Box Turtle Bulletin

Australian Expert’s Astonishing Claims About Gay Blood Donors

When Michael Cain was denied the ability to donate blood to Australia’s supply because he had been in a same-sex relationship, he decided to sue. He is claiming that standards should rely upon whether the person engages in unsafe sex practices rather than on their orientation.

Arguing in opposition was Doctor Brenton Wiley

Doctor Brenton Wiley told Hobart’s anti-discrimination tribunal today that the incidence of HIV infection among gay men is more than 1,000 times higher than regular donors.

Well, it would seem that Dr. Wiley is either very poorly informed about the subject for which he is an expert witness or he cannot do simple math.

According to Avert, there were about 15,670 people living with HIV in Australia at the end of 2006, or about 0.078% of the population. If HIV infection were 1,000 higher it would mean that 79% of gay men in Australia have HIV.

Really, Dr. Wiley?

Well we also know that as of 2006 there were roughly 10,650 gay men living with HIV. If Dr. Wiley’s claims were true, Australia would have a total gay male population of 13,500.

Anyone who has seen the hundreds of thousands of revelers at Sydney’s Gay Pride parade alone would have to scoff at Dr. Wiley’s magical math.

The case is before Tasmanian Anti-Discrimination Tribunal and UKgaynews reports

only 95 men who have sex with men in Tasmania have HIV, an estimated 0.5% of that group.

Insure.com Pulls Cameron Quotes

In June we noticed that Insure.com, an online insurance broker, was making false and defamatory statements about gay men in two of his articles. Specifically, the articles – which were written by Insure.com staff – relied on a non-representative AIDS study from the early 90’s and fraudulent “researcher” Paul Cameron to claim “the life expectancy of gay males to be at least 20 years below average”.

We brought this to the attention of Bob Bland, Insure.com’s CEO, and provided careful documentation and resources to show that he and his site were relying on Paul Cameron’s fraudulent “research” and on deliberately misstated conclusions from an HIV study at the height of the AIDS crisis. Bland promised to look into the situation.

After several inquiries and after the statements stayed up on Insure.com for another six weeks, we deduced that Bland had no intention of verifying our information or of removing the denigrating lies. So we brought the site and its claims to your attention.

In response, Bob Bland angrily accused us of wanting to “bash” him and his business. He also tried to equate orientation with HIV status and stood by Cameron’s dishonesty and his site’s defamatory falsehoods stating that he had “no intention of ‘taking (it) down’ because it contains no factual errors and no editorial bias or slant whatsoever.” For which we awarded him and his company the Certified Cameronite Award.

Now it appears that Bland has become better informed.

Gone is the article claiming that gay men die 20 years younger than their counterparts and in it’s place is one that purports to address The life insurance outlook for HIV-positive gay men.

In short, the life insurance outlook for HIV-positive gay men is identical to that of all HIV-positive persons, whatever their gender or orientation. Persons diagnosed with HIV are categorically turned down when wishing to purchase life insurance. While there is clear indication that HIV infected persons are living longer and that this may not be the death sentence that it once was, insurance companies treat HIV infection like heart disease, breast cancer, and other life threatening diseases: with denial.

But as for sexual orientation, this is not a question asked by insurance companies. Which clearly irks the author of Insure.com’s latest piece.

Life insurance pricing is all about assessing “risk,” but so far no life insurance company has taken the leap to collecting information on MSM and judging them to be engaging in “risky behavior.” Information on individual MSM behavior wouldn’t be verifiable, anyway.

Amusingly, Bland and his insurance site are only able to think of gay persons in terms of sex. His article is all about “behavior”, never acknowledging that gay people are defined by their attractions, not by what they do in bed.

And Insure.com isn’t content with providing information about life insurance coverage but feels it necessary to try and equate homosexuality and HIV infection.

