All Grown Up With HIV

The current edition of POZ magazine has an article titled “All Grown Up with HIV”. It features 4 individuals who were infected with HIV as youth. Two were infected perinatally and two were infected behaviorally as teenagers. I’m featuring the 2 individuals who were infected perinatally as that is the topic of this blog. 

Thirty years into the epidemic, a new crop of kids faces adulthood—with HIV. From babies born with the virus to teens who acquired it behaviorally, members of this new generation struggle to navigate survival while making their way through the world. The stories of these four brave young people are examples for how to succeed in spite of HIV. They also serve as cautionary tales, reminding us of the price we pay for not teaching our children well. Let lessons be learned.

Lafayette Sanders, 24, West Philadelphia, 
Perinatally Infected
Having found power in disclosure and self-advocacy, musician Lafayette has found a new life. Now that he has broken down his own stereotypes about HIV, Lafayette is trying to help other people do the same.

I was in the doctor’s office. I was 13; it was a few months after my mother passed away. My grandmother took me for a checkup, and I was then told about me being HIV positive. My grandmother knew what I didn’t: My mom died of HIV, HIV that she passed along to me. They told me, and I took the meds but didn’t learn anything about HIV. At that age, I had no idea about the stigma or life spans. Having to take medications was like taking vitamins: You don’t know what it’s for, you just do it ’cause it’s good for you.

And then high school hit. I started to hang around kids my age, and everybody was talking about sex, and HIV came up in the picture. I wanted to tell them I was positive, but I didn’t know that much about it to tell and to be able to defend myself. I didn’t want to be looked at as different. So I didn’t disclose. There were so many feelings, and I was so angry for so long. It took me a long time to get over the anger at my mom—that she didn’t tell me herself, when we were so close and shared everything, and then to find out this big thing and to deal with it on my own. I was angry at her, God, myself, everybody. And then there was my grandmother. My grandmother was the primary guardian to my sister and me after my mother passed. My sister, who is not HIV positive, was too young to remember my mother’s death. My grandmother, who is a sweet and caring woman but also very traditional, put me in a box of fear. She made me believe that disclosing my status would change how people treated me, how they looked at me. It wasn’t true, to me—I knew someday people would understand and accept me for me.

When I was maybe 17 or 18, I woke up every day thinking about HIV and [I wanted to make it go away, to pretend it wasn’t there] so I stopped taking medication. I would hide it, pretend. I was young and irresponsible. And I was having sex.

The turning point came with my last two girlfriends. I disclosed to [the first one] right off the bat. Still we were reckless and irresponsible, and she got pregnant. She had a miscarriage, and to this day she’s negative. Second relationship, almost the same thing. She had an abortion. I was sitting in an abortion clinic, and I thought, “How the hell did I end up here? I’m reckless, and the people I’m with are reckless.” That was my wake-up call, the moment of “You have to get your shit together.”

I hooked up with iChoose2live [a youth organization designed to encourage self-esteem and awareness about HIV and other issues]. I thank God for everyone He has placed in and out of my life. He uses who He chooses when He chooses. If it weren’t for me meeting [hip-hop artist] Lee Mekhai at a show in Philly, I wouldn’t have found out about iChoose2live and the founder Shenille Melton. That opened a lot of doors for me as far as reaching the youth.

Since I had already taken a course for certification in HIV Peer Education through Philadelphia FIGHT’s program, Project TEACH, I thought about disclosing my status. For 10 years, my grandmother was the voice discouraging me from disclosing. I was secluded. She drilled into me that disclosing was not safe, that “the neighbors are gonna look at you this way, no one is gonna look at you the same way or accept you.” But as I began to educate myself about the virus, how it works and what it does, I began to lose the fear of disclosing. Then after I linked up with iChoose2live, I came out in a big way through interviews and the work [I did with that group].

My grandmother kicked me out when I told her I would be doing an open interview about me being positive with The Philadelphia Inquirer, which [was published] on September 13, 2010. [At that time,] I had no job, no money, I was struggling. But a lot of positive things came from my disclosure. People emailed me to thank me for being honest about my HIV status. I was intrigued and blessed that my story could help others. I started speaking to groups at the children’s hospital. Kids looked up to me.

