Zero Hour

• Ep. 201 “Women Takeover: HIV in Black Women in the US”

  In this episode of ZERO HOUR—filmed in front of a live studio audience at the 2023 U.S. Conference for HIV and AIDS—four Black women take over the discussion table to take back their own narratives and to define their own roles in ending the HIV epidemic.   Because to truly understand the impact that discrimination, inequity, and stigma have on Black women, we need to hear from Black women themselves.   Our takeover hosts are:   Staci Bush, Senior Director of US Medical Affairs for Gilead’s HIV Franchise. Bush is a patient-first activist within the pharmaceutical space who focuses on building partnerships across the globe to transform minds and center prevention as a main tactic to ending the HIV epidemic.   Deborah Wafer, Senior Director of Public Affairs and U.S. Virology Community Engagement and Advocacy at Gilead. A women’s health and public health advocate with more than three decades of experience, Wafer works to address HIV and expand health equity by forging partnerships with community advocates and organizations.   Our guests are:   Marlene McNeese, an HIV prevention advocate who has worked to optimize public health and community-based HIV support systems for nearly 30 years. She discusses the ways that Black women must navigate medical systems that were never meant to support them—thereby creating lasting and urgent disparities in HIV prevention, diagnosis, and treatment.   Erica Criddenton, a student at the University of Washington Medical School  who studies the internal and external impacts of HIV stigma around the globe. She shares her professional insights with ZERO HOUR—and delivers a moment of personal vulnerability that moves and inspires hosts and live audience members alike.   This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-6218 Date of Preparation July 2024.   References:   Ayangeakaa, S.D., Kerr, J., Combs, R.M. et al. Sociocultural and structural influences on HIV Pre-Exposure Prophylaxis (PrEP) Engagement and Uptake among African American Young adults. BMC Public Health 23, 1427 (2023). https://doi.org/10.1186/s12889-023-16273-8   DHHS. Panel on antiretroviral guidelines for adults and adolescents. Recommendations for the use of antiretroviral agents in adults and adolescents with HIV. Updated March 23, 2023. Available at: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/adult-adolescent-arv/guidelines-adult-adolescent-arv.pdf. Accessed July 20, 2023.   Hill, Mandy J. DrPH, MPH. (2023, June 11). Qualitative Analysis of a Warm Handoff Linkage Approach for Cisgender Black Women to Pre-Exposure Prophylaxis (PrEP): A Systems Focus. UTHealth Houston. https://www.iapac.org/files/2022/12/Mandy-Hill-1129.pdf   PACHA. PACHA provides advice, information, and recommendations to the Secretary regarding programs, policies, and research that address HIV/AIDS. Started June 14, 1995. https://www.hiv.gov/federal-response/pacha/about-pacha   Funakoshi, Minami, Raychaudhuri, Disha. (2023, August 19). The rise of anti-trans bills in the US. Reuters. https://www.reuters.com/graphics/USA-HEALTHCARE/TRANS-BILLS/zgvorreyapd/

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• Ep. 10 ”Systems of Care”

