January / February 2002 January / February 2002 • Volume 13 Number 1 9 Editor’s Note 19 ICAAC Update 13 From TPAN by Enid Vázquez 27 The 2002 HIV Drug Guide 16 Readers’ Forum complied by Charles Clifton, Glen 22 News Briefs Articles Pietrandoni, R.Ph. and Enid Vázquez by Enid Vázquez 27 Antiretroviral Therapy 2002 58 Positive Empowerment by Carlos H. Zambrano, M.D. Departments by Kevin Lisboa 28 AIDS 2002: 60 Radical Red Still Room for Improvement by Laura Jones by Matt Sharp 62 Medicine Chest 52 Drugs in Development by Glen Pietrandoni, R.Ph. 53 Drug Tips 64 The Buzz by Enid Vázquez by Daniel S. Berger, M.D. 54 Living with Yoga 66 Pickett Fences by Per Erez by Jim Pickett 56 Microbicides: Prevention Tool 68 TPAN Calendar of Events of the Future 69 TPAN Programs by Kaethe Morris Hoffer and Grisel Robles 70 Positively Aware 2001 Index complied by Jeff Berry A model, photograph, or author’s HIV status should not be assumed based on their appearance in Positively Aware. You can view these (and other stories from previous issues) online at is the official and exclusive airline of Positively Aware http://www.tpan.com www.tpan.com Positively Aware • January / February 2002 5 Keeping the faith Over the last few months I’ve come to realize resources, and collaborate together in ways never a few things about the AIDS movement. There are previously thought necessary. many people in this struggle who are suffering Race, sexuality, and HIV status… it doesn’t from burnout. I was one of them. I also understand matter. In the post-September 11, 2001 environ- that there are lots of angry people out there. I’m ment, we have to combine our resources and strate- still one of those. However, I’ve learned that when gize together more than ever. Our over-arching anger and fatigue are not processed properly they challenge as a community seeking to stop AIDS is can be dangerous weapons. I’ve seen these weapons to work together, communicate with each other, to used viciously by Chicago’s and the nation’s “lead- be as honest as possible about our needs, desires and ing” HIV advocates. I’ve also recognized that my behaviors. My challenge to you, as people living in exhaustion and frustration stems from a belief that the age of AIDS, is to closely re-examine your atti- we—as an AIDS community—are feeding shame- tudes and your behaviors, because we are the only lessly on each other, rather than trying to address ones who will curb the spread of HIV.It will not be the real issues facing us. easy. And as the last 20 years demonstrate, there will During the last 20 years, seropositive and be missteps. But we can do this, again. We have to. seronegative individuals have lived and worked We can protect each other, as we protect ourselves. together through one of the most difficult sexual As survivors of the last two decades of AIDS, and health challenges in the history of humankind. we have a duty to those who have left this life, to It is time to take stock of what we have achieved. our current lovers and partners, to our friends and AIDS has challenged our sexual mores in ways families, and to ourselves to ensure that events of never again dreamed humanly possible. This strug- the early 1980s do not happen again. If you are gle has not been easy. There have been many HIV-positive, the challenge is to stay healthy. If you deaths. However, we have risen to the occasion and are HIV-negative, the challenge is to stay healthy. responded to the challenge. We struggled against We are a living testament to the last 20 years. Be stigmas and prejudices. We redefined sex and sex- healthy. Stay alive. uality. We reconfigured notions of commitment and community. We fought government inaction. Achieve. Survive. We confronted corporate greed. These accom- plishments should be acknowledged and celebrat- ed. Everyone should be applauded for fighting a good battle over the last 20 years. Charles E. Clifton However, the battle against AIDS is not over. Editor There are new challenges on the horizon for all of Send comments and reactions to us. We can not allow ourselves to become compla- [email protected] cent and careless. We must have answers to the questions of how and why HIV manifests itself dif- Sometimes the words that we most fear saying ferently from one individual to another. We may are the words that are most needed. When I wrote my not like the answers, but we must search for them last editorial I feared that I would be crucified. regardless. We can not allow cutting-edge HIV pre- However, the feedback I’ve received from so many vention and treatment education programs to get people has been food for my soul. Thanks to some good lost among governmental red tape or irresponsible advice, I took some time off and