I’ve learned that kids in public schools aren’t being taught what they really need to know. HIV is that disease that’s swept under the rug; no one talks about it. And youth are spreading [the virus] because they’re uneducated, misinformed and not being reached out to enough. I honestly think there should be mandatory classes in all middle schools through college for educating about HIV/AIDS [and other sexually transmitted infections].

Positive people my age need to be out there. You can’t have a 48-year-old man talking to kids about this. No one listens. You need someone like me, someone who is living with [HIV]—then it becomes more real. It’s a great feeling to be able to do that. And that’s just me! One person. Imagine if everyone was doing it, if everyone got together. We may not be able to stop this pandemic, but we can inform, educate and empower, and we can slow down the rates of HIV transmission.

I would like to write a book about my life living with HIV and just my life in general. I know my story and experiences within these past 24 years can help educate, empower and change other people’s lives—people of all ages. My story will heal lives all over and most importantly let everyone know the power of God. He’s the only reason why I’m still alive and healthy.

I’m looking forward to the future, staying healthy and changing people’s lives.

Paige Rawl, 17, Indianapolis, Perinatally Infected
She is a high school student, an athlete, a teen. Having encountered and overcome enormous stigma, Paige has flourished—making a place for herself in a world that hasn’t figured out how to make a place for youth living life with HIV.

My name is Paige, and I’ve been positive for 17 years. My mom unknowingly passed it on to me, and she found out her status right before I turned 3. She contracted the disease from my father—we’re not sure how or when he contracted HIV. That’s just the way it goes.

My mom told me I was positive when I was in fifth grade. But I didn’t get it. I took the pills because that’s what you do when you’re young and your mom gives you pills. And then middle school happened.

In sixth grade I confided in my best friend; I told her I’d been HIV positive since birth. Within two weeks, she had told her sister and other people, and they told others, and eventually the whole school knew. Everyone. People threatened to beat me up; they left a note on my locker saying “No AIDS at [school name].” They gave me a nickname: “PAIDS.” They told each other not to drink after me, as if HIV was contagious [that way]. I went from [being] popular to having no friends.

In eighth grade, I made the soccer team. I was going to be part of a team. Then someone told my coach I had AIDS. At our first away game, my coach approached me on the bench, in front of other players, and asked, “By the way, I heard that you have AIDS. Is that true?” I said no, because I don’t have AIDS, I am HIV positive and there is a difference.

I was so upset. This was a coach. Someone who should know. I told mom, who confronted my coach at school. She admitted to asking me and went on to say, “The soccer team could use my HIV status to an advantage, and the other team will be afraid, and I can score goals.” I withdrew from the school and finished out my year with homeschooling.

My mother has been so supportive. And my family. I didn’t have to disclose to them; my mom told them before she even told me. But you need support of different kinds. Since the bullying, the coach, the discrimination, I’ve started seeing a counselor and started taking an antidepressant. It’s OK to look for help, and it’s OK to get help.

I realized that I can help other people too. I wanted to take a bad situation and turn it into something good by helping others know about HIV and the precautions they should take. So I became a peer sex educator and a certified HIV/AIDS educator through the American Red Cross.

I also started looking for support groups and even tried to start one. I searched the Internet, I asked questions, and I was referred to Camp Kindle [a free summer camp for kids living with or affected by the virus]. Meeting other kids [like me] has given me people to talk to, people who can relate to what I’m going through.

These days, I am open about my status to everyone. I take the time to speak to my peers, raise awareness and share my story. Funny, after disclosing to my former best friend in sixth grade and it spreading through the school, it just became easier to tell people who didn’t already know. For the most part, there’s a positive response. The fear that I should not have disclosed my status so soon just doesn’t exist anymore.

I know firsthand that there are still big misconceptions out there about how you can and cannot contract HIV. [We need] more education among youth in the U.S., and there should be more support groups. Youth need to see themselves reflected in what’s taught, in the information they are given.

The hardest part about living with HIV is the stigma that goes along with it. But I have hope. Two years ago, I was the freshman class president, on the JV cheerleading squad and on the soccer team. Last year, I was part of the student government and on the varsity squad. I volunteer, I share my story, I travel. I have hope.

