Wednesday, September 12, 2007

DC's Greatest Epidemic

DC has serious health care problems. Finding ways to increase access, improve quality of care and upgrade facilities present big challenges to our city on an ongoing basis. But a scary epidemic is in our midst; and surprising little is being done to stop it. HIV/AIDS infects approximately one in 20 DC residents, and perhaps even more. It is not a problem faced only by the gay community or the African American community, as many believe. HIV/AIDS is a threat to all of us. Unfortunately, the DC HIV AIDS Administration (HAA) has been ineffective in curbing the spread of the virus.



Residents are not getting tested at the rates they need to be; there is little public education about prevention and treatment; the city is not tracking those with HIV/AIDS to help prevent its spread; and non-profit organizations paid by the District to help fight the epidemic are not held accountable for their performance. This must be fixed.



Last week, I met with David Mariner from DC Fights Back (http://www.dcfightsback.org/) who helped me understand the complexity of the epidemic in the District and brought me up to speed on some of the necessary solutions.



HAA must function at a higher standard. We need increased public awareness to educate residents about prevention and risk. We must do a better job focusing on prevention. For example, New York City distributes up to five million condoms each month. DC has been unable to distribute 250,000 condoms over the past eight months. This is unacceptable. Treatment and care also must be improved, and this requires partnering with non-profit groups with expertise, but we must also hold them accountable.



While DC has a higher HIV/AIDS rate than any other state in the union, we are lucky to have organizations like DC Fights Back to help educate our leaders and find concrete policy solutions.

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