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COMMENTARY: Ending HIV Only Happens if Black America Leads

LOS ANGELES SENTINEL — In 2011, Science Magazine’s “Breakthrough of the Year” was the discovery that antiretroviral drugs were a game changer in HIV prevention. The development of treatment as Prevention and Pre-Exposure Prophylaxis (PrEP) ushered in the concept of ending the HIV/AIDS epidemic. By combining effective treatment for people living with HIV with simple and easy biomedical prevention for people at risk of HIV infection we can eliminate HIV transmission and HIV acquisition, thereby breaking the back of the epidemic.

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Raniyah Copeland (Courtesy photo)

By Raniyah Copeland

In 2011, Science Magazine’s “Breakthrough of the Year” was the discovery that antiretroviral drugs were a game changer in HIV prevention. The development of treatment as Prevention and Pre-Exposure Prophylaxis (PrEP) ushered in the concept of ending the HIV/AIDS epidemic. By combining effective treatment for people living with HIV with simple and easy biomedical prevention for people at risk of HIV infection we can eliminate HIV transmission and HIV acquisition, thereby breaking the back of the epidemic.

During the 2018 State of the Union address, Trump announced a goal to end the AIDS epidemic in the United States by 2030. While HIV/AIDS activists and communities most impacted by the HIV epidemic—Black, Latino, LGBTQI, and women of color, have plenty of reasons to confront any announcement from the administration with skepticism setting a goal to end the HIV/AIDS epidemic in eleven (11) years should be celebrated. But like all efforts to accomplish a goal, the success of this one is dependent on the design and execution. As they say, the devil is in the details.

The underpinning of the administration’s plan is the recent surveillance data that shows 50 percent of the US epidemic is in 48 counties, Washington D.C., and San Juan, Puerto Ricco, and seven states that have a substantial rural population living with HIV. And 60 percent of the Black HIV epidemic lies within these jurisdictions. There is no question that focusing on the jurisdictions with the highest HIV burden makes sense. The question is will focusing on geography alone— the where—unlock the mystery of ending the HIV epidemic. Can we end the HIV/AIDS epidemic without also focusing on the other W’s—Who, what, and when.

Who:

43 percent of new HIV cases are among Black people. Black men who have sex with men represent 80 percent of the Black epidemic, and we don’t even have accurate data on the impact for trans people, but it’s estimated that more than half of Black transwomen are living with HIV. Women, particularly women of color represent one of the fastest growing HIV populations in the country. If the plan does not explicitly address the unique needs these populations, it will fail.

What:

HIV is virus. We finally have the biomedical tools to defeat the virus. That is easy and simple. But the American HIV epidemic is anything but easy and simple. Social determinants of health—poverty, homophobia, transphobia, xenophobia, sexism, racism, fear and mistrust— drive our epidemic.

Insufficiently addressing the who and the what of the HIV epidemic has led to the HIV health disparities we see today. Only 46 percent of Black people who know they are living with HIV remain in regular care. Black men have lifetime HIV risk of 1 in 20, and for Black gay men, the risk is 1 out of 2. The lifetime risk for Black women is 1/48, and more than half of trans people living with HIV are Black. People living in the South (where the majority of Black Americans live) are more likely to be diagnosed with HIV over the course of their lifetime than other Americans.

In the haste to get this program off the ground, the input of community organizations who serve the Black community has been overlooked and ignored. While there is a dire need for urgency, if the most impacted communities and individuals are not intentionally centered in the planning and execution of the plan, this opportunity will be squandered.

Among others, Black community leadership, HIV/AIDS activists and advocates, health departments, and other stakeholders must be convened across and within the targeted jurisdictions to develop the plan and assure that the administration understands the implications of this plan. Leaders and stake holders representing those bearing the greatest HIV burden need to mobilize, engage, We are mobilizing and engaging Black leaders communities across the country to build our power to ensure that we not only have a seat at the table, but that it’s OUR table. Our plan includes working with entities that shape the health of Black communities: health departments, federally qualified health centers, and the Centers for AIDS Research. This is an issue of equity and racial justice, and we are going to hold the Trump Administration accountable. We are here to end the epidemic in the only way possible: by recognizing and addressing the structures that drive the epidemic, uniquely and unapologetically.

Copeland is the President and CEO of the Black AIDS Institute (BAI). BAI is the only national HIV/AIDS think tank focused exclusively on Black people. Their mission is to stop the AIDS epidemic in Black communities by engaging and mobilizing Black institutions and individuals in efforts to confront HIV. To stay connected with their work go to www.BlackAIDS.org and follow them on social media.

This article originally appeared in The Los Angeles Sentinel.

