30 Years of Leadership in the the Fight Against HIV/AIDS


Uploaded by USGOVHHS on 27.03.2012

Transcript:
>> GOOD MORNING EVERYONE.
THANK YOU SO MUCH FOR JOINING US
TODAY, I'M RICHARD SORIAN,
ASSISTANT SECRETARY FOR PUBLIC
AFFAIRS.
IT'S A PLEASURE TO WELCOME YOU
HERE TODAY.
WE HAVE A VERY FULL PROGRAM SO
I'M GOING TO INTRODUCE OUR
ASSISTANT SECRETARY FOR HEALTH
DR. HOWARD KOH, WHO WILL BEGIN
THE PROGRAM.
THANK YOU VERY MUCH.
D.
>> THANK YOU SO MUCH MR. SORIAN,
WELCOME EVERYBODY, IT'S SO GREAT
TO SEE YOU HERE.
I'M DR. HOWARD KOH, THE
ASSISTANT SECRETARY FOR HEALTH
AND WE'RE HAPPY YOU ARE JOINING
US FOR THIS IMPORTANT
COMMEMORATION FOR 30 YEARS OF
LEADERSHIP IN THE FIGHT AGAINST
HIV/AIDS.
TODAY WE HONOR THE LIVES OF
THOSE WE HAVE LOST, WHOSE LIFE
JOURNEYS ARE LITERALLY STITCHED
INTO THESE AIDS QUILTS YOU SEE
AROUND US.
TODAY WE HONOR THE DEDICATION
AND PERSISTENCE OF ADVOCATES
HERE AND AROUND THE NATION WHO
HAVE USHERED IN A NEW ERA OF
ACTION ON BEHALF OF THE COUNTRY.
THE TODAY WE HONOR THE CONTINUED
COMMITMENT OF MEDICAL AND PUBLIC
HEALTH PROFESSIONALS THAT'S
EVERYONE HERE FOR ADVANCING
VITAL WORK AND HIV AWARENESS
PREVENTION, DIAGNOSE, AND
TREATMENT, NOT JUST HERE IN THE
COUNTRY BUT INDEED AROUND THE
WORLD.
AND MOST IMPORTANT OF ALL,
PERHAPS, TODAY WE REFLECT ON
STORIES OVER THE PAST 30 YEARS.
BECAUSE THIS EPIDEMIC HAS
TOUCHED ALL OF US.
YOU DON'T HAVE TO BE INFECTED TO
BE AFFECTED BY HIV/AIDS.
I REMEMBER SO CLEARLY AT 30
YEARS AGO, THIS MONTH, I WAS THE
MEDICAL CHIEF RESIDENT AT BOSTON
CITY HOSPITAL, A YOUNG PHYSICIAN
TRYING TO HELP PATIENTS AND I
REMEMBER SO CLEARLY STUDYING
THAT FIRST WAVE OF SCIENTIFIC
REPORTS ON HIV, TRYING TO
COMPREHEND WHAT SEEMED TO BE AN
INCOMPREHENSIBLE CONDITION.
I WILL NEVER FORGET THE BITTER
STIGMA THAT SURROUNDED THE
PATIENTS THAT WERE STRUGGLING TO
CARE FOR.
AND I'LL NEVER FORGET THE
COURAGE OF PEOPLE ACROSS THIS
COUNTRY WHO STEPPED FORWARD AND
TRY TO MAKE A DIFFERENCE IN THE
FACE OF THIS NEW THREAT.
SINCE THEN WE ALL KNOW HOW THIS
VIRUS HAS LITERALLY EXPOSED THE
FAULT LINES OF OUR SOCIETY AND
NOW, 30 YEARS LATER, IRONICALLY,
WE HAVE A NEW GENERATION THAT
HAS ARISEN THAT HAS LITTLE TO NO
KNOWLEDGE OF OF THOSE EARLY DARK
DAYS.
SO TODAY, WE SHARE STORIES, NOT
ONLY PAST FEAR AND CONFUSION,
BUT ALSO OF TREMENDOUS CARING,
PASSION, COMPASSION AND
LEADERSHIP.
TODAY YOU WILL HEAR THE
PERSPECTIVES AND THE STORIES OF
THE SECRETARY AND MANY OTHER
LEADERS IN THIS ROOM.
YOU WILL HEAR TREMENDOUS STORIES
OF SCIENTIFIC ADVANCES AND
PROGRESS AND WE WANT TO
CELEBRATE WITH YOU, YOUR
COMMITMENT AND THE UNVEILING OF
A NEW GENERATION OF LEADERS WHO
CARE DEEPLY ABOUT THESE ISSUES
AND SHARE WITH YOU PASSION AND
COMPASSION, UNDERSTANDING OF THE
WORRIED PASSION MEANS TO SUFFER
AND THE WORD COMPASSION MEANS TO
SUFFER WITH.
IT'S SO CRITICAL WE SHARE THESE
STORIES TODAY TO BUILD OUR
COMMUNITY.
THERE'S A WONDERFUL THING THAT A
SORROW SHARED IS HALF THE SORROW
AND A JOY SHARED IS TWICE THE
JOY, SO THAT'S WHY WE ARE HOLD
THANKSGIVING IMPORTANT MEETING
TODAY AND--HOLDING THIS
IMPORTANT MEETING TODAY AND
WORKING CLOSELY WITH YOU AS WE
TRY TO PUT THIS EPIDEMNICK OUR
PAST, OF COURSE--UNVEILED, THE
NATIONAL HIV/AIDS STRATEGY, A
GREAT PLEASURE TO WORK WITH
LEADERS LIKE JEFF CROWLEY, AND
WE WANT TO THANK ALL OF YOU FOR
YOUR HARD WORK ON IMPLEMENTING,
AND VERY HONORED TO BE PART OF
THE EFFORT OF THE ASSISTANT
SECRETARY ON BEHALF OF THE
SECRETARY, I WANT TO
PARTICULARLY ACKNOWLEDGE THE
CONTRIBUTIONS OF OUR OFFICE OF
HIV/AIDS AND INFECTIOUS DISEASE
POLICY.
THE WORK OF AIDS .GOV, LED BY
MIGUEL GOMEZ AND I WANT
RECOGNIZE DR. RON WHO IS HEADING
THE IMPLEMENTATION OF THAT
OFFICE.
IS RON HERE?
JUST WAVE AND STAND UP AND GET A
WAVE OF APPLAUSE, THANK YOU.
>> SO IN CLOSING WE NOTE THAT
THE HISTORY OF HIV/AIDS BEGAN
SOME 30 YEARS AGO IN AN ERA OF
FEAR AND DEATH AND WE HOPE WITH
THIS ANNIVERSARY, WE MARK A NEW
CHAPTER THAT IS MARKED MORE BY
HOPE AND PROMISE FOR THE FUTURE.
WE NEED EACH OF YOU NOW TO DO
MORE THAN EVER BEFORE, TO
DELIVER YOUR HEALING TOUCH AND
RICH EDUCATION, ADVANCE
RESEARCH, PROMOTE PREVENTION AND
ADVOCATE FOR THE VULNERABLE.
WE HAVE MADE SO MUCH PROGRESS IN
THIS PAST 30 YEARS, WE LOOK
FORWARD TO THE DAY THEN TOGETHER
WITH YOU WE CAN SAY THAT THIS
DEVASTATING DISEASE IS PART OF
OUR PAST AND NOT OUR FUTURE.
THANK YOU VERY, VERY MUCH.
[ APPLAUSE ]
SO I AM DELIGHTED NOW TO
INTRODUCE A TREMENDOUS COMMUNITY
LEADER, MISS DAZON DIXON DIALLO,
FOUNDER OF SISTER LOVE INC.
CORPORATED THIS, IS AN IMPORTANT
WOMEN BASED CORPORATION IN THE
SOUTHEAST.
SHE IS A WOMAN WITH TREMENDOUS
PASSION AND COMPASSION AND I
WANT TO THANK HER FOR JOINING US
HERE.
THANK YOU.
[ APPLAUSE ]
>> OH, THANK YOU, SO MUCH,
DR. KOH, AND THANK YOU ALL FOR
BEING HERE AND FOR BEING HERE.
ALVERNA DENISE, KONN, DEBBIE
THOMAS, JANIS GEROH, MARTIN
DELAINEY, WILLIE BROWN, PANDORA
SINGLETON, ARE--ADMINISTRATIVURE
ASH, SO MANY HUNDREDS OF
THOUSANDS OF OTHERS ARE ALSO
GLAD FOR YOU BEING AND BEING
HERE.
IN THE SUMMER OF 1981, I WAS A
16 YEAR-OLD RISING SENIOR AT
PEACH COUNTY HIGH SCHOOL, THAT'S
HOW WE SAY IT IN FT. VALLEY,
GEORGIA.
ONE OF THOSE PLACES WHERE IT
TOOK A BIT LONGER TO GET THE
WORD ABOUT THIS STRANGE NEW
DEADLY ILLNESS THAT WE SAME CAME
TO KNOW AS AIDS.
NOW BY 1985, I WAS A COLLEGE
SOPHOMORE IN ATLANTA, BUT I WAS
ALSO READY AND WORKING AND
ADVOCATING FOR WOMEN'S
REPRODUCTIVE RIGHTS AND BY THE
END OF THAT SAME YEAR, THANKS TO
ROCK HUDSON'S FAMOUS DISCLOSURE,
THAT'S ANOTHER LONGER STORY, I
WAS VOLUNTEERING AT OUR LOCAL
AIDS SERVICE ORGANIZATION.
NOW SINCE THAT TIME, I HAVE
FOUNDED AND CONFOUNDED SEVERAL
ORGANIZATIONS INCLUDING SISTER
LOVE, WHICH WILL BE 22 YEARS OLD
NEXT MONTH.
I'VE PLANNED AND PARTICIPATE IN
DEMONSTRATIONS WITH EVERYONE
FROM ACT UP TO THE TREATMENT
ACTION CAMPAIGN.
I'VE WORK WIDE COMMUNITY
PLANNING FOR PREVENTION ANDRIAN
WHITE PLANNING FOR TREATMENT AND
CARE.
I'VE BURIED MORE FRIENDS AND
COLLEAGUES THAN MOST OF MY
COLLEGE CLASSMATES WILL EVER
BURY BEFORE THEY BECOME SENIORS.
I'VE MARRIED AND DIVORCED A MAN
WHO LOVED ME BUT NOT ENOUGH TO
HANG WITH ME IN THIS FIGHT.
I HAVE FOREGONE SPENDING SUMMERS
AND SOME HOLIDAYS WITH FAMILY TO
SIT WITH SICK CLIENTS OR WRITE
ANOTHER GRANT OR ATTEND ANOTHER
MEETING.
I HAVE MET AND WORK WIDE SO MANY
AMAZING, SMART, DEDICATED AND
GIVING SOULS AND I HAVE A
COMMUNITY, THAT'S Y'ALL, THAT
REALLY UNDERSTANDS AND
IDENTIFIES WITH ME AND MY
PASSION TO THEPBD DISEASE AND
ITS TERRIBLE IMPACT ON
INDIVIDUALS, FAMILIES,
COMMUNITIES, AND EVEN NATIONS.
AND I'VE LEARNED TO KEEP LOOKING
FORWARD AND ENVISIONING A FUTURE
IN WHICH THERE'S NO HIV OR AIDS
AND TO KEEP WORKING TO BRING
THAT FUTURE INTO MY PRESENCE
BECAUSE THAT'S WHAT ALL THOSE
PEOPLE FOR WHOM THE END OF THIS
PANDEMIC COMES TOO LATE, I HAVE
LEARNED THAT LOVE REALLY DOES
CONQUER ALL EVEN WHEN WE DON'T
KNOW IT, SEE IT, OR FEEL IT.
KNOW, YOU KNOW WE'VE BEEN IN
THIS FOR A VERY LONG TIME AND I
SWEAR I THOUGHT, BACK IN THE
MID80S, THAT BY THIS TIME IN MY
LIFE, I WOULD BE RUNNING A BED
AND BRUNCH ON A BEACH SOMEWHERE
WRITING WHAT I CALL NONFICTION
EROTICA.
I THINK THAT'S STILL IN NIGH
FUTURE.
--MY FUTURE.
[LAUGHTER]
BUT WE HAVE STILL COME A LONG
WAY.
DESPITE HOW FAR WE'VE COME WITH
CREATING EVIDENCE BASED
STRATEGIES, WITH HAVING LIFE
SAVING, QUALITY OF LIFE GIVING
TREATMENTS, AND A NETWORK OF
SOCIAL SERVICE PROVIDERS AND
EDUCATORS AND SUPPORTERS AND
PEER LEADERS, FINALLY HAVING A
NATIONAL STAT EDGE A PLAN THAT
WE CAN ALL GET BEHIND AND WORK
WITH REGUARDLESS OF SOME OF THE
CHALLENGES WE STILL PUT TO THAT
PLAN, WE STILL HAVE A LONG WAY
TO GO.
WHY I LIVE AND WORK IN THE
SOUTH, NO, THE DEEP SOUTH, WHICH
IS WAY MORE THAN A GEOGRAPHIC
DISTINCTION STIGMA STILL EXISTS,
I'M STILL WAITING FOR MY MORE
THAN MAGIC CAMPAIGN, Y'ALL GOT
THAT ONE?
DISCRIMINATION HAS NOT YET BEEN
ERADICATED AND PEOPLE LIVING
WITH HIV/AIDS ARE STILL A TARGET
OF DISCRIMINATION, AND
DISCLOSURE IN TERMS OF FAMILY,
EMPLOYMENT AND DIGNITY.
AND WHILE OUR STRATEGY IS NOT A
PERFECT TOOL, IT IS THE TOOL WE
HAVE TO WORK WITH.
WE'RE ALSO HAVING TO KEEP THE
FIGHT AND DEFENDING THE
PRIORITIZATION OF HIV/AIDS.
THAT'S WHY I'M STILL HERE.
BECAUSE EVEN THOUGH I KNOW I'M
IN THE BUSINESS TO PUT MYSELF
OUT OF BUSINESS, I'M NOT HERE TO
GO OUT OF BUSINESS.
AND GIVEN THE FACT TAKEN--THEY
WE HAVE THOUSANDS OF PEOPLE ON
THE EIGHT APPSPACE LIST, HALFFUL
WHOM ARE IN GEORGIA AND FLORIDA,
THE NEWS TODAY AND USA TODAY
TELLS US THAT WE'RE STILL NOT
CATCHING THEM EARLY ENOUGH TO
KEEP THEM ALIVE LONGER.
WE STILL HAVE A LOT TO DO.
WHICH MEANS YOU YET, CANNOT
REST.
YOU STILL MUST FIND YOUR
INSPIRATION AND YOUR ENERGY, YOU
STILL MUST CALL THE NAME AND
REMEMBER THEM AND CALL ON THEM
AS YOUR OWN SOUL GUIDES.
WE MUST CONTINUE TO FIGURE OUT
WAYS TO LIFT UP THE IMPORTANCE
AND MEANINGFUL ENGAGEMENT OF
PEOPLE LIVING WITH HIV.
I AM REMINDED THAT FROM THE
BEGINNING OF THIS EPIDEMIC
COMMUNITY HAS ALWAYS, ALWAYS
BEEN IN THE FOREFRONT.
WE'VE BEEN IN THE FRONT OF
SCIENCE, IN THE FRONT OF POLICY,
WE'VE BEEN IN THE FRONT OF
SOCIAL, CULTURAL, ATTITUDES AND
IDEAS.
WE HAVE AFFECTED CHANGE IN EVERY
SECONDER.
WE HAVE GALVANIZED SYSTEMS, BUT
IT SEEMS TO ME IN THE LAST
COUPLE OF YEARS, AT LEAST WHERE
I LIVE AND WORK, SOME, IT'S LIKE
A BE CAREFUL WHAT YOU ASK FOR
THING, WHERE COMMUNITY HAS NOW
FALLEN A LITTLE BIT BEHIND THE
SCIENCE AND THE POLICY.
POLICY IN S IN FRONT OF US, THAT
DOESN'T NECESSARILY MEAN, WE'RE
GOING TO SOLVE ALL OF THESE
PROBLEMS JUST WITH SCIENCE AND
JUST WITH POLICY.
