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HIV/AIDS in Ottawa

Wed Aug 16, 2006 Miss Vicky 

There's so much to-do about the AIDS conference taking place in Toronto this week. It's great to see significant attention being paid to this devastating disease, and especially on its horrific impact in Africa and other developing areas. I hope folks took the time to go through Sunday's edition of the Citizen, which was guest-edited by Stephen Lewis. There were some amazing stories in it.

I was a bit disappointed, though, that they didn't take the opportunity to examine HIV/AIDS in Ottawa. So here are a few tidbits:

Rates of HIV infection in Ottawa have been on the rise in recent years.

Ottawa has a 21% rate of HIV and Hepatitis C infection among Intravenous Drug users (9 times greater than Toronto). We have the highest proportion of first-time HIV diagnoses among intravenous drug users.

Infections among women and young people are also on the rise.

Aboriginal people in Canada are overrepresented among reported HIV/AIDS cases.

Approximately 66% of Grade 7 students and 50% of Grade 9 students do not know there is no cure for AIDS.

Mortality from HIV/AIDS was higher in Ottawa than in Ontario in 2002.

Here are some local resources and links:

AIDS committee of Ottawa
Bruce House
Site harm reduction program
Ottawa Public Health
Walk for Life - September 23

My impression is that there are three areas that need attention in our community: education, support/services for people living with HIV/AIDS, and addressing the risk of infection through injection drug use. I know the SITE program and the methadone clinic on Somerset are designed to help address this third challenge, and the city is currently developing an integrated drug strategy. It's controversial, though. I do think that we have to work hard to explain to folks who are concerned about drug use in our neighbourhoods that these initiatives are an important part of protecting our public health, and a vital accompaniment to offering treatment facilities (few and far between in this city), busting dealers, shutting down crack houses and enforcing drug laws.

So I was a little disturbed to hear and read this morning that the Harper government is putting the future of Vancouver's landmark safe injection site
into question. The site had a 3-year exemption from drug laws so it could be determined whether it was effective. And from all reports and studies, it has been effective at reducing infection rates, saving lives, and moving addicts towards treatment. It has not resulted in increased drug-related crime, contrary to the fears of some. The government's decision about this site will have an impact on the kinds of programs we can have in our city. I hope they make the right decision.

Some people were moved to reply

ABC Aug 21, 2006 02:19 PM said:

I think Harper has every right to examine the Vancouver injection sites. The one in Ottawa came into ridicule very recently when it was proven that it increased drug usage. It would be better off to force these people into rehab and forgo spending money on needles which don't stop the use of drugs.

I thought I read that 51% of Aids cases are homosexuals. Extremely high for a 2% population.

I don't think Stephen Lewis is in any position to help decrease Aids and the causes thereof. Uganda has done very well with their abstinence campaign, Lewis could learn from that although I don't think he will even consider it. Disappointing to say the least.

The Webgeek Aug 21, 2006 03:21 PM said:

The one in Ottawa came into ridicule very recently when it was proven that it increased drug usage.

No, it was not. It was proven that more people were USING THE SERVICE *when clean crack pipes were handed out* than when they weren't. Lazy reporters and people with axes to grind falsely mistook this as an increase in drug use.

I thought I read that 51% of Aids cases are homosexuals. Extremely high for a 2% population.
Wrong on two counts. First, Worldwide, more than 75 percent of all adult HIV infections result from heterosexual intercourse.
Second, Last I heard, "homosexuals" counted for 10% of the population base (across all cultural, ethnic and socieo-economic scales), not 2%.
Besides, why -- exactly -- would it matter either way what their sexual preference was?

Uganda has done very well with their abstinence campaign, Lewis could learn from that although I don't think he will even consider it.
The role of abstinence in reducing HIV rates in Uganda is disputed. Data suggests that a combination of factors is responsible for the decline, rather than one single intervention approach.

I am truly embarrassed to think that you work for Health Canada.

[Edited By The Webgeek Aug 21, 2006 03:33 PM]

ABC Aug 25, 2006 09:56 AM said:

Webgeek, the stats I gave were in Canada. Yes the Aids is 51% homosexual, yes they are 2% of the population.

You are wrong in regards to the drug usage. It has increased. This was a concern beforehand and its been proven, as much as people don't want to believe it. Its not lazy reporting whatsoever.

In Uganda, its not disputed. Just ask Lewis, who is upset that Uganda hasn't taken the condom approach as Lewis would like.

ABC Aug 25, 2006 10:07 AM said:

Your quote of 10% is an outdated, extremely biased report by Kinsey. Stats Canada and as well in the US have proven this to be grossly incorrect. I can provide a link here:

http://www.statcan.ca/Daily/En glish/040615/d040615b.htm

Sexual orientation, 2003
Homosexual or bisexual
Number % of total population
Total 316,800 1.7

There are no comparable Canadian data on sexual orientation. The results are similar to those obtained in the United States using the concept of identity.

