Positivel ,,. NSW the voice of people wlth HIV since 1988 1Jrl;~'111Ll_l
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RSVP to Pozhet by Fiday 7 November 2008 by calling 1800 812 404 or by emailing [email protected]
SYDNEY SOLJTH WEST AREA HEALTH SERVICE www.pozhet.org.au NSWEBHEALTH 1800 812 404 no.159 October - November 2008
2 When Ignorance isn't bliss: HIV and Hep C
3 POJO
4 Kings Cross to Parklea - a change of scene: HIV and Hep C
6 Karma Charmeleon: Ten ways to feel good
9 Songs in the blood: Stories of women living with HIV
1 0 Positive Heterosexuals and doctors
13 Yoga: The benefits of regular practice
14 Magistrate's ruling undermines public health
Criminalisation of people with HIV is counterproductive
Cover Artwork: 15 Pan Pacific Gathering for HIV+ People James Gilmour www.jamespgilmour.com 16 Make it work: Employment and HIV Contributors: Ben, Kim, Kathy Triffitt, Rick Knight, James 18 Highlights from Mexico: International AIDS Conference Gilmour, Greg Page, Pavel, John Douglas, Asha Persson, David Mansfield, 20 Prevention beyond condoms: Microbicides Kane Matthews, Patrie Seng, Jae Condon, Neil Mc Kellar Stewart, Lance Feeney, Tim Alderman, John Rule, Malcolm Leech, 22 Swings and roundabouts: same sex relationship recognition Ingrid Cullen, Jason Appleby
24 Switzerland: lakes, mountains and HIV awareness
26 Tiny morsels: So can you cook?
28 Fresh at the Luncheon Club
29 A fair and flexible safety net: Pension review
30 Taking the lead/ Finding your style: NAPWA leadership weekend
31 Ask Ingrid: Health and Fitness
32 Is it really funny? South Park and HIV
HIV no longer bar for US visa for short visits
33 The Joy of Pets
New calendar art
34 Olga's Personals
Talkabout 1 PositiveL t .. NSW the voiceof people with HIV since 1 ~
CURRENT BOARD
President Jason Appleby
Vice President Richard Kennedy
Treasurer Bernard Kealey
Secretary Russell Westacott Directors I was diagnosed with HI\/ in 2006 at the insert and flick through it quickly. Ignorance Rob Lake, Malcolm Leech, David Riddell, Alan Creighton age of twenty four. I went back to my is bliss especially with people my age. Staff Representative Hedimo Santana doctor for a routine health check and Jumping straight in Chief Executive Officer (Ex Officio) found out I had Hep C. I felt further Rob Lake and further away from my community I didn't know what it was going to be like to CURRENT STAFF or what I perceived to be normality. have Hep C while I knew a little bit about Chief Executive Officer Rob Lake For me, there was a different stigma HIV. The second thing my doctor told me was Manager Organisation and Team there're a lot of guys who've had HIV for a long Development Harry Richardson attached to Hep C than HI\/. I think HI\/ time - long term survivors. So he was giving Health Promotion - Social Marketing is a lot more public or visible in the gay and Education Kathy Triffitt community than Hep C. There's also me a bit of hope. However, when he gave me Health Promotion - Publications & more support with HI\/. the Hep C diagnosis the first things he talked Peer Education Glenn Flanagan about were treatments, liver biopsies and the Systemic Advocacy Lance Feeney Hep C is more stigmatised in the general harmful impact it could have on my body. Health Promotion - Peer Support gay community, and especially in the HIV Hedimo Santana I didn't tell anybody for a long time and community. With positive guys it's like: "You've Prevention Project Ross Duffin kept my diagnosis to myself. I tried to find got Hep C - I won't touch you". My straight Website Phillip McGrath information on the Internet, however the friends are much more comfortable talking TALKABOUT information I got from my doctor, social about it because someone they know had it, Editor Glenn Flanagan worker and places like ACON was more useful like an uncle. With HIV I'm finding a lot of Design Slade Smith and less negative. guys my age are a bit more shocked because CONTACTS I realised I needed to pay more attention they don't know anybody else who has it. Office Suite 5, Level 1, 94 Oxford Street, to my body and soul. I needed to become Darlinghurst The stigma of Hep C is mainly based around knowledgeable about what was going to PO Box 831, Darlinghurst 1300 intravenous drug using. I'm completely needle happen with regard to my health and well Phone (02) 9361 6011 phobic, so that was not my story at all. My Fax (02) 9360 3504 being. My doctor suggested I look at treatment Freecall 1800 245 677 doctor told me I got Hep C through sexual for Hep C within six months of my diagnosis. [email protected] contact, which was quite a surprise because I www.positivelife.org.au All around this period I was working nine didn't know sex was a risk for Hep C. I've heard TALKABOUT to five, five days a week in a corporate job. I of a few other guys who caught it through is published by Positive Life NSW. All views didn't have time to prepare for treatment at expressed are the opinions of the authors sexual transmission. Like me, they were into and not necessarily those of Positive Life all and jumped straight in. I didn't start HIV NSW, its management or members. Copyright fisting, drugs and lots of unprotected sex with for all material in Ta/kabout resides with the treatment because my doctor's idea was to try contributor. Talkabout is made possible by guys. At that stage I was taking a lot of drugs subscriptions, advertising revenue, donations and treat the Hep C first. and a grant under the State/Commonwealth and my inhibitions changed - my boundaries AIDS Program. Talkabout thanks the many volunteers without whom its publication would changed. On crystal I did things I wouldn't It's not me, it's the treatment! not be possible. normally have done. The six months on treatment was the worst six Printed by Crackerjack Communications on 50% recycled paper I'm quite knowledgeable of how I got myself months I've had in my life. It didn't work and
ISSN 1034 0866 into this situation. I was a very depressed that's when I had an emotional breakdown.
DISCLAIMER person during a lot of that period and put They never gave me any guarantees because of
Images of people included in Talkabout do not myself in a lot of risky situations. A lot of my the type of Hep C I have - genotype la, which indicate hiv status either positive or negative. young friends are into that kind of thing. Since has a 25% success rate. I really pushed myself If a person discloses their hiv status in Talkabout, either in a submitted article or in an interview my diagnosis, they have fired a lot of questions a lot further than what I should have. I had for publication, that personal information is in the public arena on publication. Future use of at me about HIV. Before this they didn't want financial commitments, and thatwas a priority, information about such a person's status by to know. I remember before my HIV diagnosis rather than my health. It's taken me a couple readers of Talkabout cannot be controlled by Positive Life NSW. I'd get to the section in the Sydney Star of months of counselling to feel comfortable Observer where they had the Positive Living expressing any of this to my friends even.
2 October - November 2008 I withdrew from everybody, my friends treatment for Hep C. I could have helped been told to wait about five years and there and my family. There were very few people my situation earlier on if I had have should be something else. who knew what was going on until I lost known about Newstart and found support I had no idea about treatment and it. At that point I needed to tell my folks and information. Newstart doesn't cover counselling options. I had no idea about because I needed their support. I needed everything so I had to work out a way of governmentsupport options. I was surprised to tell some of my friends so they could getting out of my situation and to survive. at how many other people are coinfected understand why I had been distant for the I was working in a job that I enjoyed, but with HIV and Hep C. Before I found out last twelve months. They were all fine and it wasn't my life or passion. I really wanted that I had Hep C, I'd met people with HIV have all been really supportive. to do something creative. Since then I've and I'd met people who had Hep C, but I'd started up my own company. It ended up I started questioning why I was acting so never met anybody who was co-infected. being a really positive time to reassess my different towards people that I love, people Meeting other guys in the same situation I didn't know and people at work. Because life and my outlook on everything. really helped me to reassess everything. I didn't understand what was going on I Don't do it alone I'm going to continue with my business. got even more depressed and suicidal. My Counselling is important and talking with Getting a Hep C and HIV diagnosis has doctor said that it was possible that I would people helps when you're overwhelmed with changed my life in such a dramatic way. experience side effects, but I thought I was everything that's going on and you can't see I'm not going to be able to run a marathon strong enough to overcome them. I went into a way out. The fact is a lot of people going counselling and my social worker and I got however; I've learned to take things as they through treatment are successful and clear to the root of the problem. It wasn't me. It come and to readjust my life to do the best it from their systems. Talk to your doctor was the side effects of the treatment. I wasn't I can. and get access to current and accurate giving enough thought to the fact they were information. I mean there's a new drug Ben was interviewed by Kathy Triffitt for the causing my personality to change. in the US they're trialling for Hep C. I've forthcoming fact sheet on HIV and Hepatitis C Preparation is important. It's important to talk to somebody who has been on treatments and to get access to information on what to expect. I also needed to express how I felt and get more help especially with what was going on inside my head. Finding a good social worker really helped. I was able to get a bit of perspective on the situation rather than internalising it all. Lethargy was another thing I had to deal with. I went from getting up in the morning, going to work, coming home, taki ng my dog for a run around the block a couple of times, to not being able to get out of bed. For a twenty four year old man to go from being physical to feeling like an eighty six year old was a shock.
Time to make changes I've quit smoking; I've become a light social drinker and no recreational drugs. These have been the three major lifestyle changes. I used to be a bar tender and went out socialising and drinking a lot, so that was definitely a problem at the beginning. I realised I could go out and have one beer and still have a good time. Every now and then you can plan a good night. If you say you're never going to do any of those things ever again then you end up doing it ten times harder. I quit my full-time job and went on government benefits - Newstart - which I found out I could get because I was on
Talkabout 3 Kings Cross to Parklea -
of s?en~hange Kim
Change in lifestyle, new diet and getting off drugs were important for me.
I've been a drug addict for 15 years It was my decision to tell inmates. When temporary loss of sight and hearing and and over the last 18 months I've I used with guys I didn't know I always sores in your mouth and other things. stopped everything. It's going well, told them about my HIV and Hep C. It's a hard core treatment. Its success but you think of it everyday. It's a They thought I was telling them so they depends on what strain (genotype) you fight everyday, but it's a better life didn't hassle me for any sexual favours. have. I'm okay because I'm genotype 3, not using. They made me feel bad about having which has a 50% success rate. I started using drugs from the age of HIV because in the gaol population not 24. I was sharing a flat with somebody many guys have it- well, not many that who had Hep C and the equipment could they know of. A lot of guys have Hep C have been dirty or contaminated. Then, though, that's why it isn't really looked The biggest thing I never shared a syringe or used a dirty down upon. With HIV it's a different I had to do was to fit. All it takes is for someone to touch story, especially if you're gay or changed the spoon with blood on their finger and gender like me. move away from Hep C is alive in that spoon. They were educated on using, however my social circle. they would share. On the outside, I I found out I had Hep C ten years I had to change ago during a routine HIV check up. never shared all the time I used. In gaol there's one syringe and ten people using My doctor did a Hep C test as well. The my scene and get it. We would be in a hurry and wouldn't impact of finding out didn't faze me at go through any preparation because we away from the all. I didn't get upset because I didn't were worried about getting busted by an know much about it. All you were told influences. officer. We'd have one cup of bleach and was not to share fits or other injecting one of water, which everyone dipped the equipment. only fit into. I'd say to them: "the water's I was diagnosed with HIV in 1985. infected; you may as well stick the needle To prepare for treatment I had to Back then it was portrayed as a death straight in your arm". change my lifestyle and that meant sentence by the media and that scared giving up drugs. You've got to be ready me the most. I still haven't overcome the Changing my lifestyle meant to make the changes. I tried to get off fear. It's the first thing I think of when I giving up drugs drugs when I was in my twenties, but I wake up and the last thing I think of at My doctor said it's better to get rid of wasn't ready. Now I'm 37 I want to make night. I don't really think about Hep C. Hep C if you've got HIV. You know, I've changes to my way of life. To do that I I only experienced stigma because of had HIV for 23 years and I've never had to give up the circle of people I was HIV when I was in gaol for twelve months been sick. Now I'm on methadone, I've hanging around - like, I've abandoned in 2007. I got into trouble because I was got to make a decision about going on the Cross and all of my friends. I had to honest and open about it. Ifyou had Hep Hep C treatment. But, there's so many change my scene and get away from the C it was okay with the inmates. side effects like your hair falling out, influences.
