Out In The Mountains : News

       WASHINGTON, D.C. — Many of the 32,000 people living with HIV/AIDS in or from Louisiana, Alabama, and Mississippi are now at risk of serious illness caused by interruptions in their medical treatments as well as by exposure to water-borne pathogens, according to a press release from the National Association of People with AIDS (NAPWA). Further, they say, the federal Department of Health and Human Services has yet (as of press time) to announce a plan to guarantee HIV-positive evacuees access to antiretroviral medication and medical care.
     "People living with HIV who stop antiretroviral therapy against medical advice can and will get very sick, and some will die," according to Academy of HIV Medicine President Dr. Howard Grossman. "HHS has long considered HIV treatment a high-priority, and now they must do everything in their power to ensure Katrina survivors have continued access to medicine and care."
      Community-based organizations have been told by Health Resources and Services Administration staff that no provision has been made for emergency flexibility of Ryan White CARE Act funds to allow neighboring states to care for HIV-positive Katrina survivors.        "Organizations in neighboring states are providing care and treatment for evacuees, even without identified financial resources," reports Terje Anderson, NAPWA's executive director.
     "AIDS Drug Assistance Programs (ADAPs) in affected states are starting to get HIV medications to evacuees," he adds. "But even before this disaster, Alabama's ADAP had more than 500 people on a waiting list, and the rest of the affected and neighboring states were already filled to capacity."
      Diagnosing HIV-positive Katrina survivors who don't know their status is another urgent public health need. "People with damaged immune systems are far more likely to suffer from dysentery, tuberculosis, specific pneumonias and diseases caused by exposure to pathogen-laden flood waters," according to Julie Davids, executive director of the Community HIV/AIDS Mobilization Project. "And medical personnel may not realize that one in four HIV-positive people in our country don't know they are infected."
       A CDC study cited by the Black AIDS institute showed the infection rate among gay and bisexual black men is even higher, at 46 percent, and two thirds of the infected black men in the study did not know they were infected. "Thus, the risks for Katrina survivors remaining unaware of their HIV status are serious and enormous," Davids concluded. She urged the CDC to "step up efforts to provide an adequate supply of rapid HIV testing kits to community organizations throughout the region and around the country to ensure that counseling and testing are available for evacuees near and far from the disaster and educate providers about how to recognize infections in immune-suppressed people."
       "People living with HIV/AIDS who have been evacuated from New Orleans or elsewhere are going to need housing and transportation to get to medical appointments. The affected states will need new medical and social service facilities," observes Damon Dozier, the congressional liaison for the National Minority AIDS Council.