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Gay, bi men remain key to HIV epidemic

After 30 years of AIDS, many breakthroughs but infection rates on the rise

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On June 5, 1981, the U.S. Centers for Disease Control and Prevention published an article in its authoritative journal Morbidity and Mortality Weekly report that experts now consider the first signal that an unprecedented worldwide epidemic had begun.

ā€œIn the period of October 1980-May 1981, 5 young men, all active homosexuals, were treated for biopsy-confirmed Pneumocystis carini pneumonia at 3 different hospitals in Los Angeles, California. Two of the patients died,ā€ the MMWR article stated.

ā€œPneumocystis pneumonia in the United States is almost exclusively limited to severely immunosuppressed patients,ā€ said the article. ā€œThe occurrence of pneumocytosis in these 5 previously healthy individuals without a clinically apparent underlying immunodeficiency is unusual.ā€

It would take another few years before scientists named the condition detected in the men discussed in that MMWR article as Acquired Immune Deficiency Syndrome or AIDS. The name AIDS followed an earlier term used by some researchers and the media ā€“ Gay Related Immune Disorder or GRID.

In reflecting on the tumultuous developments surrounding AIDS over the past 30 years, leaders of AIDS advocacy organizations and LGBT activists in the U.S. who lived through the early years of the epidemic say that, to some extent, the MMWR article of June 1981 still has considerable resonance for gay men.

They acknowledge that so much has changed for the better over the past 30 years, including breakthroughs in biomedical research resulting in highly effective drugs that transformed AIDS from a death sentence into a manageable, chronic illness like diabetes.

But AIDS activists also point out that HIV and AIDS continue to disproportionately impact gay men or men who have sex with men (MSM) in the United States and other countries.

And although the perception of AIDS as a ā€œgay diseaseā€ has largely receded from the minds of most Americans, AIDS activists say they find themselves in the ironic position of having to remind Congress and state and local governments that more resources and funding are needed for HIV prevention programs targeting gay and bisexual men.

ā€œMSM is the only group for whom, according to the CDC, new infections are still increasing,ā€ said Ronald Johnson, vice president for policy and advocacy for AIDS United, a national group formerly known as AIDS Action.

ā€œSo there continues to be a concern that there is not enough targeted prevention resources to MSM, particularly MSM of color and young MSM of all races and ethnicities,ā€ Johnson said.

According to the CDC, while MSM account for about 2 percent of the U.S. population, more than half of all new HIV infections in the U.S. each year (53 percent) occur among MSM. CDC data also show that MSM make up nearly half of all people living with HIV in the U.S. ā€“ 48 percent.

CDC figures show that white MSM ā€œaccount for the largest number of annual new HIV infections of any group in the U.S., followed closely by black MSM,ā€ according to a CDC fact sheet released last month.

ā€œThere are more new HIV infections among young black MSM (aged 13-29) than among any other age and racial group of MSM,ā€ the fact sheet says.

The Obama administration, with input from AIDS advocacy organizations, released a National HIV/AIDS Strategy document in July 2010 that, among other things, calls for an aggressive effort to develop better HIV prevention programs targeting MSM.

Johnson and Carl Schmid, deputy executive director of the AIDS Institute, a national advocacy group, praised the administration for developing the strategy document, which they say covers most of the bases needed for addressing HIV prevention programs for MSM.

But the two said the proposals in the strategy document have yet to be fully implemented. They note that delays in its implementation are due, in part, to the U.S. economic situation that has prevented needed increases in federal AIDS funds and severe cutbacks in state and local funding for AIDS-related programs.

Phill Wilson, president and CEO of the Black AIDS Institute, said in a commentary last week in the Washington Informer, a black community newspaper, that he fears the horrors of the AIDS epidemic of the 1980s, when friends and family members watched loved ones die due to a lack of effective medical treatment, could return to some degree in the next few years.

According to Wilson, if the federal government fails to boost funding for the federal-state AIDS Drug Assistance Program (ADAP), low income people who rely on the program to provide them the medications they need keep the AIDS virus in check could become casualties just as their predecessors became casualties years earlier. But this time, he said, an inability to gain access to medicine due to funding shortfalls would be responsible for their fate at a time when effective medicine is readily available.

