For the first time, the Centers for Disease Control & Prevention is including data on transgender people in its reports on HIV infections — and the results show a gradual increase in new cases of the disease over the past several years.
Compared to previous reports that placed transgender people in the same category as “male” and “female,” the latest iteration of total diagnoses of HIV Infection in the United States made public Thursday contains an entire section devoted to transgender people.
The inclusion of the transgender data is part of the CDC’s first-ever inclusion of national-level data by gender in the report. Additionally, CDC has for the first time released estimates of HIV incidence for Puerto Rico and at the county level for high-incidence jurisdictions as the Trump administration’s plan to focus on these areas to beat the HIV epidemic by 2030.
But the news for transgender people isn’t good. According to Diagnoses of HIV Infection in the United States and Dependent Areas, the number of diagnoses of HIV infection for transgender adults and adolescents increased.
Overall, the number of reported new infections increased from 553 in 2014, 589 in 2015, 638 in 2016, 584 in 2017 to 601 in 2018. The diagnoses accounted for about 2 percent of new HIV infections in the United States, according to CDC.
In terms of race and ethnicity, the number of diagnoses of HIV infection for Hispanic/Latino transgender adults and adolescents increased, while the number of diagnoses of HIV infection for black/African American, white and multi-racial transgender adults remained stable. It should be noted the numbers of HIV infection among black and Latino transgender people are higher than other groups.
Overwhelmingly, new HIV infections are higher for transgender women than for transgender men across multiple races. The largest percentage of new infections for transgender women as opposed to transgender men was persons of multiple races at 96 percent, followed by Hispanics/Latinos at 94 percent and blacks/African-Americans at 93 percent. For the white demographics, transgender women made up 76 percent of new diagnoses compared to transgender men at 24 percent.
In terms of region, the number of diagnoses of HIV infection among transgender adults and adolescents in the Northeast and West increased, but they remained stable in the Midwest and South.
Carl Schmid, executive director of the HIV + Hepatitis Policy Institute, told the Blade he’s “pleased that the CDC is finally recognizing the transgender community, instead of lumping them in as either ‘male’ or ‘female,’ when reporting HIV data.”
“It is something that the HIV and transgender communities have been asking for decades,” Schmid said. “With this recognition and improved data, local communities will be able to develop better HIV prevention messages and programs.”
Harper Jean Tobin, director of policy for the National Center for Transgender Equality, was critical of CDC for the length of time it took publish data on the transgender population.
“It has taken far too long for the CDC to begin reporting this critical data with this kind of depth,” Tobin said. “This data confirms past research and speaks to the high rates of discrimination, violence, poverty, unemployment, homelessness, incarceration, and barriers to health care among transgender people, and especially transgender women of color.”
Although Tobin acknowledged the rate of HIV infection is rising among transgender people across the board, she pointed out it isn’t clear “how much this reflects an increase in data quality (i.e., trans people were less likely to be recorded as trans in prior years) or actual increases in incidence.” Either way, Tobin said the data demonstrates the need for action.
“To combat these disparities, we must take action against the discrimination and stigma that drive them and invest in economic opportunity and equal access to health care for this vulnerable population,” Tobin said.
The Washington Blade has placed a request with the CDC seeking comment on reasoning behind the addition of transgender data in the HIV reports.
When the coronavirus lockdown left a group of transgender sex workers in a beach town near Rome without work, they turned to a local Catholic priest for help to buy food.
But his parish’s resources were already stretched by the health crisis so the priest turned to the cardinal known as “the Pope’s Robin Hood” who runs the Vatican charities. He wired money to the parish for them.
“I don’t understand why this is getting so much attention,” Cardinal Konrad Krajewski told Reuters by phone on Thursday. “This is ordinary work for the Church, it’s normal. This is how the Church is a field hospital.“
Krajewski, whose formal title is “papal almoner,” or distributor of alms, said the sex workers most likely were undocumented, making it difficult for them to seek help from Italian state welfare offices.
“Everything is closed. They don’t have any resources. They went to the pastor. They could not have gone to a politician or a parliamentarian. And the pastor came to us.
“They are really in difficulty because sometimes their passports were taken away by the mafia pimps who control them,” he said. “We follow the gospel.”
Krajewski, at 56, one of the youngest cardinals in the world, said it was what Jesus would have done. And it was not the first time the Polish cardinal has made the news with his sometimes unorthodox ways of distributing the pope’s charities. Last year, he clambered down a manhole, broke a police seal, and re-connected electrical circuit breakers to restore electricity to hundreds of homeless people, many of them immigrants, living in an occupied building in Rome.
Although Krajewski ran afoul of then-Interior Minister Matteo Salvini and his anti-immigrant policies, an Italian newspaper dubbed him “The Pope’s Robin Hood.“
Although he tries to shun the limelight, Krajewski has become a minor celebrity in Rome. Since Pope Francis named him to the Vatican charity post in 2013, he became known for dressing down into simple layman’s clothes at night and bringing food to the city’s homeless in a white van.
He has also opened shelters near the Vatican where the homeless can wash, get haircuts, and receive medical care.
Idaho governor Brad Little, the person responsible for some of America’s most transphobic laws, has appealed to the Supreme Court to avoid paying for a transgender inmate’s gender confirmation surgery.
Little filed a petition after being ordered to provide surgery for 31-year-old Adree Edmo, a trans woman who is being housed in a men’s facility in Idaho.
She is serving 10 years for sexually abusing a 15-year-old boy when she was 22, and is not eligible for parole.
