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Medical Forum / Diseases and Disorders / AIDS / May 2005

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Why is HIV So Prevalent in Africa? - Non dissident

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PaulKing - 30 Apr 2005 08:40 GMT
Why is HIV So Prevalent in Africa?

By Michael Fumento

Tech Central Station, April 15, 2005
Copyright 2005 Tech Central Station

------------------------------------------------------------------------


Massive airdrops of condoms won't stop African AIDS.      Ninety-nine percent
of AIDS and HIV cases in Africa come from sexual transmission, and
virtually all is heterosexual. So says the World Health Organization, with
other agencies toeing the line. Some massive condom airdrops accompanied
by a persuasive propaganda campaign would practically make the epidemic
vanish overnight. Or would it?

A determined renegade group of three scientists has fought for years –
with little success – to get out the message that no more than a third of
HIV transmission in Africa is from sexual intercourse and most of that is
anal. By ignoring the real vectors, they say, we're sacrificing literally
millions of people.

These men are no crackpots. John Potterat is author of 140 scholarly
publications. He began working for the El Paso County, Colorado health
department in 1972 and initiated the first U.S. partner-tracing program
for AIDS/HIV.

Stuart Brody, who has just accepted a full professorship in Psychology at
University of Paisley in Scotland, has published over 100 scholarly
publications, including a book called "Sex at Risk." Economist and
anthropologist David Gisselquist has almost 60 scholarly publications to
his name and is currently advising the government of India on staunching
its potentially explosive epidemic.

These renegades point out that a reason we know vaginal sex can't be the
risk in Africa it's portrayed to be is that it hasn't been much of one
risk in the U.S. Here 12 percent of AIDS cases are "attributed to"
heterosexual transmission, meaning they claimed to have gotten it that
way. Of these, over a third are males.

Yet San Francisco epidemiologist Nancy Padian evaluated 72 male partners
of HIV-infected women over several years, during which time only one man
was infected. Even in that case, there were "several instances of vaginal
and penile bleeding during intercourse." So even the small U.S.
heterosexual figure appears grossly exaggerated.

The chief reason it's so hard to spread HIV vaginally is that, as biopsies
of vaginal and cervical tissue show, the virus is unable to penetrate or
infect healthy vaginal or cervical tissue. Various sexually transmitted
diseases allow vaginal HIV infection, but even those appear to increase
the risk only by about 2-4 times.

So if vaginal intercourse can't explain the awful African epidemic, what
can? Surely it's not homosexuality, since we've been told there is none in
Africa. In fact, the practice has long been widespread.

For example, German anthropologist Kurt Falk reported in the 1920s that
bisexuality was almost universal among the male populations of African
tribes he studied. Medical records also show that African men who insist
they're straighter than the proverbial arrow often suffer transmissible
anorectal diseases.

Yet almost certainly greater – and more controllable – contributors to the
African epidemic are "contaminated punctures from such sources as medical
injections, dental injections, surgical procedures, drawing as well as
injecting blood, and rehydration through IV tubes," says Brody.

You don't even need to go to a clinic to be injected with HIV: Almost
two-thirds of 360 homes visited in sub-Saharan Africa had medical
injection equipment that was apparently shared by family members. This,
says Brody, can explain why both a husband and wife will be infected.

For those who care to look, there are many indicators that punctures play
a huge role in the spread of disease. For example, during the 1990s HIV
increased in Zimbabwe at approximately 12 percent annually, even as condom
use increased and sexually transmitted infections rapidly fell.

Or consider that in a review of nine African studies, HIV prevalence in
inpatient children ranged from 8.2% to 63% – as many as three times the
prevalence in women who'd given birth. If the kids didn't get the virus
from their mothers or from sex, whence its origin? Investigations of large
clinical outbreaks in Russia, Romania, and Libya demonstrate HIV can be
readily transmitted through pediatric health care.


Until we stop HIV spread through needles, we won't stop HIV spread in
Africa.      Good people can differ on exactly how much of the HIV in Africa
is spread vaginally – including our three renegades themselves.
Nevertheless, their findings readily belie the official figures. AIDS
studies in Africa, Potterat says, are "First World researchers doing
second rate science in Third World countries."

There's no one reason for the mass deception. In part, once people have
established any paradigm it becomes much easier to justify than challenge.

"These guys are wearing intellectual blinders," says Potterat. "Only a
handful are even looking at routes other than sex. They have sex on the
brain." Other reasons:

*    Grant money goes to those who follow the dictates of the paradigm, not
to those challenging it. "Sex is sexy," notes Potterat.
*    There's fear that blame for the epidemic will fall on the medical
profession.
*    To the extent sex vaginal sex does play a role in spreading the disease,
there's fear people will stop worrying about it.

Finally, says Brody, for researchers to concede they were wrong would be
"to admit they're complicit in mass death. That's hard to admit that to
yourself, much less to other people." Hard, yes. And too late for many.
But not too late for millions more in Africa and other underdeveloped
nations – if we act now.

http://www.fumento.com/disease/aids2005.html
GMCarter - 30 Apr 2005 09:07 GMT
>Why is HIV So Prevalent in Africa?
>
>By Michael Fumento

You characterize the idiot who wrote "the myth of heterosexual aids"
as a non-denialist?
PaulKing - 30 Apr 2005 21:23 GMT
You mean the journalist who the book the AMA said was the "best book for
heterosexual to read to assess their risk".