The Centers for Disease Control (CDC) states in a June 2007 report, “HIV/AIDS Among Men Who Have Sex with Men,” that men who have sex with men (MSM) accounted for 71 percent of adult and adolescent males diagnosed with HIV/AIDS in 2005, thus rendering them ineligible for life insurance coverage at any price. Five to 7 percent of adult and adolescent men identify themselves as MSM, according to the report, so obviously MSM have a much higher risk of contracting the disease — they are anywhere from 32.5 to 46.5 times more likely than other men to be diagnosed. But insurance companies check for the disease, not the behavior.

Missing from that rant is the fact that while HIV is far more prevalent on a pro-rata basis within the gay community, about 88% of gay men and virtually all gay women are HIV-negative.

It’s very evident that Insure.com and its CEO Bob Bland remain dedicatedly anti-gay. And I continue to strongly encourage those persons who are gay and those who have a gay family member or coworker or neighbor or friend to avoid giving their business to an enterprise composed of those who so clearly wish ill of gay men.

But I cannot insist that Bob Bland favor equality and I cannot insist that Insure.com say only favorable things about their gay neighbors. Decency is a way of life that we each choose to adopt or reject. And those who seek to make smearing insinuations do so under a freedom that I cherish.

However, I am also grateful that Insure.com has ceased making statements that are flat-out lies and commend Bland on the removal of Cameron’s bogus “statistics” from his site.

See also:
Aug 15: Insure.com Pulls Cameron Quotes
Jul 17: Certified Cameronite: Insure.com
Jul 14: Insure.com CEO Defends Paul Cameron
Jul 11: Insure.com’s CEO Bob Bland Responds
Jul 11: Insure.com’s Anti-Gay Propaganda

CDC and Journal of the American Medical Association Confirms New HIV Estimates

The big news this morning is that the CDC has confirmed its latest estimates of HIV incidence in the United States. Regular longtime readers at Box Turtle Bulletin may remember that these new figures were first discussed last November, with a follow-up in March.

At the time, the CDC were emphatic that the higher number of HIV cases reported “do not represent an increase in the epidemic.” Instead, the higher numbers were due to an improved surveillance system and blood tests. The CDC also said they were awaiting a professional peer review in a major medical journal.

The Journal of the American Medical Association yesterday released the results of that peer review and validated the new estimate. Among the Journal’s findings:

An estimated 39,400 persons were diagnosed with HIV in 2006 in the 22 states. Of 6864 diagnostic specimens tested using the BED assay, 2133 (31%) were classified as recent infections. Based on extrapolations from these data, the estimated number of new infections for the United States in 2006 was 56,300 (95% confidence interval [CI], 48,200-64,500); the estimated incidence rate was 22.8 per 100,000 population (95% CI, 19.5-26.1). Forty-five percent of infections were among black individuals and 53% among men who have sex with men. The back-calculation (n = 1.230 million HIV/AIDS cases reported by the end of 2006) yielded an estimate of 55,400 (95% CI, 50 000-60 800) new infections per year for 2003-2006 and indicated that HIV incidence increased in the mid-1990s, then slightly declined after 1999 and has been stable thereafter.

The CDC emphasizes again:

It should be noted that the new incidence estimate does not represent an actual increase in the numbers of HIV infections. Rather, a separate CDC historical trend analysis published as part of this study suggests that the annual number of new infections was never as low as 40,000 and that it has been roughly stable since the late 1990s (with estimates ranging between 55,000 and 58,500 during the three most recent time periods analyzed).

This is important to remember. This is not a sudden increase in HIV infections, but it does mean that the problem was considerably larger than previously understood. HIV Infection is the precursor to AIDS itself, with the infection often occurring 6-12 years before the onset of AIDS. AID diagnoses have actually been falling slightly throughout the past decade, which is consistent with the CDC’s finding that HIV infections have been relatively steady since 1999.

HIV/AIDS in the Gay Community

Anti-gays often seek to portray all gay persons as diseased. There is a presumption that HIV/AIDS is an automatic consequence of “homosexual behavior” and that all gay persons (gay men in particular) are contagious and dangerous.

