in the outcomes. What happens if we end the HIV epidemic in White America while HIV continues for People of Color? Some might say the fight is over and we won.

To my White friends, here is how I navigate these challenges. As an old fem Asian cisgender Gay man and the Executive Director of the agency formerly known as the National Minority AIDS Council, I am professionally aware of the privileges and discrimination that goes with how I present myself to the world. Part of my job is to hold-up communities that are often overlooked or undervalued. Most of my job is to listen and learn from those communities.

When I am in spaces for African Americans, Latinx, American Indians/Alaska Natives, women, the transgender community, people living with HIV, then I shut the fu** up and listen. When I am in spaces for People of Color, Asians, LGBTQ, or the general HIV community, then I fully engage and feel a responsibility to bring my perspective to the table. It’s been my experience that most people get in trouble when they try to fully engage at tables not meant for them. My experience of too many White people, especially cisgender White heterosexual men, is they believe all the tables are set for them because mostly they are.

Privilege is taking all the oxygen out of the room. I purposely use my privilege in rooms full of White people. I want them to understand that they are not the only important voices. It took me a long time to get comfortable, some would say too comfortable, with this privilege. As an Asian man, it was not something that came naturally. In the world of HIV, it is a very important skill. It is difficult if not impossible for many of you to understand what it means to present as White, yet it is something that every person of color intimately knows. Our value depends on how we present ourselves in the world. The closer we show up as white heterosexual men the better. For most of us that is impossible, yet that is the gold standard for power and wealth in America.

COVID has made us insane, and I think it is the catalyst for this paradigm shift. The virus has makes us rethink everything. If this is my new reality, who do I want to be? Where do I want to live? How do I want to present myself to the world? For some of us, it will change the way we work. Are you willing to commute 90 minutes to and from work? I could never have imagined NMAC’s staff would primarily work from home, yet that is what we do.

COVID, Black Lives Matter, the Jan. 6 insurrection, and climate change have forced a reckoning. We can probably end the HIV epidemic in the White community by 2030, but if we stay on the same course, I have real doubts about ending HIV in communities of color. This is my pledge to the HIV movement: what is fair cannot be based on White privilege. Our work must embrace the challenge of what is fair to communities who have lived under generations of discrimination and oppression. This is bigger than change; it is a shift in the paradigm. Ending the HIV epidemic in America starts by re-looking at what is fair.

 

God is Love and Love is for Everyone,
Paul Kawata
NMAC

Paul Kawata

 

 

 

 

 

Remembering Carl

Archbishop Carl Bean passed last week. The funeral is Saturday. I’m going, but I’m not ready. I’m not ready to say goodbye to the man who changed the course of my life. It was Carl who talked me into taking the job at NMAC.

Carl’s many achievements were outlined in articles in the New York Times, the Washington Post, and on the Today Show. I knew a different Carl from the person in these publications. He was my friend and partner in crime. We were each other’s lifeline in the storm called AIDS. Together, we navigated some of the most difficult days in the epidemic. I knew the man who wanted to get away, if only for a moment, from the shackles of his position. I will never fully understand the burden of leading a religious movement, but I often saw it in his eyes as members reached out for answers. Why did God take my child?

Carl and I traveled the world together. He loved to go on cruises, so we went to Alaska to see the glaciers, the Caribbean to look for gentleman callers, and ultimately, a trans-Atlantic crossing from New York to Southampton. We visited the Vatican, the Louvre, and the west end of London. Most of these trips were work related because Carl was asked to preach all around the world to bring his unique voice of liberation theology that God is love and love is for everybody.

I never knew Carl the Broadway entertainer, but from his stories, I imagine he was amazing. He could talk and I could listen for hours about performing on Broadway or touring the country. It was his work in the entertainment industry that would later support his fight to end HIV. I remember sitting next to him when Whitney Houston performed at a benefit for his agency. It was very heavy times. He had Dionne Warwick on speed dial, and Maxine Waters not only returned his calls, but also called to check in. While it might seem glamorous on the outside, it was also a huge burden.