4 October - November 2008 My partner is my support along with Kirketon Road Centre. They have What is Hep Connect? are assessed by a medical specialist. case officers and doctors who are very Hep Connect is an initiative of Services such as PCR testing, good. There are also opportunities the Hepatitis C Council of NSW hepatitis C information, monitoring for people with co-infection to come (www.hepatitisc.org.au/). It aims to of liver function and follow-up are together and talk. reduce isolation and ease treatment available. Phone: (02) 93602766 difficulties often associated with Hep I've changed my diet as well; however Newstart the major change was getting out of the C. Hep Connect is a phone based For more information on Newstart Cross and moving somewhere quiet. peer support service for people contact Centrelink - http://www. Before I moved to the suburbs I was living with Hep C, their partners and centrelink.gov.au/ click on a-z or living on the main street in a flat, which carers, and particularly for people call 13 2850 was very handy. who are considering or currently undergoing Hep C treatment. To organise a time to speak to a volunteer just phone the Hep C Helpline on 9332 1599 (Sydney) or When sex work 1800 803 990 (regional NSW) and hale and drugs mention Hep Connect. HIV/AIDS legal Centre Incorporated have been your FREE LEGAL ADVICE HALC provides free legal advice, lifestyle for What is Kirketon Road Centre information and referral to people living in fifteen years it's (KRC)? NSW with an HIV related legal problem. KRC operates a medical, counselling hard to change. To make an appointment please call us on and social welfare service including 02 9206 2060 methadone access and needle All information is kept strictly confidential. syringe programs from Kl above the 9 Commonwealth Street, Darlinghurst Fire Station. SURRY HILLS NSW 2010 Each day as it comes Kl is open from 10am - 6pm Freecall 1800 063 060 Fax (02) 9206 2053 Everybody is different. You can live Monday - Friday (Thursdays 10am - Email [email protected] with it and there are treatments (peg 3pm) for clinical services and 10am 10am to 6pm Mon to Fri interferon and ribavirin), that work for - 1.45pm on weekends and public some and there are new drugs in the holidays for the Needle Syringe pipeline. A change of lifestyle - new diet Program only. and getting off the drugs were important KRC also has a satellite facility for me. Mindset is important - be strong known as K2, which provides a and keep healthy. You need support. I needle syringe service, health and Disclosing have close friends and a good counsellor. social welfare advice, and assessment your HIV I recommend Kirketon Road Centre if and referral to drug treatment and you want face-to-face counselling and other relevant services. status: Hep Connect for telephone counselling. K2 is open from 1.30pm - 10pm, 7 It helps with isolation and questions days a week. A guide to around treatment. You can talk to other people who have been through similar Contact details some of the experiences, especially with treatments. Kl is located above the fire station I want to take each day as it comes. on the corner of Darlinghurst Road legal issues I'm seriously thinking about going on and Victoria Street, Kings Cross. peg-interferon, but not at the moment K2 is located at 38 Darlinghurst because I could relapse into using at Road, Kings Cross. from hale any time. I just want to get stronger. The contact phone number for the (HIV/AIDS legal centre) When sex work and drugs have been KRC switchboard is 02 9360 2766. your lifestyle for fifteen years it's hard to For a free copy call change. It means changing your lifestyle. Hepatitis C Clinic Positive Life NSW If I can give up drugs anybody can. KRC conducts a hepatitis clinic 02 9361 6011 / every second Tuesday of the month. Kim was interviewed by Kathy Triffitt for the Clients who are hepatitis C positive 1800 245 677 forthcoming fact sheet on HIV and Hepatitis C
Talkabout 5
Karma Chameleon
ways to do good for others and feel good about 10 yourself at the same time
"Instant Karma's gonna get you/Gonna knock you right on the head You better get yourself together/Pretty soon you're gonna be dead" "Instant Karma!" - John Lennon
Everyone knows what goes around, comes around... or, to put it in slightly more cosmic terms, we're all aware how bad karma will likely come and bite you on the bum at some stage if you're not careful. That's why good karma - doing something for someone else without being asked to, but simply because you want to help - should be as much a part of your daily diet as taking your meds. Greg Page serves up ten top tips for how to make a difference and get plenty of good karma in return.
Artwork (left): James Gilmour www.jamespgilmour.com Be involved Get green thumbs Don't squander your time simply A great way of getting back in touch perched at home on the sofa eyeballing with your roots is to get your hands endless re-runs of Bondi Rescue hoping dirty in them - literally! Dig into a spot VOLUNTEER to catch some gratuitous eyecandy. of gardening - perhaps help someone Think of something you've always organise their backyard, do some wanted to do - climb Mt Everest, run a landscaping for a needy neighbour, repot A-Z half-marathon, or popping by The Dalai an elderly person's patio, or simply go Lama's hut for afternoon tea - and join bush and reconnect with a scrub turkey. the corresponding group. Now! Just don't forget the Aeroguard. Here's ten starting points ... Become a mentor Cook up a storm ACON Kids, tweens and teens all need positive Soup kitchens. Yes, some people don't 02 9206 2000 role models, and we mean that in always have the benefit of getting a Ankali more ways than just the obvious for a hot meal every day. So why not go and 02 9332 9742 magazine like this. Why not find out get dishy at one of the various charity which organisations or groups near you organisations on a day when you can Bobby Goldsmith Foundation run mentoring programs, where you give offer your time, your soup-ladling arm 02 9283 8666 up a little of your time and help out kids and a bit of good cheer to those who City of Sydney a whole lot. And think of all the lollies could definitely benefit most from it. Go to: www.cityofsydney.nsw. you can eat together. Chicken or beef? gov.au Community Support Network Enter politics Help others in the (CSN) Go to www.acon.org.au/ Not happy with the way the world is being living_with_hiv/index.cfm ?cat_ run? Always complaining you could do same boat id=36 better than Kevin, Malcolm, Bob and, er, Yes, you've been through a lot. But you whoever's running the National Party? saw, coped and conquered. Why not pass Lifeline Then go google the local division of the on those invaluable life lessons, hard 1800 880 681 or email political party whose colours fit you best won experiences and shortcuts to those [email protected] and start doorknocking, handshaking who could learn from what you've been Mission Australia and making unpaid YouTube political through. Try Ankali, CSN or the Walk for email: volunteering@ statements. AIDS - give time to someone who might missionaustralia.com.au feel more isolated than you. Every little Forget you're HIV+ bit helps, right? Positive Life NSW 1800 245 677 or email admin@ Yes, it's a drag, sometimes a burden and positivelife.org.au it can sometimes rule your life, but you Focus don't need to let being poz become "da Not wanting to put all of your Positive Living Centre (PLC) boz"! Take a deep breath, remember volunteering time into some long-term 02 9699 8756 you're still alive and kicking, and make commitment? Positive Life, ACON and St Vincent de Paul Society the effort to forget about your sero other orgs often hold focus groups where 02 9560 8666 or email status. Don't let the fact that you're a"+" they test out new marketing campaigns, [email protected] mean that you have"-" to live for. Now material or even products. Here's your spread the news. chance to let your voice be heard and be YWCNs Big Brothers Big counted. Sisters Volunteer Go to www.ywcansw.com.au We all have skills that we've learnt through Do it now our lives and now is the time to do Don't delay, do it today. Here's just some Please contact Talkabout if something constructive, not destructive, of the benefits - all of these things help with them. If you've trained as a massage bring you out of yourself and your own you've had any experiences therapist, done acupuncture, reiki, worries, you meet great people, learn in relation to volunteer or or psychology, know how to knit, do new skills, have more confidence, you charity work that you'd like to macrame, scrapbooking or needlepoint, help people, help yourself and- kazam! - recommend which may be of or pottery or the like, go share the joy. that instant good karma is gonna getcha! use to others. Nicely. That's the best good news of all, right?
8 October - November 2008 0 r upport a • n k
• In OU .r AIDS t 2
The Royal Botanic Gardens and Domain willl be a wonderful backdrop for a
leisurely Sunday morning stroll during Atos Awareness Week to
show your '$Upport ror people living with HIV/AIDS.
You can walk the two kilometres at your own pace anylime between
11am and 2pm on. Su_11day 23rd November. Gel a learn together and walk with friends, family or workmates.
The registration fee is only $20 and sponsors can pledge don3lions of support. All monies raised wiU go towards the advocacy, care and support servtees of NSW's three peak HIV/AIDS charllies.
A short walk wiH go a long way.
or re 1mormation call 1 101
Proudly supported by: Botaotc Positive , ,eNSW Gardens ,.,._ .,~ ,.. ~111 ..... ,4911 flD't: Asha Persson on findings from the second phase of the Straightpoz study This article explores the Straightpoz absent in the participants' interviews, well-informed and actively sought out participants' relationship with HIV as was the idea of themselves as 'expert information. 'I like to know what's going doctors, as well as their rather patients'. Only a quarter ofthe participants on, yeah: Antonio, aged 71, said. 'J just different experiences of interacting thought it was important to keep up don't like to bejust a guinea pig'. with the general health sector. with medical developments in HIV, but Medical information tended to be more Most study participants were greatly only half of those considered themselves important to the participants when first invested in HIV medicine. Faced with the stigma and ignorance surrounding HIV in heterosexual society, treatments provided a kind of refuge and tangible solution to When asked what they most valued in managing HIV and creating a sense of their relationship with their HIV doctor, normality in their lives. However, the study their answers centred on a sense of findings do not support the emphasis in recent HIV literature on a supposed shift common humanity, rather than on from a traditional doctor-patient model authority and expertise to a partnership model based on joint decisions and shared expertise. The partnership model was virtually 10 October - November 2008 diagnosed, but typically lessened with time. disclosed their HIV status, the participants They'vejustbeen worth theirweightin gold Some found the information too vast and tended to place considerable importance to me just the confidence they've instilled complex, while some wanted to curb the on this relationship. in me It gives me so much more peace of prominence of HIV and move on with their All but one expressed significant mind and helps me deal with this virus. So, lives. Dean, aged 49, said: 'I have enough satisfaction with their HIV doctors and yeah, I'm over the moon (Victor, aged 34). HN in my life as it is . . . I tried to tangle many spoke very highly and affectionately I get that sense ofwarmth and care there with all that stuffinitially and ... it was like about them. When asked what they most ... If it wasn'tfor them I wouldn't be here. watching a race I wasn't interested in ... I'm valued in their relationship with their I wouldn't have my health the way that I not a doctor'. HIV doctor, their answers centred on a have . . . So that's improved my quality of Many explicitly rejected the 'expert sense of common humanity, rather than life very much . . . [T]he most important patient' model. Tobias, aged 53, explained: on authority and expertise. They referred thing that I've always had is my doctor, 'I don't feel I need to read the paper every to qualities such as being friendly, warm, there at [the clinic]. She's always been there day and look for HN treatments ... I really caring, supportive and approachable. The for me; encouraging me to live a quality life can't see the point. I'm probably getting the same qualities were valued in allied health (Carlos, aged 37). best medical care. Why buy a dog and bark workers, such as clinical nurse consultants, Given the isolation experienced by many yourself?' Like Tobias, most relied on their dieticians, and social workers. In any positive heterosexuals, and the related HIV doctors to keep up with the latest clinical interactions, being made to feel emphasis on medicine and everyday medical developments, to inform them welcome, safe and accepted was seen as normality as a way to manage HIV, the when necessary, and to act in their best highly important, and several used words clinical relationship provided a safe and interest. Lydia, aged 44, said: such as 'home' and 'family' to describe their segregated space in which they could engage She's the expert. You know, so I have HIV clinic: with their HIV-positivity. 