The Challenges of Running a Queer Homeless Shelter in Jamaica

Here is another entry on homelessness presenting the issue as if it is unsolvable all the time, when we all know it is not exactly so; especially given how the only Safe House Project was dubiously closed in 2009/10. We must never forget JFLAG was silent towards JASL's board who made a decision to close the shelter pilot prematurely then leading to a backing up on older populations and new displacement cases.

also see previous homeless matters on Gay Jamaica Watch HERE (newer posts will appear first) Vice conveniently left out the most recent occurrences including internal maters and murder accusations and such (Gay Man Beaten And Left To Die In Sandy Gully, St Andrew) and (22-Y-O Gay Died by Electrocution After Trying to Jump a High Voltage Fence); 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

Have a read of the latest presentation on homelessness and see what you make of it:

Source: Viceland (bear in mind it is a paid site so we are subjected to paying to see happenings of our own country/population by a foreigner; talk about the insult to us and lack of principles, but what else is new?)

Homelessness is a massive problem in Jamaica. As of 2015, the unemployment rate in the country was 13.2 percent among adults, and a staggering 38 percent among youth. Perhaps unsurprisingly, in January this year, the Jamaica Observer revealed a 26 percent rise in homelessness over the past three years. The problem is particularly prevalent amongst the country's LGBTQ community, who comprise at least 40 percent 2011 of the overall homeless youth population.

Jamaica is not known for its progressive views on queer issues. In 2006, Time magazine asked if the island was "the most homophobic place on Earth." In 2014, a Human Rights Watch report found that over half of respondents in Jamaica had experienced violence on the basis of their identified gender or sexuality. Reports of corrective rape and the mob murder of gender queer youth Dwayne Jones have also made the headlines in recent years. Across the 1990s, dancehall fast became one of Jamaica's biggest exports, but it has been well documented how many of the scene's biggest stars performed lyrics that openly incited homophobia. While in the 1970s and 1980s the gay rights movement operated much more freely (the country even had known gay clubs and visible LGBTQ space), today activists conduct clandestine operations and hold discreet gatherings as mounting homophobic sentiments pervade public discourse.

Back in 2014, VICE News covered a group of queer homeless youth in Kingston, colloquially referred to as the "Gully Queens." This was part of an outpouring of international concern over the country's queer homelessness problem. Despite widespread media attention in the wake of VICE News's report, the very same group of homeless youth are still on the streets, and the hoped-for improvements have not yet materialized.

Part of the reason LGBTQ communities are so neglected in Jamaica might be due to the fact that almost 70 percent of the country identifies as Christian. Amongst many of them, it is believed that acceptance of LGBTQ persons is akin to turning one's back on God.

On the other side of the fence, seeking help from within the LGBTQ community is complex. As part of the investigation for the new episode of the VICELAND series GAYCATION, which focuses on the current state of LGBTQ life in Jamaica, Yvonne McCalla-Sobers, a leading Jamaican human rights activist and co-founder of LGBTQ-friendly shelter Dwayne's House, tries to explain the mentality: "LGBT persons who are able to have well-paying jobs, drive high-end vehicles, live in gated communities, will have few issues of homophobia, and they want to keep it that way so that they don't have to pay much attention to our youth here," she said. "[It's] class prejudice mixed with why are you doing this to draw attention to us? To make us look bad? "

This is not necessarily to say that there is a lack of sympathy for the homeless youth across the board among the middle-class members of the LGBTQ community. Rather, as J-Flag, Jamaica's leading LGBTQ rights organization stated in its 2013 Annual Report: "The diversity of Jamaica's LGBT community has been masked by the advocacy and media narratives that have focused on victimhood, crime and violence, sex and HIV." Therefore, when choosing issues to campaign for year on year, the middle-class members of the LGBTQ rights movement may be wary that consistently prioritizing the cause of the homeless youth will present the rights movement as a single-issue platform.

According to Dane Lewis, director of J-Flag, one of the greatest barriers to providing shelter for the LGBTQ homeless youth is a lack of funding. NGOs seeking to alleviate the burdens of the queer homeless youth were, and still are, locked in ongoing negotiations with both the government and international agencies for financial support that would help them address the issue on the ground. They find themselves consistently overstretched and unable to provide anything more than stop-gap support.

"The reality is such a project requires a significant investment to run a program that has been envisioned and designed by the various stakeholders invested in the response to homelessness." Lewis said. "Despite submitting proposals to major development agencies, the response has not been favorable."

McCalla-Sobers and Lewis have been spearheading efforts to set up The Larry Chang Centre, an LGBT youth homeless shelter named after the pioneering founder of J-Flag. Though they are hopeful that this year they will receive the last leg of funding needed to make the shelter a reality, the country's pervasive homophobia will likely make finding staff willing to work for an LGBTQ organization, as well as keeping the premises safe, significant challenges.

Until that happens, there are other groups in the country stepping up to help. The National Anti-Discrimination Alliance (NADA) is a Jamaican organization "committed to protecting the rights and freedoms of all people regardless of social or cultural biases." They have provided LGBTQ-friendly safe houses and private shelters for the homeless since 2014. NADA is a small-scale operation, relying largely on the kindness of volunteers willing to open their homes for those in need. When that's not an option, the group will pool their resources and rent a residential property that can be run as a safe house. The shelters can only take on a few guests at a time and operate on a word of mouth basis, but nonetheless, NADA represents a small but significant victory in the struggle to provide shelter to displaced members of Jamaica's LGBTQ community.

Andrew Higgins, founder of NADA, believes that they have so far been able to avoid becoming a target of anti-LGBTQ groups by operating as a "non-discriminatory" organization rather than a "pro-LGBTQ" organization.

The fact still stands, though, that NADA's shelters are primarily aimed at people who are newly homeless, rather than those who have been living without shelter for several years. With a high occurrence of HIV and other medical problems within the long-term LGBTQ homeless community, as well as a high rate of unemployment and training, any shelter will have to provide more than just a roof in order to see the long-term homeless youth rejoin broader society. Therefore, for shelters like NADA's with limited funding, the best strategy is to focus energies on those who have just become homeless in the hope that they can prevent them from becoming homeless in the long-term.

For McCalla-Sobers, it is the fate of the youth population who have been homeless for some years now that she is trying to address once and for all.

"They've been traumatized. Re-traumatized. And traumatized ten times on top of that. People often speak about their behavior, and I'm not sure how I would act in their place." McCalla-Sobers says. "They have made it clear to me in the past; what they really want to do is leave this country."

As it becomes clear that even when provided with shelter many among the LGBTQ homeless youth have been displaced for so long that they believe it is impossible to ever feel at home again in their own country, the need to address their circumstances is more crucial than ever.

Follow Roxy on Twitter.

Learn more about the lives of queer Jamaicans on the latest episode of GAYCATION on VICELAND. Find out how to watch by clicking here.