People would cry as they reached out to hug him. Members of his church would copy his sermons because his words were touched by the Holy Spirit. I think it can mess with your mind and was part of the reason Carl went into seclusion. For many years he did not leave his home or welcome visitors.  However, Carl always had God.

I was not religious. I felt the church had turned its back on me and my kind. Before meeting Carl, I had never attended services in a Black church. Going to Carl’s church was mind blowing. My friend was singing and preaching like he was touched from above. You could almost watch him go to another place as he spread the gospel of the Lord. As a child I went to Japanese Presbyterian Church. We were the polar opposite of my experience in Carl’s church. To be in a room full of love was transformative, especially because this was in the mid 1980s during some of the most difficult times in the HIV epidemic. What we take for granted now was truly revolutionary when Carl started the Unity Fellowship Movement. He started a religious movement for the African American LGBTQ community at the height of the HIV epidemic. Out of his work with Unity Fellowship Movement, he opened the Minority AIDS Project (MAP), the first minority-led HIV organization. As the Executive Director of MAP, Carl worked nationally as one of the founders of the National Minority AIDS Council (NMAC)

It was our work on NMAC that served as the foundation for our friendship. Together we would travel the country, him preaching and me teaching about HIV. Back then, people of color were too often marginalized. Carl and I became a team to fight the stigma and racism that was too prevalent in our work. We would spend hours talking about race and our frustrations with people in power. His concerns for his communities became the corner stone of the work. Carl was a living example of liberation theology.

I got to talk to Carl the day before he passed. He was in a coma, so they had to hold the phone to his ear. I thanked him for being a gift to my life and our movement. I let him know that it was OK to let go. His was a life well lived. Finally, I told him that I loved him and will miss him. This is a ritual from the early days of the epidemic that too many of us know too well. Thank you, Carl, for being my friend. My life is better because you were in it.

God is Love and Love is for Everyone,

Paul Kawata

Policy Update: If Governors Won’t, Congress Must

By Joe Huang-Racalto, Director of Strategic Partnerships & Policy

U.S. Capitol BuildingIt is rather remarkable that 12 states still refuse to expand Medicaid, leaving two million Americans subject to the Medicaid gap – denying these Americans access to Medicaid and making them ineligible for subsidies to purchase private insurance on the Marketplace.

This is inexcusable.

The refusal for these governors and state legislatures to expand Medicaid under the Affordable Care Act (ACA) is another attack on vulnerable citizens who reside in these states. Neither political courage nor political will will change the minds of legislators in these remaining states:

Alabama, Florida, Georgia, Kansas, Mississippi, North Carolina, South Carolina, South Dakota, Tennessee, Texas, Wisconsin, and Wyoming

The Center for Health Law and Policy Innovations at Harvard Law School recently issued a report (June 2021, Filling the Medicaid Coverage Gap A Federal Policy Priority for People Living with HIV) that correctly and strongly stated “HIV demonstrates the cruelty of this gap and the widening disparities it has wrought across Medicaid and non-Medicaid-expansion states. With access to regular antiretroviral treatment and care, HIV is not only manageable, it is impossible to transmit to others, making increasing access to care and treatment a public health priority and at the center of the federal government’s ambitious plan to end new HIV transmissions by 2030. But for the 20% of people living with HIV in non-Medicaid-expansion states who remain uninsured, regular access to care and treatment is far more challenging. Ninety-seven percent of individuals in the Medicaid coverage gap live in the South, a region that is also home to over 50% of new HIV transmissions.”

I cited this section because it not only factually connects the failure of these states to the high percentage of new HIV transmissions, but because NMAC has consistently advocated for an all-approach towards Ending the HIV Epidemic (EHE).

That is, we cannot End the HIV Epidemic until we close this Medicaid gap.

NMAC recently joined other NGOs to advocate that Congress take immediate action on this issue. Absent action from these states, Congress must step in.

NMAC is proud of our history of advocating for bold actions and this is yet another example. While there are a few options for Congress to take, perhaps the boldest option would be for Congress to direct the Centers for Medicare and Medicaid Services (CMS) to develop a federal Medicaid plan for these remaining 12 states.

