The following is an excerpt from the Responses of Adrian Fenty to GLAA 2006 Questionnaire for DC Mayoral Candidates8. Will you ensure that the drive to make HIV testing routine among District residents includes funding for counseling and referrals to treatment facilities for those who test positive? Yes. There is no more crucial issue in the health community than fighting the HIV/AIDS epidemic. There are many steps we must take to do this and my administration will attack this epidemic on many fronts. I have released a
major statement on what will be my program as Mayor to deal with the epidemic of HIV/AIDS in the District of Columbia. It will include routine testing in accessible locations across the District and funding for the necessary counseling and referrals that those who test positive will need. It is one thing to test, but unless we go the second step to provide counseling and treatment we will not stem the tide of HIV/AIDS. I have committed to making this a major priority in my Administration and I will speak out at every occasion an every venue including to the faith community about this crisis in the District.
DC currently has the highest AIDS rate in the US. We have rates comparable to rates in Sub-Saharan Africa. With reported rate for AIDS in the District in 2002 of 162.4 per 100,000 compared to the 14.8per 100,000 in the US we are way behind in how we deal with this epidemic. And we don’t even know for sure about our rate of HIV because we have no reliable statistics on HIV infections despite six years of efforts by AHPP or its predecessor HAA.
It is only recently that the District has begun to treat HIV/AIDS as a serious problem. I support the work of Dr. Marsha Martin who is the current Director of AHPP for the tremendous steps she has taken in the short time she has lead this office.
My administration will continue to support GW University running the HIV epidemiological surveillance system for DC. And although I have always opposed using a names reporting system I believe we are now forced to use one because the Federal Government Ryan White reauthorization Act will require it and base allocation of funds on reported cases of both HIV and AIDS cases. Were we not to adopt this names reporting system DC could lose $5 million annually and with the epidemic proportions of HIV/AIDS in the District we can’t afford to lose any money that will help us deal with this health crisis. What I will insist on with this names reporting system is that we make doubly sure that we have stronger protections of privacy than we currently have and that the penalties for anyone breaching this privacy are strong enough to act as the deterrent they need to be.
I will instruct the Department of Health to review a sero-postive survey in parallel to the one recommended by the National Academy of Sciences ‘ Institute of Medicine Report which recommends that DCD create such a system to identify new HIV infections which will enable public health officials to track changes in the epidemic.
We will also review all our educational programs to see which ones are effective and which are not in our efforts to prevent new cases of HIV. We need to know what works and why if we are if we are ever to get a real handle on this epidemic. We need to provide the public with more information and this includes making information more accessible. That would include updating the AHPP website and make it more interactive. It should contain the most current information on HIV/AIDS and programs and services available to people in the District of Columbia. We also need to find ways to get this information out to members of our community who are not regularly on computers in ways in which they can access it.
My administration will continue the new testing program for HIV/AIDS. It will include testing in the DC Jail and investigating the legality and appropriateness of potentially moving HIV positive inmates into a separate ward. I believe that inmates need to be tested on admission and on departure to allow us to make sure that they enter programs that will work to prevent in jail transmission and serve them when they are back in the community.
I will look at what tests we require when we issue marriage licenses. The current mandated syphilis tests date back to pre- World War II days. We must look at the legality and efficacy of requiring tests for HIV, Hepatitis B and C, and Human Papilloma Virus (HPV).
My administration will work with the DC Hospital Association and the Department of Health to look at potentially providing Post Exposure prophylaxis (PEP) for HIV at all DC emergency rooms and urgent care centers and health clinics. We need to educate people know about PEP and that would include information being given in student health classes.
Clearly one of the proven ways to combat HIV/AIDS is to have strong needle exchange programs. I will continue to fight Congress on the annual budget rider preventing use of government funding for needle exchange. The organization set up in DC, Prevention Works, has been operating effectively for seven years but is clearly not enough to deal with this problem. My administration will immediately provide addition funds for needle exchange as soon as we can get the rider lifted.
Education, which is the number one priority of my administration, also includes educating the community about the dangers of HIV/AIDS and other sexually transmitted diseases. We will do this beginning with our children in school by supporting age appropriate sex education that is includes not just abstinence education but education about safe sex practices. We must begin to teach our children at an early age to accept and understand the diversity of our population, respect for each other, and how to live safe and healthy lives.
9. Are you committed to continuing and strengthening the District’s condom distribution program? Yes. I believe that we must educate people that using condoms is really the only way to stop transmission of HIV when engaging in sex. I will support condom distribution programs and will work with organizations such as the Great American Condom Campaign to strengthen our education programs in the District. I will ask the Department of Health and AHPP to review all the programs that now exist in the District and to develop a comprehensive plan, which will make sure that we are reaching everyone with these education and distribution programs. We need only look at the Appleseed report to see that we have to do more than we have. While we had a goal of distributing 600,000 condoms in 2004 we only distributed 125,000 in 2005. The final plan needs to include distribution sites such as public health centers, nightclubs and bars, hospitals and even hair salons and barber shops.
10. The District is being forced by the federal government to switch from a unique identifier system to a names reporting system for people testing positive for HIV. Will you support legislation to strengthen our medical privacy laws, such as by creating a private right of action for those whose confidentiality is violated by District government employees or contractors? Yes. I reluctantly support names reporting and will move to strengthen our laws on medical privacy to guarantee that there are severe penalties for anyone violating confidentiality. I will also support legislation the will give individuals whose rights may have been violated a private right of action.