'I pretend that I trust in her that she's giving me the right Oh, over the moon mate ... It's like a little don't have nothing. I'm just living normal: combinations. AndI kind ofdon't really look family, you know. They're like my family Mahmoud, aged 32, explained. into what it is [the drugsJ do, because Idon't sort of thing, you know. Yeah, they're very Only when I go to the doctor's for that really need to know. I don't want to know good ... the way they speak to people and - appointment every three months, that's what the hell all these cells are doing in my because it's, well they go out oftheir way to when I do everything. And after that, I body. As long as I'm healthy ... Ijust know make people feel welcome andfeel at home forget about HIV I walk out. I haven't got that the drugs stop the virusfrom mutating. ... They don'tjust like come and throw you HIV That's it. They kind ofkeep it at bay. That's about as the medication and say, "Seeyou later. Take Because of the importance of the clinical much as I know about it. You know, as long it and when you're finished, come back'; or relationship as one of few social spaces in as it does what it's got to do, yeah, I'll stick something (Ratu, aged 43). which their HIV-positivity was attended to with what [my doctorJ says. The participants overwhelmingly viewed their doctor as the authority on HIV and treatments. In addition, many expressed considerable respect for and trust in their The clinical relationship provided a safe doctor. This comment by Carlos, aged 37, was typical: 'I really trust my doctor. She and segregated space in which they could knows what's best for me. She's shown over engage with their HIV-positivity time, I've experienced that with her. I trust her 110%'. At first glance, participants seemed to describe a fairly traditional doctor-patient relationship in which expertise was firmly HIV is notonlystigmatisedin heterosexual and cared for, any dissatisfaction commonly located in their HIV doctor. But closer society, there is also curiosity and centred on interpersonal dynamics and analysis suggests that this relationship was assumptions about positive heterosexuals accessibility. Several participants, who also different from a traditional model in and how they became infected. It is not incidentally all went to the same hospital some important ways. Largely disconnected surprising that many participants placed HIV clinic, commented on the clinic's from the HIV sector and from other great value on being treated with respect reception staff: people with HIV, most participants had and dignity by HIV doctors and clinical [T]hey'rejust like not very empathetic or compartmentalised their HIV-positivity staff. Antonio, aged 71, praised his HIV sort ofquite rude. Like any old receptionist to the clinical relationship. Given that specialist because 'she treats her patients all can be. But,you know, Ihave thisexpectation their HIV doctor or clinic was often their equal . . . she treats you as a human being'. that in a place like that when you're dealing primary or only contact with anything Several explained that it was this kind of with people who, you know, maybe have this HIV-related, and given that it was often one non-judgmental care that had helped them disease, thatyou should be a little bit gentle of few contexts in which they had actually come to terms with their HIV status: and so on. (Ellen, aged 45) Talkabout 11 Other said they would like more time with HIV-related"'. Those who had found a GP happened. Why are they, you know, why are their HIV doctor, or would prefer to see with at least some of these qualities were they treating me like a leper when I should him or her more frequently. Being seen by keen to maintain this relationship: be the one that's protected? different doctors in the clinic, rather than by I've chased him around through a few Others described 'frosty', 'judgmental' or the specialist, was also raised as a concern, medical centres ... I don't like disclosing to 'moralistic' attitudes on the part of GPs and partly because they had to contend with a new doctor every time Igo to the doctor's. health workers. Victor, aged 34, said: 'too many different opinions' and partly [Doctors] have to know this. You know, he's I've seen a few, you know, that definitely because it made them feel de-prioritised. the doctor. So that's why I try and chase my haven't really got a good attitude ... Just, But most were extremely complimentary doctor around ... I've had him since before yeah, sort of the way they look at me. The of their HIV doctor or clinic. The strength diagnosis (Dean, aged 49). standoffish sort ofattitude. Idefinitely know and supportiveness of the relationship Disclosure ofHIV to GPs was a vexed issue there's something there inside their mind between positive heterosexuals and their for most, partly due to privacy concerns and when they see the HIV bit. HIV doctors is heartening. But it also partly due to past interactions with GPs and Others mentioned being treated with makes positive heterosexuals highly reliant other health workers. Many participants suspicion or curiosity by GPs or hospital on and therefore vulnerable to any changes felt there was widespread ignorance about staff, or having assumptions made about in primary care. Also, outside of this clinical HIV in the general health sector. All but how they became infected. Antonio, aged model, their interactions with non-HIV three said they had experienced negative or 71, who had a long history of medical health services and health workers tended discriminatory treatment by a GP or health encounters with various specialists, objected to be more complicated. worker. Gavin, aged 48, said: 'When I got to 'nosy questions': They want to askyou how longyou've had it, how did you get it, have you been with men or have you been with prostitutes. It's irrelevant. I've got it, I've got it. It's one way Disclosure of HIV to GPs was a vexed or the other. I don't have to be asked those questions. So when I go to a doctor I want issue for most him to treat me, from what the referral my GP gave him. I don't feel like I have to be interrogated. While nearlyall said theyhad encountered judgmental treatment by GPs or health Most participants accessed hospital told I had HIV, I got told that no health care workers, those who had been positive for HIV clinics and sexual health clinics for professional was supposed to treat you any a long time were also keen to point out their HIV care. Hardly anyone saw an different. That's a load ofrubbish'. Similarly, that things had changed for the better. Sl00 prescribing GP for both HIV-specific Lydia, aged 44, observed: Meagan, aged 47, noted the recent clinical and general health care and therefore had Sometimes Ifind ifyou do disclose ... it's change from using rubber gloves with some to access a GP for any non-HIV related amazing, even in the medical profession, patients to hand washing after each patient: health issues. The task of establishing a how the change happens. It'sjust, you know, 'I'm delighted with that. It makes me feel a satisfactory relationship with a GP was not it just blows me away. I mean these are little less like a leper'. But the study findings seen as easy: doctors for God's sake . . . So yeah, there's also suggest that this process is incomplete I'd like to find a doctor that I could still a lot of ignorance and fear. But I can and that more or better education about confide in. But it's very difficult because my understand the fear. I can understand that HIV among health workers is still needed. [HIV] doctor; you know, has set a very high kind offear. But I would have thought that Asha Persson is a Research Fellow at the standard for the other doctors. So it's very doctors might have known more. National Centre in HIV Social Research at hardfor me (Carlos, aged 37). Several described what they perceived the University of New South Wales Several qualities were considered as 'discriminatory', 'uninformed' and important in a GP.A good GP was described 'unprofessional' treatment by GPs or All personal names have been changed. The Straightpoz as someone who was non-judgmental, hospital staff, including breaches of study is a qualitative longitudinal study exploring the accepting, open and interested, or as Grace, confidentiality, being treated differently experiences of people who live heterosexually with HN in NSW, including HIV-negative partners. The study aged 66, put it, had 'no inhibitions about the from other patients, or being told they had is conducted by the National Centre in HIV Social HN'. Basic medical knowledge of HIV was to be put last on the surgery list to protect Research, UNSW, in collaboration with the Heterosexual seen as another desirable but rare quality other patients, as recently happened to HIV/AIDS Service NSW (Pozhet). The Straightpoz study in a GP, with many participants saying that Sabrina, aged 46: report, Volume 1, is available for download on: http:// nchsr.arts.unsw.edu.au/pdf%20reports/Straightpoz.pdf GPs 'know nothing about it' and tended to I said, "What do you mean?" I said, "I'm The Straightpoz study, Volume 2 will be available for 'blame everything on HIV'. Gavin, aged 48, the one with the low immune system"... download from January 2009 on: http://nchsr.arts.unsw. joked: "'You broke your toe? Oh that must be I want to know why in 2006 this has edu.au/pdf%20reports/Straightpoz2.pdf 12 October - November 2008 a: the benefits of regular practice David Mansfield is a qualified Yoga Instructor who has been volunteering his time at the Positive Living Centre and ACON. David has just started teaching in Darlinghurst and is pursuing further studies in related fields. We asked David to reflect on his time working with PLC clients, and to describe the benefits of Yoga for people living with HIV. When I reflect on the past year of variation to every posture and a good Hatha Yoga Classes teaching yoga to men and women teacher will talk you through each stage living with HIV, the best part has of a pose. with David been to hear students relate the My style of teaching aims to help Every Thursday night from 6.30pm benefits of weekly yoga practice. people to a level that is a balance between (classes are 1.5 hours) Most experience improvements in the challenging and the comfortable. Darlinghurst Public School Hall many aspects of their lives. If someone is considering Yoga they Womerah Ave (enter through Most students come along to the class should aim to find a teacher and style of Barcom Ave Gates) without ever having stepped onto a yoga yoga that they can relate to and, above Contact David 0402 154 444 mat before. Their nervous faces quickly all, go with an open mind, as even the turn to smiles and often laughter as we most self-judging have been known to David has an introductory offer for work through postures. surprise themselves on a yoga mat. Talkabout readers and their friends. A When I meet with new students we Namaste voucher for 10 classes can be purchased spend time identifying and forming David Mansfield for $150 saving people $30. physical goals as well as discussing the importance of honouring personal boundaries. After the first few weeks many students relate improvements in sleeping patterns and notice calmer reactions to difficult situations, lower anxiety levels and increasing feeling of wellbeing. As a teacher there is no bigger gift than to hear students speak about these results. Regardless of HIV status the benefits of yoga can be much more than physical. Regular practice of yoga helps to boost the immune system and also assists with the detoxification process. Let's face it; anyone who enjoys an occasional night out can do with that kind of support. I can guarantee that if you have never done yoga before, the hardest things you will have to do is find enough courage to come along to a class and try it for yourself. There is always an easier Talkabout 13 Magistrate's ruling undermines public health Kane Matthews on how criminalisation , of people with HIV is counterproductive An HI\/ positive male sex worker There has also been much written about Magistrate Burns claimed his in Canberra has been jailed for best practice for public health policy in judgement was in the interest of public more than two months after a relation to the management of HIV, with health. However his evidence for this high profile public prosecution, the ACT only recently signing up to the claim is completely out of date. The including naming him, even after national guidelines on the management best public health outcome would have the magistrate admitted that it is of people with HIV who place others at been to drop all charges and remind impossible to know if unprotected risk. This document also recommends ACT residents that people with HIV sex had ever taken place. using criminal prosecutions as a last resort exist everywhere, and the only effective This year at AIDS 2008, the and only for cases of serious intentional strategy for Australians to protect international HIV conference in Mexico, transmission. themselves is to use condoms and water a large number of delegates challenged The rationale behind this approach based lube. the criminalisation of HIV around the is the understanding that HIV is here I know people are sick to death ofhearing world, claiming that criminalisation to stay and we all need to learn to live the safe sex message,but the alternatives are forces people with HIV underground. It with it. This means that for casual sex, far scarier: having untested, undiagnosed discourages testing which, in turn, plays including sex work, all people involved and unchecked HIV infections in people a part in increases in the rates of HIV need to assume that everybody is, or too scared to get tested, claiming they have transmission. could be, HIV positive. This is true never tested positive to HIV. In the ACT, as a direct result of this whether they know their status or not, year's high profile prosecution, the local as some people do not yet know they outreach clinic has seen sex workers' have HIV. Kane Matthews is the author of fear of testing increase, with the regular It is far more dangerous to give the The National Needs Assessment monthly figures dropping from 40 per impression that a certain section of of Sex Workers who live with HIV, month to two per month. This was society is HIV free, which only increases commissioned by Scarlet Alliance, the reported to the Attorney-General, Simon the incentives to forego safe sex. Couple Australian Sex Workers Association. Corbell, a week prior to the sentencing. this with harsh penalties for people who The full report is available on the Scarlet At that time Corbell admitted, "We know have taken steps to learn their status, and Alliance website (www.scarletalliance. that with appropriate safe sex measures it creates a dangerous situation where org.au). This is an edited version of in place, the risk of transmission is HIV can thrive, and transmission rates Kane's article was first published on negligible." can significantly increase. the ABC site (www.abc.net.au) 14 October - November 2008 Gathering from Qualified therapeutic massage across Extensive experience working with people living with HIV the A traditional welcome for delegates. Own studio in central location Pacific Taylor Square 0438 563 565 Fit and friendly Competitive rates The Pan Pacific Gathering for HIV+ People occurred in Auckland in September with Check out our website delegates from across the WUIIAl.positivelife.org.au Pacific, including Papua New and receive regular Guinea, Fiji, Cook Islands, Samoa, Australia and New e-newsletters Zealand. Presentations included stigma and discrimination, HIV and the workplace, women with HIV, everyday lives of men who have sex with men, transgender in PNG and more. ALDERMAN provrdore A Declaration from HIV+ People Hon Luamanuvao Winnie Laban (MP) of the Pacific was presented to welcomed delegates on the first night. Hon. Chris Carter, NZ Minister of Ethnic Affairs and Education Quality Australian gourmet food and to Hon. Dame Carol Kidu, products sourced from the best PNG Minister of Development. The declaration called on all of our boutique companies. governments to remove all barriers to, and ensure full implementation Alderman Providore run product of these laws, including: sampling parties for our stocked • the protection of HIV+ lines. If you are interested in people against all forms of hosting a party please contact discrimination us on 02 9569 6537 I 0421 415 • free movement without restriction 454 or email us at for work, education and recreational travel to all countries [email protected] • decriminalising of sex work • decriminalising of sex between (Sydney metropolitan and men Dame Carol Kidu Minister for Community suburban only) Development in Papua New Guinea attended the Check out the website: conference with a strong delegation form PNG. The Declaration is available on the www.aldermanprovidore.com .au website: www.panpacifichiv.com Photos: Patrie Seng Talkabout 15 Make it work Glenn Flanagan You can navigate employment and HIV Have you ever wanted to make before the Human Rights Commission Positive Life NSW, have joined the changes at work - for instance in 2006 -2007 were about employment, Network, indicating their commitment take time out or reduce your and two percent of these involved HIV to these principles of inclusion. You can hours - but felt you needed more (21 out of 1179). While it does take see the list of member organisations and information about how to do it? courage to stand up for your rights, fear businesses on the AEND website: www. Do you know about your rights of discrimination can erode quality of