Edmo was diagnosed with gender dysphoria while in prison and her condition has grown so severe that she has reportedly attempted to castrate herself twice.
Denying trans woman surgery ruled ‘cruel and unusual’.
Last year a court of appeals upheld a previous ruling that denying Edmo the surgery constitutes cruel and unusual punishment.
But Little is appealing the ruling for a second time as he insists that he “should not have to pay for a procedure that is not medically necessary”.
He has vowed to “vigorously litigate” the ruling by taking it to the country’s highest court after the Ninth Circuit Court refused his request to hear the case for a third time.
“The Ninth Circuit’s decision goes against the text and original meaning of the Eighth Amendment and contradicts more than four decades of Supreme Court precedent,” Little said in a release.
“We will vigorously litigate the Ninth Circuit’s unprecedented ruling at the Supreme Court because the taxpayers of Idaho should not have to pay for a procedure that is not medically necessary.”
The state of Idaho is currently being sued by two human rights organisations thanks to a virulent anti-trans campaign spearheaded by Republican governor Brad Little.
In the midst of a pandemic, the governor signed two laws that campaigners say effectively make transgender people second-class citizens.
The first, HB509, bans transgender people from changing the gender on their birth certificates, flouting a previous a federal court ruling on the issue.
It asserts that the state will prohibit any changes to gender markers and only recognise a so-called “biology-based definition of sex” based on “immutable biological and physiological characteristics, specifically the chromosomes and internal and external reproductive anatomy”.
The second bill, HB500, bans schools and colleges from letting transgender girls from taking part in girls’ sports.
Under the “mean-spirited” law, girls whose sex is “disputed” will be required to subject themselves to invasive testing to show medical evidence of their “internal and external reproductive anatomy”.
In addition, pupils who believe they have been “disadvantaged” by their transgender classmates will be able to sue their schools for damages.
Lyon-Martin Health Services in San Francisco has served the health needs of lesbians, transgender women and other underserved women in the Bay Area since 1979. Named after pioneering lesbian activists Phyllis Lyon and Del Martin, the clinic had until recently been seeing 3,000 patients a year for such needs as physical exams, gynecologic services and consultations for gender-affirming surgeries.
Now, however, it is fighting to keep its doors open amid the coronavirus pandemic. Thanks to emergency funding from the city and private donors, it will be able to operate until July 1 without deep cuts to its services — which now include screening for COVID-19 — but its future is uncertain after that.
“The city needs to see how long COVID is going to play out,” J.M. Jaffe, the transgender health manager at Lyon-Martin, told NBC News. “They wanted to do a short-term contract so that we could re-evaluate what the situation will be in two months. I think they were just wary to make a commitment to continue to support us, but we did get kind of like a wink and a nod that they would like to support us to the end of the calendar year.”
Lyon-Martin Health Services is one of over 200 LGBTQ health clinics across the United States that provide affirming and competent care to lesbian, gay, bisexual, transgender and queer patients. And like Lyon-Martin, a number of these centers are struggling to adjust to — and in some cases survive — the new normal spawned by the global pandemic.
‘A gap of a support network’
Approximately 13 percent lesbian, gay and bisexual individuals in the U.S. reported getting their regular health care from an LGBTQ-centered clinic, according to a 2019 study from UCLA’s Williams Institute. A separate study found nearly 40 percent of transgender people reported having been to an LGBTQ clinic in the previous five years.
“We provide services to a population that may not seek care elsewhere or even if they do seek it elsewhere, they may not get what they need,” Jaffe said.
Jen Kates, director of global health and HIV policy at the Kaiser Family Foundation, said if some of these clinics do not survive the pandemic, the void will be felt deeply, especially in areas of the country where LGBTQ people face high levels of discrimination.
“It leaves a gap of a support network, but also may not provide another opportunity or option in some communities to get nondiscriminatory care, which is a concern,” she told NBC News.
LGBTQ discrimination in health care is not uncommon. A 2018 studyfrom the liberal Center for American Progress found 8 percent of lesbian, gay, bisexual and queer people and 29 percent of transgender people reported that a doctor or health care provider had refused to see them because of their sexual orientation or gender identity. The study also found that 9 percent of LGBQ people and 21 percent of trans people reported having a health provider use harsh or abusive language when treating them.
The Callen-Lorde Community Health Center in New York City, the epicenter of the U.S. pandemic, is doing all it can to stay open and provide patient care amid stay-at-home orders and declining revenues.
The COVID-19 crisis has forced the center, which sees over 17,000 patients annually, to pivot to virtual health care and cut a number of services, leading revenues to plummet nearly 60 percent, according to Executive Director Wendy Stark. But with many of their patients not feeling comfortable seeking care elsewhere, Stark said she and her team are “being innovative” to stay open.
“We have lived through traumas and pandemics. We know how to take care of ourselves and each other.”
CALLEN-LORDE EXECUTIVE DIRECTOR WENDY STARK
Callen-Lorde is currently helping clients by providing a number of online services, including video visits for primary medical care, behavioral health and counseling, along with legal aid and insurance consultation services by phone. The center’s in-person services include appointments for those who do not have access to smartphones or internet connections, and those who are pre-authorized for in-person visits.
The clinic is also working to protect its own front-line workers, approximately 20 percent of whom contracted the coronavirus, according to Stark. She said regular floor nurses are now “acting as intensive care unit nurses,” and everyone’s “being stretched to their maximum clinical capacity” and “having to learn on the spot.”
