Do you think the Buggery Law should be?

The Safe House Homeless LGBTQ Project 2009 a detailed look & more

In response to numerous requests for more information on the defunct Safe House Pilot Project that was to address the growing numbers of displaced and homeless LGBTQ youth in Kingston in 2007/8/9, a review of the relevance of the project as a solution, the possible avoidance of present issues with some of its previous residents if it were kept open.
Recorded June 12, 2013; also see from the former Executive Director named in the podcast more background on the project: HERE also see the beginning of the issues from the closure of the project: The Quietus ……… The Safe House Project Closes and The Ultimatum on December 30, 2009

Friday, October 9, 2009

October is Breast Cancer Month - Male Breast Cancer

What is Male Breast Cancer ?

Breast cancer is a malignant tumor that has developed from cells of the breast. The disease occurs primarily in women, but occasionally in men.
Many people do not realize that men have breast tissue, and that it's possible for them to develop breast cancer. Until puberty, young boys and girls have a small amount of breast tissue consisting of a few ducts located under the nipple and areola (the area around the nipple). At puberty, a girl's ovaries produce female hormones that cause breast ducts to grow, cause lobules (milk glands) to form at the ends of the ducts, and increase the amount of stroma (fatty and connective tissue surrounding the ducts and lobules). On the other hand, male hormones produced by the testicles prevent further growth of breast tissue.

Like all cells of the body, a man's breast duct cells can undergo cancerous changes. Because women have many more breast cells than men do, and perhaps because their breast cells are constantly exposed to the growth- promoting effects of female hormones, breast cancer is much more common in women.
There are many types of breast disorders that can affect both men and women. Most breast disorders are benign (not cancerous). Benign breast tumors do not spread outside of the breast and are not life-threatening. Other tumors are malignant, (cancerous), and may become life- threatening. Benign tumors, such as papillomas and fibroadenomas, are quite common in women but are extremely rare in men.

Gynecomastia is the most common breast disorder of males. It is not a tumor, but is just an increase in the amount of a man's breast tissue. Usually, men have too little breast tissue to be felt or noticed. A man with gynecomastia has a button-like or disk-like growth under his nipple and areola, which can be felt and sometimes seen. Gynecomastia, common among teenage boys, is due to changes in hormone balance during adolescence. The same condition is not unusual in older men, also due to changes in their hormone balance.

Gynecomastia may also rarely be caused by tumors or other diseases of certain endocrine (hormone- producing) glands that cause a man's body to produce more estrogen (the main female hormone). Some estrogen is normally produced by men's glands, but not enough to cause breast growth. Because the liver is important in male and female hormone metabolism, liver diseases can change a man's hormone balance and cause gynecomastia.
Many commonly prescribed medications can sometimes cause gynecomastia, too. These include some drugs used to treat ulcers and heartburn, high blood pressure, and heart failure. Men with gynecomastia should ask their doctors about whether any medications they are taking might be the cause of this condition.

Klinefelter's syndrome, a rare genetic condition, can cause gynecomastia and can increase a man's risk of developing breast cancer. It is discussed further in the sections on male breast cancer risk factors and causes.

OncologyStat for additional reading

Understanding some of the key words used to describe various types of breast cancer is important. An alphabetical list of terms, including the most common types of breast cancer, is provided below:

Adenocarcinoma: This is a general type of cancer that starts in glandular tissues anywhere in the body. There are several subtypes of adenocarcinoma which account for nearly all breast cancers.

Ductal carcinoma in situ (DCIS): Ductal carcinoma in situ is a type of breast adenocarcinoma that does not spread outside the breast. Cancer cells fill the ducts but do not spread through the walls of the ducts into the fatty tissue of the breast. Nearly 100% of men or women diagnosed at this early stage of breast cancer may be cured. Most cases of DCIS are diagnosed by mammography, and the diagnosis of DCIS is becoming more common among women who get routine screening mammograms. However, male breast cancer is so rare that routine breast x-rays are not recommended, and only about 5% of men's breast cancers are found at this early stage. Sometimes DCIS causes a man to develop a breast discharge (nipple fluid leakage) and draws attention to his noninvasive cancer. Comedocarcinoma is a type of ductal carcinoma in situ (DCIS), where some of the cancer cells within ducts spontaneously begin to degenerate.

Infiltrating (or invasive) ductal carcinoma (IDC): Starting in a duct of the breast, this type of adenocarcinoma breaks through the wall of the duct and invades the fatty tissue of the breast. At this point, it has the potential to metastasize, or spread, to other parts of the body. Infiltrating ductal carcinoma (alone or mixed with other types of invasive or in situ breast cancer) accounts for 80% - 90% of male breast cancers.

Infiltrating (or invasive) lobular carcinoma (ILC): Although the male breast has no lobules, cells from the ends of a man's breast ducts can develop into cancers which, under the microscope, look like they come from lobules. ILC is a type of adenocarcinoma. It accounts for about 10% - 15% of female breast cancers, but about only 2% of male breast cancers.