employersnetworkondisability.com. at work? Or wondered about the life for people with HIV, and the Human au.Even so, while some may already be health or financial implications of Rights Commission is one important doing best practice, others join because your decisions about employment? body that can help. they're aiming to move in the right Positive Life recently organised The next talk, a personal perspective direction. Making it work: A forum on from Douglas Barry, fleshed out what it Not all people with HIV see themselves employment and HIV at the Y Hotel in Sydney to better inform is like to make difficult decisions, move as having a disability but it can be useful people about issues like these. The from retirement, to study, and then to to remember that disability is not a static following are some highlights: full time work. He pointed to some of thing. HIV is like that too. It can change. the costs and benefits of a journey like So you might need to adjust your work The right to make a living affects this. His reflection on the value of short patterns accordingly. We need to get our ability to exercise all our term goals, medium term goals and better at understanding flexibility, and other rights dreams was an inspiring one we hope to asking for the adjustments we need. So "Fundamental human rights should be publish in a future issue of Talkabout. do employers. This may mean you need available to all without discrimination to disclose your disability, although for everyone, every day, everywhere. This Getting better at flexibility often you won't need to be specific about includes the right to make a living, and the Fifteen percent of the labour force has your condition. AEND works to assist right to dignified working conditions." a disability, and yet many people with a employers to respond better to disclosure These opening remarks by Graeme disability are still underemployed, and and maintaining confidentiality. Innes, Human Rights Commissioner, not working as much as they would Australian Human Rights Commission like. Mark Lazaroo from Australian Are there barriers to making a set the tone for the forum. As the Employers Network on Disability complaint? keynote speaker he was unequivocal: "It (AEND), an organisation advancing the Narelle Henessey from the NSW Anti is unlawful to discriminate at all stages inclusion of people with disability in all Discrimination Board suggested that of employment". aspects of the work force, reported that the ADB has had only one complaint Indicating how significant this issue a number of businesses, organisations about HIV. Does this mean people think is, 40 percent of complaints that came and government departments, including it's too hard to get a complaint through? 16 October - November 2008 Complaints can take a long time to be will need to sign up with Job Futures to utility bills, cost of medications and No resolved, but in recent years, this has access these services. Interest Loans been reduced. BGF's Positive Futures program and One audience member suggested one Getting together we can achieve Phoenix workshops are another way of barrier to people with HIV coming change talking through return to work issues. forward is the fear that their status Ending discrimination is not only about The organisation's Positive Futures and could become public: "If the Supreme acting when things go wrong to you Financial Counselling are not income Court and the Family Court can make personally. It's about bringing about tested, so any person with HIV can complaints anonymous why can't the changes to the system so discrimination access these services. ADB?" doesn't happen in the first place. Daniel On the advocacy front, BGF can Scaysbrook, an organiser from the negotiate with an employer if you're Take into account all medical Australian Services Union which covers returning to work, and with creditors. issues among other things, the community It also has money available for interview Brian Baker, Centrelink Customer sector, airlines, shipping, IT, rail, and clothing (as does Job Network) for Service Advisor, outlined Centrelink's water employees made this point. people who qualify - and possibly role in assisting people to return to work. Of course, if you are a member clothing for first six months of work Since September 8 2008 there has been of a union, and you experience significant policy change. Previously, discrimination,your union will represent We'll keep you updated if someone applied to an employment you and advocate on your behalf. We plan to continue to support people service provider for assistance, they He reminded the audience that the with HIV make the best decisions about risked triggering a pension review by only way to achieve something is to their employment. Future issues of indicating they wanted to look for work. come together to do it. Rather than an Talkabout will focus on other questions From August this year, this is no longer individual sticking his or her neck out, relating to work and study. If you have the case. a collective of workers has more chance issues you'd like to ask about or stories Brian gave some useful advice for those of achieving change. You need to be a to tell email [email protected] undergoing a Job Capacity Assessment. member of a union to be represented, so Take all medical evidence to determine Daniel's message is: get involved your support needs. It is important Contacts to detail all your medical conditions, It's about money - and health, including mental health etc. The quality and self esteem Australian Human Rights of the medical information you take with Craig Doyle (BGF Financial Counselling) Commission you into the review is important. You gave lots of practical advice on finances, Ph: 02 9284 9600 Complaints: 1300 656 419 need to work with your GP to ensure the study options and ways to manage some www.humanrights.gov.au information is clear. ofthechallengesinvolvedinemployment. If you're thinking of returning to work, As always,you need to notifyCentrelink Australian Employers Network on it might be best to consider increasing within 14 days of commencing work, and Disability your hours over time, rather than Centrelink benefits can be suspended Ph: 02 9261 3922 1300 363 645 rushing straight into full time work. If for up to two years, while you settle www.employersnetworkondisability. you're currently on the pension, try to into work and decide whether you can com.au manage it. capitalise on your situation and clear up your debt. Talk to BGF on how to do this. NSW Anti Discrimination Board Practical advice on finding work Declaring bankruptcy may seem like an Ph: 02 9268 5555 (freecall) 1800 670 Laraine Jones from Job Futures (135 answer to some financial difficulties, but 812 www.lawlink.nsw.gov.au/ADB Crown St Surry Hills) assists people to it can be unhelpful for certain jobs you Centrelink get back into paid work. The majority might be thinking about (real estate for Ph: (employment) 13 28 50, of them are on Newstart. Job Futures example). (retirement) 13 23 00, (disability) is a small team, whose members give Budgeting is important, whether 13 27 17 www.centrelink.gov.au practical advice on how to find and you are working or on a pension. One remain in work. They are also happy to of Craig's tips is to keep a record of Job Futures Ph: 8281 2400 (freecall) have an initial chat if you're just thinking what you spend for a month, and then 1800 078 233 www.jobfutures.com.au about going into the workforce and want you will be better informed to make Australian Services Union to weigh up your options. decisions about your spending. This www.asu.asn.au (02) 9283 9280 Job Futures can help prepare resumes, can be empowering. Try to save ten Bobby Goldsmith Foundation and cover letters, and show you how to percent of what you earn, even on the www.bgf.org.au 02 9283 8666 search websites for work, and can give DSP. Debit cards are a good discipline. (freecall) 1800 651 011 you free access to computers, fax, and BGF offers assistance with a range of phone for job seeking purposes. You day to day living expenses, including Talkabout 17 Highlights from Mexico Jae Condon on the International AIDS Conference The XVllth International AIDS NSPs (Needle and Syringe Programs) as gay men and MSM continues to fuel the Conference was held in Mexico well as the younger age of MSM (men epidemic. during August. The conference who have sex with men) born after, gathered international experts, and unfamiliar with, the height of the Biomedical prevention researchers and community epidemic. Developments in treatments Treatment used in prevention (PrEP or advocates to share their challenges can also foster notions that HIV is readily Pre-Exposure Prophylaxis) was widely and experiences of the epidemic. and easily treatable, and with the absence discussed as the next big thing in HIV This year's conference opened of visible illness, and fewer leaders in prevention. PrEP involves the use of one amid calls for universal access to HIV advocacy, safe sex messages are or more recognised HIV drugs taken treatment and improved funding no longer as powerful. The rise and by a negative person who is having for vaccination and microbicide rise of crystal and other new patterns sex or plans to have sex with a positive trials. There were also calls to end in recreational drug use including person(s). This model is already used international HIV travel restrictions. locally for serodiscordant heterosexual See www.kaisernetwork.org medication used in erectile dysfunction continue to fuel transmission. Legislative couples who want or need to conceive and www.aidsmap.com for naturally. The negative partner is given comprehensive coverage. The factors contributing to the epidemic medication during the conception following are some highlights include the criminalisation of sex work, period - the positive partner takes from Positive Services and Health homosexuality and HIV transmission. Promotion at ACON. medication as well. Once conception is Discrimination achieved the couple return to their usual The global perspective On the first day of the conference a methods of protection. HIV continues to spread at disturbing presenter asked whether religion was Conference sessions discussed rates around the world. US experts a barrier to HIV prevention. Consider prevention strategies such as microbicides sounded the alarm reporting new cases of the recent papal visit with cries against and vaccines. It had been looking like HIV in the US have greatly outnumbered condoms and calls for all Catholics to research into vaccines had hit a dead even the worst predictions. Experts reproduce. Australia is a tolerant and end; however experts have identified agree that HIV will soon be the most secular society so these issues don't another 'vector' for investigation. In common and burdensome health issue greatly affect health promotion, but this context a vector is a recognised and internationally. This is also the case for in other parts of the world influences understood pathway that another virus Latin America and other parts of the like these can, and do, result in death. progresses along through the human world. Issues named at the conference as Religion continues to facilitate stigma, body. Researchers attempt to 'hitchhike' fueling the epidemic internationally are discrimination and legal persecution of inactive genetic components of HIV poverty, non-availability ofcondoms and people with HIV. Discrimination against onto this pathway with the idea that 18 October - November 2008 this could enable the immune system • Presizta (Darunavir) is the first real HIV at high risk of contracting HCV. to become immune to HIV without 'Resistance Proof' medication. This It is estimated that 10-13% of people becoming HIV positive. Some predict drug belongs to the protease inhibitor living with HIV in Australia are also that a reliable and affordable vaccine (PI) group and is highly resilient against HCV positive. Most people living with will be available within ten years. resistant virus. Many people taking HIV who become HCV positive do not Research into rectal and vaginal other agents in this class of drug who know they are living with HCV for some microbicides continues to show promise. experience chronic diarrhoea experience time. This is alarming as most liver Lube is 'fortified' with one or more anti a full resolution of side effects when they damage occurs early in HCV infection. HIV drugs. Historically this has proven switch to Prezista. All HIV treatments can potentially cause difficult as these medicated lubes have • Bevirimat - an entirely new class of drug liver damage so people living with both perished condoms and irritated vaginal called Maturation Inhibitors. This drug viruses are at extremely high risk of and rectal tissues. Any irritation to these promises fewer side effects and an entire tissues provides an open gateway for new set of options for the treatment permanent and irreversible liver damage. HIV to pass through. Newer agents being experienced and/or those fatigued by Treatment for HCV involves side effects put into rectal and vaginal Microbicides chronic side effects. Clinical centres are that usually prevent people from being are looking good, but couldn't someone currently enrolling for trials around the able to work including extreme fatigue, come up with a better name? world including Sydney. depression, and weight loss. • Ritonavir - this drug has until now Recent research out of the UK found Treatments required refrigeration. This is a problem that a significant number of gay men Treatment developments discussed at for those who need to maintain living with HIV who 'cleared' HCV the conference include: anonymity at home and/or work, or were becoming reinfected with HCV • Isentress (Raltegravir) is the first in a for those who travel regularly. A new despite being made aware of the new class called integrase inhibitors. formulation of this drug is under trial potential permanent long term risks Studies show this class of drug has few, that does not need refrigerating. Looks to their health. This is also the case in if any, side effects and reduces viral load promising and will make things easier other major gay cities in the Northern in a period of days rather then weeks. for many who take this drug as part of Hemisphere. Research discussed at the conference their combination. further demonstrates potency and few, • Abacavir - results from research suggested Law if any, side effects. This drug is available that this drug might be associated with an The conference might well be in Australia for people with certain increased risk of cardiovascular disease. remembered for admonishing the resistance and side effect profiles. It has The findings were not conclusive and just been PBS listed in Australia and proliferation of laws around the world other research is under way to answer the criminalising the transmission of hopefully will be available soon as first questions raised. To date the evidence is HIV. There were several presentations line therapy. conflicting and there is nothing concrete devoted to this topic that argued that • Selzentry (Maraviroc) is the first in a new to suggest anyone taking this drug such legislation is a gross breach of class of oral entry inhibitors. This drug is should stop. People taking this drug human rights. Susan Timberlake related approved in Australia but is waiting for who have concerns should consult their the UNAIDS declaration of the role of PBS listing. It is available through Special HIV prescriber. It is widely accepted Access Schemes for those with multiple