Episode 919 Special Closed Captioned Tape No. IF-919

SRT Captions File Generated by MXFplus .

>> KATE: A SPECIAL LIFE IN THESE ISSUES, PLUS A CONFIDENTIAL 1-800 NUMBER FOR COMING UP NEXT I'M INDICATE NELSON, WELCOME, THE RISK OVER THE PAST 25 YEARS OUR AVAILABLE AND HIGH PROFILE SURVIVORS, SOME AMERICANS DISMISS IT AS A CHRONIC AND. MAKING THE VIRUS SEEM REMOTE THE NATION. AND PRISON SEPTSS, THOSE WHO TONIGHT I'M PLEASED TO BE

MEDICAL INSTITUTIONS AS WELL AS I WELCOME TO THE SHOW DR. STEVE HEALTH WHO HAS BEEN WORKING IN THE FIELD OF HIV SINCE THE SERL SERVICES, AND FINALLY DR. CARR LA THORTON OF THE INFECTIOUS SHE TREATS HIV AND HEPATITIS C CO INFECTIONS THROUGH PROJECT I'M ALSO PLEASED TO INTRODUCE YOU THROUGHOUT THE SHOW YOU CAN CALL 1-800-593-1845 WITH THESE ARE COMPLETELY ANONYMOUS QUESTIONS LATER IN THE SHOW ON

TONIGHT'S SPECIAL IS PART OF A LARGER KNME EFFORT TO RAISE WE WILL HAVE THE AGE OF AIDS . >>: BY THE TIME THE FIRST CASES OF AIDS WERE DIAGNOSED, 250,000 IN SOUTH AFRICA, MILLIONS WERE >> TODAY, NEARLY 70 MILLION BEEN INFECTED WITH HIV AND MORE THAN 22 MILLION HAVE ALREADY >> EVERYONE I KNOW THAT HAS >> GOV. RICHARDSON: THIS >> GOV. RICHARDSON: THERE'S NO PHOBIA WAS THE MAJOR REASON THE

TO GET ITS ARMS AROUND THE AIDS >> GOV. RICHARDSON: RONALD REEG AN AND THE PEOPLE AROUND HIM, THEIR INACTION ALLOWED HIV TO GET A FIRMER HOLD AROUND THE >> GOV. RICHARDSON: THIS SAGA OF DENIAL AND FEAR, POLITICAL INDIFFERENCE AND INERTIA WOULD REPEAT ITSELF AROUND THE DMROB, FOR AFRICA, IN INDIA, IN CHINA, >> GOV. RICHARDSON: THE SAD THING IS IT'S PREDICK ABLE, IT'S BELIEVE IT. >>: 25 YEARS SINCE THOSE FIRST INVESTIGATES THE SCIENCE, THE POLITICS, AND THE HUMAN COST OF THIS FATEFUL DISEASE, A DISEASE AGAINST MORALITY, COURAGE

AGAINST FEAR, AND LIFE AGAINST DEATH. >>: WE CAN CREATE VACCINES, WE THINK ULTIMATELY IF WE AREN'T AT SOCIETAL ISSUES, WE WON'T BE SUCCESSFUL IN OUR QUEST TO END >> KATE: AND AFTER SUCCESSFULLY FIGHTING A HORRIBLE TRAFFIC JAM ON I-25, WE'RE JOINED BY PHILIP PROGRAMS FOR HIV AND AIDS. THE LAST COMMENT IN THAT CLIP THAT WE CAN'T TREAT THIS DISEASE UNDERLYING SOCIETAL ISSUES, DISEASES. >> DR. JENISON: IT'S VERY CONTINUE TO GET HIV. IN FACT, NOW THAT WE DO HAVE ARE LESS PEOPLE DYING, PEOPLE

WHICH PEOPLE ARE DYING, SO THE CARE FOR HIV GOES UP. >> KATE: ONE OF THE STATS THAT'S ALARMING ON THAT NOTE, AT OF HEALTH SHOWED THE WHO HAVE SEX WITH OTHER MEN, AND THERE'S EQUALLY DISTURBING DATA HISPANIC MEN HAVING INCREASE WITH MEN COMMUNITY, MSM HAVE SEX WITH MEN, BUT DON'T >> JIMMY: YES, THERE'S A NUMBER I THINK THE CULTURAL OUT INTO SOCIAL VENUES, LIKE SO IF THEY'RE NOT SOCIALIZEING