Just this week, PFOX’s Regina Griggs made the outlandish claim that 70% of all gay youth aged 13 to 24 are now HIV-positive. And last month we spent considerable time trying to educate Insure.com’s Robert Bland that HIV has not reduced the average age at death of gay men by 20 years.

But in the process of responding to Bland’s homophobic claim, I found that there did not appear to be an easily accessed answer as to just how many gay people are infected with the Human Immunodeficiency Virus. So I set out to make some calculations of my own.

It is very difficult to say with certainty exactly what percentage of gay persons are living with HIV/AIDS for a number of reasons:

• Difficulty in estimating the gay population
• Difficulty in estimating the total number of persons infected with HIV
• Difficulty in estimating those infected with HIV that are gay or bisexual

However, I’ve taken the best source information I could find and made some assumptions. Wherever possible I’ve erred on the side of caution and my estimations propably understate the total number of gay persons and overstate the extent to which gay persons are infected.

Here is what I’ve found:

• There are at least 5.3 million gay and bisexual men and 5.5 million gay and bisexual women over the age of 15 living in the United States today, for a cumulative GLB Community of at least 10.8 million people.
• Around 12.3% of gay and bisexual men – 6.0% of the Gay Community – are living with HIV/AIDS.

For detail about by assumptions and the sources for my calculations, see our new page:

The Prevalence of HIV in the Gay Community

Another Jesse Helms Legacy Begins To Fall

President George Bush today signed the sweeping President’s Emergency Plan for AIDS Relief (PEPFAR) into law. This bill vastly expands U.S. aid to combat HIV/AIDS overseas. It also carries a repeal of the so-called Helms Amendment from 1993, which barred foreign travelers and immigrants with HIV from entering the country.

While the travel ban is now removed from law, it is still in place as a matter of public policy. In 1987, the Department of Health and Human Services used its existing legal authority to add HIV to a list of communicable diseases that disqualifies HIV-positive visitors from entering the country. While the HHS is no longer required by law to keep the ban in place, it is authorized to designate any communicable disease as a reason to refuse admittance.

So far, neither the Administration nor HHS are commenting on whether administrative policies will change now that the ban is lifted. According to The Washington Blade:

Some Capitol Hill insiders have speculated that the Bush administration might decide to leave the HHS policy in place, preferring to let the next president decide whether to repeal it. That would leave the ban in place until at least late January.

A spokesperson for Sen. Barack Obama (D-Ill.), the presumptive Democratic presidential nominee, said Obama opposes the ban and would take action to end it if he’s elected president.

A spokesperson for the campaign of Sen. John McCain (R-Ariz.), the presumptive Republican presidential nominee, did not return a call seeking McCain’s position on the issue.

PFOX’s Griggs Goes Off the Deep End

PFOX (Parents and Friends of Ex-Gays and Gays) claims to be a support group of parents and others that support and work for the interests of their ex-gay children and friends. However, a closer look at their activism reveals that they are comprised mostly of a handful of ex-gays, a few parents that wish their children were not gay, and some others who just want to “fight the homosexual agenda”.

And while there may be a place for an organization that fights for civil inclusion for those who identify as ex-gay, this group does not fulfill that function.

Ex-gays face discrimination and hostility in society – most of it based on perceptions and stereotypes. It is not unknown for ex-gay men to appear less masculine or ex-gay women to appear more so than social norms may expect. And while they may have religious objections to homosexuality, many of the employment, housing, and other protections that gay people seek would also benefit those ex-gays who may appear to be gender atypical. So any organization seeking to better the lives of ex-gays could find common cause with the LGBT community on a number of issues.

But PFOX has no interest in common cause. Or even in the civil protections of ex-gays.

PFOX pays but nominal attention to ex-gays and instead expends its efforts in seeking to restrict services and information for gay people, primarily youth. And they have a long history of showing little regard for truth, decency, or integrity in their efforts.

