AEGiS-NYT: City Takes Haitians Off List Of High Risk AIDS Groups New York TimesImportant note: Information in this article was accurate in 1983. The state of the art may have changed since the publication date.
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City Takes Haitians Off List Of High Risk AIDS Groups

The New York Times - July 29, 1983
Ronald Sullivan


The New York City Health Commissioner said yesterday that he had removed Haitians from the city's list of major AIDS risk groups. The Commissioner, Dr. David J. Sencer, said he had taken the step because the small percentage of cases involving Haitians no longer justified stigmatizing the city's Haitian community.

Dr. Sencer also said there was growing evidence that many Haitian AIDS victims should be indentified with the homosexuals and intravenous drug users who represent the disorder's two highest-risk groups.

"There is no reason to continue to stigmatize Haitians at a time when they already face considerable job and housing discrimination," Dr. Sencer said. 31 Haitian Victims in City

He said Haitians accounted for 31 cases, or about 3.5 percent of the 877 cases of AIDS that have been reported in the city. He said in an interview that a significant number of cases listed under the Haitian risk group actually belonged in the AIDS risk groups that involve homosexuals or intravenous drug users, who account for 91 percent of all cases.

The disorder, acquired immune deficiency syndrome, breaks down the body's immune defenses, leaving its victims susceptible to a variety of fatal illnesses.

The removal of Haitians from the city's list of risk groups was a victory for Haitian medical and scientific organizations that insist that Haitians as a group are no more susceptible to AIDS than any other group.

At a news conference earlier this month, a group of Haitian physicians contended that most Haitian AIDS victims had lied when asked whether they were homosexuals or intravenous drug users, because of the strong Haitian taboo against homosexuality and because many of them are illegal aliens and fear that any admission of drug use would jeopardize their remaining in this country. U.S. Center Retains Listing

In Atlanta, Dr. James Curran, the head of the AIDS task force at the Federal Centers for Disease Control, said that Haitians would still be listed as a risk group.

Dr. Curran added, however, that he and Dr. Sencer were "not in conflict" and that he supported any effort by New York City "to remove the excessive stigma and downplay the public hysteria" identified with AIDS risk groups.

Dr. Curran said that while the percentage of Haitians diagnosed as AIDS victims in New York City was small, Haitians represented about half of the 109 cases reported thus far by health officials in Miami, who, he said, have no plans to remove Haitians as a major AIDS risk group there.

New York City health officials report that homosexuals account for 72 percent of all AIDS cases, while intravenous drug users represent 19 percent. The fourth risk group, which represents less than 1 percent, is hemophiliacs, who depend on blood products to survive.

Federal officials estimate there are about 500,000 Haitians in the country, most of them in the New York area. According to Dr. Curran, Haitians represent about 0.3 percent of the population, and nearly 6 percent, or 101, of the 1,902 AIDS cases reported nationally.

"While sexual orientation probably plays a bigger role than we have thus far been aware of, there is still an enormous lack of information why Haitians remain at risk," Dr. Curran said.

Dr. Jean Claude Compas, a physician at the Downstate Medical Center in Brooklyn and chairman of the Haitian Coalition on AIDS, said studies conducted here and in Haiti showed that the immunological systems of Haitians were normal.


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