  Health inequities don’t just happen. They’re made by the broken parts of broken systems. And when those systems are left unfixed, the divide between the people with the most need and the people with the most resources grows even wider. In this episode, we’re joined by two guests who are championing system reform and person-centered care to overcome inequalities in the global response to HIV.  Our guests are: Professor Kevin Fenton, the London Regional Director at the Office for Health Improvement and Disparities and President of the United Kingdom Faculty of Public Health. Dr. Oni Blackstock, an HIV researcher, physician, and founder of Health Justice, an organization helping health organizations achieve workplace equity and overcome health disparities. This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-4668 Date of Preparation September 2023. References: CDC. HIV in the Southern United States. September 2019. Accessed September 19, 2023. Available at: cdc.gov/hiv/pdf/policies/cdc-hiv-in-the-south-issue-brief.pdf Fuller H, Dubbala K, Obiri D, et al. Addressing vaccine hesitancy to reduce racial and ethnic disparities in COVID-19 vaccination uptake across the UK and US. Front Public Health. 2021;9:789753. doi:10.3389/fpubh.2021.789753 GOV.UK. England on Track to End New HIV Transmissions by 2030. Accessed September 22 2023. Available at: https://www.gov.uk/government/news/england-on-track-to-end-new-hiv-transmissions-by-2030 HPTN096. Getting to Zero Among Black MSM in the American South: Testing the Efficacy of an Integrated Intervention Strategy. Accessed September 19, 2023. Available at: Getting to Zero Among Black MSM in the American South: Testing the Efficacy of an Integrated Intervention Strategy Kaiser Family Foundation. Status of State Medicaid Expansion Decisions. Accessed September 19, 2023. Available at: https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/ Malebranche DJ, Peterson JL, Fullilove RE, Stockhouse RW. Race and sexual identity: perceptions about medical culture and healthcare among black men who have sex with men. J Natl Med Assoc. 2004;96:97-107 National AIDS Trust. HIV in the UK Statistics. Accessed September 19, 2023. Available at: https://www.nat.org.uk/about-hiv/hiv-statistics The path that ends AIDS: UNAIDS Global AIDS Update 2023. Geneva: Joint United Nations Programme on HIV/AIDS; 2023. Licence: CC BY-NC-SA 3.0 IGO UK Office for National Statistics. Updating ethnic contrasts in deaths involving the coronavirus (COVID-19), England: 8 December 2020 to 1 December 2021. Accessed September 19, 2023. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/updatingethniccontrastsindeathsinvolvingthecoronaviruscovid19englandandwales/8december2020to1december2021 UK Office for National Statistics. Coronavirus and vaccine hesitancy, Great Britain: 9 August 2021. Accessed September 19, 2023. Available at:  https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandwellbeing/bulletins/coronavirusandvaccinehesitancygreatbritain/9august2021 Zang X, Krebs E, Mah C, et al. Can the 'Ending the HIV Epidemic' initiative transition the USA towards HIV/AIDS epidemic control? AIDS. 2020;34(15):2325-2328. doi: 10.1097/QAD.0000000000002668

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• Ep. 9 “Empowering the Young Leaders of the Future”

  Sure, children are the future, but why shouldn’t they have a hand in the present? Today’s episode of Zero Hour introduces us to two HIV advocates—one an HBCU professional and the other a person born with HIV—who are centering education for youth and adolescents in their missions to end the epidemic. Our guests are: Leslie Hall, director of the Historically Black Colleges and Universities Program at the Human Rights Campaign. He shares his intersectional experiences as a Black queer man and discusses the significance of bringing HIV prevention and education to HBCUs. Ashley Rose Murphy, a National Youth Ambassador for the Canadian Foundation for AIDS Research and a global HIV speaker and rights advocate. She shares her triumphant story of outliving a six-month life expectancy after being born with AIDS and channeling her experiences into a life of activism. This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-4353 Date of Preparation August 2023. References: United Negro College Fund. The HBCU Effect®. Accessed August 3, 2023. Available at: https://uncf.org/pages/the-hbcu-effect

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• Ep. 8 ”Finding Home: Migrants and Displaced People”

  Leaving home is never easy—especially when discrimination, xenophobia, and cultural barriers await you in your new destination. In this episode, Zero Hour™ speaks with two leaders who are working to not only ease the transition for migrants and displaced people, but to also connect them with vital HIV services and resources. Our guests are: Denis Onyango, a grassroots activist who organizes HIV testing, prevention, and peer support services through his role as Programs Director for the Africa Advocacy Foundation. He reflects on how losing his brother and three sisters to AIDS spurred his focus on HIV activism, as well as the harsh realization that the care they went without was widely available in other parts of the world. Isjed Hussain, founder of the Prisma Group Foundation, which supports bicultural and Muslim LGBTQ people in the Netherlands. They explain how Prisma helps refugees to navigate the asylum process and how they assist refugees living with HIV. This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. US-UNBC-1760 Date of Preparation August 2023. Correction: Guest states that a study took place with 3000 participants in 10 countries. In actuality, the study took place in 9 countries with 2009 participants. References: Alvarez-Del Arco D. et al, AIDS, 2017; 31(14):1979-1988. Accessed August 23, 2023 European Centre for Disease Prevention and Control/WHO Regional Office for Europe. HIV/AIDS surveillance in Europe 2021 – 2020 data. Stockholm: ECDC; 2021. Accessed July  15, 2023. Available at: https://www.ecdc.europa.eu/en/publications-data/hiv-aids-surveillance-europe-2021-2020-data European Centre for Disease Prevention and Control. HIV and migrants. Monitoring implementation of the Dublin Declaration on partnership to fight HIV/AIDS in Europe and Central Asia: 2018 progress report. Stockholm: ECDC; 2019. Accessed July 15, 2023. Available at: https://www.ecdc.europa.eu/en/publications/hiv-migrants-monitoring-implementation-dublin-declaration-2018-progress-report Frescura L, Godfrey-Faussett P, Feizzadeh A A, El-Sadr W, Syarif O, Ghys PD; on behalf of the 2025 testing treatment target Working Group. Achieving the 95 95 95 targets for all: A pathway to ending AIDS. PLoS One. 2022 Aug 4;17(8):e0272405. doi:10.1371/journal.pone.0272405. Gbadamosi SO, Trepka MJ, Dawit R, Jebai R, Sheehan DM. A Systematic Review and Meta-analysis to Estimate the Time from HIV Infection to Diagnosis for People with HIV. AIDS Rev. 2022 Mar 1;24(1):32-40. doi: 10.24875/AIDSRev.21000007. PMID: 34077404; PMCID: PMC8636511. Accessed August, 23 2023 US Department of Health and Human Services. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. March 2023. Accessed July 15, 2023. Available at: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/adult-adolescent-arv/guidelines-adult-adolescent-arv.pdf