In situ: This term is used to indicate an early stage of cancer in which a tumor is confined to the immediate area where it began. Specifically in breast cancer, in situ means that the cancer remains confined to ducts (ductal carcinoma in situ, DCIS) or lobules (lobular carcinoma in situ, LCIS), and it has neither invaded surrounding fatty tissue in the breast nor spread to other organs in the body. DCIS occurs relatively often in both men and women. In contrast, LCIS is common in women, but very rare among men.

Metastases: These are satellite tumors that indicate a breast cancer has spread from the site where it began (referred to as the primary cancer) to a lymph node or a distant organ, such as the lung, liver, or brain.

Microcalcifications: These are small calcium deposits, often found in clusters by a mammogram. These deposits, sometimes called calcifications, are neither cancer nor tumors. But they are signs of changes within the breast, and certain patterns of calcifications can be associated with cancer or benign breast disease.

Node-positive and node-negative breast cancer: Node-positive means that the cancer has spread (metastasized) to the lymph nodes under the arm on the same side, which are called axillary nodes. Node-negative means that the biopsied lymph nodes are free of cancer. This is an indication that the cancer is less likely to recur.

Paget's disease of the nipple: This type of breast cancer starts in the breast ducts and spreads to the skin of the nipple. The areola (the dark circle around the nipple) may also be involved. With Paget's disease of the nipple, there is usually a history of crusting, scaly, red tissue on the nipple and itching, oozing, burning, or bleeding.

Using the fingertips, a lump may be detected within the breast. If no lump can be felt, the cancer generally has a good prognosis. Paget's disease may be associated with in situ carcinoma or with infiltrating breast carcinoma (see above). It accounts for about 1% of female breast cancers and a higher percentage of male breast cancers.

Because the male breast is much smaller than the female breast, all male breast cancers start relatively close to the nipple, so spread to the nipple is more likely.

The large variations in penile cancer rates throughout the world strongly suggest that penile cancer is a preventable disease. The best way to reduce the risk of penile cancer is to avoid known risk factors whenever possible.

In the past, circumcision has been suggested as a strategy for preventing penile cancer. This suggestion is based on studies that reported much lower penile cancer rates among circumcised men than among uncircumcised men. However, most researchers now believe those studies were flawed, because they failed to consider other factors that are now known to affect penile cancer risk. For example, some recent studies suggest that circumcised men tend to have certain other lifestyle factors associated with lower penile cancer risk -- they are less likely to have multiple sexual partners, less likely to smoke, and more likely to have good personal hygiene habits. Most public health researchers believe that the penile cancer risk among uncircumcised men without known risk factors living in the United States is extremely low. The current consensus of most experts is that circumcision should not be recommended as a strategy for penile cancer prevention.

On the other hand, it is reasonable to suspect that avoiding sexual practices likely to result in human papillomavirus (HPV) infection might lower penile cancer risk. In addition, these practices are likely to have an even more significant impact on cervical cancer risk. Until recently, it was thought that the use of condoms ("rubbers") could prevent infection with HPV. But recent research shows that condoms cannot protect against infection with HPV.

This is because HPV can be passed from person to person by skin-to-skin contact with any HPV-infected area of the body, such as skin of the genital or anal area not covered by the condom. It is still important, though, to use condoms to protect against AIDS and other sexually transmitted diseases that are passed on through some body fluids. The absence of visible warts cannot be used to decide whether caution is warranted, since HPV can be passed on to another person even when there are no visible warts or other symptoms. HPV can be present for years with no symptoms, so it can be difficult or impossible to know whether a person with whom you might have sex might be infected with HPV.

It is also known that the longer a person remains infected with any type of HPV that can cause cancer, the greater the risk that infection will lead to cancer. For these reasons, postponing the beginning of sexual activity in life and limiting the number of sexual partners are two ways to reduce the chances of developing penile cancer.

Smoking is another factor associated with increased penile cancer risk. And, it is even more strongly associated with several very common and frequently fatal cancers, as well as noncancerous conditions such as heart disease and stroke. Quitting smoking or never starting in the first place is an excellent recommendation for preventing a wide variety of diseases, including penile cancer.

Because poor hygiene habits are associated with increased penile cancer risk, and some studies suggest that smegma (the material that accumulates underneath the foreskin) may contain cancer-causing substances, many public health experts recommend that uncircumcised men practice good genital hygiene by retracting the foreskin and cleaning the entire penis. If the foreskin is constricted and difficult to retract, a physician may be able to place a small cut (incision) in the skin to make retraction easier.
Since some men with penile cancer have no known risk factors, it is not possible to completely prevent this disease.
The most common sign of breast cancer is a new lump or mass. A mass that is painless, hard, and has irregular edges is more likely to be cancerous, but rare cancers are tender, soft, and rounded. For this reason, it is important that any new breast mass or lump be checked by a health care provider with experience in diagnosis of breast diseases. Once certain signs and symptoms raise the possibility that a man may have breast cancer, his physician will use one or more methods to be absolutely certain that the disease is present and to determine the stage to which the cancer has developed.