that treatments that suppress HIV to the law in HIV. She said that the role resistance and/or side effect issues. This undetectable levels provide protection of the law is one of promoting a social drug is also being trialed as a vaginal against the cardiovascular damaging and legal environment that is supportive and rectal microbicide with promising effects of HIV itself - so it seems the of the rights of people with HIV. Her results. People who have resistance and/ benefits out way the risks. presentation quoted The Hon. Justice or side effect issues with their current Michael Kirby's famous Bulletin article combination should speak to their doctor HepC of 1991 when he said: about this special supply program. Finally the elephant in the room is "There will be calls for 'law and order' • Etravirine is a new drug in an existing class named. It is now widely recognised and a 'war on AIDS'. Beware of those (NNRTI). People who have resistance in that Hepatitis C (HCV) is more readily who cry out for simple solutions,for in this class are resistant to the entire class. transmitted through sex than previously People can become resistant to this class thought. Until now it was thought that combating HIV/AIDS there are none. because of adherence problems or the only esoteric practices carried high risk In particular, do not put faith in the HIV that someone has may already have of HCV transmission (fisting, toys etc). enlargement of the criminal law." this resistance at transmission. This new Experts now believe the presence of agent is effective even for those with another STI, the non-use of condoms, Jae Condon is Client Liaison Officer 'Class Resistance' so could create new multiple partners and illicit drug use (Positive Services and Health Promotion) options for many. during sex are putting people living with atACON. Talkabout 19 Prevention beyond condoms What's news in Microbicides and Biomedical HIV Prevention? Neil McKellar-Stewart reports on the recent Microbicides, Gender and Vulnerability and HIV Biomedical Prevention Symposium organised by The National Centre in HIV Epidemiology & Clinical Research (NCHECR) and the Australian Federation of AIDS Organisations (AFAO). In Australia we are familiar with the global supply of condoms is millions some recent news on the first of these new developments in treating short of what is needed". (2007 report (we may address the others in a future HI\/. We generally hear much less from the WHO/UNAIDS Global HIV article): about new ways of preventing Prevention Working Group) They go on Microbicides transmission of HI\/. to report: "To ensure a sufficient condom In the future, if it proves effective, using Biomedical prevention is a process supply to halt the AIDS epidemic by a gel or similar agent to prevent HIV of interfering with 'normal' biological 2015, the level of funding for condom transmission in the vagina or rectum interactions between an infected host, procurement and distribution must would be a useful alternative to the an infectious pathogen and a possible increase threefold." Useful to remember condom in many parts of the world. new host for that pathogen. In the case of next time you or your partner slip on Women in particular would be able HIV: between a person infected with HIV a condom, which you may have got to protect themselves when forced to and a person at risk of being infected. free from your friendly sexual health engage in risky sex with men who refuse A prevention technology we all provider, community agency like ACON, to use a condom, or where condoms are know about would be the humble or even a sex on premises venue. not available. New prevention technologies in other male condom. Access to condoms and Microbicides are designed to make HIV parts of the world could complement clean injecting drug equipment, along inactive in the vagina or rectum of people and extend people's choices beyond with behavioural change (safe sex and using them. A microbicide could take the the humble condom. More choices injecting behaviours), have been the form of a gel, cream, film, tablet or sponge, could also empower women and put main reasons for the low number of new or be contained in a vaginal ring that HIV infections in Australia. them firmly in control of protecting releases the active ingredient gradually. The Condom is highly efficacious themselves against HIV. One of the first microbicide trials was of (probably around 98% efficient) and There are other types of biomedical the spermicide Nonoxynol-9 in women in highly effective in stopping transmission prevention technologies currently under sub-Saharan Africa and Thailand in 2000. of HIV, when used consistently and investigation, these are listed below Unfortunately it showed no benefit in correctly. "Efficacious (or efficient)" however none of these have yet proved to preventing HIV infection. Similar results means it actually achieves what it is be effective but research continues on all. came out ofa furthereightN-9trials, which designed to do: contain seminal fluid, • Microbicides included over 5000 women, predominantly preventing it from entering the vagina or • Vaccines commercial sex workers. Overall, it showed rectum. It also stops infection in the other • Pre-Exposure Prophylaxis (PrEP) an increased risk of acquiring HIV. An direction: preventing vaginal or rectal using HIV antiretroviral drugs international board considered these results secretions from infecting the tissues of • Male Circumcision and concluded in 2001 that N-9 should not the penis. The condom is an "effective" • Suppression of viruses which make be used or promoted for the prevention of technology because it is simple to use, HIV infection more likely (eg STis and HIVorSTis. rarely fails, and is acceptable to many Herpes Simplex Virus-Type 2) This was followed in 2004-6 by the trial people (at least in our culture). • Other Barriers (female condom, of SAVVY (C31G) gel for prevention In Australia using condoms works. 'invisible' condom) of HIV infection in women. This was This is not the case elsewhere in the Treatment with HIV antiretroviral a Phase 3 trial of about 2100 women world where access to condoms is poor, drugs which reduce an HIV positive in Ghana. Trial results showed higher condoms are not acceptable to many partner's viral load reporting of vaginal irritation. The people,and theyarenotconsistentlyused. The sobering news is that all the other trial data were insufficient to conclude "Only 9% of risky sex acts worldwide are biomedical technologies (apart from the whether SAVVY is effective in preventing undertaken while using a condom, and condom) have a way to go yet. Here's HIV infection. 20 October - November 2008 Two trials of Cellulose sulphate There are three major programmes needed. While microbicides have a long (the CONRA D and Family Health which will lead up to efficacy trials of way to go in terms of clinical trials and International trials) were stopped antiretroviral-containing microbicides understanding issues around safety, prematurely in 2007 because more for vaginal use: modes ofoperation and efficacy, they still women became infected with HIV on First to report (probably in early 2010) represent a possible future prevention the microbicide arm of the trial than on will be CAP RI SA 004 ( Centre for the AIDS option. In the meantime condoms (and the placebo arm. Further investigation Programme of Research of South Afr ica) lube) continue to be the most effective in 2008 showed that it caused loss of study of 1 % tenofovir gel in nearly 1000 safe sex strategy. tissue integrity by destroying proteins women in South Afr ica. This is the only For further reading: that bind cells together. This allows HIV study looking at 'coitally-dependent' use, to leak into the underlying tissues and in which women are told only to use the http://www.microbicide.org/ The increase HIV transmission. gel when they think they will have sex. Alliance for Microbicide Development Further trials of other agents have had The Microbicides Trials Network http://www.rectalmicrobicides.org/ similar disappointing results: Carraguard is (MTN) is co-ordinating the VOICE International Rectal Microbicide made of carrageenan, a seaweed derivative (Vaginal and Oral Interventions to Advocates (IRMA) which in laboratory studies is shown to be Control the Epidemic) study, which will http://www.avac.org/ AIDS Vaccine effective in blocking cells from becoming directly compare a tenofovir gel with Advocacy Coalition (AVAC) infected by HIV and in protecting mice oral tenofovir PrEP in 4200 women from other STis. Phase 3 clinical trials in sub-Saharan Africa. Early studies Neil McKellar-Stewart is the HIV by the Population Council in over 6,000 suggest that tenofovir will be absorbed Health Maintenance Officer at ACON women in sub-Saharan Africa found to a sufficient depth in the vagina wall to Northern Rivers Carraguard to be safe for vaginal use, but defend against HIV infection. The trial not effective in preventing male-to-female proper is due to start in late 2008 and HIV transmission during vaginal sex. may report by 2011. Glossary PrEP Though disappointing, these trials The International Partnership for Pre-exposure prophylaxis (PREP) involves have contributed significantly to the Microbicides (IPM) is co-ordinating the use of oral antiretroviral treatment to field's body of knowledge regarding a series of studies using the new HIV prevent HIV infection product development, trial design, and treatment, dapivirine (TMC120) both as Microbicides women's and their partners' willingness a gel and as drug infused into a silicone Microbicides are compounds (formulated to use a microbicidal gel consistently. vaginal ring which can be left in place for a as gels, creams, films, or suppositories) that Other microbicides still under month. These studies are expected to report can be applied inside the vagina or rectum investigation include 0.5% PRO 2000 in in 2012, if they pass early safety trials. to protect against sexually transmitted two studies, one of which adds BufferGel If these microbicides prove to be infections (STis) including HIV. At present, (a vaginal defence enhancer). A stronger effective in preventing male-to-female an effective microbicide is not available. dose (2%) PRO 2000 trial was stopped HIV infections vaginally, they may have Pathogen in February because of futility (meaning flow on effects for microbicides which A pathogen is a biological or infectious it would produce no meaningful results). might work in the rectum. Delivering agent, or germ, which causes disease or The trial, which is comparing both PRO an effective agent will be very difficult. illness to its host. 2000 and BufferGel with a control, is Unlike the vagina, the rectum has only a Phase 1 trial expected to produce preliminary results thin layer ofsurface cells, and an involuted A phase 1 trial is first step in testing a new later this year. PRO 2000 is an agent that columnar structure, with lots of surface treatment in humans. These studies test prevents entry and attachment of HIV and area, and the molecules to which HIV can the best way to give a new treatment (for others STis to cells in the vaginal mucosa. attach are much more accessible. example, by mouth or injection) and the All the agents discussed above are first In addition to these vaginal studies, best dose generation microbicides which don't a possible rectal microbicide using Phase 2 trial act against HIV's replication processes. UC-781 (a new HIV antiretroviral drug) A Phase 2 trial is a study to test whether The second generation of microbicides, is undergoing safety trials. These will a new treatment has an effect, whether it about to start major trials, will attempt precede actual trials to test its efficacy, works and improves results. to deliver antiretroviral drugs into the that is, whether it works and does no Phase 3 trial vaginal tissues and fluids. Although harm. Preliminary data presented at this approach, called topical PrEP, may the Microbicides 2008 conference in A Phase 3 study compares the results be potent, it could have drawbacks too: February hint that it may be safe and of people taking a new treatment with drug toxicity, and leakage of the drug perhaps efficacious; however, much the results of people taking the standard into the bloodstream, with a potential work stills needs to be done. treatment, and is designed to prove the risk of drug resistance if the user The take home message from this safety and efficacy of a new treatment. becomes infected. short overview is that more research is Talkabout 21 Swings and roundabouts Lance Feeney on whether much needed recognition of same-sex relationships may cause hardship On Thursday 4th September are denied basic financial and work the parties are of the same or different 2008, Attorney-General, Robert entitlements which opposite-sex sex. The definition will also recognise Mcclelland, moved the Same-Sex couples and their families take for relationships registered under prescribed Relationships (Equal Treatment in granted state and territory relationship Commonwealth Laws - General • Same-sex couples are not guaranteed registration schemes. The bill does not Law Reform) Bill 2008 in the the right to take carer's leave to look recognise interdependent relationships Parliament of Australia.* after a sick partner (and Positive Life NSW agrees). The bill amends 68 Commonwealth • Same-sex couples have to spend more The Senate Legal and Constitutional laws that discriminate against same-sex money on medical expenses than Affairs Committee are inquiring into couples and their children. Nineteen opposite-sex couples to enjoy the the provisions of the bill and Positive government departments were involved Medicare and PBS safety nets Life NSW has been working with in drafting the bill. • Same-sex couples are denied a wide ACON, AFAO and the gay and Lesbian range of tax concessions available to Rights Lobby, to present a unified and A milestone for gay and lesbian opposite-sex couples coordinated approach, when responding couples • The same-sex partner of a Defence to the enquiry. This Act marks yet another step in a Force veteran is denied a range of In our written submission to the Senate hard fought political process going back pensions and concessions available to Committee, Positive Life unequivocally decades - the first achievement being an opposite-sex partner. supports the intent of the Same-Sex 20 years ago, when the Human Rights At every step along the way, community Relationships - General Law Reform Bill and Equal Opportunity Commission organisations including Positive Life, 2008 and the Same-Sex Relationships - (HREOC) added discrimination on ACON, the Gay and Lesbian Right Superannuation Bill 2008. We believe the grounds of 'sexual preference' to Lobby, Human Rights Commission that the benefits to gay men and lesbians its regulations. In 2004, the United (formally HREOC) and others, have of recognition of relationships, and the Nations Human Rights Committee, lobbied, written submissions to removal of financial and other penalties found that Australia was in breach of government and appeared before Senate will be significant. Hopefully, young gay the International Covenant on Civil Committees to plead our collective case men and lesbians will be some ofthe early and Political Rights, and more recently, for equality before the law and an end to beneficiaries of these legislative changes HREOC released its report 'Same-sex: discriminatory treatment. and their mental health and suicide risks same entitlements'. This report identified This bill aims to remove discrimination will improve. For older gay people, the many examples of discrimination and against same-sex couples and their impact may take longer to flow through. the impact of discriminatory laws on children in many of the ways identified It will be balanced by more immediate same-sex Australians including: by the Human Rights Commission and concerns about changing income, and • Same-sex couples experience daily the federal government audit. The bill possible loss of eligibility for health systemic discrimination includes a new definition of de facto care and other concessions due to their • Same-sex couples and their families partnerships and will apply whether partners' income and assets. 