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2014

29 Sep 2014

What Your Government Can Do - Ending HIV Stigma

Living Positive Victoria and the Victorian AIDS Council (VAC) call on all political parties to:
 Commit to funding community initiated HIV stigma campaigns to address HIV stigma and discrimination
 Commit to funding programs that build the resilience of children affected by HIV
 Commit to funding family therapy counselling and support community based peer education programs for families living with HIV to build stronger communications and relationship within these families
 Reduce gender inequities faced by woman and girls living with HIV through a broad response which addresses discrimination against these groups
HIV stigma continues to be one of the most significant barriers to stoping onward transmissions of HIV. HIV stigma is a barrier for people who would ordinarily seek information, advice, testing and treatment. Without accurate, accessible and up to date information in the community, ignorance, fear and apprehension will continue to fuel the spread of HIV across our communities.
The need to challenge HIV stigma is demonstrated through evidence based research and the development of community based campaigned such as ENUF. Even so, people living with HIV continue to face stigma and discrimination and benefit from the resilience building programs and services offered by community organisations.
Commitment to broad awareness campaigns and specific actions targeting women, girls and children affected by HIV, means that there can be better awareness of HIV for prevention and health management and less fear towards those at the margins of the population affected by HIV.
Kim, Christabel and Wayne all live with HIV. They represent some of the diversity of people living with HIV and share their hopes for the realisation of commitment to this action and what that might mean for them.

Here is what they have to say about ending HIV stigma:
“I am a women, a mother, a grandmother living with HIV. 55% of all people living with HIV globally
are women, but in Australia many still believe that it is a gay man’s problem. We require serious
political commitment and investment to enable our families, children and future generations to be
free, to make informed choices and decisions, to protect themselves from HIV. People living with HIV
face discrimination and stigma which stifles us into a state of fear and silence and thus lack of
autonomy. It is a vicious cycle that must be broken. There is a need to strengthen commitment and
action for integrating gender equality into local and national program responses. We need to ensure
that there is equal and equitable access to knowledge, prevention, treatment, care and support for
all those who need it. Informative HIV campaigns and programs must be directed at the broader
Australian public, as they have a right to appropriate HIV information that will break down the
discrimination and stigma and prevent them from becoming infected with HIV. I need to see my
Grandchildren and their friends informed and skilled so they will never have to deal with stigma and
discrimination because of HIV, or become infected as I did, through lack of HIV education.”
Kim – 60 years old and living with HIV for the past 20 years
“I was shocked when I was diagnosed with HIV. Straight people assume their community is negative
and this misconception changed my life. As a young heterosexual woman I did not realise how
relevant this issue was to me. And then after my diagnosis the shame and stigma hit me, and it came
from people in my life who I did not expect it from. It hurt me so deeply, so personally. HIV does not
have boundaries; it can't be labelled and does not confine itself to particular sections of society. HIV
disproportionately affects women and children globally; young women living with HIV in Australia
face an isolating type of stigma. HIV is well known in the gay community, it’s not known enough
outside of that community. We need support to build resilience among those most marginalised, to
change community attitudes and to make sure that those who are most vulnerable are always
protected."
Christabel - 26 years old and living with HIV for the past 4 years.

“There is so much evidence that HIV stigma is getting in the way of real progress in Australia, and having even worse impacts in much of the world where HIV has taken a firm hold. My experience in being diagnosed with HIV and then living with HIV as a straight Aussie male sat way outside the bulk of the population of people living with HIV in Australia and so my struggle against stigma has been long and at times isolating. We know that people living with HIV can have families, and families especially need ongoing support to build resilience, so that the children and grandchildren of people living with HIV can understand what’s happening in their family so that they are not afraid. And we need broader reach campaigns into all communities to make sure that women, children and families, people from culturally and linguistically diverse communities and straight guys like me, get the message. We are all at risk of HIV, we can end Hi transmissions and we can live together with HIV.”
Wayne – 55 years old and living with HIV for the past 22 years.
Living Positive Victoria and VAC call on all political parties to hear the community call for the resources and political will needed to end HIV stigma.

