World AIDS Day 2019 - so much done; much left to do.
It is World AIDS Day this weekend. And each year it gives me
so much joy to see the progress that is being made in the UK and in many parts
of the world.
As a gay man who grew up in the 1980s in the long dark shadow
of fear, stigma and shame of HIV, and worked as a Gay Men’s HIV Prevention worker
in the mid-90s, it is just divine to see stigma being tackled head on, the
quality of treatment, the Undetectable = Untransmittable campaign and the
determined focus from activists and organisations to make PrEP available
freely, widely and to everybody that needs it.
What a distance we have travelled.
When I first had a HIV test at University it was one of the most
terrifying experiences of my life. The questions about my sexual experiences made
me question whether I was really gay after all. What were those sexual acts, and did people
really do those things? And if they did,
did I really have to talk about them?
The pre-test counselling - whilst good intentioned - created so
much fear it was unbelievable. Of course if you got a positive result at that time, the
prognosis was not good. It was before combination therapy. I cannot remember if
I waited a week, two weeks or a month for my result. I know it felt like a lifetime.
Fast forward 10 years or so, I had a second HIV test after
being sexually assaulted. The clinicians were amazing, and the hope and optimism
of combination therapy made the whole experience completely different.
And then fast forward another 15 years my third test, after having
a drink spiked. I don’t think anything happened but I still don’t know for sure.
My body didn’t feel (or smell) like I had been assaulted but I could not be
sure, so I ordered a home testing kit. Easy to do then a small prick in the finger, a few minutes and I knew the outcome. I am of course grateful it was a negative
result, but unlike 25 years earlier, before I took the test I didn’t have any
of the fear that a positive result meant death.
So much brilliant progress; far too many lives lost way too
young along the way and still so much left to do. Thank you to all the
brilliant organisations, clinicians and activists who are creating and
demanding change.
Despite all the progress we cannot be complacent. There are
still considerable inequalities in access to prevention, including PrEP, and treatment both in the
UK and around the world.
We can and must all be visible in taking a stand against
stigma. Please at the very least wear a red ribbon this World Aids Day and if you can donate to one
of the brilliant charities leading the way, please do.
HIV Rapid Testing is one of the high-impact prevention services offered through PRN. This is a free, confidential service. Results are provided in 20 minutes. Rapid Testing clients receive this service by trained counselors that provide individual, client-focused risk reduction and counselling.
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