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March 2006
NORA Coalition
Discusses the Administration’s Prevention Policies
On Monday, March 13, the National Organizations Responding to
AIDS (NORA) coalition, for which AIDS Action serves as the convener,
held its bi-monthly meeting. The featured speaker was Christopher
Bates, acting director of the Office of HIV/AIDS Policy at the
U.S. Department of Health and Human Services (HHS).
Mr. Bates began his presentation by announcing
that he had a new “boss” at HHS: Dr. John Agwunobi. Dr. Agwunobi
is the new assistant secretary for Health, an agency that oversees
the Office of HIV Policy among others. He came to HHS from the
Florida Department of Health, Mr. Bates noted. He added that Dr.
Agwunobi is very excited to be working on HIV at the federal level
after participating in a state response to HIV that has accomplished
so much. Florida, Mr. Bates explained, is making excellent progress
in decreasing the number of new HIV infections occurring in the
state, particularly among African American women and men who have
sex with men (MSM).
Mr. Bates went on to discuss the President’s
recommended budget for fiscal year (FY) 2007. He said that he’s
“excited” about the new money proposed for the Centers for Disease
Control and Prevention (CDC), $93 million total. He reminded everyone,
however, that the President’s budget is just a proposal and certainly
not finalized in anyway. However, if Congress fulfills this request,
the plan is to direct the funding to the states as well as to
the six cities that are directly funded by the CDC (Chicago, Houston,
Los Angeles, New York, Philadelphia, and San Francisco). It will
be for “mostly testing,” which Mr. Bates identified as a “good
thing.” In addition, some of the money will be used to fund more
programs for substance users and prisoners. Mr. Bates said that
he’s looking forward to focusing much more attention on the HIV
prevention and care work in correctional facilities.
During a question and answer period that followed
Mr. Bates’ remarks, one NORA member asked about the CDC’s recently
proposed guidelines for HIV testing in health care settings (these
guidelines are not final and are currently open for public comment).
The proposed guidelines recommend an opt-out testing procedure,
where individuals would be tested for HIV unless they said they
did not want the test. The NORA member asked whether testers would
be advised to inform people of their right to opt out of the HIV
test. In reply, Mr. Bates said that the CDC is developing curricula
to bring into health care settings to teach providers how to better
handle the opt-out process.
Following the question and answer period, Mr.
Bates urged AIDS service organizations in states and localities
to invite their federal legislators to visit their clinics. He
said that many Members of Congress and their staffs do not have
a “personal connection” to HIV. They are not acquainted with the
effects of the HIV epidemic in their states and/or districts.
In order to remedy this situation, he said, Members and their
staffs need to be exposed to HIV programs being administered by
their constituents, as well as to constituents living with HIV.
In this way, he said, they will be more likely to advocate on
behalf of these programs.
In closing, Mr. Bates announced the first
national HIV conference for North America’s native populations:
“Embracing Our Traditions, Values, and Teachings: Native Peoples
of North America HIV/AIDS Conference.” The conference will be
held May 2 - 6 in Anchorage, Alaska. For more information on the
conference, go to: http://www.embracingourtraditions.org/home.asp?flash=true.
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