If you live in one of these states, we’d like to hear from you – NMAC will help you advocate for change. Please email Andres Rodriguez at ARodriguez@NMAC.org. We will form an advocacy committee to help constituents in these states mobilize.

Few issues are more urgent if you are living with HIV in one of these states and are in the Medicaid gap. If these states will not act, Congress must.  While the American Rescue Plan does include incentives, it’s worth noting that no incentives to date have been enough to encourage these states to expand Medicaid. Therefore, we must do everything possible to provide those living with HIV in these states a more permanent solution.

A good first step would be to federalize Medicaid in these remaining states.

A Special Announcement on USCHA

This is the letter I didn’t want to write. When we announced the 2021 United States Conference on HIV/AIDS was going to be in person, I was joyous about the thought that we could come together. Unfortunately, the Delta variant of COVID is too easily transmitted, even by people who are fully vaccinated. What seemed like a reasonable decision in May now feels impossible. After a long discussion with our board, NMAC will move USCHA to the virtual space. I am so sorry. I know this is very disappointing. NMAC must always prioritize the health and well-being of people living with HIV (PLWHIV). Data from Berlin about the impact of COVID on people living with HIV along with new information about the Delta variant made an in-person meeting with thousands of participants too much of a risk.

The virtual USCHA will be pushed back to December 2-3 (World AIDS Day Adjacent). These later dates give staff time to close-out and pivot to a virtual meeting. Also, the Biden-Harris Plan to End the HIV Epidemic is slated to be released on World AIDS Day, so there is much to be discussed.

I’m sure you have a lot of questions. Join us for a Facebook Live chat this Thursday, Aug. 12, at 1:00 PM on our Facebook page. Our Conferences Director Tara Barnes-Darby, and our Treatment Director Moises Agosto will be available to answer questions. You can also check out the FAQ page on the USCHA website.

This decision was based on data from two key reports.  The first was the report out of Provincetown that revealed that vaccinated people can transmit the Delta variant as easily as those who are not vaccinated. The second was the study of people living with HIV over 65 in Berlin that found high risk of death from Covid. Those two reports convinced us that we could not guarantee the safety of conference attendees.

Dr. Fauci Speaks @ Opening Virtual Plenary
Dr. Anthony Fauci will be part of USCHA’s Opening Virtual plenary. He will join Dr. Rachel Levine to update our movement on efforts to end two epidemics. We all know how busy COVID is keeping him, so NMAC is extremely grateful that he will be part of this session. Given his busy schedule, it will be recorded in advance. It is not easy being the face of the Trump and Biden COVID response. He has shown a grace and grit that he learned fighting HIV/AIDS.

Telling the Truth & Asking for Help
As you can imagine, ending an in-person conference creates financial issues. Our cancelation insurance does not cover meetings that we cancel. NMAC will be fine in the long haul, but we ask for your grace and patience. We hope that most attendees, exhibitors, and sponsors will still be a part of the virtual meeting. This is the second year that we were unable to hold USCHA and your support is needed and appreciated. The agency also understands this is not the event that we all wanted, so we will give refunds.

Registration
During the week of August 9, NMAC will send out an email from the registration portal to all registrants with instructions on transferring or cancelling your registration. If you have not received your email by August 13, contact the Conferences division at conferences@nmac.org. Please be patient; refunds will be processed in 3-4 weeks.

The registration fee for the virtual USCHA is $295. NMAC will automatically refund the difference. If you do not wish to attend this year’s USCHA, you can either:

  • Option 1: Keep your registration to attend the virtual USCHA Conference. NMAC will refund the difference.
  • Option 2: Transfer your registration to the 2022 USCHA in Puerto Rico.
  • Option 3: Cancel your registration and get a full refund.
  • Option 4: Donate your registration payment to NMAC.

If you need immediate assistance, please contact the Conferences Department at conferences@nmac.org. Raise any concerns directly with me, Paul Kawata. I am an old Asian queen who knows my value.