The total and complete idiot around here is you and your vile and immoral
'AIDS' myth mania.

Get lost IDIOT.
GMCarter - 01 May 2005 01:51 GMT
>You mean the journalist who the book the AMA said was the "best book for
>heterosexual to read to assess their risk".

LOL. I doubt it.
PaulKing - 01 May 2005 04:02 GMT
"This is a backlash book that is thoroughly researched, poignantly written,
and a must-read for anyone interested in learning the dynamics of the HIV
epidemic or health care planning . . . . Fumento's book is currently the
best single source available to enable heterosexual persons to assess
their personal risk and, as an informed electorate, take a closer look at
overall health care spending, particularly the power of political action
committees, the media hype, and the influence of AIDS alarmists." –
Virginia M. Anderson, M.D., Journal of the American Medical Association

http://www.fumento.com/goodmyth.html
GMCarter - 01 May 2005 11:12 GMT
>"This is a backlash book that is thoroughly researched, poignantly written...

by an idiot of the first water. There is quite CLEARLY a
heterosexually driven epidemic of HIV/AIDS. All over the planet. And
right here in the United States.

He was basically wrong then and even more wrong now. Just like you,
Mark.

        George M. Carter
PaulKing - 01 May 2005 04:04 GMT
Additional Praise for The Myth of Heterosexual AIDS

*    "The arguments, statistics and perceptions that he addresses to support
his position appear almost as irrefutable as they are controversial." –
David Shaw, New York Times Book Review

*    "This is a backlash book that is thoroughly researched, poignantly
written, and a must-read for anyone interested in learning the dynamics of
the HIV epidemic or health care planning . . . . Fumento's book is
currently the best single source available to enable heterosexual persons
to assess their personal risk and, as an informed electorate, take a
closer look at overall health care spending, particularly the power of
political action committees, the media hype, and the influence of AIDS
alarmists." – Virginia M. Anderson, M.D., Journal of the American Medical
Association

*    "Mr. Fumento marshals a substantial amount of epidemiological data and
interprets it in a credible fashion to support his contention. He
demonstrates successfully that the `heterosexual breakout' widely
predicted in the mid-1980s has failed to materialize and does not seem
likely to. The book is well worth reading for this critical
reinterpretation of the available data." – Andrew M. Wiesenthal, M.D., New
England Journal of Medicine

*    "[A] tour de force." – Simon Chapman, British Medical Journal

*    "The best documented, most provocative and informative AIDS book since
And the Band Played On." – Booklist (American Library Association)

*    "A merciless – though often legitimate – indictment of the purveyors of
panic." – Patricia Cohen, Washington Monthly

*    "The best book on AIDS hysteria today is The Myth of Heterosexual AIDS
by Michael Fumento." – Arthur Hu, Asian Week

*    "[Myth] will undoubtedly become the most important nonfiction book on
AIDS since Shilts's And the Band Played On and Paul Monette's Borrowed
Time." – Stuart Byron, The Advocate (national gay weekly)

*    "[Myth] counters the predictions of an imminent AIDS epidemic among the
general population. In a rapid fire, journalistic style, Fumento, a
frequent writer on AIDS, reinterprets figures and conditions, and notes
who benefits and who suffers from alarmist publicity. A refreshing,
upbeat, AIDS book." – Book News, Inc. (1990)

*    "[Fumento] has updated statistics now to support his basic message: AIDS
is not on the verge of wiping out civilization; it is a fatal viral
disease that is running its course just like all viral diseases do. He
explains how the HIV virus works, how the medical establishment and the
media are creating the hysteria, what interests are behind the distortions
(not all of them are bad people), and how terror about a disaster that
will not happen is draining resources from the people who really need
them." – Book News, Inc. (1993)
GMCarter - 01 May 2005 11:06 GMT
LOL....what a load of crap.

http://www.state.nv.us/nucwaste/news/tenn02.htm
The Tennessean

November 29, 1998
The Tennessean
Critic of Oak Ridge stories has an agenda

by
JOHN SEIGENTHALER
Tennessean Chairman Emeritus

The card with the printed signature of the Oak Ridge mayor arrived in
the mail last week, suggesting that I read the enclosed article from
the Nov. 12 Wall Street Journal. I was interested - even though I had
already read the Journal opinion article.

I noted that the mayor's missive had not mentioned that the author of
the article, Michael Fumento, identified by the Journal as "a science
journalist" had begun his piece by relocating Oak Ridge in "western
Tennessee."

Fumento's article, headlined, "A Newspaper Invents a Nuclear Health
Scare," was an all-out assault on the extensive series of articles
that have appeared in The Tennessean concerning "unexplained
illnesses" that afflict 410 people who live in areas around nuclear
plants in the nation. Unless you regularly read The American
Spectator, the magazine that loves to hate Bill Clinton, The
Washington Times, the Moonie-owned daily that loves to hate him more,
or The National Review, or the Weekly Standard or Reason Magazine, or
other publications bent to the right (a couple of them to the radical
right), Michael Fumento will not be a byline you will recognize.
He is a man of multifarious titles. At diverse times, in addition to
his identification as a "science journalist," he has also been called
(or called himself) a "self syndicated columnist," a "former Reagan
administration lawyer," a "medical writer," a "science journalist," an
"environmental correspondent," a "national issues" reporter, a "legal
affairs writer," a "Consumer Alert Fellow," an "American Enterprise
Institute Fellow," a "Warren T. Brooks Fellow" (whatever that is), "a
Burkean conservative" (whatever else that is), "an adviser to the
Atlantic Legal Foundation," and "an editorial writer for the Rocky
Mountain News." The king of England at the power peak of the British
colonial empire did not claim as many titles as this Fumento.