Complete medical history: The first step is gathering a complete personal and family medical history from the patient. This will provide information about symptoms and risk factors for breast cancer or benign breast conditions.

Clinical breast exam: A thorough clinical breast examination will be performed to locate the lump or suspicious area and feel its texture, size, and relationship to the skin and muscle tissue. The rest of the body will also be examined to look for any evidence of spread such as enlarged lymph nodes or an enlarged liver. The patient's general physical condition will also be evaluated.

Diagnostic mammography: Diagnostic mammography is an x-ray examination of the breast. In some cases, special images known as cone views with magnification are used to make a small area of altered breast tissue easier to evaluate. The diagnostic work-up may suggest that a biopsy is needed to tell whether or not the lesion (abnormal area) is cancer.

Breast ultrasound: Ultrasound, also known as sonography, uses high- frequency sound waves to outline a part of the body. High-frequency sound waves are transmitted into the area of the body being studied and echoed back. The sound wave echoes are picked up and converted by a computer into an image that is displayed on a computer screen. No radiation exposure occurs during this test. Breast ultrasound is sometimes used to evaluate breast abnormalities that are found during mammography or a physical exam. Ultrasound is useful for some breast masses, and is the easiest way to tell if a cyst is present without placing a needle into it to draw out fluid.

Nipple discharge examination: If there is a nipple discharge, some of the fluid may be collected. The fluid is then examined under a microscope to determine if any cancer cells are present. If cancer cells are not seen in the nipple secretions but a suspicious mass is present, a biopsy of the mass is needed.

Biopsy: A biopsy is the only way to tell if a breast abnormality is cancerous. Unless the doctor is sure the lump is not cancer, this should always be done. All biopsy procedures remove a tissue sample for examination under a microscope. There are several types of biopsies, such as fine needle aspiration biopsy, core biopsy, and surgical biopsy. Your doctor will choose a type of biopsy based on your individual situation.

Fine-needle aspiration biopsy (FNAB): FNAB is the easiest and quickest biopsy technique. A thin needle, about the size of a needle used for blood tests or for immunizations is used. The needle can be guided into the area of the breast abnormality while the doctor is feeling or palpating the lump. A FNAB of solid (not fluid-filled) lumps yields small tissue fragments. Microscopic examination of FNAB samples can determine whether most breast abnormalities are benign or cancerous. In some cases, a clear answer is not obtained by FNAB, and another type of biopsy is needed.

Core biopsy: The needle used in core biopsies is larger than that used for FNAB. It removes a small cylinder of tissue from a breast abnormality. The biopsy is done with local anesthesia in the doctor's office.

Surgical biopsy: Surgical removal of all, or a portion, of the lump for microscopic analysis may be required.
Many doctors prefer a two-step biopsy. In this method, a sample of the mass or, sometimes, the entire mass is removed in the doctor's office or hospital outpatient department. A local or regional anesthesia with intravenous sedation is used and the patient is awake during the procedure. If the diagnosis is cancer, the patient has time after the procedure to learn about the disease and discuss all treatment options with the cancer care team, friends, and family. If additional breast tissue or lymph nodes need to be removed, this will be done during a later operation. The short delay until additional surgery does not affect survival. Of course, a diagnosis made by needle biopsy counts as the first step of a two-step procedure.

With a one-step biopsy, the patient is given general anesthesia and is asleep during the entire process. A biopsy is performed and the tissue sample is frozen. The frozen sample is examined right away under a microscope in the pathology laboratory. If cancer cells are present, the surgeon immediately proceeds with treatment, such as mastectomy, which the patient had previously approved. The patient does not know until after waking up whether the lump was cancerous and whether surgery was performed. One-step procedures are rarely recommended for women since lumpectomy is often a surgical treatment option. Since many male breast cancers are best treated by mastectomy, one- step and two-step procedures are both appropriate options.

Laboratory Testing of Breast Cancer Biopsy Samples
Types of breast cancer: The tissue removed during the biopsy is examined in the lab to see whether the cancer is in situ (not invasive) or invasive. The biopsy is also used to determine the cancer's type. The most common types, invasive ductal and invasive lobular cancer, are treated the same way. In some cases, special breast cancer types that tend to have a more favorable prognosis (medullary, tubular, and mucinous cancers) are treated differently. For example, adjuvant hormonal therapy or chemotherapy may be recommended for small stage I cancers with unfavorable microscopic features but not for small cancers of the types associated with a more favorable prognosis.

Grades of breast cancer: A pathologist looks at the tissue sample under a microscope and then assigns a grade to it. The grade helps predict the patient's prognosis because cancers that closely resemble normal breast tissue tend to grow and spread more slowly. In general, a lower grade number indicates a slower-growing cancer while a higher number indicates a faster-growing cancer.