They have distorted the work of reputable scientists, made wild accusations against various schools and youth programs, manufactured “attacks” by gay activists, hurled vile insults against those who disagree with them, and, most recently mangled research to exploit suicide statistics for political positioning.

But now Regina Griggs, and PFOX, have bested themselves. They now have made a claim so phenomenally ridiculous, so homophobic (in the traditional sense of the word), that even anti-gays should be driven to mocking them.

As reported by the American Family Association’s OneNewsNow, Griggs opposes Gay-Straight Alliances and other safe spaces for gay teens:

Research shows that individuals often go through periods of gender and sexual confusion as they grow from children to teenagers to adults. Griggs wonders why, then, would schools opt to send children along a dangerous path. “Why are we allowing people to tell them, ‘Try it — you might like it?’ Over 70 percent of young kids 13- to 24-years-old, men having sex with men, are now HIV-positive,” Griggs notes.

Seventy Percent?

That claim is phenomenally stupid, even by anti-gay standards.

As Ed Brayton at ScienceBlogs.com notes:

According to the 2000 census figures, there are roughly 50 million people between the age of 13 and 24. Slightly more than half would be female, so let’s say conservatively that there are 22 million men between those ages. If 2% of them are MSM, that’s 440,000. The percentage of HIV positive MSM between 13 and 24 is more like 3.1%, a far cry from 70%. Okay, it’s probably a bit higher than that because there will be some men in that age group who were diagnosed before 2001, but at the absolute outside we’re talking 5%, not 70%.

I might calculate using different variables, but Brayton is right. HIV infection in gay youth, or even in sexually active gay youth, is FAR from 70%.

Griggs is either a wanton liar or a raging loon. Perhaps both.

UPDATE

I calculate around 0.7% of all gay youth aged 13 to 24 are now HIV-positive.

Sen. Sessions Seeks To Retain HIV Travel Ban

Efforts to repeal the prohibition on travelers with HIV from entering the U.S. has taken a tortured path. It had been held in the Senate under a filibuster, which ended last week on a 65-3 vote. Before the vote, Senate Majority Leader Harry Reid (D-NV) named Sen. Jeff Sessions (R-AL) as the senator who was trying to quash the travel ban’s repeal. The repeal is part of the President’s Emergency Plan for AIDS Relief or PEPFAR.

Now we learn that Sen. Sessions has introduced an amendment to keep the United States in the same company of such enlightened states as Sudan, Russia, Libya and Saudi Arabia. The Human Rights Campaign has asked its members to email their senators.

Jesse Helms: “If You Want to Call Me a Bigot, Fine.”

Note: We are pleased to be able to offer occasional posts from Dr. Gregory M. Herek, Professor of psychology at the University of California at Davis. He has published scores of articles in numerous professional journals, much of which focus on anti-gay violence and stigma, as well as HIV/AIDS-related stigma inside and outside the LGBT community.

An obscure section of the 1990 Hate Crimes Statistics Act includes language affirming that “American family life is the foundation of American Society” and that the Act should not be construed as promoting or encouraging homosexuality.

This passage is a legacy of Jesse Helms, who died today at the age of 86.

Throughout his 30-year tenure in the US Senate, Helms was consistently associated with antigay stands. When the US was confronted with the AIDS epidemic in the 1980s, for example, Helms was instrumental in preventing the government from funding effective prevention programs among gay and bisexual men. The Senate twice endorsed his amendments prohibiting federal funds for AIDS education materials that “promote or encourage, directly or indirectly, homosexual activities.” By constricting the scope of risk-reduction education, Helms’ actions were widely believed to have contributed to the epidemic’s rapid spread.

In my latest post at Beyond Homophobia, I reflect upon Helms’ efforts to enact an antigay agenda into law, and the failure of many of his contemporaries to publicly oppose him.

Life Expectancy With HIV Closer To Normal

New research published this week in the Journal of the American Medical Association demonstrates that the life expectancy of people with HIV is now approaching those who are not infected.

