AEGiS-SC: HIV Is Rampant in Black Community; African American leaders ask Alameda County to declare a public health emergency San Francisco ChronicleImportant note: Information in this article was accurate in 1998. The state of the art may have changed since the publication date.
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HIV Is Rampant in Black Community; African American leaders ask Alameda County to declare a public health emergency

San Francisco Chronicle - Wednesday, October 14, 1998
Barbara Lee, Doretha Williams-Flornoy, Gloria Lockett, lvan Quamina


ALAMEDA COUNTY, after Los Angeles County, is home to the largest number of African Americans in the state. The 229,316 African Americans in Alameda County are more likely than other ethnic groups to develop critical and chronic health problems, and less likely to receive care. So it's no surprise that African Americans here are being ravaged by HIV and AIDS. It's time Alameda County recognized this for what it is -- a public health crisis in the black community.

The AIDS case rate for African Americans in Alameda County is five times that of whites and Latinos. African Americans account for 18 percent of the county's 1.3 million residents, but represent 41 percent of AIDS cases. African American women account for 542 (62 percent) of all women diagnosed with AIDS.

At the request of the Congressional Black Caucus, a group of more than 40 HIV-service providers, public health officials and policymakers in Alameda County met last summer to discuss the spread of HIV and to ask Secretary of Health and Human Services Donna Shalala to declare a national HIV emergency in the black community.

From that gathering emerged a report, "AIDS in the African American Community: A State of Emergency" that asks Alameda County to declare that the spread of HIV in the black community here constitutes a public health emergency.

The report uses Alameda County Office of Public Health statistics to document the spread of HIV in the black community. It also offers the county a series of recommendations for curbing its spread. Most importantly, it offers four strategies to strengthen Alameda County's current efforts to combat the disease:

1) Increase awareness of the spread of the disease in the African American and larger community;

2) Increase funding and direct existing services toward prevention, care and treatment;

3) Create and fund a continuum of care for HIV/AIDS patients and lift barriers to service and care;

4) Set up and implement a local public-policy agenda that addresses the problem and serves as a national model for HIV-intervention.

The report has been submitted to the county officials, who will determine whether it is necessary to declare a public health emergency. The authors of this report, and the members of the task force that commissioned it, hope Alameda County will seriously consider its recommendations. Above all, we urge the county to acknowledge that the spread of HIV in the black community constitutes a public health emergency.
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