Histologic tumor grade (sometimes called its Bloom-Richardson grade): Is based on the arrangement of the cells in relation to each other, as well as features of individual cells. Grade 1 cancers have relatively normal- looking cells that do not appear to be growing rapidly and are arranged in small tubules. Grade 3 cancers, the highest grade, lack these features and tend to grow and spread more aggressively. Grade 2 cancers have features between grades 1 and 3. Grade 1, 2, and 3 cancers are sometimes referred to as well differentiated, moderately differentiated, and poorly differentiated. This system of grading is used for invasive cancers but not for in situ cancers.

Ductal carcinoma in situ (DCIS): is sometimes given a nuclear grade, which describes how abnormal the cancer cells appear. The presence or absence of necrosis (areas of degenerating cancer cells) is also noted. Some researchers have suggested combining information about the nuclear grade and necrosis together with information about the surgical margin (how close the cancer is to the edge of the lumpectomy specimen) and the size (amount of breast tissue affected by DCIS). The researchers have proposed assigning a score to each of these features and adding them together. This sum is called the Van Nuys Prognostic Index. In situ cancers with high nuclear grade, necrosis, cancer at or near the edge of the lumpectomy sample, and large areas of DCIS tend to be more likely to come back after lumpectomy.

Estrogen and progesterone receptors: Receptors are molecules that are a part of cells. They recognize certain substances such as hormones that circulate in the blood. Normal breast cells and some breast cancer cells have receptors that recognize estrogen and progesterone. These two hormones play an important role in the development, growth, prognosis, and treatment of breast cancer. An important step in evaluating a breast cancer is to test for the presence of these receptors. This is done on a portion of the cancer removed at the time of biopsy or initial surgical treatment. Breast cancers that contain estrogen and progesterone receptors are often referred to as ER-positive and PR-positive tumors. These cancers tend to have a better prognosis than cancers without these receptors and are much more likely to respond to hormonal therapy.

DNA cytometry: There are two types of DNA cytometry that are sometimes used to help predict a breast tumor's aggressiveness. Flow cytometry uses lasers and computers to measure the amount of DNA in cancer cells suspended in liquid as they flow past the laser beam. Image cytometry uses computers to analyze digital images of the cells from a microscope slide. Both methods can measure the ploidy of cancer cells, which indicates the amount of DNA they contain. If there's a normal amount of DNA, the cells are said to be diploid. If the amount is abnormal, then the cells are described as aneuploid. Some studies have found that aneuploid breast cancers tend to be more aggressive.

Flow cytometry can also measure the S-phase fraction, which is the percentage of cells in a sample that are in a certain stage of cell division called the synthesis phase. The more cells that are in this S-phase, the faster the tissue is growing and the more aggressive the cancer is likely to be. Image cytometry, when combined with special antibody tests of the tissue to for substances such as proliferating cell nuclear antigen (PCNA), can also estimate the grow rate of a cancer.

Other tests for predicting breast cancer prognosis: Many new prognostic factors, such as changes of the p53 tumor suppressor gene, the epidermal growth factor (EGF) receptor, and microvessel density (number of small blood vessels that supply oxygen and nutrition to the cancer), are currently being studied.

Stage O and Stage I Male Breast Cancer
For most men in this group, surgical removal of the cancer is the only treatment needed. This is usually accomplished by modified radical mastectomy. Recent studies have found that extending a modified radical mastectomy to remove an area of involved muscle (and a margin of tumor-free muscle) is as effective as a radical mastectomy, which removes the entire muscle. And the modified radical mastectomy causes fewer side effects.

Lumpectomy or other breast-conserving procedures are rarely an option since the whole breast can be removed under local anesthesia. If breast conserving procedures are done, they should be followed by radiation therapy, unless the cancer is in situ (noninvasive, stage 0).

Chemotherapy may be recommended for some young men with stage I breast cancer. Women with early stage breast cancer who are under 35 have a high chance of cancer recurrence. This is reduced by chemotherapy. But women older than 35 also benefit from adjuvant chemotherapy. As they get older, women benefit less and doctors must balance the risk of recurrence against the side effects of treatment. Most doctors feel these considerations also apply to men with breast cancer. Therefore, chemotherapy will be offered to most younger men with Stage I breast cancer.

Stage II Male Breast Cancer
The surgical and radiation therapy options are the same as with Stage I cancers. But if the nodes contain cancer cells, adjuvant (additional) therapy is usually recommended. Hormonal therapy is suggested for all node-positive, estrogen receptor-positive tumors. Chemotherapy is also usually recommended. Choices about chemotherapy may be influenced by a man's age and general state of health. It is less likely to be recommended for older men, particularly those in poor health.

When node-negative cancers involve the chest muscle or the skin, radiation therapy after surgery may reduce the risk of local recurrence.