A team of British researchers lead by Kholoud Porter constructed a database consisting of 16,534 individuals whose date of HIV infection is known with different degrees of accuracy assigned. Researchers discovered that mortality due to HIV/AIDS is now 94% lower than it was before 1996. That was the year in which the multi-drug Highly Active Anti-Retroviral Therapy (HAART, or the “AIDS Cocktail”) became available.

Excluding those who are infected due to injected drug use, people today who are under 45 years of age when infected with HIV experience an excess mortality rate of less than 1% during the first five years after infection. That excess mortality rate rises to approximately 2.4% to 7% fifteen years after infection.

The results are not as good for those who are above the age of 45 when infected. People in that age group experience a 1.5% greater mortality rate than the overall population during the first five years after infection. That morality rate rises to 11.9% at the fifteen year mark.

Porter commented to Reuters on the study’s results:

“This is looking really good that life expectancies are becoming close to the uninfected population,” said Porter, an epidemiologist. “It also underscores the importance that people are identified and treated early.”

Anti-gay activists often try to claim that being gay shaves 20 years off the life of a gay man. Nazi apologist Paul Cameron has been claiming that for years, returning to that theme again just last year in a move that earned him condemnation from the president of the Eastern Psychological Association. This study doesn’t try to assess the lifespan of the overall gay male population. It should however lay to rest the urban myth that gay men die at 40. It won’t probably, but it should.

Bush “The Best President On AIDS”?

Benkof thinks so. Internationally, one could make such an argument. But it’s easy to support AIDS work in Africa where its a mostly heterosexual disease.

But domestically, President Bush’s proposals for HIV/AIDS treatment and prevention haven’t been keeping up with demand. This is especially true among young, African-American men who simply aren’t responding to the White House’s abstinence only messages. They have been the driving force behind recent increases in HIV infections, making up 49% of new infections in 2005.

What do you think? Is Bush the best, worst, or somewhere in between?

HIV Infected Humans Much Earlier Than Thought

HIV-1, the prevalent strain of Human Immunodeficiency Virus infecting people around the world was first thought to have entered the human bloodstream at around 1931. Now a second human tissue sample stored at a hospital in Kinshasa in 1960 has pushed the date back more than two decades:

Marlea Gemme… analyzed HIV-1 genetic material obtained from lymph tissue collected in 1960 from the University of Kinshasa pathology department in the Democratic Republic of the Congo–only the second HIV sequence predating 1976 deciphered to date. Thus far, she has sequenced about 1000 DNA bases, which she has compared with the previously reported sequence of HIV-1 extracted from a frozen blood sample from 1959. Since it entered into humans, HIV-1 has been evolving into different substrains–but the 1960 and 1959 sequences were much more divergent than expected, Gemmel reported at the meeting. “It reflects a long past of diversification before 1960,” she said.

By comparing the two sequences with more recent ones, Gemmel was able to show that HIV-1 first entered humans about 1908, not 1931, as earlier analyses with just the 1959 sample found. Her analysis also indicates that the virus existed in low levels in humans until the middle of the 20th century. “That matches the rise of population centers,” Gemmel explained, suggesting that urbanization around that time paved the way for the AIDS epidemic.

There is increasing evidence that AIDS has existed in some very remote parts of Africa for several decades before exploding in Kinshasa and other large cities in the 1970s and in Europe and America in the early 1980s. You can read more about the history of AIDS in our report, Opportunistic Infection, which we will now have to update to include these latest findings.

End of HIV Travel Ban Bottled Up In the Senate

What does the US have in comment with Sudan, Russia, Libya and Saudi Arabia? We are among the twelve countries that prohibit HIV-positive non-citizens from traveling to those countries. What’s more, HIV is the only condition that is designated by law as grounds for inadmissibility to the United States. Bird flu, SARS, leprosy and tuberculosis are in the clear, but HIV is banned.