IN THOSE AREAS, THEY MAY NOT BE >> KATE: ARE IF THEY AREN'T >> GOV. RICHARDSON: THEY MAY NOT, ESPECIALLY SINCE THE EARLY MESSAGES WERE SAYING HIV IS A GAY DISEASE AND IF YOU DON'T BELONG TO THAT GROUP, A LOT OF SO THEY MAY NOT FEEL THEY'RE AT >> KATE: WHAT HAPPENS IN SUCH A THE MAN GOES TO PHOENIX, TO BRINGING BACK? >> JIMMY: WELL, I MEAN, ANYTIME YOU GO TO A LARGER CULTURAL CENTER, THERE'S POTENTIALLY MORE HIGHER RISK OF EXPOSURE TO HIV OR ANY OTHER SEXUALLY >> KATE: ARE THEY THEN RESTATING HETEROSEXUAL

>> JIMMY: POTENTIALLY THEY COULD >> KATE: AND PUTTING THOSE >> JIMMY: YES, THE PARNGS OF WHETHER INJECTION DRUG USERS OR GAY OR BY SEXUAL MEN, THOSE >> KATE: WE SAW IN THE VIDEO EPIDEMIC IN THE EARLY DAYS. WITH MSM'S BY FAR THE LARGEST >> PHILIP: WELL, I THINK THAT THE STIGMA BEHIND DRUG USE, I MEAN, PART OF ONE OF THE BENEFIT, IT'S A DIFFICULT WORD RESULT OF THE HIV HAS BEEN THE COMMUNITY AND GETTING INVOLVED WITH POLITICS BOTH LOCALLY AND

GETTING ABLE TO PARTICIPATE IN POLICY AND IN PROGRAMS DESIGNED THE DRUG USING COMMUNITY, I THINK, IS STILL LARGELY EXTREMELY DISCRIMINATED AGAINST. IT'S THE NUMBER ONE REASON THAT WE ARE LOCKING PEOPLE UP STILL, AND AS PEOPLE ARE INVOLVED DEEPER AND DEEPER IN DRUG USE, USING IV DRUGS, THEIR EVERYTHING KIND OF GO OUT THE >> KATE: THE PEOPLE COMING INTO HOW MUCH SIMPLE APATHY ARE YOU >> PHILIP: THERE'S -- I DON'T FIND APATHY AT ALL AMONGST THE THERE'S A LOT OF APATHY BY

LARGELY CONSIDERED THAT DYING IS -- SHOULD BE -- IS ONE OF THE CONSEQUENCES OF USING DRUGS AND SOME PEOPLE ACTUALLY OPPOSE EFFORTS SUCH AS HARM REDUCTION, WE ARE -- BY REMOVING THE THREAT OF DEATH FROM THAT PARTICULAR >> KATE: THE EFFICACY OF HIV BEEN CALLED INTO QUESTION AS WE ENTER THE LONG HAUL OF THIS BEING DONE TO CONNECT WITH SOME >> DR. JENISON: FIRST OF ALL NOT BEING EFFECTIVE DON'T APPLY I THINK NEW MEXICO IS A VERY

LOW PREVALENCE STATE FOR HIV. ONE OF THE REAL TESTIMONIALS TO THAT NEW MEXICO TO DATE HAS NOT OF THE UNITED STATES AND THE SOUTH, WHICH IS -- WHICH HAS AS ITS ROOT INJECTION DRUG USE AND THEN HETEROSEXUAL TRANSMISSION FROM IN JENGS DRUG USERS AND ALL THE EPIDEMIOLOGY WE HAVE ABOUT THIS IN NEW MEXICO WHEN THINGS HAVE GONE WELL. THE LEGISLATURE AND GOVERNORS OF THE STATE OF NEW MEXICO TO THAT INCLUDES SYRINGE CHANGE. THE NEXT THING IS TO FOCUS -- EARLY ON IN THE HIV EPIDEMIC,