The one I found most fascinating was "former AIDS analyst for the U.S.
Civil Rights Commission." It was a job, Forbes magazine reported, from
which he was "banished to insipid fact-checking" because of his views.
He also, incidentally, was fired from his job at the Rocky Mountain
News after two and a half months- but, says Jay Ambrose, his former
editor there, not because of his "ideological views." He has, indeed,
written about AIDS. In July 1986, this appeared under a bylined book
review in the National Review: "If AIDS is the plague of the 1980s,
then homosexuals are the rats who are the carriers." That is not an
absurd quote taken out of context. A reading of the entire article
leaves no doubt that Fumento said what he meant and meant what he
said. In the immediately preceding sentences, he asserted that the
"proclivity" of homosexuals to anal sex and their "relative
promiscuity" had given them what he called "their ignoble status as
plague carriers." In this and other publications, he has emphasized
his point that AIDS is no threat to the heterosexual community - even
though he acknowledged that 27% of the population afflicted with the
disease were not homosexuals. He criticized C. Everett Koop, the
former surgeon general, whose warnings sought to alert both
homosexuals and heterosexuals to the danger of AIDS. In 1989, Fumento
published a book on the subject, The Myth of Heterosexual AIDS, in
which he blamed the Center for Disease Control and AIDS activists for
creating a "scare" about the disease.

A couple of comments by reviewers are worth mentioning. David Shaw,
the media critic of The Los Angeles Times, wrote, "To hear Michael
Fumento tell it, the notion of an impending AIDS epidemic in the
general heterosexual community, is a colossal lie perpetrated on the
public by a deliberately deceitful press ... self aggrandizing AIDS
activists ... willfully negligent public health officials and morally
bankrupt ideologues." Shaw wrote that Fumento's "callousness toward
AIDS victims" was "most unfortunate.'

Patricia Cohen, in Washingtonian Monthly, said: "He's most certainly
wrong. ... In fact, AIDS is alive and well and growing at a terrifying
pace among heterosexuals - only they're poor and black." Even before
the book was out, it created a storm of controversy. In the June issue
of Forbes magazine, a reviewer praised the book, which led to massive
protests by AIDS activists in front of the magazine's New York
offices. The following month, the late Malcolm Forbes, not
surprisingly, published a personal apology for the article, describing
Fumento's views as "asinine." Fumento also claims to be an expert on
diet and nutrition. His most recent book, The Fat of the Land,
includes a harsh attack on Dr. Martin Katahn, the Nashville
psychologist whose two diet books, published in 1986 and 1989, hit the
top of The New York Times, best-seller list, one for six months and
the other for three years.

Fumento calls the books "The Katahn Catastrophe" because it runs
against his thesis that fat people must help themselves get thin- and
not rely on diets like Katahn's. The theme of his book is pretty
simple: He was traveling through Europe and noted that Europeans were
thinner than Americans traveling in Europe - including himself. So he
decided to take off the weight. And did, without any help from Katahn,
thank you very much. He boldly asserts that he can save fat people
from themselves. His bottom-line thesis seems to be that readers
should buy his book and forget Katahn and other authors who agree with
him.

Katahn has a policy of not responding to critics of his work. He would
only say Fumento had never talked to him about his diet plans or
theories, and that he has not read The Fat of the Land. It didn't
sound as if he plans to do so.

While Fumento's "self syndicated" columns show up occasionally in some
mainstream newspapers, most often the major theme of his writing is to
attack the "news media" as The New Evil Empire. For example, on his
favorite current subject, "fat people": "The media must stop
glorifying obesity."

For another, he insisted in a Wall Street Journal article that the
national concern over the wave of church burnings in the South was a
"myth" created by the news media and the National Council of Churches.
The Council created the scare to collect money, he said, not for
church altars but to promote the cause of gays and feminists. "There
was no epidemic" of church burnings, Fumento wrote. He asserted that
only two churches were burned by Ku Klux Klan members. "That's it for
the white supremacists," he said.

While there was no evidence of a national or regional plot to burn
black churches in the south, a Justice Department report in June 1997
provided evidence that Fumento refused to accept: An investigation of
429 cases of arson revealed that four out of 10 were at black
churches. Three-fourths of the churches were in the South. Law
enforcement agencies had arrested 199 suspects -160 of them white - in
connection with 150 of the arson cases. Seventy-five of those charged
had been found guilty - including 14 who were charged specifically
with civil rights violations - three of them in Nashville.

That Justice Department report did not include the fact that four Ku
Klux Klan members pleaded guilty to conspiracy charges for burning a
black church in South Carolina. In Baton Rouge, La., a white man
pleaded guilty to burning three African-American churches and
confessed in open court that he was motivated by his dislike for black
people. That's it for the media myth.

Here is what Fumento wrote in another article about reports of angry
motorists traveling traffic-packed thoroughfares in congested cities:
"There is no evidence that `road rage' or an aggressive driving
`epidemic' is anything but a media invention, inspired primarily by
something as simple as a powerful alliteration."