This ban was put in place by President Reagan and Sen. Jesse Helms during the AIDS hysteria of the 1980’s. But now there is widespread support to repeal the ban, support that extends to President George Bush. But the PEPFAR bill (President’s Emergency Plan for AIDS Relief) has remained bottled up in the Senate by a group of seven Republican Senators, including David Vitter (R-LA), who has admitted to using the services of the so-called “D.C. Madam.”

Dallas Prosecutor Claims Spittle is Deadly Weapon

Willie Campbell is not a model citizen. He’s a homeless vagrant who has been in and out of prison and he regularly resists police efforts to enforce ordinances. But now Willie will not be bothering anyone but prison guards and inmates for a very long time. Willie was just given a 35 year sentence (Dallas Morning News).

For spitting.

You see, Willie has HIV and he spit at a police officer with some of his spittal landing in the officer’s mouth and eye.

Prosecutors convinced a Dallas County jury this week that HIV-positive saliva should be considered a deadly weapon.

Now you, I, and the Centers for Disease Control all know that there have been no known cases of HIV transmittal by means of spittle. And surely the Dallas County prosecutor knew that as well.

She just didn’t care.

But Dallas County prosecutor Jenni Morse, who handled Mr. Campbell’s case, said any risk level is sufficient for the deadly weapon finding used during the trial.

“No matter how minuscule, there is some risk,” said Ms. Morse. “That means there is the possibility of causing serious bodily injury or death,” the legal definition of a deadly weapon.

No matter how minuscule? By that standard, there is nothing that would not be a deadly weapon. What about cigarette smoke? Or sneezing?

But how fairly did the jury treat this “deadly weapon” of spittal? Interestingly, we have a comparison.

Mr. Campbell’s sentence was nearly double that given the same day to a man being tried in a courtroom next door. That man, De Leon Vanegas Jr., was sentenced to 18 years in prison for giving “cheese” heroin to a 15-year-old boy who died after using the drug. The jury in that case declared heroin a deadly weapon.

I believe that Jenni Morse is unethical. In her zeal to “put away a bad guy” she was willing to deceive a jury and play on fears and stereotypes. She doesn’t seem concerned in the slightest that she has heightened false fears and made the lives of all HIV positive citizens more difficult.

Who cares? She got her guy. He’s off the streets.

Now I agree that Campbell is a nuisance. And he most certainly should be charged with any crimes he committed. But criminalizing HIV status is, to me, a greater threat to the citizens than is sleeping on a sidewalk and spitting on an officer.

Today In History: HIV Virus Discovered

Twenty-five years ago today, on May 20, 1983, an article appeared in the journal Science in which a team led by Luc Montagnier of France’s Pasteur Institute announced that they had discovered the virus which causes AIDS. The suspected virus was isolated in a patient who had died of the disease. Nearly a year later, American researcher Robert Gallo would make a similar claim, sparking a three year debate over who actually discovered the virus.

Nevertheless the discovery of the virus sparked a sense of premature optimism. US health secretary Margaret Heckler famously declared in 1984 that “We hope to have a vaccine ready for testing in about two years.” Two decades later, that vaccine remains out of reach.

The introduction of the “AIDS cocktail” in 1995 has transformed the experience of AIDS from being a terminal condition to being a very serious chronic one. Where receiving an AIDS diagnosis was once tantamount to being handed a death sentence, today people are living full and productive lives with HIV/AIDS. And yet, the more than two-decades-old stigma associated with HIV/AIDS continues.

Scientists Pessimistic on AIDS Vaccine

Britain’s The Independent newspaper surveyed more than 35 leading AIDS scientists in the U.K. and the United States found that most of them blieve that a vaccine against HIV may never be possible. Only four were more optimistic than they were five years ago. Thirty-five seems like a very small sample to go on, but The Independent, ever proud of its own exclusive polling, is touting this as “the latest in a series of setbacks in the 25-year struggle to develop an HIV vaccine.”