Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, December 25, 2012

Mexico lifts gay and bisexual blood donor ban

A little noticed Mexican health norm first approved in August and then published in the country's regulatory Official Federation Diary on October 26th has gone into effect today essentially doing away with a two-decade ban on blood donations from gay and bisexual men, reports Animal Político.

The old norm (NOM 003-SSA2) explicitly banned gay and bisexual men from donating blood based on their "practices" and their "increased probability of acquiring HIV or hepatitis infection".

The new norm (NOM 253) eliminates specific bans on gay and bisexual men and instead bans blood donations from people with HIV or hepatitis and their partners and people who engage in "risky sexual practices" regardless of their sexual identity.

In the new blood donor norms "risky sexual practices" are defined as those that may include "contact or exchange of blood, sexual secretions or other bodily secretions between someone who might have a transmittable disease and areas of another person's body through which an infectious agent might be able to penetrate."

The United States and a number of Latin American countries which include Argentina, Chile and Colombia have been mulling lifting similar longstanding bans that have been in effect since the HIV/AIDS crisis broke through decades ago.

If this report is correct, Mexico might be the first country in the American continent to lift such a ban.

UPDATE 1 (Dec. 26, 2012): The National Council to Prevent Discrimination (CONAPRED) has released a statement confirming these reports and saluting the new regulations as a step forward in eliminating discrimination.

In the statement, the governmental body applauds the move to base blood donor criteria on risk factors rather than on discriminatory perceptions about certain social groups. Here is a translated excerpt from the statement:
The previous NOM contained several explicitly discriminatory requirements that kept people from donating blood based on their sexual preference or orientation; instead, from now on, medical/scientific criteria will be used to identify pathogens in the blood and the focus will be turned to risky behaviors rather than social groups.
In making these discriminatory distinctions, the [previous] norm explicitly violated the prohibition against discrimination present in the Constitution and the Federal Law to Prevent and Eliminate Discrimination, as well as Article 24 of the American Convention on Human Rights and Article 26 of the International Civil and Political Rights Treaty, among other international instruments of law, which establish that every person is equal before the law regardless of any condition.
In closing, the agency vows to engage administrative and medical entities to make them aware of the new regulations and train them so that the new policy is promptly adopted in order to eradicate the stigma and discrimination contained in the previous norm.

UPDATE 2 (Dec. 28, 2012): GEN, an online site that focuses on genetic engineering and biotechnology, notes concerns raised by CONAPRED that a separate section of the new norm might still discriminate against a group of people. From GEN's article:
The previous NOM requirements explicitly excluded people who could donate blood based on sexual preferences or orientation or even social status, according to Mexico’s National Council to Prevent Discrimination (Conapred), which also points out that despite this progress, there is still a degree of discrimination in the wording in the new NOM ruling. Specifically, subsection 6.10.6.1, Point J, excludes people on a temporary basis from donating blood "[who have] been hospitalized for more than 72 consecutive hours in penal or mental illness. The organization maintains that this subsection stigmatizes prison populations and people with mental disabilities.
Related:
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Thursday, February 05, 2009

Chile to stop identifying gays as a "risk group" for sexually transmitted diseases

EFE reports today that Alvaro Erazo, the country's Health Minister (right), has announced that the government will "eliminate instructions in medical exams in which gays were identified as a risk group for sexually transmitted diseases and by which they were submitted to specific blood tests."

The announcement came after a meeting held with Rolando Jiménez, President of the Homosexual Movement for Integration and Liberation (Movilh).

According to the article, the LGBT rights organization had already gotten the government to eliminate a ban on blood donations by transgender individuals and gay and bisexual men back in 2003. But instructions that remained in official preventive medicine manuals still instructed health practitioners to ask a person if their partner had been exposed to a sexually transmitted disease and to tell the person that STD's were more frequent among people who had sexual relations with same-sex partners. If the person indicated having a same-sex partner, health practitioners were instructed to urge them to take blood tests.

Under the directive announced today, health practitioners will not be instructed to ask those questions and gays will not be instantly urged to undergo blood tests if they disclose their sexual orientation.

Thursday, April 05, 2007

Brazil: Circumcision not an HIV prevention tool for gay men

If it wasn't for Vivir Latino on my blog roll, I might have missed this tidbit from Spain's 20 Minutos.

Turns out that even before NYC health commissioner Thomas Frieden spoke to The New York Times on plans to promote circumcision as an HIV prevention method for men "at high risk" of HIV transmission in the city, the head of another health department a few thousand miles away had pretty much rejected that same idea based on the same studies that Frieden used to support his push.

On March 28th, the World Health Organization and UNAIDS released a joint statement recommending that "male circumcision should be part of a comprehensive HIV prevention package."

In the statement Dr. Kevin De Cock (love the name), Director of the HIV/AIDS Department at WHO, said:
The recommendations represent a significant step forward in HIV prevention. Countries with high rates of heterosexual HIV infection and low rates of male circumcision now have an additional intervention which can reduce the risk of HIV infection in heterosexual men. Scaling up male circumcision in such countries will result in immediate benefit to individuals. However, it will be a number of years before we can expect to see an impact on the epidemic from such investment.
In addition the statement warns that before implementing the plan among other populations further research was needed:
In countries where the HIV epidemic is concentrated in specific population groups such as sex workers, injecting drug users or men who have sex with men, there would be limited public health impact from promoting male circumcision in the general population.
Not heeding those caveats, the Times says that Frieden told them that "it is logical to assume that circumcision would offer protection in some types of gay sex."