He called such an outcome ā€œimmoral.ā€

The ADAP program was created under the Ryan White AIDS Care Act to provide life-sustaining drugs for low-income people with HIV and AIDS who are under insured or donā€™t have any health insurance to help pay for the drugs.

ADAP funding cuts by states and a large increase in the number of people applying for ADAP assistance has resulted in nearly 8,000 people being placed on state waiting lists for the AIDS drugs they need to remain healthy.

The health insurance reform law that President Obama proposed and Congress passed two years ago was expected to relieve the ADAP funding pressure on states when it takes effect in 2014. However, some states that oppose the law have filed lawsuits seeking to prevent its provision requiring all citizens to buy some form of health insurance from going into effect, making its outcome uncertain.

Nearly all AIDS advocacy groups support the law, saying it would strengthen medical care for large numbers of people with HIV/AIDS.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, an arm of the U.S. National Institutes of Health, has been the leading federal government official monitoring the AIDS epidemic and directing AIDS-related research since the disease burst on the scene in 1981.

In a speech commemorating the 30th anniversary of AIDS at NIH headquarters in Rockville, Md., on Tuesday, Fauci said heā€™s optimistic that an AIDS vaccine can be developed in the near future.

ā€œWe have scientific evidence that a safe and effective HIV vaccine is possible,ā€ he said in a statement released on May 18.

ā€œIn 2009, a clinical trial in Thailand involving 16,000 people demonstrated for the first time that a vaccine could safely prevent HIV infection in a modest proportion of study participants,ā€ he said. ā€œMany of the best minds in HIV vaccine science are examining blood samples and data from the Thai trial to learn how the vaccine candidate prevented HIV infections and to consider how it could be modified to be more effective.ā€

Fauci said NIAID is also optimistic about development within the next few years of effective vaginal and rectal microbicides that can be used to prevent the transmission of HIV during sexual contact.

Fauci and other researchers have also pointed to studies showing the effectiveness to a certain degree of prescribing HIV drugs for use by non-infected people believed to be at high risk for HIV infection, such as men who have sex with men.

Known as pre-exposure prophylaxis, or PrEP, the use of this prevention measure is said to have the drawback of being less effective if people fail to take the drug as required. Some also have expressed concern that people using this prevention method are subject to potential side effects of the drugs and may be discouraged from using condoms, which experts say is one of the most effective methods of HIV prevention.

Events and developments in the early years of AIDS

ā€¢ 1981: The CDC reports in its June 1981 edition of MMWR and subsequent editions that year that an estimated 170 gay men had succumbed to Pneumocystis carini pneumonia and Kaposiā€™s sarcoma, a rare skin cancer, over the preceding two years. The CDC studies of these cases cited a serious malfunctioning of the bodyā€™s immune system in those who contracted the conditions.

ā€¢Ā 1982: Gay Related Immune Disorder, or GRID, became the first name to describe what is now known as AIDS. Cases reached epidemic proportions in the U.S., moving beyond clusters of gay men in New York, San Francisco and Los Angeles and into groups with no obvious risk factors.

ā€¢Ā 1983: Gay leaders, independent medical researchers and health and social services agency officials testify before a congressional committee that the federal response to AIDS was highly inadequate. They issue a plea for the federal government and the Reagan administration to increase federal funding and federal initiatives to fight AIDS.

ā€¢ 1985: In late July, actor Rock Hudson stunned the nation when he issued a statement saying he had AIDS and was receiving treatment in Paris that he said he couldnā€™t get in the U.S. He died three months later at age 59. His announcement and death drew massive mainstream media attention to AIDS. His death prompted his close friend, actress Elizabeth Taylor, to help found the American Foundation for AIDS Research to raise funds for AIDS causes.

ā€¢Ā 1988: The NAMES Project AIDS Memorial Quilt makes its second trip to Washington in the spring, where itā€™s displayed on the Ellipse near the White House. Later that year, about 1,100 AIDS activists staged a protest at the headquarters of the U.S. Food and Drug Administration in suburban Maryland outside D.C., denouncing the FDA for taking too long to approve new drugs for people with AIDS. Police arrested at least 176 of the protesters after they blocked access to the FDA buildingā€™s main entrance.