24 Sep 2014

VAC Launches AOD Service

As part of recent reforms, the Victorian AIDS Council (VAC) has launched its
Alcohol & Other Drug (AOD) Service for clients within the Victorian LGBTI and people living with HIV
(PLHIV) communities.
Providing client-centred treatment for AOD issues, VAC offers individual counselling or therapeutic group
sessions through its suite of ongoing programs at the Peter Knight Centre (6 Claremont Street, South
Yarra), including:
• Rewired: for men who have sex with men (MSM) and addressing methamphetamine use
• Drink Limits: for same-sex attracted women and alcohol use
• Over the Limit: for MSM and alcohol use
Now the service now also includes:
• AOD Counselling – in the Inner North (at Co-Health Fitzroy and Uniting Care ReGen, Coburg)
and Inner South, with additional phone counselling available for statewide client needs
• Care & Recovery - Care coordination for LGBTI and PLHIV clients, tailored to suit client needs
• VAC - LGBTI Alcohol & Drug Services Line - 03 9690 9390 or 1800 906 669 (free call) for
assessment and referral
• Sector Capacity Building - professional development for healthcare workers in AOD services
throughout Victoria, offering guidance as well as secondary consultation when working with
LGBTI and PLHIV clients.
For free secondary consultation, education and capacity building, interested organisations are
encouraged to contact our team at aod@vac.org.au or call James Dale on 03 9865 6700.

18 Sep 2014

What Your Government Can Do - Access to Treatment

Living Positive Victoria and the Victorian AIDS Council (VAC) call on all political parties to commit to:
 Fund HIV treatment for all people living with HIV (PLHIV) by removing the co-payment for HIV treatment in Victoria
 Implement a state wide community dispensing model for HIV medication that does not require consumers to attend inner city clinics for dispensing
Access and adherence to successful treatment has been proven to be beneficial for both the individual and the community, lowering the amount of damage the virus can do to the body and limiting onward transmission of HIV. With campaigns such as Ending HIV championing early treatment, barriers such as cost of treatments become a real issue for newly diagnosed individuals.
“I totally agree. Meds should be cheaper, especially when [you are] first diagnosed and you can’t work full time and you can’t get a health card. Paying $36 a pop for how many meds you are on makes it not that easy and only escalates the trauma to learning about your new disease,” says community member Garry Hildtich.
In January 2014, the Burnet Institute issued a report Financial barriers to HIV treatment in Victoria1 on the issue of access in Victoria. The report outlines the impact of cost barriers to treatment on people living with HIV, including the cost burden of having to fill multiple scripts and co-morbidities.
Associate Professor Mark Stoové, one of the lead researchers on the Burnet report, states “there are anomalies and inequities in the current system and there is no doubt that removal of barriers relating to cost and access to HIV treatments among those who can least afford it will mean more people living with HIV are on and adhering to effective treatments. Finding ways to alleviate financial pressures associated with HIV treatments needs to be supported by the state to ensure the system is
properly funded and supported.”
In the Seventh National HIV Strategy (2014) the Commonwealth acknowledges that “for some people
living with HIV, issues around side effects, adherence, treatment failure, drug resistance, cost, and
arrangements that restrict dispensing of antiretroviral medication to selected hospital pharmacies
present barriers to commencing or continuing treatment. Systemic and structural barriers to
treatment uptake, such as dispensing arrangements and treatment access across all groups, need to
be addressed by Commonwealth, state and territory governments.”
Presently, Victoria has an inequitable system. Treatments are provided free of charge; however, this
only applies to individuals obtaining treatment from the Melbourne Sexual Health Centre (MSHC).
This means the one third of Victorian PLHIV not accessing MSHC are required to pay the co-payment,
which leaves these individuals incurring upwards of $800 in medical costs per year. Accessing MSHC
can be an issue for PLHIV living in rural and regional Victoria as well as for those in full time
employment, who find it difficult to get time away from work when the pharmacy is open.
Living Positive Victoria and VAC welcome commitments from all political parties and individuals
running for election on the actions identified in the joint election platform relating to Access to
Treatment.