“I’m sure, deeply rewarding but also deeply frightening,” she added.
While providing health services, Stark and her team are also applying for “every possible” relief fund or grant available to help make it through the crisis.
“We are shapeshifters,” she said. “We have lived through traumas and pandemics. We know how to take care of ourselves and each other.”
In Philadelphia, the Mazzoni Center, which typically sees over 7,500 patients a year, is also trying to adapt. This has meant a combination of limiting in-person appointments on a case-by-case basis, implementing and expanding its remote health care offerings and finding ways to continue as many community programs as possible online.
Larry Benjamin, a spokesperson for the center, said the clinic has had to furlough some staffers and reduce the hours of others to keep it viable “in the short term”.
The center is still allowing abbreviated in-person appointments for things like HIV services and gender-affirming care, but Benjamin said staffers have been careful to ensure “the risks associated with exposure to the coronavirus” from patients to staff and vice versa don’t outweigh the benefit of in-person visits. Behavioral health services, such as medication management, support groups and counseling services, are being offered exclusively online, as are counseling for COVID-19 stressors. Most community programs have also been moved online, but those that cater to the “most vulnerable clients” and their basic needs, like food and shelter, are still operating in-person, according to Benjamin.
Fenway Health in Boston, which saw 33,500 patients in 2019, has also seen a loss in revenue amid the pandemic, leading it to furlough some staffers and operate at an “unsustainable deficit,” according to Chris Viveiros, a spokesperson for the center. To help weather the storm, he said the center has increased its virtual offerings.
“Some medical patients have chosen to reschedule nonurgent appointments, but we have ramped up our medical telehealth capacity so that we can provide care remotely to patients who don’t require an in-person visit,” he said. “We have also moved our behavioral health and addiction and wellness care to telehealth.”
Fenway Health has also changed its Access Drug User Health program from being held in drop-in centers to having staff visit at-risk people in the community to limit contact.
There have been some drawbacks to Fenway’s remote health services: Some patients are sheltering in place with unsupportive people and have nowhere to privately participate in a video visit, while others may be skeptical of a new platform for accessing health services altogether.
“Many of our community served have a history of medical mistrust and ongoing mistrust of the health care system due to structural discrimination and victimization,” explained Dr. Alex Keuroghlian, director of the Fenway Institute’s National LGBT Health Education Center and Massachusetts General Hospital’s Psychiatry Gender Identity Program.
However, Keuroghlian said there have been some silver linings to Fenway’s new remote offerings. Primarily, many patients are able to access health care from the safety and comfort of their own home without having to venture outside, potentially exposing themselves to anti-LGBTQ abuse — or the coronavirus.
“By and large, I have found it has worked really well,” he said. “I’ve had almost no no-shows in my schedule, and patients are answering the phone very appreciative that we can give them care despite what’s happening.”
Pat and Paulette Martin, both 68, live in Harlem, New York City. They have been together four and a half years and were married in April 2018. “All is well,” said Pat in a recent Zoom call, smiling of the lesbian couple’s time in coronavirus lockdown. “Well, we haven’t murdered each other yet anyway!”
Paulette said the couple was “blessed” to have a courtyard to relax and get some air in and do some gardening. Pat said: “Isolation is the problem. Quite a few of our friends have lost partners, so they are not as blessed as we are. We can still go out. But hearing the constant sirens of ambulances wears on your nerves, it really does. You watch the Doomsday news and it becomes a bit much. That’s the main thing of feeling isolated. You feel so alone.”
The couple—who tell their lockdown stories, along with other LGBTQ seniors below—are among 5,000 New York City seniors who are members of SAGE, the country’s oldest and largest LGBTQ elder advocacy organization, founded in 1978. SAGE is “very actively engaged” with calling 3,000 of its constituents and organizing meal deliveries to those who need them.
“The two major issues facing LGBTQ elders right now are isolation and food,” said Michael Adams, SAGE’s chief executive officer. “Older LGBTQ people have been told they are a high-risk group and to shelter in place. Many can’t go shopping or get food to eat. It’s a complete vicious circle, which for many people feels inescapable at this point. We used to provide a hot meal every day at our center. Now that isn’t available, and people are understandably afraid to go out and do shopping.”
The situation is worse for those on lower incomes, he said, whose local neighborhoods perhaps don’t have a supermarket.
The organization has launched SAGE Connect, a volunteer-run telephone support system to ensure LGBTQ seniors feel connected to the outside world.
“Over and over again, what we’re hearing from them that the person calling them is the only human voice they’re hearing all week, other than what they’re hearing on TV or online,” Adams said. “This is the only human contact that many of them are having. That is a powerful and deeply troubling reality.”
“LGBTQ elders are absolutely suffering and in many ways are at the epicenter of this pandemic, and not just because of their age,” said Adams. “Those with underlying health conditions are at greater risk for COVID-19. HIV leads to compromised immune systems; smoking rates are higher with LGBTQ older adults, which can lead to compromised lungs. Twenty-five percent of the LGBTQ elders SAGE works with don’t have any emergency contact other than SAGE.
“The other major issue is a lot of LGBTQ seniors are already socially isolated,” said Adams. “They don’t have anyone to rely on. Twenty-five percent of the LGBTQ elders SAGE works with don’t have any emergency contact other than SAGE. Being an older LGBTQ person, having underlying health conditions, and being isolated is a huge triple whammy.”
