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HIV/AIDS

HIV/AIDS. Province IV of 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.

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HIV/AIDS

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  1. HIV/AIDS Province IV of the Episcopal Church

  2. HIV/AIDS AIDS lives in Province IV: Infection Rates/Diagnoses in our cities and towns.

  3. 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

  4. HIV/AIDS and Province IV: Cities 2011 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

  5. HIV/AIDS and Province IV: Cities 2011 Diagnosis Prevalence Year End 2010 City Number Number Rate Rank Number Number Rate 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

  6. HIV/AIDS and Province IV: Cities 2011 Diagnosis Prevalence Year End 2010 City Number Number Rate Rank Number Number Rate 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

  7. HIV/AIDS and Province IV: Cities 2011 Diagnosis Prevalence Year End 2010 City Number Number Rate Rank Number Number Rate 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

  8. HIV/AIDS and Province IV: Cities 2011 Diagnosis Prevalence Year End 2010 City Number Number Rate Rank Number Number Rate 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

  9. HIV/AIDS and Province IV: Cities 2011 Diagnosis Prevalence Year End 2010 City Number Number Rate Rank Number Number Rate 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

  10. 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)

  11. 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)

  12. HIV/AIDS President’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.

  13. HIV/AIDS and Province IV

  14. HIV/AIDS and Province IV: States Three states in Province IV rank in the top 10 : • Florida – 3 • Georgia – 6 • North Carolina - 10

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

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

  17. HIV/AIDS How do we prevent further infections? What do we do to educate our own parishioners and others about HIV infection?

  18. HIV/AIDS The Baptismal Covenant • Parameters for how we can teach HIV prevention • Let’s see how that can work

  19. 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.

  20. HIV and You(th) What young people need to know.

  21. HIV and You(th) • HIV/AIDS and other Sexually Transmitted Diseases or STD’s • How you get them and how you don’t!

  22. HIV and You(th) • What is HIV? • Human Immunodeficiency Virus • What is AIDS? • Acquired Immune Deficiency Syndrome • Caused by HIV

  23. HIV and You(th) • Other STD’s: • Hepatitis C • Gonorrhea • Syphilis • HPV

  24. 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

  25. HIV and You(th) • How to avoid infection: • Do NOT share needles of any kind • Do NOT engage in unprotected sexual activity

  26. 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!

  27. 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!

  28. 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!”

  29. HIV and You(th) • Let me suggest a different approach: The vows we take at our own baptism and renew several times a year.

  30. 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

  31. 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

  32. 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!

  33. 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

  34. 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?

  35. 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

  36. 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)

  37. 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

  38. 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?

  39. HIV and You(th) Consider the comparison: All the costs I outlined above OR Less than one dollar for one of these!

  40. 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

  41. HIV and You(th) QUESTIONS?? COMMENTS?? THANK YOU!!

  42. 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.

  43. 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?

  44. 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

  45. HIV/AIDS • Time for some questions and discussion • First question for either of us or both?

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

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