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Newly diagnosed HIV cases increased slightly in D.C. in 2021

Report cautions fewer people were tested during COVID-19 pandemic

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Clover Barnes, Director of the D.C. Department of Healthā€™s HIV/AIDS, Hepatitis, STD and TB Administration (HAHSTA), was among those playing a lead role in preparing the newly released D.C.HIV/AIDS surveillance report. (Washington Blade file photo by Michael Key)

The D.C. Department of Healthā€™s Annual Epidemiology and Surveillance Report released on Tuesday shows there were 230 newly diagnosed HIV cases in the D.C. in 2021, the most recent year in which data have been analyzed.

The report says the 230 cases in 2021 represents an 83 percent decline in new cases from the peak number of 1,374 cases in 2007, but a slight increase from 219 cases reported in 2020. The report shows there were 273 newly reported HIV cases in 2019, 331 cases in 2018 and 386 in 2017.

In addition to HIV, the report includes data related to the number of newly reported cases of hepatitis, tuberculosis, and other sexually transmitted infections such as syphilis, gonorrhea and chlamydia. 

ā€œAnnual surveillance data is critical to our understanding of disease trends and our planning and programmatic efforts to control and prevent disease,ā€ the report says. ā€œHowever, the data in this yearā€™s report must be examined in the context of the COVID-19 pandemic. The pandemic continues to have an immense impact on the availability, accessibility and utilization of disease screening, prevention, and care services,ā€ according to the report.

Among other things, the report says the D.C. Department of Health, to which it refers as D.C. Health, saw a 20 percent decline in the volume of HIV, chlamydia, gonorrhea, syphilis and hepatitis laboratory reports received in 2020 compared to 2019, indicating fewer people were being tested and diagnosed for the diseases. 

ā€œHIV lab volume decreased further from 2020 to 2021 with a 20 percent decline, and an overall decline from 2019 to 32 percent,ā€ the report says. ā€œGiven disruptions to screening services, the potential for underdiagnosis and underreporting is most substantial for those with asymptomatic infections,ā€ it says.

The Annual Epidemiology and Surveillance Report was released at a Tuesday event at the cityā€™s Town Hall Education Arts Recreation Campus in Southeast D.C. in commemoration of Black HIV/AIDS Awareness Day. 

Among those who attended or spoke were Harold Phillips, director of the White House Office of National AIDS Policy, and Dr. Demetre Daskalakis, deputy coordinator of the White House Mpox Response whoā€™s on leave from his role as director of HIV/AIDS Prevention at the U.S. Centers for Disease Control and Prevention.

Also participating in the event were Rita Harcrow-Flegel, drector of the U.S. Department Housing and Urban Developmentā€™s Office of HIV/AIDS Housing; Dr. Sharon Lewis, interim director of D.C. Health; Clover Barnes, senior deputy director of D.C. Healthā€™s HIV/AIDS, STD, and TB Administration, and Erin Whelan, executive director of the D.C. LGBTQ youth advocacy group SMYAL.

Statements at the event by the White House and D.C. officials and a statement released by the office of D.C. Mayor Muriel Bowser point to stepped up efforts by D.C. to provide HIV testing and treatment services to all those at risk for HIV, including services free of charge for those unable to pay for them.

Among the services announced is the availability of Post Exposure Prophylaxis, or PEP, a medication D.C. Health is offering free of charge that is taken to prevent HIV infection if taken within 72 hours of being exposed to HIV. Also available, officials said, is the medication known as Pre-Exposure Prophylaxis, or PrEP, which, when taken as a daily pill, prevents people from becoming infected with HIV. That too is available free of charges for those in need, the statement from the mayorā€™s office says.

ā€œWe want people in D.C. to know their status and get connected to the right care at the right time ā€” with no shame or stigma attached,ā€ Bowser said in the statement. ā€œWe have so many fantastic healthcare partners in D.C., and they have helped us expand access to free PEP, free PrEP, free condoms, free at-home tests, and more,ā€ the mayor said. ā€œNow, we need to make sure people know whatā€™s available and how to access it.ā€

The statement calls on the public, especially those at risk for HIV, to access information about the cityā€™s HIV prevention and support related services through a new website: sexualbeing.org.

It says the city continues to push for its ā€œbold goalā€ of having fewer than 21 new HIV diagnoses each year by 2030. It says the city is also stepping up efforts to ensure that everyone who tests positive for HIV will quickly access the anti-retroviral medication that, if used as directed, prevents HIV related illness and suppresses a personā€™s HIV viral load to a point where they cannot transmit HIV to another person through sexual contact.

The newly released report includes these findings for the year 2021:

ā€¢ There were 11,904 current D.C. residents, or 1.8 percent of the population, living with HIV in 2021.

