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Non-Medical HIV Worker Flunk Test on Knowledge of Virus

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Phill Wilson (Courtesy Photo)

Phill Wilson (Courtesy Photo)

By Freddie Allen
NNPA Senior Washington Correspondent

WASHINGTON (NNPA) – Most non-medical HIV health care workers earned a “D” when surveyed on the science and treatment of the virus, according to a new report released this week by the Black AIDS Institute.

While 70 percent of the HIV workers scored below 70 percent or the equivalent of an academic “D” grade, just 4 percent earned an “A,” the report said that “The average score on treatment-related questions was 56%, or an ‘F.’”

The Black AIDS Institute (BAI), a national HIV/AIDS think tank focused solely on Black people, surveyed more than 3,600 non-medical health care workers from AIDS service organizations, community-based groups and state and local health departments, “making it the largest ever knowledge assessment of the HIV/AIDS workforce and the first time that anyone looked at the level of science and treatment knowledge in the workforce,” said Phill Wilson, the president and CEO of the Institute.

More than 70 percent of the workers polled said that their organization offered prevention services, 62 percent provided treatment and prevention education, while nearly 50 percent offered treatment and care.

“Black-serving organizations represented the majority (56%) of organizations represented in the survey, with nearly one in three organizations serving people living with HIV (35%) and men who have sex with men (32%),” stated the report. “Seventy-five percent of participants were employees, 12% were consultants, and 13% were volunteers.”

Respondents from Ohio, Pennsylvania and Missouri recorded the highest average scores and North Carolina, Georgia and Florida recorded the lowest scores.

“HIV has evolved over time and today some of the main tools that we use to fight HIV are biomedical tools,” said Wilson. “In order to use those tools you have to have a competency in science and treatment.”

Although better tools exist today, health care professionals who work in the HIV/AIDS field worry that they may not have the labor force skilled enough to properly use those tools.

With a new infection rate that is eight times the new infection rate for Whites, Blacks account for 44 percent of all new infections in adolescents and adults, according to the Centers for Disease Control and Prevention (CDC). Hispanics account for 21 percent of new infections.

Despite increased exposure to the effects of the AIDS epidemic, Black and Hispanic HIV health care workers tested lower than their White peers on the survey.

“This is true even after controlling for education, region of residence, time working in the AIDS field, or any other variable taken into account in the survey,” stated the report.

Wilson said that despite the disproportionate rate of HIV infections among Blacks and Latinos, HIV/AIDS awareness has historically been lower and the stigma associated with the disease has been higher in both communities.

“African Americans and Hispanic respondents may be entering the HIV field with a lower knowledge base concerning HIV/AIDS which increases the need for having training when bringing new staff on board,” said Wilson.

Wilson continued: “We do know that there are elevated levels of stigma in the Black and Latino communities around HIV. People who are entering the field who are Black and Latino are coming into the field with some of that baggage and that may influence their knowledge.”

The stigma is connected to knowledge, Wilson added, and when you increase knowledge you can reduce the stigma.

“If the non-medical healthcare providers and the outreach workers don’t have a high enough level of literacy, they are not equipped to fight the conspiracy theories that are pervasive in our community,” said Wilson. “The more knowledge they have the better equipped they are to address those issues that are in our community.”

Wilson said as more and more people get treatment and have a positive response to the treatment, the stigma will go down.

“This is not the AIDS epidemic of 1986, or 1996 or even 2000,” said Wilson. “Too many people, particularly in our community, still have memories of the old ways that you got tested where there was blood drawn and you had to wait a week or 10 days. Today, you can get an HIV test for free, there’s not necessarily any blood, it can be an oral swab or a finger prick, you can get the results back in a minute; you can even get the results in the comfort of your own home.”

The use of biomedical prevention tools has also emerged.