Stage III Male Breast Cancer
The surgical and radiation therapy options are the same as with Stage I and II cancers. Except for men in poor health or elderly, chemotherapy is almost always recommended. In some cases, the chemotherapy may be given before the surgery. This is called neoadjuvant therapy.

Stage IV or Stage IV Male Breast Cancer
Systemic therapy is the primary treatment, using chemotherapy, hormonal therapy, or both. Immunotherapy with Trastuzumab (Herceptin) alone or in combination with chemotherapy is an option for men whose cancer cells have high levels of the HER2/neu protein. Trastuzumab is generally not the initial treatment for these men, however, and is usually started after standard hormonal and/or chemotherapy is no longer effective. Radiation and/or surgery may also be used to provide relief of certain symptoms. Treatment to relieve symptoms depends on where the cancer has spread to. For example, pain due to bone metastases may be treated with external beam radiation therapy and/or bisphosphonates such as pamidronate (Aredia). Bisphosphonates are drugs that can help prevent bone damage caused by metastatic breast cancer. For more information about treatment of bone metastases, refer to the ACS document on "Bone Metastasis."

Recurrent Male Breast Cancer
If a patient has a local (breast or chest wall) recurrence and no evidence of distant metastases, cure is still possible. Surgical removal of the recurrence, followed by radiation therapy, is recommended whenever possible. If the area has already been treated with radiation, it may not be possible to give much or any additional radiation without causing severe damage to the normal tissues. Distant recurrences are treated the same as metastases found at the time of diagnosis.

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Related Posts with Thumbnails


Podcasts You may have missed or want to re-listen

A look at the fear of the feminine (Effemophobia) by Jamaican standards & how it drives the homo-negative perceptions/homophobia in Jamaican culture/national psyche.


After catching midway a radio discussion on the subject of Jamaica being labelled as homophobic I did a quick look at the long held belief in Jamaica by anti gay advocates, sections of media and homophobes that several murders of alleged gay victims are in fact 'crimes of passion' or have jealousy as their motives but it is not as simple or generalized as that.

Listen without prejudice to this and other podcasts on one of my Soundcloud channels

More uploads

Aphrodite’s PRIDE JA tackles gender identity, transgender misconceptions .....

Nationwide New Network, NNN devoted some forty five minutes of prime time yesterday evening to discuss the issue and help listeners to at least begin to process some of the information coming from the most public declaration exercise as done by Jenner. Guests on the show were Dr Karen Carpenter Board Certified Clinical Sexologist and Psychologist, ‘Satiba’ from Aphrodite’s P.R.I.D.E Jamaica of which I am affiliated and Lecturer (Sociologist) and host of Every Woman on the station Georgette Crawford Williams (sister of PNP member of parliament Damian Crawford); one of the first questions thrown at Satiba by host Cliff Hughes was why has Jenna waited so long at 65 years old to make such a life changing decision?

Satiba responded that many transwomen have to hide their true identity in life .... given her life when she was younger she was a star athlete she would have been under tremendous precious to stay in from the expectations by the public and her team etc, also owing to the fact that she had a family as a man with children one may not want to upset the flow at that time until the kids are old enough. There is a lot of burden of guilt that some persons carry in weighing the decisions of coming out or transitioning so suppression of one’s true self is the modus operandi.

Dr Carpenter cautioned after a heated exchange:

“We really must remember as professionals we must stay in our lane I will never pronounce as a Sociologist cause I am not a Sociologist ............When we have an opportunity to speak publicly we must be careful of what we say unless it is extremely well informed......”

Aphrodite's P.R.I.D.E Jamaica, APJ launched their website

Aphrodite's P.R.I.D.E Jamaica, APJ launched their website on December 1 2015 on World AIDS Day where they hosted a docu-film and after discussions on the film Human Vol 1

audience members interacting during a break in the event

film in progress

visit the new APJ website HERE

See posts on APJ's work: HERE (newer entries will appear first so scroll to see older ones)

Dr Shelly Ann Weeks on Homophobia - What are we afraid of?

Former host of Dr Sexy Live on Nationwide radio and Sexologist tackles in a simplistic but to the point style homophobia and asks the poignant question of the age, What really are we as a nation afraid of?

It seems like homosexuality is on everyone's tongue. From articles in the newspapers to countless news stories and commentaries, it seems like everyone is talking about the gays. Since Jamaica identifies as a Christian nation, the obvious thought about homosexuality is that it is wrong but only male homosexuality seems to influence the more passionate responses. It seems we are more open to accepting lesbianism but gay men are greeted with much disapproval.

Dancehall has certainly been very clear where it stands when it comes to this issue with various songs voicing clear condemnation of this lifestyle. Currently, quite a few artistes are facing continuous protests because of their anti-gay lyrics. Even the law makers are involved in the gayness as there have been several calls for the repeal of the buggery law. Recently Parliament announced plans to review the Sexual Offences Act which, I am sure, will no doubt address homosexuality.