Grab the Waiting Child Slideshow Button

Please help advocate for orphans with HIV by adding the photolisting slideshow (see left sidebar) to your blogs and social media. Please contact me if you would like help adding the slideshow to your websites or if the slideshow is too wide for your sidebar. In blogger, I believe you add an html widget (not a slideshow widget).

Here are the Codes:

STANDARD SLIDESHOW CODE:

<object type=”application/x-shockwave-flash” data=”http://www.slideroll.com/player.swf?s=0jjqnyh0&nocache=1&nologo=0&#8243; id=”slideshow” base=”http://www.slideroll.com&#8221; width=”250″ height=”250″ wmode=”transparent” scale=”noscale” salign=”tl” allowScriptAccess=”always” allowNetworking=”all”> <param name=”base” value=”http://www.slideroll.com&#8221; /> <param name=”movie” value=”http://www.slideroll.com/player.swf?s=0jjqnyh0&nologo=0&#8243; /> <param name=”s” value=”0jjqnyh0″ /> <param name=”scale” value=”noscale” /> <param name=”salign” value=”tl” /> <param name=”wmode” value=”transparent” /> <param name=”allowFullScreen” value=”true” /> <param name=”allowScriptAccess” value=”always” /> <param name=”allowNetworking” value=”all” /><!– embedded thumbnail –><a href=”http://slideroll.com/?s=0jjqnyh0&#8243; target=”_blank”><img src=”http://slideroll.com/users/group708/user708504_20110217224539/thumbs/proj440300.jpg&#8221; alt=”Adoption Photolisting” /><br />View Photo Slideshow</a><!– end thumbnail –> </object>

WordPress.com: (via Gigya) REMOVE THE SPACES FOR END-CAPS

[ gigya src=http://www.slideroll.com/player.swf?s=0jjqnyh0 ]

Google Gadget URL:

http://www.slideroll.com/google-gadget.php?s=0jjqnyh0

Facebook Static FBML (?) for Pages:

<fb:swf swfsrc=’http://www.slideroll.com/player.swf’ imgsrc=’http://slideroll.com/users/group708/user708504_20110217224539/thumbs/proj440300.jpg’ flashvars=’s=0jjqnyh0&cs=1′ wmode=’transparent’ swfbgcolor=’ffffff’ waitforclick=’false’width=’250′ height=’250′ salign=’tl’ scale=’showall&#8217; /><div align=”center” style=”width: 250px; color: #999;”>   Click image to view slideshow.</div>


NEW MYSPACE CODE:

<div align=”center”><object type=”application/x-shockwave-flash” data=”http://www.slideroll.com/player.php?s=0jjqnyh0&#8243; id=”slideshow” base=”http://www.slideroll.com&#8221; width=”250″ height=”250″ wmode=”transparent” scale=”noscale” salign=”tl”> <param name=”movie” value=”http://www.slideroll.com/player.php?s=0jjqnyh0&#8243; /> <param name=”allownetworking” value=”internal” /> <param name=”allowScriptAccess” value=”never” /> <param name=”enableJSURL” value=”false” /> <param name=”enableHREF” value=”false” /> <param name=”saveEmbedTags” value=”true” /> <param name=”base” value=”http://www.slideroll.com&#8221; /> <param name=”wmode” value=”transparent” /> <param name=”salign” value=”tl” /> <param name=”scale” value=”noscale” /> <param name=”allowFullScreen” value=”true” /> </object></div>


Simple Embed Code:

<div align=”center”>http://www.slideroll.com/player.php?s=0jjqnyh0</div>

ALTERNATE JAVASCRIPT INCLUDE:

<script type=”text/javascript” src=”http://slideroll.com/slideroll.php?s=0jjqnyh0″></script><span style=”display: none;”><a href=”http://slideroll.com/?s=0jjqnyh0″>View Photo Slideshow</a></span>


NOTE: If your slideshow runs slowly, remove the wmode=”transparent” and <param name=”wmode” value”transparent” /> tags from the code.