“In 2011, the HIV prevention enterprise dramatically changed with the release of results from the HPTN 052 trial, which found that antiretroviral therapy reduced the risk of sexual HIV transmission by 96 percent,” the report explained. “The implications of this landmark study were immediately apparent. The very drugs that have transformed HIV infection from an automatic death sentence to one that is often chronic and manageable also have the potential to stop the epidemic in its tracks.”

Wilson said that the most exciting recent developments in the field are the new scientific biomedical prevention tools.

“We now have the ability to potentially reduce HIV transmission by 96 percent,” said Wilson. “What that requires is for us to help people living with HIV to get linked, to care to stay in care and to reach viral suppression.”

Wilson noted that the survey is not an overall evaluation of the knowledge of the workforce, just an analysis of the science and treatment knowledge of the workforce.

“Treatment as prevention is new,” said Wilson. “[Pre-exposure prophalaxis] is new. A lot of these biomedical interventions have only come onboard over the last few years.We’re not saying that [HIV health care workers] have low knowledge about everything, they just have a low knowledge in this particular area.”

Wilson said that it’s important that non-medical health care workers receive training on the current HIV science and treatment tools, because Black people are disproportionately impacted by HIV and that Blacks are also the ones who are going to be disproportionately getting their HIV health care from clinicians who are not HIV specialists.

As more people gain access to health care under the Affordable Care Act, including people who are infected with HIV and those suffering from AIDS-related diseases, health care professionals have to evolve to meet the growing needs of the new consumers.

“We are calling for a national push for increased science and treatment knowledge in the HIV workforce,” said Wilson. “Because that is what it’s going to take to end the AIDS epidemic.”

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Activism

Rep. Kamlager-Dove Introduces Bill to Protect Women in Custody After Reports Detailing Miscarriages and Neglect

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

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By Bo Tefu, California Black Media

Congresswoman Sydney Kamlager-Dove (D-CA-37) on May 7, reintroduced updated legislation aimed at strengthening protections and healthcare standards for pregnant and postpartum women held in federal custody, including in immigration detention facilities.

The Pregnant Women in Custody Act would expand safeguards beyond the federal prison system to include women detained by U.S. Immigration and Customs Enforcement, U.S. Customs and Border Protection and the Office of Refugee Resettlement. The proposal follows reports of pregnant women being shackled, denied medical care and suffering miscarriages while in immigration detention.

The legislation builds on a bipartisan version previously passed by the House during the 117th Congress. The updated bill includes new standards for healthcare access, mental health and substance use treatment, high-risk pregnancy care, family unity protections and increased federal oversight.

“Proper pregnancy care is a human right, regardless of your immigration or incarceration status,” Kamlager-Dove said in a statement. “It’s unacceptable that there are virtually no legal safeguards for pregnant women in federal custody.”

The bill would also limit the use of restraints and restrictive housing for pregnant women, improve data collection on maternal health in custody and require additional staff training and enforcement measures.

Supporters of the measure said the legislation is intended to address long-standing concerns about maternal healthcare and safety in detention settings, particularly for Black women and low-income women who are disproportionately impacted by incarceration and health disparities.

“Pregnant women in custody should never be subjected to dangerous and inhumane treatment that threatens their health, dignity, or the well-being of their babies,” said Patrice Willoughby, chief of policy and legislative affairs for the NAACP and a longtime public policy and government affairs strategist, in a statement.

A 2021 report estimated there are about 58,000 admissions of pregnant women into U.S. jails and prisons each year. Kamlager’s statement also cited a recent investigation by NBC News and Bloomberg Law that identified allegations of severe mistreatment or medical neglect involving at least 54 pregnant women or families in county jails between 2017 and 2024.

Federal policy under the Department of Homeland Security restricts the detention of pregnant, postpartum and nursing immigrants except in extreme cases. However, the agency reported that ICE deported 363 pregnant, postpartum or nursing women between January 2025 and February 2026, including 16 recorded miscarriages during that period.

The bill is cosponsored by several House Democrats and backed by organizations including the NAACP and the Vera Institute of Justice.

