Ending the HIV Epidemic A Baltimore Perspective Adena
Ending the HIV Epidemic: A Baltimore Perspective Adena Greenbaum, MD MPH Assistant Commissioner for HIV/STD Prevention Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City @Bmore_Healthy Baltimore. Health health. baltimorecity. gov
Ending the HIV Epidemic: A Plan for America Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
New opportunities • Funding • Collaboration • Listening • Planning Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Timeline • Announced: February 2019 • Leadership visit March 2019 • Demonstration projects July – December 2019 • Plan development September 2019 September 2020 • Ending the Epidemic Funding – January/March 2020? Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Ending the HIV Epidemic: A Plan for America Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Ending the HIV Epidemic: A Plan for America Stigma Mistrust Status Neutral Social determinants of health Co-endemics Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Health Department Activities • HIV Testing • Linkage to care • High quality treatment • Condom distribution • Pr. EP accessible and available • Community listening and engagement • Resource coordination Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Newer Health Department Activities • ED HIV testing • New partnerships • Expand health department services • Expand Pr. EP • Social marketing Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Wish list • Routinized HIV testing • Pr. EP Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Ending the HIV Epidemic Plan • Develop plan over the next year Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
• Where is testing not accessible? • Who is testing not accessible for? Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
• What is needed to improve retention in care? • Is that enough to improve adherence? Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
• Is Pr. EP too expensive? What are the costs? • Where should Pr. EP be accessible? Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Challenges Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
Thank you Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City @Bmore_Healthy Baltimore. Health health. baltimorecity. gov
Care Cascade, Baltimore City Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
HIV Care Cascade, Baltimore City, 2017 “Work before the Work” • Stigma • Medical/public health mistrust • Status neutral Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City
HIV Care Cascade, Baltimore City, 2017 “Work before the Work” • Stigma • Medical/public health mistrust • Status neutral care Bernard C. “Jack” Young Mayor, Baltimore City Dr. Letitia Dzirasa, M. D. Commissioner of Health, Baltimore City “Work around the Work” • Social determinants • Co-endemics HCV Syphilis Opioids
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