18 Sep 2014

VAC Community Series: SEX NOW! A Forum About How We Have Sex

With the recent success of the VAC Community Forums HIV Prevention: Get PrEPped
on PrEP and Gay Men’s Health & PrEP: the new voices of community activism, VAC is set to continue the
Community Forum series with Sex Now! A Forum About How We Have Sex on Tuesday 30 September 2014
at The GH Hotel in St Kilda.
Focusing on sexual health, the event will include a discussion of risk reduction strategies used by gay
men to reduce the transmission of HIV an other STIs as well as the terminology utilised during sexual
encounters. This forum will feature a panel of three guests: Brent Allan (Executive Director, Living Positive
Victoria), Garrett Prestage (The Kirby Institute, ARCSHS) and Dr Vincent Cornelisse (The Centre Clinic,
Prahran Market Clinic). Presentations will be immediately followed by a Q&A session with attending
community members.
Colin Batrouney, VAC’s Director - Health Promotion, Policy and Communications, further explained the
need for this forum, saying, “We are at a point in the epidemic where there have never been so many
options to prevent HIV and to reduce the risk of transmission and acquisition. It is important that we have
the opportunity, as a community, to come together to examine these strategies and discuss what they
might mean for us in the future.”
The Community Forum series is free to attend, but RSVP is recommended via email: enquiries@vac.org.au
For more information, go to: www.vac.org.au/forums

17 Sep 2014

2014 Northside Bizarre Fundraising Success for JOY 94.9 & DWF

The 2014 Northside Bizarre at The Laird Hotel on Sunday 14 September saw another
impressive turnout from the local community to support and raise over $17,000 funds for JOY 94.9 and the
Victorian AIDS Council’s David Williams Fund (DWF).
The annual event sees The Laird Hotel open its doors to both men and women as a market place, auction
house and bbq with all funds raised being split between Melbourne’s independent LGBTIQ radio station
(JOY 94.9) and VAC’s emergency financial assistance service for people living with HIV (DWF).
“The Northside Bizarre, at the Laird, has become a great community tradition for Melbourne. We saw
people from all communities, including the leather community, JOY 94.9, local businesses, the bear
community, and VAC sponsored Chargers Rugby and Surge Waterpolo clubs. A huge crowd came out for
what’s become not only a significant annual fundraiser but a great social event,” said VAC CEO Simon Ruth.
JOY 94.9 General Manager Conrad Browne went on to say, “Once again, JOY 94.9 was so pleased to be
a part of this annual event that brings together our diverse community to support two great Melbourne
institutions. As always we are extremely grateful to our generous hosts Brett, Mark and the lads from The
Laird as well as the wonderful volunteers from VAC & JOY who gave their time and dedication to ensure
this fantastic fundraiser was such a great success. We also sincerely thank all of those who donated auction
items and of course to everyone who attended and showed their support too.”
The Laird Co-owner, Brett Lasham added, “Mark [co-owner] and I couldn’t be happier with the turnout on
Sunday. It’s so rewarding to be able to host an event which brings such a friendly and diverse crowd. We
are so grateful to everyone who contributed, businesses and volunteers alike. We already have plans to
make Northside Bizarre even bigger in 2015!”
The Northside Bizarre plans to return in September 2015.

24 Jul 2014

Action agenda to remove discriminatory HIV laws in Victoria and advance legacy of AIDS2014