World AIDS Orphans Day

May 7th is World AIDS Orphans Day. I am commemorating the day by highlighting how we can end pediatric HIV. There are several campaigns going on concurrently to end vertical transmission of HIV from mother to child by 2015 by enabling pregnant women with HIV and newborn babies born to positive mothers universal access to ARV meds. Pediatric HIV is an entirely preventable disease.

I have reported on this topic before, but it bears repeating. All the major players are now saying it is an achievable goal to halt mother to child transmission of HIV/AIDS within the next few years. UNICEF has revealed it’s Children and AIDS: Fifth Stocktaking Report, 2010. Here are some statements from The Global Fund, Elizabeth Glaser Pediatric AIDS Foundation, UNICEF, and World Health Organization. I can’t wait until there are no more HIV-positive orphans for me to advocate for! Here are some video reports.

UNICEF has released a statement which states an “HIV-free generation is achievable”.

According to latest United Nations data, 370,000 children were born with HIV in 2009.

“This is something we know how to prevent.”

Just over half of all pregnant women infected HIV got the drugs they needed to prevent mother-to-child transmission in 2009, compared with 45 percent in 2008.

Margaret Chan, director-general of the World Health Organization, said there was now “strong evidence that elimination of mother-to-child transmission is achievable.”

In a separate statement before world AIDS day on December 1, the UNAIDS director Michel Sidibe said: “Nothing gives me more hope than knowing that an AIDS-free generation is possible in our lifetime.”

’20 20′ – ABC News

Born HIV Free Achievements of the Campaign to Move us Toward an HIV free Generation

UNICEF – Children and HIV and AIDS – ‘Children and AIDS Fifth Stocktaking Report’ launched

Thank You Magic Johnson!

Nearly 20 years ago, in November 1991, Magic Johnson courageously announced that he was HIV positive and retiring from the NBA Lakers.

Magic Johnson is one of the most notable and admired public figures speaking out. I find that most people don’t want to discuss HIV, but they are fine discussing HIV in the context of Magic Johnson. When I bring up the Magic Johnson topic in conversation and ask people what they think is going on with him and his HIV, people seem to think that his case is ‘special’ and that the only reason he has lived so long is because he can afford the best medication that money can buy. That is true, but what people don’t seem to understand is that anyone with health insurance can afford the same medicine that Magic Johnson takes (although it may not be affordable in 3rd world countries yet). The truth is – there is nothing special about his case. He eats well, exercises, takes his meds and has an excellent long term prognosis.  He is leading a normal healthy life with HIV like many others who have access to meds and diligently adhere to their treatment.

Other people I have spoken with had heard that Magic is ‘undetectable’ and thought that meant he was ‘cured’ which is an excellent opportunity to discuss what ‘undetectable’ really means and how it relates to being ‘close to non-infectious‘.  People are always hugging Magic Johnson and nobody seems alarmed, so I use this as a starter point for discussing transmission.

So thank you Magic Johnson! Through you I have finally found a way to bring up the topic of HIV and educate people about the realities of day to day life with HIV and the realities of transmission. Thank you for your courageous way of openly living with and talking about HIV since the very beginning. You are single-handedly bringing enormous awareness.

Children Born with HIV who are Now Adults

There is a new section of links in the right column titled “Grew Up with HIV”.

Now that HIV/AIDS has been around for nearly 30 years, there are adults who have had HIV all their lives. Thankfully, they are speaking out about their lives and inspiring others. These people were born at a time when anti-retroviral medications were not yet available (before 1996) and they know the heartbreak of losing loved ones who did not live long enough to access ARVs. Those who survived the early days with very few treatment options eventually got access to ARVs and many lead normal healthy lives now. However, some adults in this same situation were not as lucky and their disease progressed to AIDS before ARV treatment was an option which has lead to health problems or cognitive issues. Others did not grow up in advantageous living conditions (some examples – parents who were not attentive to medication regimes, neglectful situations, and/or living with HIV+ parents in extremely low socio-economic positions without nutrition among other disadvantages)…their stories can also be found online, but I am choosing to feature individuals who grew up in optimal environments similar to those that adoptive families provide, as I feel their stories are most relevant to our topic. This post is open to comments and discussion.