On news coverage of the militia movement: "Part of the reason the
media hate the militia is because they have guns. God help them if
they also smoke. But another factor is that the media fear what they
don't understand. ... They can't possibly comprehend the thinking of
people so very mistrustful of Big Government." He added that while
"many militia members are downright paranoid ... that's hardly
illegal." In fair ness, he wrote it before the tragedy in Oklahoma
City.

On what he calls "Pink Propaganda" in women's magazines: "In addition
to lipstick and tampons, they specialize in selling fear - and the
notion that Big Government is almost always the solution."

As to his attack on The Tennessean, his column challenges the idea
that the 410 cases of illness discovered by reporters Laura Frank and
Susan Thomas were worthy of reporting to the public. There was, he
said, no pattern. There were all sorts of ailments, ranging from
dizziness to diabetes, muscle pain to memory loss, hives to heart
disease ..." (Fumento by the way, seems inspired himself by
alliteration.)

He challenges The Tennessean' statistics, its reporting, its
characterization of the facts, and complain that other newspapers have
picked up the story and created "fear." He provides his own
statistics, facts and characterizations, and quotes his own selected
studies, including one from Switzerland, to put down this series.

His basic complaint is that The Tennessean's series is another myth
that creates fear - shades of new media reporting on AIDS, the militia
movement, church arsons and "road rage."

And what does Fumento fear? (Alliteration can be contagious.): He
states in the column that the federal government estimates that
lawsuits from people who read or learn about the newspaper stories
could result in $2.1 billion in legal costs. The 4l0 cases could
become 41,000, he says. The series of stories, he worries, could
endanger national defense "and could even threaten the nation's
nuclear deterrent." Get serious.

For most of the years I was a journalist at The Tennessean, I accepted
the government's assertion that the atomic bombs that ended World War
II would be converted into "peaceful purposes." There was the Atomic
Energy Commission's decades of indoctrination that nuclear plants
would provide the power to drive the nation's industrial plants,
heaters, coolers, make our lives comfortable. It would be safe. It
would be efficient. We in Tennessee had reason to be proud of Oak
Ridge and of the Tennessee Valley Authority, which came to take
seriously the challenge to build nuclear plants that would fulfill the
"peaceful purposes" promise of the AEC.

But gradually over three decades, the safety and cost of nuclear power
became a national debate - and with Chernobyl, an international
debate. Looking back on the news stories and editorials, it is clear
that the news media should have asked more questions and demanded more
answers much sooner.

During my years as reporter, editor and publisher of The Tennessean, I
should have asked more questions and sought more answers. Once the
media began to report on the dangers and the soaring costs of nuclear
plants, and the disposal of their waste (the dangers are as real as
AIDS or the militia movement), citizens began to express grave
concerns. The questions the media raised were responsible, if late. It
is also a vital responsibility of the media to give voice to citizens
whose pleas are not heard anywhere else - not by the government, the
medical community, the scientific community. While Fumento has twisted
the thrust of the stories, as he twisted the words of reporters Thomas
and Frank when he interviewed them (the articles in fact emphasized
the problems of victims who suffered neurological or respiratory
ailments or memory loss), that is where a pattern of illness raises
questions.

While the series of articles has reached some conclusions, it has not
been able to answer the questions-only to raise legitimate concerns.
And the reporters have related the words of doctors they have
interviewed who are mystified by their inability to diagnose either
causes or cures for their patients. The illnesses, the paper has said,
are "unexplained." It should be said that after The Tennessean
indicated a willingness to listen to the victims and report their
fears, low-level staff members of government agencies urged that the
newspaper pursue the story. They were fearful that the Department of
Energy studies had not dealt with the potential dangers adequately or
thoroughly. Finally, representatives of government have begun to pay
attention. Sen. Bill Frist, the only medical professional in the U.S.
Senate, has shown an interest. So have other members of Congress whose
constituents are suffering. Their response may finally promote answers
to the questions that have been raised. That, contrary to Fumento, is
no threat to national security or our nuclear deterrent.

Sure, there are some medical authorities and some scientists-highly
qualified and distinguished - who don't think the plight of 410 people
is worth much research and study. Without clear empirical evidence,
they would not waste a minute researching these cases. That I
understand, even expect. But a newspaper thought it was worth
researching and studying. And it upset Michael Fumento, a man of many
titles. Since retiring from an active role at The Tennessean, I have
from time to time asked to write articles for these pages. I have
refrained from commenting on, criticizing or defending the newspaper
in anything I wrote, but this article is published at my request. Next
week, I expect to receive another card from the Oak Ridge mayor, this
one including a couple of Henry Walker's recent columns from The
Nashville Scene, which have embraced Michael Fumento and his criticism
of The Tennessean.

The mayor, like Walker, I guess, takes help wherever he can get it.

(Seigenthaler, a journalist of 50 years' experience, is chairman
emeritus of The Tennessean.)
PaulKing - 01 May 2005 22:05 GMT
Do you really expect a Nevada Gorvernment web site to be taken seriously as
an unbiased source.

Give us a break!!!!

The facts are simple and easy to check.

Heterosexual simply don't get  so called 'AIDS' in America.

'AIDS' is almost only a 'disease' of the poor. Either we have a virus that
hates minorities and the poor or 'AIDS' is simply immune suppression
caused by all the usual conditions.

