Gotham Gazette https://www.gothamgazette.com/component/tags/tag/792 Tue, 16 Jul 2019 00:29:47 +0000 Joomla! - Open Source Content Management en-gb webmaster@gothamgazette.com (Webmaster) The Power to Prevent New Infections is In Our Hands https://www.gothamgazette.com/130-opinion/8436-the-power-to-prevent-new-infections-is-in-our-hands https://www.gothamgazette.com/130-opinion/8436-the-power-to-prevent-new-infections-is-in-our-hands eric adams credit

Brooklyn BP Eric Adams, the author (photo: Erica Sherman/Brooklyn BP's Office)


The world of medicine has advanced significantly in the battle against many chronic diseases, including the discovery of the polio vaccine and reversing the effects of diabetes and heart disease. However, one battle continues to be fought in research labs and on the ground in communities across America and around the world — the fight to end the HIV/AIDS epidemic.

While New York State has been a fearless leader on a national level in the effort to end this disease, Brooklyn remains the epicenter of a persistent health crisis. To tackle this head-on, the State set an ambitious goal of ending the epidemic by 2020. Thanks to the diligent work of advocates, community-based organizations, and health care providers, the target is within reach.

Yet statistics reveal a disturbing trend that must be addressed to complete the mission. Data from the New York City Department of Health and Mental Hygiene (DOHMH) reveals that 2017 HIV diagnoses were down to a record low of 2,157 citywide. Though this progress is encouraging, the rate of reduction is slowing, from an 8.6% decline in new diagnoses in 2016 to 5.4% in 2017. Brooklyn bears a disproportionate burden of the HIV/AIDS epidemic, with more than 30,000 of our neighbors living with HIV.

In 2017, our borough experienced 640 new HIV diagnoses, representing a 10.15% increase in new diagnoses from the previous year — making Brooklyn the only borough with an increase. Most alarmingly, Bedford-Stuyvesant and Crown Heights are the hardest-hit neighborhoods citywide, accounting for a quarter of new diagnoses in our borough.

Today -- Wednesday, April 10 -- we recognize National Youth HIV and AIDS Awareness Day. I continue to be concerned that each year since 2013 Brooklyn has more HIV diagnoses among youth aged 13-29 than any other borough. We owe it to our community’s young people to allow them to live in a world without AIDS.  

We cannot let the promise of an end to HIV miss the mark by neglecting our most susceptible communities that have already been neglected through generational poverty, institutional racism, and unequal access to quality health care. We have tools at our disposal to end this epidemic, particularly by expanding Medicaid Special Needs Health Plans (SNPs), which are designed to address the needs of individuals living with or at higher risk for HIV. These specialized health plans help members access treatment so that the virus becomes suppressed or “undetectable,” meaning they are unable to transmit HIV to others.

The more people we help achieve undetectable status, the closer we are to a society without HIV and AIDS. SNPs also have the expertise to connect HIV-negative individuals with effective prevention methods such as pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) so they can remain negative, saving $1 billion in state Medicaid costs for every 2,000 new infections.

The sectors of the population most at risk for contracting the virus are certainly those who will benefit most from an expansion of this crucial program. The State’s “Blueprint to End the HIV/AIDS Epidemic by 2020” lists include men who have sex with men (MSM), people of transgender experience, women of color, HIV-negative partners in couples in which one person is HIV negative and the other is HIV positive, and people who are intravenous drug users as populations at higher risk for HIV.

To reduce the rate of HIV in Brooklyn and reach the 2020 eradication target, we must reach these vulnerable populations and ensure they receive the culturally competent services needed to remain HIV negative. At present, of the populations identified by the State as being at higher risk, only HIV-negative transgender individuals are currently eligible to enroll in SNPs. To reach the end of this epidemic, this must change. 

Consider the clear scientific evidence that PrEP is more than 90 percent effective in preventing HIV transmission, yet the largest portion of New York State Medicaid recipients taking PrEP – 37% – are white gay and bisexual men despite black and Latino gay and bisexual men being hardest hit by the epidemic. We need to expand SNP eligibility and outreach to communities of color in the hardest-hit parts of our city to connect them to the services they need to get tested, treated, and enrolled.