22 October - November 2008 Our concerns with the to July 2010, allowing couples legislation to better prepare their personal Our principle concern is to situation. minimise the impact of any • Inform people (via a financial hardship experienced communication strategy) Tell with the implementation of these about the changes resulting changes. For older gay men who live from relationship recognition, with a partner, this will be activated including support to couples your by the application and impact negatively impacted. of rules relating to cohabitation. • Provide an amnesty period for sto.ry Additionally, older gay couples may people negatively impacted by have limited ability to change their the changes to allow them to Have you ever wanted to tell your story financial situation. report on their personal situation about living with HI\/, but didn't know We contend that there will be a to Government departments how to do it or where to share it? number of gay men living with (such as Centrelink) without fear HIV in relationships who will be of punitive actions and/or debt If you do, then BGF's online forum could negatively impacted by the changes. accrual. be the place for you. This is particularly true for people • Ensure that any implementation Your story can be as long and detailed or with HIV who rely on the Aged, of the changes by government short and snappy as you want it to be. Disability or Carer's Pension and allows discretion to be applied other concessional benefits such as where evidence of hardship can Not only will you be helping yourself, the Health Care Concession Card. be established. but sharing your story with other people Where both partners are receiving Same-sex relationship recognition living with HI\/ could help them too. a Disability Support Pension, the has brought many benefits including So what are you waiting for? Tell us all payment will be adjusted from the recognition for our demand for about you and your experience of living rate paid to singles, to the rate paid equality, and with it access to the with HI\/. for a couple - a loss of over $160 legal and economic benefits afforded per fortnight in couple income. to opposite-sex couples. Equality 'Iisit http://www.bgf.org.au/forum.php Where one partner is receiving the however may have its costs for some, to start using the forum to share your DSP and the other partner is working, particularly in relation to people with story and/or get involved in the topics eligibility for a number of pensions HIV where one or both people receive already there. under the Social Security Act are a Centrelink benefit and rely on the subject to incomer and asset testing, assistance provided by a Health Care The income and assists of the Concession Card. By advocating working partner may significantly on behalf of same-sex couples impact on the eligibility and rate of living with HIV, we hope to ensure pension and entitlements payable welcome changes to legislation don't to the non-working partner. cause undue hardship to those most We have drawn attention to these vulnerable to a change in or loss of issues and asked for any negative income. impacts to be addressed by relevant Massage Government Departments during If you would like to discuss this the implementation process. issue or any aspect of our advocacy What we propose work, please contact: HI\/+ masseur offering full body one Lance Feeney hour massages. Positive Life NSW made the Systemic Advocacy following recommendations to the Positive Life NSW Reasonable rates enquiry in our written submission: Phone (02) 9361 6011 Discounts to those living with HI\/ • Commission a social impact study Email: [email protected] and their partners to assess any financial hardship To read our submission go to www.positivelife.org.au/advocacy lncall and outcalls as a result of the legislative and click on submissions. Located in the Lake Macquarie area changes and to help government Available 7 days a week departments implement policy from 1 0am to 9pm sensitively. * Read the Attorney Generals' full speech Phone Dave on 49593465 • Delay implementation of changes to Parliament - http://www.openaustralia. with negative financial impact org/debates/?id=2008-09-04. l0.2 Talkabout 23 !~I-IHI II utl II I Switzerland: lakes, mountains & HIV LET'S awareness DO Ill John Douglas shares his recent trip to Switzerland with Talkabout readers I· f l) ' \ r w ."", . ~ '~ ~. \"1 I.. • 1 ;1'.l ·._ ~ j !it ;· • I C 1. Attitudes towards homosexuality in Switzerland are progressive. Same-sex relationships are recognised, and the legal age of consent for gay sex is the same as for heterosexuals, 16 years. All major cities have gay and lesbian social clubs. Pride marches are held in Geneva and Zurich. 2. Safe Sex Promotion. There are four official federal languages in use in Switzerland - German, French, Italian and Romanasch. Day to day language use mainly consists of German or English, so many promotions such as this safe sex campaign use English to ensure the message is understood in all districts/cantons. 3. The Staubbach Falls at Lauterbrunnen have inspired artists for centuries. Goethe composed poems to their beauty. 4. Building, lnterlaken. Be careful where you're throwing your cows. 5. A landmark of Bern is the set of eleven fountains around the city centre. Built in the mid 1500s, my favourite is the Kindlifresserbrunnen - the Ogre Fountain. An ogre eating children is always a good subject. 6. Freddie tv1ercury, tv1ontreux. Freddie tv1ercury died of bronchopneumonia induced by AIDS on November 24, 1991, only one day after publicly acknowledging he had the disease. This statue by sculptor Irena Sedlecka was erected as a tribute to tv1ercury. Beginning in 2003, fans from around the world gather in Switzerland annually to pay tribute to the singer as part of the "Freddie Mercury tv1ontreux Memorial Day" on the first weekend of September. The statue overlooks Lake Geneva and was unveiled on November 25, 1996 by Freddie's father and Montserrat Caballe. 7. Public Noticeboard, Zurich. Nice to be in a society where an openly gay notice can be posted on a public noticeboard and not attract negative comments or graffiti. 8. Geneva. The famous Jet D'eau shoots up 140 metres above Lake Geneva. At any given time the fountain has several tonnes of water up in the air. 9. Ice Palace. Within the Sphinx meteorological station at Jungfraujoch, at 3544 metres above sea level the highest train station in Europe. 24 October - November 2008 Talkabout 25 So can you cook? No 32 Tiny morsels For some unknown reason, Medjool Date Sift icing sugar mixture into a bowl. cupcakes are suddenly de rigueur Combine coffee and boiling water. Stir for all occasions, from humble to Cupcakes coffee mixture into icing sugar mixture until sophisticated birthdays, to high smooth and at a desired consistency. (Fresh Medjool dates are available from teas, to picnics and barbeques. MAKES 12 most good greengrocers, and from the fresh Once considered the domain of food sections of supermarkets) kids' treats, they have become an 400g fresh Medjool dates, de-seeded and Chocolate Fruit art form within themselves, to the roughly chopped extent of having entire recipe books Cupcakes ¾ cup water written about them. It is hard to 2 teapoons instant coffee powder With Christmas approaching, these are a pick up a food or lifestyle magazine 1 teaspoon bicarb soda great festive treat. at the moment that doesn't have a 75g butter, softened 1 x 375g packet raisins, chopped coursely recipe for cupcakes in it. ¾ cup caster sugar 1 x 300g packet currants In a way it is understandable - they are 1 teaspoon vanilla extract 300g sultanas by their very size 'portion controlled', and 2 eggs 1 x 250g packet pitted prunes, chopped low mess and easy to make, as they don't 1¼ cups self-raising flour, sifted 160ml ( cup) Kahlua liqueur entail the amount of work that general cake Preheat oven to 180°C. Grease 12 x ½ cup 155g (¾ cup) firmly packed brown sugar making entails. They are easy to decorate, muffin pans or line with paper patty cases. 4 eggs as a smear of icing over the top is the Combine dates, water and coffee powder 150g (1 cup) plain flour everyday ideal. However, with the advent in a medium saucepan. Cook, stirring 75g (½cup) self-raising flour of more adventurous cake decorations in occasionally over medium heat for 5-7 50g (½ cup) cocoa powder both specialty stores and supermarkets, minutes or until dates are soft and liquid 250g dark chocolate, roughly chopped including silver and gold cachous, tiny dried is absorbed. Remove from heat and using a Cachous, to decorate wooden spoon stir in bicarb soda and butter. icing flowers and buds, decorating gels, and FROSTING Set aside for 10 minutes to cool slightly. the availability of items like sugared violets, 3 egg whites Transfer date mixture to a large mixing and dried lavender flowers and rosebuds 530g (3½ cups) icing sugar mixture bowl. Beat in caster sugar and vanilla until from places like Herbies' in Rozelle, a whole Combine the raisins, currants, sultanas, well combined. Add eggs one at a time, new world of exuberant decoration is now prunes and Kahlua in a large bowl. Cover mixing well between additions. available to everyone. and set aside, stirring occasionally, for 6 Gently fold in flour until combined. If you wish to adhere to childhood hours to macerate. Spoon mixture into prepared pans. Bake traditions, hundreds 'n thousands are still Preheat oven to 160°C. Line 24 x 80ml ( for 18-20 minutes or until dark golden and available, along with a whole other world of cup) capacity muffin pans with 2 layers of cooked through when tested. Stand in pans coloured 'sprinkle' decorations. Patty cake for 5 minutes, then turn onto a wire rack to paper patty cases. papers are also still available, and come in cool. Once cold, ice with coffee icing or dust Beat the butter and sugar in a bowl. Add the conventional or mini cupcake sizes. with icing sugar. eggs 1 at a time, beating well after each So break out your best silver, wash the addition. Fold in the combined flours and 3-tier cake stand and get ready to impress COFFEE ICING cocoa powder. Stir in the raisin mixture and you mother-in-law with a fantastic high 1½ cups icing sugar mixture chocolate. Spoon into pans. Bake for 35-40 tea this weekend with a selection of the 1 teaspoon instant coffee granules minutes or until cooked when tested. Set following tiny morsels. 2-3 tablespoons boiling water aside for 1 hour to cool. 26 October - November 2008 To make frosting use and electric beater Beat 185g of the butter and the brown top. If desired, decorate with gold cachous. to whisk the egg whites in a bowl until soft sugar with electric beaters until light and MAKES 12 peaks form. Add icing sugar and whisk to creamy. Add the eggs one at a time, beating combine. Spread cakes with frosting and well after each addition. Mix in 3 teaspoons Butterfly sprinkle over the cachous. of the coffee and chicory essence. MAKES24 Fold the flour and a pinch ofsalt alternately Cupcakes with thebuttermilkinto the creamedmixture 120g unsalted butter, softened Chocolate until well combined. Spoon evenly into the 180g (¾ cup)caster sugar patty cases and bake for 25-30 minutes, or 185g (1 ½ cups) self-raising flour Lamington Baby until just spongy to the touch. Leave to cool 125ml (½ cup) milk Cakes in the tray. 2 eggs To make the icing, combine the remaining 125ml (½ cup) thick (double) cream 4 eggs butter, remaining essence, the icing sugar 1 ½ tablespoons strawberry jam 1 cup caster sugar and 1 ½ tablespoons boiling water in a small Icing sugar, to dust 125g plain flour, sifted bowl. Spread a little icing over each cupcake Preheat oven to l 80°C. Line a flat 1 tablespoon cocao powder, sifted with a palette knife until evenly covered. bottomed 12-hole cupcake pan with paper 1 tablespoon butter, melted If desired, decorate with chocolate-coated patty cases. coffee beans. CHOCOLATE COCONUT COATING Beat the butter, sugar, flour milk and eggs MAKES24 150g quality dark chocolate with electric beaters on low speed, increase 100g copha (near butter in supermarket the speed and beat until pale and smooth. dairy case) Individual Milk Divide evenly among the cases and bake 100g desiccated coconut Chocolate for 30 minutes, or until cooked and golden. Preheat oven to 180°C. Grease and flour Transfer to a wire rack to cool. 12 individual or muffin tins. Cupcakes Cut shallow rounds from the centre of Put sugar and eggs into a mixing bowl 75g unsalted butter each cake using the point of a sharp knife, and whisk for 5 minutes until mixture is 75g milk chocolate, chopped then cut in half. Spoon 2 teaspoons of cream light and fluffy. 80g ( cup) firmly packed brown sugar into each cavity, top with 1 teaspoon jam Verygentlyfoldtheflourand cocao powder 2 eggs, lightly beaten and position two halves of the cake tops in through the mixture quickly, followed by the 60g (½ cup) self-raising flour the jam to resemble butterfly wings. Dust butter. with icing sugar. Pour into prepared pans and bake for 10 GANACHE MAKES 12 minutes, or until they spring back when 80g milk chocolate, chopped COOKING TIPS pressed in the centre. 2 tablespoons thick (double) cream When crumbing chicken, veal or pork Melt chocolate and copha together in a Preheat oven to 160°C. Line a flat- schnitzels, add ¼ cup grated parmesan double boiler (or a bowl over simmering bottomed 12-hole cupcake tray with paper to the breadcrumbs to give a really water) or microwave for 2 minutes. Stir until patty cases. delicious flavour. smooth. Put the butter and chocolate in a heatproof If you have large amounts of herbs left Using a fork or skewer, dip each sponge bowl, and melt over a saucepan ofsimmering over that you don't want to throw out, chop into liquid chocolate and then roll in water, ensuring the bowl doesn't touch them to desired consistency and make ice coconut. Leave to set on a wire rack. the water. Stir until melted and combined. cubes using them. This gives you individual MAKES 12 Remove the bowl from the heat, add the sugar and eggs and mix. Stir in flour. portions when you need them, which can be Coffee Cupcakes Transfer the mixture to a measuring jug made useable by placing in a fine sieve and and pour into the patty cases. Bake for holding under warm water until melted - or 195g unsalted butter, softened 20-25 minutes or until cooked. Leave in the if making a stew or casserole, just throw the 125g ( cup) soft brown sugar tins for 10 minutes, then transfer to a wire whole ice cube in the mixture. 2 eggs rack to cool. Make your own muesli with 2 cups All 1 tablespoon coffee & chicory essence To make the ganache, place the chocolate Bran, 1 cup rolled oats and ½ cup dried (with coffee & tea in supermarket) and cream into a heatproof bowl and melt cranberries. Add other fried fruits if desired. 