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Real Estate

How to protect yourself from rental scams

Beware of fraudulent checks, identity theft

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Scams can affect both tenants and landlords during summer rental season.

As the summer rental season ramps up, be aware that scams can affect both tenants and landlords. As a property owner looking to rent out your space, you might encounter various fraudulent schemes when advertising your property online. Understanding these scams and recognizing the red flags can save you stress and even financial loss.

Three of the most common scams that landlords face in the District of Columbia include the following:

1. Fake Payment Scams

Tenants provide fraudulent checks or money orders for rent or security deposits. These payments appear legitimate initially, but eventually bounce or are identified as fake.

Why it works: Scammers take advantage of the delay between the initial deposit and the time it takes for banks to identify fraudulent checks, allowing them to secure access to the property.  Once they do, they have possession and in the District of Columbia, that means a court case to remove them.

Prevention Steps:

  • Verify Funds: Wait for the check or money order to fully clear before handing over keys or signing the lease. This can take several days.
  • Use Electronic Payments: Encourage tenants to use electronic payment methods like bank transfers or verified payment apps, which can be more secure and quicker to verify.
  • Bank Verification: Contact the issuing bank to verify the authenticity of the payment instrument.

2. Identity Theft Scams

Prospective tenants use stolen or fake identities to pass background and credit checks. Once they secure the lease, they may engage in illegal activities or fail to pay rent.

Why it works: Scammers exploit the reliance on documentation and credit reports which, if fake, can be difficult to verify without thorough checks.

Prevention Steps:

  • Thorough Screening: Conduct comprehensive background checks, including employment and previous rental history. 

As a self-managing landlord, this can be both time-consuming and complicated.  There are several easy ways to get caught in unlawful methods of screening based on the Districts strict tenant laws.  When in doubt to get it legally right, seek out professional help, so you do not inadvertently end up violating regulations in place to protect renters.

  • In-Person Meetings: Meet prospective tenants in person and request multiple forms of identification to verify their identity. Again, itā€™s critical to do this within the boundaries of the law. Make sure if you do it for one, do the same process, have the same questions and take the same actions for all interested parties. 
  • Cross-Check Information: Contact employers and previous landlords directly using publicly available contact information to confirm details provided by the tenant. Make sure you are indeed speaking to their prior or current landlord by preparing very specific questions about their lease agreement or other items a fake reference will not know or will stumble to answer. 

3. Subletting Scams

Tenants illegally sublet the property to others, often at a higher rate, without the landlordā€™s knowledge or permission. This can lead to over-occupancy and property damage. You may also not know who is living in your unit or if they would have qualified if you had screened them.  Lastly, if they have possession of your property, getting them out involves a court case. 

Why it works: Scammers take advantage of landlords who do not monitor their properties closely, allowing them to profit from unauthorized subletting.

Prevention Steps:

  • Find management: Ensure that preventative steps are taken, to ensure renter compliance with any sub-letting rules youā€™ve laid down in the original agreement.
  • Regular Inspections: Conduct regular property inspections to ensure that only authorized tenants are residing in the property. Inspections in the District are tricky, a landlord cannot just enter at will or too frequently.  Be sure you know the rules, or ask a professional for advice before you enter your renter-occupied property.
  • Lease Clauses: Include clear clauses in the lease agreement that prohibit subletting without written permission from the landlord. Is your agreement rock solid? Or do you need professionals on your side who know what to do to ensure both you and your renters are protected fairly?
  • Neighborhood Watch: Establish good communication with neighbors who can alert you to any suspicious activity or unauthorized occupants.  If you used to live at that location your former neighbors and friends are the best way to keep eyes and ears out on what is going on in your property and to alert you to any unusual behaviors.

By taking these preventive measures, landlords can better protect themselves from common scams and ensure a more secure rental process.