Eleven SAGE members have died since March 16, a SAGE spokesperson said. “Only a handful have been confirmed as COVID-19 related. The others were not able to obtain the test because of the limitations of testing.”
The organization believes that currently “10 or so” members have been told by their health-care provider that they are possibly positive and that they should self-quarantine. The organization has lost contact with some of its constituents who are not answering their phones or responding to emails. SAGE does not know if this is related to COVID-19.
“For many of those getting sick, they’re not getting tested because tests are hard to access and people are afraid to leave their homes to get tested,” said Adams. “It’s hard to know if they have COVID-19 or something else.”
Isolation is particularly acute for LGBTQ seniors, Adams said. “They are four times less likely to be parents than older Americans in general. Whereas most older Americans have adult children, they do not. They are twice as likely to grow old living alone without partners or spouses than older Americans in general. Because of discrimination and bias, LGBTQ elders are more likely to be disassociated from their families of origin than older Americans in general.”
“The traditional family structure is missing for many of our folks,” Adams said. “When folks are younger in the LGBTQ community, they deal with that by forming ‘families of choice.’ But there’s a limitation to that when you’re 75, 80, 90, and it’s harder to form such support networks.”
LGBTQ seniors may not feel safe where they reside in private or public housing, or within the residential care system. Adams said some “go back into the closet” in fear of homophobia and mistreatment by neighbors or nursing staff. “You can understand why,” said Adams. “There is a lot of discrimination still going on.”
I’m used to doing my own thing. This makes me feel isolated in the sense of a lack of activity.
Even in progressive urban centers like New York City, Adams said, LGBTQ seniors may go to a senior center to build new relationships but experience homophobia from other seniors. “At SAGE, they are embraced for who they are,” he added.
Ellen Ensig-Brodsky, who is 87 and lives in New York City, told The Daily Beast: “If you sit alone in a one-room apartment, it’s isolated. I’m still very active. I live in the center of New York City, down the block from MoMA, Carnegie Hall, and Broadway. I’m used to doing my own thing. This makes me feel isolated in the sense of a lack of activity.”
Ensig-Brodsky has a daughter, son, and grandchildren, whom she keeps in touch with by phone, and she is also in regular touch with members of the women’s group she belongs to at SAGE.
“I am fortunate to be speaking to people and feel closer to people perhaps than those who do not have that kind of interaction in this horrible period,” she told The Daily Beast. “If someone is not part of a family group, or a group like the one I’m in at SAGE, I would think it would be extremely lonesome.” (More of Ensig-Brodsky’s story is below.)
At Stonewall House in Brooklyn, New York City’s first LGBTQ senior living residential housing, which opened last year, 100 out of the 145 apartments are occupied, after the full moving-in process was put on hold following the outbreak of the coronavirus. That freeze will remain in place until the city gives the green light. Residents are being cared for by SAGE staff and having their meals delivered.
Being locked down has been tough for the residents, Adams said, especially those who moved to a new neighborhood to be there and are now “basically trapped indoors,” without access to their previous support networks.
SAGE has moved many of the meetings previously held in its New York HQ online. In the first couple of weeks, SAGE hosted a grab-and-go meal distribution at its Seventh Avenue base. But it was deemed too risky, health-wise, to continue, for both staff and clients. Adams has been “heartened” to see the elders supporting each other.
New York City has initiated a home delivery program for older adults, acknowledged Adams, though “several hundred SAGE constituents” were among those who had “fallen through its cracks.” Since then the organization has moved to introduce “a hodgepodge of strategies” to ensure its members are fed. The organization has an affiliates’ network in 30 other American cities doing some version of what it does in New York.
Adams said those people wanting to support LGBTQ seniors could volunteer to help with SAGE’s programs and virtual classes, or simply donate to SAGE. The organization, he said, isn’t in danger of closing but—like so many other advocacy organizations—is facing “very serious financial challenges.”
At a virtual hearing held last week on the coronavirus’ disproportionate impact on communities of color, Adams, speaking about LGBTQ seniors of color and LGBTQ seniors generally, presented eight recommendations to New York City lawmakers.
Among the recommendations was: ensuring virtual support programs received proper funding; that the city and state’s severe budget shortfalls did not affect the care and support of LGBTQ elders; that there should be ongoing financial support of all those services deemed “essential” to LGBTQ elders; that there should be funding of volunteering programs to shop and run errands for older adults; and ensuring the provision of proper internet access for older people.
An executive budget meeting is scheduled for May 21, and then the New York City Council and Mayor Bill de Blasio will likely agree on a budget in late June.The thing at the back of your mind is ‘How many years do I have left?’
Adams told The Daily Beast one story of an older lesbian who had fractured her clavicle in the middle of the night and had no one to turn to, and was too frightened of going to the hospital. She went online and figured out how to make a sling. “It shows the isolation but also the resilience many older LGBTQ people have.”
The virus has raised other urgent questions for LGBTQ seniors: the quality, as well as quantity, of the life they have left. Kevin Burns, 71, from Albany, told The Daily Beast: “The thing at the back of your mind is ‘How many years do I have left?’ It’s complicated. In your seventies, you are hoping to do things, because in your eighties you may have to slow down. For the last couple of months, we have lost this time, and we are thinking, ‘How much more time are we going to lose?’”
LGBTQ seniors speak out on life under lockdown
Ellen Ensig-Brodsky: “There is an openness and truthfulness. We know about each other”
For Ellen Ensig-Brodsky, despite the isolation that LGBTQ seniors endure, “in some ways, LGBTQ people share connections that most straight people do not, which is extremely important, especially in periods like this. There is an openness and truthfulness. We know about each other.”
