HIV/AIDS

HIV/AIDS

Province IVof the

Episcopal Church

HIV/AIDS

AIDS lives in Province IV:Infection Rates/Diagnoses in our

cities and towns.

HIV/AIDS in Province IV

Consider the following:

•The “south” has a little less than 1/3 of the nation’s population living here.•Half of the people in the nation with HIV are living in “the south.”•Let’s look at some statistics

HIV/AIDS and Province IV: Cities2011 Diagnosis Prevalence Year End 2010

City Number Number Rate Rank Number Number Rate

Atlanta, GA 1,271 1,626 30.3 8 23,138 22,510 425.8

Augusta, GA–SC 80 101 17.9 37 1,980 1,928 345.4

Birmingham, AL 225 269 23.8 17 3,522 3,608 319.5

Ft.Myers, FL 108 113 17.9 38 1,598 1,570 253.1

Charleston, SC 135 142 20.9 22 2,120 2,060 308.5



Charlotte, NC 437 462 25.7 14 5,996 5,878 333.2

Chattanooga, TN 52 57 10.8 70 1,123 1,108 209.4

Columbia, SC 184 192 24.7 15 3,731 3,642 473.1

Durham, NC 94 99 19.2 29 1,927 1,891 373.7

Green’boro/ High Pt, NC 148 155 21.2 20 2,200 2,153 296.9



Greenville , SC 75 79 12.2 60 1,232 1,198 187.4

Jackson, MS 191 200 36.7 4 3,101 3,018 558.8

Jacksonville, FL 363 382 28.1 10 5,886 5,773 428.0

Knoxville, TN 69 73 10.4 73 1,077 1,062 151.8

Lakeland, FL 106 112 18.3 36 1,717 1,684 279.4



Louisville, KY–IN 157 166 12.8 54 2,863 2,791 217.0

M’phis, TN/MS/AR 408 433 32.6 7 7,264 7,191 545.6

Miami, FL 2,481 2,606 46.0 1 49,968 49,045 879.3

Ft Lauderdale Div 913 960 53.9 — 16,257 15,994 912.9

Nashville , TN 244 257 15.9 39 4,958 4,893 306.8



New Orleans, LA 487 513 43.0 2 7,725 7,505 639.5

Brad’n/Sarasota, FL 88 93 13.1 49 1,638 1,604 228.0

Orlando, FL 580 609 28.1 11 9,773 9,635 450.3

Melbourne–T’ville, FL 49 51 9.4 77 1,203 1,181 217.2

Raleigh–Cary, NC 174 183 15.7 40 3,146 3,089 271.6



Tampa/St. Pete/ 576 612 21.7 18 10,172 9,975 357.7 Clearwater, FL

Subtotal for MSAs (population ≥ 500,000) 34,591 40,737 19.6 — 740,981 736,308 358.0

Metropolitan areas (population 50,000–499,999) 5,024 5,740 10.1 — 92,290 91,035 160.5

Nonmetropolitan areas 2,953 3,291 6.5 — 55,553 54,614 107.9

HIV/AIDS and Province IV

• Six (6) of the ten (10) cities with the highest HIV prevalence for 2011 are located in Province IV:

• Miami, Florida (1) (includes Ft. Lauderdale)• New Orleans, Louisiana (2)• Jackson, Mississippi (4)• Memphis, Tennessee (7)• Atlanta, Georgia (8)• Jacksonville, Florida (10)

HIV/AIDS and Province IV

• Eleven (11) of the twenty (20) cities with the highest HIV prevalence for 2011 are located in Province IV (those in the top 10 plus):

• Charlotte, North Carolina (14)• Columbia, South Carolina (15)• Birmingham, Alabama (17)• Tampa/St. Petersburg/Clearwater, Florida (18)• Greensboro/High Point, North Carolina (20)

HIV/AIDSPresident’s First National HIV/AIDS Strategy (July 2010)

(From the Executive Summary)• A fellow citizen becomes infected every 9½ minutes.• In almost 30 years epidemic has claimed more than

600,000 lives.• We have the tools and knowledge to slow the spread

of HIV and improve the lives of people living with HIV.