Anatomy of a Common Rental Scam

Another prevalent scam starts when you post an advertisement for your rental property. Scammers may copy your listing, post it at a lower price, and pretend they are the landlords. Unsuspecting tenants may pay a deposit to them or even the first month’s rent to these fraudsters, believing they are securing their new home. Hereā€™s how the scam typically unfolds:

Step 1: Scammers take the details and photos from your legitimate listing and create a fake one, often with lower rent to attract more potential tenants.

Step 2: They claim to be out of town and unable to show the property, urging potential tenants to drive by and view the property from the outside.

Step 3: They ask for a security deposit or the first monthā€™s rent via online payment methods before the tenant has signed a lease or even seen the inside of the property.

How to Protect Yourself

Here are some steps you can take to protect yourself from these scams:

Secure Your Listing: Use reputable rental platforms and websites known for their security measures to advertise your property.

Watermark Your Photos: Adding a watermark to the images in your rental listings can prevent scammers from easily stealing your photos.

Educate Potential Tenants: Inform applicants about common scams and encourage them to be cautious of listings that seem too good to be true, ask for money up front, etc.

Meet or Video Call Potential Tenants: If possible, meet tenants in person or through a video call to verify their identity and discuss the rental terms. Requiring a matching photo ID during the application process is an added layer to ensure this is the same person.

Verify Tenant Information: Conduct a comprehensive background check, including credit, employment, rental history, and criminal records.

Red Flags for Landlords

To protect yourself and potential tenants from a scam like this, be aware of the following red flags during the tenant screening process:

  • Paying All Cash Upfront: If a prospective tenant offers to pay the rent for the entire lease period in cash without a proper background check, be cautious. This can be a sign that they want to avoid detection due to illegal activities or poor credit history.
  • Urgency to Move In: A tenant who is pushing to move in immediately, especially without seeing the property, should raise a red flag. They might be trying to rush the process before you notice any inconsistencies in their story or background.
  • Lack of Interest in Viewing the Property: Be wary of tenants who do not ask to see the property or who are satisfied with just external views. Genuine tenants will usually want to inspect where they are going to live.
  • Poor or Incomplete Documentation: If a tenant cannot provide proper identification, proof of income, or previous rental history, this is a significant warning sign. Scammers often avoid giving out personal information that can be traced back to them.
  • Unusual Payment Methods: Be cautious if a tenant wants to use unconventional payment methods like wire transfers or cryptocurrency. Standard practices include checks, bank transfers, or credit card payments, which offer more security and traceability.

Organizations That Can Help

If you find yourself a victim of a rental scam, there are organizations that can offer assistance and guidance:

Federal Trade Commission (FTC): They handle complaints about deceptive and unfair business practices, including rental scams. You can file a complaint at ftc.gov.

Better Business Bureau (BBB): The BBB provides information on businesses, including complaints and scam alerts. Visit their website at bbb.org for more resources.

Internet Crime Complaint Center (IC3): This is a partnership between the FBI and the National White Collar Crime Center, and it allows victims to report internet-related criminal complaints. Visit their site at ic3.gov.

Local Law Enforcement: Contact your local police department to report the scam, especially if money has been exchanged.

By staying vigilant and informed, you can protect yourself and potential tenants from falling prey to these sophisticated scams. Remember, prevention is always better than cure, especially in the real estate market.

(Note: For examples of the three scams included, we have produced some of the content of this article using AI.)

Scott Bloom is owner and senior property manager of Columbia Property Management. For more information and resources, go to ColumbiaPM.com.

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Dining

Behind the bar with Moon Rabbitā€™s Thi Nguyen

Cocktails work in harmony with thoughtfully executed Vietnamese dishes

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Moon Rabbitā€™s Thi Nguyen

Thi Nguyenā€™s hands move purposely behind the bar, her all-business, cobalt blue nails gleaming under the warm lighting of recently relocated ā€“ and highly celebrated ā€“ Moon Rabbit. A dash of simple syrup infused with pandan ā€“ a shrub native to Southeast Asia with vanilla-scented leaves ā€“ moves deftly in her hands to lightly spice a cocktail that will soon receive another kick from ginger bitters.

Nguyen, Moon Rabbitā€™s celebrated bar manager, cannot be accused of holding back flavors from her drinks. Nor can she hold back her identity and her journey. Her journey from Saigon to Maryland to California and finally to D.C., but also her journey as a proudly out lesbian, unafraid to bring her whole self to all her pours.