The Webgeek Aug 25, 2006 01:24 PM said:

Webgeek, the stats I gave were in Canada. Yes the Aids is 51% homosexual,
It seems your own employer's web site would disagree with you:

  • Prior to 1996, MSM1 represented over three quarters of AIDS diagnoses and heterosexual exposure category accounted for 11.4%. The heterosexual exposure category eclipsed the MSM exposure category for the first time in 2003 and, since that time, both exposure categories (MSM and heterosexual) have accounted for a similar proportion of AIDS diagnoses. In 2005, MSM accounted for 37.6% of AIDS diagnoses whereas the heterosexual exposure category represented 38.4%. These trends in exposure category must be considered in the context of the AIDS data limitations described above.

(emphasis mine)
1MSM - Males having sex with males.

yes they are 2% of the population.
Again, you're wrong. all stat on percentages are skewed by the fact that a lot of homosexuals are too afraid to actually admit in public that they are, in fact, gay.

Even the web site you quoted in your second post has an extremely large caveat at the top of it conscerning their findings vis a vis sexual orientation:
  • Several concepts can be used to measure sexual orientation. These include behaviour, that is, whether a person's partner or partners are of the same or the opposite sex, and identity, that is, whether a person considers himself or herself to be heterosexual, homosexual or bisexual.

    The CCHS uses the concept of identity. Data from other countries suggest that the number of people who consider themselves to be homosexual is much smaller than the number who report having had sexual relations with someone of the same sex.


Not only that, the actual stats table marks 6 out of the ten provinces numbers on sexual orientaion with this little footnote:
"E Use with caution."
They also leave out PEI's figures out completely "due to high sampling variability."

Here, I'll let a marketing firm explain to you why your "facts" are so wonky:
  • One of the flaws of any market research regarding the gay population is the self-identifying nature of the label. As opposed to speaking to or with gay men and women, researchers are speaking with "out" gay men and women --those members of the gay population who have enough comfort in their life to be able to self-identify. Being "out" is a privilege, and as with most privileges, it is usually accorded to white upper and middle-class members of society. Ergo, the myth that gay men and women are better educated, have more disposable income, et cetera. The truth is "out" or self-identifying gay men and women are better educated, have more disposable income, et cetera, because they can afford the risk inherent with wearing that particular label. But the fact remains that they are a subset of the gay population, not the population in its entirety.


Besides, that still doesn't answer my question as to why their sexual orientation should matter.

[Edited By The Webgeek Aug 25, 2006 01:43 PM]

The Webgeek Aug 25, 2006 02:01 PM said:

Now, onto the Uganda Issue:
In Uganda, its not disputed. Just ask Lewis, who is upset that Uganda hasn't taken the condom approach as Lewis would like.
First, you say Lewis didn't bother looking at Uganda, now you claim he's upset because it doesn't jive with his preferred methods. which is it?

At any rate, the Uganda approach was initially a three pronged aproach: dubbed ABC for
Abstinance,
Being Faithful (to one partner), and
Condoms.
Notice that condoms are on that list. See, Mr. Lewis isn't upset that abstinence is being promoted as a method of curbing the spread of AIDS; he's upset because the Ugandan strategy has recently began promoting ONLY abstinence to curb AIDS. Here, I'll let you read his exact words on the matter:

  • Mr Lewis said: "Over the last eight to 10 months, there's been a very significant decline in the use of condoms, significantly orchestrated by the policies of government."

    "At the moment, the government of Uganda appears to be under the influence of the American policy through the presidential initiative of emphasising abstinence far and away over condoms," he said.


And as for it's phenomenal success rate; that too is in question:
  • Uganda is often held up as a success story and the government lauded for the progress it has made with the official prevalence rate put at only 6%.

    But after conducting research in districts across Uganda, an NGO suggests the real picture is far worse.

    They found prevalence rates as high as 30% and bad access to anti-retrovirals.

    Major Rubaramira Ruranga, the executive director of the National Guidance and Empowerment Network of people living with HIV/Aids in Uganda (NGEN), said he believed the HIV prevalence rate could be more than three times higher than previously thought.

    "We have found the prevalence rate at this time is 17%," he told a news conference.


(By the way, I just noticed the similarity to your logi n name and the Ugandan AIDS strategy. I know there's a prophylactic/abstinence joke in there somewhere... )

[Edited By The Webgeek Aug 25, 2006 02:14 PM]

ABC Aug 28, 2006 11:08 AM said:

Webgeek, what I said was that he doesn't look at Uganda as a good example even though they've dramatically reduced their Aids rates by abstinence. He continues to push the use of condoms for that country and crticizes them for not doing it. It seems that he prefers a different means even though they accomplished supposedly what Lewis wants, which is to reduce Aids.

My handle, is just that, a handle, it doesn't mean a thing to me. However, if you prefer, you can associate it with whatever you choose. Some people think its the TV Station, other people have told me that it reminds them of the ABC Gum.