We have the tools at our disposal to revolutionize the way we combat the HIV/AIDS epidemic. The power to prevent new infections is in our hands.

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Eric L. Adams is the Brooklyn borough president. On Twitter @BPEricAdams.

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The Power to Prevent New Infections is In Our Hands Tue, 09 Apr 2019 04:00:00 +0000
A New York New Year's Resolution: End the AIDS Epidemic https://www.gothamgazette.com/130-opinion/6071-a-new-york-new-years-resolution-end-the-aids-epidemic https://www.gothamgazette.com/130-opinion/6071-a-new-york-new-years-resolution-end-the-aids-epidemic Cuomo AIDS Day

Gov. Cuomo (photo: Kevin P. Coughlin/Office of the Governor)


The year 2016 could go down in history as the pivotal year in New York's fight against HIV/AIDS. Nearly 35 years after The New York Times reported the first cases of what would later be recognized as AIDS, New York State is poised to become the first jurisdiction in the world to end its HIV epidemic, even without a cure, by stopping new infections and ending AIDS deaths.

Thanks to Governor Andrew Cuomo's leadership, New York State has developed a viable plan that, if fully funded and implemented, will end our AIDS epidemic by the year 2020, and can become a blueprint for all 50 states and Puerto Rico. Now, for the plan to succeed, every New York community must match Governor Cuomo's commitment with renewed energy, support, and action.

Governor Cuomo launched New York's Ending the Epidemic initiative in 2014 by announcing a three-point plan to expand HIV testing, treatment, and prevention to decrease new HIV infections from 3,000 a year in 2013 to less than 750 by 2020. He pointed out that we have the tools: Current antiretroviral medications can keep HIV-positive persons healthy and stop ongoing transmission of the virus, and, when taken as prevention, they can protect those at highest risk of HIV infection.

We now must work to remove barriers to treatment and prevention so all New Yorkers can benefit equally from these advances. These obstacles are also linked to social disparities, including lack of access to health insurance and linkage to care for mental health and substance use, secure housing, and employment opportunities, making it challenging for those living with HIV to receive and sustain treatment.

In April 2015, Gov. Cuomo endorsed the Ending the Epidemic Blueprint, consisting of 30 recommendations to achieve the governor's goals as well as seven "getting to zero" recommendations to reach zero new HIV infections, stigma, and AIDS deaths by 2020. I was proud to be a member of the task force of experts from around New York State that created the blueprint.

Just last month, the Governor made history again by pledging to include $200 million in additional state funding in his executive budget to fully implement blueprint recommendations.

Gov. Cuomo's budget commitment could go a long way to support our efforts to end HIV/AIDS here in New York City, allowing for expanded housing, transportation, and other critical services for our most vulnerable New Yorkers with HIV, as well as treatment and prevention strategies targeted to reach and retain those most in need. Amida Care serves people with HIV every day, and with stable housing and affordable care, our community members can live long and full lives.

We also know that better access to new prevention tools—including PrEP (pre-exposure prophylaxis), a daily pill that involves the use of anti-retroviral medication to prevent HIV transmission— has been shown to be over 90 percent effective.

At Amida Care, the largest Medicaid special-needs health plan (SNP) in New York State, we have demonstrated the power of providing holistic, accessible HIV and AIDS treatment and care to underserved and often overlooked communities. Amida Care is one of five Medicaid managed care plans selected to participate in Gov. Cuomo's new $2.5 million pilot program to bring 6,000 HIV positive patients into care and provide support to achieve viral suppression.

Through our specialized model of care, we have already achieved a viral suppression rate approaching 75 percent among our HIV-positive members. Successes like these save lives and produce much-needed long-term health care savings. But we must continue to push further to end the AIDS epidemic.