Wise up Carter, you complete fool.
Death - 02 May 2005 02:28 GMT
"PaulKing" <aimulti@aimultimedia.com> wrote in message

> The facts are simple and easy to check.
>
> Heterosexual simply don't get  so called 'AIDS' in America.

Secret gay encounters of black men could be raising women's infection rate

Jason B. Johnson, Chronicle Staff Writer

Sunday, May 1, 2005

Health officials have worried for years about the high rate of HIV among African Americans. Now
the federal Centers for Disease Control is examining how one group, known as men on the "down
low," could be spreading the disease among black women.

Men on the down low have sex with other men while keeping a heterosexual public identity.
Recent books and articles about black men on the DL, as it is also called, have raised concerns
that they pass HIV to unsuspecting wives and girlfriends.

But because the down low is defined by secrecy, almost nothing is known about the number of men
of any race who are on the down low, how many have HIV or AIDS, or their sexual activity.

At a time when black women are being diagnosed with HIV at a rate 20 times that of white women,
five CDC studies will be among the first to try to learn how many white, black, Asian and
Latino men fit the down-low profile; identify how, if at all, being on the down low differs
from being "in the closet," and determine whether down-low men have a role in infecting women
with HIV.

Most black women with HIV say they were infected through heterosexual contact, but it isn't
known how their male partners were infected -- by sex with other men, or by using contaminated
needles to inject drugs.

"We need to take a step back when we look at the down-low phenomenon," said Gregg Millett, a
behavioral scientist with the CDC division on HIV/AIDS. "There's very little that is known."

The definition of down low depends on who does the defining. The term comes from the world of
hip-hop and R&B music, where it means an illicit relationship. As adapted by a subculture of
black men, being on the down low describes men who have sex with other men but appear straight,
have relationships with women, and don't acknowledge being gay or even bisexual.

Many down low men find it difficult to see themselves as gay because of the stigma attached to
homosexuality in the black community, said Phil Wilson, executive director of the Black AIDS
Institute in Los Angeles. Being gay risks rejection by family and friends.

They don't identify with gay culture, which they see as white and effeminate. And when they do
venture into gay communities like San Francisco's, which are predominantly white, they feel
unwelcome, according to several studies of gay men of color.

Because these men have so much at stake in keeping their sexual activity secret, it is unknown
how many there are and it is difficult to trace the sexual history of their female partners.

The longer these men lead double lives, health officials say, the higher the risk for their
partners.

Millett said some of the CDC studies will conduct random sampling of men to find those who
identify themselves as being down low and ask them what the term means to them and whether they
have sex just with men or also with women.

Another way to study a secretive group, he said, is to enroll a wide array of men in studies on
general health issues like diabetes or prostate cancer, and ask a few questions about the down
low as part of the overall study. All studies would be anonymous.

The CDC's findings, along with those of other researchers outside the agency who are also
studying the down low, will be important to efforts to counter AIDS among blacks, the only
racial group in which the disease's incidence is rising.

In his State of the Union address, President Bush pledged to combat the spread of HIV/AIDS in
the African American community. "We must focus our efforts on fellow citizens with the highest
rates of new cases, African American men and women," he said.

In 2001, the CDC issued a report citing rising rates of HIV and AIDS among gay black and Latino
men. The agency then found signs the disease was spreading more broadly among male and female
blacks:

-- In 2002, African Americans accounted for more than half of new HIV cases reported in the
United States, though they are only 13 percent of the population.

-- In 2003, African American men accounted for 44 percent of new AIDS cases among all men.

-- In 2003, African American women accounted for two-thirds of new AIDS cases among all women.
White women accounted for 15 percent and Latinas 16 percent.

-- The rate of HIV and AIDS was 58.2 cases per 100,000 black women, and only 2.9 per 100,000
white women. The rate for Latinas was 8.1 per 100,000.

-- The leading cause of HIV infection among African American women in 2002 was heterosexual
contact, followed by injection drug use, according to the Centers for Disease Control and
Prevention.

Researchers want to know how the partners of the infected heterosexual women contracted the
disease. The nature of down-low partners means girlfriends and wives may not know about them
until they test positive for HIV.

Robert Scott, whose medical practice in Oakland includes about 450 African American men and
women who are HIV-positive, said a number of his cases are women who were unaware their
boyfriends or husbands were having sex with men.

"They are living with them, have children with them, but have no idea," Scott said.

One woman, he said, was married to a man for 17 years, including 10 years when he was in
prison. After his release, she became HIV positive.

The man is also positive but has refused to submit himself for care, Scott said. He has since
gotten a new girlfriend, who is pregnant, and the doctor is not sure if she knows the man's
status.

Scott said drug addiction is fueling the spread of the virus, with both men and women engaging
in risky behaviors because of their addictions. "What I see in my practice is that it is
largely associated with individuals who have substance problems," he said. "I see a great
number of patients who are into crack cocaine. It is a way of life."

Many have wives, or are living with women, and see themselves as being straight. But they will
do anything to get the next rock. Scott calls it "survival sex."

For other down-low men, from Financial District workers to truck drivers, it's a lifestyle that
can be pursued over the Internet via chat rooms and Web postings and on the streets of San
Francisco at certain night spots in the Tenderloin.

Bay Area communities from San Francisco to Solano County are trying to expand HIV and AIDS
services and outreach to black women and to men on the down low.