I WANT TO HEAR--I'M HERE TO
REMIND YOU THAT WHILE SCIENCE,
RESEARCH AND POLICY, MIGHT BE
THE BODY OF THE END OF THIS
EPIDEMIC, THE COMMUNITY, CIVIL
SOCIETY, CIVIL SERVICE, PEOPLE
LIVING WITH HIV ARE ITS SOUL.
BODY AND SOUL, WE WORK IT, WE
WORK IT TOGETHER, WE WORK IT AS
ONE.
SO I'M GOING TO BE HERE TILL THE
END OF THIS THING, AND I'M JUST
GOING TO CONTINUE TO WAKE UP
EVERY DAY, CALL ON OUR
COLLECTIVE ANCESTRY OF PEOPLE
WHO ARE NO LONGER HERE AS A
RESULT OF HIV AND AIDS AND DO
THE GOOD WORK THAT WE NEED TO DO
TOGETHER.
THANK YOU.
[ APPLAUSE ]
NOW IT IS MIABLE ABSOLUTE
PLEASURE AND--ABSOLUTE PRESSURE
AND DISTINCT HONOR TO INTRODUCE
A WOMAN WHO MAY NOT NEED AN
INTRODUCTION BUT YOU'RE GOING TO
GET ONE ANYWAY.
IN HER TWO YEARS AS SECRETARY OF
HEALTH AND HUMAN SERVICES,
SECRETARY KATHLEEN SEBELIUS HAS
BEEN A CHAMPION FOR IMPROVING
OUR HEALTHCARE SYSTEM AND
FIGHTING THE HIV/AIDS EPIDEMIC.
IN FACT, SHE COMBINED THESE
SITES TO MAKE CLEAR THAT
COMPREHENSIVE HEALTHCARE
AMERICANS, THAT HELP PEOPLE
LIVING WITH HIV AND AIDS AND AS
A PERSON WHO HAS FOUGHT FOR
REPRODUCTIVE JUSTICE SINCE THE
AGE OF 17, I PERSONALLY THANK
HER FOR FIGHTING TO PROTECT
REPRODUCTIVE HEALTH AND FAMILY
PLANNING SERVICES FOR YOUTH AND
FOR WOMEN ACROSS THIS GREAT
NATION.
LADIES AND GENTLEMEN, COMRADES,
SECRETARY SEBELIUS.
[ APPLAUSE ]
>> WELL, I WANT TO START BY
THANKING DAZON FOR NOT ONLY THAT
KIND INTRODUCTION BUT FOR HER
AMAZING WORK OVER YEARS.
SHE HAS TIRELESS LEADERSHIP IN
THE FIGHT AGAINST HIV/AIDS AND
EVERY DAY THROUGH HER WORK AND
HER EXAMPLE GIVES HOPE AND
COURAGE TO SOME OF THE MOST
VULNERABLE WOMEN AND FAMILIES
AROUND THE WORLD SO LET'S THANK
HER AGAIN PLEASE FOR BEING WITH
US TODAY.
AND I ALSO WANT TO THANK
DR. KOH, HOWARD KOH, WHO HAS THE
ASSISTANT SECRETARY OF HEALTH
HAS TACKLED A NUMBER OF ISSUES
AND HAS TAKEN LEADERSHIP ROLES
IN A NUMBER OF AREAS BUT I CAN
TELL YOU HIS EXPERIENCE AND
PASSION HAS INSPIRED HIM TO BE
PARTICULARLY FOCUSED ON OUR
CONTINUED BATTLE OUR NATIONAL
STRATEGIC PLAN, OUR EFFORTS ON
HIV AND AIDS AND THANK HOWARD
FOR CONTINUING THAT BATTLE.
YOU WILL HEAR FROM SOME
REMARKABLE HEALTH LEADERS WHO
HAVE BEEN GENEROUS ENOUGH TODAY
TO SHARE THEIR PERSONAL STORIES
WITH US AND I'M STRUCK BY
LOOKING AT THIS AUDIENCE THAT WE
HAVE AN INTERESTING COMBINATION
OF HEALTH EXPERTISE AND SOME OF
HAVE YOU BEEN IN THIS BATTLE
FROM DAY ONE AND WE'RE GOING TO
TALK ABOUT FOR OTHERS WERE NOT
AWHEN THIS STORY FIRST BEGAN.
SO SOME OF THIS IS IMPORTANT
HISTORY FOR YOU TO UNDERSTAND
AND KNOW ABOUT.
BUT TODAY, WE'RE HERE TO
REMEMBER THOSE WE'VE LOST TO THE
PANDEMIC AND TO HONOR THOSE WHO
CONTINUE TO FIGHT AGAINST THE
VIRUS AND FIGHT FOR A CURE.
WE'RE HERE TO MARK THE GAINS
MADE OVER THE LAST THREE DECADES
AND TO LOOK AHEAD WITH HOPE AND
PURPOSE AT THE NEXT STEPS SWRAOE
TO TAKE IN THIS FIGHT IN THE
BATTLE.
THE STORY OF THE FIRST 30 YEARS
HAS BEEN ONE OF GREAT
COMMITMENT, DISCOVERY AND
COLLABORATION, BUT IT'S ALSO A
STORY OF GREAT UNCERTAINTY AND
TERRIBLE LOSS.
MORE THAN 600,000 AMERICANS HAVE
DIED LONG BEFORE THEY SHOULD
HAVE, 600,000 THESE QUILT
SQUARES REPRESENT JUST A FEW OF
THOSE SOULS.
WORLD WIDE MORE THAN 30 MILLION
PEOPLE ARE LIVING WITH HIV TODAY
INCLUDING TWO AND HALF MILLION
CHILDREN.
IT CAN BE EASY TO FOCUS ON ALL
THE DATA, THE DOLLARS, THE
SCIENTIFIC MILESTONES THAT WE SO
OFTEN USE TO MEASURE OUR
PROGRESS AND THEY'RE IMPORTANT
BUT WE CAN'T EVER FORGET THAT
THE STORY OF HIV/AIDS IS ONE OF
COUNTLESS INDIVIDUAL HUMAN
LIVES.
NOW THERE'S SO MANY OF US IN
THIS ROOM TODAY WHO NEVER
THOUGHT THIS DISEASE WOULD STILL
BE WITH US THREE DECADES LATER.
AND AS I SAID EARLIER, THERE'S
SOME OF YOU HERE WHO WEREN'T
ALIVE WHEN THIS EPIDEMIC BEGAN
AND JUST THINK ABOUT THAT, A
GENERATION OF PEOPLE WHO HAVE
NEVER LIVED IN A WORLD WITHOUT
THIS VIRUS BEING PRESENT.
AND IN THIS AGE OF ADVANCED
TREATMENTS WHEN HIV IS NO LONGER
A DETH SENTENCE FOR MANY, IT CAN
BE EASY TO FORGET HOW SCARY
THOSE EARLY YEARS WERE.
WHEN IT WAS FIRST DISCOVERED NO
ONE NEW HOW THE DISEASE WAS
SPREAD AND WE DIDN'T KNOW WHAT
CAUSED THE DISEASE.
WHAT WE DID NONAPOPTOTIC KNOW IS
THAT IT ALMOST CERTAINLY MEANT
DEATH.
WHEN ADVOCATE COMPARE THESE
EARLY YEARS TO LIVE NOTHING A
WAR ZONE, WE WERE NEVER SURE
WHEN THE NEXT BOMB WOULD DROP
AND WITH THAT UNCERTAINTY CAME A
LOT OF FEAR AND WITH THE FEAR
CAME ENORMOUS PREJUDICE.
CHILDREN LIKERIAN WHITE WERE
TURNED AWAY FROM THEIR SCHOOLS
BECAUSE THEY WERE HIV POSITIVE.
TENANTS WERE LOCKED OUT OF THEIR
APARTMENTS AND FORCED TO LIVE ON
THE STREETS.
WORKERS WERE FIRED FROM THE JOBS
THEY HAD HELD FOR DECADES.
SONS AND DAUGHTERS LYING IN
HOSPITAL BEDS WERE ABANDONED BY
THEIR FAMILIES AND LOVED ONES.
AND TREATMENT WAS VERY HARD TO
COME BY UNLESS YOU QUALIFIED FOR
MEDICAID OR COULD KEEP A JOB
THAT PROVIDED INSURANCE.
AND THE TREATMENTS THAT WE HAD
WERE NOT VERY EFFECTIVE AND
CERTAINLY NOT AS EFFECTIVE AS
ANYONE WOULD HAVE WISHED.
AND OUR NATIONAL GOVERNMENT WAS
FRANKLY VERY SLOW TO ACT AND SO,
IT WAS COMMUNITY ORGANIZATIONS,
SPRINGING UP ON STREET CORNERS,
AROUND THE COUNTRY, THE SOUL
THAT DAZON JUST TALKED ABOUT
THAT CONNECTED PEOPLE, EDUCATED
THEM ABOUT HOW TO PROTECT
THEMSELVES, BATTLE
DISCRIMINATION AND GOT THIS
NATION'S ATTENTION EMPLOYED AND
THEY TAUGHT US MOST POIGNANTLY
THAT SILENCE EQUALS DEATH.
NOW MANY OF YOU KNOW THIS STORY
BECAUSE YOU LIVED IT.
YOU WENT ON TO BUILD STRONG
COALITIONS THAT INCLUDED
GOVERNMENT, COMMUNITY BASED
GROUPS, EMPLOYERS HEALTH
PROFESSIONALS AND INDIVIDUALS
WITH AIDS COMING TOGETHER WITH A
SENSE OF URGENCY TO DEVELOP
BETTER APPROACHES FOR TREATING
AND REDUCING THE SPREAD OF THE
DISEASE.
NO SINGLE NARRATIVE CAN DO
JUSTICE TO OUR JOURNEY OVER THE
LAST THREE DECADES.
THERE ARE INSTEAD A MILLION
INDIVIDUAL STORIES, SEWN
TOGETHER BY A SHARED HOPE FOR
PROGRESS.
SCIENCE MUST KEEP MOVING
FORWARD, PREVENTION MUST REACH
EVEN FURTHER AND BE EVEN MORE
EFFECTIVE AND ALL PEOPLE LIVING
WITH HIV AND AIDS MUST HAVE
BETTER ACCESS TO TREATMENT AND
CARE THEY NEED WHETHER THEY LIVE
IN WASHINGTON D. C. OR IN A
VILLAGE OUTSIDE OF NAOROBI.
IN OVER SOME TIME, SHORT TIME,
SCIENCE TOOK WHO WAS ONCE AN
IMPENETRABLE MYSTERY AND GET
ANSWERS.
THE KIND OF ANSWERS THAT WORKED
IN THE LAB BUT ALSO SAVE LIVES
AND THANKS TO THE WORK AND
INGENUITY OF SCIENTIST AND
DOCTORS IF AT PLACES LIKE THE
CENTERS FOR DISEASE AND CONTROL
PREVENTION AND NATIONAL INTUITYS
OF HEALTH AND FOOD AND DRUG
ADMINISTRATION AND OUR OWN HRSA,
NEW EFFECTIVE THERAPIES AND
TREATMENT AND TOOLS FOR
PREVENTION CAME ONLINE.
TODAY THERE ARE MORE THAN 30
LICENSE DRUGS THAT ARE WIDELY
AVAILABLE IN THE DEVELOPED WORLD
AND HAVE BEGUN TO TRANSFORM HIV
INTO A CHRONIC DISEASE ADDING
YEARS TO PEOPLE'S LIVES.
BUT WE KNOW THAT THAT PROGRESS
IS NOT ENOUGH AND IT'S WHY
PRESIDENPRESIDENT OBAMA HAS MADE THE
FIGHT AGAINST HIV AND AROUNDED
WORLD A TOP PRIORITY FOR HIS
ADMINISTRATION, INCLUDING THE
FIRST EVER DEVELOPMENT OF A
NATIONAL AIDS STRATEGY THAT'S
PROVIDING DIRECTION AND FOCUS TO
OUR EFFORTS.
THE BATTLE ISN'T OVER, AS LONG
AS THIS VIRUS THREATENS THE
HEALTH AND LIVE LIVES OF PEOPLE
HERE AND AROUND THE GLOBE, THE
STRUGGLE CONTINUES.
AND SO, ON THIS HAD DAY IN THIS
PLACE, WE NEED TO REMEMBER THE
WORDS OF MOTHER JONES WHO TOLD
US TO PRAY FOR THE DEAD AND
FIGHT LIKE HELL FOR THE LIVING
AND THAT'S WHAT WE'RE GOING TO
DO.
THANK YOU AND NOW I'D LIKE TO
TURN THINGS BACK OVER TO RICHARD
AND YOU'LL HEAR FROM SOME OF OUR
TERRIFIC LEADERS.
[ APPLAUSE ]
>> THANK YOU MADAM SECRETARY AND
THANK YOU FOR JOINING US.
THE SECRETARY IS NOW GOING TO AN
EVENT TO PROMOTE CHILDCARE AND
HEALTHY CHILDCARE FOR CHILDREN,
SO SHE'S FIGHTING ON EVERY
LEVEL, SO WE APPRECIATE OUR--HER
TAKING TIME.
LET ME WELCOME YOU AGAIN TO THE
GREAT HALL.
WE CALL THIS THE GREAT HALL BUT
UNTIL TODAY I NEVER REALLY
THOUGHT OF IT AS GREAT.
I WISH WE COULD KEEP THESE QUILT
PANELS FOREVER BECAUSE
THIS--THIS IS LIFE.
THIS IS WHAT THIS IS ALL ABOUT.
SO, TAKE A MOMENT WHEN YOU CAN
TO JUST LOOK AT THE QUILT PANELS
AND REMEMBER, THESE PEOPLE AND
ALL THE PEOPLE THAT WERE CLOSE
TO YOU.
ELLIE B SELLS WAS AN AUTHOR AND
A SURVIVOR AND HE TAUGHT US THAT
WHATEVER YOU SURVIVE THE TEST,
MUST ALSO TELL THE STORY AND
THAT'S IN PART WHY WE'RE HERE
TODAY.
WHEN HIV START INDEED 1981, I
WAS 23 YEARS OLD, I WAS IN NIGH
FIRST JOB, AND I WAS A
JOURNALIST HERE IN WASHINGTON,
WRITING ABOUT HEALTHCARE POLICY,
WHO KNEW?
AND I WROTE SOME OF THE EARLIER
NEWS STORIES ABOUT A DISEASE
THAT DIDN'T HAVE A NAME OR
DIDN'T HAVE A DESCENT NAME NEAR
A PERIOD OF TIME AND I NEVER
THOUGHT THAT 30 YEARS LATER, I
WOULD STILL BE WORKING IN SOME
OR PART OF MY LIFE ON THIS
EPIDEMIC, NOT JUST WORKING, BUT
LIVING THROUGH 30 YEARS AND SO
MANY PEOPLE AND I'M GLAD.
I'M GLAD THAT I AM NOT BECAUSE
THE EPIDEMIC HAS LASTED THIS
LONG, BUT BECAUSE IT'S CHANGED
MY LIFE THE WAY IT HAS CHANGED
THE LIVES OF OF EVERYBODY, NOT
FOR THE WORSE BUT ALSO FOR THE
BETTER.
SO ONE OF THE THINGS WE NEED TOW
DO IS REMEMBER REMEMBER AND NOT
FORGET.
AND AS A SECRETARY REMIND THE
US, THERE'S A GENERATION OF OF
PEOPLE WHO HAVE GROWN UP IN THIS
WORLD NEVER KNOWING A DAY
WITHOUT HIV IN OUR LIVES.
AND THERE WILL BE GENERATIONS TO
COME AND WE NEED TO MAKE SURE
THAT TODAY, BUT ALSO WHEN THE
EPIDEMIC IS OVER, THEY REMEMBER
WHERE WE CAME FROM.
SO, WE'VE GOT A SHORT VIDEO
BEFORE THE REST OF OUR SPEAKERS
JOIN US AND I HOPE YOU'LL FIND
THIS TO BE BOTH INFORMATIVE AND
ENRICHING.
SO I THINK THEY'RE GOING TO CUE
THAT UP.
>> JUNE 5th, 1981, THE CDC
PUBLISHED A MORBIDITY AND
MORTALITY WEEKLY REPORT
DESCRIBING CASES OF A RARE
PNEUMONIA IN OTHERWISE HEALTHY
YOUNG GAY MEN IN LOS ANGELES.
