Delivering on the Promise of the International AIDS Conference

Congresswoman Barbara Lee co-authored legislation establishing PEPFAR in 2003, and was the lead author of the Global AIDS and Tuberculosis Relief Act of 2000 which helped establish the Global Fund. Most recently, Congress passed and President Bush signed into law legislation authored by Lee to focus foreign assistance for children orphaned and made vulnerable by HIV/AIDS. She has represented California's ninth Congressional District since 1998.

Last week I had the opportunity to participate in the XVI International AIDS Conference in Toronto, Canada. This was my fourth such conference since I was elected to Congress in 1998, and like many conferences before this one I was again impressed by the diversity of people, approaches, and issues that were raised.

I was specifically in town to speak on two issues that are really important to me: the HIV/AIDS crisis in Black America, and the increasing vulnerability of women and girls to this disease.

AIDS is devastating the African American community. According to the Centers for Disease Control African Americans now make up more than 50% of all new HIV/AIDS cases diagnosed each year. As Julian Bond the chairman of the NAACP made clear in this recent op-ed in the Washington Post "AIDS is now in our house. It's now our problem, and we must come up with solutions."

As part of a series of events at the conference with the Black AIDS Institute and prominent African American leaders, we announced a "National Call to Action and Declaration of Commitment to End the AIDS Epidemic in Black America."

Everyone has a role to play in stopping this disease, and that is a responsibility I take seriously in approaching my work in Congress.

The Anti-Breast Brigade

Forgive me for bringing up old news, since the following nonsense broke a few weeks ago--but it's just too outrageous, and too indicative of a whole bunch of disturbing cultural trends, not to mention here. Take a look at this photo, which appeared on the August 2006 cover of the free parenting magazine Babytalk:

[img_assist|nid=506|title=|desc=|link=none|align=left|width=91|height=100]Now take a look at the reactions it inspired, culled from 700 angry letters and some media follow-up:

"I immediately turned the magazine face down."

"Gross."

"I shredded it. A breast is a breast--it's a sexual thing. [My 13-year-old son] didn't need to see that."

"I don't want my son or husband to accidentally see a breast they didn't want to see."

Is it wrong for me to bring up Janet Jackson and John Ashcroft here? Because what I really want to say about all of this is: When did America decide that women's breasts were disgusting objects? Breasts are among the first things that most of us, as human beings, have an opportunity to see and touch and taste. They are warm and soft and nurturing and life-sustaining. They feel nice. And yes, they can be erotic, which does not, by the way, make them GROSS. Furthermore, half of us have them attached to our bodies. Are we supposed to be grossed out by ourselves?

Making the Connection II: Gender-based Violence and HIV

Maria de Bruyn is the Senior Policy Advisor for Ipas.

"Gender-based violence and HIV: making the connection" was the theme for an evening satellite meeting convened by the International Community of Women Living with HIV/AIDS (ICW) and the ATHENA Network. Chairs Sofia Gruskin of Harvard University and Mary Robinson, former president of Ireland now with the Ethical Globalization Initiative, invited panelists from Africa, North America and Latin America to speak about intersections between gender-based violence (GBV) and HIV. Other delegates then offered information on approaches they used, challenges they faced and ideas about how to move forward.

Awino Okech (Mother Tongue, South Africa) called on those present not only to address HIV infection resulting from domestic and sexual violence, but also violence in response to women's voluntary or involuntary disclosure of their positive HIV status. She also asked for honesty in addressing the fact that some women become positive because they, like men, choose to have extramarital relations; a focus on sexuality needs to be added to our analyses.

More Like Plan V…

This must be plan V... or at least plan P for the Bush administration.

After repeatedly politicizing emergency contraception, pressuring the FDA into going against recommendations by their own scientists, and trying in vain to establish Andrew von Eschenbach's independence, Bush finally decided to try something different. During Monday morning's press conference, Bush stated:

"I believe that Plan B ought to be -- ought to require a prescription for minors, is what I believe. And I support Andy's decision."

Wait - did I just hear that correctly? Listen to that little space between what he said... right there - the part where he implied Plan B ought not to require a prescription for adults.

Desperately Seeking Condoms in Toronto

Naina Dhingra is the Director of International Policy at Advocates for Youth and serves on the Developed Country NGO Board Delegation of the Global Fund.

Throughout the International AIDS Conference, I've repeatedly heard about how the U.S. government is the largest buyer of condoms. Yet, at the same time, youth and people from PEPFAR countries kept telling me that, back home, access to condoms is a major issue. So where exactly are the condoms? Well, after a week at the conference in Toronto, I've decided that all the condoms are clearly right here. Over the week, I've amassed a sizable collection of at least 75 different types of condoms in all different colors and packaging. My favorites have been the goodies from UNFPA and MTV. UNFPA packaged a male and female condom together in brightly colored pouches usually used to carry jewelry. The MTV Staying Alive initiative packaged them in pocket containers, like the kind that carry mints, and gave them out at last night's premier party of their 48fest films - their project where young people were given cameras to develop films about AIDS in 48 hours.