ā€¢ Sexual contact was the leading mode of transmission of newly diagnosed HIV cases in 2021. 

ā€¢ There were 230 newly diagnosed HIV cases in 2021, a small increase over the 219 new cases reported in 2020, but a significant drop from the 1,373 cases in the peak year of 2007 and the continued decline in cases in subsequent years.

ā€¢ The proportion of people living with HIV in D.C. in 2021 that are Black is 71 percent

ā€¢ The proportion of Black men diagnosed with HIV in 2021 who have sex with men (MSM) was 35 percent.

ā€¢ The proportion of white men diagnosed with HIV in 2021 who have sex with men (MSM} was 8 percent. 

ā€¢ The proportion of Black heterosexual men diagnosed with HIV in 2021 was 8 percent.

ā€¢ The proportion of Black heterosexual women diagnosed with HIV in 2021 was 15 percent.

ā€¢ The report does not show the proportion of white heterosexual men who tested positive for HIV in 2021.

ā€¢ The proportion of transgender persons diagnosed with HIV in 2021 was 3.5 percent. 

ā€¢ In 2021, the overall gender breakdown in the proportion of newly diagnosed HIV cases was 73.9 percent male and 22.6 percent female. 

The report was expected to be posted for access on the D.C. Health website at www.dchealth.dc.gov

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District of Columbia

D.C. man fatally stabbed by partner was convicted twice for domestic violence

Ted Anthony Brown faces second-degree murder charge

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D.C. police said Tommy Hudson, 58, was found unconscious on the front steps of this house at 517 Harvard St., N.W. on May 26 shortly after he was fatally stabbed inside the house by his partner. (Blade photo by Lou Chibbaro, Jr.)

Prosecutors with the Office of the U.S. Attorney for D.C. disclosed in court filings that Tommy Hudson, 58, the gay man who was stabbed to death by his domestic partner on May 26, had a criminal record of eight arrests and convictions between 1987 and 2018, including two domestic violence assault convictions in which the partner charged with killing him was the victim.

Ted Anthony Brown, 54, who court records show had a longtime romantic relationship with Hudson, was charged on May 29 with second-degree murder while armed for allegedly fatally stabbing Hudson inside Brownā€™s apartment at 517 Harvard St., N.W., following an argument  He is being held in jail without bond while awaiting trial.

Charging documents filed in D.C. Superior Court show that at the time of his arrest, Brown waived his Miranda rights to remain silent and confessed to having stabbed Hudson, saying he did so after Hudson punched him in the face while the two were arguing.

ā€œBrown reported that he and the decedent have been involved in a romantic relationship for a significant period and that he was very jealous of the decedentā€™s possible infidelities,ā€ an affidavit by police in support of his arrest states. ā€œSuspect 1 [Brown] reported to detectives that he believed the decedent punching him to the face did not justify Suspect 1 stabbing the decedent, which ultimately killed him,ā€ the affidavit says.

Court records show that prosecutors with the Office of the U.S. Attorney on May 31 sent a letter to Brownā€™s defense attorney, Todd Baldwin, disclosing Hudsonā€™s prior arrests and convictions as part of a required discovery process in which prosecutors must disclose information relevant to a criminal case to the defense, even if the information may be harmful to the prosecutorsā€™ case at trial.

The prosecutorsā€™ letter, sent by Assistant U.S. Attorney Lauren Galloway, says Hudsonā€™s prior convictions include a 2018 charge of violating a Temporary Protection Order requiring he stay away from someone he was accused of threatening with domestic violence; a 2015 charge of domestic violence related simple assault against his partner Brown;  and a 2014 domestic violence related simple assault and unlawful entry charge also involving Brown.

 The letter says Hudson was also convicted of a 2012 charge of Bail Reform Act violation; a 2010 charge of possession of cocaine; a 2002 charge of cruelty to an animal; a 2001 charge of felony ā€œescape;ā€ a 2000 charge of second-degree theft; a 1997 charge of violation of the Bail Reform Act; and a 1987 charge of criminal ā€œcontempt.ā€

Court records, meanwhile, show that on June 17 D.C. Superior Court Judge Anthony Epstein approved a motion by the defense calling for defendant Brown to undergo a mental health competency screening to determine whether he is competent to stand trial. Prosecutors did not oppose the motion. The judge scheduled a ā€œMental Observationā€ hearing for Brown on July 11 to review and assess the findings of the competency screening.

Court records also show that prosecutors agreed to keep a plea bargain offer they made earlier open until the findings of the mental health exam become known.

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District of Columbia

Bernie Delia, attorney, beloved Capital Pride organizer, dies at 68

Activist worked at Justice Department, White House as attorney

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Bernie Delia (Washington Blade photo by Michael Key)

Bernie Delia, a founding member of the Capital Pride Alliance, the group that organizes most D.C. LGBTQ Pride events, and who served most recently as co-chair of World Pride 2025, which D.C. will be hosting next June, died unexpectedly on Friday, June 21, according to a statement released by Capital Pride Alliance. He was 68.