Boundaries, borders, conventions: these matter little to Nguyen, who left several homes to finally find herself where sheā€™s most comfortable, and where she acts as a leader and mentor for others to do the same. Just as she doesnā€™t hide her identity, she also doesnā€™t hide that her cocktails complement Moon Rabbitā€™s vibrant, contemporary Vietnamese cuisine. Owner/chef Kevin Tien pays tribute to his heritage as a first-generation Asian American, using Moon Rabbit as a platform for expressing his love for Vietnamese culture and food through a determinedly modern lens.

Her cocktails, then, work in harmony with thoughtfully executed dishes like chewy rice cakes under a tofu crumble and cured egg, deconstructed crab Rangoon, and wagyu-stuffed perilla leaves brightened by fermented honey.

Sitting with the chefs and acclaimed owner Kevin Tien, ā€œwe begin by exploring cookbooks together,ā€ in a collaborative process, ā€œto find inspiration and potential flavor combinations. It involves a lot of research and development, trial and error, experimentation, and technique.ā€

ā€œAnd while this sometimes leads to failures, it ultimately helps us discover the perfect pairings.ā€

Her menu arrives without flavor hesitations. Cocktail names are given in both English and Vietnamese (as are the dishes), a signal that she is asking diners and drinkers to join her and trust her as unapologetic about her Vietnamese craft. 

The Hįŗæt NĘ°į»›c Chįŗ„m (Out of Dipping Sauce) drink is composed of vodka, passionfruit liqueur, a squeeze of lemon, and a simple syrup based on nĘ°į»›c chįŗ„mā€“ also known as fish sauce. While nodding to the popularity of the savory martini, this cocktail also reflects the ubiquity of fish sauce on the Moon Rabbit menu and across Southeast Asia.

Other ingredients? Sesame oil, coconut milk, palm syrup, and chrysanthemum all show up in various drinks, alcoholic or otherwise. She also creates cocktails that highlight and celebrate gay icons, drawing inspiration not just from the menu and research but also LGBTQ history and culture.

This pride in her work is reflected in the pride in her identity.

ā€œBeing part of the LGBTQ community has taught me the importance of authenticity, resilience, and inclusivity. I am unapologetic about who I am and show up at work proud of my identity, which helps create a space where others feel comfortable and supported.ā€

Tien, Nguyen, and his staff are highly intentional in staffing. ā€œThis commitment to inclusivity is reflected in our hiring practices; we intentionally build a diverse bar team that includes members of the LGBTQ community,ā€ she says.

Just like her physical journey, arriving in this place of leadership and comfort took a circuitous path. In the face of microaggressions and ignorance, comments and assumptions, lack of understanding and respect, she has been able to ā€œstrengthen my resolve to create an inclusive and supportive environment.ā€ She ensures that sheā€™s active in events that raise funds for LGBTQ non-profits around the DMV area, including SYMAL, CCI Health Services, and KhushDC.

 ā€œI hope to encourage other LGBTQ individuals to pursue careers in hospitality and to advocate for greater inclusivity and acceptance in their own workplaces.ā€

Moon Rabbit, formerly located at the InterContinental Hotel on the Wharf, closed with a shock last year (its closure took place among a unionization drive by the hotelā€™s staff that the hotel had opposed). Debuting in its new location in Penn Quarter in January, Moon Rabbit quickly retook its place as a top dining destination: the restaurant was recently added to the Michelin guide. In June, Nguyen herself was named one of the best new bartenders in 2024 by Punch magazine. As Pride month closes out, Nguyen remains as dedicated to her craft ā€“ and her advocacy ā€“ as ever.

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Autos

All charged up: BMW i7 xDrive6

Fairy dust goes a long way in this all-electric luxe sedan

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BMW i7 xDrive60

Sometimes itā€™s good to be a fairy godmother. Thatā€™s how it was for me when organizing a surprise dinner party for my husband Robert, who was celebrating a milestone birthday. 