Jamaica has been described as a homophobic nation. The question I want to ask is: What are we afraid of? There are usually many reasons why homosexuality is such a pain in the a@. Here are some of the more popular arguments MORE HERE

also see:
Dr Shelly Ann Weeks on Gender Identity & Sexual Orientation

Sexuality - What is yours?

Promised conscience vote was a fluke from the PNP ........

SO WE WERE DUPED EH? - the suggestion of a conscience vote on the buggery law as espoused by Prime Minister (then opposition leader) in the 2011 leadership debate preceding the last national elections was a dangling carrot for a dumb donkey to follow.

Many advocates and individuals interpreted Mrs Simpson Miller's pronouncements as a promise or a commitment to repeal or at least look at the archaic buggery law but I and a few others who spoke openly dismissed it all from day one as nothing more than hot air especially soon after in February member of parliament Damian Crawford poured cold water on the suggestion/promise and said it was not a priority as that time. and who seems to always open his mouth these days and revealing his thoughts that sometimes go against the administration's path.

I knew from then that as existed before even under the previous PM P. J. Patterson (often thought to be gay by the public) also danced around the issue as this could mean votes and loss of political power. Mrs Simpson Miller in the meantime was awarded a political consultants' democracy medal as their conference concludes in Antigua.

War of words between pro & anti gay activists on HIV matters .......... what hypocrisy is this?

War of words between pro & anti gay activists on HIV matters .......... what hypocrisy is this?

A war of words has ensued between gay lawyer (AIDSFREEWORLD) Maurice Tomlinson and anti gay activist Dr Wayne West (supposed in-laws of sorts) as both accuse each other of lying or being dishonest, when deception has been neatly employed every now and again by all concerned, here is the post from Dr West's blog

This is laughable to me in a sense as both gentleman have broken the ethical lines of advocacy respectively repeatedly especially on HIV/AIDS and on legal matters concerning LGBTQ issues

The evidence is overwhelming readers/listeners, you decide.

Fast forward 2015 and the exchanges continue in a post from Dr Wayne West: Maurice Tomlinson misrepresents my position on his face book page and Blog 76Crimes

Tomlinson's post originally was:

Urgent Need to discuss sex & sexuality II

Following a cowardly decision by the Minister(try) of Education to withdraw an all important Health Family Life, HFLE Manual on sex and sexuality

I examine the possible reasons why we have the homo-negative challenges on the backdrop of a missing multi-generational understanding of sexuality and the focus on sexual reproductive activity in the curriculum.

also see:


Calls for Tourism Boycotts are Nonsensical at This Time

(2014 protests New York)

Calling for boycotts by overseas based Jamaican advocates who for the most part are not in touch with our present realities in a real way and do not understand the implications of such calls can only seek to make matters worse than assisting in the struggle, we must learn from, the present economic climate of austerity & tense calm makes it even more sensible that persons be cautious, will these groups assist when there is fallout?, previous experiences from such calls made in 2008 and 2009 and the near diplomatic nightmare that missed us; especially owing to the fact that many of the victims used in the public advocacy of violence were not actual homophobic cases which just makes the ethics of advocacy far less credible than it ought to be.

See more explained HERE from a previous post following the Queen Ifrica matter and how it was mishandled

Newstalk 93FM's Issues On Fire: Polygamy Should Be Legalized In Jamaica 08.04.14

debate by hosts and UWI students on the weekly program Issues on Fire on legalizing polygamy with Jamaica's multiple partner cultural norms this debate is timely.

Also with recent public discourse on polyamorous relationships, threesomes (FAME FM Uncensored) and on social.

Some Popular Posts

Are you ready to fight for gay rights and freedoms?? (multiple answers are allowed)

Did U Find This Blog Informative???

Blog Roll

What do you think is the most important area of HIV treatment research today?

Do you think Lesbians could use their tolerance advantage to help push for gay rights in Jamaica??

Violence & venom force gay Jamaicans to hide

a 2009 Word focus report where the history of the major explosion of homeless MSM occurred and references to the party DVD that was leaked to the bootleg market which exposed many unsuspecting patrons to the public (3:59), also the caustic remarks made by former member of Parliament in the then JLP administration.

The agencies at the time were also highlighted and the homo negative and homophobic violence met by ordinary Jamaican same gender loving men.

The late founder of the CVC, former ED of JASL and JFLAG Dr. Robert Carr was also interviewed.

At 4:42 that MSM was still homeless to 2012 but has managed to eek out a living but being ever so cautious as his face is recognizable from the exposed party DVD, he has been slowly making his way to recovery despite the very slow pace.