ā€œIt is with great sadness that the Capital Pride Alliance mourns the passing of Bernie Delia,ā€ the statement says. ā€œWe will always reflect on his life and legacy as a champion, activist, survivor, mentor, friend, leader, and a true inspiration to the LGBTQ+ community.ā€

The statement says that in addition to serving six years as the Capital Pride Alliance board president, Delia served for several years as president of Dignity Washington, the local LGBTQ Catholic organization, where he helped create ā€œan environment for spiritual enrichment during the height of the AIDS epidemic.ā€

ā€œHe also had a distinguished legal career, serving as one of the first openly gay appointees at the U.S. Department of Justice and later as an appellate attorney,ā€ the statement reads.

Deliaā€™s LinkedIn page shows that he worked at the U.S. Department of Justice for 26 years, serving as an assistant U.S. attorney from 2001 to 2019. Prior to that, he served from 1997 to 2001 as associate deputy attorney general and from 1994 to 1997 served as senior counsel to the director of the Executive Office for United States Attorneys, which provides executive and administrative support for 93 U.S. attorneys located throughout the country.

His LinkedIn page shows he served from January-June 1993 as deputy director of the Office of Presidential Personnel during the administration of President Bill Clinton, in which he was part of the White House staff. And it shows he began his career as legal editor of the Bureau of National Affairs, which published news reports on legal issues, from 1983-1993.

The Capital Pride Alliance statement describes Delia as ā€œan avid runner who served as the coordinator of the D.C. Front Runners and Stonewall Kickball LGBTQ sports groups.”

ā€œHe understood the value, purpose, and the urgency of the LGBTQ+ community to work together and support one another,ā€ the statement says. ā€œHe poured his soul into our journey toward World Pride, which was a goal of his from the start of his involvement with Capital Pride.ā€

The statement adds, ā€œBernie will continue to guide us forward to ensure we meet this important milestone as we gather with the world to be visible, heard, and authentic. We love you, Bernie!ā€

In a statement posted on social media, D.C. Mayor Muriel Bowser said she and her administration were ā€œheartbrokenā€ over the news of Deliaā€™s passing.

ā€œBernie leaves behind an incredible legacy in our city and country ā€” through his life and advocacy, he helped pave a path for LGBTQIA+ residents in our city and within the federal government to live and work openly and proudly,ā€ the mayor says in her statement.

ā€œHe helped transform Capital Pride into one of the largest and most inclusive Pride celebrations in the nation ā€” a true reflection and representation of our people and values,ā€ the statement says. ā€œThis is the D.C. that Bernie helped build and that he leaves behind.ā€

“All of the hopes and dreams that we had about what Pride could be and what CPA could do, are things that Bernie actualized over the last many years and in his work for next year,ā€ said Vincent Slatt, Rainbow History Projectā€™s director of archiving in a statement. ā€œHe wasn’t the first one to say it, but he always reminded everyone: ā€˜we make each Pride special because, for someone, it is their first Pride, and they’ll remember it always.ā€™ Bernie lived that ideal each and every year. WorldPride 2025 will be a testament to his efforts and his legacy will live on ā€” it will be someone’s first Pride. We’ll try to make Bernie proud of us.ā€

Deliaā€™s oral history interview is part of the Rainbow History Project Archives. You can access it at rainbowhistory.org.

Ashley Smith, the Capital Pride Alliance president, said he and other Capital Pride officials became concerned when Delia did not respond to their routine calls or messages. Smith said he called D.C. police to arrange for a welfare check on Delia at his house in Northwest D.C. on Friday, June 21. He said police accompanied him to Deliaā€™s house and police entered the house and found Delia unconscious.

Smith said an ambulance was called and attempts to resuscitate Delia were unsuccessful. Smith said a definitive cause of death had not been determined other than it was due to natural causes. ā€œHe had a heart attack last year, so he had been recovering from that, but he seemed to have been doing in fairly good order,ā€Ā  Smith told the Blade.

Smith said the emergency medical technicians who arrived at the scene and who declared Delia deceased said, ā€œit looked like it probably had to do with the previous heart condition that he already had, and that itā€™s more than likely what it came from,ā€ Smith said in referring to Deliaā€™s passing. “He died peacefully at home,” Smith added.

Smith and Dignity Washington spokesperson Jake Hudson said Deliaā€™s two sisters, one from Baltimore and the other from Charlotte, N.C., were in D.C. working on funeral arrangements. Smith and Hudson said Capital Pride and Dignity planned to consult with the two sisters on plans for a possible Catholic mass in Deliaā€™s honor as well as a celebration of life that Smith said would take place in D.C. in August or September.