This forging of connections is rooted in history, she said. “Go back 40 years, and it was very different then than it is now. Back then you didn’t say you were gay or lesbian. You hid it, and you met in places that were hidden. My family knows now, and it’s no big deal. But years it ago it would have been. And look at geography. You might feel OK being out in New York City, but not the Midwest.”
Ensig-Brodsky does not have a partner presently, “but my family is made up of ex-partners and we are in touch.” That group of friends includes the surviving wife of a now-deceased ex-husband, whom her children encouraged her to go stay with so both women could have company. Ensig-Brodsky did so for three and a half weeks, then returned to the city.If you reach out, it will give you a sense of connection, and you may be helping someone else.
“I prefer being in back in my own apartment,” she said. “I can dance, listen to music, watch TV. I’m happier here even though I am alone.” It helped, she said, that she was brought up as an only child, reliant on her own company. She goes for walks, does errands, and then—just as she did the day before we spoke—“didn’t get out of my pajamas and stayed in bed all day, nibbling away at all kinds of goodies.”
Ensig-Brodsky laughed. “I was a medical nutritionist, and I have not been following what I preached. I would lose my job if I saw what I was eating!”
She is looking forward to normality returning. “I need a haircut, and a lot of women feel that way. But when will those theater and concert venues be able to open?”
Other older LGBTQ people, Ensig-Brodsky said, should reach out to others by calling or email. “If you reach out, it will give you a sense of connection, and you may be helping someone else. It creates a pathway to the future and shows who’s there for you.”
Pat and Paulette Martin: “We felt it was time for us to take responsibility for ourselves”
Pat and Paulette Martin, who first met at SAGE Harlem, said LGBTQ seniors faced special issues living under lockdown.
“We were told from the beginning that coronavirus especially affected their age group,” said Paulette. “Our immune systems are weaker, the virus attacks organs and blood. So because you’re older you have this worry it’s just going to come and get you. So you isolate.
“Where the older LGBTQ community is not being understood is that we are from a generation where we were attacked for who we were, we didn’t get services or medical care because of our sexuality. You have that experience embedded long before this came along. A lot of people I know feel this.” Right now, speaking to friends face to face via Zoom is important, she said, and better than just phone calls.
Just as SAGE’s Michael Adams said, food is a huge issue, said Paulette, not just because of the difficulty of accessing it and the fear of going to a grocery store. “We give food bank details to as many people as we can. Older people have dietary restrictions, and so even if we are getting fresh food or food parcels or other items, sodium affects blood pressure, or if you have cancer you shouldn’t be eating processed food.
“Older people get very anxious about their medications too,” said Paulette. “Right now, they can’t go out and pick them up, and are relying on others to deliver them. This whole situation is taking away a lot of our independence in a lot of areas, and we are frustrated by that. Going for walks was a form of exercise before this, and now some people feel they can’t do that.”
There are, said Pat, “layers of frustration,” made more acute by being an LGBTQ senior of color, “the triple-edged sword of ‘you’re a person of color, you’re gay or lesbian, and you’re a senior.’ There’s a fear of going out. Will you be accosted? Police are accosting African Americans with masks on because they think we are up to something. Going out is a realistic fear for us.”
Both women are determined to take back, and exercise, power for themselves. They recently set up the Masculine Identified Lesbians of Color Collective, which includes African American, Latino, and a “few white women also.”
“We are coming together as a social justice group,” said Pat. “We feel for a long time we have been pushed to the side. Back in the day, clubs and bars in the 1970s and ’80s were primarily for white lesbians, and if we went we were refused entry or if we were given entry to a free club, all of a sudden there was an admission cost. If you look now, most of the LGBTQ organizations of substance who have money and get all the publicity are headed by white folks. So we came together because we felt it was time for us to take responsibility for ourselves.”
The group, comprising women of all ages, has members from New York, New Jersey, Washington, Chicago, North Carolina, South Carolina, and California.
Pat hopes the older women in the group can be role models for younger women, who may only have male relations—a father, brother, or uncle—to emulate. “A lot of them don’t know how to go to a doctor and say, ‘I’m a lesbian, sleeping with women. This is what I need.’ We need to be role models and teach these younger lesbians about self-care, how to run their own businesses, and share experiences. The buck stops here. We can no longer rely on anyone else to do it. We have to do it for ourselves.” Start every day with a prayer, whatever your spiritual belief is. Then take a shower. Don’t put on pajamas. Put on clothes. Do a skincare routine. Exercise.
Paulette said this was a good time to look at how, as a couple, you can “enrich” your relationship and work on things that are not right in it, in areas like communication and finances. “It’s hard to do,” she admitted, “so set some ground rules. But it’s better to try changing something than staying stuck with old stuff.” The key, said Pat, “was looking at how you can move forward in unity, while remaining individuals.”
To get through this time, Paulette recommended other LGBTQ seniors initiate a routine. “Start every day with a prayer, whatever your spiritual belief is. Then take a shower. Don’t put on pajamas. Put on clothes. Do a skincare routine. Exercise. It’s so important. Have breakfast, coffee, or whatever your morning beverage is. Journal. Read. Turn off the TV news. Reach out to people. Take your eyes off yourself and cast them to someone else.”
Pat added that if you have ever dreamed of doing anything, like running your own business, now is the time to get those plans down on paper. “Create a bucket list. Think about life, not death.”
