HIV

Blood Donor Questionaires Indicate Level of Neglect of Prisoner's Health and Safety

Fri, 2011-05-13 16:59

Photo by figleaf (hey, that's me!)
Photo by figleaf (hey, that's me!). Posted under a Creative Commons license.

So the other day I gave blood, as I try to do regularly because even if I'll never end up needing blood or blood products to save my life other people frequently do.

And since I've been donating blood for a very long time I've noticed over time how the screening questions have evolved. Mostly by getting a lot longer and a lot more detailed.

And over time reading through the checklist gets to be a bit like reading the rings on an old tree or looking at stamps on an old steamer trunk or passport. This question about sharing needles reminds us, of course, of the HIV epidemic. That question about living in England or Europe since the 1980s reminds us of Mad Cow disease. Another about immigrating or having lived in Southeast Asia is an obscure clue about residual risk of Hansen's disease (a.k.a. leprosy.)

Other clues remind us of what we've learned over time about previously well-known illnesses and, sometimes, indicates tremendous advances in medical technology over the years. Transplantation of dura matter? We weren't always able to transplant brain tissue. That's kind of cool even if it too brings with it a possible risk to subsequent blood recipients of variant Creutzfeldt-Jakob disease.

And then, sometimes, there are indicators of risk that the deliverers of blood and blood products have to worry about that don't really make it into the rest of society. Even though it's kind of important.

So that's why I wanted to call out a question that showed up relatively recently in the "in the last 12 months have you..." section of the questionaire: have you "Been in juvenile detention, lockup, jail, or prison for more than 72 hours?"

Gee, I wonder why that would be in there?

I really wonder what could happen to someone in less than three days in jail, lockup, or juvenile detention that might put them at risk for donating blood?

With HIV Spreading Like Wildfire Among Women, Brian Fisher's Solution is to "Convert" Gay Men to Heterosexuality

Mon, 2010-12-13 13:01

Amanda Hess of TBD says

GUY IN A TURTLENECK thinks he has solved the AIDS epidemic through sheer homophobia, which has been working so well so far: "here's a way we can save the taxpayers a quick $26 billion. Since we know the cause of AIDS and the way to slow down the epidemic, if we spend any taxpayer funds at all it ought to be on education: don't start engaging in homosexual behavior, and if you have started, stop." —Bryan Fischer of the American Family Association, who has previously submitted commentary on the dangerous feminization of the Medal of Honor and Hitler's army of gay soldiers.

Source: Amanda Hess of TDB

Hmmm.  Since at least 1995 HIV/AIDS has been spreading to women faster than any other demographic, and check this out

HIV is spreading fastest among women. Of the estimated 39.5 million people living with HIV, 48 percent are women – nearly 19 million people – and half of all new infections occur among women.

Young women age 14 to 24 in parts of Africa and the Caribbean are up to six times more likely to be HIV-positive than young men their age.2

Source: Women Deliver

So yeah, definitely, the best way to deal with HIV/AIDs would be to... get more gay men to switch to (condom-free, naturally!) sex with women.

Real Pandemics: According to About 1,120 Pages on Google...

Sat, 2009-05-02 18:33

The seems to be pretty contagious. I’m doing my part to help make it a pandemic.

90 people get the swine flu and everybody wants to wear a mask. A million people have AIDS and no one wants to wear a condom.

Source: All over Google.

In case anyone wants to quibble, yes, the number of flu victims is larger than 90 and growing another quibble would be that more than a million people have AIDS, and that’s number’s still growing too.

Making Vice Out of Necessity: 20th Century Assumptions In a 21st Century World

Sat, 2009-04-25 09:33

Diva of Debauched Domestic Diva notes a current law that one suspects has slightly, um, gendered origins

Did you know that in New York you can be stopped by the police on the street and if you have condoms on you they can be used as evidence that you were soliciting sex for money? Neither did I but I learned about it last night. SWP is working to try to get that law changed and that is what they are about. When Andrea Ritchie spoke last night and said this I thought to myself about the condoms I had in my pocketbook. I like to practice safe sex. I’m a huge advocate about sex safe just as I think all of us should be but I also should not be at risk for something just for the simple fact I carry condoms.

She said it here.

It’s hard to imagine this law ever being invoked against men, given that as far back as World War II U.S. soldiers were routinely provided with condoms, and given that for much of the time since it’s been practically cliché for men to keep a condom in their wallets “just in case” (a bad idea by the way.) And I don’t know how old the law is (I’m assuming Giuliani-era or earlier) but one has to assume they didn’t imagine that women who aren’t sex workers might be brazen enough to have “just in case” considerations of their own.