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COMMENTARY: The National Protest Must Be Accompanied with Our Votes

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

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Dr. John E. Warren Publisher, San Diego Voice & Viewpoint
Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper. File photo..

By  Dr. John E. Warren, Publisher San Diego Voice & Viewpoint Newspaper

As thousands of Americans march every week in cities across this great nation, it must be remembered that the protest without the vote is of no concern to Donald Trump and his administration.

In every city, there is a personal connection to the U.S. Congress. In too many cases, the member of Congress representing the people of that city and the congressional district in which it sits, is a Republican. It is the Republicans who are giving silent support to the destructive actions of those persons like the U.S. Attorney General, the Director of Homeland Security, and the National Intelligence Director, who are carrying out the revenge campaign of the President rather than upholding the oath of office each of them took “to Defend The Constitution of the United States.”

Just as Trump is gathering election data like having the FBI take all the election data in Georgia from the 2020 election, so must we organize in preparation for the coming primary season to have the right people on ballots in each Republican district, so that we can regain control of the House of Representatives and by doing so, restore the separation of powers and balance that our democracy is being deprived of.

In California, the primary comes in June 2026. The congressional races must be a priority just as much as the local election of people has been so important in keeping ICE from acquiring facilities to build more prisons around the country.

“We the People” are winning this battle, even though it might not look like it. Each of us must get involved now, right where we are.

In this Black History month, it is important to remember that all we have accomplished in this nation has been “in spite of” and not “because of.” Frederick Douglas said, “Power concedes nothing without a struggle.”

Today, the struggle is to maintain our very institutions and history. Our strength in this struggle rests in our “collectiveness.” Our newspapers and journalists are at the greatest risk. We must not personally add to the attack by ignoring those who have been our very foundation, our Black press.

Are you spending your dollars this Black History Month with those who salute and honor contributions by supporting those who tell our stories? Remember that silence is the same as consent and support for the opposition. Where do you stand and where will your dollars go?

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Why Black Parents Should Consider Montessori

BLACKPRESSUSA NEWSWIRE — I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

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By Laura Turner-Essel, PhD

As a mother of four children, I’ve done A LOT of school shopping. I don’t mean the autumn ritual of purchasing school supplies. I mean shopping for schools – pouring over promotional materials, combing through websites, asking friends and community members for referrals to their favorite schools, attending open houses and orientations, comparing curriculums and educational philosophies, meeting teachers and principals, and students who all claim that their school is the best.

But keep in mind – I’m not just a mom of four children. I’m a mom of four Black children, and I’m also a psychologist who is very interested in protecting my little ones from the traumatic experience that school can too often become.

For Black children in the United States, school can sometimes feel more like a prison than an educational institution. Research shows that Black students experience school as more hostile and demoralizing than other students do, that they are disciplined more frequently and more harshly for typical childhood offenses (such as running in the halls or chewing gum in class), that they are often labeled as deviant or viewed as deficient more quickly than other children, that teachers have lower academic expectations of Black students (which, in turn, lowers those students’ expectations of themselves), and that Black parents feel less respected and less engaged by their children’s teachers and school administrators. Perhaps these are some of the underlying reasons that Black students tend to underperform in most schools across the country.

The truth is that schools are more than academic institutions. They are places where children go to gain a sense of who they are, how they relate to others, and where they fit into the world. The best schools are places that answer these questions positively – ‘you are a valuable human being, you are a person who will grow up to contribute great things to your community, and you belong here, with us, exploring the world and learning how to use your gifts.’ Unfortunately, Black children looking for answers to these universal questions of childhood will often hit a brick wall once they walk into the classroom. If the curriculum does not reflect their cultural experiences, the teachers don’t appear to value them, and they spend most of their time being shamed into compliance rather than guided towards their highest potential, well…what can we really expect? How are they supposed to master basic academic skills if their spirits have been crushed?

Here’s the good news. In my years of school shopping, and in the research of Black education specialists such as Jawanza Kunjufu and Amos Wilson, I have found that there are some educational approaches that consistently provide a safer, more enriching, and more affirmative environment for Black children. The Montessori method, developed by Italian physician Maria Montessori and introduced to the U.S. in the early 20th century, is one such approach.

The key feature of Montessori schooling is that children decide (for the most part) what they want to do each day. Led by their own interests and skill levels, children in a Montessori classroom move around freely and work independently or with others on tasks of their own

choosing. The classroom is intentionally stocked with materials tailored to the developmental needs of children, including the need to learn through different senses (sight, touch/texture, movement, etc.). The teacher in a Montessori classroom is less like a boss and more like a caring guide who works with each child individually, demonstrating various activities and then giving them space to try it on their own. The idea is that over time, students learn to master even the toughest tasks and concepts, and they feel an intense sense of pride and accomplishment because they did it by themselves, without pressure or pushing.