ENDS

While other persons try in there own way to assist the image of the homeless MSM/Trans persons has been tarnished so badly by reports that it is difficult to get cooperation from persons in terms of temporary shelter.

also see:
Jamaican Artistes wanted to 'clean up' the streets, Say homeless gays not a good look for Jamaica, JFLAG yet to respond 2013

YOUNG MSM/TRANSGENDER WANT TO BE TREATED AS CITIZENS NOT POTENTIAL HIV/AIDS VICTIMS 2014 (wordpress blog)

Community based crisis sheltering is still an option for the displaced 2013 and more from GLBTQJA sister blog HERE (newer posts will appear first)

Let us see where things go from here even as groups as old as in their twenties cannot seem to or want to directly deal with homelessness despite knowing homelessness is the most visible consequence of stigma.

Peace & tolerance

H

Gay “Cures” Are Harmful And Don’t Work, Says World’s Largest Body Of Psychiatrists

I hope folks such as Pastor Aaron Dumas see this; only days ago I posted my concerns regarding his disregard for the DSM and the suggesting to the public of restorative or reparative therapy in his weekly column; this news now could not have been more timely.

see more on that: 

There goes 'Tell me pastor' again pushing reparative suggestions to a bisexual woman

meanwhile:

The World Psychiatric Association has condemned so-called conversion therapy and called on governments around the world to decriminalise homosexuality.

The largest international organisation for psychiatrists is to publish a statement condemning conversion therapy as unscientific, unethical, ineffective, and harmful, BuzzFeed News can reveal.

In a wide-ranging call to reduce the stigmatisation, discrimination, and resulting worsened mental health of lesbian, gay, bisexual, and transgender people, the World Psychiatric Association (WPA) will formally announce on Tuesday its opposition to any attempts to turn LGBT people heterosexual – known as “conversion therapy” or “reparative therapy”.

“There is no sound scientific evidence that innate sexual orientation can be changed,” says the WPA’s position statement, which has been supplied to BuzzFeed News.

“Furthermore, so-called treatments of homosexuality can create a setting in which prejudice and discrimination flourish, and they can be potentially harmful. The provision of any intervention purporting to ‘treat’ something that is not a disorder is wholly unethical.”

Although many psychiatric organisations in Western countries, such as the UK and the US, already publicly oppose conversion therapy, the WPA represents over 200,000 psychiatrists in over 118 countries, many of which criminalise homosexuality and, in some cases, condone attempts to “cure” it.

The WPA’s statement, which will likely be seen as controversial by many of its members, says: “A same-sex sexual orientation per se does not imply objective psychological dysfunction or impairment in judgement, stability, or vocational capabilities.” It continues: 

“[The WPA] acknowledges the lack of scientific efficacy of treatments that attempt to change sexual orientation and highlights the harm and adverse effects of such ‘therapies’.”

The WPA also calls on governments around the world to scrap laws against homosexuality:

“WPA supports the need to de-criminalise same-sex sexual orientation and behaviour and transgender gender identity, and to recognise LGBT rights to include human, civil, and political rights.”

But to reduce the suffering and mental ill-health experienced by a disproportionate number of LGBT people, governments and psychiatrists alike need to go much further than decriminalising homosexuality and banishing conversion therapy, the statement says:

“[The WPA also] supports anti-bullying legislation; anti-discrimination student, employment, and housing laws; immigration equality; equal age of consent laws; and hate crime laws providing enhanced criminal penalties for prejudice-motivated violence against LGBT people.”

It also cites research demonstrating that countries that liberalise laws around homosexuality – and provide equal legal treatment – see a resulting improvement in the mental health of their LGBT citizens.

And in a radical move that goes much further than its British or American counterparts, the WPA says psychiatrists have a duty to fight discrimination against LGBT people.

“Psychiatrists have a social responsibility to advocate for a reduction in social inequalities for all individuals, including inequalities related to gender identity and sexual orientation,” it says.

The WPA will publish the statement in full on Tuesday and email it to the heads of all member organisations shortly after.

full Buzzfeed article HERE

UPDATE:

See sister blog Gay Jamaica Watch for the full statement:

WPA Position Statement on Gender Identity and Same-Sex Orientation, Attraction, and Behaviours

LGBT adolescent & teen suicides a cause for concern

During the brou ha ha involving the new president of the previously constituted Guidance Counsellors Association of Jamaica or now known as JAGCE Jamaica Association of Guidance Counselling in Education it was revealed that a female student from a prominent Kingston all girls school had committed suicide the same week as the controversial statements made by the goodly president came through. Nadine Dixon had revealed that such an incident occurred when she granted an interview to anti gay President Helen Coley Nicholson of Lawyers’ Christian Fellowship fame and tried to reshape her original revelation of counsellors who are not engaging LGBT students. She never however said if it was because of such non engagement specific to that case was the reason as well for the student taking her own life.

also see: 

Ian Boyne: Gay-Friendly Counsellors For Students?

Truth or Not: Guidance counsellors not discriminatory

A reliable source upon seeing my previous post on the subject has revealed that the young lady was being seen by the school’s counsellor but was since referred to another professional eventually which did not seem to resolve the matter. The deceased had expressed her frustration to various outlets but to no avail and now she is dead. Two other matters have since surfaced one involving an adolescent female who has been struggling with family members for the past year or so. A near displacement outcome also sent her into depression for some time but thankfully her summer job affording her some income made possible her payment for private consultations with a psychologist. She had attempted suicide by pill overdose but her cousin who made a surprise visit found the bottles scattered on the ground and ran to her aid eventually taking her to the hospital. She survived.

She was continuously told she needed to change her ways (typical) by her father who was adamant he wanted no lesbian or nasty person (words to such effect) in his family as God burns them out. He also went as far as to threaten withdrawal of any financial support given she is also pursuing tertiary education via a popular university college. She is on her way back to some semblance of normalcy in her life and is being closely monitored and the requisite professional on the case as well. She has also since moved in with the supportive cousin who has played an important role in this case.

Male suicide attempt

A gay male adolescent aged nineteen took things into his own hands earlier this year; he took a social media announcement route prior to taking action via attempted poison and according to him pill overdose as well. Both apparently did not work but days before he had been expressing via a series of status messages of his displeasure with life and just wanting to end it all.

The typical response from friends list is he was talking nonsense and such and some tried to dissuade him from such thoughts or status messages. He has since deleted or at least made his profile inactive and has been assisted by persons who got in touch with two NGOs where the requisite referrals and professional interventions are now active I am reliably informed. Thankfully this one ended on the up and up. Pity the aforementioned young lady did not make it. There are other unconfirmed reports of such attempts successful and unsuccessful.

Gay male teen tried hanging

A fifteen year old male described as a ‘troubled teen’ who has had run-ins with the law and who also is struggling with sexual orientation/identity issues tried to hang himself in June 2015 at a place of safety/rehabilitation centre for boys in south central Jamaica. You will appreciate I cannot go into too much details or name such matters given we are talking about a minor and laws govern such reporting of such matters. The teen however tried to end his life according to my impeccable source by using his sheet on his bed to hang himself but failed in the attempt as the light fixture he tried to tie the end to broke free from the ceiling due to his weight.