• Public’s sense of urgency appears to be declining.

HIV/AIDS and Province IVAdults and adolescents living with diagnosed HIV infection, by race/ethnicity and area of residence,

year-end 2010—United States BLACK/AFRICAN AMERICAN HISPANIC/LATINO WHITE TOTAL

NUMBER NUMBER RATE NUMBER NUMBER RATE NUMBER NUMBER RATE NUMBER NUMBER RATE

ALABAMA 7,299 7,479 740.9 243 253 190.9 3,438 3,513 128.5 11,264 11,539 289.9

FLORIDA 47,156 46,248 2,013.6 19,036 18,787 544.0 28,705 28,190 292.1 96,614 94,897 592.7

GEORGIA 24,351 23,615 1,011.8 1,703 1,695 277.0 7,942 7,716 167.9 34,913 33,920 428.8

KENTUCKY 1,824 1,793 662.7 264 261 280.5 3,164 3,101 98.0 5,332 5,225 144.7

LOUISIANA 11,948 11,576 1,007.9 602 597 392.3 4,675 4,538 195.4 17,411 16,892 451.7

MISSISSIPPI 6,282 6,112 709.0 163 161 264.2 1,787 1,746 119.9 8,428 8,213 338.2

N.CAROLINA

(Native Am.)

16,447

200

16,033

197

969.3

221.4

1,469 1,461 260.6 6,525 6,414 120.0 25,015 24,476 309.5

S. CAROLINA 10,342 10,042 964.9 460 457 265.6 3,469 3,399 133.5 14,419 14,044 363.9

TENNESSEE 9,351 9,229 1,093.6 515 513 250.1 6,040 5,960 145.6 16,087 15,881 300.5

D.C. 11,146 10,995 4,260.3 841 838 1,830.2 2,466 2,451 1,248.6 14,671 14,359 2,704.3

HIV/AIDS and Province IV: States

Three states in Province IV rank in the top 10 :

•Florida – 3

•Georgia – 6

•North Carolina - 10

HIV/AIDS

Why is HIV/AIDS such a major problem in Province IV?•Poverty•Illiteracy•Racism•Homophobia•Stigma

HIV/AIDS

These factors combine to create the “perfect storm” that provides all that is needed for people to become infected with HIV/AIDS..

HIV/AIDS

How do we prevent further infections?

What do we do to educate our own parishioners and others about HIV infection?

HIV/AIDS

The Baptismal Covenant

•Parameters for how we can teach HIV prevention

•Let’s see how that can work

HIV/AIDS

• There has been a 22 percent increase of HIV infections in young gay and bisexual men in the US from 2008 – 2010

• Sixty (60) percent of young Americans living with HIV are NOT aware that they are infected.

• 36 million people worldwide have died from AIDS since 1981.

HIV and You(th)

What young people need to know.

HIV and You(th)

• HIV/AIDS and other Sexually Transmitted Diseases or STD’s

• How you get them and how you don’t!

HIV and You(th)

• What is HIV?– Human Immunodeficiency Virus

• What is AIDS?– Acquired Immune Deficiency Syndrome– Caused by HIV

HIV and You(th)

• Other STD’s:

– Hepatitis C– Gonorrhea– Syphilis– HPV

HIV and You(th)

• How is HIV transmitted:– Mother to unborn child (decreasing in U.S.)– Contaminated blood/blood products (rare)– Contaminated needles• IV drugs – including injected steroids• Piercing needles

– Unprotected sexual activity

HIV and You(th)

• How to avoid infection:

– Do NOT share needles of any kind

– Do NOT engage in unprotected sexual activity

HIV and You(th)

• How to avoid infection:

• I will NOT tell you to “just say no” to either drug use or sexual activity

• Hypocritical on my part – I have some understanding about teenagers and hormones!

HIV and You(th)

• Abstinence is best at your age and at this time in your life

• If you can not or will not abstain: Take Precautions!

– All the time…..no exceptions!

HIV and You(th)

• “You will IF you love me!”

• Correct response is: – “If you DO love me, don’t pressure me!”

• And if the pressure continues, the next response is: – “Take a hike!”