Capital Pride was also working with the sisters to create a memorial fund in Deliaā€™s honor that would raise money for the causes and programs that Delia supported over the course of his many years as an activist. ā€œItā€™s still being formulated,ā€ Smith said. ā€œThat will be forthcoming when we get ready to do the celebration of life ceremony and everything else,ā€ he said.

According to Smith, the sisters, in consultation with Joseph Gawlerā€™s and Sons funeral home in Northwest D.C,Ā  were making arrangements for a cremation rather than a burial.

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District of Columbia

D.C. Council budget bill includes $8.5 million in LGBTQ provisions

Measure also changes Mayorā€™s Office of LGBTQ Affairs

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The D.C. Council approved Mayor Muriel Bowserā€™s budget proposal calling for $5.25 million in funding for World Pride 2025. (Washington Blade photo by Michael Key)

The D.C. Council on June 12 gave final approval for a $21 billion fiscal year 2025 budget for the District of Columbia that includes more than $8.5 million in funding for LGBTQ-related programs, including $5.25 million in support of the June 2025 World Pride celebration that D.C. will be hosting.

Also included in the budget is $1.7 million in funds for the Mayorā€™s Office of LGBTQ Affairs, which includes an increase of $132,000 over the officeā€™s funding for the current fiscal year, and a one-time funding of $1 million for the completion of the renovation of the D.C. Center for the LGBTQ Communityā€™s new building in the cityā€™s Shaw neighborhood.

The D.C. LGBTQ+ Budget Coalition earlier this year asked both the D.C. Council and Mayor Muriel Bowser to approve $1.5 million for the D.C. Centerā€™s building renovation and an additional $300,000 in ā€œrecurringā€ funding for the LGBTQ Center in subsequent years ā€œto support ongoing operational costs and programmatic initiatives.ā€ In its final budget measure, the Council approved $1 million for the renovation work and did not approve the proposed $600,000 in annual operational funding for the center.

The mayorā€™s budget proposal, which called for the $5.25 million in funding for World Pride 2025, did not include funding for the D.C. LGBTQ Center or for several other funding requests by the LGBTQ+ Budget Coalition.

At the request of D.C. Council member Zachary Parker (D-Ward 5), the Councilā€™s only gay member, the Council approved at least two other funding requests by the LGBTQ+ Budget Coalition in addition to the funding for the LGBTQ Center. One is $595,000 for 20 additional dedicated housing vouchers for LGBTQ residents who face housing insecurity or homelessness. The LGBTQ housing vouchers are administered by the Office of LGBTQ Affairs.

The other funding allocation pushed by Parker is $250,000 in funds to support a Black LGBTQ+ History Commission and Black LGBTQIA+ history program that Parker proposed that will also be administered by the LGBTQ Affairs office.

Also at Parkerā€™s request, the Council included in its budget bill a proposal by Parker to change the Mayorā€™s Office of LGBTQ Affairs to become a ā€œstand-alone entityā€ outside the Executive Office of the Mayor. Parker told the Washington Blade this change would ā€œallow for greater transparency and accountability that reflects its evolution over the years.ā€

He said the change would also give the person serving as the officeā€™s director, who is currently LGBTQ rights advocate Japer Bowles, ā€œgreater flexibility to advocate for the interest of LGBTQ residentsā€ and give the Council greater oversight of the office. Parker noted that other community constituent offices under the mayorā€™s office, including the Office of Latino Affairs and the Office of Veterans Affairs, are stand-alone offices.

The budget bill includes another LGBTQ funding provision introduced by D.C. Council member Charles Allen (D-Ward 6) that allocates $100,000 in grants to support LGBTQ supportive businesses in Ward 6 that would be awarded and administered by the Office of LGBTQ Affairs. Allen spokesperson Eric Salmi said Allen had in mind two potential businesses on 8th Street, S.E. in the Barracks Row section of Capitol Hill as potential applicants for the grants.

One is the LGBTQ cafĆ© and bar As You Are, which had to close temporarily earlier this year due to structural problems in the building it rents. The other potential applicant, Salmi said, is Little District Books, D.C.ā€™s only LGBTQ bookstore thatā€™s located on 8th Street across the street from the U.S. Marine Barracks.

ā€œItā€™s kind of recognizing Barrackā€™s Row has a long history of creating spaces that are intended for and safe for the LGBTQ community and wanting to continue that history,ā€ Salmi said  ā€œSo, that was his kind of intent behind the language in that funding.ā€

The mayorā€™s budget proposal also called for continuing an annual funding of $600,000 to provide workforce development services for transgender and gender non-conforming city residents experiencing homelessness and housing instability.

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