ABC Aug 28, 2006 11:28 AM said:

Webgeek, what the heck are you talking about admitting in public. They put their response on a form. What the heck are they afraid of??? Playing the victim when the stats don't match the rhetoric doesn't work with me. Don't tell me that when Stats Canada states that their stats match those of the US that the stats are wrong. Kinsey has been proven wrong, over and over. PEI is so small, that every single person there would have to be homosexual to move it up to your beloved 10%.

PHAC has put out a more recent announcement than the one you just posted and they stated 51%. I've read it. And from the link you provided they actually say: Although men who have sex with men (MSM) account for the largest proportion of positive HIV test reports (43.5% in 2005)

Its awful that such a small proportion has such a high rate. You know your question about why their choice would matter. You've had your answer.

The Webgeek Aug 28, 2006 11:53 AM said:

Its awful that such a small proportion has such a high rate. You know your question about why their choice would matter. You've had your answer.

no, you have not answered my question. You certainly seem to be implying one with your use of the words "their choice". But you have yet to give me a reason on why you keep harping on the infection rates of "homosexuals" as if that makes a difference. Tell me what the problem is, cause I don't see it.

What difference does it make that a specific disease affects a certain percentage of the population more than others. Blacks are more affected by diabetes than other races. Canadians and Norwegians have higher rates of MS than other countries. Now, the difference here is that we understand why AIDS infections are higher with MSM cases, but that doesn't take away from the fact that this is a horrible, debilitating disease that affects almost every segment of the population -- a sadly preventable one at that.

Said1 Sep 3, 2006 03:00 PM said:

[i]You are wrong in regards to the drug usage. It has increased. This was a concern beforehand and it’s been proven, as much as people don't want to believe it. Its not lazy reporting whatsoever.[/i]

How was data pertaining to drug use collected prior to the program?

I'm not an expert in data collection with respect to these programs, but I would argue that the data suggests increased drug use because they are better able to monitor the number of drug users through that program then they had in the past. IMHO, claiming drug use has increased as a result of implementing a program that involves distributing crack pipes is a bit of a stretch.

Then there is the matter of people using fake names when frequenting such programs. The van that used to distribute needles behind Giant Tiger only asked for the addict’s mother's maiden name. *shrug*

Said1 Sep 3, 2006 03:28 PM said:

In retrospect, I should clarify that by writing *shurg* about, I was trying to express confusion. I wasn't being facetious.

ABC Sep 6, 2006 08:56 AM said:

Webgeek, I would like to know why you don't want someone to harp about whether a group of people who are 2% of the population have the majority of AIDS/HIV cases? Are you telling me that its wrong to point this out as I have?

Diabetes is not the same as AIDS, what a facetious comparison. Answer this question here, how do the majority of people get diabetes? Then answer this question, how do the majority of people get AIDS? I'll give you a hint on the second question, the answer has to do with their behaviour.

If you have a society which decries the behaviours, which causes this disease in many cases, you will have a society which will have a much lower rate of HIV/AIDS, and isn't that the goal of the activists, to reduce dramatically the rate of AIDS?

Take a look at this: http://www.phac-aspc.gc.ca/med ia/nr-rp/2006/20060731-hiv-vih _e.html

Look at the pie chart.

I'm not taking away the importance of the impact of AIDS on a person, what I am saying is what you said in your last sentence, it is mostly preventable, unlike MS or MD. Pumping more money into AIDS hasn't done anything except pass around condoms and some treatment. Other diseases kill more people and yet have so many times less the funding. My point from the beginning is that AIDS should get less funding, especially in the condoms area and other diseases which kill more people should be increased.

The Webgeek Sep 6, 2006 10:06 AM said:

Your right. It is about behaivour. In both cases. Type II Diabetes, the most common type, is triggered by obisity and inactivity. "Leading an inactive, sedentary lifestyle and consuming a high-calorie diet " is, of course, the leading cause of obisity. So you're right, it is mostly preventable.

What does that have to do with AIDS? Oh, sorry. You were trying to gloss over the "Diabeties is preventable too" thing and Just focus on "homosexuality" as the cause of HIV/AIDS. You're (desperately, and poorly) trying to dismiss it a "gay" disease.

Well, if you started looking at facts, and not just bigoted rhetoric, you'd notice that not only does it affect more than "just gays", it is on the increase in many "non-gay" populations. Looking at the Leading Causes of Death in Children Under Five Years of Age, Estimates for 2000-2003, you'll notice that HIV/AIDS ranks as the sixth highest killer, with 321,000 victims. It's right behind already preventable diseases like Malaria and Measles.

Now, what behaviour, exactly, did those 321,000 children engage in that makes their deaths less tragic and less worthy of prevention than the ones that died of measles, may I ask?

[Edited By The Webgeek Sep 06, 2006 10:08 AM]

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