As AIDS 2014 draws to a close, Victoria has an opportunity to grasp a lasting legacy which will help deliver on the promise
of ending new HIV infections by 2020.
VAC and Living Positive Victoria recognise that during this seminal gathering of scientists, policy leaders and the community, significant
steps have been made to advance the public debate, and achieve political commitment on the non-discriminatory use of the criminal
law in respect to HIV transmission and exposure.
The announcement by the Victorian Government that it’s committed to law reform on this issue is an important and very welcome
step. The amendment of the Crimes Act 1958, to remove a discriminatory provision dealing with HIV transmission, is central to meeting
this commitment. It is now time to set out the legislative and consultative processes required to turn this commitment into action.
Cross-party support for this process would follow Australia’s long history of bipartisanship on HIV issues, and we especially note that
this approach continues to be supported and promoted through the endorsement of the AIDS 2014 Legacy Statement by all Australian
Health Ministers. The highest-level commitment in that Statement is “working towards the virtual elimination of new Australian HIV
transmissions by the end of 2020.”
We now call for bipartisan political commitment on the following five key principles to support an action plan on implementing world’s
best practice for dealing with HIV exposure and transmission within both the criminal and public health law.
Principle 1 - HIV treated as a public health issue
Where there is a concern that a person with HIV may put others at risk, a public health case management approach is best placed to
produce good outcomes. The terms of the review should be designed to ensure that HIV transmission and exposure are treated as
matters of public health and appropriately managed within the existing public health system wherever possible.
Principle 2 – Excise section 19A from the Crimes Act
The amendment of the Crimes Act 1958 to repeal section 19A is the appropriate mechanism to ensure that HIV discrimination is
removed. Any amendment of the Crimes Act must not extend legal discrimination to people with other infectious diseases.
Principle 3 - Appropriate use of the Crimes Act in non-intentional transmission and exposure cases
The appropriate use of the criminal law should be supported by a review of the circumstances and practice of HIV related matters in
and a commitment to best practices including prosecutorial guidelines.
Principle 4 – Expert and community consultation
Such review of the appropriate use of criminal law relating in HIV-related matters should be supported by broad community and civil
sector consultation and expert advice.
Principle 5 – Actions delivered within 12 months
Implementing these principles will require adequate time for a consultation process and the development of legislative options to
enable the appropriate use of the Crimes Act 1958 and the Public Health and Wellbeing Act 2008 in HIV matters. Reform and review
must be completed by the first anniversary of AIDS 2014 (i.e. by 25 July 2015).
Commitment to these principles will move Victoria forward in addressing the enabling factors identified in the Melbourne Declaration
2014 and will be a part of the AIDS 2014 legacy for all Victorians towards the virtual elimination of new HIV transmission by 2020.

22 Jul 2014

Working Together, Stronger Together - Mobilisation March

The Victorian AIDS Council (VAC) and Victorian Trades Hall Council are facilitating the
Working Together, Stronger Together - AIDS 2014 Mobilisation March from 3:30PM Tuesday 22 July
2014.
The Mobilisation March has been a traditional part of the International AIDS Conference, tracing its origins
back to the political marches at the 1987 International AIDS Conference. Since then, the March has
been used as a vehicle for airing both political and cultural issues faced by the global HIV/AIDS community.
The March has a history of focussing on a diverse range of issues impacting on the fight against HIV/
AIDS. Issues likely to be raised in this March include, but are not limited to:
Access to Affordable Treatment
Fighting HIV Stigma and Discrimination
Freedom of Movement for People Living with HIV (PLHIV)
Access to Effective Prevention Options
LGBTI Rights
Government Inaction on Preventing the Spread of HIV
Eliminating the Criminalisation of HIV
The last of these being particularly topical in light of the recent announcement by the Victorian Government
to amend section 19A of the Crimes Act 1958 which identifies the intentional transmission of HIV
as a criminal act.
At 3:30PM, the March will assemble at the Melbourne Convention and Exhibition Centre (MCEC) - the
location of the 20th International AIDS Conference.
Commencing at the front of the MCEC, the March will proceed down Flinders Street. The March will
significantly change format at the corner of Elizabeth Street and Flinders Street before arriving at Federation
Square. The March will be largely comprised of international activists and conference delegates
joined by local activists and community groups to raise awareness of issues faced by people living with
HIV (PLHIV) across the globe as well as at-risk communities.
The rally will open with speeches from local and international activists in addition to Victorian Trades Hall
Council’s Luke Hilakari and VAC CEO Simon Ruth. The March concludes at Federation Square, where it is
followed by the AIDS 2014 Candlelight Vigil from 6PM. All Mobilisation March attendees are encouraged
to stay and attend the Vigil.