Lonely Life of a 6 yr Old HIV Orphan in China

China Daily article

Chinese AIDS Orphans
Nicknamed Along, the young boy carries firewood home down a mountain path in Niucheping village of Liuzhou city in Southwest China’s Guangxi Zhuang autonomous region, Nov 3, 2010 [Photo/CFPAlong plays soccer in front of the rundown home where he lives alone. People refuse to play with him due to concerns over his illness. No school or welfare homes will agree to take him. Photo taken on Nov 8, 2010. [Photo/CFP
Child headed household

Along makes a fire to prepare for dinner. His grandmother, who lives 15 minutes’ walk away, built two vegetable plots for him, and pays regular visits despite not living with him. Photo taken on Nov 2, 2010 [Photos/CFP]

A six-year-old HIV-positive child named Along has been collecting wood to support himself since both of his parents died from the virus.

He receives 70 yuan of subsistence allowance per month from the local civil bureau plus periodical material supplies from kindhearted people, but he still lives alone without a guardian.

A follow up article was written 2 weeks later titled ‘No Longer Forgotten’

A Long prepares a meal for himself. The 6-year-old HIV-positive boy lives alone in Niucheping village, Guangxi Zhuang autonomous region. [Photo/China Photo Press

“A Long with his constant companion Old Black. [Photo/Zhou Hua / Xinhua”]

“The boy received toys from people who read about him. [Photo/Zhou Hua/Xinhua”]

“A Long makes a fire to cook. [Photo/China Photo Press”]

Until recently, a 6-year-old HIV-positive boy has lived holed up in a remote mountain village, cut off from humanity with only a dog for company. Chen Feng reports.

A Long is 6. But his world is far removed from his contemporaries. There are no transformer toys, PSP games or friends to play with, only a rough brick structure he calls home and a dog, his constant companion. The HIV-positive boy lives in Niucheping village at the foot of Malu Mountain near Liuzhou, Guangxi Zhuang autonomous region.

His mother died of AIDS in 2009 and his father, racked by a terrible cough and fever, succumbed in the summer.

Dressed in tattered clothes, A Long’s only solace is Lao Hei or Old Black, his dog.

He lives at the end of a muddy path on top of the mountain in his windowless, gray-brick house, with worn wooden doors and rough flooring, permeated by a musty odor.

In contrast, most of the other villagers live in brand new buildings, further down the mountain.

A Long’s parents moved to the top of the mountain six years ago after being diagnosed as HIV- positive.

The boy washes his clothes and cooks his own food at an age when his contemporaries are still being fed by their parents.

Putting some rice and green vegetables into a pot and placing it on a stove made of several blocks of cement, he starts a fire with amazing speed.

He uses no oil or salt but still eats his meal with great relish and sets aside a bit for his dog.

He often sits in the open area in front of his home staring at the path that leads to the outside world, hugging his dog, lost in thought.

He says he has never ventured down the mountain, after his father’s death.

He tells people who visit him – after he came to media attention recently – with great excitement that, “I was in school but only for one term.”

He often takes out his old textbooks, stroking them like little treasures.

Chen Xiyou, headmaster of Malushan Primary School, says: “We allowed A Long to take our pre-school course for one term, but then we had to ask him to leave after his father died of AIDS.

“We have to consider the feelings of the other parents,” Chen says.

A Long is also HIV-positive but has no clue what those letters mean. All he knows is that those who were once his friends have deserted him and doctors refused to help when he accidentally tipped boiling water on his hands.

“But my grandmother always comes to see me,” the boy says.

However, his 84-year-old grandmother will not say why she has not taken him to live with her and his uncles and aunts.

A Long receives a subsidy of 70 yuan ($11.50) from social security and free anti-HIV medicines.

The introverted boy seems overwhelmed with all the attention he has been getting recently.

He is, however, delighted with a basketball that people bought him after reading about him on the Net.

He also practices writing Chinese characters in the sand and is eager to show off his kungfu kicks to visitors.

The latest news is that an old couple has decided to adopt A Long and Old Black, as well as the chicken he is raising.

The local Red Cross Association is also talking about providing proper medical care for A Long.

But there is still one question that troubles the little boy: “When can I go back to school?”

Yu Tianyu contributed to the story.