Event planning isnā€™t my thing, yet somehow the stars aligned. It seemed like all I had to do was wave a wand and ā€” voila! ā€” the magic began.

Make reservations at a fave intimate restaurant, which often gets booked months in advance? Zing! Ensure that family and childhood friends from across the country could all attend the same weekend? Zing! Find a handsome pianist to serenade us with Broadway show tunes. Zing again!

The only thing missing: a stunning chariot. But then, at the last minute, my test car for the week turned out to beā€”zing!ā€”the all-electric BMW i7 xDrive60 glam sedan. 

BMW i7 xDrive60

$121,000

MPGe: 87 city/95 highway

Range: 291 to 321 miles 

Fastest charging time: 212 miles in 34 minutes (80% charged) 

PROS: Hyper fast. Sublime cabin. Dazzling tech.

CONS: Pricey. So-so cargo area. A sedan in a world of SUVs.

IN A NUTSHELL: To drive or not to drive, thatā€™s the question with the BMW i7. Rarely is it more exciting to be the passenger than the driver in a sports sedan, especially a Bimmer. But as I chauffeured my husband to the restaurant on his birthday, he seemed to be having way too much fun enjoying the dizzying array of creature comforts.

Spa treatment. The futuristic seats, made of quilted Merino leather, are as plush and comfortable as anything from Roche Bobois. But the optional cashmere/wool fabric looks and feels even better. All seatsā€”both front and rearā€”come with ventilation and heating that activates much quicker than in most cars. The superb massage function does bodywork like a real masseurā€”but without the need to tip 20% when your session ends. 

Concert-hall acoustics. Other high-priced rides offer premium audio, but the standard Bowers & Wilkens stereo in the i7 is bravo: 18 speakers and 655 watts. Better yet, my test car had the much-ballyhooed Diamond Surround Sound System, with 36 speakers powered by a 1965-watt amplifier. Yes, two of those speakers use actual diamonds to increase clarity. The result is perhaps the best-sounding vehicle acoustics ever.

IMAX-like screen. The Rear Executive Lounge Seating package adds a reclining right rear seat with footrest and a center console with foldable table that serves as a floating desk. Think first-class seating on an airplane. Most impressive is the huge, 31-inch 8K theater screen that drops down from the ceiling and comes with Amazon Fire capability. All rear window shades lower and the panoramic-glass roof shade closes when in theater mode. Built tastefully into the armrest on each rear door is what looks like an Apple iPhone to control the rear lighting, movie screen and other functions. Any home theater system should be so good.

Racecar features. Up front, the driver is spoiled with many other goodies. A curved digital screen, the same as in the cutting-edge BMW iX SUV, houses a 12.3-inch instrument cluster and 14.9-inch infotainment monitor. Two motorsā€”one for each axleā€”creates an impressive 536-horsepower. Press the accelerator andā€”whoosh!ā€”the i7 sprints from 0 to 60 mph in just 4.1 seconds. The amazing auto-leveling suspension absorbs potholes and speed bumps as if this 6,000-pound sedan were floating on air. 

Rolls-Royce aura. BMW, which also owns Rolls-Royce, has sprinkled the i7 with stately design cues. This includes softer, more graceful styling and none of the severe, chiseled angles of previous BMWs. Other plusses: Swarovski crystals in the headlights and 22 precision-focused LEDs in the high beams. But the illuminated grille, while impressive, has a more ominous vibe. (Stephen Kingā€™s Christine, anyone?) 

Full-size comfort. The i7 is a full-figured ride, more than 17-feet long and 6.4-feet wide. Hereā€™s where the automatic parking comes in handy, allowing this BMW to parallel or perpendicular park itself. Trunk capacity is 18 cubic feet, which is decent but less than some competitors. Inside, though, there are plenty of clever storage compartments. 

A pretty penny. Full of options, my test car was a wallet-busting $152,000. But thatā€™s a bargainā€”well, sort ofā€”compared with the high-performance i7 M70. With 650 horsepower and a 0-to-60 time of 3.5 seconds, the M70 is the fastest all-electric M car ever made. It also costs $169,000. 

Alas, such sticker prices are too rich for my blood. Sorry Robert, maybe if we win the lottery.

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