>> BUT IT WAS FROM THOSE REPORTS
THAT THE GREAT EPIDEMIC OF AIDS
BEGAN TO MUSHROOM AND WE WERE IN
THE MIDST OF IT BEFORE WE KNEW
IT.
>> DIDN'T KNOW WHAT IT WAS BUT
I'D MADE A DECISION THEN IN THE
MIDDLE OF THE SUMMER OF 198 1981
THAT I WAS ACTUALLY GOING TO
CHANGE THE DIRECTION OF MY
CAREER AND START BRINGING INTO
THE HOSPITAL AND STUDYING THESE
UNUSUAL SITUATIONS OF GAY MEN
WHO HAD THIS STRANGE DISEASE.
>> WHEN THE PATTERN WENT FROM
GAY MEN TO INJECTING DRUG USERS
AND THEN FINALLY TO PERSONS WITH
HEMOPHILIA, THERE COULD REALLY
ONLY BE A UNIFYING HYPOTHESIS, A
VIRAL AGENT THAT COULD BE
TRANSMITTED THROUGH A VARIETY OF
MEANS.
>> ONCE WE GOT THE VIRUS IN OUR
HANDS, NAMELY IN 1984 AND 1985,
THEN WE BEGAN TO STUDY IN
EARNEST SOME OF THE PATHOGENIC
EVENTS.
>> BY THE TIME THE VIRUS WAS
DISCOVERED, THERE WERE MORE THAN
500,000 PEOPLE INFECT INDEED THE
UNITED STATES AND MILLIONS WORLD
WIDE.
>> WE SAW REALLY, ENDED UP
FOLLOW NEGLIGENT AIDS CLINIC
ABOUT 25,000 PATIENTS WITH HIV.
THE AVERAGE PERSON WE WOULD SEE
WOULD HAVE FOUR OR FIVE
OPORTUNISTIC INFECTIONS AND MORE
TO COME.
>> AIDS WAS AND IS A PUBLIC
HEALTH PROBLEM BUT ONE WITH MANY
SOCIAL AND POLITICAL FACETS.
>> THE AIDS COMMUNITIES RESPONSE
WAS A MIXTURE OF INSIDER AND
OUTSIDER TACTICS.
SO SITTING DOWN WITH POLICY
MAKERS AND TRYING TO SIT DOWN
AND FIND OUT A SOLUTION.
AT THE SAME TIME STREET
DEMONSTRATIONS.
>> THE ACTIVISTS WERE MAKING
EXTREMELY GOOD POINTS ABOUT THE
UNIQUENESS OF THIS, THE NEED TO
DO MORE, THE NEED TO BE LESS
RIGID IN OUR REGULATORY
APPROACHES TOWARDS THE APPROVAL
AND TESTING OF NEW DRUGS AND THE
RIGIDITY AND LACK OF FLEXIBILITY
IN HOW WE DESIGN CLINICAL
TRIALS.
>> 1985 WAS THE YEAR THAT A BOY
WITH HEMOPHILIA WITHRIAN WHITE
WAS BARRED FROM ATTENDING SCHOOL
BECAUSELY WAS INFECT WIDE HIV.
THE SAME YEAR ACTOR ROCK HUDSON
DIED OF AIDS, BRINGING ATTENTION
TO THE DISEASE IN A WAY NO ONE
HAD BEFORE.
IN 19 KETCH THE AIDS MEMORY
RESPONSOR--1987, THE AIDS
MEMORIAL QUILT WAS DISPLAYED AT
A NATIONAL MALL.
THE FOLLOWING YEAR, DR. COOP'S
MESSAGE: HAPPENING AIDS WAS
MAILED TO EVERY HOUSEHOLD IN
AMERICA.
>> IN 1990,RIAN WHITE DIED AT
THE AGE OF 18 AND KONG PASS
THELETRIAN WHITE CARE ACT
PROVIDING ACCESS TO TREATMENT
FOR UNINSURED PEOPLE WITH
HIV/AIDS.
BECAUSE OF THE HIV VIRUS THAT I
HAVE ATTAINED, I WILL HAVE TO
RETIRE FROM ...
>> THE FOLLOWING YEAR BASKETBALL
STAR MAGIC JOHNSON HELD A PRESS
CONFERENCE THAT CHANGED THE WAY
MANY PEOPLE THOUGHT ABOUT
HIV/AIDS.
THE EARLY 90S WERE MARKED WITH
PROGRESS, DESPITE SOME SET
BACKS.
IN 1994 AN NIH TRIAL FOUND AZT
WAS SHOWN TO PREVENT
TRANSMISSION FROM MOTHER TO
INFANT DURING CHILD BURG, THE
FIRST PROTEASE INHIBITOR WAS
APPROVE INDEED 1995, A HUGE
ADVANCE IN MANAGING HIV
INFECTION.
HOWEVER, AIDS REMAINED THE
LEADING CAUSE OF DEATH FOR
AFRICAN AMERICANS.
>> WE WERE 25% FOLKS IMPACTED BY
HIV IN 1986 AND YET, YOU KNOW
THE RESPONSE IN BLACK
COMMUNITIES AND THE DELIVERY OF
SERVICES AT THAT TIME PRIMARILY
PREVENTION AND AWARENESS, THE
BLACK COMMUNITIES WERE
DISPROPORTIONATELY LOW.
>> BY 2002, HALF THE PEOPLE
LIVING WITH HIV WORLD WIDE WERE
WOMEN.
>> FOR WOMEN TO RECOGNIZE THE
RISK ESPEGSZ ESPECIALLY FOR
HETEROSEXUAL WOMEN AND LATINO
WOMEN IN THE U.S., I THINK RISK
AWARENESS IS STILL A VERY, VERY,
VERY BIG CHALLENGE.
>> AS THE EPIDEMIC ENTERED ITS
THIRD DECADE IS TURNED GLOBAL.
IN 2003 PRESIDENT BUSH ANNOUNCED
THE PRESIDENT EMERGENCY PROGRAM
FOR AIDS RELIEVE OR PEPFAR,
PROVIDING MILLIONS OF DOLLARS TO
TREAT AIDS AROUND THE WORLD.
>> PEPFAR, IS REMARKABLE, WE
WERE NOW AT TWO TH-PBT THREE
MILLION PEOPLE ON ANTIRETROVIRAL
TREATMENT, ALL OF WHOM WOULD
HAVE DIED.
IT'S A REMARKABLE CONTRIBUTION
THAT THE AMERICAN PEOPLE WOULD
FEEL PROUD OF.
>> NOW IT'S PART OF
PRESIDENT OBAMA'S HEALTH GLOBAL
ISSUE AND IT'S TAKEN A BIGGER
IMPACT NOW BECAUSE IT'S BEEN
LINKED TO OTHER HEALTH PROBLEMS.
>> TODAY WE'RE RELEASING OUR
NATIONAL HIV/AIDS STRATEGY.
ANNOUNCE INDEED 2010,
PRESIDENT OBAMA'S AIDS STRATEGY
WAS AIMED AT PREVENTING
INFECTIONS, PREVENTING ACCESS TO
CARE AND REDUCING DISPARITIES.
I THINK WE ARE IN A PERIOD OF
TIME WHERE WE HAVE THE TOOLS TO
END AIDS EPIDEMNICK AMERICA
TODAY AND ACROSS THE GLOBE AND
IT'S CRITICALLY IMPORTANT AND
IT'S EXCITING.
[ APPLAUSE ]
>> WOW, 30 YEARS AND FIVE
MINUTES.
I THINK I GOT A FEW MORE GRAY
HAIRS AND SEVERAL OF THE PEOPLE
WHO ARE KIND ENOUGH TO
PARTICIPATE AND GIVE US THEIR
MEMORIES AND THEIR THOUGHTS ARE
HERE TODAY AND I WANT TO THANK
THEM AS WELL.
THE THE WORD HERO IS OVERUSED SO
I'LL TRY NOT TO USE IT TOO
OFTEN.
I'LL JUST SAY OUR NEXT SPEAKER
IS A HERO OF MINE AND A LEADER
THROUGHOUT THIS EPIDEMIC.
LET ME INTRODUCE TONY FAUCI.
[ APPLAUSE ]
>> THANK YOU VERY MUCH RICHARD.
IT IS AN HONOR AND A PRIVILEGE
TO BE HERE THIS MORNING TO
COMMEMORATE THIS EXTRAORDINARY
TIME IN OUR HISTORY.
30 YEARS OF HIV/AIDS.
LOOKING AROUND THE ROOM, I DON'T
KNOW WHETHER IT'S TRUE OR NOT,
BUT I MAY BE THE ONLY PERSON
HERE WHO HAS SPENT HIS ENTIRE
PROFESSIONAL CAREER IN THE
DEPARTMENT OF HEALTH AND HUMAN
SERVICES.
[LAUGHTER]
--FOR A VERY LONG TIME SO IT'S
REALLY GOOD TO BE HERE WITH YOU
IN THIS BUILDING.
I JUST WANT TO TAKE A COUPLE OF
MINUTES TO SHARE WITH YOU THE
KINDS OF REFLECTIONS THAT THOSE
OF US WHO WERE THERE FROM THE
VERY FIRST DAY HAD WHEN WE SAW
THE UNFOLDING OF THIS HISTORIC
AND EXTRAORDINARILY TRAGIC
EVENT, THE EMERGENCE AND
EVOLUTION OF THE BEGINNING OF
THIS HIV/AIDS PANDEMIC.
AS I OFTEN SAY WHEN I TALK TO
PEOPLE ABOUT SUBJECTS LIKE THIS
AND SIMILAR SUBJECTS.
IT IS REALLY QUITE TRUE THAT
WHEN YOU'RE LIVING THROUGH OR
BEGINNING TO LIVE THROUGH
HISTORIC EVENT, YOU DON'T REALLY
APPRECIATE THAT IT'S HISTORIC
UNTIL YOU ACTUALLY REFLECT BACK
ON IT.
IT'S SORT OF A QUIRK ABOUT
HISTORY.
YOU DON'T SAY WOW, I WOKE UP
TODAY, THIS HAPPENED.
IT'S GOING TO BE HISTORIC BUT IT
REALLY HAS BEEN A HISTORIC EVENT
THAT HAS BROUGHT OUT IN MANY
RESPECTS, THE BEST AND THE WORST
IN PEOPLE THROUGHOUT THE WORLD,
BUT HAVING BEEN THROUGH IT FROM
THE BEGINNING, I CAN SAY NOW,
THAT THE ULTIMATE EXPERIENCE IS
ONE THAT HAS BROUGHT OUT SOME OF
THE FINEASTY QUALITIES OF MAN
KIND.
I--YOU SAW IN THE CLIP THERE, I
REMEMBER, VERY CLEARLY THERE ARE
THINGS IN YOUR LIFE THAT YOU
REMEMBER AND KNOW EXACTLY WHERE
YOU WERE.
I WAS SITTING IN MY OFFICE AT
THE NATIONAL INSTITUTES OF
HEALTH IN BETHESDA DOING MY JOB
OF WORKING ON BASIC AND CLINICAL
RESEARCH WHEN THIS MMWR THAT YOU
SAW ON THE SCREEN LANDED O LANDED ON MY
DESK.
JUNE 5th, 1981, AND I REMEMBER
READING IT, WHAT A CURIOSITY,
FIVE MEN FROM LOS ANGELES
CURIOUSLY ALL GAY, OTHERWISE
WELL, WITH A DISEASE THAT I KNEW
VERY WELL IS AN INFECTIOUS
DISEASE PHYSICIAN IS ONLY SEEN
IN PEOPLE WITH SUPPRESSED IMMUNE
SYSTEMS.
I THOUGHT IT WAS A CURIOUS THAT
WOULD GO AWAY AND THEN ONE MONTH
LATEROT FOURTH OF JULY OF 1981,
A SIMILAR MMWR LANDED ON MY
DESK, NOW REPORTING 26 MEN AGAIN
CURIOUSLY ALL GAY MEN NOW FROM
LA, SAN FRANCISCO AND NEW YORK
CITY, NOT ONLY FROM PNEUMOCYSTIC
NOPE OWNIA BUT ALSO WITH CAPPER
CYST ONOMA.
I GOT GOOSE BUMPS BECAUSE I KNEW
THIS WAS SOMETHING NEW AND
SOMETHING HORRIBLE BUT I NEVER
IN MY WILDEST DREAMS WHAT WOULD
IMAGINE FOR US WHAT WOULD UNFOLD
IN THIS COUNTRY AND THROUGHOUT
THE WORLD.
I'M VERY PROUD TO HAVE BEEN IN
THIS ORGANIZATION, IN THE
DEPARTMENT OF HEALTH AND HUMAN
SERVICES AND AT THE NIH, DURING
THOSE EARLY YEARS, WHEN WE WERE
STRUGGLING FROM BOTH THE
SCIENTIFIC AND PUBLIC HEALTH
STANDPOINT ABOUT HOW WE WERE
GOING TO ADDRESS THIS PANDEMIC.
I REFER TO IT, AS THE DARK YEARS
OF MY PROFESSIONAL CAREER
BECAUSE UNLESS YOU'VE DONE IT,
IT IS DIFFICULT TO DESCRIBE WHAT
IT'S LIKE TO HAVE PEOPLE COME IN
WHO ARE SUFFERING AND DYING AND
YOU DON'T HAVE IT, AN IDEA OR A
CLUE ABOUT WHAT IS GOING ON WITH
THEM, YOU SUSPECT ITS AN
INFECTION, EPIDEMIOLOGY TELLS
YOU IT'S SEXUALLY TRANSMITTED.
ALSO LATER ON INJECTION DRUG USE
BUT YET YOU DON'T KNOW WHAT TO
DO WITH THE PATIENTS EXCEPT
PALLIATIVE CARE AND IT WAS OVER
THE PERIOD OF THOSE THREE
DECADES WITH SUPPORT FROM SO
MANY GROUPS HERE IN THE
DEPARTMENT, THROUGH THE
DEPARTMENT AT NIH, THROUGH
MULTIPLE ADMINISTRATIONS AND
MULTIPLE TURNOVERS OF CONGRESS
THAT WE HAD THE RESOURCES TO PUT
INTO EFFECT A SCIENTIFIC
RESEARCH BOTH BASIC AND CLINICAL
ATTACK ON THIS PANDEMIC TO THE
POINT WHERE WE NOW, 30 YEARS
INTO IT HAVE THE CAPABILITY OF
REALLY PUTTING AN END TO THE
AIDS EPIDEMIC.
THERE ARE CERTAINLY SCIENTIFIC
GAPS.
WE STILL DON'T HAVE A VACCINE.
THERE ARE IMPLEMENTATION GAPS,
WE STILL HAVE NOT BEEN ABLE TO
GET PENETRATION INTO
COMMUNITIES, VOLUNTARY TESTING,
LINKING TO CARE AND TREATMENT OF
INDIVIDUALS WHICH WE KNOW NOW
TREATMENT CONSERVES PREVENTION,
SO THERE ARE MANY, MANY
CHALLENGES AHEAD.
IT'S BOTH HUMBLING BUT ALSO
ENERGIZING TO REALIZE THAT WE'VE
COME A VERY, VERY, LONG WAY.
BUT IN THE SAME BREATH AS WE
REALIZE THAT IN THE SAME THOUGHT
THAT WE ASSIMMULATE THAT, IT IS
CLEAR THAT WE HAVE A VERY LONG
WAY TO GO.
SO ALTHOUGH WE ARE NOW THREE
DECADES ENTERING INTO OUR FOURTH
DECADE OF THIS PANDEMIC, I WOULD
HOPE THAT A DAY LIKE TODAY WHERE
WE COME TOGETHER AND REMEMBER
THE EXPERIENCES WE HAVE THAT WE
RECONFIRM AND RECOMMIT OURSELVES
TO THE IMPORTANT TASKS AHEAD
BECAUSE AS I'VE SAID VERY OFTEN,
WE AS A GLOBAL SOCIETY ARE GOING
TO BE JUDGED AS MUCH AS THE
ADVANCED THAT WERE MADE OVER THE
PREVIOUS 30 YEARS.