155g (1 ¼ cups) self-raising flour and mix as above. Once the chocolate has To make a delicious Bircher muesli, soak 100ml buttermilk (in milk section of almost melted, remove from the heat and 1 cup rolled oats, ½ cup unsweetened apple supermarket) continue to stir until melted and smooth. juice and 1 cup natural skim-milk yoghurt 125g (1 cup) icing sugar Allow to cool for about 8 minutes or until in a bowl overnight. Before eating, grate a Preheat oven to 150°C. Line 2 x 50ml thickened slightly. Return the cakes to the Granny Smith apple and add to the mixture 12-hole cupcake pans with paper patty pans to keep them stable while you spread with ½ teaspoon cinnamon and ¼ cup dried cases. one heaped teaspoon ofthe ganache over the cranberries. Talkabout 27 Fresh at the Luncheon Club Come along and experience the warm welcome The Luncheon Club continues Service providers from community can provide a limited number of grocery to open for lunch for members organisations drop in during lunch items each month. If you would like to and guests on Monday and to see clients and talk about the range know more about the Larder, please Wednesdays, with the numbers of services they offer. The Bobby talk with Fred, the Coordinator at the of people attending increasing Goldsmith Foundation, ACON Housing Luncheon Club for more information, significantly over recent months. Project, Positive Central and the HIV or call 0400 446 712. The atmosphere at the Luncheon Community Team (South East Sydney The Luncheon Club also operates Club's home, the Gordon lbbett and Illawarra Area Health Service) are a small Clothes /Books/Small Items Activity Centre, 77 Kellick Street but a few of the faces who drop into the exchange, which is available to people in Waterloo is warm and welcoming, Centre regularly. need, and is open during Centre hours. and the staff and volunteers at The Luncheon Club Larder is On Monday 10th November the the Luncheon Club invite you to operational from 11am until 2.30 pm Luncheon Club will be celebrating its come along and experience lunch on Monday and Wednesday. We have annual birthday party with a special lunch for yourself. increased our output of groceries thanks and show at the Centre. We encourage all Lunch is now served at 12.30pm, and to accessing the Foodbank program. The members past and present, and donors the team in the kitchen delivers healthy, Larder is available to HIV positive people who have given generously, as well as nutritious meals that are varied, fresh on a pension or Newstart Allowance who prospective donors who want to know and interesting. are experiencing financial hardship, and more about us, to attend this event. dentla ;ervlces Testing & treatment for sexually transmissible Infections (STls) HIV testing. & counseUlng HtV treatment & management HIV spedaUst doctors Hepatffis· vaccinations Free condoms & lube Post Exposure ProphylaxlS (PEP) RPA Sexual Health Clinlc Ground floor. Page Building 119-143 Missenden Rd Camperdown 28 October - November 2008 by the consultant Ronald Woods and submitted on 26 September 2008. It made the following recommendations which I have summarised. Full version of the submission can be found on the NAPWA website: www.napwa.org.au 1. In view of the variable and episodic course ofHIVillnessin an ageingpopulation, Lance Feeney on the pension review people with HIV may have to move in and out of paid employment and the welfare system, as the state of their health demands. NAPWA supports any measures that might Concerns the pension system to ensure that any strengthen the financial security of seniors, carers and people with disabilities living Rises in the cost of living have led to changes are sustainable in the long term. with chronic illness and making the pension concerns that people on low incomes system more flexible. - particularly those dependent on the Response 2. The abilityofpeople with chronic illness maximum rate of pension with few assets Positive Life NSW welcomed this review. such as HIV/AIDS to maintain their health - may be finding it harder to make ends We understand the review has particular and well-being is severely compromised meet. The recent Senate Committee significance for people with HIV who by financial hardship and the stresses inquiry into the cost of living pressures receive a pension or part-pension, who associated with an ongoing daily struggle on older Australians found that people on are living with a partner who is receiving a to make ends meet. NAPWA supports any low incomes are disproportionally affected pension or part-pension, or who may need moves to increase the base rate of pensions, by rises in the cost of petrol, food, medical to apply for a pension in the future. with consideration to making the single care and rental accommodation. It also A meeting was immediately arranged rate of pension closer to 70 percent of the found the maximum rate of pension may with The National Association of People combined couple rate. be insufficient to maintain a basic, decent Living with HIV/AIDS (NAPWA- the peak 3. NAPWA supports any improvements standard of living. Those most at risk PLWHA organisation in Australia) and to public health, public housing and public of financial stress are single pensioners AFAO, to devise a coordinated response. transport provisions that would represent receiving the maximum rate ofpension and We agreed that delegates from each state and territory would attend the public concrete benefits to people reliant on income living in private rental accommodation. support. The committee acknowledged that certain consultations around Australia and draw attention to the multiple issues facing 4. NAPWA supports a range of groups are more likely to be wholly reliant people with HIV. NAPWA agreed to prepare supplementary payments and concessions on pensions, includingolderwomen, people a written submission and, assisted by State to people reliant upon income support. with severe disability or chronic illness, and Territory PLWHA groups (including Consideration could be given to ensuring and those whose earning ability has been Positive Life NSW), identified relevant issues, greater uptake of these entitlements through limited by their caring responsibilities. collected and documented case studies, and the provisionofpublicinformation andeasing of the administrative burden associated with Australian Federal Government's sourced statistical data for inclusion in the report. concessions such as the PBS Safety Net. Review of Disability Support 5. NAPWA supports any moves that make Pension, Aged Pension, and Public Consultation it easier for people with chronic illness such Carer's Payment The public consultation in NSW was very as HIV to find and keep work and reduce On 15 May 2008, Jenny Macklin MP well attended and many people spoke their dependency upon income support. announced a review into measures to about their financial hardship and difficulty The health care benefits implicit in receiving strengthen the financial security of seniors, surviving on the Aged Pension. The Cancer the DSP could be retained for those engaged carers and people with disability. This Council, people with intellectual disabilities in work, who are on low incomes. would include a review of the: and veterans were all represented, but to • Aged Pension my surprise, I was the only one who spoke Further information • Carer Payment about the issues faced by people with HIV/ If you would like to talk with me about • Disability Support Pension (DSP) AIDS who receive the DSP, theAged Pension any of the issues or require further or the Carer Payment. At the conclusion of information, contact: The Pension Review - what will the meeting, Dr Jeff Harmer (who has been Lance Feeney it do? appointed to lead the review) made specific Systemic Advocacy The Pension Review will investigate: reference in his closing remarksto the points Positive Life NSW • Appropriate levels of income support and I had raised, noting specific health related Call: (02) 9361 6011 allowances costs and other issues faced by people with Email: [email protected] • Frequency of payments and the structure HIV and other chronic health conditions Website:www.positvelife.org.au/systemic_ and payments of concessions and other and disabilities - a pleasing outcome. advocacy entitlements for Aged Pension, DSP and Pension Review: Background Paper, Australian Carer Payment recipients Submission Government, Department of families, Housing, • Carefully examine options for reforming The written submission was completed Community Services and Indigenous Affairs Talkabout 29 who was experienced and who was Taking new. There were presentations from a Finding diverse range of people, about their own the lead personal journey and the ways they saw your style advocacy operating, sometimes within, and sometimes outside, organisations. NAPWA (the National Malcolm Leech is a Board There were powerful presentations Association of People living Director with Positive Life from NAPWA Portfolio Convenors and NSW. He recently attended the with HIV/AIDS) organised Board members. These presentations a national HIV leadership set the tone for people to tell their National Association of People weekend in Sydney in July. stories of engagement, and how they living with HIV/AIDS (NAPWA) Talkabout asked John Rule, saw themselves as leaders. Another leadership weekend. NAPWA's Deputy Director, how important content feature was it all turned out. examining what leadership means, Why did you attend the leadership and what mentoring arrangements are weekend? available for people. There was also Of course there are different styles of Whatwas the aim ofthe leadership some discussion on significant advocacy weekend? leadership, and there's no one correct issues. The areas where people could way. I wanted to find out more about It took place in what would have been the engage their leadership skills were NAPWA's point of view as an agency, year ofthe biannual NAPWA Conference. mapped out as treatments advocacy, and what they determined leadership to The NAPWA Conferences provided a social policy advocacy and community be. I went with an open mind to learn welcome opportunity for positive people and cultural advocacy (this last one is about new ways of being a leader, and to come together and swap ideas. What particularly important for indigenous it gave me a lot of food for thought. It was needed now was to see ways an active people). While the first day was an was interesting to listen to the different national HIV positive leadership could exploration of leadership, the last day views of NAPWA about leadership be further developed and maintained. was a discussion about the big picture. styles, and to think about how I could As the 5th National HN Strategy ends, There were discussions about the kinds incorporate some of their styles into if positive people aren't going to provide of challenges we currently face, and what mine. My basic style is to be there when the leadership direction who is going to? our tactics and strategies should be, and people need advice and guidance. I like So member organisations agreed with the how to sustain HIV positive people in the supportive approach. idea of a leadership weekend in lieu of a the various leadership roles they occupy. biannual conference. Michael Hurley facilitated the What were some highlights for you? Each state and territory and associate weekend, and his skills were appreciated When we arrived on Friday night we started member organisations sent delegates, by everybody. Bill Whittaker (NAPWA's work and it went through to Sunday. It and that was a good process that ensured Treatments Portfolio Convenor) gave a was a very intensive weekend. Of course diversity. Women were well represented. very good presentation on the history the welcome to country was fantastic. There were a number of people from the of HIV positive advocacy work. There There were four delegates from each state Positive Aboriginal and Torres Straight was also a very thought provoking and territory. And one great highlight Islander Network, and Straight Arrows presentation from Jo Watson (NAPWA's was meeting people from all around the (a support organisation for HIV positive Executive Director) on where we are country, and getting to know them better. heterosexuals and their families in now in terms of the global picture and What experience did you bring to Victoria) and Positive Women Victoria drug development. the weekend? sent delegates. Some delegates had a lot of experience, and there were some who And what's the next step I've had a lot of experience managing had just stepped out on that path, but following on from this? people from a very young age through my they had all identified themselves or had The evaluations demonstrated that workin the theatre,and I'vebeen on various been identified from their organisations participants valued the chance to be part boards in the past from the performing as leaders or potential leaders. ofthe weekend, and found they had more arts to the AIDS Action Council in information and resources to continue Canberra. I've always found, depending on What kinds of things happened the work in their own areas. circumstances, you need to vary your style on the weekend? when working with different personalities. One of the first activities was drawing a NAPWA intends to follow it up by You also need to take culture into account. timeline over 25 years. People identified documenting some of the material The indigenous community has a different their entry point when they first engaged discussed attheweekend andwill circulate style for example, and all these different with HIV, or the HIV sector, on the a follow up report with interviews with ways of developing leadership skills can be timeline. This activity helped to indicate at least a number of the participants. appropriate. 