Thanks for your Donations

Hello readers,

Thank you for your donations via Paypal in helping to keep this blog going, my limited frontline community work, temporary shelter assistance at my home and related costs. Please continue to support me and my allies in this venture that has now become a full time activity. When I first started blogging in late 2007 it was just as a pass time to highlight GLBTQ issues in Jamaica under then JFLAG's blogspot page but now clearly there is a need for more forumatic activity which I want to continue to play my part while raising more real life issues pertinent to us.

Donations presently are accepted via Paypal where buttons are placed at points on this blog(immediately below, GLBTQJA (Blogspot), GLBTQJA (Wordpress) and the Gay Jamaica Watch's blog as well. If you wish to send donations otherwise please contact: or

Activities & Plans: ongoing and future
  • Work with other Non Governmental organizations old and new towards similar focus and objectives

  • To find common ground on issues affecting GLBTQ and straight friendly persons in Jamaica towards tolerance and harmony

  • Exposing homophobic activities and suggesting corrective solutions

  • Continuing discussion on issues affecting GLBTQ people in Jamaica and elsewhere

  • Welcoming, examining and implementing suggestions and ideas from you the viewing public

  • Present issues on HIV/AIDS related matters in a timely and accurate manner

  • Assist where possible victims of homophobic violence and abuse financially, temporary shelter(my home) and otherwise

  • Track human rights issues in general with a view to support for ALL
Thanks again for your support.

Tel: 1-876-841-2923


Information & Disclaimer

Individuals who are mentioned or whose photographs appear on this site are not necessarily Homosexual, HIV positive or have AIDS.

This blog contains pictures that may be disturbing. We have taken the liberty to present these images as evidence of the numerous accounts of homophobic violence meted out to alleged gays in Jamaica.

Faces and names withheld for the victims' protection.

This blog not only watches and covers LGBTQ issues in Jamaica and elsewhere but also general human rights and current affairs where applicable.

This blog contains HIV prevention messages that may not be appropriate for all audiences.

If you are not seeking such information or may be offended by such materials, please view labels, post list or exit.

Since HIV infection is spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics.

This blog is not designed to provide medical care, if you are ill, please seek medical advice from a licensed practitioner

Thanks so much for your kind donations and thoughts.

As for some posts, they contain enclosure links to articles, blogs and or sites for your perusal, use the snapshot feature to preview by pointing the cursor at the item(s) of interest. Such item(s) have a small white dialogue box icon appearing to their top right hand side.

Recent Homophobic Cases

CLICK HERE for related posts/labels and HERE from the gayjamaicawatch's BLOG containing information I am aware of. If you know of any such reports or incidents please contact or call 1-876-841-2923

Peace to you and be safe out there.


What to do if you are attacked (News You Can Use)

First, be calm: Do not panic; it may be very difficult to maintain composure if attacked but this is important.

Try to reason with the attacker: Establish communication with the person. This takes a lot of courage. However, a conversation may change the intention of an attacker.

Do not try anything foolish: If you know outmaneuvering the attacker is impossible, do not try it.

Do not appear to be afraid: Look the attacker in the eye and demonstrate that you are not fearful.

This may have a psychological effect on the individual.

Emergency numbers

The police 119

Kingfish 811

Crime Stop 311

Steps to Take When Contronted or Arrested by Police

a) Ask to see a lawyer or Duty Council

b) Only give name and address and no other information until a lawyer is present to assist

c) Try to be polite even if the scenario is tensed) Don’t do anything to aggravate the situation

e) Every complaint lodged at a police station should be filed and a receipt produced, this is not a legal requirement but an administrative one for the police to track reports

f) Never sign to a statement other than the one produced by you in the presence of the officer(s)

g) Try to capture a recording of the exchange or incident or call someone so they can hear what occurs, place on speed dial important numbers or text someone as soon as possible

h) File a civil suit if you feel your rights have been violated. When making a statement to the police have all or most of the facts and details together for e.g. "a car" vs. "the car" represents two different descriptions

j) Avoid having the police writing the statement on your behalf except incases of injuries, make sure what you want to say is recorded carefully, ask for a copy if it means that you have to return for it

What to do

a. Make a phone call: to a lawyer or relative or anyone

b. Ask to see a lawyer immediately: if you don’t have the money ask for a Duty Council

c. A Duty Council is a lawyer provided by the state

d. Talk to a lawyer before you talk to the police

e. Tell your lawyer if anyone hits you and identify who did so by name and number

f. Give no explanations excuses or stories: you can make your defense later in court based on what you and your lawyer decided

g. Ask the sub officer in charge of the station to grant bail once you are charged with an offence

h. Ask to be taken before a justice of The Peace immediately if the sub officer refuses you bail

i. Demand to be brought before a Resident Magistrate and have your lawyer ask the judge for bail

j. Ask that any property taken from you be listed and sealed in your presence

Cases of Assault:An assault is an apprehension that someone is about to hit you

The following may apply:

1) Call 119 or go to the station or the police arrives depending on the severity of the injuries

2) The report must be about the incident as it happened, once the report is admitted as evidence it becomes the basis for the trial

3) Critical evidence must be gathered as to the injuries received which may include a Doctor’s report of the injuries.