Despite his more masculine demeanour which may have deflected some homophobic profiling he has been touted by other boys for being a battyman and a previous incident allegedly at another facility with another boy involved in some sexual activity has not helped any as the issue is spread as a rumour by other boys who were close to matter. Then there are other matters attending with family members who say they simply cannot manage him as his rebellious behaviour is too much for them.

I am concerned as there seems not to be any serious outlet or sustained intervention residing anywhere to address teen and adolescent suicides and attendant issues of identity, self esteem and so on. Despite the high social media visibility in recent years that certainly my generation and previous never had and faces now added to the LGBT struggle with private LGBTians also slowly coming out persons still seem not able to find solace or comfort in the knowledge that as we edge forward to a very slow and painstaking acceptance. Added to the pressures that said social media places on a desire to conform or ideals and goals that are unrealistic young persons find themselves placed in a spin to find themselves. The aspirational themed social media interventions and some workshop activities by some do not seem to be reaching the right people and this is not only a lower socio economic class matter as is the case in the more earthy and often violent homophobia; those efforts seem to be only reaching the already converted or persons lulled in a false sense of security until their own truths catches up with them then disaster.

In a previous post I had highlighted a young lesbian’s attempt to end her life and her subsequent recovery or the road to it; she is now doing very well and has since moved on while ever so slowly mending the family ties that were shattered and led to the attempt in the first place.

Peace & tolerance

H

New EU FRA report highlights crucial role public authorities for LGBT equality

In a new report launched in the European Parliament today, the EU’s Fundamental Rights Agency (FRA) highlights that prevailing negative attitudes towards LGBT people endanger their fundamental rights and hamper efforts to counter discrimination and hate crime.

The report analyses the views and attitudes of the ‘duty bearers’ towards LGBT persons in the field of law enforcement, education and healthcare.

Some of the key findings that emerged that can be found in the ‘Professionally speaking: challenges to achieving equality for LGBT people’ report include:
All professional groups have low levels of awareness and knowledge about LGBT needs, while social attitudes are often hostile towards LGBT people. This affect the actions of public officials and professionals.

There is a need for professional training to help counter prejudice in healthcare. Healthcare services to trans people are spread unevenly across the EU and there is a need to strengthen capacity and awareness of healthcare providers.
There is a lack of objective information on sexual orientation and gender identity inschools, which can result in bullying, and force LGBT youths to hide their sexual orientation or gender identity. Member States should work with education authorities and schools to formulate targeted campaigns to help make schools a safer and friendlier place for LGBT people.

Law enforcement personnel often lacks awareness about the discrimination LGBT people face and have insufficient knowledge of their vulnerability to hate crimes.
EU law and policy are seen as major drivers supporting national efforts to promote LGBT equality.

Reacting to the report, LGBTI Intergroup Vice Chair Fabio Massimo Castaldo MEP, said: “Why do some doctors still believe homosexuality is a disease? Why are schools too often still unsafe places for LGBTI people?”

“This report analyses very thoroughly the difficulties LGBT people may face when it comes to access to basic institutions in everyday life: education, healthcare and police. We need to work much harder to ensure that the rights to education, to healthcare and fair treatment is equally enjoyed by all.”

Sirpa Pietikäinen MEP, also Vice-Chair of the Intergroup on LGBTI Rights, added: “The results of this report are a good reminder that despite improvements in the legal situation, we are not there. Prejudice, discrimination and violence still hold back LGBTI people from accessing school, hospitals and the police.”

“I call on the EU and its Member States to take this report to the heart, and use it systematically to act on their duty to deliver high quality service to end discrimination and hate crime many LGBT people have faced.”

Read more
Read the report ‘Professionally speaking: challenges to achieving equality for LGBT people’

Read earlier posts on the Fundamental Rights Agency

Combination Inhibitor BMS-986197 Demonstrates Good Anti-HIV Activity in Early Study

A long-acting bioengineered "combinectin" molecule with a triple mechanism of action demonstrated potent antiviral activity and worked against HIV that developed resistance to any of the 3 separate mechanisms in a laboratory study, and lowered viral load in humanized mice, according to research presented at theConference on Retroviruses and Opportunistic Infections (CROI 2016)last month in Boston.

Modern antiretroviral therapy is highly safe and effective for most people with HIV, but there is still room for more convenient agents that could help improve adherence, as well as drugs for people with highly resistant virus.

BMS-986197 is an injectable biologic agent which investigators think could potentially be self-administered as a long-acting subcutaneous injection; combining different modes of action in a single agent could avoid the need for multiple injections.

Mark Krystal, formerly of Bristol-Myers Squibb and now at ViiV Healthcare, presented findings from early laboratory and animal studies of BMS-986197, which is part of the portfolio of Bristol-Myers Squibb's investigational HIV agents recently acquired by ViiV.

BMS-986197 is made up of adnectins, small proteins with modifiable binding loops resembling certain antibody regions. Researchers combined adnectins targeting the CD4 cell surface receptor and HIV's gp41 protein subunit, along with a peptide fusion inhibitor, to build a so-called combinectin inhibitor that uses independent mechanisms to interfere with 3 routes of HIV entry. Finally, this combinectin was attached to human serum albumin to improve its pharmacokinetics.

The anti-CD4 adnectin appears to allow HIV's gp120 envelope protein to bind to the receptor, but prevents conformational changes needed for binding to co-receptors (CCR5 or CXCR4). The second adnectin attacks the N17 sequence of the HIV gp41 envelope protein subunit. The fusion inhibitor component works similarly to enfuvirtide (T20 or Fuzeon).

The EC50, or 50% effective concentration, of the anti-CD4 adnectin, the anti-gp41 adnectin, and the fusion inhibitor peptide were 8.5, 5.4, and 0.4 nM (nanoMolar), respectively. Linking these 3 inhibitors into a single molecule led to synergistic effects greater than the sum of the parts. The optimal combination of the 2 adnectins increased potency by more than 100-fold, while adding the fusion inhibitor appeared to increase the barrier to resistance. The addition of human serum albumin decreased potency but made the combinectin last longer in the body.

In the laboratory BMS-986197 demonstrated antiviral activity against a wide range of clinical virus isolates of different subtypes obtained from people with HIV. It retained potency against viruses that were resistant to any 1 of the 3 separate entry inhibition mechanisms and it showed no loss of potency in human blood serum.

In bio-engineered mice with humanized immune systems BMS-986197 produced dose-dependent decreases in viral load, and at the highest dose most became undetectable. Cell receptors remained occupied and pharmacokinetics were consistent over 36 days. In cynomologous monkeys a subcutaneous injection had a half-life of 30 hours and the researchers projected a half-life in humans of about 40 hours -- potentially adequate for once-weekly dosing.