Enter Brazil: Known for their groundbreaking HIV prevention programs, particularly in gay populations, Mariángela Simao - the technical advisor of the Brazilian health ministry - told news agency EFE that the studies did not provide any data that circumcision reduced the risk of HIV transmission among gay men.

She also pointed out that the recommendations only were applicable in countries where HIV incidence reached more than 15% of the population which would leave out every Latin American country.

Simao expressed concern that circumcised men might get the message that it is OK for them to have unprotected sex without any risks of HIV transmission and said that she feared that, based on the recommendations, developed countries would now devote current international HIV treatment funding towards circumcision surgery procedures instead of proven methods.

In other words, Brazil has officially rejected circumcision as an HIV prevention method amongst gay men - until specific studies are done - and says that they would rather concentrate their prevention funding on promoting condom use and the free availability of HIV treatments for those that test positive.

Updates: In his statement to the New York Times Commissioner Frieden said that he had consulted gay rights and helth service organizations before speaking to the Times but in the April 6 edition of The New York Post, Tokes Osubu, Executive Director of Gay Men of African Descent says "For anyone to think there is going to be a long line of men in their 20's lining up to have part of their anatomy chopped off, it's ludicrous" and Michael Robinson of People of Color in Crisis says "I can't imagine us going around encouraging adult men to have adult circumcision. It's just too painful."

If these are the reactions of two top gay African-American leaders in the city I wonder which gay advocacy and health service organizations the Commissioner did reach before speaking to media. An April 7 New York Post editorial criticized Dr. Frieden for the proposal (but it should be said that the Post has previously assailed Frieden for some of the City's sound health policy projects including the indoor public space smoking ban and a proposal to ban trans-fats from being used in restaurants throughout the city).

On April 6, the New York Times printed a follow up article in which Mayor Michael Blooberg seemed to distance himself a bit from Frieden's statements.

The Agenda blog also points out that the New York City Department of Health and Mental Hygiene posted a brief response to some of the criticism that sprung over at the New York Times political blog, The Empire Zone (read comments here).

In the brief statement Geoffrey Cowley, a spokesman for the Department of Health, denies that agency is ready to launch a campaign to promote circumcision as an HIV prevention tool in New York City but says that, considering the results of the research in Africa, the possibility is worth exploring.

The Department of Health has also said that they will be organizing community town-hall meetings on the issue to get some feed-back.

Thursday, March 29, 2007

ACT UP protest: Same old BS, twenty years later







NOTE: Images Copyright © 2007 Ands Duque and Rex Wockner

About 400 t0 500 people showed up on a magnificently sunny day to act up once again on what was planned as the 20th year anniversary action of the organization ACT UP.


Larry Kramer, who was among the people who jump started the direct action group twenty years ago addressed reporters at the rally's start (YouTube video here). Clients from organizations such as Housing Works, African Services Committee, the Community HIV/AIDS Mobilization Project, the New York City AIDS Housing Network, People of Color in Crisis and GMHC joined the crowd. There was also a large contingent from ACT UP Philadelphia.

The well-behaved crowd shouted slogans such as "No more bullshit, health care for all," "Health care for people, not for profit" and "Same old bullshit, 20 years later."

Marchers made their way from the Federal Building down to City Hall with a stop at Trinity Church (just off the World Trade Center site) through the narrow building canyons in front of the New York Stock Exchange ending up at the big bull statue at Bowling Green, long a symbol of Wall Street.

Organizers threw plastic body bags in front of the statute, two ACT UP'ers also mounted the bull and flew a banner that read "ACT UP: Health care for all."

After addressing the crowd and reporters, a group of 20 to 25 activists crossed the police barriers surrounding the Bowling Green park and laid down on the street in a "die-in." They were arrested for disrupting traffic and are currently in custody.

When it was all said and done the bull was left standing alone with a pair of condoms adorning its horns.

Additional stuff:
Future meetings: According to a message left tonight on my voice mail by Andrew Velez, ACT UP will mark its anniversary with a $20 celebration/fundraiser on Saturday, March 31 at 8 p.m. at the LGBT Community Center, 208 West 13th Street.

There will also be a follow-up organizing meeting on Thursday, April 12th at 7:30PM - also at the LGBT Community Center - for the first ever meeting of the Queer Justice League (although the name of the group is subject to change). Questions should be directed at queerjusticeleague@gmail.com.

Coverage:

UPDATE: The official press release puts participation at "nearly a thousand" and arrests at 27. It also has a full list of co-sponsors.

Monday, March 26, 2007

Recommended: A Conversation With My Brothers

For those who might be checking this blog from time to time or people who might stumble upon it during these days, I recommend that you keep an eye on Bernard Tarver's blog Bejata over the next few days for what promises to be a thought-provoking series of posts on black gay men at midlife.

These entries provide a unique look at middle-age gay black men talking about their own lives (as opposed to others such as health service providers or researchers talking about the 'reality' of gay black men's lives) as well as opportunities for reflection (I certainly saw some echoes of the Latino gay male experience in the United States among some of these comments).
But wait! There's more! The Republic of T. ponders...
Enjoy.