Wonderful Sponsors
This is not the USCHA that was discussed. NMAC hopes Sponsors will continue to support this important meeting and NMAC. These are scary times for all nonprofits, so please know how much we appreciate and need your support. Sponsors will get a call from Robert York. A new prospectus will be available soon. Thank you for understanding as we navigate these challenges.

Amazing Exhibitors
If you purchased an exhibit booth for the in-person conference, please let us know if you’d like to have a virtual exhibit or if you’d like to cancel your booth purchase. The virtual exhibit fee is $595. NMAC will refund the difference. If you’d like a full refund, then send an email to conferences@nmac.org by September 24, 2021. Thank you for your support.

Virtual Meeting & Presenters
Information about the virtual meeting will be posted shortly. We hope that most of the in-person workshop presenters are willing to switch to virtual. Presenters will get an email from Conferences offering you options for moving forward. You can expect the email by the end of August. If you can’t wait, then please email the wonderful Alison McKeithen.

Scholarship Applicants
USCHA will continue to give out scholarships, but now they will be for a virtual and not an in-person meeting. Since staff must address these other issues and the virtual meeting is being pushed back to World AIDS Day Adjacent, notifications about 2021 scholarships will be pushed back to October 1, 2021.

Hotel Cancellations
If you have made a reservation in the USCHA group block at the Marriott Marquis hotel they will automatically cancel your reservation and process refunds for any deposits.  Refunds will be issued in 4-6 weeks. It is not necessary to contact the hotel to cancel your reservation.

If you made a reservation OUTSIDE of the USCHA group block, you should contact the hotel directly to cancel your reservation.

Additional information about cancellations for the Courtyard hotel will be posted soon.

This was not an easy decision and probably no one is more disappointed than the board and staff of NMAC. I am truly sorry. Thank you for your continued support.

God is Love and Love is for Everyone,
Paul Kawata
NMAC

Paul Kawata

 

 

 

 

 

2021 USCHA Moved to Virtual Format Due to COVID Spread

NMAC today announced that the 2021 US Conference on HIV/AIDS will move from an in-person conference to a virtual meeting due to the continued spread of the Delta variant of the Covid virus. The virtual conference will take place Dec. 2-3.

“This is not the announcement we wanted to make,” said Paul Kawata, Executive Director of NMAC. “We were very hopeful that we could hold an in-person USCHA this year. However, the health and safety of our constituents must be our primary concern. The continued spread of the Delta variant and the data from both the Provincetown outbreak and the study released at the IAS conference in Berlin about the impact of Covid on people living with HIV led us to this decision. We are as disappointed as everyone else by the need to make this decision, but we could not, in good conscience, potentially put attendees at risk of exposure.”

New registrations will continue to be accepted at https://uscha.life/. During the week of August 9, NMAC will send out an email from the registration portal to all registrants with instructions on transferring or cancelling your registration. If registrants have not received an email by August 13, they should contact the Conferences division at conferences@nmac.org. Refunds will be processed in 3-4 weeks.

The registration fee for the virtual USCHA is $295. NMAC will automatically refund the difference. If registrants do not wish to attend this year’s USCHA, they can either:

  • Option 1: Keep their registration to attend the virtual USCHA Conference. NMAC will refund the difference.
  • Option 2: Transfer registration to the 2022 USCHA in Puerto Rico.
  • Option 3: Cancel registration and get a full refund.
  • Option 4: Donate registration payment to NMAC.

If you need immediate assistance, please contact the Conferences Department at conferences@nmac.org.

NMAC leads with race to urgently fight for health equity and racial justice to end the HIV epidemic in America. Since 1987, NMAC has advanced our mission through a variety of programs and services, including: a public policy education program, national and regional training conferences, a treatment and research program, numerous electronic and print materials, and a website: www.nmac.org. NMAC also serves as an association of AIDS service organizations, providing valuable information to community-based organizations, hospitals, clinics, and other groups assisting individuals and families affected by the HIV epidemic.

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