"BMS-986197 is a long-acting (projected weekly dose) biologic molecule containing 3 individual inhibitors of HIV-1 entry that can be dosed subcutaneously," the researchers concluded. "BMS-986197 is effective at lowering viral loads in a mouse model of infection."

3/14/16

Reference

M Krystal, DWensel, Y Sun, et al. HIV-1 Combinectin BMS-986197: A Long-Acting Inhibitor With Multiple Modes of Action. Conference on Retroviruses and Opportunistic Infections. Boston, February 22-25, 2016. Abstract 97.

There goes 'Tell me pastor' again pushing reparative suggestions to a bisexual woman

There goes Pastor Aaron Dumas again pushing a reparative therapy line despite the practice is not recommended to be used by psychologists but he still persist in recommending same. His column in the Star had a recent letter (seems to well edited) of a woman complaining of struggling with her sexuality. 

Interestingly the title is 'I want to change my bisexual lifestyle' but lifestyle and orientation for all intents and purposes are two different things; it has bee shown to be dangerous to suppress one's feelings as it may have disastrous consequences for those who do.

Here is the letter and response:

Dear Pastor,

I am 21 years old and I am having a serious problem. It seems as if a battle is going on inside me between my good conscience and my bad conscience.

At times I wonder if I will go insane. I am a strong believer, in God and I want to serve and live for Him, but there are certain things in my life that are causing me concern. I met a man online two years ago.

This man is good to me, but there are certain things that I do that he likes and if I stop doing them, I fear I will lose him. He likes the fact that I'm bisexual. He buys me sex toys and I make videos and take certain pictures for him.

He says he wants to spend the rest of his life with me and he also wants to have a child with me. I told him about my decision to no longer have sex with him out of wedlock and he agreed with my decision, but his tone of voice says otherwise. This man is a good father to his son and mine - both are honour role students. He is also a believer in God, but he does not read the Bible or pray as much as I do. He says he supports my decision, yet he does not try to help me stay true to it. I told him about it and we talk about it, yet the next day, we are back to the same thing.

Pastor, I need your help because something inside me is telling me to live my life, while something else is telling me that I am here for a purpose and not just to live. I know that if I stop what I am doing, it will be the right thing.

But I am afraid that these thoughts will drive me crazy. Pastor, I need your advice. The things I get involved in sexually make me weak when I'm trying to be strong, and my boyfriend does not try to help me stay strong. He still asks for what I can give him and there is no one around me to help me on my path. I am on my own.

D.W.

Answer:

Dear D.W.,

If you are serious about bringing a change into your life, you need to seek help from the minister of the church I am assuming that you are attending. If you do not attend church, I suggest that you need to start doing so and make an appointment to see the minister or pastor, who would become your spiritual adviser, so to speak. You need help - spiritual help. You cannot fight this battle alone. And I say battle because it is, that is why you have great turmoil within and you speak of the turmoil as your conscience. You admitted that you are bisexual, but you have not mentioned the other persons in your life with whom you are actively having sex. Although you are having sex with them, you consider this man who has promised to marry you to be your main sexual partner. You want to stop having sex with him because you want to get married, so I suppose that that desire of not having sex outside of wedlock would also go for everybody. This man is also agreeing with you, but his action shows that he is not serious. He is not willing to stay away from you and to stop having sex with you.


PROMISES

He gets tremendous kicks out of the things you do. I am sure that you have heard that promises are a comfort to a fool. When he is around you and he wants to have sexual thrills, he can get it from you anytime - and you are too weak to resist him. That is what he is accustomed to, that is what holds both of you together and nothing else. I wish you could see the tremendous danger in making sexual videos and taking pictures of yourself and others and giving them to this man. You are making a big mistake. Have you considered what impact that would have on your son and your relatives if this man were to release such videos and photographs to the public? Oh my! What would happen if this man were to place some of these things on social media?

I am not condemning you at all. I know you are young and sometimes young people don't think of the negative impact things like these can have on their lives.

However, you are crying out for help. I know some folks would not like what I am about to say, but I will say it nevertheless. I believe that you are a good girl in your own right. You need some guidance, spiritual guidance. You are crying out for help. You have come to realise that having fun, the way you are going about it, is not satisfying. Therefore, I ask you to pray about your situation, go to church, drop all these girlfriends and boyfriends that you have. Tell the man that you consider your main beau to come to church with you, but if he doesn't want to do so, go nevertheless. Talk to the pastor or his wife and ask them for help. They will do their best to help you. You did not mention with whom you are living and whether you are working, or if this man is taking care of you. I wish you had divulged that. I hope you are employed. You have my prayers and if I can be of further help to you, please contact me again.

Pastor

ENDS

The American Psychiatric Association “opposes any psychiatric treatment such as reparative or conversion therapy which is based upon the assumption that homosexuality per se is a mental disorder or based upon the a prior assumption that a patient should change his/her sexual homosexual orientation.” The DSM is also quite clear on the matter.

A word to the wise is sufficient.

Peace & tolerance

H

Touching penises in double penetration does not make one gay ...........

Saw this one recently and had a little laugh but realized how serious it actually is. The concerned man asked if he was gay even after losing his erection turned off by the accidental touching of the other male in the arrangement. I have to disagree with the goodly doctor though in the response where it is stressed that the worried man should not have a foursome again, if his wife is consenting then so be it I imagine; frankly that is his choice in my view but he should get over worrying that because his penis came into contact with the other man while penetrating one woman does not make him gay.

Here is the question and response below:

Q: I am a guy who has had a really unpleasant and shocking experience. So I wonder if you could help me? I am 34, happily married. My wife is lovely and a very sexy woman.

Unfortunately, I let another guy at work persuade me to arrange a foursome, involving our wives and ourselves.

I was very into the idea because his wife is a fantastic-looking woman. She is a little older than my spouse and I, but she is in great shape.

To be honest with you, Doc, I could not wait to get my hands on her. As for my wife, she quite liked my colleague, so she was easily persuaded into it.

We all discussed the details and we agreed that the 'big night' would be at their place one Saturday evening. When we got there, my colleague and his wife were well dressed. She was wearing a sexy red dress with a plunging neckline. My wife looked very good as well.

We had a few drinks and some snacks, which they had prepared, then we got down to business. Everybody took off their clothes, and we danced together and had some more drinks.

I was smooching with my friend's wife he was 'necking' with my wife. Everything seemed to be going well.

The next two hours were a bit of a blur. I know that I penetrated the other woman several times, though I took care not to orgasm. I also remember seeing my colleague having intercourse with my wife for quite a long time.

Around 10 p.m., we all kind of piled into a heap on the bed. I suppose it was like an orgy. There were all kinds of things going on, especially between the two women. I admit I was really turned on.

However, suddenly something dreadful happened. Both my colleague and I were trying to penetrate my wife. By the way, she was totally happy about this. She seemed to like the idea of two men almost 'fighting' for her.