Kevin Burns: “The virus is cheating us of our remaining time”
Kevin Burns, 71, from Albany, New York, considers himself lucky. He has his own home, and while he lives alone, he feels very connected to a wide circle of friends and family. He has enjoyed Zoom cocktail hours, and his regular trivia quiz group has been meeting the same way. Being at home “hasn’t been a terrible strain.” It’s been good to see familiar faces, albeit virtually.
He is one of the “Vintage Pride” group of those LGBTQ people aged 55 and older belonging to Albany’s Pride Center of the Capital Region. The LGBTQ center is closed now, and Burns knows many people for whom their pot-luck lunches were their only social outlet.
He goes to the grocery store roughly once a week, shopping at special senior hours. He misses the gym and hanging out with friends. “Not having those benchmarks in a typical week to look forward to takes quite a mental adjustment. Just as everybody is finding, every Tuesday evening is now like every Friday evening. There’s no difference.”
Having spoken to friends, Burns said the psychological impact of the coronavirus on LGBTQ elders has been pronounced.
“As many years as we hope we have, they are running down, and now we are deprived of what we enjoy doing even if it’s once a week, or whatever the time frame is and whatever the activity is. The virus is cheating us of our remaining time. For me, personally, spring was a time to travel. Not being able to do that is a minor glitch compared to other people’s suffering. But as seniors, we all have things we look forward to. This current situation means we can’t do anything. How long will this go on? How long will older people be told they cannot go out, or do things?”
Burns and his friends presume this spring and summer are now a diary-date tundra. No dinners, no holidays, no Broadway trips, no Tanglewood, no Williamstown Theatre Festival, no trips to the Cape or Maine before the main holiday season begins. “I know this may sound frivolous. I know people are suffering. But these are just the things I did and am missing. I know I am lucky, and am thankful for that.”People talk about the danger of underlying issues. We all have the same underlying issue: It’s age!
“You can watch a DVD and get takeout, sure,” he said. “But when you’re a senior, you’re isolated anyway. Now you’re more so.”
Every senior Burns knows is being scrupulous about wearing a mask and washing hands. He laughed. “People talk about the danger of underlying issues. We all have the same underlying issue: It’s age! It’s kind of infuriating to do what we’re told and then see younger people hanging out together not wearing masks when I go out walking. I’m not making judgments, but are they going into stores, or seeing grandparents afterwards? Please think about those people. I’ve heard them complaining about wearing the masks and saying they can’t breathe in them. Well, wait till you’re 70-something!”
On the other hand, Burns said, it has been heartening to have younger people in his life reaching out to him and doing things to make sure he knew he is included in Zoom chats they are setting up.
Whatever opens up, whenever it opens up, Burns said he and his friends won’t be going anywhere until they feel assured about a vaccine or proper and accessible medical treatment. “If it takes another six months, that’s really tough, but if it means whatever is left of our lives is spent in relative good health, minus COVID, then it’s worth waiting.”
“Reach out and find other people,” Burns advised his fellow LGBTQ seniors. “I had never hosted a Zoom meeting. I didn’t know how to do it. It took a few steps, trial and error, but it paid off for me and my friends because now we can get together. It was a lot easier than I thought. Motivate yourselves to reach out.”
Dr Richard Friedman, the psychoanalyst responsible for debunking the myth that homosexuality can be cured, has sadly passed away at the age of 79.
As a young man Friedman stood out in his field by becoming the first to combine findings in psychobiology, gender identity and family studies with psychoanalytic theory.
His revolutionary 1988 book, ‘Male Homosexuality: A Contemporary Psychoanalytic Perspective,’ showed that sexual orientation was largely biological, not mental.
It had a major impact at a time when most other psychoanalysts were continuing to describe homosexuality as a “perversion”, even though the American Psychiatric Association had stopped classifying it as an illness by 1973.
“I felt an ethical obligation to find the reasons for anti-homosexual prejudice,” he once told an interviewer, according to the New York Times.
His wife, Susan Matorin, explained his motivation more simply: “Straight people had the same personality issues, and they got away with murder, but gay people were stigmatised, and he didn’t think that was right.”
“He very much felt like you followed the science, and it didn’t matter what the political backdrop was,” his son,Jeremiah, added.
Using studies of identical twins and theories of developmental psychology, Friedman argued that it was biology, rather than upbringing, which played a significant role in sexual orientation.
The controversial position was a direct challenge to popular Freudian theories and thrust him into the centre of debates alongside more established heavyweights of his field.
“Given that he was a younger colleague, it was brave of him to take older experts on,” Jack Drescher, a professor of psychiatry at Columbia University, told the New York Times.
Friedman went on to publish an article on female homosexuality which received an award from The Journal of The American Psychoanalytic Association as the best publication of 1998.
His work on sexuality was well ahead of its time – just last year the American Psychoanalytic Association issued a belated apology for treating homosexuality as an illness, acknowledging that its past errors contributed to discrimination and trauma for LGBT+ people.
The implications of his work continue to have an impact today as LGBT+ advocates battle against the discredited practice of conversion therapy, which is still legal in most parts of the world.
Dr Richard Friedman sadly died on March 31 at his home in Manhattan. Although his cause of death has not yet been determined, he reportedly struggled for years with health problems, including cardiac and metabolic conditions.
He is survived by a wife, son, two daughters and two grandchildren.
Had there been no coronavirus pandemic, America’s largest mainline Protestant denomination would be convening this week for a likely vote to break up over differences on same-sex marriage and ordination of LGBTQ pastors.