I think that this aspect of the Montessori method is good for all kids. Do you remember the feeling of having your creativity or motivation crushed by being told exactly what to do, when to do it, how to do it, and why? The truth is that when presented with a new challenge and then given space, children actually accomplish a lot! They are born with a natural desire to learn. It is that spirit of curiosity, sense of wonder, and excitement to explore that Montessori helps to keep alive in a child. But that’s not the only reason that I think Black parents need to consider Montessori.

Fostering a love of learning is great. But more importantly, I think that Montessori students excel at learning to love. It begins with Montessori’s acknowledgement that all children are precious because childhood is a precious time. In many school systems, Black children are treated like miniature adults (at best) or miniature criminals (at worst), and are subjected to stressful situations that no kids are equipped to handle – expectations to be still and silent for long periods, competitive and high-stakes testing, and punitive classroom discipline. It’s easy to get the sense that rather than being prepared for college or careers, our children are being prepared to fail. Couple this with the aforementioned bias against Black children that seems to run rampant within the U.S. school system, and you end up with children who feel burned out and bitter about school by the time they hit 3rd grade.

In my experience, Montessori does a better job of protecting the space that is childhood – and all the joy of discovery and learning that should come along with that. Without the requirement that students “sit down and shut up,” behavioral issues in Montessori classrooms tend to be non-existent (or at least, the Montessori method doesn’t harp on them; children are gently redirected rather than shamed in front of the class). Montessori students don’t learn for the sake of tests; they demonstrate what they’ve learned by sharing with their teacher or classmates how they solve real-world problems using the skills they’ve gained through reading, math, or science activities. And by allowing children a choice of what to focus on throughout the day, Montessori teachers demonstrate that they honor and trust children’s natural intelligence. The individualized, careful attention they provide indicates to children that they are each seen, heard, and valued for who they are, and who they might become. Now that’s love (and good education).

As a parent, I’ve come to realize that many schools offer high-quality academics. Montessori is no different. Students in Montessori schools gain exposure to advanced concepts and the materials to work with these concepts hands-on. Across the nation, Montessori schools emphasize early literacy development, an especially important indicator of life success for young Black boys and men. Montessori students are provided with the opportunity to be

successful every day, and the chance to develop a sense of competence and self-worth based on completing tasks at their own pace.

But I have also learned that the important questions to ask when school shopping are often not about academics at all. I now ask, ‘Will my children be treated kindly? Will they be listened to? Protected from bias and bullying? Will they feel safe? Will this precious time in their lives be honored as a space for growth, development, awe, and excitement? Will they get to see people like them included in the curriculum? Will they be seen as valuable even if they don’t always ‘measure up’ to other kids on a task? Will they get extra support if they need it? Will the school include me in major decisions? Will the school leaders help to make sure that my children reach their fullest potential? Will the teacher care about my children almost as much as I do?’

Consistently, it’s been the Montessori schools that have answered with a loud, resounding ‘Yes!’ That is why my children ended up in Montessori schools, and I couldn’t be happier with that decision. If you’re a parent like me, shopping for schools with the same questions in mind, I’d urge you to consider Montessori education as a viable option for your precious little ones. Today more than ever, getting it right for our children is priceless.

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LIVE from the NMA Convention Raheem DeVaughn Says The Time Is Now: Let’s End HIV in Our Communities #2

Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity. Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event […]

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Set against the backdrop of the NMA conference, Executive Officers from the National Medical Association, Grammy Award Winning Artist and Advocate Raheem DeVaughn, and Gilead Sciences experts, are holding today an important conversation on HIV prevention and health equity.

Black women continue to be disproportionately impacted by HIV despite advances in prevention options. Today’s event is designed to uplift voices, explore barriers to access, and increase awareness and key updates about PrEP, a proven prevention method that remains underutilized among Black women. This timely gathering will feature voices from across health, media, and advocacy as we break stigma and center equity in HIV prevention.

Additional stats and information to know:

Black women continue to be disproportionately affected by HIV, with Black women representing more than 50% of new HIV diagnoses among women in the U.S. in 2022, despite comprising just 13% of women in the U.S.

Women made up only 8% of PrEP users despite representing 19% of all new HIV diagnoses in 2022.

● Gilead Sciences is increasing awareness and addressing stigma by encouraging regular HIV testing and having judgment-free conversations with your healthcare provider about prevention options, including oral PrEP and long-acting injectable PrEP options.

● PrEP is an HIV prevention medication that has been available since 2012.

● Only 1 in 3 people in the U.S. who could benefit from PrEP were prescribed a form of PrEP in 2022.

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