Then to my horror, my genitals accidentally touched the other guy's. I was disgusted by that, so I pulled away. I lost my erection immediately. In fact, I went outside and was sick. The worst thing was that just after all this, I think he orgasmed.

Neither of the women seemed upset by what had happened, but I felt terrible! As soon as possible, I got my wife to put on her clothes and we left.

Since then, I have been feeling very depressed. I have not discussed it with my spouse, but she knows I am unhappy.

Doctor, I would like to ask you three things:

1. Does this most unfortunate contact indicate that my colleague is secretly a homosexual?

2. Or am I perhaps secretly gay?

3. Could I have caught anything from the other guy?

Answer: 

Oh dear, oh dear, oh dear! Several times I have warned about the psychological ill-effects which can result from 'threesomes' and 'foursomes'.

You have become unhappy - possibly even clinically depressed - as a result of the fact that your penis seems to have touched another man's organ during your adulterous frolics.

Incidentally, female readers may be astonished by your distress. But, in fact, quite a lot of men do react negatively to any form of contact with another man's penis. I recently discovered that in the United States, there are a few 'swingers' clubs where they actually arrange counselling for men who have accidentally touched another man's organ.

In fact there is an 'orgy society' in Florida, which warns new members that this sort of contact might occur while two men are trying to have sex with the same woman. Their website says that this is nothing to get distressed about. That is correct.

Now let me try and answer your three questions:

1. I don't think there is the slightest evidence that your colleague is a homosexual. This was obviously an accidental contact. The fact that he may have 'discharged' shortly afterwards means nothing.

2. I do not believe for a moment that you are 'secretly gay'. To put it mildly, your entire story seems to be highly heterosexual.

3. It is unlikely that you have 'caught anything' from this brief contact with the other man's organ.

However, you have had sex with his wife and, if she is a regular 'swinger,' then there has to be a possibility that she might have had germs in her vagina. If in doubt, see a doctor for some tests.

My advice: Talk to your wife about what happened. Stop worrying. If you are still having these 'low' feelings, see a counsellor. And, please, do not do a foursome ever again!

Transgender people are at high risk for HIV, but too little is known about prevention and treatment for this population

Tonia Poteat (you may remember her from the 'For The Bible Tells Me So' documentary)

Transgender women have among the highest rates of HIV infection but little is known about HIV prevalence among trans men, Tonia Poteat of Johns Hopkins Bloomberg School of Public Health said in a plenary lecture on transgender health and HIV at the recent Conference on Retroviruses and Opportunistic Infections (CROI 2016) in Boston – the first ever on this population at CROI. A growing number of studies and prevention and treatment programmes are addressing transgender populations, but more research is needed.

Dr Poteat noted that while mainstream knowledge about transgender men and women is relatively new in the US and Europe, largely thanks to celebrities such as Chaz Bono and Caitlyn Jenner, people outside the male-female gender binary have long existed in many cultures, such as the hijra in India.

The size of the transgender population is uncertain, in part due to varying definitions. One estimate put the number of transgender people in the US at approximately 700,000, or 0.3% of the population. Estimates range from 0.1% to 0.5% in Europe, and from 0.7% to 2.9% in South Asia, where some countries legally recognise a ‘third gender’.

Traditional ‘one-step’ data collection approaches can make it difficult to accurately identify trans people in HIV research. Many investigators have categorised study participants according to either their current gender identity or their assigned sex at birth, both of which can result in misclassification. A ‘two-step’ method that asks about both initial sex assignment and current identity is more accurate and inclusive.

“The way you ask the question makes a big difference,” Dr Poteat stressed.

For example, the international iPrEx trial of tenofovir/emtricitabine (Truvada) for pre-exposure prophylaxis (PrEP) included transgender women in its population of 2499 men who have sex with men. The initial published iPrEx report said the study included just 29 trans women, but a later analysis used a broader definition – including people assigned male at birth who identified as women, trans or ‘travesti’, and those who identified as men but used feminising hormones – bringing the total up to 339.

HIV rates in trans populations

As Susan Buchbinder of the San Francisco Department of Public Health said in her introduction to the lecture, “There is probably no population that is both more heavily impacted [by HIV] and less discussed around the world than transgender people.”

Dr Poteat said that very little is known about HIV rates among transgender men. A recent systematic review found six US studies, including a self-report study with a prevalence of 0.4% and five studies based on laboratory testing with rates ranging from 0.5 to 4.3%, but actual numbers were small. Among non-US studies, three based on self-report found prevalence rates of 0.6 to 0.8%, while two based on lab tests had rates of 0 and 2.2%.

A bit more is known about trans women, who were the main focus of the talk. Trans women who have sex with men have one of the highest burdens of HIV infection among key affected populations, which also include gay and bisexual men and people who inject drugs.

One worldwide meta-analysis of 39 studies from 15 countries found that transgender women had an HIV prevalence rate of 19% – 49 times higher than that of the general population. In high-income countries the prevalence was 22%, with the highest rate among trans women of colour.

A more recent meta-analysis by Dr Poteat’s group looked at 49 new studies, which showed both an exponential increase in research and an ongoing high burden of HIV infection. Among the included studies based on lab testing, prevalence rates ranged from 2% among trans youth to 45% among trans sex workers. The three studies that estimated incidence, or new infections, reported rates of 1.2 to 3.6 per 100 person-years.

Even in countries where HIV prevalence in the general population is high, trans women still face a disproportionate burden. In Lesotho, for example, overall prevalence is estimated at 18% for all cisgender (non-transgender) men, 27% for all cisgender women and 28% for men who have sex with men, but rises to 60% for trans women.

Vulnerabilities affecting trans people

A number of factors may make transgender people more susceptible to HIV infection or less likely to use prevention methods or access treatment if they become infected.

Biological factors include hormone therapy, which has the potential to interact with PrEP or antiretroviral treatment (ART). While no clinically significant interactions have been confirmed between feminising hormones and tenofovir/emtricitabine PrEP or most antiretrovirals, many trans women worry about them and prioritise hormone use.

To date, no randomised clinical trials have looked specifically at PrEP for transgender women, but aniPrEx substudy led by Madeline Deutsch from the University of California at San Francisco’s Center of Excellence for Transgender Health found that Truvada appeared to protect trans women who took it consistently. No seroconversions occurred among trans women with tenofovir drug levels indicating they took at least four pills per week. However, their level of adherence was lower than that of gay men in the study, which Deutsch suggested could be due to concerns about PrEP and hormone interactions.

Prior studies have shown that tenofovir reaches higher levels in rectal tissue in men than in cervical or vaginal tissue in women. This could in part be related to hormonal differences between cisgender men and women, although some have found that tenofovir levels are lower in cervical-vaginal tissue samples than in matched rectal tissue samples obtained from the same women.

Some researchers hypothesise that exogenous or administered oestrogen may affect tenofovir pharmacokinetics, for example by interfering with creatine kinase phosphorylation of tenofovir disoproxil fumarate to its active form of tenofovir diphosphate. This could mean that trans women taking oestrogen and PrEP will have lower tenofovir levels in rectal tissue than cisgender men, and therefore may need higher doses – a prospect that requires further study.