It is crucial to ensure that Governor Cuomo's new $200 million allocation to end the HIV/AIDS epidemic in New York is fully supported in the final budget passed by the State Assembly and Senate. This wise public investment will improve HIV health outcomes and prevent thousands of new infections, saving both lives and billions of dollars in avoided health care costs.

With the governor's budget commitment, we will have the tools, a blueprint, and the resources needed to end our AIDS epidemic. The rest is up to us.

There is much work to be done in 2016. But together, by following the governor's leadership and continuing to take action, we can achieve an AIDS-free New York by 2020.

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Doug Wirth is the president and CEO of Amida Care, a not-for-profit health plan that specializes in providing comprehensive health coverage and coordinated care to New Yorkers with chronic conditions, including HIV and behavioral health disorders.

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A New York New Year's Resolution: End the AIDS Epidemic Thu, 07 Jan 2016 21:07:32 +0000
The Week That Was in New York Politics, Nov 30-Dec 4 https://www.gothamgazette.com/government/6019-the-week-that-was-in-new-york-politics-nov-30-dec-4 https://www.gothamgazette.com/government/6019-the-week-that-was-in-new-york-politics-nov-30-dec-4 week in review bus readers

photo: Stanley Kubrick via Museum of the City of New York


Gotham Gazette's Week in Review, Friday December 4, 2015

PHOTO OF THE WEEK: Sheldon Silver outside the courthouse, via Zack Fink of NY1

silver via zack fink

TOP FIVE STORIES OF THE WEEK:

1. Sheldon Silver Guilty: On Monday, former state Assembly Speaker Sheldon Silver was found guilty on all seven counts in his federal corruption trial and now faces prison for abusing his position to obtain $4 million in illegal payments. At the center of Silver's trial was the culture of corruption in Albany, sparking a renewed push by good government advocates for ethics reform. [Read: Will Silver Conviction Be Tipping Point for 'Real' Reform?]

2. NY vs. AIDS: At an event on World AIDS Day Dec. 1, Mayor Bill de Blasio and City Council Speaker Melissa Mark-Viverito announced the city will spend $23 million a year on a new plan to fight AIDS. The city has seen a 35 percent decrease in the number of HIV diagnoses in the past decade, though nearly one tenth of people living with HIV in the U.S. reside in the city, prompting the mayor to call for increased efforts to “end the AIDS epidemic here in New York City by 2020.” At the same event, Governor Cuomo said he plans to seek $200 million in new AIDS funding in the state budget.

3. Cuomo and de Blasio’s Dinner Detente: On Tuesday, Cuomo and de Blasio met in midtown for a secret sit-down dinner in an attempt to put aside their differences and potentially resolve their longstanding feud, which intensified last week after a Cuomo spokesperson said de Blasio couldn’t manage the city’s homelessness crisis. Apparently, the meeting "didn't go well," though aides who were with Cuomo and de Blasio at the time said the “conversation was constructive." [Read: Cuomo Increasingly Uses State Power to Undermine De Blasio]

4. Mayor’s Rezoning Plans Face Pushback: Discussions on the mayor's rezoning policies continued this week, with some significant criticism from community and borough boards. On Monday, the Manhattan Borough Board voted against de Blasio’s zoning changes, with conditions they’d like to see used for amendments, and on Tuesday, the Brooklyn Borough Board did the same, with its own set of suggestions. The mayor has acknowledged the pushback, saying it was not unexpected and that tweaks will be made to the plans before they head to the City Council early in 2016. [Read: Mayor & Speaker: Rezoning Plans Will Change Before Council Vote]

5. Cuomo on Gun Control and Hypocrisy: In the wake of Wednesday’s mass shooting in San Bernardino, California, which left at least 14 dead and 17 injured, Gov. Cuomo once again reiterated the need for Congress to take action on federal gun control. Speaking on Rev. Al Sharpton’s radio show, Cuomo pointed out the hypocrisy of Republicans wanting to close the border to Syrian refugees following the attacks in Paris, while repeatedly blocking the Denying Firearms and Explosives to Dangerous Terrorists Act since 2007. On Friday on WNYC radio, Mayor de Blasio announced he would be moving to push New York City’s pension funds to divest from gun manufacturers.

