Category: News

There are thousands of people in Canada who are in a serodiscordant relationship, yet we know very little about their experiences and needs

By James Iveniuk

Marcus and David have been dating for three years. Marcus is HIV-positive and David is HIV-negative. David was worried when he told his parents that his new partner was HIV-positive, but after they saw how happy Marcus makes him, they have welcomed Marcus into their lives. At the same time, they still worry that their son may become infected.

Faith is living with HIV, and her partner, Scott, is HIV-negative. Faith often finds herself having to educate Scott on what she has to do to manage her condition and Scott has had difficulty understanding because information changes quickly. They fight more often — about sex, about health —and about where they see their relationship going.

These are hypothetical examples of two different types of relationships that involve HIV, yet many other couples have their own, unique experiences. So it is hard to know what kinds of experiences are the most common for people in these relationships.

Undetectable=Untransmittable – CATIE signs on

By Laurie Edmiston

All of us here at CATIE, and indeed around the world, are celebrating the most significant development in the HIV world since the advent of effective combination therapy 20 years ago – people living with HIV with sustained undetectable viral loads can confidently declare to their sexual partners “I’m not infectious!” The “fabulousness” of this news cannot be overstated. With or without a condom, if you’re undetectable you won’t pass along HIV! This is an absolute game-changer and those who live with HIV can proudly share this information. At the same time, service providers working in HIV must get up to speed fast and share this far and wide with their communities. CATIE will be developing more resources to help share this momentous news so stay tuned! In the meantime, look at the prevention resources on catie.ca and add your organization’s name to the Consensus Statement of the Prevention Access Campaign. Let’s get the word out!  Get tested, get on treatment, become undetectable and have lots of great sex!

 

Laurie Edmiston is executive director of CATIE, Canada’s source for HIV and hepatitis C information.

More obvious and sinister villains are responsible for the number of drug overdose deaths in Vancouver Island

By Shane Calder

shane-speaking-at-rally-croppedBritish Columbia, Vancouver Island in particular, is in the midst of health tragedy that many of us find hard to describe. In one sense, we can trace the beginning of this crisis to Thursday, April 14th, 2016 when the chief medical office, flanked by the B.C. Minister of Health, declared a public health emergency to address what had already been four terrible months of overdose-related deaths. Since then, I have been privy to receiving periodic updates from the B.C. Coroner Service on the ever-climbing death toll—the most recent post released mid-September.

On a personal note, this ever-escalating human tragedy started for me on December 21st, 2015, three weeks after the Royal Jubilee Hospital in Victoria had stolen from their premises what has since been described as the largest theft of fentanyl in the history of the Vancouver Island Health Authority. On that afternoon of December 21st, the body of a much-liked client was discovered in a parkade less than a block from the region’s largest needle exchange. He died of an overdose.

We need to address the unique and complex issues of Indigenous people living with HIV

By Cécile Kazatchkine and Sandra Ka Hon Chu

cecile-k-2SANDRA_HI_RES- croppedIndigenous people in Canada are disproportionately affected by HIV, representing 10.8 per cent of new HIV infections and 9.1 per cent of people living with HIV in Canada.[1]  In Saskatchewan alone, the number of Indigenous people living with HIV is around twice the national average and the highest in Canada and “one of the few places in the industrialized world where people are still dying from AIDS and HIV.”

Lack of access to HIV treatment and care among other complex factors contributes to these alarming rates: in many rural or remote areas, HIV-specific services are simply not available, or the small size of the community creates concerns around confidentiality for those accessing care. Indigenous people in Canada — many of whom are surviving a legacy of colonization and the intergenerational effects of residential schools — continue to experience systemic discrimination and extremely high rates of incarceration. In this context, the criminalization of HIV non-disclosure may be perceived as yet another form of institutionalized violence and discrimination, amplifying the negative impact of the HIV epidemic on Indigenous communities.