WE'RE GOING TO BE JUDGED EVEN
MORE BY WHAT WE DO IN THE COMING
YEARS BECAUSE WE NOW HAVE THE
OPPORTUNITY FROM BOTH A DOMESTIC
AND A GLOBAL STANDPOINT TO PUT
AN END TO THIS PANDEMIC AND I
CAN TELL YOU ALL IN THIS ROOM
THAT I WILL DO EVERYTHING I CAN
TO STAY IN THIS FIGHT AS LONG AS
I CAN AND HOPEFULLY ONE OF THESE
DAYS, I'M GOING TO COME DOWN TO
THIS GREAT AUDITORIUM AND TALK
TO YOU ABOUT NOT THE CHALLENGES
OF THE FUTURE BUT A
COMMEMORATION OF SOMETHING IN
THE PAST THAT IS NOW OVER.
THANK YOU.
[ APPLAUSE ]
>> THANK YOU, TONY.
ONE OF THE THINGS THAT
DR. FAUCI'S REMARKS REMINDED ME,
ITS BECOME FASHIONABLE AGAIN
LATELY TO USE PUBLIC EMPLOYEES
AS PUNCHING BAGS, TO TALK ABOUT
BUREAUCRATS AND ABOUT GOVERNMENT
PEOPLE NEEDING TO WORK HARDER
AND ALL THAT.
WE HAVE TO REMEMBER THAT, YOU
KNOW MANY OF THEM, NOT ALL, BUT
MANY OF THE SCIENTISTS IN THE
PUBLIC HEALTH PROFESSIONALS AND
CAREGIVERS AND OTHERS THAT WERE
WORKING ON THIS EPIDEMIC FROM
THE BEGINNING WORKED HERE AT
THIS DEPARTMENT IN VARIOUS PARTS
OF IT, WORKED IN OTHER PARTS OF
THE GOVERNMENT, WORK INDEED
STATE GOVERNMENT, SO THERE ARE A
LOT OF PUBLIC SERVICE HEROES,
THAT CONTINUE TO DO THAT WORK
EVERY DAY AND WE NEED TO
REMEMBER THAT THERE'S
SCIENTISTS, PHYSICIANS, PUBLIC
HEALTH OFFICIALS BUT THEY'RE
ALSO COLLEAGUES.
SO THANK YOU FOR THAT.
I FIRST MET DANIEL MONTOYA WHEN
HE FIRST CAME TO HIS WORK HERE
IN WASHINGTON D. C. AND WE
WORKED TOGETHER OVER AT THE
WHITE HOUSE NATIONAL AIDS POLICY
AND DID TRAVELING AROUND THE
COUNTRY AND FIND OUT WHAT WAS
GOING ON ON THE GROUND.
OF COURSE DANIEL KNOWS BETTER
THAN MOST ANYONE I KNOW AND HE
HAS BEEN AN ADVOCATE AND AN
OUTSPOKEN LEADER ON THIS
EPIDEMIC FOR A NUMBER OF YEARS
AND NOW SERVES AS THE DEPUTY
DIRECTOR OF NMAC, THE NATIONAL
MINORITY AIDS COUNCIL AT ONE OF
OUR LEADING ORGANIZATIONS.
DANIEL WILL SHARE HIS THOUGHTS.
THANK YOU.
[ APPLAUSE ]
>> THANK YOU, RICHARD, AND GOOD
MORNING TO EVERYONE.
I WOULD CERTAINLY LIKE TO THANK
THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES FOR HOSTING
TODAY'S SYMPOSIUM.
IT'S FORTUNATE TAKE A MOMENT TO
REFLECT AND 30 YEARS IS THAT
MOMENT TO REFLECT.
THIS ADMINISTRATION IS
DEMONSTRATED A LAUDABLE
COMMITMENT TO FIGHT THANKSGIVING
EPIDEMAND I CAN WILL BE A
CRITICAL ALLY AS WE ENTER THE
FOURTH DECADE OF THE STRUGGLE.
I WOULD ALSO LIKE TO THANK MY
DISTINGUISHED PANELISTS, SOME OF
WHOM I WORKED WITH AND FOR.
I'M EXTREMELY HONORED TO BE IN
THE PRESENCE OF SUCH AN AMAZING
AND AND SO MANY OF YOU AND--I
STARTED THAT OPPORTUNITY HERE IN
JANUARY HYDE LIKE TO RECOGNIZE
THE STAFF OF THE NATIONAL
MINORITIES COUNCIL ESPECIALLY
EXECUTIVE DIRECTOR PAUL WHO
ALLOWED ME THE OPPORTUNITY TO
COME BACK IN THIS ROLE TO BE
ABLE TO ADVOCATE MORE DIRECTLY.
THE NATIONAL MINORITY AIDS
COUNCIL REPRESENTS FAITH BASED
AND COMMUNITY BASED
ORGANIZATION, AS WELL AS AIDS
SERVICE ORGANIZATION AS WELL AS
ADVOCATING AND DELIVERING
HIV/AIDS SERVICE OF OF
COMMUNITIES NATIONWIDE.
SINCE 1987 NMAC HAS DELIVERED A
VARIETY OF CAMPAIGN, ADVOCACY,
PUBLIC CAMPAIGN PROGRAMS,
NATIONAL CONFERENCES, RESEARCH
PROGRAMS, CAPACITY BUILDING,
TECHNICAL ASSISTANCE AND
TREATMENT AND TRAINING AND
DIGITAL AND ELECTRONIC RECOURSE
MATERIALS.
LIKE SO MANY GAY MEN OF MY
GENERATION, I GOT INVOLVED IN
AIDS ADVOCACY BECAUSE OF THE
EPIDEMIC IMPACT ON ME DIRECTLY.
I WAS DIAGNOSED WITH HIV 24
YEARS AGO.
AND I MAKE THE POINT TO SAY
DIAGNOSED INSTEAD OF LIVING WITH
BECAUSE FOR YEARS AFTER AIDS WAS
FIRST DISCOVERED THERE WAS NO
TEST FOR THE VERMEN
INFECTEDEROUS.
I FINE--FOR THE VIRUS.
I FINALLY TESTED AND GOT THE
COURAGE FOR IT IN 1987 BUT NO
IDEA HOW LONG HIBEEN POSITIVE
BEFORE THAT, BECAUSE UP TO THAT
WE HAD ALREADY BEEN PRACTICING
SAFE SEX AND USING CONDOMS WHICH
WAS SPEAR HEADED A LOT BY THE
COMMUNITY.
LUCKILY I RESPONDED WELL TO
TREATMENT AND HAVE LIVED A
RELATIVELY HEALTHY LIFE.
HOWEVER MANY OF MY FRIENDS,
FAMILY MEMBERS AND LOVED ONES
WERE NOT SO LUCKY.
AFTER BEING DIAGNOSED, I
REEVALUATED MY PRIORITIES,
ABANDONING A JOB I HAD LOOKED
FOR AND LONGED FOR IN TERMS OF
WORKING ON WALL STREET TO COME
BACK TO TEXAS AND WORK FOR
CHANGE.
AND WHILE I HAVEN'T LOOKED BACK,
I DO LOOK BACK IN TERMS OF
REMEMBERING WHY IT IS THAT I
CONTINUE TO FIGHT THIS FIGHT FOR
ALL THOSE NEME I SAT AT THEIR
BEDSIDE WHO WERE DYING AND FOR
THE PROMISES I MADE TO THEM TO
CONTINUE THIS FIGHT.
I THINK IT'S IMPORTANT TO NOTE
SOME ASPECTS THAT I THINK HAS
HAPPENED OVER THE 30 YEARS THAT
ARE SIGNIFICANT BECAUSE THERE
HAS BEEN SIGNIFICANT PROGRESS
OVER THE LAST THREE DECADES AND
I ALSO MUST TAKE TIME TO REALLY
THANK SOME OF THE TRAILBLAZERS I
MENTIONED EARLIER IN THE GAY
COMMUNITY AND ORGANIZATION LIKE
ACCOUNT UP, THE GAY MEN'S HEALTH
CRISIS, PROJECT INFORM AND
SEVERAL OTHERS BECAUSE OF THEM,
THE PUBLIC WAS FORCED TO ADDRESS
THE GROWING EPIDEMAND I CAN AS A
RESULT OF THESE EARLY EFFORTS
AND SUPPORT OF THE NATION'S
MEDICAL COMMUNITY, TODAY
INFECTION RATE VS DROPPED FROM A
PEAK OF 130,000 A YEAR IN THE
1980S TO ABOUT 56,000 CURRENTLY.
UNFORTUNATELY, THE ANNUAL
INFECTION RATE HAS NOT BUDGED
FOR ABOUT A DECADE HOLDING STUDY
AT 56,000.
OUR NATION'S PREVENTION EFFORTS
SEEM TO HAVE HIT A WALL AND
WHILE THERE ARE MANY REASONS FOR
THIS INCLUDING ADEQUATE FUNDING,
LACK OF EFZ BASED AND AGE
APPROPRIATE SEX EDUCATION
PROGRAMS AND GENERAL COMPLACENCY
ABOUT THE DISEASE IS AN ISSUE
THAT WE NEED ATTENTION ON.
THE CONTINUED DISPROPORTIONATE
OF THE IMPACT OF THE VIRUS ON
MINORITY COMMUNITY ITSELF ALSO
PROPOSES CHALLENGES.
IN THE AFRICAN AMERICAN
COMMUNITY WHERE INFECTION RATES
ARE SEVEN TIMES AS HIGH AS
CAUCASIAN, A PREVALENCE OF THE
VIRUS MAKES EACH ENCOUNTER
CONSIDERABLY RISKIER.
THIS IS WHY IDEBTIFYING EVIDENCE
BASED PREVENTION TOOL IS SO
CRITICAL; IT'S EASY TO AASSUME
THAT EVERYBODY WILL USE CONDOMS
100% OF THE TIME.
WHATEVER THE EXCUSE FOR USE NOT
USING CONDOMS WHETHER IT'S LACK
OF INTIMACY, EDUCATION OR
PREVENTION, IT'S CRITICAL TO
EXPAND OUR JUDGMENT.
IF WHITE HETEROSEXUAL MEN OR
WOMEN HAVE UNPROTECTED SEX JUST
ONCE, THAT CHANCE FOR
CONTRACTING THE RIHAVE YOU SEEN
IS SIGNIFICANTLY LOWER THAN TWO
BLACK MEN HAVING A HOMOSEXUAL
ENCOUNTER.
AS LONG AS THOSE EXIST, THOSE IN
THE PREVENTION COMMUNITY WILL
FACE AN UPHILL BATTLE.
BUT THIS IS WHERE SCIENCE HAS
PROVIDED POTENTIAL BREAK
THROUGHS.
THE PROMISE OF PREAND POST
EXPOSURE PROPHYLAXIS COULD
PREVENT IN TRANSMISSION, OF
COURSE THE COST ASSOCIATE WIDE
WIDE IMPLEMENTATION OF P. R. E.
P. POSE SIGNIFICANT CHALLENGES.
BUT RECENT STUDIES POINT TO THE
EFFICACY OF TREATMENT AS
PREVENTION OFFER POSSIBLY THE
BEST HOPE FOR A PRACTICAL
APPROACH TO EXPANDING PREVENTION
EFFORTS.
A STUDY RELEASED LAST MONTH
REVIEWED SERODISCORD ANT COUPLES
FOUND THAT EARLY AND SUSTAPED
TREATMENT OF ANTIVIRAL
MEDICATIONS REDUCE THE RISK OF
TRANSMITTING THE VIRUS TO YOUR
PARTNER BY AS MUCH AS 90%.
FOR MINORITY COMMUNITIES FACING
SIEVE 95 CANTILY HIGHER LOAD AND
PREVALENCE, THIS IS A HUGELY
PROMISING DEVELOPMENT.
ASSUMING WE CAN GET EVERYONE
DIAGNOSED ON HIV, THIS COULD
SIGNIFICANTLY REDUCE THE RISK OF
TRANSMISSION WITH EACH SEXUAL
ENCOUNTER EVEN IN GROUPS WITH
HIGHEST VIRAL BURDEN LIKE GAY
BLACK MEN.
THE CRITICAL POINT IN THAT LAST
STATEMENT IS WHETHER WE CAN
INSURE THAT ALL PEOPLE LIVE
PREGNANT HIV CAN GET ON DRUG
THERAPY.
CURRENTLY MORE THAN 2 MILLION
PEOPLE LIVING WITH HIV IN THE
UNITED STATES ARE UNAWARE OF
THEIR STATUS.
ANY EFFORT TO ENROLL ALL THOSE
INTO ANTIRETROVIRAL THERAPY
WOULD REQUIRE A RENEWED PUSH
AROUND TESTING.
IT WOULD ALSO REQUIRE AVENUES TO
INSURE THAT PEOPLE CAN ACCESS
CARE ONCE THEY'RE DIAGNOSED.
CURRENT PROGRAMS ARE SIMPLY
INADEQUATE.
MEDICAID FOR EXAMPLE REQUIRES AT
LEAST CURRENTLY A PERSON IS
DISABLED BY AIDS BEFORE THEY CAN
ACCESS THE PROGRAM AND MOST
RECENTLY WE WERE PLEASED TO SEE
THAT THERE WILL BE SOME GUIDANCE
RELEASE OFFICE OF DIVERSITY THE
1150 WAIVERS THAT WILL BE
HELPFUL IN BUILDING A BRIDGE IN
2014 WHEN MEDICAID WILL FACE
THIS OPPORTUNITY.
RIAN WHITE FACED FUNDING
SHORTAGES IN THE AIDS PROGRAM,
THESE MEDICATIONS PROSIGHTED
MEDICAID--LYKES DAZON, SAID
EARLIER, THERE ARE STATES IN THE
SOUTH THAT ARE INCREDIBLY
ACCOUNTIVATED AND THOSE ARE
COMMUNICATESS OF COLOR THAT ARE
IMPACTED.
CURRENTLY 13 STATES HAVE
INSTITUTED WAIT LISTS FOR
PROGRAMS WHILE 17 OTHER VS
INTRODUCED A VARIETY OF COST
CONTAINMENT MEASURES LIKE CAPPED
ENROLLMENT AND REDUCE THE FORM
ILLEGALSARYS.
THERE IS GREAT HOPE, AND I THINK
THAT WAS REFERENCED IN THE
VIEDMAN YEE YOU ALL SAW EARLIER
IN SOME OF THE FACT THAT WE'VE
BEEN PARTICIPATING EARLY ON AND
ITSOMES ABOUT THROUGH THE
IMPORTANCE OF HEALTHCARE REFORM
THROUGH THE STRATEGY, THE
PASSAGE OF HEALTHCARE REFORM AND
THE RELEASE OF THE STRATEGY WILL
GO FAR IN ADDRESSING THESE
CHALLENGES, HEALTHCARE REFORM
WILL IMPROVE INSURANCE COMPANIES
FROM DROPPING ENROLLEES WHEN
THEY'RE DIAGNOSED WITH HIV.
YOU WILL ALSO KEEP PRIVATE
INSURANCE COMPANIES DENYING
COVERAGE ON HIV DIAGNOSIS OR
CAPPING SPENDING ON TREATMENT.
SO HEALTHCARE REFORM WILL ALSO
EXPAND MEDICAID ELIGIBILITY
ELIMINATING THE REQUIREMENT THAT
A PERSON BE DISABLED BY AIDS
PRIOR TO BEING ELIGIBLE FOR THE
PROGRAM.
THE NATIONAL AIDS STAT
KNOWLEDGEY AIMS TO INCREASE
ACCESS TO CARE AND MINIMIZE
HEALTH DISPARITIES.
ONE OF THE WAYS IT AIMS TO
ACHIEVE THESE GOAL SYSTEM BY
FOCUSING RESOURCES ON THOSE
COMMUNITIES WHERE THE IMPACT OF
THE EPIDEMIC IS MOST SEVERE,
NAMELY MINORITY COMMUNITIES.
IN OTHER WORDS, IT CALLS FOR
FUNDING TO FOLLOW THE EPIDEMIC.
THIS WILL GO FAR IN ADDRESSING
THE PREVENTION CHALLENGES
PROPOSED BY THE DISPROPORTIONATE
EPIDEMIC ON THE COLOR WHILE AT
THE SAME TIME WE MUST BE CAREFUL
THAT WE DO NOT ABANDON ONE'S
COMMUNITY HEALTH FOR ANOTHER.
FOR EXAMPLE, WHILE THE ASIAN AND
SPECIFIC ISLANDER COMMUNITY HAS
THE LOWEST INFECTION RATE OF ANY
RACIAL AND ETHNIC GROUP IN
AMERICA IT IS ALSO THE ONLY
GROUP WITH INFECTIONS THAT ARE
ACTUALLY ON THE RISE.