21 Jul 2014

Coalition of Organisations Raise Concerns Regarding Section 19A Amendment

A coalition of civil society organisations has today cautiously welcomed the Victorian government’s commitment to
amend section 19A of the Crimes Act 1958, while calling on the government to clarify, extend its commitment to repealing the provision
once and for all.
“We are concerned by the language used in yesterday’s announcement promising to amend section 19A to make it non-discriminatory
for people with HIV,” said VAC CEO Simon Ruth. “This suggests the possibility that section 19A could be converted into a general
provision covering other infectious diseases. We believe that would be a step in the wrong direction.”
“While intentional transmission of an infectious disease is potentially a criminal act, there is no justification in law or science for
enacting special criminal provisions to cover it – the existing criminal law is sufficient,” said Paul Kidd, Chair of HIV Legal Working
Group, Victoria. “Section 19A carries a higher penalty than most offences and we are deeply concerned that the proposed amendment
could risk repeating the mistakes made in 1993 when section 19A was enacted, but extending that to people with hepatitis or
other infectious conditions.”
“Repealing section 19A would have a positive impact on the stigmatisation of people living with HIV, with no negative impact on public
safety,” said Living Positive Victoria President Ian Muchamore. “Its repeal would remove an embarrassing anachronism from the
law of this State and put us on the path to eliminating HIV infections by 2020.”
The campaign for repeal of section 19A was launched by Living Positive Victoria and the Victorian AIDS Council, and has the support
of the following organisations:
• Criminal Bar Association - Victoria
• Australasian Society for HIV Medicine
• Kirby Institute - UNSW
• AIDS 2014 Organising Committee
• Pacific Friends of the Global Fund
• Human Rights Law Centre
• Victorian Gay and Lesbian Rights Lobby
• Hepatitis Victoria
• Liberty Victoria
• Transgender Victoria
• Bisexual Alliance Victoria
• Straight Arrows Inc.
• National Association of People Living with HIV Australia
• Australian Federation of AIDS Organisations
• HIV Justice Network
Press Conference details: 2PM, Monday 21 July in Press Conference Room 1 at the Melbourne Convention & Exhibition Centre.

20 Jul 2014

VICTORIAN GOVERNMENT TO AMEND SECTION 19A

VAC and Living Positive Victoria congratulate the Napthine Government on today’s announcement to amend section
19A of the Crimes Act 1958, Australia’s only HIV specific law that criminalises the intentional transmission of HIV. Both organisations
consider section 19A to be inconsistent with efforts to reduce HIV stigma and improve HIV testing among affected communities
in Victoria. Reforming section 19A is a key component of a joint election platform that both organisations released to the public
a week ago on Monday 14 July 2014.
Both VAC and Living Positive Victoria strongly recommend that the Victorian Government outline the details of the amendment
as well as outline a timeframe for its implementation ahead of an AIDS 2014 press conference at 2PM tomorrow on HIV and
criminalisation.
VAC and Living Positive Victoria call upon on the Opposition and Government to work together with the community to ensure that
this important reform is achieved in the bipartisan manner that has characterised Australia’s response to HIV/AIDS.
Addressing laws that stigmatise people living with HIV should form part of Australia’s response to HIV and the legacy of AIDS 2014.
Press conference details: 2PM, Monday 21 July in Press Conference Room 1 at the Melbourne Convention & Exhibition Centre.

18 Jul 2014

STATEMENT ON FLIGHT MH17

The devastating news regarding Malaysian Airlines Flight MH17 was further saddening as
details confirmed those lost included delegates for the upcoming 20th International AIDS Conference here
in Melbourne.
“Our sincerest condolences go out to the families, friends and colleagues of those lost in today’s tragedy,
including those delegates on board Flight MH17 who were en route to AIDS 2014. The energy and
excitement has been building amongst the local community in preparation for hosting this global event. It
is devastating to learn of this tragic loss for the international HIV/AIDS community on the eve of AIDS 2014.
I trust we’ll see this same international community come together in a spirit of solidarity throughout the
week ahead,” stated VAC CEO Simon Ruth.
Since Thursday morning, VAC has been hosting the AIDS 2014 Welcome Desk at Melbourne Airport. In
response to today’s events, an experienced member of VAC’s Counselling Services team will be on site
alongside volunteers to meet arriving delegates throughout the weekend. These accredited counselling
professionals will be available to provide information and initial support for arriving delegates.
Further support is available for those affected at:
• Lifeline 13 11 14
• GriefLine 1300 845 745
• BeyondBlue 1300 224 636
General information is available from the Better Health Channel website at: www.betterhealth.vic.gov.au