And to be fair that’s not too big a stretch. If the law dated back to, say, the 1970s before either health concerns about the Pill or HIV became well-known (and when the line in sex-education circles was “condoms are better than nothing… but only barely) it might have been the case that only women sex-workers would routinely carry condoms. Who knows?

But jimminy crickets, if the law is still on the books that’s a bug not a feature.

No to Hagel or Lugar as Secretary of State

Thu, 2008-11-06 18:52

Jane Hamsher of firedoglake, reposting posting at RHRealityCheck.org says

There are rumors that Richard Lugar and Chuck Hagel are seriously being considered for the Secretary of State gig, and Sam Stein reports that Lugar has the inside track (although Lugar has said he’s not interested).
One of the biggest challenges the new Secretary of State will face is dealing with whatever replaces the Kyoto agreement.  Hagel has a 9% 2008 rating from the League of Conservation Voters.  Lugar scores 18%.  (PDF) Are they really the best people for the job?

Further, the Bush Administration has been murderous in its policies regarding women’s health, choice and reproductive rights around the world.  Lugar and Hagel are both rabidly anti-choice.  

Women turned out big in this election — unmarried women in particular voted 70-29 for Obama.  I don’t imagine Dick Lugar, Chuck Hagel and Larry Summers were exactly what they had in mind when they turned up at the voting booth.

Susan Rice and John Kerry are also in the mix, and the decision has evidently not yet been made.  If we really are intent on cleaning up our image around the world, please let’s send someone who represents our best and brightest in such a critical post.  Let’s not have some Republican relic who sends the wrong message about women’s rights.

I found it here.

Look, I completely get why after a transformational election it really is important to find places for able, relatively sympathetic opposition members left behind as their party burned it’s way out towards the margins. I really get that in a don’t-just-pay-lip-service way.

But seriously, this is an area where simple respect personal integrity that let genuine conservatives like Lugar or Hagel make it unseemly to ask them to compromise those principles on the job… and therefore make them unsuitable for those jobs.

Or to put more schematically, based their stated personal values they’ve supported policies against family planning and HIV/AIDS prevention that have directly led to the deaths of millions or tens of millions of women, men, children, and infants.

- If they have supported such policies then out of personal integrity they would be unable to execute the Progressive policies their President was elected to serve and of the branch of Congress that will vote to confirm them. Therefore they’d be inappropriate choices for the position.

- If instead they’d waive their reservations and agree to carry out those policies they have no integrity. (Nor would we if we overlooked millions or tens of millions of dead thanks to their insincerity.) Therefore they’d be inappropriate choices for the position.

QED.

Update: Even with Presidential Chief of Staff Rahm Emanuel, an ardently pro-choice and highly effective, um, disciplinarian manager riding herd on them.

Body alteration recovery periods

Mon, 2007-07-30 09:54

Follow-up on yesterday’s post about circumcision and HIV: the studies that seemed to demonstrate that at least for African men who were circumcised for the study the rate at which they contracted HIV went down and the rate at which they passed it to their partners appeared to go down even further.

Yesterday I mentioned Kelly Cogswell of A dyke abroad’s bitter point that “Forgotten also are all the circumcised men in the States that dropped dead before ARV’s came on the scene. A foreskin more or less didn’t help them. Or don’t faggots count when you’re counting heads?” And in comments to that post A of A traveling spouse, who’s no slouch when it comes to research, said she couldn’t find an explanation for why American gay men clearly weren’t protected by circumcision.

Quick digression: years before I started writing about sex I participated in the old Usenet pregnancy and parenting forums. While there were lots of things to talk about there were two that, no matter what just. Wouldn’t. Go. Away: breast vs. bottle and circumcision vs no circumcision. My conclusion after listening to way too much of that debate was that we’d leave it up to our (then newborn) son to decide, with the bonus observation that at least in our neighborhood back then tattoo and piercing parlors were opening faster than coffee shops and that I was sure that by the time he was of age piercers would be offering not just plain but fancy circumcisions.

Anyway, thinking about that got me thinking about body piercing in general, and that reminded me of a couple of bloggers who talked about the recovery period for their cock piercings and ampallings (I think I spelled that right.) Anyway the short answer was that recovery for piercings takes months. And months.

Months during which I’m guessing that even with a condom to keep everything from pulling and tugging you’re not going to want to be doing anything where friction’s going to be involved. Like, say, sex.

