STD Awareness: Is Withholding HIV Status a Crime?

If your sexual partner had HIV and did not tell you about it, how would you feel? Most of us would feel betrayed, lied to. We might be scared that we’d contracted the virus, too. If we had known, maybe we would have chosen not to have sex, or might have taken different precautions. Perhaps we’d be angry that someone took away our ability to evaluate the risk for ourselves, and instead decided for us that the sex was worth the risk.


Disclosing HIV status can make someone vulnerable to risks, but open communication forms the basis of healthy relationships.


Many people think it should be against the law for someone with HIV to withhold their status from a sexual partner. To do so seems like a violation of someone’s right to make their own decisions about the sex they have, a denial of pertinent information that needs to be factored into one’s decision-making.

Then why are organizations like American Psychological Association, the American Medical Association, and the U.S. Department of Justice opposed to these types of laws?

Meet Nick

In June 2008 in Iowa, Nick met Adam on a dating website. They hung out at Nick’s apartment, spent a few hours getting to know each other, and eventually had sex. A few days later, Adam heard through the grapevine that Nick was HIV-positive.

The next month, three armed detectives stormed Nick’s workplace, took him to the local hospital, and ordered nurses to take his blood. Meanwhile, police were searching his house for drugs — not illicit drugs, but lifesaving antiretroviral drugs. Nick was arrested. His crime? Criminal transmission of HIV.

Even though Adam never got HIV. Continue reading

National HIV Testing Day: A Time to Empower Yourself and Get Tested

The following post comes to us via Ava Budavari-Glenn, a political communications major and a nonprofit communications minor who is entering her sophomore year at Emerson College. She is a writer whose work focuses mainly on advocacy, and a community organizer who has worked for nonprofit organizations and political campaigns. She is a media and communications intern at Planned Parenthood Advocates of Arizona.

It was the 1980s. All of a sudden, seemingly out of nowhere, thousands and thousands of people were dying from an illness that had never been seen before. The diagnosis was a death sentence. As soon as you had it, you would die painfully and quickly. The disease was AIDS, caused by a virus called HIV.

In the United States, this disease ravaged the LGBTQ community; gay and bisexual men were the hardest hit. The Reagan administration failed to acknowledge the disease, until Ronald Reagan’s press secretary laughed about it and called it the “gay plague.” Tired of the government’s inaction, the people decided to take matters into their own hands and formed the grassroots organization ACT UP (AIDS Coalition to Unleash Power) in 1987.


With modern medical treatment, people with HIV can live pretty normal lives.


They protested, made targeted demands, and created poster campaigns. They formed a network of community organizers in cities across the country, and employed radical protest strategies, such as the AIDS Memorial Quilt, which covered the National Mall with names of people who had died from the disease. They focused their targeted efforts on specific politicians, as well as the Food and Drug Administration and the Centers for Disease Control and Prevention. They did such an extensive amount of research that the activists essentially became scientists themselves. They were able to lower drug prices and get the FDA to approve experimental drugs for HIV at a quicker pace. They educated, diminished social stigma, and perhaps most important, supported medical advances that reduced AIDS-related deaths.

And finally, in 1996, scientists discovered the treatment that turned HIV from a death sentence to a chronic illness. Finally, after 15 years of tragic deaths, obsessive scientific research, and fiery activism, patients could live long and happy lives with a drug “cocktail” that could suppress the virus. Continue reading

World AIDS Day: The Affordable Care Act Can Help in Creating the Healthiest Generation Ever

Editor’s Note: The following piece is a guest blog post from Planned Parenthood Arizona President and CEO Bryan Howard.

Yesterday was World AIDS Day and this year, as we work to raise awareness around HIV and gather support for those who are living with HIV/AIDS, we should also take a moment to recognize the profound impact that the Affordable Care Act will have on prevention, detection, and treatment of HIV/AIDS.


One in 5 people with HIV is unaware of his or her infection.


With the Affordable Care Act, 1.1 million Americans living with HIV will no longer be denied health insurance coverage because HIV is a “pre-existing condition.” More people living with HIV/AIDS will have access to affordable health insurance coverage to get the care they need, and millions of Americans will have access to preventive health care services that include HIV testing without a co-pay.

There is no doubt that we have come a long way in the fight against HIV/AIDS, especially given the advances of the ACA, yet the epidemic continues to affect millions of people throughout the world with some communities impacted more than others. In the United States, more than 56,000 people become infected with HIV each year. About one-third of new HIV cases are in young people, ages 13 to 29.

According to the Arizona Department of Health Services, there are more than 15,000 Arizonans living with HIV/AIDS with some of the highest rates in Maricopa and Pima counties.

As the largest nonprofit sexual health care provider in Arizona, Planned Parenthood is committed to reducing the impact of the HIV/AIDS epidemic by providing nonjudgmental, comprehensive, high-quality reproductive health care to all women, men, and young people.

Planned Parenthood Arizona has health centers throughout Arizona that provide a range of health care services, including HIV testing, STD testing and treatment, cancer screenings, birth control, vaccinations, and primary care. We also serve as an expert resource in medically accurate sexuality education.

As a trusted health care provider and sexual health educator, we strive to educate women, men, and young people about how to prevent HIV and other STDs. In addition to diligent condom use and regular STD screening, practicing abstinence and having one partner who has no other intimate partners can also help to reduce the risk of getting an STD (including HIV).

So, today I ask you to join Planned Parenthood in fighting for the healthiest generation ever.

