The U.S. Department of Health and Human Services is years into an initiative to end the nation’s HIV epidemic by pumping hundreds of millions of dollars annually into certain states, counties and U.S. territories with the highest infection rates. African Americans continue to have the highest HIV rates in the United States overall.
Fernando Hermida, who has moved several times to access HIV treatment, stands for a portrait in Charlotte, N.C., on May 26, 2024. Fernando Hermida drives to Orlando , Fla., to attend a medical appointment for HIV care on May 27, 2024. He never imagined getting medication would be so difficult, he said during the 500-mile drive from North Carolina to Florida . A sign marks one of the locations of the Mecklenburg County Health Department in Charlotte, N.C., on May 25, 2024.
“HIV disparities are not inevitable,” Dr. Robyn Neblett Fanfair, director of the CDC’s Division of HIV Prevention, said in a statement. She noted the systemic, cultural and economic inequities — such as racism, language differences and medical mistrust. Hermida said he had a hard time filling out paperwork to stay enrolled in the Ryan White program, and when his eligibility expired in September 2023, he couldn’t get his medication.
“Estoy que colapso,” he said. I’m falling apart. “Tengo que vivir para pagar la medicación.” I have to live to pay for my medication.in 2012 but the uptake has not been even across racial and ethnic groups: CDC data show much lower rates of PrEP coverage among Latinos than among white Americans. They suggest more money could help reach Latino communities through efforts like faith-based outreach at churches, testing at clubs on Latin nights and training bilingual HIV testers.of it in community-based organizations. But the initiative lacks requirements to target any particular groups, including Latinos, leaving it up to the cities, counties and states to come up with specific strategies.
Up to now, Mecklenburg County, North Carolina, didn’t include specific targets to address HIV in the Latino population — where rates of new diagnoses more than doubled in a decade but fell slightly among other racial and ethnic groups. The health department has used funding for bilingual marketing campaigns and awareness about PrEP.When it was time to pack up and move to Hermida’s third city in two years, his fiancé, who is taking PrEP, suggested seeking care in Orlando, Florida.
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