Word on the Street: What You Should Know from the Community  | July 2016
"Word on the Street" is disseminated quarterly to inform CAPS/UCSF PRC of new developments, issues, programs, policy agendas, etc. that are happening in, affecting, and are of interest to the community. 
In This Issue
  1. Prevention and Care Integration and the "Getting to Zero" Initiative 
  2. UCSF PRC Prevention Forum (PRC-PF)
  3. Oakland TGA Collaborative Community Planning Council (CCPC)
  4. San Francisco EMA HIV Community Planning Council (HCPC)
  5. Bay Area State of Emergency (BASE)
  6. 29th Annual East Bay HIV Update
State of California Prevention and Care Integration: Laying the Foundation for Getting to Zero Initiative

A draft plan – highlighting four Goals and related Objectives that align with the National HIV/AIDS Strategy – has been developed with expected results in 2021.  The draft is being shared broadly with HIV/AIDS service providers, local health departments, HIV advocates, etc. for feedback.  

See draft of "California’s Integrated HIV Surveillance, Prevention and Care Plan
UCSF PRC Prevention Forum (PRC-PF)
March 18, 2016
  The UCSF PRC-PF, consisting of CAPS, community-based organizations, local health department, and HIV/AIDS service providers, met on March 18, 2016.   
  • Alameda County Public Health Department (ACPHD), Office of AIDS Administration (OAA) has received 3-year funding to pay for PrEP, support social marketing, and strengthen prevention.
  • Resources are being put into hepatitis C testing in Alameda County – the plan is to treat the whole county.
  • States, including California, are being required to integrate prevention and care planning; California’s integration will include “getting to zero” objectives.
  • Women Organized to Respond to Life-threatening Diseases (WORLD) is seeking partnerships that will help the organization secure prevention research grants that address women and HIV.
Oakland TGA Collaborative Community Planning Council (CCPC)
April 27, 2016:
  • State Office of AIDS (OA) staff reported that they are required to integrate prevention and care and are in the process of developing the integrated plan
  • Alameda County is involved in a State run out of/linkage to care pilot project
  • Community-based organizations report that they don’t have the capacity to respond to grants and are in need of grant writing training/technical assistance and/or partnering with organizations that have the expertise. 
  • A call for members is planned to address low Council membership
June 22, 2016
  • TGA’s 5-year integrated plan is being developed.
San Francisco EMA HIV Community Planning Council (HCPC)
May 23, 2016 - The San Francisco EMA HIV Health Services Planning Council (HHSPC) and the HIV Prevention Planning Council (HPPC) approved a motion to dissolve both groups and integrate planning efforts under the HIV Community Planning Council – the merged Council

June 27, 2016: 
  • Change in leadership - newly nominated Council leadership (e.g., Council Co-Chairs, Committee Co-Chairs, At-Large members) was voted into office.
  • 7 Centers of Excellence exist in San Francisco and were the point of discussion during a presentation of HRSA services categories.
  • The Council voted to support “The Dignity Fund” which is headed for the November 8th Ballot.  This proposed legislation, expected to provide $800 million over a 20 year period, will ensure that San Francisco seniors and adults with disabilities (including older adults with HIV/AIDS) are able to live with dignity, independence, and choice in their homes and communities.  
Bay Area State of Emergency (BASE)
The BASE Coalition – representing community- and faith-based organizations, and concerned citizens – exist to address the emergency in HIV/AIDS among African Americans. The Coalition:
  • Is seeking partnerships that are open to exploring HIV prevention research ideas that consider socio-economic and psychosocial drivers (e.g., trauma, esteem, family and community connectedness, etc.) in understanding and addressing reasons for the persistent HIV and related health disparities that afflict African Americans.
  • Is interested in partnerships that address scale up of PrEP and testing, treatment and adherence.   
29th Annual East Bay HIV Update
This annual conference brought together people infected and affected by HIV including HIV service providers, community- and faith-based organizations, HIV advocates and policy makers, etc. to discuss and/or receive training.

Conference Highlights/Takeaways
  • Although care cascade measures are improving in general, significant improvement is noted more so at the beginning of the care continuum than the end
  • Disparities continue: lifetime HIV risk is highest for Black males, Black females, MSM, people living in certain southern states and the District of Columbia; and lifetime risk of Black/African Americans MSM is 1 in 2.
  • Moderate to high HIV prevention efficacy established for 1) early ART among serodiscordant F+M couples, 2) MSM’s use of PrEP,  3) use of the dapivirine vaginal ring among women, 4) injectable Cabotegravir LA in low-risk HIV – men, 5) new antiretroviral therapies
  • Three-month STI testing frequency of PrEP users identify 35% of infections that would be missed with six-month testing
  • PLWH who aren’t in care transmit over 90% of new infections
  • Trauma informed care – the question isn’t “what is wrong with you” but “what happened to you”
  • Intersectionality and related research is important in addressing HIV
  • Serosorting/seroadaptive strategies, PrEP, and efficient online sex access is leading to an increase in bacterial STIs among MSMs
  • MSM syphilis rates approaching rates reported in 1980s
  • Self-collected GC/CT testing is acceptable to MSM, performs well, and potential addresses provider barriers
  • 2014 CDC Clinical Practice Guidelines for PrEP prevention of HIV infection highlight the role of primary care in HIV PrEP delivery http://www.cdc.gov/hiv/pdf/prepguidelines2014.pdf
For more highlights and takeaways, access conference presentations/training materials at: http://bayareaaetc.org/resource-item/2016-east-bay-hiv-update/
If you have questions or need more information, please contact Barbara:

Barbara Green-Ajufo, DrPH, MPH
Research Partnership Manager
Technology and Information Exchange (TIE) Core
Phone: (415) 476-6362
Email: barbara.green-ajufo@ucsf.edu
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The mission of Center for AIDS Prevention Studies is to end the HIV epidemic and associated health and social disparities by conducting high impact HIV prevention science and building capacity among researchers and communities to effectively address HIV.

The mission of the UCSF Prevention Research Center is to maintain an interdependent network of community, academic, and public health partners to design and implement prevention research aimed at answering significant and innovative HIV research questions and promoting the wide use of practices proven to promote health for those infected and affected by HIV.  
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