spent some quality Photo by Russell McGonagle behaviors. We must recommit ourselves, seek out time with my partner, our dogs, and my family. www.tpan.com Positively Aware • January / February 2002 9 Serving the Test Positive Aware Network HIV/AIDS 5537 North Broadway community in over Chicago, IL 60640 phone: (773) 989-9400 30 locations fax: (773) 989-9494 e-mail: [email protected] nationwide! http://www.tpan.com Editor Charles E. Clifton We provide: Associate Editor Enid Vázquez Advertising and One source for all your Distribution medications Manager/ Editorial Assistant Jeff Berry Private one-on-one National Advertising Representative Rivendell Marketing consultations 212-242-6863 Coordination and filing of Executive Director Dennis Hartke For the StatScript Pharmacy nearest insurances Business Director Rick Bejlovec you, or to enroll in our home delivery service, simply call: Contributing HIV-certified pharmacists Reporters Michael Barnett 800.869.6593 Daniel S. Berger, M.D. Anthony Clark Laura Jones www.statscript.com Jim Pickett Glen Pietrandoni, R. Ph. Keith Waltrip, LPC Berlin and Test Positive Aware Network Art Direction Russell McGonagle invite you to our © 2002, Test Positive Aware Network, Inc. For reprint permission, contact Jeff Berry. Six issues HIV-positive Cocktail Hour mailed bulkrate for $25 donation; mailed free to TPAN members or those unable to contribute. Join us every Thursday TPAN is an Illinois not-for-profit corporation, providing information and support to anyone con- 6:00–10:00 PM cerned with HIV and AIDS issues. A person’s HIV sta- at Berlin, 954 W. Belmont Ave. tus should not be assumed based on his or her article or photograph in Positively Aware,membership in TPAN, or contributions to this journal. A friendly We encourage contribution of articles covering medical or personal aspects of HIV/AIDS. We reserve and safe the right to edit or decline submitted articles. When published, the articles become the property of TPAN environment and its assigns. You may use your actual name or a pseudonym for publication, but please include your for TPAN name and phone number. Opinions expressed in Positively Aware are not members necessarily those of staff or membership or TPAN, its and supporters and sponsors, or distributing agencies. Information, resources, and advertising in Positively friends Aware do not constitute endorsement or recommen- dation of any medical treatment or product. to gather TPAN recommends that all medical treatments or products be discussed thoroughly and frankly with a and socialize. licensed and fully HIV-informed medical practition- er, preferably a personal physician. Although Positively Aware takes great care to And there’s Free Pizza!!! ensure the accuracy of all the information that it pres- ents, Positively Aware staff and volunteers, TPAN, or the institutions and personnel who provide us with Test Positive Aware Network 5537 North Broadway information cannot be held responsible for any dam- ages, direct or consequential, that arise from use of Chicago, IL 60640 (773) 989-9400 www.tpan.com this material or due to errors contained herein. 12 Positively Aware • January / February 2002 www.tpan.com A new year—Reflections and continued hope new year. A time for renewal—new resolu- is there even realistic talk of a cure. Rather, atten- tions (which I swear I’ll keep this year!), a tion continues to focus on drug resistance, treat- A new location for this agency, new commit- ment adherence and sustainability over many years, ment, new hope. It is also a time to reflect. A time and when to start treatment (now in vogue: delay to reflect on 2001, a year like no other for most of treatment and the possibility of structured treat- us. A time to reflect on our lives. A time to reflect ment interruptions). on this continuing struggle with HIV and AIDS. Ten years. Tens of thousands dead in this Positively Aware,January 1992, “Keeping country; millions dead across the globe. Millions Watch on HIV: Drugs vs. AIDS” (reprinted from more infected. Barrons, 12/16/91)—“The most intriguing ideas on But I remain hopeful. Despite the continued attacking the AIDS virus, like preventive vaccines contraction of the pharmaceutical industry into and more sophisticated genetic therapy approach- fewer and bigger companies in which AIDS med- es remain perhaps a decade or more away from ications become less important to the bottom line. fruition.”… “We’ve just finished the first five years Despite the emergence of a “new wave” of HIV of a 30-year program….” infection among young women and men. Despite In January 1992 there were two approved the staggering number of infected humans in drugs for combating HIV—AZT (approved since Africa and around the globe.