IF WE BASED OUR REALLOCATION OF
FUNDS SOLELY ON THE VIRUSES
BURDEN IN THE COMMUNITY, WE CAN
RISK THE EPIDEPRIVATIONIC AND
OTHERS.
THIS IS WHY THE NEED TO CONTINUE
FUND SUGGEST SO IMPORTANT.
WHILE PROGRAMS LIKE P. R. E. P.
AND THE USE OF TREATMENT OF
PREVENTION HOLDS SIGNIFICANT
PROMISE WE MUST INSURE CONTINUED
FUNDING OF TRADITIONAL
PREVENTION PROGRAMS.
ANY ADDITIONAL WEAPONS IN OUR
PREVENTIONARSINAL ARE ONLY
EFFECTIVE IN CONCERT WITH SAFER
SEX PRACTICES AND REGULAR CONDOM
USE.
IN TODAY'S POLITICAL CLIMATE,
EFFORTS TO REDUCE THE DEFICIT
HAVE OCCASIONALLY PUT FUND
NOTHING JEOPARDY TO THE CREDIT
OF THIS ADMINISTRATION, IT HAS
CONTINUED TO PUSH FOR SUSTAINED
PREVENTION FUNDING BUT EFFORTS
IN CONGRESS TO CUT FAMILY
PLANNING FUNDING INCLUDING
FUNDING FOR PLANNED PARENT HOOD
COULD HAVE A DEVASTATING EFFECT
ON OUR NATION'S FIGHT AGAINST
THIS EPIDEMIC.
INSTEAD OF CUTTING THESE
PROGRAMS, IT IS CRITICAL TO NOTE
THAT EACH INFECTION THAT IS
PREVENTED SAVES OVER 350,000 IN
LIFETIME MEDICAL COSTS MUCH OF
WHICH FALLSOT TAXPAYER.
IN FACT, PREVENTING ALL 56,000
ANNUAL INFECTIONS FOR JUST ONE
YEAR COULD SAVE AS MUCH AS 20
BILLION IN LIFETIME MEDICAL
COSTS.
IF YOU MULTIBY THAT FIGURE OUT
OVER THE PERIOD OF A DECADE AND
YOU ARE LOOKING AT POTENTIALLY
SAVINGS IN THE HUNDREDS OF
BILLIONS OF DOLLARS.
PREVENTION IS AN INVESTMENT AND
IT IS SOMETHING WE MUST REALLY
WORK TOWARDS.
IT IS NOT JUST AN INVESTMENT IN
THE CITIZEN OF THIS COUNTRY, IT
IS INVESTMENT IN OUR ECONOMIC
SECURITY.
AND FINALLY, I THINK THE MOST
IMPORTANT THING THEY COULD SAY
IS SOMEONE WHO'S BEEN LIVING
WITH HIV IN THE ADVANCED IN
TREATMENT OVER THE PAST 24 YEARS
AND THAT I'M ABLE TO BE STANDING
HERE AND DOING THIS WORK AND
ADVOCATING FOR THE NEEDS OF
PEOPLE LIVING WITH HIV AND AIDS.
BUT THERE IS ALSO BENEFIT THEY
KNOW OF THAT IS REALLY IMPORTANT
TO ME THAT I'VE BEEN ABLE TO BE
ABLE TO PARITATE IN AND THAT IS
BEING ABLE TO BE AROUND TO SEE
MY PARENTS GET HOLD AND TAKE
CARE OF THEM IN THEIR TWILIGHT
YEARS AS THEY'VE BEEN TAKING
CARE OF ME WHEN I WAS DEALING
WITH THIS WHEN I TURNED 23 ASK
THEY WERE THERE AS MY SUPPORT.
AND FOR THAT, AND THE SCIENCE,
AND FOR ALL THE WORK THAT'S BEEN
GOING ON, THAT'S BEEN THE
GREATEST GIFT FOR PEOPLE LIVING
WITH HIV AND AIDS THAT WE CAN BE
THERE FOR OTHERS TO DO THE WORK
INCLUDING OUR OWN FAMILIES TO
TAKE CARE OF THEM IN THEIR OWN
TWILIGHT YEARS.
THANK YOU VERY MUCH [ APPLAUSE ]
-
>> THANK YOU DANIEL, THANK YOU
SO MUCH.
YOU KNOW IT'S EASY FOR US TO
FOCUS IN ON THE DOMESTIC
EPIDEMIC, IT IS SO DEVASTATING
AND CONTINUES AS WE TALKED
ABOUT, BUT ONE OF THE MOST
IMPORTANT THINGS I THINK WE'VE
DONE IN THIS COUNTRY IS LOOK
OUTWARD AT THE PANDEMIC AND AS
THE VIDEO TALKED ABOUT A LITTLE
BIT, THE PEP FAR PROGRAM PROGRAM
LAUNCHED IS ONE OF THE MOST
AMAZING HEALTH INITIATIVES IS A
GLOBAL HEALTH INIT WHYATIVE IN
OUR TIME--INITIATIVE OF OUR
TIME.
MARK WAS ABLE TO HELP GET THAT
PROGRAM GOING AND WE OWE HIM A
DEBT OF TKPWRATITUTE AND HE IS
NOW THE DISTINGUISHED SCHOLAR AT
GEORGETOWN UNIVERSITY, INAUGURAL
GLOBAL HEALTH FELLOW AT THE
GEORGE W. BUSH INSTITUTE AND
HE'S JOINING US TODAY TO TALK
ABOUT THE GLOBAL PANDEMIC.
THANK YOU.
>> GOOD MORN EVERYONE, I WOULD
LIKE TO BEGIN BY THANKS
SECRETARY SEBELIUS AND DR. KOH
FOR HOSTING US TODAY AND KEEPING
THE SPOT LIGHT ON AIDS AS MANY
THINGS ARE GOING AROUND AND MANY
OTHER IMPORTANT ISSUES ON
EVERYONE'S PLATE.
IT'S GOOD TO BE BACK HERE AT
HHS, I SERVED FOR 14 YEARS SO
IT'S GOOD TO BE HOME.
LEADERSHIP STARTS WITH HUMILITY
AND SERVICE AND NO ONE IS
THAT--WHERE IS THAT MORE
IMPORTANT THAN THE GLOBAL
HIV/AIDS EPIDEMAND I CAN HOW
PEOPLE ARE RESPONDING GLOBALLY.
THE OPPORTUNITY TO SERVE IS
OFTEN A SERIES OF ACCIDENTS AND
IN MY OWN LIFE, THE FIRST
ACCIDENT WAS IN THE MID80S
READING THE COVER STORY ON NEWS
WEEK, IN NEWS WEEK ABOUT GLOBAL
HIV/AIDS AND LIKE TONY THERE WAS
SOMETHING JUST INSIDE OF ME THAT
TOLD ME I SHOULD LEAVE, THE
ACADEMIC CAREER I WAS PURSUING
IN THE HUMANITYS AND PURSUE
HIV/AIDS.
THE SECOND ACCIDENT WAS TONY,
TONY WAS--I WAS FORTUNATE THAT
HE PICKED ME UP AND SHEPHERD ME
AND MENTORED ME IN HIS LAB
RATORSCHEAS PRESIDENT BUSH
TURNED TO HIM AND A SMALL TEAM
TO DEVELOP PEPFAR, TONY WAS KIND
ENOUGH TO INCLUDE ME IN THAT
PROCESS AND THEN PRESIDENT BUSH
LAUNCHED THE SINGLE LARGEST
FIGHT AGAINST HIV/AIDS.
AND WITH RANDY TOBIAS, THE FIRST
AIDS COORDINATOR WAS FORTUNATE
ENOUGH IN OTHER ACCIDENT TO BE
THERE AS HE MOVED ON AND TO BE
NAMED COORDINATOR.
NOW PRESIDENT'S BUSH'S
LEADERSHIP WAS SORELY NEEDED AND
IT'S DIFFICULT TO REMEMBER
LOOKING BACK, GIVEN HOW FAR
WE'VE COME THAT JUST TWO YEARS
BEFORE PEPFARWAS LAUNCHED WE H.
I.T ALMOST GLOBAL LEADERSHIP AND
WE HAD GLOBAL EFFORTS THAT WAS
BLOCKED AT THE UNITED NATIONS AS
A MILLENNIUM DEVELOPMENT GOAL
AND IT WAS BLOCKED AS A
MILLENNIUM DEVELOPMENT GOAL AS
PERNICIOUS ARGUMENTS AND IT WAS
THAT AFRICAN AMERICANS WERE
UNEDUCATED AND POOR AND COULD
NOT DO SOMETHING AS STRONG AS
TREATMENT DESPITE HAVING THE
TREATMENT THERE.
THAT SLANDER WAS COMPOUND THE BY
SOMETHING THAT WAS BEING
PROMULGATE THAD AFRICANS WERE SO
PERMISS CUOUS THAT THERE WAS
NOTHING THAT COULD BE DONE TO
TURN THE EPIDEMIC AROUND.
WE NOW FROM SENTENCE SCIENCE
THAT AFRICANS NOW HAVE FEWER
SEXUAL PARTNERS THAN AMERICANS
DO OVER THE COURSE OF A LIFETIME
AND IN THE CONTEXT OF THAT
GENERAL, WE CAN'T DO THIS, OR
THE AFRICANS CAN'T DO THIS,
PRESIDENT BUSH AND THE AMERICAN
PEOPLE STEPPED UP AND SAID, YES,
THEY CAN.
WE ACTUALLY BELIEVE IN THAT
SAYING IN THE LAST
ADMINISTRATION TOO.
, I KNEW THE TRUTH AND TONY NEW
THE TRUTH THAT WAS A SHORTHANDER
AND UNTRUE BECAUSE WE WERE DOING
WORK IN ATRICKA WITH COLLEAGUES
THERE WHO WERE DELIVERS
ANTIRETROVIRAL THERAPY ALREADY
AND WE KNEW THAT WHAT THEY
NEEDED WAS SUPPORT AND THAT
COMES BACK TO LEADERSHIP BEING
ABOUT HUMILITY AND SERVICE AND
UNDERSTANDING THAT AFRICANS
ACTUALLY CAN NOT ONLY SOLVE
THEIR PROBLEMS BUT AMONG THOSE
TALENTED DEDICATE AND INNOVATIVE
PEOPLE AND IF YOU SUPPORT THEM
AND GIVE THEM A CHANCE, THEY
WILL SOLVE THEIR PROBLEMS AND
THAT'S PRECISELY WHAT THEY DID
WITH PEPFAR.
PEPWAS ABOUT AMERICANS NOT DOG
BUT SUPPORTING AFRICANS FROM THE
VILLAGE LEVEL TO STATE HOUSES TO
SOLVE THEIR HIV PROBLEM AND
THAT'S WHY 10S OF MILLIONS OF
PEOPLE HAD THEIR LIVES LIFTED UP
AND SAVED.
PRESIDENT OBAMA IS CONTINUING
THIS THEME AND IT CARRYING THE
TORCH.
THE HIS ACRA SPEECH WAS ON POINT
AND FULLY PART OF BUSH'S VIEW
POINT AND SO CONTINUITY TO SAY
THAT AFRICANS MUST LEAD AND WILL
LEAD AND AMERICANS WILL SUPPORT
AND PRESIDENT OBAMA'S GLOBAL
HEALTH INITIATIVE IN A HEALTH
VIEW IS A NATURAL EVOLUTION OF
WHAT WAS THE ADMINISTRATION AND
NOT A BREAK.
AND SO MUCH THOUGH THAT THE BUSH
INSTITUTE IS FOCUSED ON SIMILAR
EFFORTS AND WORKING WITH THE
ADMINISTRATION AND HIS
EXTRAORDINARY TEAM OF PEOPLE IN
DEVELOPMENT AND GLOBAL HEALTH,
ERIC BEING ONE OF THEM, MANY YOU
IN THIS ROOM BEING AMONG THEM AS
WELL FROM ACROSS THE GOVERNMENT
AT THE WHITE HOUSE, THE STATE
DEPARTMENT, USIAD HERE AT HHS,
THE PEACE CORPS AND DEPARTMENT
OF DEFENSE.
NOW PERK EP FAR CAME AT A UNIQUE
MEMORY CLONEINENT HISTORY WHERE
THE SCIENCE GAVE US THE
OPPORTUNITY TO SUPPORT PEOPLE
FOR PREVENTION, TREATMENT, AND
CARE IN COMBINATION WHICH IS
WHAT PEPFAR WAS ALL ABOUT.
PEOPLE FOCUS ON THE TREATMENT
BUT THAT WASN'T THE ONLY ISSUE
THERE AND THE SCIENCE WAS THERE,
AND AS PRESIDENT BUSH SAID AT
THE TIME THAT IF WE H. I.T THE
SCIENCE, IT WAS A MORAL
IMPERFIVE T-R US NOT TO LET
PEOPLE DIE.
WE ARE NOW AT A SIMILAR CROSS
ROADS ON PREVENTION.
WHILE WE COULD DO SOME
COMBINATION PREVENTION WHEN I
WAS IN OFFICE WE HAD BEHAVIOR
CHANGE INCLUDING CONDOMS WHERE
WE COULD HAVE A COP BINNATION
APPROACH AS WE'RE ENDING OUR
TERM IN OFFICE MALE CIRCUMCISION
CAMEOT STAGE REDUCING INFECTION
BY 50 OR 60%.
WE NOW HAVE TREATMENT
PREVENTION.
WE HOPE FOR PROPHYLAXIS WE HAVE
IT FOR MEN WHO HAVE SEX WITH
WOMEN, AND WE HOPE IT WILL HELP
OTHERS INCLUDING YOUNG WOMEN IN
AFRICA.
WE HAVE A MICROBICIDE COMING ON
STAGE.
WE NOW HAVE THE SCIENCE THAT
WILL ALLOW US TO DRIVE THIS
EPIDEMIC INTO THE GROUND.
AND JUST AS WE HAVE THE SCIENCE
WITH TREATMENT, AND WE COULD
HAVE DONE AS MANY PEOPLE SAID,
HERE ARE ALL THE REASONS FOR
IMPLEMENTATION AND FINANCIALLY
WE CAN'T DO IT WE THURSDAY
SUSPECT WHY WE CAN DO IT, WE NOW
HAVE THE OPPORTUNITY NOT ONLY TO
SAY HERE ARE THE PROBLEMS AND
CHALLENGES WITH COMBINATION
PREVENTION AND USING SCIENCE,
HERE ARE THE PROBLEMS
FINANCIALLY, HERE ARE THE
PROBLEMS ON IMPLEMENTATION, WE
HAVE THE OPPORTUNITY TO GRASP
THIS MOMENT IN HISTORY AGAIN AND
SAY THIS IS WHY WE CAN DO IT AND
THIS IS HOW WE WILL DO IT.
AND WE WILL DO IT IS BY
SUPPORTING AFRICANS WHO IF WE
SUPPORT THEM, WILL SOLVE THIS
PROBLEM.
THEY WILL FIGURE OUT HOW TO DO
IT.
WHAT WE NEED TO DO IS SUPPORT
THEM.
AND SO, PEP FAR GRASP THE
HISTORY, WE ARE NOW HOPEFUL WE
WILL DRIVE THIS EMDEPRIVATIONIC
INTO THE GROUND THROUGH
PREVENTION, CARE AND TREATMENT
AND FOR AN HIV-FREE GENERATION.
AND ALL OF US WHO HAVE BEEN ON
THIS STAGE AND PRIVILEGED TO
SERVICE AND PRIVILEGED TO HAVE
THE OPPORTUNITY AND HUMILITY TO
SERVE LOOK FORWARD TO SUPPORTING
ALL OF YOU AND FUTURE
GENERATIONS OF LEADERS AS YOU
TACKLE THIS PROBLEM AS YOU OWN
THIS PROBLEM SUPPORTING AFRICANS
TO SOLVE THEIR PROBLEMS.
THANK YOU.
[ APPLAUSE ]
>> THANK YOU MARK, I HAD THE
PLEASURE TO WORK WITH
HALINE GAIL AND IN THE MID90S
AND I GOT TO WORK WITH HER FOR
THE CDC, AND I GOT TO SEE
LEADERSHIP AT WORK AND I GOT TO
SEE ADVANCEMENT OF A FRONTAL
ASSAULT ON INFECTIONS IN THIS
COUNTRY.