Hormones could also potentially cause changes in rectal or vaginal mucosa that increase susceptibility to HIV. Further, sharing needles to inject hormones or fillers such as silicone can transmit HIV and hepatitis B or C. It is not known whether trans women who have genital sex reassignment or affirmation surgery are more vulnerable to HIV infection.

Social and structural factors

Social and structural factors that increase trans people’s vulnerability to HIV include stigma, fear of disclosure, sexual networks that include more people with HIV, poverty, lack of employment opportunities which leads many trans women to engage in sex work, homelessness or unstable housing, violence, lack of access to health care or insurance, substance use and mental health issues such as depression.

Although many transgender women are eligible for PrEP according to US Centers for Disease Control and Prevention (CDC) or World Health Organisation (WHO) guidelines, most are not yet using it and may not be aware of it. One study found that only about 14% of trans women in San Francisco – a city were PrEP awareness and use among gay and bisexual men are high – had heard of PrEP at the end of 2013.

Dr Poteat reported that among people with HIV using Ryan White HIV/AIDS services, transgender people were less likely than patients overall to remain in care (78 vs 80%) and to achieve viral suppression (74 vs 81%).

A survey of trans women with HIV conducted by the Transgender Law Center found that gender-affirming care and hormone therapy were their top priority, considered more urgent than HIV treatment. But trans women who had the same provider for both hormone therapy and HIV treatment were more likely to stay in care and have an undetectable viral load, demonstrating the benefit of integrated care.

“Transgender women have disproportionate HIV prevalence and incidence due to the interplay of biological and intersectional social factors,” Dr Poteat concluded. “Gender-affirming approaches are necessary to achieve optimal outcomes.”

To address barriers to care for trans women it is important to “reduce stigma and prevent secondary trauma including racism, transphobia, economic disadvantage and other structural factors,” she said. “HIV services we have available, mostly geared towards gay men, do not meet the needs of trans women.”

Resources for trans women and men

New resources for trans people have recently begun to appear, including the National Center for Innovation in HIV Care brief Transgender Women and Pre-Exposure Prophylaxis: What We Know and What We Still Need to Know and the booklet Transcending Barriers for Safer Pleasure from Project Inform and Outshine NW. Project Inform's booklet for men who have sex with men, Is Taking PrEP the Right Choice for You?, has also been updated with inclusive language and information for gay and bi transgender men.

In the United Kingdom ClinQ at 56 Dean Street, London, provides holistic sexual health and well-being services for trans people.

Reference

Poteat T HIV in transgender populations: charted and uncharted waters. Conference on Retroviruses and Opportunistic Infections (CROI), Boston, abstract 79, 2016.

View the abstract on the conference website.

View a webcast of this session on the conference website.

Blakka Ellis: Let's talk about sex and sexuality

"Let's talk sex baby, let's talk about you and me, let's talk about all the good things and the bad things that may be, let's talk about sex..." Who remember those lyrics from the 1991 hit by Salt-N-Pepa?

Well between, you and me, is that kind of meditation I man a pree. Yuh nuh waan pree di meds and reason wid me?

Whether you call it the battle of the sexes, the great gender debate, or plain old 'man an woman business', the discussion around gender, romance, sex and sexuality is always topical, often trending, always relevant and never ending. Yeah man, everybody likes to talk about it, especially those people who are probably not doing it!

So, where, when and how then do you join the conversation? What's your favoured angle of entry? Me, I love to deal with things up front.

And that I'm doing with help of an amazing cast and crew in 'He Said, She said'. The riotous revue opened at Courtleigh Auditorium last Friday, and from the opening song, Too Much Sex, the audience was comically aroused and arrested. 'He Said, She Said' is an adults-only production that enters the sometimes delightful and sometimes disturbing sex/gender dialogue from a place of playful provocation. It's an eclectic collection of skits, songs, poetry and parodies that delve into some popular perceptions, tease out touchy taboos, and confront common contradictions. And di actors dem dweet good - the onstage performances!

From the night club to the bedroom, from the corner shop to the front lawn and from various other intimate and public spaces in between, they stroke some pun, poke some fun and 'tek some bad ting mek laugh'. They expertly engage the exhilarating edge of 'naughty' with entertaining stuff that will make you laugh, think and talk. And, well, if you do anything else, don't attribute that to the show. So wah yuh say, when yuh coming?

rumour

In fact, I'm not really sure, but I think I kinda hear that there is a 'students-only' two-for-one special for tertiary students with ID at the show on Friday. Like ah said, mi nuh sure, but shhhh ... Look here nuh, don't tell dem say mi tell yuh this, but even if it never really go so, if yuh call call the ticket line at 542-4160 and tell dem dat is Blakka spreading the rumour, dem will have to sell yuh di ticket! So come check it out.

Another great thing to check out this week is the annual Kingston Book Festival (KBF) - a full week of events for readers, writers, publishers, distributors, buyers, sellers of all things 'bookish' - whether fiction, non-fiction, poetry or play writing. This year's festival started on Sunday with 'Love Affair with Literature' at UWI. It is continuing with a number of events all over, including visits to school - where students get to talk and interact with writers about what it means to be a writer. I had the pleasure of being part of a KBF 2016 event on Monday, as I joined novelist Melanie Schwapp, poet and entertainment journalist Mel Cooke and writer/publisher Tanya Batson-Savage in a lively chat with some very bright and engaging grade eight students at Dunoon Park Technical High School in Kingston and it was a blast!

There's a fresh and innovative KBF event on today as well, called 'Literary Lunch' put on by Susumba's Book Bag. And tomorrow night is 'Late Night Lit' at Red Bones Blues Cafe in New Kingston. It will feature saucy satire and provocative poetry and prose from Andrew Stone, Carla Moore, Karen Carpenter, Michael Abrahams and Tony 'Paleface' Hendriks. Fun week in city Kingston, eh?

International Women's Day 2016 March 8

"Let us devote solid funding, courageous advocacy and unbending political will to achieving gender equality around the world. There is no greater investment in our common future." — UN Secretary-General, Ban Ki-moon

International Women’s Day is a time to reflect on progress made, to call for change and to celebrate acts of courage and determination by ordinary women who have played an extraordinary role in the history of their countries and communities.

The 2016 theme for International Women’s Day is “Planet 50-50 by 2030: Step It Up for Gender Equality”.

The idea of this theme is to consider how to accelerate the 2030 Agenda, building momentum for the effective implementation of the new Sustainable Development Goals, especially goal number five -Achieve gender equality and empower all women and girls- and number 4 –Ensure inclusive and quality education for all and promote lifelong learning. The theme will also focus on new commitments under UN Women’s Step It Up initiative, and other existing commitments on gender equality, women’s empowerment and women’s human rights.

Some key targets of the 2030 Agenda:

By 2030, ensure that all girls and boys complete free, equitable and quality primary and secondary education leading to relevant and Goal-4 effective learning outcomes.