About Bryan Howard: Bryan Howard is president and CEO of Planned Parenthood Arizona and a board member at Reproductive Health Technology Project, a Washington, D.C.-based research organization.

Over 90 Percent of What Planned Parenthood Does, Part 14: Rapid HIV Testing

HIVtestingdayWelcome to the latest installment of “Over 90 Percent of What Planned Parenthood Does,” a series on Planned Parenthood Advocates of Arizona’s blog that highlights Planned Parenthood’s diverse array of services — the ones Jon Kyl never knew about.

It’s important to be tested for HIV, the sexually transmitted virus that causes AIDS. For some people, periodic HIV testing is part of their regular health care, while others might be experiencing a scare after a high-risk encounter (for example, having unprotected vaginal or anal intercourse or sharing IV equipment with someone whose HIV status you don’t know). No matter what boat you’re in, waiting a week or more to get your results from a standard HIV test might be nerve-wracking. If that sounds like you, then a rapid HIV test — which can give you results in just 40 minutes or less — might be just what the doctor ordered.


Today is National HIV Testing Day, and HIV testing has never been easier!


Here’s a quick rundown on rapid HIV testing: A negative result on a rapid HIV test is just as accurate as a negative result from a standard test — you just don’t have to wait as long to get it. However, positive results are considered “preliminary” and another blood sample must be sent to a lab for confirmation. If that result comes back negative, you will probably be asked to come back for retesting to verify that negative result.

The rapid test, just like the standard test, is an antibody test, which means it detects the presence of antibodies in your bloodstream. Antibodies are molecules produced by your immune system, and are specially designed to attach to viruses and other invaders. Each type of antibody is shaped in such a way that they can interlock with just one type of pathogen; some antibodies might specialize in attaching to a certain strain of a cold virus while others might be shaped especially for attachment to the surface of an E. coli bacterium. So, if you’re infected with HIV, your immune system will produce antibodies that are uniquely shaped to target HIV. An HIV antibody test can sort through the many types of antibodies in your bloodstream and identify only the antibodies that are shaped specifically for targeting HIV. Continue reading

STD Awareness: HIV and AIDS

Our immune systems are beautiful things, refined through millions of years of evolution. The immune system’s complexity is testament to the “arms race” that has been taking place between our species and the harmful pathogens that surround us. Last century, a virus called human immunodeficiency virus (HIV) emerged, and it found a weak spot in our immune system’s armor. HIV has been exploiting this weakness ever since, and an HIV infection can eventually progress to a disease called AIDS, or acquired immune deficiency syndrome. AIDS is a condition that disables our immune system’s ability to function properly, rendering us vulnerable to a host of opportunistic infections and cancers.


Even if you don’t think you’ve been exposed, HIV testing can be a good idea.


HIV is transmitted via bodily fluids: blood, semen, pre-seminal fluid (which can be present without ejaculation), breast milk, vaginal fluids, and rectal mucus. (It can also be present in bodily fluids like amniotic fluid, cerebrospinal fluid, and synovial fluid, to which health-care workers might be exposed.) The virus is not transmitted by fluids like snot, saliva, sweat, tears, and urine — unless blood is present.

Activities that can bring you into contact with HIV-infected bodily fluids include injection drug use and sexual activities like anal, vaginal, or oral sex. It can also be transmitted to a fetus or baby during pregnancy, childbirth, or breastfeeding. In the early days of HIV, many infections occurred as a result of blood transfusions or organ transplants — though nowadays this is a rarity thanks to tissue screening. Lastly, health-care workers might be exposed to HIV through accidents involving needlesticks or cuts. Continue reading

Honoring Life: Arizonans Observe National Native American HIV/AIDS Awareness Day

Tuesday, March 20, 2012, is National Native American HIV/AIDS Awareness Day (NNHAAD). Started in 2007, NNHAAD is focused on promoting HIV education, prevention, and testing among Native Americans, Alaska Natives, and Native Hawaiians. Dr. Yvette Roubideaux, a former professor at the University of Arizona who is now director of Indian Health Service, has called NNHAAD a day to “celebrate our successes and plan how to best continue working in partnership to address HIV and AIDS among Native people.”


On March 16, Arizona State University will observe Native American HIV/AIDS Awareness Day with speakers, information, and free HIV testing.


Although HIV affects every segment of society in the United States, Native Americans and Alaska Natives are disproportionately affected, ranking third, after black and Latina/Latino Americans, in the rate of HIV/AIDS diagnosis. Even as high as it is, the documented rate of diagnosis most likely understates the actual rate of HIV among Native Americans and Alaska Natives. This is due to racial misidentification in collected data and poor data reporting between state and federal agencies and the Indian Health Service (IHS). Further deflating the rate of diagnosis is the concern among people from smaller Native communities about anonymity during testing and confidentiality after diagnosis. Those concerns and the stigma associated with HIV lead to a reluctance to get tested, which delays or precludes diagnosis.

To understand the high rate of HIV, it helps to look at risk factors that uniquely affect Native Americans and Alaska Natives. Dr. Anthony Dekker of the Phoenix Indian Medical Center, interviewed for the newspaper Indian Life, commented that Native American patients “have very high rates of … sexually transmitted diseases … We also know that there is a very high rate of alcohol and [substance abuse] in the American Indian/Alaska Native population. There are many reasons for that, but what happens is that when you take a population that has had high rates of substance abuse and high rates of sexually transmitted diseases, [that population] also has high rates of HIV.” A high rate of substance abuse is associated with a high rate of HIV and other STIs, since impairment can lead to risky sexual behavior, such as poorer negotiation of condom use. Continue reading