Statement from EGAL

Tuesday 13th July 2021

Our Position on LGBTQ+  & HIV

As a coalition of HIV and sexual health charities, EGAL wants to underscore our absolute commitment to supporting the rights of our trans, non-binary, and gender diverse communities.

There is a long history of commitment and mutual support between gender and sexual minorities facing shared struggles. Just as trans people have been central to the battle for LGBTQ+ equality they have been key players in the fight against HIV. We will be better equipped to meet the challenge of ending HIV by 2030 by standing together.

Despite remarkable progress overall in reducing HIV infection, our trans communities experience high levels of HIV and poor sexual health. Discrimination and marginalization of trans people exacerbate these and other health inequalities.

The attacks that our LGBTQ+ communities in the U.S.A. are being targeted with – online, in the media, and in person are unacceptable. LGBTQ+ people commonly experience abuse from those who organize against LGBTQ+ inclusion, which often includes misinformation that paints LGBTQ+ people as “predatory”, “deceptive”, and “immoral”. These are the same tactics that have previously been used to target people living with HIV.

It has now been 45  years since the first cases of HIV were reported. For the last four decades, trans people have been among the leading voices in the response to HIV – within and through our organizations and beyond – demanding change from governments that dragged their heels, and speaking truth to power.

Demanding action on HIV means attending to the intersecting needs of everyone. It means standing together against discrimination and attacks on human rights. EGAL continues to stand together with our LGBTQ+ friends, colleagues, and service users, today and always.

HIV PREVENTION, U=U AND LIVING WELL WITH HIV 

Learn about prevention, testing, PEP, PrEP, and living well with HIV.

HIV has come a long way since the 80s, but social stigma persists. Treatment is effective and manageable, and regular testing is key to fighting transmission. Early diagnosis and treatment can make a person living with HIV undetectable and untransmittable (U=U). Condoms and lube, as well as game-changing medications like PrEP and PEP, are great tools to stop transmission. While HIV is still a lifelong, chronic illness with no cure, we can continue to make strides to reduce transmission and fight HIV stigma together.

WHAT IS HIV AND WHO IS AT RISK? 

HIV is a virus that damages your immune system, leaving you open to everyday infections. Although there’s no cure, early diagnosis, and treatment can manage the condition and help people living with HIV lead long and healthy lives.

HIV is transmitted through direct and prolonged exposure to bodily fluids such as blood, semen, anal mucus, and vaginal fluid. HIV can affect anyone, but some people are more at risk, such as gay, bi, and other men who have sex with men, and Black African populations. New HIV diagnoses are declining in some areas, but increasing in others, so regular testing is important.

PREVENTING HIV AND LIVING WELL WITH HIV

Condoms are the most effective way to prevent HIV, but medications PEP and PrEP also significantly reduce transmission risk. Most people don’t have symptoms when they become infected with HIV, so getting tested regularly is essential for early detection and treatment.

If you are living with HIV and on effective treatment, levels of HIV in the blood can be brought down to undetectable levels, people living with HIV and undetectable can’t pass HIV on to sexual partners this is known as U=U.

PEP AND PREP: HOW TO GET THEM? 

Post- Exposure Prophylaxis (PEP) is an emergency medication that must be started within 72 hours of a possible HIV exposure, it’s available from Sexual Health Clinics, or A&E departments if they are closed.

Pre-Exposure Prophylaxis (PrEP) is available on the NHS via sexual health clinics, PrEP is a daily or on-demand pill that can greatly reduce your risk of contracting HIV during sex. With regular use, it’s been shown to be up to 99% effective. No more worrying about the risk of HIV transmission – PrEP can give you peace of mind and help you enjoy your sex life to the fullest.

What is HIV?

HIV is the virus that causes AIDS. It damages your immune system, making it easier for you to get sick. HIV is spread during sex, but condoms can help protect you.