By 2030, ensure that all girls and boys have access to quality early childhood development, care and pre-primary education so that they are ready for primary education.

End all forms of discrimination against all women and girls everywhere.

Eliminate all forms of violence against all women and girls in the public and private spheres, including trafficking and sexual and other types of exploitation.

Eliminate all harmful practices, such as child, early and forced marriage and female genital mutilation.

UN Women Executive Director’s message for IWD 2016
“Each one of us is needed—in our countries, communities, organizations, governments and in the United Nations—to ensure decisive, visible and measurable actions are taken under the banner: Planet 50-50: Step It Up for Gender Equality,” says UN Women Executive Director Phumzile Mlambo-Ngcuka in her message.

For International Women's Day messages from the UN system, visit Women Watch.- See more at: http://www.unwomen.org/en/news/in-focus/international-womens-day#sthash.ruYP3vLL.dpuf

locally:

Where are the women? Did you know that none of the fourteen committees in the House of Representatives or the four committees of the Senate (2013) is chaired by a woman? In Jamaica, a woman’s average representation in all parliamentary committees combined is a mere 10.3 percent. 

We will discuss this some more at the launch of the publication: "Where are the women?" on International Women's Day, March 8. Join Us! UN Women ‪#‎whereRthewomen‬ ‪#‎iwd2016‬ Institute for Gender and Development Studies - (RCU) UWI Jamaica 51% Coalition Jamaica Women's Resource and Outreach Centre (WROC) Women's Entrepreneurship Day or Facebook

Gay Men and Trans Women Adhere Well to Rectal Gel As PrEP in Early US Study

A rectal gel containing 1 percent tenofovir showed promise as pre-exposure prophylaxis (PrEP) against HIV in a group of transgender women and men who have sex with men (MSM), who adhered well to the protocol for the gel’s use. The Phase II MTN-017 trial included 187 MSM and trans women in sites in the United States, (including Puerto Rico), Peru, Thailand and South Africa. Results were presented at the 2016 Conference on Retroviruses and Opportunistic Infections (CROI) in Boston.

Tenofovir-infused topical gel has protected non-human primates and successfully combats HIV in laboratory tests. Previous research has found that a vaginal formulation of 1 percent tenofovir was neither safe nor acceptable in the rectum. So the gel in this study was one that had been reformulated into a reduced glycerin formation of 1 percent tenofovir gel.

The participants for this study, all of whom reported receptive anal intercourse, were randomized so that each went through three phases of the trial, but in different orders. These phases included eight weeks each of the following (with a one-week “wash-out” period between each phase): the rectal 1 percent tenofovir gel with instructions to insert it into the rectum daily; the gel with instructions to use it rectally before and after anal intercourse, or at least twice weekly in the event of no receptive anal intercourse; or Truvada (tenofovir/emtricitabine) with instructions to take the tablet orally once daily. The study lasted for 27 weeks.

The participants, 12 percent of whom identified as women or transgender, made study visits every four weeks. The researchers measured the participants’ adherence to the various forms of PrEP through daily SMS texts as well as through returns of the product at each study visit (to see how much unused PrEP remained). They also tested study members’ plasma tenofovir levels at each study visit and gave them the results of that test at the subsequent visit. High adherence was defined as taking greater than 80 percent of expected doses.

There were no differences between the three versions of PrEP in terms of grade 2 adverse health problems. The researchers concluded that the rectal gel was safe in either of the dosing protocols.

Overall, the participants preferred the oral regimen to the two rectal application protocols, in particular the daily regimen. Ninety percent of individuals said they like liked the oral regimen, 80 percent liked the dosing protocol associated with sexual activity, and 70 percent liked the daily rectal gel protocol.

Adherence was generally high, and participants adhered similarly to administering the gel at least twice weekly and taking Truvada daily.

The researchers concluded that the trial supported further study of rectal microbicides in MSM and trans women, and that research should focus on convenient dosing regimens.

To read the conference abstract, click here.

International Study Finds Rectal Microbicide Gel Safe When Used Daily and With Sex

Participants as adherent to using gel with sex as taking a daily pill for HIV prevention

BOSTON, February 24, 2016 – A reduced glycerin formulation of tenofovir gel was found safe when used daily and around the time of sex, according to the first extended safety study of arectal microbicide for HIV prevention from anal sex. Presented today at the 23rd Conference on Retroviruses and Opportunistic Infections (CROI 2016), the study, led by the U.S. National Institutes of Health (NIH)-funded Microbicide Trials Network (MTN), also indicated that participants were as likely to follow through using the gel with sex as they were to using daily oral pre-exposure prophylaxis (PrEP) – a prevention strategy in which people who are HIV-uninfected take a daily pill to reduce their risk of infection.

The Phase II study, MTN-017, began in September 2013 and enrolled 195 men who have sex with men (MSM) and transgender women at sites in Peru, Thailand, South Africa and the United States, including Puerto Rico. MTN-017 participants –12 percent of whom were transgender women – cycled through three study regimens which each lasted eight weeks: reduced glycerin tenofovir gel used daily, reduced glycerin tenofovir gel used before and after anal sex, and daily use of the antiretroviral tablet Truvada® (emtricitabine/tenofovir disoproxil fumarate), developed by Gilead Sciences, Inc. This design allowed researchers to collect information about the gel’s safety and acceptability in the rectum, and compare it to the use of oral Truvada, which was approved for use as PrEP by the U.S. Food and Drug Administration in 2012.

Most side effects from study products in MTN-017 were minor, indicating the gel was safe, and there were no significant differences in adverse events among the gel regimens compared to oral Truvada. Overall, participants were highly adherent in MTN-017, with most following through in using their assigned products 80 percent of the time or more. Participants were similarly adherent to using gel before and after sex (93 percent) as they were to taking daily oral Truvada (94 percent). They were less adherent, however, when using the gel on a daily basis (83 percent). Adherence in MTN-017 was measured by a combination of responses to daily questions sent by text message, number of returned gel applicators and blood tests to confirm the presence or absence of drug.

When asked about preferences, participants reported they preferred oral Truvada to the gel, but found the before and after sex gel regimen as easy to use as oral Truvada. When asked about the likelihood that they would use the study products in the future, participants said that they would be as likely to use the gel before and after sex as they would to take oral Truvada. Forthcoming analyses from MTN-017 will shed light on how much drug was absorbed in the blood, rectal fluid and tissue, and assess whether use of the products caused changes in cells or tissue.

“The results from MTN-017 demonstrate there is a place for rectal microbicides used around the time of sex in future HIV prevention efforts,” said Ross D. Cranston, M.D., associate professor, University of Pittsburgh School of Medicine, who led the study with Javier R. Lama, M.D., M.P.H., investigator and director, HIV Prevention

Intervention Studies, IMPACTA PERU Clinical Trials Unit, Lima, Peru. “While we have more to learn from ongoing analyses of tissue and blood testing, the completion of this study was a significant undertaking and represents a major step forward in the development of a rectal microbicide for people at risk of HIV from anal sex.”