In 1998, the HIV infection rate among African Americans prompted Alameda County to declare a
state of emergency and begin a series of public education programs targeting blacks. Rep.
Barbara Lee, D-Oakland, also spearheaded passage of the Minority AIDS Initiative, which has
awarded more than $406 million in federal funds to major metropolitan areas.

In 2003, a study by the Solano County Health and Social Service Department found that the
county ranked seventh in per capita incidence of AIDS among the state's 58 counties. Although
African Americans make up only 15 percent of the county's population, they comprise 32 percent
of reported cases of AIDS.

Solano County ranges from farming towns to urban and suburban communities. Unlike in much of
San Francisco, homosexuality can still carry a strong stigma in these areas, said Jessika
Jackson, director of Community Services and Education at Planned Parenthood Shasta-Diablo in
Vallejo. "Especially in this community, where we're far away from San Francisco and Oakland,
there's a feeling of not having a lot of support," said Victoria Haight, a caseworker at
Planned Parenthood's Vallejo center.

Of the 22 HIV-positive clients at the Vallejo center, 20 are women, 15 of them black, she said.
All 15 black women say they contracted the virus through heterosexual sex.

The fear of being discovered is so strong that Planned Parenthood had to suspend a support
group for women who were infected with HIV by their husbands or boyfriends because no one would
come to the meetings.

"It's hard to get people to come because they're afraid they're going to be seen by someone,"
Jackson said.

Arnold Perkins, director of Alameda County's Public Health Office, chides many black churches
for not addressing the AIDS issue from their pulpits. He said religious leaders in the black
community must move beyond their discomfort with homosexuality.

In the '80s, Glide Memorial Methodist Church in San Francisco was one of the first religious
institutions in the country to take an active role in the fight against AIDS. But the Rev.
Cecil Williams, CEO and minister of Glide's national and international ministries, said he was
rebuffed when he tried to get black churches to support programs to combat the spread of HIV.

"To our dismay, what we came upon was church after church after church in the black community
... turned its back on the African community and said it's something we don't want to deal
with," Williams said.

"The church had been told that it's a sin and anybody who had AIDS, God was punishing them," he
said.

As the disease has continued to spread, however, more churches are overcoming their
reservations, he said.

Some people who work with AIDS programs caution that too much blame is being placed on down-low
men for spreading the disease among blacks.

At the AIDS Project of the East Bay, which helps poor people who are at risk of contracting
HIV, the director, Hazel Wesson, said down-low men and their female partners are about 30
percent of her clientele.

But, she said, "I think that there have always been men who were having relationships with men
and women and are clandestine about it. The down low isn't new; HIV is new."

"There's the assumption that these men are somehow the bridge between the gay community and the
heterosexual community," said Andre Robinson of the Black Coalition on AIDS, a San Francisco
outreach program. "The research just doesn't support that. They've always been there. If these
men were the bridge, then why didn't this happen in the '80s?"

He said any discussion must also focus on the issue of women getting the virus from intravenous
drug use.

"There's really a dearth of research around black people and HIV," he said. "One of the reasons
is that the researchers don't look like us."

Phil Wilson of the Black AIDS Institute in Los Angeles agrees that tracking men on the down low
is not a magic bullet for stopping the spread of AIDS among black women.

But he said the debate over down-low men "has sparked a new dialog among black women and among
the black community in general," as black organizations are paying more attention to AIDS.

Black sororities and fraternities and civil rights organizations such as the NAACP are making
HIV a major part of their public agendas. For example, the national college sorority Delta
Sigma Theta has made AIDS its main social service issue for the last three years, Wilson said.

Vincent Fuqua, an outreach worker with the AIDS office of the San Francisco Department of
Public Health, said a key goal of the city's anti-AIDS effort is to decrease the infection rate
among blacks while uniting a community with deeply rooted social and religious biases against
homosexuality.

The department held its first community forum on down-low men in December and has launched new
initiatives targeting gay black men, including a "Homoboy" ad campaign that uses hip-hop images
to appeal to younger men. Last month, officials also held educational and counseling workshops
for men with HIV, their families and service providers.

Fuqua said the key is reaching out to down-low men.

"We're still trying to figure out how to do that," he said, and "help support them in a way
where they do feel comfortable talking to their women partners."

E-mail Jason B. Johnson at jbjohnson@sfchronicle.com.
PaulKing - 02 May 2005 07:45 GMT
'MEDS' not 'HIV' - The real killer
Don't believe what the drugs companies tell you.

WITHOUT HAART 'MEDS"

“These long-term nonprogressors [Hiv+ people who remained healthy] are a
heterogeneous group with respect to viral load and HIV-1 responses…none
had been treated with antiretroviral agents.”

AIDS Research and Human Retroviruses, 12: 585 (1996)
– Harrer, Thomas, et al, Aids Researchers

NOT ONE USED HAART

“Subjects: homosexual men in Amsterdam. “None of the LTAs [long-term
asymptomatics–people who remained healthy]…received any antiviral drugs
during the study [7 years].”

“Ten HIV+ people; 11-15 years infected; non-progressors [i.e., healthy];
maintained stable T-cell counts above 500. “These long-term
nonprogressors…all showed the same risk factor (sexual exposure), and all
had...virus...and none had been treated with antiretroviral agents.”