And so my next questions about the study (and don’t get me wrong, I’m pretty sure the researchers would taken these things into account) are:

- Just how long does it take for an adult man to recover from a circumcision anyway? Enough to be interested in sex again, for instance. Especially in the kind of dry, high-abrasion style intercourse allegedly (and I mean that, allegedly) too-often favored by tradition in sub-Saharan Africa. For instance.

- How long were the studies that led to the circumcision recommendations? (Remember that at least one such study was cut short because the success rate for circumcised men was so high.)

Anyway, the point being that the men in the study were all freshly circumcised as part of the program, and you’d want to make sure the results weren’t skewed by, say, reluctant celibacy while the wounds and/or secondary infections related to the wound heal. If, and I’m only saying if, that was a factor, and I’m not saying it was, then the long-term benefits might not be so high and, especially, it would account for the perceived lack of protection for men (American gay men, North African straight men) who are traditionally circumcised in infancy.

The old punchline has it that we know almost all circumcised infants are unable to walk for up to a year after the procedure. But how long for an adult?

Circumcision, tonsils, and HIV

Sat, 2007-07-28 14:08

So I was just reading a nifty article in ScienceDaily that says the surface of people’s tonsils, with their high levels of immune cells, may facilitate oral HIV/AIDS infection.

Last winter there was a big brouhaha over a finding that male circumcision substantially reduces HIV transmission. Which is great for those who are too stupid, irresponsible, uneducatable, or prohibited by social or moral “reasons” to use condoms, but otherwise highly inferior compared to, well, using condoms.

And putting two and two together I was wondering if we’d start to hear calls for pre-emptive tonsillectomies from the (largely judeo/christian/islamic, homophobic, and/or doesn’t reduce my enjoyment so go for it) groups that were endorsing compulsory circumcision earlier this year. (Note: many of the sources cited point to, but don’t necessarily support, the represented positions.)

But since it’s been a while I needed to go find a link. And while I was Googling around I ran across a remarkable new post from Kelly Jean Cogswell of A dyke abroad (It also appeared as an editorial in Gay City News)

Cut It Off – And Stop AIDS
By: KELLY JEAN COGSWELL
07/26/2007

Women are dying of AIDS while some researcher bends over his penis, smiles at it fondly, and imagines what little alteration would make it an all-purpose tool safe to use again.

He’s not the only one with his dick in his hand. Each new report on male circumcision pumps up the protection believed to be provided by that little snip, snip so that pretty soon I expect to see the numbers not only show the procedure will stop HIV dead, but also reduce global warming, and maybe slow the Iraq war, too.

...

In the real world of South Africa, there’s very little difference in HIV rates between communities that snip, and those that don’t. In Northern Zambia, the difference only lasts until the young men move to the big city with its bright lights and Manolo Blahniks, metaphorically speaking.

Forgotten also are all the circumcised men in the States that dropped dead before ARV’s came on the scene. A foreskin more or less didn’t help them. Or don’t faggots count when you’re counting heads?

...

Women aren’t factored in at all except as a vector of disease. While millions of dollars are already pouring into circumcision programs even if only men have foreskins to whack off, women are struggling for equivalent funds for female condoms and microbicides – never mind programs with as vague a goal as girl power, the real key to HIV prevention.

It’s young women getting AIDS these days. UNAIDS says we already make up 60 percent of the 15 to 24-year-olds living with HIV/AIDS.

In sub-Saharan Africa girls of that age are three times more likely to be positive than their male peers. In the Caribbean it’s 2.5 times. Why? Because in most places we still don’t own our own bodies. Men think we’re dirt and they treat us that way.

...

It’s time for AIDS activists and researchers to shift their attention away from the penis and see the connection between hate and HIV and dead women. Only power will save us, not cuts, not even condoms unless we can make men wear them.

And if somebody still insists on tinkering around with men’s dicks to stop spreading HIV, maybe they should do a more comprehensive procedure, call it the Bobbitt and cut the whole thing off.

Read these excerpts in context here.

At last! Someone who can’t possibly be accused of mere anti-circumcisionism who’s nevertheless unimpressed by the yet-another-latest-and-greatest-bestest reason why we always have and always will need to circumcise men…

...but not, evidently, tonsillectomise them.

Whatever. Again, I’m not particularly fanatic about circumcision one way or another (for instance Circumcision may not impact sexual sensation, also from ScienceDaily, sounds perfectly plausible.)

It’s just that if it were any other body part but the foreskin, for far less than half the benefit of condom use, the conversation just wouldn’t be happening. Or certainly not happening under the same terms.

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