Instead, the United Methodist Church was forced to postpone the potentially momentous conference, leaving its various factions in limbo for perhaps 16 more months. The deep doctrinal differences seem irreconcilable, but for now there’s agreement that response to the pandemic takes priority.
“The people who are really in trauma right now cannot pay the price of our differences,” said Kenneth Carter, the Florida-based president of the UMC’s Council of Bishops. “What is in our minds and hearts is responding to death, illness, grief, loss of work.”
The conference was to have taken place at the Minneapolis Convention Center starting Tuesday, running through May 15. Instead, bishops are proposing to hold it there Aug. 31-Sept. 10 of next year.
The differences have simmered for years, and came to a head in February 2019 at a conference in St. Louis where delegates voted 438-384 for a proposal strengthening bans on LGBTQ-inclusive practices. Most U.S.-based delegates opposed that plan and favored LGBTQ-friendly options; they were outvoted by U.S. conservatives teamed with most of the delegates from Methodist strongholds in Africa and the Philippines.
In the aftermath of that meeting, many moderate and liberal clergy made clear they would not abide by the bans, and various groups worked throughout 2019 on proposals to let the UMC split along theological lines.
There have been at least four different proposals for how to implement a split.
The most widely discussed plan has a long name — the Protocol of Reconciliation & Grace Through Separation — and some high-level support.
It was negotiated by 16 bishops and advocacy group leaders with differing views on LGBTQ inclusion. They were assisted by renowned mediator Kenneth Feinberg, who administered victim compensation funds stemming from the 9/11 attacks and the 2010 oil spill in the Gulf of Mexico.
Under the protocol, conservative congregations and regional bodies would be allowed to separate from the UMC and form a new denomination. They would receive $25 million in UMC funds and be able to keep their properties.
Formed in a merger in 1968, the UMC claims about 12.6 million members worldwide, including nearly 7 million in the United States. Leaders of the various factions have avoided making predictions of how many members might leave for a new denomination.
In hopes of minimizing friction, the protocol calls for a moratorium on enforcement of bans related to LGBTQ issues. Most bishops seem comfortable with that proposal, although Virginia-based Bishop Sharma Lewis approved initial disciplinary proceedings against a pastor in her region who officiated at a same-sex marriage.
There have been tangible benefits for one of the protocol negotiators, the Rev. David Meredith, who entered into a same-sex marriage with his long-time partner while serving as a pastor in Cincinnati.
The bishop of Meredith’s West Ohio region, Gregory Palmer, also served on the protocol team and endorsed the moratorium that freezes ongoing judicial proceedings against Meredith.
“Everything that has been a threat is now in a drawer collecting dust,” Meredith said.
Some conservatives worry that further flouting of the bans will occur ahead of the rescheduled national conference.
“For any clergy to try to use this interim to willfully violate their own vows … would demonstrate an extreme lack of integrity and self-control,” said John Lomperis, who works with the conservative Institute on Religion & Democracy and will be a delegate at next year’s conference.
Lomperis is among a faction of UMC conservatives, now eager to form a new denomination, who worry that bishops supporting LGBTQ inclusion will use the delay to tilt outcomes in their favor during decision-making by regional bodies.
The Rev. Tom Lambrecht, general manager of the conservative Methodist magazine Good News, said he and his allies have heard of instances where liberal pastors were appointed to lead conservative congregations and where small conservative churches were closed.
“We will be vigilant to call out such behavior after the coronavirus crisis passes,” Lambrecht said via email.
Some conservatives complain that the proposed $25 million payment to a new traditionalist denomination is unfairly small.
But the Rev. Tom Berlin of Herndon, Virginia, a supporter of LGBTQ inclusion who served on the protocol team, says the proposal is generous in allowing departing churches to keep their property.
“The majority of the wealth in the UMC is found in the real estate and bank accounts of the local churches,” he said. “The protocol allows them to retain that.”
Berlin says debate over LGBTQ policies “is on the back burner for now.”
“Once we get out of this, we’ll get back to the future of the UMC,” he said. “But now, churches of all varieties are working to respond to this pandemic in positive ways.”
Support for the protocol is far from unanimous, though its backers predict it will win majority support next year. One dissenting faction, known as the “liberationists,” believes the proposal doesn’t go far enough in curbing racism, sexism and anti-LGBTQ sentiment within the UMC.
A leaders of that faction, the Rev. Jay Williams of Union Church in Boston, hopes local churches will use the coming year to “innovate and adapt” without awaiting top-down directives.
“I hope that we might claim this moment as an opportunity to courageously confront the systemic oppressions that have plagued our denomination since its beginning,” he said via email.
When the conference does convene, the African delegates will be a key voting bloc. In St. Louis, they were pivotal in approving the strengthened bans on LGBTQ-inclusive practices.
The Rev. Keith Boyette, president of the conservative Wesleyan Covenant Association and one of the protocol negotiators, has met with many African delegates. He says they have pledged support for the protocol, but want some changes – for example, giving them the option of retaining the words “United Methodist” in the name of whatever new traditionalist body they join.
Bishop John Yambasu of Sierra Leone, the lone African among the protocol negotiators, said the proposal was “by no means perfect” but seemed to be the most acceptable option.
In an email, he depicted the pandemic as “a holy call to action from God…. to make make Christian disciples for the transformation of the world.”
HIV transmission has dropped significantly with lockdown breaking the chain of new cases, a leading sexual health clinic has claimed.