HIV stands for “human immunodeficiency virus.” It’s a virus that can only infect humans and leads to the weakening of the immune system. The immune system is the body’s system for fighting disease. When it’s compromised or weakened, a person becomes vulnerable to all kinds of bacteria, viruses, or other agents that cause disease.

HIV is an infection that can lead to AIDS.

When HIV is left untreated, it can wreak havoc on a person’s immune system. As this happens, the body is less able to fight off infections. AIDS stands for “Acquired Immune Deficiency Syndrome,” which means the immune system has been made less effective by HIV. When this happens, a person is considered to have an acquired immune deficiency or AIDS.

It’s important to note that you cannot have AIDS without being infected with HIV. But people can, and do, live long lives (on treatment) with HIV and never develop AIDS.
Once you have HIV, the virus stays in your body for life. There’s no cure for HIV, but medicines can help you stay healthy. HIV medicine lowers or even stops your chances of spreading the virus to other people. When your viral load is “undetectable” or you can no longer detect the virus in your body, you can’t pass HIV to your partner(s).

That’s why treatment (and getting tested) is so necessary. With the proper care and medication, people with HIV can live long and healthy lives. Find a provider near you today.

How Does HIV Spread?

HIV is carried in semen (cum), vaginal fluids, anal mucus, blood, and breast milk. Most people who get HIV get it through anal or vaginal sex or sharing needles syringes. You can get HIV from:

• Having vaginal or anal sex
• Sharing needles or syringes for shooting drugs, piercings, tattoos, etc.
• Getting stuck with a needle that has HIV-infected blood on it
• Getting HIV-infected blood, semen (cum), or vaginal fluids into open cuts or sores on your body

There are many myths about the way that HIV is spread. HIV is not transmitted through saliva (spit) or sweat. HIV is also not spread through hugging, holding hands, coughing, or sneezing. And you can’t get HIV from a toilet seat. If you don’t know if you’ve been exposed to HIV, the best way to feel confident in your status is by getting an HIV test.
There are also many ways to prevent the spread of HIV. Using condoms and/or dental dams every time you have sex and not sharing needles can help protect you and your partners from HIV. If you don’t have HIV, there’s also a daily medicine called PrEP that can protect you from HIV.
HIV destroys cells in your immune system called CD4 cells or T cells. Without CD4 cells, your body has a hard time fighting off diseases. This makes you more likely to get really sick from infections that usually wouldn’t hurt you. Over time, the damage HIV does to your immune system leads to AIDS.
You have AIDS when you get rare infections (called opportunistic infections) or types of cancer, or if you’ve lost a certain number of CD4 cells. Treatment can delay or even prevent you from ever developing AIDS.

What are the symptoms of HIV & AIDS?

It can be years before symptoms of HIV make you feel sick, so many people may not know that they have it. That’s why routine HIV testing is so important.
At first, you might feel achy, feverish, or like you have the flu. These symptoms are your body’s first reaction to the HIV infection. Common early symptoms include:

• Chills
• Fatigue
• Fever
• Mouth sores
• Muscle Aches
• Night Sweats
• Rash
• Sore Throat
• Swollen Lymph Nodes

During this time, there’s a lot of the virus in your system, so it’s really easy to spread HIV to other people. The symptoms only last for a few weeks, and then you usually don’t have symptoms again for years. But HIV can be spread to other people — whether or not you have symptoms or feel sick.

HIV & AIDS Symptoms in Women

These symptoms are the same in both men and women, but a few more symptoms may present in women. Common HIV symptoms in women include:

• Changes in Menstrual Cycle (heavier or lighter periods or bad PMS)
• Lower Belly Pain due to Pelvic Inflammatory Disease
• Pain During Sex
• Vaginal Yeast Infections

While any one of these symptoms can be the first sign of HIV infection, they can also be signals of other health issues. If you are experiencing any of these symptoms, contact your healthcare provider and make sure to get an HIV test so that you can get the care you need.