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• Ep. 7 ”Unequal: Protecting Women’s Healthcare”

  When it comes to HIV, women are forced to contend with more than just stigma and barriers to care. Factors like gender inequality, intimate partner violence, and bodily autonomy make everything from prevention and treatment to status disclosure more difficult and more dangerous. In this episode, we’re exploring common obstacles women encounter in the fight against HIV, as well as the global efforts to improve women’s visibility and protection. Our guests are: Dr. Rageshri Dhairyawan, a sexual health and HIV doctor currently serving as Consultant in Sexual Health and HIV Medicine at Barts Health NHS Trust in London. Roukhaya Hassambay, program coordinator at Ikambere, an organization that offers holistic supports to women living in precarious situations and with chronic illness. This podcast was created and fully funded by Gilead Sciences, Inc. GILEAD, the GILEAD logo, and the & design are trademarks of Gilead Sciences, Inc. © 2023 Gilead Sciences, Inc. All rights reserved. IHQ-UNB-4319 Date of Preparation August 2023. References: Borumandnia N, Khadembashi N, Tabatabaei M, Majd HA. The prevalence rate of sexual violence worldwide: a trend analysis. BMC Public Health. 2020;20:1835. doi:10.1186/s12889-020-09926-5 UNAIDS. Fact sheet 2023. Global HIV statistics. Accessed August 7, 2023. Available at: https://www.unaids.org/en/resources/fact-sheet GLAAD. Glossary of Terms: Transgender. Accessed August 7, 2023. Available at: https://glaad.org/reference/trans-terms/ World Bank. Girls’ education. Updated February 2023. Accessed August 7, 2023. Available at: https://www.worldbank.org/en/topic/girlseducation Cabecinha M et al. Current PrEP provision does not align with women's preferences: early results from a cross-sectional survey investigating PrEP awareness, interest, and preferences among women in England. British HIV Association conference, Gateshead, April 2023. Abstract P028. Available at: https://www.bhiva.org/file/645cfa43aca4f/P028.pdf Desgrées-du-Loû A, Pannetier J, Ravalihasy A, et al. Sub-Saharan African migrants living with HIV acquired after migration, France, ANRS PARCOURS study, 2012 to 2013. Euro Surveill. 2015;20(46):1-8. doi: 10.2807/1560-7917.ES.2015.20.46.30065 Dhairyawan R, Tariq S, Scourse R, Coyne KM. Intimate partner violence in women living with HIV attending an inner city clinic in the UK: prevalence and associated factors. HIV Med. 2013 May;14(5):303-10. doi: 10.1111/hiv.12009 Smith K, Coleman K, Eder S, Hall P. Homicides, Firearm Offences and Intimate Violence 2009/10. Supplementary Volume 2 to Crime in England and Wales 2009/10. 2011 Home Office Statistical Bulletin. Accessed August 7, 2023. Available at: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/116512/hosb0111.pdf Sullivan TP. The intersection of intimate partner violence and HIV: detection, disclosure, discussion, and implications for treatment adherence. Top Antivir Med. 2019 May;27(2):84-87. US Department of Health and Human Services. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. March 2023. Accessed August 7, 2023. Available at: https://clinicalinfo.hiv.gov/sites/default/files/guidelines/documents/adult-adolescent-arv/guidelines-adult-adolescent-arv.pdf. American Association for the Advancement of Science. People living with HIV at substantially higher risk of depression and suicide, especially in first 2 years after diagnosis. Press Release. European Congress of Clinical Microbiology & Infectious Diseases (ECCMID); Copenhagen, Denmark, 15-18 April, 2023. Accessed August 7, 2023. Available at: https://www.eurekalert.org/news-releases/984677

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