56 Dean Street, a London-based sexual health clinic, is urging people to order free home test kits online in an effort to keep the number of new HIV cases down when the pandemic is over.
The clinic said HIV transmission has “plummeted” during coronavirus lockdown.
“Even COVID clouds have silver linings,” it wrote on its website.
“Fewer hook-ups since lockdown has resulted in a huge reduction of HIV and other STIs. The chain is broken.”
56 Dean Street says an increase in testing could help them ‘beat HIV’.
56 Dean Street said that an increase in testing now could help to “keep transmissions down and beat HIV”.
“We may never get this chance again,” the organisation continued, explaining that the coronavirus pandemic has presented a “once-in-a-generation opportunity in the fight against HIV”.
They said transmission of the virus has “dropped dramatically” in the last few weeks because “there are less people having sex in London”.
“What’s more, when someone first catches the virus, they are super infectious and more likely to pass on HIV than normal,” it continued.
“But because there aren’t many super infectious people around, this has reduced transmission even further.”
Transmission of the virus could remain low after the pandemic if testing is increased.
The clinic says if everyone gets tested during lockdown and knows their status, transmission could be kept at this low rate after the pandemic has come to a close.
Those who test positive during lockdown can start taking medication straight away, which if taken properly would make it impossible for them to pass it on to others through condomless sex.
A trans police officer in Utah is suing his former employer after alleged discrimination at work drove him to alcohol and suicidal thoughts.
Taylor Scruggs had worked for the Unified Police Department of Greater Salt Lake (UPD) for ten years without issue, but when he came out as trans in 2015 he started to experience problems.
In a lawsuit, Scruggs alleges that his co-workers began to make snide and hostile remarks, and that a “Men Only” sign was put on a previously unisex bathroom.
The former officer says he was also deprived of help from superiors, and was lumped with “lesser assignments and busy work”.
He was also reportedly barred from accessing transition-related care under the force’s health care policy — which permits “medically necessary hormone replacement therapy” and “medically necessary genital surgery” for cisgender people but “expressly excludes coverage of such treatments when prescribed for gender transition”.
Speaking to The Salt Lake Tribune, Scruggs said: “I felt really alone, like I wasn’t being supported. I would go home and not feel feel that same, ‘Gosh, you can’t wait to get up and do it all over again tomorrow’ feeling.”
Scruggs explained that the hostile treatment drove him to a stint in rehab in July 2018 — after which he says he was punished for “sick leave abuse” and later demoted. Two months later, he called a suicide crisis hotline fearing that he was going to kill himself, venting about work. He says he was fired as a result of the call in November 2018.
Former police officer wants his job back and trans-inclusive training.
In his lawsuit, Scruggs is seeking his job back — as well as new policies and training to accommodate its transgender employees.
He said: “If I can help somebody else go through this process and it not be so complicated for them, then that’s what I hope to accomplish.”
The department has said it disputes Scruggs’ allegations, but has declined to comment publicly while preparing its response.
The transgender community, which is one of the populations that has been most affected by the coronavirus pandemic, has been explicitly excluded from contingency plans that seek to prevent the virus’ spread.
Sex workers have been left to their own devices during this health crisis and they can practically only count on themselves. Due to confinement, most of them can’t go out to work, and to stop working is not a choice when they live on a day by day basis and the only housing they can afford are “pagadiarios” (places for which they pay by the day.) Some of the sex workers who can’t get enough money to pay them do not have anywhere to stay during the lockdown or, even worse, they have had to live on the streets where they are more prone to get infected with COVID-19.
Different community-based organizations like Calle 7 Colombia and Fundación Red Comunitaria Trans have created initiatives to mitigate the impact of this situation.
Red Comunitaria, for example, created an emergency fund for sex workers during the pandemic. It has given — aside from safety — economic support, food and housing to thousands of trans people. However, individual private donations alone will not be enough to benefit everyone who needs it.
That is not the only problem the trans community is facing. Many different Colombian cities, including Bogotá, from April 13 have implemented “pico y género”, a gender-based measure that allows only men to leave their homes on odd days, only women to leave their homes on even days and trans people to leave their homes on those days based on their gender identity.
Although this decision was taken as a strategy to diminish both the number of people in the streets and to mitigate the spread of COVID-19, this decree makes non-binary or gender non-conforming people and the trans community more prone to violence.
The main concern with the decree is the police become the identity definer and watchdog. Their use of violence and abuse of power has been a historic phenomenon that has served to kill many people.
As of the date of this publication, they have already been numerous physical and verbal assaults against trans and non-hegemonic gender people. These include the case of Joseph, a trans man who was denied the right to enter a supermarket because the employees thought he was not enough of a “man.”
A similar situation happened in Peru, which alongside Panama also applied this measure. The government rescinded the policy after a video posted to social media showed police officers forcing three trans women to squat while they were forced to repeat “I want to be a man.”
It is understandable that a pandemic’s reality requires the adoption of measures for controlling the spread of the virus among citizens and that some of them demand the restrictions of some fundamental rights, such as freedom of movement and association. All of this is aimed to protect public health, but these policies cannot, in any moment, infringe on nondiscrimination rights.
The Colombian government must therefore listen to the voices of the most vulnerable populations during the crisis, who have been forced to endure unfair exclusion and assume the State’s responsibilities. Countries around the world must adopt mechanisms to restrict movement without using criteria that fosters additional risks for populations that already cope with structural exclusion in society because they are constantly criminalized and persecuted.