15 Jul 2014

Gay Men’s Health and PrEP: The New Voice of Community Activism

On the opening day of the International AIDS Conference (AIDS 2014) in Melbourne, Monday
21 July, the Victorian AIDS Council (VAC) and the San Francisco AIDS Foundation (SFAF) are co-partnering
to present a forum on HIV pre-exposure prophylaxis (PrEP). PrEP is a new HIV prevention strategy that
involves taking medication daily to prevent HIV. Taken daily PrEP provides up to 99% protection against HIV.
While PrEP appears straightforward, its effectiveness is subject to a number of conditions being addressed.
These involve adherence to daily consumption of the prescribed medication, the cost of the medication
and establishing how to ensure PrEP reaches those who stand to benefit the most from it.
The World Health Organisation has just recommended PrEP as an additional HIV prevention choice within
a comprehensive HIV prevention package. PrEP has been available in the US since July 2012. In this time,
critics have been divided over the utility of PrEP to address increasing HIV diagnoses in the US. Some
commentators are viewing PrEP as a tool that will decrease condom use and lead to greater numbers of
people being at risk of HIV. Others see PrEP as an exciting new opportunity to provide those individuals
who struggle to consistently use condoms.
In Australia, demonstration studies on PrEP are taking place in Victoria, New South Wales and Queensland.
VAC CEO Simon Ruth said, “We know, anecdotally, that people are taking PrEP in Australia, and we have
known for a long time that some gay men and men who have sex with men cannot, for whatever reason,
consistently use condoms. PrEP provides these people with the opportunity to access HIV prevention
strategies in equal measure to those men who consistently use condoms.”
VAC and SFAF are capitalising on the convergence of experts in Melbourne for AIDS 2014 to convene an
international panel of guests to discuss gay men’s health and PrEP. These guests include: Peter Aggleton
(Centre for Social Research in Health), Judith Auerbach (Center for AIDS Prevention Studies), John De Wit
(Centre for Social Research in Health), Megan Canon (SFAF), Pedro Goicochea (Investigaciones Medicas en
Salud, INMENSA) and Kenneth Mayer (Fenway Institute).
Mr Ruth further said that, “This forum provides members of the public, as well as conference delegates,
with the opportunity to engage with the issues raised by PrEP and to hear from international experts about
the challenges faced by implementing PrEP in other countries.”
The event will be held at the Melbourne offices of international law firm, Herbert Smith Freehills,
Level 42, 101 Collins Street from 8-10PM. The event is free and drinks/food will be provided.
RSVP: gina.perry@hsf.com.au

14 Jul 2014

VAC AND LIVING POSITIVE VICTORIA ANNOUNCE JOINT ELECTION PLATFORM

In the lead up to the 2014 International AIDS Conference in Melbourne, the Victorian AIDS Council (VAC) and Living
Positive Victoria are releasing their joint election platform to politicians, key stakeholders and the general public on Monday 14 July
2014. This document outlines actions that VAC and Living Positive Victoria believe the next Victorian government should consider
in order to address the HIV epidemic in Victoria.
While it’s been 30 years since the first HIV notification in Australia, there are areas of Victoria’s public policy and law that do not
effectively address the epidemic in this state.
On Monday 7 July 2014, the National Government released The Seventh National HIV Strategy 2014-2017. This strategy announced
two major reforms, the removal of the ban on self-testing devices in Australia as well as the expansion of the availability on HIV
treatment into community pharmacies. Both VAC and Living Positive Victoria recognise the importance of these two reforms as
critical to improving Australia’s response to the epidemic.
The joint election platform document provides decision makers with a clear set of specific actions that both VAC and Living Positive
Victoria agree will guide the next Victorian Government toward ensuring the state’s highly respected response to HIV continues.
“It’s important, as we move into a new phase of the HIV/AIDS epidemic, with improved treatment, testing and prevention
technologies, that our regulatory and policy frameworks strengthen our response into the future,” said Greg Carter, VAC President.
Living Positive Victoria President, Ian Muchamore, concurred, saying, “Our work can be strengthened by a policy framework that
removes barriers to testing and treatment, works to end stigma and homophobia and provides a way forward with regard to
enhancing the health and wellbeing of our community.”
We encourage the media as well as the broader community to familiarise themselves with the joint election platform document
and give it due consideration as we head into the state election on 29 November 2014.

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