So what seems to be the issue? If hundreds of thousand of condoms can get to Toronto, why aren't they getting to young people in PEPFAR countries? Is the U.S. government so stuck on the myth that condoms will actually cause young people to have sex?

Right Wing Takes a Swing at FDA Nominee (or, Miersgate 2.0)

When I wrote last week during the Toronto AIDS Conference about the absence of “pro-life” voices speaking out against HIV/AIDS, I mentioned that many of them had turned their attentions to Plan B. While many of this site’s readers were focused on Toronto, several of those groups were mobilizing to take out Andrew von Eschenbach before he is possibly confirmed by the Senate as FDA Commissioner.

Concerned Women for America is leading the charge, claiming that the “driving force” in “efforts to make the abortion-causing drug available over-the-counter…is none other than the acting FDA Commissioner Von Eschenback” (sic). Family Research Council is on the move too, announcing that they oppose his confirmation on account of his possible compromise with Plan B’s manufacturer in developing a plan for over-the-counter sales – a possibility that most reproductive health advocates believe is by no means guaranteed. (Side-note on FRC’s statement: While they claim to have this strong moral opposition to Plan B, they dismiss Barr Laboratories, the drug’s manufacturer, from bearing any responsibility in the matter. Why? Because they’re a for-profit drug company. Apparently for FRC, morals don’t have to hold sway in the marketplace.) Both groups are inviting supporters to call the White House and Senate and complain about Dr. von Eschenbach’s nomination.

What Happens in Vegas Doesn’t Always Stay in Vegas

This week, a Ugandan pastor was in Las Vegas giving talks about AIDS. Martin Sempa is a long-time AIDS activist who credits abstinence-only programs and Christian values (like fidelity and matrimony...not so much care for the vulnerable) for Uganda's success in the fight against AIDS.

Now you may be thinking: AIDS... International activist... wait a second - why wasn't he in Toronto at the International AIDS Conference? Oh yeah, it's because "hatred of motherhood and the family, a pathological fear of fidelity and sexual continence and loathing of traditional Christian values are the defining forces in the international fight against AIDS" - not a place for a guy like Sempa.

Avoiding Toronto because of expected hostility to his message, Sempa spoke from Las Vegas. Maybe you've heard of it? City of casinos, nude dancers, Elvis impersonators and quickie weddings, nicknamed "Sin City." Seems like kind of a funny place for a pastor to take haven from those wacky International AIDS activists and speak out about "Christian values" and preventing HIV, doesn't it?

Time to Deliver for Women and Girls

Adrienne Germain is the President of the International Women's Health Coaltion.

A lot of the buzz from Toronto this week centered on women, led by the "Bill and Bill show," and especially the Gates' attention to microbicides.

Microbicides will be a key HIV prevention tool, but no technology is going to end this pandemic. Girls' and women's vulnerability is driven by discrimination in education, employment, and property rights, and by sexual coercion and violence. These fundamental issues - and ways to fix them - were not on the lips of most of the conference "star power."

Girls’ Education in Burkina Faso

Fimba is from Burkina Faso. He is representing the Guttmacher Institute's Protecting the Next Generation Project at the conference.

I participated in a very interesting session entitled "Leadership in Girls Education: An Essential Component of HIV Prevention". The panelists were Josée Verner from Canada and Jeanette Kagami from Rwanda. This session spoke about something that affects my daily life at home and for which I struggle with my colleagues from my youth network to do as much as we can to address the situation of girls in Burkina Faso.

Young People and Sexuality: the Unspoken Taboo

Patricia is from Uganda. She is representing the Guttmacher Institute's Protecting the Next Generation Project at the conference.

Borrowing from the opening remarks of the co-chair of the session "Young People and Sexuality: the Unspoken Taboo," it was interesting that we didn't have a youth panelist. The topic of young people and sexuality has always been controversial and raises a lot of debate. This session has been very interesting coming from a country and society where the topics discussed raise eyebrows and in some situations a tendency to not even want to talk about it. Yet, it's becoming a real issue that needs to be addressed. The panelists talked about and shared their findings on sex tourism in Kenya, HIV among male migrants, urban youth culture and MSM in Jamaica, the risks, homophobia and related questions.

I work for an organization that boldly studies issues of sexuality and it has not been an easy thirteen years. Many people were hesitant about talking openly about sexuality for fear that it would increase sexual activity among young people and thereby accelerate the HIV infection rate. Over the years, though, continuous sensitization, advocacy and experience-sharing about the benefits of open discussion and dialog about sexuality have helped people come to appreciate the importance of talking about sexuality to young people. The times have changed. Yet some people in our society do not want to accept that people be free to express themselves without judgment.