SHE IS NOW THE PRESIDENT AND CEO
OF CARE USA.
AND SHE ALSO SERVES AS THE CHAIR
OF THE PRESIDENT'S ADVISORY
COUNSEL ON HIV/AIDS.
DR. GAYLE?
[ APPLAUSE ]
>> THANK YOU SO MUCH, RICHARD.
AND AS ALWAYS WHEN YOU'RE THE
LAST SPEAKER MANY PEOPLE HAVE
ALREADY MADE SOME OF YOUR POINTS
SOIME GOING TO TRY TO BE
RELATIVELY BRIEF SO WE CAN START
THE PANEL BUT BEFORE I START I
WOULD LIKE TO THANK SECRETARY
SEBELIUS AND ASSISTANT SECRETARY
KOH, FOR HAVING US HERE AND FOR
THE LEADERSHIP THAT THEY
CONTINUE TO SHOW NOT ONLY FOR
HIV, BUT HEALTH AROUND THE
COUNTRY AND I HAVE THE
OPPORTUNITY TO WORK WITH BOTH OF
THEM IN MY ROLE WITH THE
PRESIDENT'S AIDS ADVISORY
COUNCIL AND IT REALLY JUST SO
APPRECIATE THE THE SUPPORT WE
GET FROM THEM, DR. VELDASARIE,
AND CHRISTOPHER WEIGHT WHO IS IS
THERE AND I WANT TO THANK JEFF
CROWLEY WHO IS MY PARTNER IN
CRIME IN ALL OF THIS WHO HEADS
THE WHITE HOUSE AIDS OFFICE SO
THERE'S A LOT OF PEOPLE I COULD
CALL OUT BUT JUST TO SAY, HOW
THANKFUL AND HOW PRIVILEGED I AM
TO BE BACK HERE AGAIN AS MANY OF
THE PEOPLE ON THIS STAGE HAVE
ALREADY SAID, I SPENT 20 YEARS
AS A COMMISSIONED OFFICER AT
CENTERS FOR DISEASE CONTROL AND
ON A FEW OTHER ASSIGNMENTS AND
SO THIS BUILDING IS HOME FOR ME
AND IT'S GREAT TO BE COMING HOME
LIKE THIS.
I ALSO WILL SAY THIS IS--I HAVE
TO MARK THIS DAY, THIS IS THE
FIRST TIME EVER EVER HEARD TONY
FAUCI, BE CALLED AN ACCIDENT.
BUT I'LL REMEMBER THAT.
[LAUGHTER]
A GOOD ACCIDENT!
SO RICHARD JUST ASKED ME TO SAY
A LITTLE BIT ABOUT MY PATH AND
MORE FROM A PERSONAL PERSPECTIVE
SO I'LL DO THAT AND YOU KNOW
WHEN HIV WAS FIRST DISCOVERED
BEFORE IT WAS HIV, WHEN THE
FIRST CASES OF AIDS WERE
REPORTED, I WAS DOING MY
PEDIATRIC RESIDENCY NOT VERY FAR
FROM HERE AT THE CHILDREN'S
HOSPITAL AND CLEARLY PEDIATRIC
AIDS AND HIV WAS NOT ON THE
RADAR SCREEN SO YOU KNOW I
FINISHED MY PEDEIAT RAKE
TRAINING WITHOUT EVER REALLY
HAVING HEARD MUCH ABOUT HIV OR
TRAINING OR HAVING MUCH
EXPERIENCE WITH AIDS OTHER THAN
TO READ ABOUT IT AS A MEDICAL
PROFESSIONAL.
I THEN WENT ON TO THE THE
CENTERS FOR DISEASE CONTROL
BECAUSE I WANTED TO HAVE SOME
EXPERIENCE IN PUBLIC HEALTH AND
THOUGHT I WAS GOING TO STAY
THERE FOR TWO YEARS BUT ENDED UP
STAYING FOR 20.
SO WHEN I FIRST WENT AND YOU HAD
THIS OPPORTUNITY TO CHOOSE YOUR
DIFFERENT ASSIGNMENTS, I THOUGHT
ABOUT HIV BECAUSE I THOUGHT THIS
WAS AN INTERESTING FASCINATING,
NEW ISSUE AND EVERYBODY, ALMOST
EVERYBODY TOLD ME TO STAY AWAY
FROM IT BECAUSE THEY SAID THIS
IS A STRANGE POLITICAL DISEASE
AND BY THE WAY, YOU KNOW IT'S
NOT GOING TO BE VERY SERIOUS AND
YOU 99 A COUPLE OF YEARS WE'LL
HAVE FIGURED OUT A CURE AND
TREATMENT AND YOU KNOW, WHY
DON'T YOU GO SPEND YOUR TIME ON
SOMETHING THAT'S A REAL PUBLIC
HEALTH CHALLENGE.
OBVIOUSLY I DIDN'T TAKE THAT
ADVICE AND AND SOON--ALTHOUGH
THE FIRST COUPLE OF YEARS I DID
SOMETHING ELSE BUT I ASOON GOT
DRAWN TO WORK ON HIV AND AIDS,
AND BY THAT TIME, I THINK WE
WERE ALL BEGINNING TO REALIZE
THAT THIS WAS GOING TO BE THE
DEFINING, NOT ONLY PUBLIC HEALTH
ISSUE OF OUR TIME BUT IN MANY
WAYS THE DEFINING HUMANS AND
HUMANITARIAN ISSUE OF OUR TIME
AS I THINK SEVERAL OF THE
SPEAKERS HAVE MENTIONED.
AND FOR ME, HIV, I OFTEN SAY, I
DID TOO HIV, HIV CHOSE ME
BECAUSE IT WAS FASCINATING
SCIENTIFICALLY BUT IT ALSO HAD
SOCIAL IMPERIAATIVES THAT I
THOUGHT WERE VERY--THAT CALLED
TO ME AND I'VE ALWAYS BEEN A
PERSON WHO WAS VERY INVOLVED AS
AN ACTIVIST, REALLY WANTING TO
WORK ON SOCIAL CHANGE ISSUES AND
SO, HIV WHICH DOES NOT ON ONE
HAND DOES NOT DISCRIMINATE ON
THE OTHER SHORTHAND NOT RANDOMLY
DISTRIBUTED AND WE KNOW THAT IN
MANY WAYS, HIV DOES SHOW US THE
FAULT LINES IN OUR SOCIETIES
WHETHER IT'S IN THIS COUNTRY AND
THE DISPROPORTIONATE IMPACT IT
HAS ON PEOPLE OF OF COLOR,
PEOPLE WHO INJECT DRUGS, GAY MEN
OR WHETHER IT'S AROUND THE WORLD
WHERE IT HAS ITS BIGGEST IMPACT
ON THOSE LIVE NOTHING EXTREME
POVERTY AND PARTICULARLY--LIVING
IN EXTREME POVERTY SCHEON WOMEN
WHO OFTEN HAVE NO ABILITY TO
NEGOTIATE SAFER SEX IN THE
CONTEXT OF THEIR LIVES AND
RELATIONSHIPS.
SO FOR ME HIV WAS A CALLING IN
MANY WAYS AS MANY PEOPLE HERE
HAVE SAID AND YOU KNOW I'LL JUST
END BY SAYING FOR ME AS OTHERS
HAVE SAID, I HAVE MARKED MY LIFE
BY MANY OF THE CHAPTERS IN THIS
EPIDEMIC WHETHER IT WAS--WHEN WE
FIRST STARTED TALKING ABOUT THE
DISPROPORTIONATE IMPACT ON
COMMUNITIES OF COLOR,
HETEROSEXUAL SPREAD, PERINATAL
TRANSMISSION, THE GLOBAL
EPIDEMIC, I ALSO MARK HIDE LIFE
BY THE THE AIDS CONFERENCES AND
YOU KNOW, EVERY YEAR, THERE'S A
DIFFERENT FLAVOR IN THE
ENVIRONMENT IN THE CONFERENCE
AND OFTEN TIMES THAT HAS TO DO
WITH WHETHER THE DISCOVERIES ARE
LIMITED OR WHETHER THEY'RE VERY
HOPEFUL LIKE THE VANCOUVER
CONFERENCE IN 1996 WHERE
ANTI--WHERE COMBINATION THERAPY
WAS FIRST ROLLED OUT.
SO YOU KNOW I THINK WE'VE ALL
COME TO MARK OUR LIVES AND
LUCKILY, WE'RE MARKING OUR LIVES
LESS BY THE NUMBER OF PEOPLE WHO
ARE DYING IN OUR LIVE WHO IS WE
LOVE AND MORE BY THE ADVANCES
THAT PEOPLE HAVE ALREADY TALKED
ABOUT AND I THINK THAT'S WHAT'S
HOPEFUL ABOUT THIS EPIDEMIC AND
I THINK THE OTHER PART ABOUT IT
THAT I ALWAYS FIND HOPEFUL IS
THAT THERE ARE PEOPLE LIKE THE
PEOPLE ON THIS STAGE AND PEOPLE
IN THE AUDIENCE AND OTHERS WHO
ARE PART OF A CARING COMMUNITY
AND I THINK ALL OF US CAN SAY
THAT AS A RESULT OF WORKS ON
HIV, OUR LIVES ARE RICHER THAN
THEY WOULD HAVE BEEN BEFORE
WHERE MORE HUMAN IN MANY WAYS
THAN WE EVER WERE BEFORE AND
MORE EQUALED AND THINK ABOUT
SOCIETY IN A MORE EQUAL WAY THAN
WE MIGHT HAVE BEFORE AND SO, YOU
KNOW WHILE THIS HAS BEEN A
HORRENDOUS EPIDEMAND I CAN HAS
AFFECTED PEOPLE IN AND AROUND
THE GLOBE AND HORRENDOUS WAYS, I
THINK IT'S ALSO HELPED TO FORM A
MORE HUMAN APPROACH TO LIFE, TO
HEALTH AND TO MEDICINE IN WAYS
THAT I THINK WE WILL NEVER TURN
BACK FROM.
SO THOSE ARE JUST MY FEW
COMMENTS AND I LOOK FORWARD TO
THE PANEL.
[ APPLAUSE ]
>> THANK YOU DR. GAYLE, AND
BEFORE WE START THE DISCUSSION
AND WE ALSO HAVE A MIC UP FRONT
AND I WILL ASK PEOPLE TO COME
FORWARD AND ASK THEIR OWN
QUESTIONS, I JUST WANT TO THANK
ALL THE PEOPLE AND I CAN'T NAME
THEM BECAUSE I WON'T REMEMBER
ALL THE NAMES WHO WORKED SO HARD
TO PUT THIS TOGETHER.
IT'S BEEN A COUPLE OF MONTHS OF
VERY HARD WORK AND MOST OF THEM
ARE IN THE BACK, NOT TAKING UP
SEATS BECAUSE THAT'S THE WAY
THEY ARE.
THEY'RE TERRIFIC COLLEAGUES AND
MEAS JOIN ME IN THANKS THEM FOR
THE WORK THEY'VE DONE.
[ APPLAUSE ]
AND THIS IS MY OPRAH MOMENT.
SO I'M GOING TO ASK THE FIRST
QUESTION TO GET IT STARTED BUT
IF YOU HAVE A QUESTION OR
COMMENT, PLEASE FEEL FREE TO DO
SO.
I WILL ASK TWO QUESTIONS OF THE
FIRST IS WHAT MAKES YOU THE MOST
OPTIMISTIC ABOUT THE EPIDEMIC AS
IT STANDS TODAY?
WHAT GIVES YOU THE MOST HOPE?
>> WELL ARE THERE ARE SEVERAL
THINGS RICHARD.
ONE OF THEM IS THAT OVER THE
LAST COUPLE OF YEARS IT'S CLEAR
WE HAVE ALREADY WITHIN OUR
GRASP, THE SCIENTIFICALLY PROVEN
CAPABILITIES OF REALLY, AS I SAY
GETTING OUR ARMS AROUND THIS
PANDEMIC IN TURNING AROUND THE
DYNAMICS OF THE EPIDEMIC SO
INSTEAD OF SEEING THIS, WE'RE
REALLY GOING TO BE STARTED SEE
THANKSGIVING AND IT HAS TO DO
WITH WHAT I MENTION, WITH MARK
AND OTHERS MENTIONED IS THE
ISSUE OF COMBINATION PREVENTION,
MODALITIES THERE HAS BEEN IN THE
PAST UNDERSTANDABLE BUT NOT
APPROPRIATE TENSION BETWEEN
TREATMENT AND PREVENTION AND WE
KNOW NOW THAT TREATMENT IS
PREVENTION AND IN ADDITION TO
THE THINGS WE KNOW WORK,
CIRCUMCISION WORKS EVEN BETTER
THAN WE THOUGHT IT DID IN THE
BEGINNING.
WE CLEARLY KNOW THAT UNDER
CERTAIN CIRCUMSTANCES
PREEXPOSURE PROVE LAXIC WORKS.
WE KNOW THAT INTERVENTIONS SUCH
AS TOPICAL MICROBICIDES EVEN
WITH MODEST ADHERENCE, WORK WITH
GREATER ADHERENCE WORK EVEN
BETTER, IF YOU PUT ALL THOSE
THINGS TOGETHER, RIGHT NOW, WE
NEED TO IMLEVEL THINGS IN A WAY
THAT WE GET THE BEST BANG FOR
THE BUCK.
SO I'M--I'M ENTHUSIAST AND I CAN
OPTIMISTIC THAT BEFORE THERE
WERE SO MANY SCIENTIFIC GAPS,
THAT EVEN IF WE WERE ABLE TO
IMPLEMENT THEM, WE WOULDN'T HAVE
THE TOOLS TO DO THAT.
OUR TOOL KIT IS GETTING MORE
FULL AND MORE FULL.
AND IT'S REALLY UP TO US TO
IMPLEMENT THAT NOW.
BOTH DOMESTICALLY AND
INTERNATIONALALLY SO I FEEL GOOD
ABOUT THAT.
>> ANY OTHER PANELISTS WANT TO
ADD ON THAT?
>> I WOULD AGREE WITH THAT, I
GUESS I WOULD FLIP IT AROUND A
LITTLE BIT AND YOU KNOW WHAT AM
I MOST PESSIMISTIC ABOUT BECAUSE
I AGREE THAT WE HAVE NOW MORE
THAN EVER AN OPPORTUNITY
TO--WITH ALL THE TOOLS WE HAVE
BOTH FOR PREVENTION AS WELL AS
FOR TREATMENT, YOU KNOW BUT I
THINK WE ALSO HAD THE POTENTIAL
FOR TAKING OUR EYE OFF THE BALL
AND NOT CONTINUING TO KEEP THE
RESOURCES THAT ARE NECESSARY TO
REALLY GO THAT NEXT AND
HOPEFULLY SOONER OR LATER LAST
MILE.
SO I THINK IT IS EASY TO GET TOO
OPTIMISTIC AND TO TAKE THE HEAT
OFF AND I THINK THAT'S--YOU KNOW
THERE ARE LOTS OF OTHER ISSUES.
YOU KNOW WE HAVE A HUGE ECONOMIC
CRISIS ON OUR HANDS STILL.
YOU KNOW THERE'S A LOT GOING ON,
BUT I THINK WE JUST CANNOT FOR
THE 30 YEARS THAT WE HAVE POURED
INTO THIS AND INTO PEOPLE'S LIVE
WHO IS HAVE BEEN LOST, WE CANNOT
BLOW THIS TAOUPT TO PUT THESE
TAOULS TO USE AND MAKE SURE THAT
THEY GET USED BY THOSE WHO NEED
THE MOST AND THAT'S GOING
TO--YOU KNOW THAT'S GOING TO
TAKE A LOT OF POLITICAL WILL.
>> I'D ADD TWO THINGS THAT MAKE
ME OPTIMISTIC, FIRST IS THE
NUMBER OF PEOPLE PEOPLE AND THIS
IS TRUE WITH THE UNITED STATES
AND THE PEOPLE ON THE GROUND AND
THE COMMUNITIES IN THE HEALTH
CLINICS AND HOSPITALS THAT ARE
THERE TO DO THE WORK AND THE
CREATATIVITY AND INNOVATION AND
IF WE JUST SUPPORT THEM THEY
WILL ACTUALLY FIGURE IT OUT.