HIV and You(th)

• Let me suggest a different approach:The vows we take at our own baptism and renew several times a year.

HIV and You(th)

• We promise:– To seek and serve Christ in all persons,

loving your neighbor as yourself– To respect the dignity of every human being

• Applicable to ALL relationships, whether sexual or non-sexual

HIV and You(th)

• Not telling you to “just say no.”

• Am telling you to consider these vows in reaching the decision that is right for you.

• You must make that decision: parents can not; friends can not; I can not…you must make it

HIV and You(th)

Whatever you decide, remember:

• Abstinence is best at your age and at this time in your life

• If you can not or will not abstain: Take Precautions!

– All the time…..no exceptions!

HIV and You(th)

Also remember:• There is no vaccine against HIV• There is no cure for AIDS• Medications treat symptoms and help make

the condition manageable• HIV disease is becoming a chronic condition

instead of fatal

HIV and You(th)

If you get infected:

• Can you (or your parents) afford the medical care?

• Can you (or your parents) afford the cost of the medicines you have to take to keep the virus under control?

• Can you afford HIV infection?

HIV and You(th)

For someone infected with HIV:

• Cost of routine doctor visit is rarely less than a thousand dollars

• Specialized visits cost even more

• And then there is the cost of the medications

HIV and You(th)Here is a sample list of medications one living with HIV might be taking:

•Viread (one pill a day)•Viramune (two pills a day)•Ziagen (two pills a day)•Acyclovir (three pills a day)•Fluconazole (one pill a day as needed)•Prevacid (two pills a day)•Tricor (one pill a day)•Omacor (four pills a day)•Allopurinol (one pill a day)•Clarinex (one pill a day)•Lisinopril (one pill a day)•Creon 12 (10 - 14 pills every meal)•Lomotil (4 – 5 pills a day)•Gabapentin (six pills a day)•Glimepiride (one pill a day)•Vitamin D (one pill a week)•Calcium supplement (four pills a day)

HIV and You(th)• Viread (one pill a day) $1236• Viramune (two pills a day) $1052• Ziagen (two pills a day) $1122• Acyclovir (three pills a day) $ 40• Fluconazole (one pill a day as needed) $ 12• Prevacid (two pills a day) $ 337• Tricor (one pill a day) $ 267• Omacor (four pills a day) $ 341• Allopurinol (one pill a day) $ 9• Clarinex (one pill a day) $ 260• Lisinopril (one pill a day) $ 6• Creon 12 (10 - 14 pills every meal) $2408• Lomotil (4 – 5 pills a day) $ 70• Gabapentin (six pills a day) $ 144• Glimepiride (one pill a day) $ 15• Vitamin D (one pill a week) $ 12• Calcium supplement (four pills a day) $ 12

90 day supply of each for a total of: $7343

HIV and You(th)

The cost per year for medications:

• In excess of $25,000.00 (Twenty five thousand dollars)

Can you afford it? Can your parents?

HIV and You(th)

Consider the comparison:

All the costs I outlined above

OR

Less than one dollar for one of these!

HIV and You(th)

So tell me…..what choice will you make?

• Seek and serve Christ in ALL persons, loving your neighbor as yourself

• Respect the dignity of every human being

HIV and You(th)

QUESTIONS??

COMMENTS??

THANK YOU!!

HIV/AIDS

I have shared with you:

•Grim statistics about HIV/AIDS in Province IV

•How someone who is well educated, middle class, informed, and with good health insurance coverage and financial means copes with HIV.

HIV/AIDS

• What about those not so fortunate?

• What about those who will be most of the participants in the retreat that follows this Synod.

• What is living with HIV like for them?

HIV/AIDS

My colleague, Lola Thomas, will provide you some of that perspective as:

• The Executive Director of an AIDS Service Provider

• An HIV/AIDS Educator• The Chair of the Province IV Retreat Planning

Team

HIV/AIDS

• Time for some questions and discussion• First question for either of us or both?

HIV/AIDS

• Thank you for your time and your interest in what is a serious problem for us all.

HIV/AIDS

Documents

Transcript of HIV/AIDS