30 October - November 2008 We have plenty of questions this time. I hope the exercises I suggested for home in the last issue have been used by some of you. Question one: with vitamins it is the antioxidants you It is not important to stretch before need to increase to help with training. working out, but it is important to keep Is there a best time of day to Remember it is not just vitamins you flexible. Many postural problems come exercise? may need to supplement your diet with. from a certain muscle group being It is slightly better to exercise in the It can be worthwhile consulting with tighter on one side of a joint, compared morning, because you are less likely to a variety of health care professionals to the muscle group on the opposite side. be distracted from your training session. to make sure you are getting the most A good example of this is lower back You will very rarely get a better offer from your body when you train. To get pain that often results from the muscles first thing in the morning. The main the results you want from exercise think of your hip flexors being too tight for thing to consider is when you have the about giving your system maximum most energy, and can fit training in your lower back muscles to hold your nutrition from the food you eat and around other commitments like eating, pelvis in a stable position. drink and from supplements (vitamins, medication, side effects and your own minerals, herbs etc). The most common muscles that busy schedule. The time of day which are tight in people are their chest, makes you most likely to exercise hamstrings, calf and hip flexor muscles. Question three: regularly is the best time of day to train. Next Talkabout issue I will show photos Many people find it hard to exercise Can exercise help my cholesterol? of stretches for these muscle groups. first thing when they get up, but try it Before you exercise or stretch it is very for a while. You may find you actually It sure can, though it does do it indirectly. important to warm up. This prepares can get used to it and that it fits into When you exercise you use fat as an your schedule well. If you feel crap for energy source for some of the exercise the muscles for effort by increasing the first few hours of the day because do. This helps lower the bad cholesterol blood flow to the area and increasing of medication side effects etc then in your system and thus increases the temperature within the target muscles. exercising once you have had breakfast ratio of good cholesterol in your blood. The easiest way to warm up before and let that settle for an hour or two, The more good cholesterol you have, exercising is to do some light reps such as in the early afternoon, may be the easier it is for your body to process (repetitions) of the exercise you are better. the bad cholesterol, and thus lower about to do. Start your chest workout your cholesterol overall. The exercise with incline dumbbell presses at 15kg which uses fat as fuel for your muscles Question two: for 10 reps then do a warm up set at is moderate exercise stuff where your 7kg for 10 reps. If you were training legs Are there any vitamins which are heart rate is probably only between 70 and backs another easy way to warm up good to take to help me improve my -130 beats per minute. So any little bit of would be five minutes on the rowing fitness or help me train? extra activity is good for burning fat and machine at about 50% effort. A dietician or nutritionist will know lowering cholesterol. more than me, but vitamin C is generally good for boosting the immune Question four: system and helping you recover from Do you have any fitness questions hard training quicker. Vitamin B is also How important is it to stretch before for Ingrid? Email them to: editor@ good for boosting energy and helping exercising? Are there any good positivelife.org.au you recover from hard work. In general stretches you can recommend? Talkabout 31 Is it really HIV no funny? longer Jason Appleby on how bar to South Park does HIV granting The first episode of the newest season of of US visa South Park ("Tonsil Trouble") begins with a scene not uncommon to many American for short sitcoms. (Eric) Cartman is convinced by his mother and a clever doctor that he should go visits to hospital to get his tonsils removed (with the promise of all the ice cream that he can eat). Michael Carter Barely skipping a beat, the scene changes to the hospital bed as Cartman recovers and is told by a very apologetic doctor that he has Being HI\/ positive will no longer been accidently infected with "HIV, the virus be a bar to the granting of a that causes AIDS". visa to visit the USA, according What follows is 21 minutes of discomforting to new rules issued by the jokes at the expense of almost all involved in HIV US Department of Homeland over the last twenty years. Many of the obvious Security. US consular officials will targets are there (the research sector, the diminished now have the authority to grant "visibility" of HIV in the broader community, visas for short visits to otherwise assumptions around transmission, Philadelphia, eligible HI\/ positive individuals Magic Johnson and many others). without having to obtain a special This isn't the first time that South Park creators "waiver." However a visa must be Matt Stone and Trey Parker have asked this question. obtained before travel to the US. The primary plot in the first episode of Season Six The new rule was announced on ("Jared has Aides") revolves around weight loss September 29th. It applies to people advocate Jared Fogle (the guy from the Subway with HIV who wish to visit the US for commercials) incurring the wrath of the town after up to 30 days. This is a transitional he announces that he lost weight because he has arrangement. aides (misinterpreted as AIDS). This episode ended HIV positive people who wish to with the people of South Park throwing a party make short visits to the US will need because finally they could make a joke about AIDS to apply to their local US consulate. A (after the miscommunication was cleared up). visa will be granted ifthey meet all the But what about this episode? Is it any good? Is normal conditions for the granting it funny? of a US visa. A granted visa will I've shown this episode to a fair number of people not mention HIV. But US consular (both HIV positive and negative) to see what they officials will have to be satisfied that think. And responses have been mixed. Very mixed. HIV positive visa applicants will not Should you watch it? Absolutely. Will you like it? engage in activities in the US that will Maybe. It is funny? Watch and find out. pose a threat to public health. Eligible The final verdict: 3.5 out of 5 HIV positive people will now be able to obtain a visa to visit the US on the Favourite quote: "I'm not just same day as they have an interview with a consular official. sure, I'm HIV Positive." www.aidsmap.com 32 October - November 2008 -~ • I The Joy of Pets Stormy When I got Stormy from the university (after they finished animal testing on her) she was kind of depressed, a bit of a loner, and couldn't be touched longer than two minutes. I am told she is a real killer where other pets are concerned and needs her own space. John Douglas is an Australian as such are a diverse selection of male Because she has FIV (cat-HIV) and one multimedia artistwhose exhibitions themed paintings from a diverse, eclectic eye dribbles, a former boyfriend called her have received acclaim and caused the radioactive eye. But what I like about artist. controversy both in his home her is that she is so courageous. She will The calendars are spiral-bound. Each country and internationally. His not put up with anything that annoys her month features a large image with a 2009 calendar 'Man Art' comprises and jumps up my leg and tells her version separate dates page with white space a selection if his male paintings. of the story if she is pissed off. for personal notes. Each page is a satin Lately I feel we have become a bit more The cover image (pictured) and coated print on l 70gsm high quality art intimate because in winter she sleeps the July image have previously been paper, the cover is on heavier paper. under my duvet. Being a Queenslander displayed in the window of The 29.7 x42cm Bookshop, Darlinghurst. The October she can't cope with Sydney weather. For $26.40AUD painting belongs to a series which was me having so much skin to skin contact Preview or purchase online through exhibited in John's solo show "I Am leaves me in no need for human bed redbubble: http://www.redbubble.com/ Your Secret Judge" for the Sydney Gay sharing. The only thing we have to work people/johndouglas/calendars/1712136- on is the fish breath when kissing:) and Lesbian Mardi Gras; one of five solo exhibitions Douglas has produced for 1-man-art or by going to John Douglas's Pavel the Mardi Gras cultural festival. art website: www.JohnDouglasArt.com Many of the thirteen paintings chosen and clicking on Merchandise. Would you like to see your pet in for the calendar are self-portraits, in a John has recently created a men only Talkaboutt Send in your photo and how range of styles over a period spanning international online arts community you feel about your pet (up to 200 words) several years. This is the first time a (also) called Man Art, which is to [email protected] calendar of John Douglas's gay male free to join and can be accessed by: paintings is available for purchase, and www.manart.ning.com Talkabout 33 ALA All Letters Answered LTR Long Term Relationship GSOH Good Sense of Humour NS Non Smoker Olga's ISO Looking For DTE Down To Earth personals WLTM Would Like To Meet GAM Gay Asian Male GWM Gay White Male TLC Tender Loving Care When placing and answering Men Seeking Men looking for mates and more. 6ft 3, brown hair and personals eyes, ok looking. I'm DTE with GSOH. Into music, Attractive and Affectionate GAM. 42/173cm/63kg. Be clear about who you are and what you are Healthy, Athletic, Toned and Versatile. Non Scene, movies. Open minded and fun to be with. Want a Non Smoking. Looking for a soul mate to enjoy life pen pal and whatever else happens. Reply: 150508 looking for. Too much detail can be boring, and too little may be too vague. Be honest with. Athletic Masc GWM most welcome. Reply: Greek 31 years, very fit, attractive HIV + male, 100108 accounting finance student (Parramatta area) ISO to avoid disappointment for you and your Mid North Coast 33 yo dude in boardies. Recently specifically to make friends and have LTR with correspondent. HIV+ & seeking mates, partner, picket fence even. other Greek guys. Must be very honest, healthy and Do not give out your work or home address, I'm nvs (not very serious). But am very fclg (funny, hygienic. I am very straight acting and DTE Reply: telephone number or email address until you cute, loyal, genuine) Fit 'n healthy, non judgmental 160608 country lad that cooks, cleans and has power tools. think you can trust the person. Use a Hotmail Reply011007 46, HIV pos guy SW Sydney would like to meet or Yahoo address. pos guys to 55 for fun times and with a view to a Attractive 51 yo + Euro guy. SW Sydney, 185 cm, Like you, other people may be anonymous. 92 kg blonde/brown hair, hazel eyes, smooth body, relationship. Reply: 100708 You can't always believe everything you are professional working guy. GSOH DTE versatile 31 yo Kiwi guy living in Rooty Hill, NSW. I'm told. tactile. Enjoys dinners & quiet times etc. WLTM affectionate, passionate, good looks. HIV+ 5 years. toned smooth bodied 40 - 50 yo versatile GWM. A Looking for a guy(s) to share good times with and When meeting someone: professional working guy, who has a similar outlook life. Into honesty, easy going, sensual and sexually and lifestyle, for a monogamous LTR. Reply 031007 Have reasonable expectations. Don't let your uninhibited people. Age, nationality and beliefs fantasies run away with you - how somebody Looking for a cuddle buddy. Hi guys I am 38 years no barrier. I'm very open, strong and happy. ALA seems might not be who they are face-to-face. old working guy living in the Inner west. ISO a Reply: 150708 normal guy to share a bit of affection with. Prefer a Meet for the first time in a busy public place, Newcastle, early 40s HIV+ seeking friends, guy who is working and has a stable life. Love kissing like a bar or club, or with friends. You can go to and cuddling. Looking to meet a guy to the age of relationship, partner with similar to 45. I have many a private place after you have met the person 45. I am an Aussie guy, hairy with a stocky build. interests: music, some sports GSOH. Live Alone. Needing the touch of a man. Reply081007 Genuine and versatile. Reply: 261008 and think you can trust them. Don't rely on the City located. Crossdresser. V pretty, good cook, loves other person for transport. fun times. WLTM guy with 'it' factor & chemistry Men Seeking Women Let someone know who you are meeting and attractiveness. ALA promise. Reply 111007 Seeking free spirited, loving soul mate. I am a where. You can leave a note, keep a diary, email Hung young looking 40 HN+ I'm single, discreet, youthful male in his 40s, from Melbourne, who a friend, or ask someone to phone you on your live alone, healthy beach side lifestyle in Noosa. would like to spend some quality time with a mobile to make sure you are alright. Smooth, defined, blond brown hair and eyes. Small lady who accepts my HIV positive status. I travel Apply commonsense and the basic rules of athletic build type bloke. Adventurous versatile top interstate occasionally. I do not consider that I am seeking passive versatile HIV+ bottom boy to butt personal safety. Maintain a healthy degree of compromised by this status. Reply: 190808 worship, love and adore. No drama, gossip or blame suspicion: if anything seems odd, be careful. games, 4 a day, a lifetime, or longer. Reply: 171207 47 yo +ve male, Sydney (European), gentle, sincere, Sydney Ryde Area. Male 42 HIV pos since May 2007. hard working, intelligent, healthy, affectionate with How to respond to a personal 70 kg, 5 ft 9. Passive submissive seeking a dominant two wonderful children, seeks kind hearted lady to Write your response letter and seal it in an top guy in 30s or 40s. I like straight acting guys with share family life (single mums welcome). Migrated envelope with a 50c stamp on it - Write the last year, love Australia. WLT correspond and meet good builds and cut. - Have a foot fetish and I like reply number in pencil on the outside - Place light bondage. Reply: 070108 with possible view to LTR Reply: 010607 this envelope in a separate envelope and send it Country guy, 43, poz, 183 cm, 73 kg, slim build, HIV+ undetectable and well, young looking, 48 to Olga's Personals, PO Box 831, Darlinghurst hairy chest, non scene and working. Interests are looking for a woman under 40, healthy like me, country life, animals, gardening and markets to non-smoker, non- drinker, for company and sharing 1300. name a few. Seeking someone special and LTR. experiences. Sydney. Reply210808 Might be sincere, passive, no time wasters. Prefer How to place a personal someone over 30 and NS. You never know until you For Friendship Write an ad of up to 40 words - Claims that have a go. Reply 190408 you are hiv negative or claims about blood Easy going man in late 40s, looks and feels like I am Mid North Coast 50 yrs young, affectionate with test results cannot be made. However, claims magic hands and lips, healthy HN+, 5ft 8, medium in my 30s. Unaffected by my HIV+ status, looking build, versatile, DTE, GSOH. Likes laughable for male and female friendships. I am good company, that you are hiv positive are welcome and lifestyle, looking for friendship/LTR, age open. ALA have lots of interests and can communicate and encouraged - Any personal that refers to illegal Reply 220408 talk about almost any subject. Nothing to tie me activityor is racist or sexistwill not be published Nice guy 43 HN+ eastern European bottom like down (kids are now adults). Looking for down to - Send the personal to Olga, including your to meet nice guy with good shape for LTR for good earth people for friend/relationship. Solid build/ name and address for replies. Personal details times, quiet nights and to be happy together Reply average looks, experience and intelligence. Live in strictly confidential. 090508 Sydney. Will reply to all mail including people from Locked up and lonely! 31 yr old HIV+ guy in jail, interstate. Reply021107 34 October - November 2008 You can use this form to apply for Membership or subscribe to Talkabout. Please remember to sign the How to contact Positive ~"' NSW form. 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Key messages focus on transmission, the importance of testing for syphilis and strategies to prevent them from getting or Let's talk about it (me, you and sex): a facilitator's resource & passing it on to their partners. workshop guide on positive sexuality. (160 pages) All resources listed are free of charge. Positive Life NSW Fax: 02 9360 3504 Ph: 02 9361 6011 For large orders we will invoice you for postage. PO Box 831 Email: [email protected] Mail, Fax or Email Order to: Darlinghurst NSW 1300 Website: www.positivelife.org.au ~ 1id1linlbll3!CJ!IMJ.~~la!llludu1@:R-i-S[mij 1 1 1 mwm~~-~-mudlil1m ui1 rnn1,., ~i:mmGm:imm~llf.e"@iiiJ,,11ffj)~ -e:=ld41fililiuEGi\11iilfrEF-'lbJ•uri1 !iII•IPliW!b -•■i.W, ...... - .. •···--•· World rl I C ~1~1 llll'\i._ Ni', f '\ • ~ e • 1• ,_y, - 1t1 'I I j, I• AIDS Day 1988-2008