MTN-017 was a larger follow-up trial to a previous study, MTN-007, that found the reduced glycerin formulation of tenofovir gel was safe and acceptable to both men and women who used it in the rectum daily for a one-week period. The gel used in both studies was formulated with less glycerin to address gastrointestinal side effects experienced by some study participants who used an original vaginal formulation of tenofovir gel in an early study called RMP-02/MTN-006.

“The MTN-017 findings come at a pivotal time in the field of rectal microbicides, setting the stage for future studies and complementing ongoing research into new products and delivery methods,” said Ian McGowan, M.D., Ph.D., principal investigator of the MTN and professor of medicine, Division of Gastroenterology, Hepatology and Nutrition and Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine. “Research is already underway at MTN to expand the pipeline of rectal microbicide products in order to find the right product to move forward into an effectiveness study.”

Globally, racial and ethnic minorities, MSM and transgender women are disproportionately affected by HIV. Although most microbicide research has focused on products for vaginal use, the risk of becoming infected with HIV from unprotected anal sex may be 20 times greater than unprotected vaginal sex, in part because the rectal lining is only one-cell thick compared to the vagina’s multiple layers.

In addition to Drs. Cranston, Lama and McGowan, co-authors include Alex Carballo-Dieguez, Ph.D., Columbia University; Cindy Jacobson, Pharm.D., MTN; Sherri Johnson, FHI 360; Ratiya Kunjara Na Ayudhya, BSMT, MTN; Mark Marzinke, Ph.D., Johns Hopkins University; Jeanna Piper, M.D., Division of AIDS, National Institute of Allergy and Infectious Diseases (NIAID); and Barbra Richardson, Ph.D., University of Washington and Fred Hutchinson Cancer Research Center.

MTN-017 is funded by NIAID and the National Institute of Mental Health, both components of the NIH. Tenofovir gel was developed by Gilead Sciences, Inc., of Foster City, Calif., which assigned the rights for tenofovir gel to CONRAD, of Arlington, Va ., and the International Partnership for Microbicides of Silver Spring, Md., in December 2006. Clinical input and study supplies of reduced glycerin tenofovir gel were provided by CONRAD, with funding from USAID.

# # #

More information and materials about MTN-017 and rectal microbicides are available athttp://www.mtnstopshiv.org/news/studies/mtn017.

About the Microbicide Trials Network

The Microbicide Trials Network (MTN) is an HIV/AIDS clinical trials network established in 2006 by the National Institute of Allergy and Infectious Diseases with co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the National Institute of Mental Health, all components of the U.S. National Institutes of Health. Based at Magee-Womens Research Institute and the University of Pittsburgh, the MTN brings together international investigators and community and industry partners whose work is focused on the development and rigorous evaluation of promising microbicides – products applied inside the vagina or rectum that are intended to prevent the sexual transmission of HIV – from the earliest phases of clinical study to large-scale trials that support potential licensure of these products for widespread use. More information about the MTN is available at www.mtnstopshiv.org.

Click here for PDF version of this document.

Lesbian fined for property damage of neighbour’s house despite lesbophobic provocation

In one of those cases that we could conclude justice was split in a sense a twenty seven year old woman of a Portmore address was fined some $63,000 in total at Spanish Town RM court last week for damage to a window after a stone throwing and a protracted spat with her neighbour who is said to be a church person. The incident had its genesis from 2014 when after a night of entertaining female friends the lesbian found herself the subject of taunts, one off comments even when none was solicited which grew over time to the September 2015 encounter with the woman who was singing a popular gospel song and interspersing her vocalizations with the chant of fire! The term of course suggests the hellfire and brimstone condemnation often used by Rastafarians and some Christians to condemn sinners especially homosexuals in the ever so visible religious homophobia.

The morning of the incident September 20, 2015 around 8am the lesbian had awakened and was about to throw away her garbage and other stuff from the lyme activity before when the homophobe made insulting remarks and proceeded to suggest she saw strange activity in her eyes of women supposedly kissing in the yard; bearing in mind this is private property and if any activity was on it was not her business and according to the lesbian one would have to outside near the fence or transfixed on her house from the angle the woman could see to actual witness any activity; which suggest deliberate prying by the mischief making neighbour.

The judge was also told this by the lesbian who in turn asked the woman whether she was prying on her alleged lesbian neighbour; she reportedly answered yes saying she had a right to stop evil and sinful behaviour. The judge reportedly intervened and told the woman she was wrong in as far as interference with a neighbour’s existence and peaceful, uninterrupted enjoyment of their property. The judge also continued that while the woman is entitled to her view she must temper those with live and let live as her current situation would not have occurred and a court case following.

The argument between the women continued for hours at a time on the same day until the lesbian lost her cool with the woman deliberately and persistently badgering her with taunts and slurs. The angered lesbian reacted and warned the woman to leave her alone to which the woman threatened to call the police and implied she would encourage them to treat the lesbian as a man since she wanted to become one. It was that comment that triggered the response from the lesbian and the stones flew (three of which) that broke the side window to her house which is the woman’s kitchen. The woman raised an alarm supposedly to have the other neighbours join her in her cause but surprisingly they were reticent and one even suggested she was an old trouble maker. The lesbian had only rented the house some eight months before so she was not aware of the history preceding her arrival. Some even suggested the lesbian was free to conduct her private business in her property she was paying rent for; a far cry from similar support being sought by other homophobes to support their hate.

The police were alerted and upon arrival asked the woman to go back to her property as she was in the yard of the lesbian making all kinds of unsubstantiated allegations; both women were asked to accompany the cops in separate vehicles to the Gregory Park precinct where a report was filed and some further interrogation. 

The cops were said to be fair for the most part and urged the women not to let it go further in terms of an encounter. The court date was made in January and the second hearing after estimates were presented and so on was where the fine was ordered by the judge with a warning to the lesbian to control her temper and patience as even though she was in the right she lost her high ground by snapping on the woman. The judge also told her she could have reported the annoyance to the cops as a matter of record as the stone throwing may have been treated differently as self defence in a sense.

The lesbian has reportedly said she is looking for somewhere else to rent so as to avoid the woman altogether. This is how it can be so easy from provocation that tempers can flare and unintended outcomes follow. The woman as far as I am concerned was fortunate as if it were some other women she may have had a far worse outcome as a four year old case came to mind where a lesbian actually drew her machete and warned her enemy in Kingston; the guilty party was eventually chopped and the lesbian ended up serving a short sentence for the injury.

John Public also needs to understand that LGBT people or at least not all of us are easy cherry pickings and are not prepared to put up with taunts, verbal assaults and abuse and are even prepared to go further if necessary either by deliberately responding or as in this case a snap loss of temper with a physical response.

Peace & tolerance

H

more on tolerant cops:

Gay man saved by cop (GJW)