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Bay Area

How Is AI Affecting California? The State Wants You to Share Your Story

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

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By Bo Tefu, California Black Media  

Gov. Gavin Newsom announced May 7 that California is expanding its Engaged California digital democracy initiative statewide, inviting residents to help shape future state policies on artificial intelligence (AI) and its impact on jobs and the economy.

The program marks the first time the state has opened the platform to all Californians. State officials said the effort is designed to give residents a direct role in discussions about how AI should be regulated and used as the technology rapidly expands across industries.

“We’ve got to be clear-eyed about this moment: AI is moving fast, bringing enormous opportunity, but also real risks,” Newsom said in a statement. “Californians deserve a seat at the table as we shape what’s to come.”

The initiative will roll out in two phases. Beginning immediately, Californians can sign up online to share how AI is affecting their work and communities and provide ideas for possible government action. Later this summer, a smaller group reflecting the state’s workforce demographics will participate in live discussions focused on developing policy recommendations.

State officials said the goal is to identify areas of agreement among Californians and provide policymakers with public feedback as the state develops future AI regulations and workforce strategies.

Engaged California is modeled after digital democracy programs used in Taiwan and is intended to encourage structured public discussion rather than social media-style debate. Officials described the effort as a form of “deliberative democracy” aimed at helping residents engage directly in state decision-making.

“The more Californians are engaged in the democratic process, the better able we’ll be to confront the challenges we face together,” said Nick Maduros, California Secretary of Government Operations, in a statement.

The statewide launch builds on two earlier pilot programs. One pilot gathered public input following the Los Angeles firestorms to help guide recovery efforts, while another collected ideas from state employees about improving government operations.

California has positioned itself as a national leader in AI policy and development. Since 2023, the Newsom administration has introduced initiatives focused on responsible AI use in government, cybersecurity protections, workforce training and regulations targeting risks such as deepfakes and AI-generated robocalls.

The state has also partnered with companies in Silicon Valley — including NVIDIA, Google, Adobe, IBM and Microsoft — to expand AI education and workforce training programs across California schools and universities.

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Activism

California Launches Free Diaper Program for Newborns Statewide

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

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By Bo Tefu, California Black Media

Gov. Gavin Newsom announced Friday that California will launch a first-in-the-nation program providing free diapers to families with newborns, part of a broader effort to lower costs for parents and improve infant health outcomes.

The initiative, called Golden State Start, will provide 400 free diapers to every newborn delivered at participating California hospitals beginning this summer. The state is partnering with Baby2Baby, a California-based nonprofit that distributes essential items to children in need nationwide.

State officials said hospitals participating in the program will give families the diapers when they are discharged after birth, helping parents leave with an immediate supply of newborn essentials.

“Every baby born in California deserves a healthy start in life,” Newsom said in a statement. He said the program is part of California’s broader affordability efforts, which also include free school meals, universal preschool for four-year-olds and expanded after-school programs.

The announcement comes ahead of Mother’s Day and is tied to the administration’s broader CalRx initiative, which aims to reduce costs for essential products and medications. State officials said California is also exploring ways to lower diaper prices by challenging high costs from major brands.

The first year of the program will prioritize hospitals serving large numbers of Medi-Cal patients, with plans to expand to additional hospitals and birthing centers over time. Officials said the effort is intended to reduce financial pressure on low-income families and improve infant and maternal health by ensuring parents have access to clean diapers.

“California families deserve to feel supported during one of life’s more exciting, yet vulnerable transitions,” First Partner Jennifer Siebel Newsom said in a statement. She said the program would allow parents to focus on caring for their newborns instead of worrying about basic supplies.

According to Baby2Baby, one in two families in the United States struggles to afford diapers. The organization has distributed more than half a billion items to children over the past 15 years through partnerships with shelters, hospitals, foster care programs and schools.

State officials said Baby2Baby will oversee diaper purchasing, warehousing and distribution through its existing hospital and community partnerships across California.

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