AIDS Research and Human Retroviruses, 12: 585 (1996)
– Harrer, Thomas, et al, Aids Researchers
Journal of Infectious Diseases, 171:811 (1995)
– Hogervorst E, et al, Aids Researchers
_________
__________

WITH HAART

“…Choosing between many of these [HAART] combinations is, therefore,
increasingly dependent upon knowledge of antiretroviral
toxicities...[which include] myopathy [gross muscle atrophy] (zidovudine
[AZT]), neuropathy (stavudine, didanosine, zalcitabine; hepatic steatosis
and lactic acidaemia (didanosine, stavudine, zidovudine); and possible
also peripheral lipoatrophy and pancreatitis (didanosine)...drug
hypersensitivity... lipodystrophy...[including] peripheral fat loss
(Presumed lipoatrophy in the face, limbs and buttocks) and central fat
accumulation (within the abdomen, breasts and over the dorsocervical spine
[so-called buffalo hump]...[and prevalent in] about 50% [of patients]
after 12-18 months of therapy...Metabolic features significantly
associated with lipodystrophy and protease-inhibitor therapy include
hypertriglyceridaemia, hypercholesterolaemia, insulin resistance...and
type 2 ...diabetes mellitus. Dyslipidaemia at concentrations associated
with increased cardiovascular disease occurs in about 70% of patients.
These metabolic abnormalities are more profound in those receiving
protease inhibitors...Most cases of diabetes have been identified in
recipients of protease inhibitors...Anemia and granulocytopenia affect
about 5-10% of patients who receive zidovudine...Virtually all
antiretroviral medications can cause nausea, vomiting, or diarrhoea early
in therapy...Diarrhea is probably most common with protease
inhibitors...Most antiretroviral agents have been associated with hepatic
[liver] toxicity...Most protease inhibitors seem to result in increased
rates of spontaneous bleeding (bruising, haemarthrosis, and rarely
intracranial haemorrhage) in haemophiliacs... 25-35% of patients cannot
tolerate [AZT monotherapy] or triple combination therapy for 4 weeks...”

Lancet. 2000 Oct 21;356:1423-0.
– Carr A, Cooper DA, Aids Researchers

BLINDNESS

“This study was conducted to determine the likelihood of the development
of [immune recovery vitritis, IRV], which causes vision loss in AIDS
patients with cytomegalovirus (CMV) retinitis, who respond to HAART. We
followed 30 HAART-responders…Symptomatic IRV developed in 19 (63%) of 30
patients.”

J Infect Dis. 1999 Mar;179(3):697-700

CASTLEMAN'S DISEASE

“Recently, we observed an unusual cluster of cases of rapidly progressing
multicentric Castleman’s disease. Fever, weakness, generalized enlargement
of lymph nodes, and marked polyclonal gammopathy developed in three
patients with AIDS...Two of these patients died within one week after the
diagnosis, with generalized involvement of the lymphatic system, liver,
and bone marrow at autopsy. A fourth patient with AIDS who died equally
rapidly after the diagnosis of multicentric Castleman’s disease had been
seen in our hospital 14 months earlier... symptoms…started after the
initiation of highly active antiretroviral therapy in these three
patients.”

N Engl J Med. 1999 Jun 17;340(24):1923-4
– Zietz C, et al, Aids Researchers
– Karavellas MP, et al, Aids Researchers

DEATH
“…Of the 70 patients studied, 84% were still alive after the 3-month study
period...17 surviving patients (24%) had HAART regimens discontinued due
to drug intolerance and 11 (16%) expired [died] during the study
period...”
J Pain Symptom Manage. 2001 Jan;21(1):41-51

NERVE DAMAGE

“The antiretroviral drugs currently licensed in the United Kingdom [June
1996] are zidovudine (azidothymidine [AZT]), zalcitabine (ddC) and
didanosine (ddI). All three are nucleoside analogues...All are very toxic.
Suppression of bone marrow elements can occur with any of the three, as
can peripheral neuropathy [nerve damage].”

Adverse Drug Reaction Bulletin. 1996 Jun;178:675-8.
– Ellis C.J., Leung D., Aids researchers

“A decrease in mtDNA [DNA of the mitochondria; the energy regulating
entities within every cell] content was found in HAART-treated
HIV-infected patients with peripheral fat wasting in comparison with
subjects in the control cohorts...Lipodystrophy with peripheral fat
wasting following treatment with NRTI [Nucleoside Reverse Transcriptase
Inhibitor]-containing HAART is associated with a decrease in subcutaneous
adipose [under the skin fat] tissue.”

AIDS. 2001;15:1801-9
– Shikuma CM, Hu N, Milne C, et al, Aids Researchers

‘These drugs are as dangerous as chemotherapy,’
“7 HIV patients presenting LD [Lipodystrophy, all taking antiretroviral
therapy] and 5 HIV non-LD controls participated in the study…Structural
muscle abnormalities, mitochondrial respiratory chain dysfunction or mtDNA
deletions were detected in all HIV lipodystrophic patients. The
mitochondrial abnormalities found suggest that mitochondrial dysfunction
could play a role in the development of antiretroviral therapy-related
lipodystrophy. ”
AIDS. 2001 Sep 7;15(13):1643-51
– Zaera MG, et al, Aids Researchers

“Combination drug therapy, or the triple-drug ‘cocktail’…often provokes
severe side effects… ‘These drugs are as dangerous as chemotherapy,’
warned Dr. James Kahn, UCSF associate professor of medicine…”
– Science Daily, Sep 4, 2001