4) The description must be clearly stated; describing injuries directly and identifying them clearly, show the doctor the injuries clearly upon the visit it must be able to stand up under cross examination in court.

5) Misguided evidence threatens the credibility of the witness during a trial; avoid the questioning of the witnesses credibility, the tribunal of fact must be able to rely on the witness’s word in presenting evidence

6) The court is guided by credible evidence on which it will make it’s finding of facts

7) Bolster the credibility of a case by a report from an independent disinterested party.

Sexual Health / STDs News From Medical News Today


CVM TV carried a raid and subsequent temporary blockade exercise of the Shoemaker Gully in the New Kingston district as the authorities respond to the bad eggs in the group of homeless/displaced or idling MSM/Trans persons who loiter there for years.

Question is what will happen to the population now as they struggle for a roof over their heads and food etc. The Superintendent who proposed a shelter idea (that seemingly has been ignored by JFLAG et al) was the one who led the raid/eviction.

Also see:
the CVM NEWS Story HERE on the eviction/raid taken by the police

also see a flashback to some of the troubling issues with the populations and the descending relationships between JASL, JFLAG and the displaced/homeless GBT youth in New Kingston: Rowdy Gays Strike - J-FLAG Abandons Raucous Homosexuals Misbehaving In New Kingston

also see all the posts in chronological order by date from Gay Jamaica Watch HERE and GLBTQ Jamaica HERE


see previous entries on LGBT Homelessness from the Wordpress Blog HERE

May 22, 2015 update, see: MP Seeks Solutions For Homeless Gay Youth In New Kingston

THE BEST OF & Recommended Audioposts/Podcasts

THE BEST OF & Recommended Audioposts/Podcasts 

The Prime Minister (Golding) on Same Sex Marriages and the Charter of Rights Debate (2009)

Other sides to the msm homeless saga (2012)

Rowdy Gays Matter 21.08.11 more HERE

Ethical Professionlism & LGBT Advocates 01.02.12 more HERE

Portia Simpson Miller - SIMPSON MILLER DEFENDS GAY COMMENT 23.12.11

2 SGL Women lost, corrective rape and virtual silence from the male dominated advocacy structure

Al Miller on UK Aid & The Abnormality of Homosexuality 19.11.11

Homosexuality is Not Illegal in Jamaica .... Buggery is despite the persons gender 12.11.11 MORE HERE 

MSM Homelessness 2011 two cents

Black Friday for Gays in Jamaica More HERE

Bi-phobia by default from supposed LGBT advocate structures?

Homeless MSMs Saga Timeline 28.08.11 (HOT!!!) see more HERE

A Response to Al Miller's Abnormality of Homosexuality statement 19.11.11

UK/commonwealth Aid Matter & The New Developments, no aid cuts but redirecting, ethical problems on our part - 22.11.11

Homophobic Killings versus Non Homophobic Killings 12.07.12

Big Lies, Crisis Archiving & More MSM Homlessness Issues 12.07.12

More MSM Challenges July 2012 more sounds HERE

GLBTQ Jamaica 2011 Summary 02.01.12 more HERE

Homosexuality Destroying the Family? .............. I Think Not!

Lesbian issues left out of the Jamaican advocacy thrust until now?

Club Heavens The Rebirth 12.02.12 and more HERE

Should gov't provide shelter for homeless msm?

National attitudes to gays survey shows 78% of J'cans say NO to buggery repeal

1st Anniversary of Homeless MSM civil disobedience (Aug 23/4) 2012 more HERE

JFLAG's rejection of rowdy homeless msms & the Sept 21st standoff .........

Atheism & Secularism may cloud the struggle for lgbt rights in Jamaica more HERE

Urgent Need to discuss sex & sexuality II and more HERE

MSM Community Displacement Concerns October 2012

The UTECH abuse & related issues

Beenieman's hypocrisy & his fake apology in his own words and more HERE

Guarded about JFLAG's Homeless shelter

Homophobia & homelessness matters for November 2012 ................

Cabinet delays buggery review, says it's not a priority & more ...........................(November 2012) prior to the announcement of the review in parliament in June 2013 More sounds HERE

"Dutty Mind" used in Patois Bible to describe homosexuals

Homeless impatient with agencies over slow progress for promised shelter 2012 More HERE

George Davis Live - Dr Wayne West & Carole Narcisse on JCHS' illogical fear

Homeless MSM Issues in New Kgn Jan 2013 .......

Homeless MSM challenges in Jamaica February 2013 more HERE

JFLAG Excludes Homeless MSM from IDAHOT Symposium on Homelessness 2013

Poor leadership & dithering are reasons for JFLAG & Jamaica AIDS Support’s temporary homelessness May 2013 more HERE

Response To Flagging a Dead Horse Free Speech & Gay Rights 10.06.13