THEY HAVE FOR THE LAST FIVE
YEARS IN AFRICA ACCIDENT SEVEN
YEARS AND IN THE UNITED STATES
IN THE LAST 30 YEARS.
IF WE SUPPORT THEM THEY WILL
FIGURE IT OUT.
THE THING THAT MAKES ME
INCREDIBLY OPTIMISTIC I SHARE,
AND, HIV/AIDS--WE HAVE COMMON
GROUND, AND SO WE HAVE A REAL
OPPORTUNITY FOR USING THAT FOR
PARTNERSHIP AND SOME OF THAT
GROWS FROM,--THERE ARE VERY FEW
PROGRAMS AND SO THAT'S A LIFE
SAVED IN UNITED STATES OR IN
AFRICA.
AS WE MOVE INTO HEALTH IN
GENERAL THAT, IS TRUE, NOT JUST
IN HIV/AIDS AND CERTAINLY
GLOBALLY WITH THE GLOBAL HEALTH
INITIATIVE AND INTEGRATION WHICH
WE DID SOME OF THE THE BUSH
ADMINISTRATION AND THIS
ADMINISTRATION AND THE NATURAL
EVOLUTION IS CARRYING ON, WE CAN
MAKE THE ARGUMENTS IN A WAY AND
THERE IS A SENSE IN THE UNITED
STATES THAT WE ARE EVEN IN OUR
MOST DIFFICULT FINANCIAL TIMES
WE ARE PART OF A GLOBAL
COMMUNITY AND WE CARE ABOUT OUR
BROTHERS AND SISTERS IN THE
WORLD THAT WE'RE NOT A
SELF-CENTERED NATION FOR THE
MOST PART AND WE'RE NOT
SELF-CENTERED INDIVIDUALS AND
THAT WAS DEMONSTRATED CLEARLY IN
THE DAYS OF HIV/AIDS HERE AND
I'M OPTIMISTIC THAT WE CAN IF
WE'RE CAREFUL AND DO IT WELL AND
RIGHT, ACHIEVE WHAT WE NEED TO
ACHIEVE AND GRASP THIS MOMENT IN
HISTORY.
>> [SPEAKING AT ONCE ]
>> SO, RICHARD, I HAVE FIRST TO
SAY THAT I ABSOLUTELY SHARE THE
SAME HOPES AND CONCERNS AND I
HAVE TWO MORE.
AND ONE IS PARTICULARLY EVERY
SINGLE DAY THAT ANOTHER PERSON
WHO HAS BEEN DIAGNOSED OR LIVING
WITH HIV IS ABLE TO LIFT THEIR
HEAD IN DIGNITY, COME OUT,
DISCLOSE, SHARE WHAT THEIR
CONCERNS ARE, SHARE WHAT THEIR
EXPERIENCES ARE AND BRING OTHERS
ALONG WITH THEM MEANS WE'RE
GOING TO CONTINUE TO LINK ARM IN
ARM WITH PEOPLE WHO ARE
EXPERIENCING THE BRUNT OF THIS
EPIDEMIC WITH FOLK WHO IS ARE
LOOKING FOR ALL OF THE SOLUTIONS
TO THE END OF IT.
THEY GIVE ME HOPE EVER EVERY SINGLE
DAY.
THE SECOND THING IS WITHIN MY
ORGANIZATION OF SISTER LOVE, WE
HAVE EVER NOT LOCATED HIV IN THE
LARGER FRAMEWORK OF HUMAN RIGHTS
AND WE KNOW FOR PEOPLE WHO ARE
MOST IMPACTED OR MOST
VULINARRABLE, THEY'RE
EXPERIENCING SOME OF THE WORST
HUMAN RIGHT SUPPRESSION WHETHER
IT'S VIOLENCE OR PROVEERTY OR
DISENFRANCHISEMENT OR NO ACCESS
TO HOUSING OR SUPPORT THEMSELVES
IN THEIR FAMILIES AND THAT
BECAUSE WE KNOW HAVE MOVED A
LITTLE BIT FURTHER DOWN THE ROAD
WITH THE THE AFFORDABLE CARE
ACT, WITH UNDERSTANDING, THAT
MAYBE WE COULD AGREE THAT HEALTH
IS A HUMAN RIGHT.
THAT HIV WILL BE INTEGRATED INTO
MUCH LARGER FRAMEWORK AND A MUCH
LARGER EFFORT TO MAKE SURE THAT
AND, AND THAT HIV ISN'T THIS
EXCEPTIONAL ISSUE THAT'S ONLY
RESERVED FOR A CERTAIN NUMBER OF
PEOPLE, I THINK THAT THAT'S
REALLY WHERE THE HOPE LIE SYSTEM
WHEN WE REALIZE THAT, RESPECT IT
AND PUT THE RESOURCES TO
RESPONDING TO THAT THAT WE WILL
SEE THE END A LOT SOONER.
>> I THINK TO REALLY UNDERSCORE,
IT'S PEOPLE THAT ARE GOING TO
MAKE THE DIFFERENCE IN THE
INVESTIGATION.
I THINK MORE IMPORTANTLY IT'S
THE YOUNGER GENERATION THAT
THERE ARE SO MANY TRAILBLAZERS
BACK IN MY DAY, BUT THERE ARE
MANY PEOPLE IN THIS AUDIENCE AND
MANY PEOPLE WHO I WORK WITH NOW
WHO ARE NOT AROUND WHEN THE
EPIDEMIC STARTED AND YET WHO
HAVE TAKEN UP THE MANTEL WHO ARE
NOT LIVING WITH HIV BUT WHO ARE
STILL FIGHTING FOR THOSE PEOPLE
THAT I'VE BEEN FIGHTING FOR FOR
ALL MY LIFE AND I THINK THAT'S
THE BIGGEST HOPE FOR ME BECAUSE
I THINK THAT NO MATTER WHAT, YOU
KNOW IF WE HAVE TO CONTINUE
FIGHTING THIS, YOU KNOW FOR AS
LONG AS WE HAVE TO FIGHT THIS,
WE'VE GOT A NEW GENERATION THAT
IS REALLY TAKING UP THAT MANTEL
AND THAT IS WHAT I THINK GIVES
ME THE MOST HOPE.
>> I JUST WANT TO REMIND FOLKS
IF THEY WOULD LIKE TO ASK A
QUESTION?
JUST TO COME TO THE MICROPHONE
FYOU WANT TO ADDRESS THE PANEL
LET US KNOW.
OTHERWISE WE'LL ALL TAKE IT.
>> I'M PRUDENCE GOFORTH.
SO SOME NEARLY 20 YEARS AGO, I
DIDN'T KNOW I WOULD BE WORKING
AT HHS AND I AM NOW.
AND I HAVE TWO SPECIAL HEROES
HERE TODAY DR. FAUCI, MY SON
JUSTIN GO FORTH.
LET ME CONNECT THE DOTS AND YOU
WILL SEE THAT WE ARE A PART OF
THIS STORY THAT YOU'RE TELLING
TODAY AND THERE WAS A TIME SOME
20 YEARS AGO WHEN I THOUGHT MY
SON WOULD BE A PIECE OF THAT
QUILT.
IT IS BECAUSE DR. FAUCI, WAS HIS
FIRST DOCTOR AND HE WAS A PART
OF THE EXPERIMENTAL TREATMENT AT
NIH THAT HE IS LIVING TODAY THAT
HE IS IN THIS AUDIENCE, JUSTIN,
YOU WANT TO STAND UP?
[ APPLAUSE ]
DR. FAUCI HAS GONE ON TO SAVING
MANY AS YOU HAVE, HE IS IN THE
MEDICAL FIELD AT WHIT MAN-LOCKER
TREATING INDIVIDUALS WITH
HIV/AIDS.
DURING THOSE DAYS OF HIS
TREATMENT AT NIH HOSPITAL, I WAS
MOTHER TO MANY YOUNG MEN WHOM
THEIR PARTNERS REJECTED THEM,
WHOM THEIR PARENTS DID NOT KNOW
-FRPL.AND I THANK ALL OF YOU VERY,
VERY ISSUES MUCH FOR THE TREPL
END OUT WORK YOU'VE DONE AND
ESPECIALLY FOR MY WONDERFUL SON.
[ APPLAUSE ]
GOOD MORNING EVERYONE, I'M
DEPUTY EDITOR OF P. A. W. S.
MAGAZINE, I AM A PERSON LIVING
WITH AIDS NOT HIV, THANKFULLY.
SO AS A PERSON LIVING WITH HIV,
I HAVE ALWAYS BEEN HOPEFUL FOR
THE CURE.
I HAVE BEEN WAITING 30 YEARS, I
HEAR A LOT OF GOOD NEWS BUT I
WOULD LIKE TO HEAR HOW HOPEFUL
EACH OF YOU ARE ABOUT THE CURE?
>> VERY!
[LAUGHTER]
>> HOW MUCH OF A CHANCE TO WE
HAVE FOR A CURE IN THE NEAR
TERM?
>> WHEN YOU TALK ABOUT A CURE
THERE ARE A COUPLELE OF WAYS OF
LOOKING AT A CURE.
THERE'S A TRUE ERADICATION OF
ALL THE VIRUS IN THE BODY SO
THAT WHEN YOU DISCONTINUE
THERAPY, THERE'S NOTHING THERE
TO REBOUND.
THAT WOULD BE A TRUE
MICROBIOGICAL ERADICATION CURE.
RIGHT NOW WE ARE IN THE STAGE OF
SCIENTIFIC DISCOVERY TO EVEN
DETERMINE IF THAT'S FEASIBLE AND
WE ARE ENCOURAGING BY REQUEST
FOR APPLICATION AND INNOVATIVE
WAYS TO DO THAT BECAUSE THE
DRUGS THAT WE HAVE ARE
SPECTACULAR IN SUPPRESSING THE
REPLICATION OF THE VIRUS BUT
THEY DON'T GET RID OF THE VIRUS
THAT HIDES IN THE RESERVOIRS.
THE OTHER APPROACH IS WHAT WE
CALL A FUNCTIONAL CURE, IN OTHER
WORDS TO SUPPRESS THE VIRUS OR
GET THAT RESERVOIR SMALL ENOUGH
THAT BY A NUMBER OF MEANS,
BOOSTING THE RESPONSE OR ANOTHER
MECHANISM YET TO BE DETERMINE
THAD YOU COULD STOP THERAPY AND
THE VIRUS WON'T REBOUND BACK.
SO THAT WILL BE WHAT WE CALL A
FUNCTIONAL CURE.
TO BE HONEST WITH YOU, I DON'T
KNOW HOW LONG THAT'S GOING TO
TAKE BECAUSE WE'RE STILL IN THE
IN THE FACE OF WHAT WE CALL
DISCOVERY OF MECHANISMS OF HOW
WE CAN DO THAT AS OPPOSE TO IMP
LEMMING THAT.
WE KNOW WE CAN STOP THE
IMPLICATION OF THE RIHAVE YOU
SEEN, WE HAVEIATE DRUGS, NOW,
BUT IT IS STILL A SCIENTIFIC
CHALLENGE ABOUT WHETHER WE CAN
REALLY CURE SO THAT'S REALLY THE
ANSWER, WE'RE GOING TO TRY
REALLY HARD TO DO THAT SO HANG
IN THERE AND MAYBE YOU'LL GET
THE MEDICATION TOO DO THAT OUT
OF YOUR RESERVOIR.
>> ONE OF THE GREATEST
OPPORTUNITIES WE HAVE IN FRONT
OF US ARE SOME OF THE STRUCTURAL
INTERVENTIONS THAT ARE OUT
THERE, INCLUDING THE AFFORDABLE
CARE ACT AND NATIONAL FIGHT STAT
EDGE SO IF I CAN ALLOW MYSELF TO
REDEFINE THE DEFINITION OF CURE.
ONE OF THE GOALS OF THE STRATEGY
IS TO LOOK AT HOW WE INCREASE
CARE, AND ACTIONS FOR CARE.
AND WE KNOW THERE ARE TREATMENTS
AND PREVENTIONS.
AND THERE ARE OPPORTUNITIES TO
WORK AT ELIMINATING VIRUS AS
MUCH AS POSSIBLE SO THAT WE CAN
GET TO A DIFFERENT TYPE OF CURE
IN THE SENSE THAT WE COULD
REALLY HAVE COMMUNITIES REALLY
NOT WORRIED ABOUT HIV AS THEY
HAPPEN IN THE PAST.
SO I THINK THERE'S ALSO WAYS
THAT I THINK WE NEED TO BE
LOOKING AT THIS FROM THE
STANDPOINT OF NOT JUST THE
SCIENCE BUT WHAT ARE THE POLICY
OPPORTUNITY THAT ARE IN FRONT OF
US THAT COULD ALLOWITOUS GET TO
THAT POINT.
--ALLOW US TO GET TO THAT POINT.
>> THANK YOU.
>> GOOD MORNING AND THANK EACH
OF YOU FOR ALL THAT YOU'VE DONE
INDIVIDUALLY AND COLLECTIVELY.
FOR DEBWEST WITH THE RACIAL AND
ETHNIC DISPARITIES COALITION AND
THE AFRICAN AMERICAN ALLIANCE.
KNOW TAG ONE SIZE DOES NOT FIT
ALL, WHAT IN EACH OF YOUR,
HOWEVER BEST YOU CAN ANSWER IT,
PROFESSIONAL JUDGMENT REALLY
NEEDS TO BE DONE TO BETTER
ADDRESS THE THE ACADEM IN BLACKS
AND IN HISPANICS AMONG THE
HARDEST TO REACH AND MORE AT
RISK THAN I THINK HARDEST TO
REACH?
>> I'M GOING TO START FROM A
COMMUNITY PERSPECTIVE, WHEN
I--IN MY EARLIER COMMENTS, I
SORT OF FACETIOUSLY ALLUDED OF
HOW I DREAM OF MORE THAN MAGIC
AND IT'S NOT FETAL COMPARTMENT
SAOERBGS AT ALL,--FACETIOUS AT
ALL, OUR COMMUNITY, THE
LEADERSHIP, NOT JUST THE
HIV/AIDS LEADERSHIP BUT MANY OF
US LOOK TO AND WORK WITH BUT OUR
COMMUNITIES LEADERSHIP, OUR
CIVIL RIGHTS LEADER, OUR
POLITICAL LEADER, OUR EDUCATION
LEADERS, WHEN THOSE FOLKS ARE
CELEBRITIES, YOU KNOW THE PEOPLE
THAT OUR YOUTH WILL LISTEN TO
AND THEN GO AND GET THE
INFORMATION ADVICE AND TREATMENT
FROM OUR APPROXIMATELY AND OUR
SOCIAL SERVICE PROVIDER THAT
WHEN OUR WHOLE COMMUNITY
EMBRACES THIS EPIDEMIC AND
RESPONSE TO A VERY MUCH IN THE
SAME WAY THEY'LL RESPOND TO WHEN
A TV SHOW GETS TAKEN OFF THAT
THEY'RE REALLY INTERESTED IN OR
WHEN A PASTOR HAS TO SETTLE A
LAWSUITS BECAUSE OF SOME
SOPHISTICATED LAKERS STUFF HE'S
BEEN INVOLVED IN AND THEY GET UP
IN ARMS ABOUT THAT, WHEN WE
BEGIN TO GET ON TELEVISION AND
DEMAND WHAT IS RIGHT FOR US WITH
US BY US THEN THAT'S WHEN WE'RE
GOING TO SEE A TRICKLING DOWN
AND A TRICKLING OFF OF THE
EXCHANGE OF HIV, THE
TRANSMISSION, THE INCIDENTS AND
ALSO THE LACK OF SERVICES THAT
ARE AVAILABLE TO US IN OUR
COMMUNITY.
WE'LL BE ABLE TO ADDRESS THAT
BUT WITHOUT THE PROPER LEAD
SHEPAND THE COMMUNITY THAT THE
EMBRACE THAT LEADERSHIP IDEAS IDEAS
AND IMPLEMENTATION OF OF THE
PROGRAMS AND POLICIES THAT WE
NEED FOR OURSELVES, THEN WE'LL
STAY WAY BEHIND IN THIS EPIDEMIC
ONCE WE ACTUALLY EMBRACE AND
ECINIZE THAT THIS IS AN
EMERGENCY, IT IS AN URGENCY AND
THAT WE DON'T LOOK TO BLACK FOLK
IN AFRICA TO BE THE ONLY ONE WHO
IS ARE COMING TOGETHER AND
SOLVING AFRICAN PROBLEMS WITH
AFRICAN SOLUTIONS, IT'S GOING TO
BE BLACK AND BROWN PEOPLE USING
BLACK AND BROWN SOLUTIONS TO
SOLVE OUR PROBLEMS IN THIS
COUNTRY.