THIS WEEK'S NUMBERS:

$90,700 a year is the estimated legislative pension former state Assembly Speaker Sheldon Silver is entitled to, despite being convicted on federal corruption charges, the Daily News reports.

3,000-plus New York City police officers have been trained so far in so-called active shooter situations, learning how to move through buildings, with just one partner if need be, as part of a new approach, the New York Times reports.

8 school districts are suing New York State over funding inequities, asking that the court declare current school funding levels “so inadequate” they violate students’ rights, Times Union reports.

$90 million in bonds were allotted to the city through the state for funding affordable housing this week, Politico New York reports.

12 communities with limited access to health food have been selected to be part of the new initiative which will build more urban farms, expand school gardens, and establish community-center culinary programs and farmers markets, the Wall Street Journal reports.

2,000 city-owned sedans used by local agencies like the Transportation Department will be replaced with electric vehicles by 2025, in an effort to cut municipal vehicle emissions in half by that time, the de Blasio administration announced Tuesday.

THE GLORY AND THE GOAT:

It was a good week for Westchester County district attorney Janet DiFiore, who was nominated by Governor Cuomo to replace Jonathan Lippman as chief judge of the State Court of Appeals after Lippman retires at the end of this year.

It was a bad week for former state Assembly Speaker Sheldon Silver, who faces decades in prison after being found guilty on all seven counts of federal corruption charges against him.

THE FLASH:

Around this time two years ago, on December 1, 2013, four people were killed and 61 were injured when a Metro-North train derailed in the Bronx after the engineer fell asleep at the controls.

Around this time 60 years ago, on December 1, 1955, commuting became a little easier for straphangers in Queens when the 60th Street Tunnel Connection opened in Queens, which is used today by the R train.

Around this time last year, on December 3, 2014, protests erupted in New York City after a grand jury decided not to indict Police Officer Daniel Pantaleo in the chokehold death of Eric Garner. Protests calling for Pantaleo, who is currently on modified duty, to be fired took place once again this Thursday, though NYPD Commissioner Bill Bratton has said his department is waiting for the federal investigation to be complete before proceeding with any administrative departmental action.

GOTHAM GAZETTE HIGHLIGHTS OF THE WEEK:

City Council Submits Testimony to Pay Commission, by Ben Max

Will Silver Conviction Be Tipping Point for 'Real' Reform? by David Howard King

Cuomo Increasingly Uses State Power to Undermine De Blasio, by David Howard King

Top Ten Corruption Quotes from Silver, Skelos Trials, by David Howard King

City's Rezoning Plans Won't Improve Quality or Affordability, Andrew Berman (opinion)

Ethical Treatment of Our Homeless Neighbors, by  Anne Klaeysen (opinion)

After Silver: Legal Reform is Ethics Reform, by Thomas Stebbins (opinion)

MORE FOR THE WEEKEND:

Mayor de Blasio appeared on the Brian Lehrer Show on WNYC Friday to discuss a variety of issues.

On Inside City Hall, Errol Louis discussed the controversy over Mayor de Blasio’s housing plan with Vicki Been, commissioner of the Department of Housing, Preservation and Development and Carl Weisbrod, chairman of the City Planning Commission.

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NOTE TO READERS: we hope you enjoy this new Gotham Gazette weekly feature - please share it if you do; on Twitter, use our handle @GothamGazette.

If you have feedback on this feature for us, you can email editor Ben Max: bmax@gothamgazette.com

Watch Sunday evening for our latest Week Ahead in New York Politics, which gives you a preview of key issues and events to be aware of for the week about to start. In the meantime, catch up on the latest original reporting from Gotham Gazette here. And have a great weekend!

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by Meg O'Connor and Ben Max

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The Week That Was in New York Politics, Nov 30-Dec 4 Fri, 04 Dec 2015 14:57:28 +0000