SEXUAL DIFFICULTIES - Body distortions

“[Chapters in this guide to HIV drugs are entitled Introduction, Appetite
loss, Body distortions (lipodystrophy), Bone death and destruction,
Cardiac concerns, Diarrhea, Fatigue, Gas and bloating, Hair loss,
Headaches, Insulin resistance and diabetes, Kidney stones, Liver toxicity,
Muscle aches and pains, Nausea and vomiting, Nightmares, daymares and
sleeping difficulties, Pancreatitis, Peripheral neuropathy, Skin problems,
Sexual difficulties, The end]”

– A Practical Guide to HIV Drug Side Effects, CATIE, 2002

HEART ATTACKS
“Use of protease inhibitors was strongly associated with the likelihood of
having a myocardial infarction [heart attack] and correlated with diabetes
mellitus and hyperlipidaemia.”
Lancet. 2002 Nov 30;360(9347)
– Holmberg SD, et al, Aids Researchers
GMCarter - 02 May 2005 11:59 GMT
>'MEDS' not 'HIV' - The real killer

Don't believe what Mark Henau tells you.

Like long-term survivors never took meds. Duh. Why WOULD they if their
CD4 count is high?

But still a LOT of people don't START until the CD4 count is low and
infections are happening. Those that DON'T start the drugs die. Those
that do tend to survive.

Ask David Pasquarelli, denialist extraordinaire!

Oh wait. You can't. He believed Mark (like a lot of denialists) and
has since died of AIDS.

As have WAY too many people.

But yes, the drugs do have side effects--no question. And they can be
extremely serious.  Many can be managed with a variety of
interventions ranging from other drugs to various supplements,
botanicals, etc.

        George M. Carter
PaulKing - 02 May 2005 20:50 GMT
What are you raving about now you idiot?
David Canzi -- non-mailable - 05 May 2005 05:36 GMT
>'MEDS' not 'HIV' - The real killer
...
>“These long-term nonprogressors [Hiv+ people who remained healthy] are a
>heterogeneous group with respect to viral load and HIV-1 responses…none
>had been treated with antiretroviral agents.”
...
>“Subjects: homosexual men in Amsterdam. “None of the LTAs [long-term
>asymptomatics–people who remained healthy]…received any antiviral drugs
>during the study [7 years].”

By your style of "reasoning", canes and crutches must be the real
cause of lameness.

Signature

David Canzi

GMCarter - 02 May 2005 11:52 GMT
>Do you really expect a Nevada Gorvernment web site to be taken seriously as
>an unbiased source.

Do you expect ANYTHING you refer to as anything but unbiased bullshit
as a desperate ploy to convince yourself f.cking without a condom is
OK and HIV won't potentially make you more demented and eventually
dead if you don't treat it?
PaulKing - 02 May 2005 20:52 GMT
When you can't refute the facts you simply call JAMA and similar sources,
bullshit.

You are the REAL turd.
Ingsoc - 04 May 2005 08:52 GMT
"PaulKing" <aimulti@aimultimedia.com> wrote...
> 'AIDS' is almost only a 'disease' of the poor. Either we have a virus that
> hates minorities and the poor or 'AIDS' is simply immune suppression
> caused by all the usual conditions.

So what exactly are the "usual conditions" that cause AIDS, if not a
virus?  What exactly is the environmental condition that causes the
poor to catch AIDS while leaving the rich untouched?  I think Liberace,
Magic Johnson, and Freddy Mercury were all very rich but all f.cked
half the Western Hemisphere and all caught AIDS as a result.  Did they
all go slumming and were exposed to the same environmental conditions
(e.g. toxic waste) that cause so many poor people to catch AIDS?  And
while the HIV/AIDS rate is definitely higher among the poor, it is not
even close to 100% (probably around 1%-2%), so what is it that confers
immunity among the rest of the poor?
Death - 04 May 2005 18:18 GMT
"Ingsoc" <bb@party.org> wrote in message

>  What exactly is the environmental condition that causes the
> poor to catch AIDS while leaving the rich untouched?

LOL, I would hardly call another mans a.shole an environment.
Ingsoc - 05 May 2005 08:53 GMT
"Death" <Death@yourdoor.net> wrote...
> "Ingsoc" <bb@party.org> wrote in message
>>
>>  What exactly is the environmental condition that causes the
>> poor to catch AIDS while leaving the rich untouched?
>
> LOL, I would hardly call another mans a.shole an environment.

No, what PaulKing has been arguing is that the HIV virus doesn't
cause "AIDS," that some other factor such as environmental
conditions (some chemical toxin perhaps) is the cause.  I think
he believes the virus exists, he just thinks its harmless and
the fact that 99.999% of people with "AIDS" also carry the virus
is just a coincidence.
Death - 05 May 2005 14:31 GMT
"Ingsoc" <bb@party.org> wrote in message

> "Death" <Death@yourdoor.net> wrote...

> > "Ingsoc" <bb@party.org> wrote in message
> >>
[quoted text clipped - 6 lines]
> cause "AIDS," that some other factor such as environmental
> conditions (some chemical toxin perhaps) is the cause.

Paul walks both sides of the street.
He reminds me of the town crier,
... and alls well.

> I think
> he believes the virus exists, he just thinks its harmless and
> the fact that 99.999% of people with "AIDS" also carry the virus
> is just a coincidence.

Yeah, and aspirin is the cause of fever.
 
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