AND UNTIL THEN, WE'RE GOING TO
STILL BE LOOKING FOR SOMEONE
ELSE TO COME AND SAVE US AND
IT'S NEVER GOING TO WORK.
[ APPLAUSE ]
>> I MAYBE I'LL ADD A COUPLE
MORE POINTS.
I MEAN, I DO THINK THAT AS
GREATER ACCESS TO TREATMENT AND
WE KNOW THE IMPACT THAT
TREATMENT HAS ON PREVENTION, YOU
KNOW I THINK ALL THE THINGS
WE'VE ALREADY TALKED ABOUT *FS
GREATER ACCESS TO THE TOOLS THAT
ARE AVAILABLE AND TO THE EXTENT
THAT THE COMMUNITY GETS ACCESS
AND DEMANDS ACCESS AS DAZON
SAID, YOU KNOW THAT WILL BE
HELPFUL.
BUT I ALSO THINK THAT NOT ONLY
IS IT IMPORTANT THAT THERE
IS--THERE IS LEADERSHIP COMING
OUT AND CLAIMING THIS AS AN
ISSUE, BUT ALSO THE WILLINGNESS
TO TALK ABOUT THE ISSUES THAT
ARE RELATED TO HIV.
YOU KNOW YOU CANNOT TALK ABOUT
HIV IN THE AFRICAN AMERICAN
COMMUNITY WITHOUT TALKING ABOUT
HOMOSEX Y'ALLITY AND WE DON'T
WANT TO TALK ABOUT HOMOSEX
Y'ALLITY.
WE DON'T WANT TO PRETHAT HE
UNDERSTAND IT EXISTS, I MEAN
YOUNG AFRICAN AMERICAN AND GAY
HISPANIC MEN ARE THE ONES WHO
ARE DISPROPORTIONATELY AT RISK.
WE HAVE TO TALK ABOUT WHAT'S
HAPPENING TO WOMEN AND WHY WOMEN
AREN'T IN THE SITUATION WHERE
THEY FEEL THEY CAN NEGOTIATE
SAFER SEX AND THAT MEANS TALKING
TO YOUNG GIRLS ABOUT SEX.
WE'VE GOT TO BE WILLING TO TALK
ABOUT THE THE ISSUES THAT ARE
RELATED TO IT AND TALK ABOUT
THEM OPENLY AND HONESTLY AND
WE'RE NOT WILLING TO.
AND UNTIL WE ARE, YOU KNOW, I
REMEMBER BACK IN THE DAY WHEN WE
WOULD SAY, YOU KNOW TALK ABOUT
THE "RISK GROUPS" FOR HIV AND
AIDS AND WE WOULD SAY GAY OR
BLACK AS IF THERE WEREN'T GAY
BLACK PEOPLE.
YOU KNOW?
AND SO, WE HAVE TO BE OPEN AND
HONEST IN THE DIALOGUE AND UNTIL
WE DO THAT, UNTIL WE'RE WILLING
TO TALK OPENLY AND HONESTLY
ABOUT SEX AND SEX Y'ALLITY IN
THE AFRICAN AMERICANS AND
COMMUNITY THEN IT'S--BECAUSE WE
HAD THE LEADERS GETTING UP THERE
AND TALKING BUT, YOU KNOW THEY
HAVEN'T BEEN WILLING TO SAY THE
WORDS.
THERE'S ALSO A SCIENTIFIC AND
MEDICAL RESPONSE TO THAT
QUESTION ALSO OR IS IT ONLY JUST
SOCIAL?
>> WELL I THINK THERE'S A
SUBSTANCE AND MEDICAL IN THE
SENSE THAT THESE ARE THE SAME
COMMUNITIES THAT ARE
DISPROPORTIONATELY IMPACT BIDE
OTHER DISEASES THAT HAVE POOR
HEALTH SERVICES THAT HAVE POOR
ACCESS TO HEALTH INFORMATION SO
IT'S NO SURPRISE ON KIND OF ON
THE MEDICAL AND THE HEALTH SIDE
THAT THOSE SAME DISPARITIES
WOULD BE THE CASE FOR HIV BUT
BEYOND THAT, THERE ARE THESE
OTHER ISSUES AS WELL.
>> THANK YOU.
>> WE HAVE TIME FOR ONE LAST
QUESTION.
>> JUSTIN, I THINK I GOT
INTRODUCED EARLIER.
[LAUGHTER]
MY QUESTION'S ABOUT STIGMA AND
HOW IT RELATES TO ESPECIALLY THE
NEW MODALITY FOR PREVENTION AND
WE LIVE IN--AND WE ARE REALLY
EXCITED ABOUT BECOMING A
DEMONSTRATE SITE FOR PREEXPOSURE
PROPHYLAXIS AND I'M EXCITED
ABOUT NOW THERE ARE WORLD CLASS
LEADERS TALKING ABOUT TREATMENT
AND PREVENTION, BUT TREATMENT
AND PREVENTION AND PRESS AND
PEP, ALL COME WITH THEIR OWN
UNIQUE TEUG MA THAT--STIGNATHAT
COMES FROM PREICIDERSA WELL AS
PATIENTS COMMUNITY AND SO ON.
RISK COMPENSATION ISSUES WHERE
PROVIDERS WILL SAY WE SHOULDN'T
GO DOWN THAT ROAD BECAUSE THEN
IT'LL JUST BE A FREE FOR ALL,
EVERYBODY'S NOT GOING TO STOP
USING CONDOMS AND SO ON WHEN
THERE'S SOLID RESEARCH THAT
SHOWS THAT THE MORE YOU ENGAGE
PEOPLE IN CARE, THE LESS RISK
THEY ACTUALLY TAKE ALONG WITH
GETTING ON TREATMENT AS
PREVENTION AND I APPRECIATE YOUR
AT THE SAME TIME ABOUT HOMOSEX
Y'ALLITY BECAUSE WE USE THE WORD
STIGMA SO MUCH AND HAVE FOR 30
YEAR THAEUS THINK WE SOMETIMES
FORGET WHAT THAT MEANS AND THE
MAJORITY OF THAT IS HOMOPHOBIA
AND SO, HOW DO WE DEAL WITH THE
UNIQUE--THE NEW ENIQUE STIGMA
AROUND TREATMENT AND PREVENTION
AND HOW DO WE FIND LEADERSHIP TO
ADDRESS HOMOPHOBIA SO THAT WE
CAN START BREAKING DOWN SOME OF
THOSE BARRIERS.
MY JOB AT WHIT MAN WALKER IS TO
FIGURE OUT HOW TO BREAK DOWN
THOSE BARRIERS AND THERE'S A
LIST OF BARRIERS THIS LONG,
KIMAP ALMOST EVERY SINGLE ONE OF
THEM BACK TO STIGMA, SO I JUST
WANTED TO SEE WHAT YOUR THOUGHTS
WERE ABOUT TREATMENT AND
PREVENTION IN THE STIGMA RELATED
TO THAT.
>> I THINK ONE OF THE BIGGEST
OPPORTUNITIES THAT PEOPLE HAVE
AND THEY CAN DO IN TERMS OF
STIGMA IT'S ONE THING THAT ONE
OF MY FORMER BOSSES, PRESIDENT
CLINTON SAID, WAS THAT IF YOU'RE
GAY TO COME OUT.
IMPACT OF OF THAT IS TREMENDOUS
IN BEING ABLE TO LET SOMEONE
KNOW YOU ARE GAY IT'S NOT EASY
TO DO, BUT IT WILL HAVE A
TREMENDOUS IMPACT ON WHO
SOMEONE, THEY MIGHT KNOW WHAT
BEING GAY IS.
I THINK IT'S IT IS SAME THING
WITH LIVING WITH HIV AND AIDS,
WAS THAT IS TAKES A LOT OF
COURAGE BUT IT'S IMPORTANT THAT
YOU COME OUT ABOUT YOUR STATUS.
BECAUSE YOU HAVE TO WORK TO
EDUCATE OTHERS ABOUT THE FACT
THAT IT IS STILL THERE.
AND SO THOSE ARE IMPORTANT
THINGS THEY THINK CAN HELP IN
THAT SITE BUT IT TAKES A LOT OF
COURAGE AND IT'S A BURDEN IN
SOME RESPECTS BECAUSE IT REALLY
IMPACTS THOSE WHO ARE PROBABLILY
THE ONES THAT ARE BEING
STIGMATIZED THE MOST.
>> YOU KNOW WHEN I WAS IN
OFFSITE, I USED TO BE ASKED
QUESTIONS THAT ANNOYED ME, BUT
ONE OFA ANNOYED ME THE MOST IS
WHY IS THERE SO MUCH STIGMA IN
AFRICA, AS IF WE DON'T HAVE ANY
HERE?
[LAUGHTER]
AND YOU KNOW WE ALL UP HERE
REMEMBER AND I WAS LOOKING
AROUND A GOOD CHUNK OF THE
AUDIENCE AND SOME DON'T REMEMBER
THAT IN THE EARLY DAYS OF
HIV/AIDS THE INCREDIBLE STIGMA
THAT WAS ASSOCIATE WIDE HIV/AIDS
WHERE YOU HAD--WHEN I WAS A
MEDICAL STUDENT DOWN THE ROAD AT
THE VA, PEOPLE WOULD NOT TOUCH
HIV POSITIVE PATIENTS, LITERALLY
WOULD NOT TOUCH THEM WE HAD TO
SUE SURGEONS AND DENTISTS TO
OPERATE ON HIV POSITIVE PEOPLE.
AS YOUR MOTHER POINTED OUT
PARENTS DISOWNED PEOPLE,
PARTNERS DISOWNED PEOPLE.
MISINFORMATION ABOUT HOW YOU GOT
IT SO BAD THAT THE WHITE HOUSE
SECURITY PEOPLE WERE WEARING
PLASTIC GOFFS WHEN HIV PEOPLE
WENT THROUGH IT BUT WE GOT
THROUGH IT ALL AND YOU'RE LIVING
PROOF AND CONGRATULATIONS WHAT
YOU'RE DOING TO WHAT YOU DO
SERVING YOUR LIFE STORY.
WE GOT THROUGH A LOST IT BUT NOT
ALL OF IT AND JUST AS IN AFRICA
THEY ARE A BIT BEHIND, BECAUSE
THEY STARTED LATER ARE WORKING
THROUGH THESE ISSUES, BUT
THEY'RE COMPLICATED AND
DIFFICULT.
TO ME THE SITUATION COMES BACK
TO WHAT WE TALKED ABOUT, GO BACK
TO THE PEOPLE IN THE COMMUNITY
AND ASK THEM, TALK WITH THEM
ABOUT HOW THEY WOULD GET OVER
THE CIGNA OF PREEXPOSURE OF
PROPHYLAXIS, TALK WITH THEM
ABOUT HOW THEY WILL GET OVER THE
SIGMA OF TREATMENT AND
PREVENTION.
WHAT ARE THEY HEARING AND IT'S
REMARKABLE AND OVER AND OVER
AGAIN WHERE WE MAKE THESE BIG
PROCCLAMMATIONS GLOBALLY AND
THEN WE GO OVER AND HAVE HEARING
AND THEY HEAR DIFFERENTLY AND
SPENDING A BUNCH OF MONEY STUFF
WE JUST LEARNED ABOUT.
AGAIN, GOING TO THE COMMUNITY,
THEY WILL WILL FIGURE OUT THEIR
PROBLEMS AND THEY WILL SOLVE
THEIR OWN PROBLEMS OF THE IT'S
NOT AN EASY JOURNEY.
BUT LOOK WHERE WE ARE FROM 25
YEARS AGO, IF WE LOOK AND
CONTINUE ON THAT PATHWAY AND AS
HELENE, AND STAY O GBA IT AND
LISTENING TO THESE PEOPLE, WE
CAN SOLVE THESE PROBLEMS.
>> CAN I ALSO ASK THAT THE
QUESTION OF SIGMA FOR ME WHEN
WE'RE TALKING ABOUT HOMOPHOBIA,
IS NOT ACTUALLY ONLY CENTERED
WITH HOMOPHOBIA, FOR HOMOPHOBIC
HEAR HOME HOE SEX Y'ALLITY SAKE,
IF WE DRAW BACK THE LENS, THE
REAL STIGMA IS ON HUMAN SEX
SEXUALITY, TO BE SEXUAL IS--WE
SAW A LOT OF THAT THIS WEEK.
YOU KNOW IT'S SO FUNNY AND SAD
AT THE SAME TIME AND I TALK TO
FACE LEADERTHIS ALL THE TIME.
YOU TALK ABOUT--FAITH LEADERS
ALL THE TIME.
YOU TALK ABOUT GOD AND THE GIFTS
OF FAITH AND THE GIFTS THAT GOD
GIVES US AND ALL THESE TOOLS,
WELL, WHY ELSE WOULD HE GIVE US
SEX AS A MEANS TO GET HERE IF IT
WASN'T A GIFT?
IN ORDER TO GET LIFE FROM
ANYTHING, FROM THE THE PLANT, TO
THE HUMAN, THAT SOMETHING HAS TO
ENGAGE AND TO BE ABLE TO
NORMALIZE THAT CONVERSATION IN
SUCH A WAY THAT THERE'S NO
STIGMA AROUND SEX AND SEXUALITY
THAT WE ALL KNOW WE HAVE TO
ENGAGE IN IT, IF WE'RE GOING TO
PROCREATE OR IF WE'RE JUST GOING
TO ENJOY OURSELVES, IF WE'RE
GOING TO DESTRESS, IF WE'RE
GOING TO STAY AROUND TILL
TOMORROW, WE'RE GOING TO HAVE TO
GET SOME AT SOME POINT.
[LAUGHTER]
AM I WRONG?
[LAUGHTER]
I MEAN, YOU KNOW CELIBACY IS A
CHOICE, IT'S NOT NATURAL.
SO, I WANT US TO BE REAL CLEAR
ABOUT THAT BECAUSE IN ALL
SERIOUSNESS, YOUNG WOMEN WHO ARE
SEXUALLY ACTIVE ARE STIGMATIZED.
TEENAGERS WHO ARE SEXUALLY
ACTIVE ARE NOT ONLY STIGMATIZED
BUT DISCRIMINATED AGAINST IN THE
AIDS ZONE.
GAY BLACK MEN WHO ARE SEXUAL
ACTIVE OR STIGMATIZED.
AND MEN WHO ARE STIGMAIFIESED
WITH HAVING SEX WITH MORE TAN
ONE PERSON ARE STIGMATIZED OLD
PEOPLE HAVING SEX AT 85 AND 90
ARE STIGMATIZED.
SO IT DOESN'T MATTER, IT MEANS A
RIGHT AND THE RECOGNITION OF
THING SAME SEX RELATIONSHIP AND
THEY'RE NOT GIVEN THE RIGHT AND
THE EQUAL ACCESS AND THE EQUAL
RESPECT THAT OPPOSITIONS OR
HETEROSEXUAL RELATIONSHIPS ARE
GIVEN BUT SEX ITSELF IS THE
STIGMA AND UNTIL I CAN TALK
ABOUT MY SEXUAL FLUIDS AND MY
SEXUAL POSITION AND MY SEXUAL
PREFERENCES AND MY ORIENTATIONS,
THE SAME WAY I TALK ABOUT WHAT
COLOR LIP STICK I'M GOING TO
WEAR TODAY OR WHICH HIGH HEELS I
NEED TO PUT ON TODAY OR WHAT
KIND OF EAR WAX I HAVE COMING
OUT OF MY EARS, UNTIL WE CAN
MAKE IT ALL THE SAME PART OF THE
SAME CONVERSATION THEN AUTOGOING
TO CONTINUE AND CONTINUE AND
CONTINUE.
>> I THINK I HAVE TO MAKE THAT
THE LAST REMARK.
[LAUGHTER]
[ APPLAUSE ]
>> THANK YOU.
[ APPLAUSE ]
THANKS TO OUR PANELIST, THANKS
TO OUR AUDIENCE AND THANKS TO
YOUR COMMITMENT.
HAVE A REALLY GREAT DAY.