THERE WAS A LOT OF EFFORT TO OF THE THINGS WE NEED TO DO IS BE MORE FOCUSED -- ONE OF THE INFECTED, TEACH PEOPLE WHO ARE CAN INCREASE THE LIKELIHOOD OF >> KATE: PANELISTS WILL BE A QUESTION ON AIR, R PLEASE CALL 1-800-593-1845. ANSWER QUESTIONS AND OFFER PREVENTION EFFORTS FOR HIV IN BATTLE ON THE HORIZON TO PREVENT A MORE COMMON, STRONGER DISEASE, >>: I GOT HEPATITIS IN 1993

FROM BORROWING A NEEDLE FROM A HAPPENED TO BE HEP C POSITIVE THE TIME, IF YOU'RE DOING THIS, >> KATE: THE NEW MEXICO DEPARTMENT OF HEALTH REPORTS 4500 PEOPLE HAVE HEPATITIS C OR BUT KARLA THORTON HAS INFORMATION ABOUT THE 32,000 PEOPLE WHO HAVE HEPATITISC, A THESE ARE EVEN MORE DANGEROUS. >>: THE MOST COMMON CAUSE OF PEOPLE HAVE HEPATITIS C AND CIRRHOSIS WILL DIE FROM THAT BEFORE THEY DIE OF HIV, IF THEY STATES ALSO HAVE HEPATITIS C, SO IF YOU GOT YOUR HEPATITIS C

THROUGH INJECTION DRUG USE, IT'S THESE PEOPLE NEED ACCESS TO >> KATE: NEW MEXICO HAS DONE GOVERNMENT SPONSORED SYRINGE MEXICO AIDS SERVICES IN SYRINGE NEEDLES AND EXCHANGE THEM FOR A EQUAL NUMBER OF NEW RISK OF TRAMENTING HIV, HEPATITIS C AND OTHER BLOOD BORN >>: THANK THE LORD THEY HAVE BECAUSE OF THIS PROGRAM, I CAN NOW USE A NEEDLE ONCE AND THROW >>: I GOT HEPATITIS C BY I'VE BEEN HEPATITIS C POSITIVE FOR ALMOST 20 YEARS. >>: WITH MY MOM HAVING SHE SLEEPS A LOT, I HAVE TO

WATCH OUT WHEN SHE DON'T EAT, I CARE OF HER. >>: THE EXCHANGE -- THERE WASN'T A EXCHANGE PLAN WHEN I STARTED USING SYRINGE EXCHANGE BECAUSE I HAVE HEPATITIS C BUT I'M STILL AT RISK OF GETTING >>: I THINK IF MY MOM KNEW MORE ABOUT THE SYRINGE EXCHANGE PROGRAM, I DON'T THINK HE SHOULD >> KATE: TO DATE, 7 MILLION HAVE BEEN EXCHANGED. HOWEVER, THE MAJORITY OF IV DRUG USERS WILL SPEND TIME IN THE PRISONS, AND THE ILLICIT -- .... WHICH LEAVES MANY TO FEAR OUR PRISONS ARE .... HOME ARE

INFECTION ACROSS NEW MEXICO. >>: YEAH, THERE'S A LOT OF NEEDLE SHARING GOING ON HERE. MY SON CAME OUT OF PRISON, HEP WHEN HE CAME OUT, I KNEW HE WAS >>: NOBODY REALLY KNOWS WHAT'S TO THEM ABOUT NOT SHARING KNOW PEOPLE THAT START USING INJECTION DRUGS IN ANY SETTING, >>: THERE HAVE BEEN SOME CASES IS VERY, VERY LOW NUMBER, BUT WE DON'T HAVE ANY LOOSE NEEDLES AND SYRINGES GOING AROUND HERE AND BECAUSE OF SECURITY PROCEDURES IN PLACE OVERALL I'VE BEEN WITH ALMOST 25 YEARS NOW, AND THE

NUMBERS HAVE BEEN VERY LOW AGAINST GETTING INFECTED WHILE >> KATE: THE NEW MEXICO TO CARE FOR HIV POSITIVE INMATES AND HAS RECENTLY INTRODUCED A EFFORT TO ENSURE INMATES DON'T >>: THEY LEARN MORE ABOUT THE THE INMATE ALWAYS HAS THE OPPORTUNITY TO SEEK UPON REQUEST IT THROUGH ADDICTION IT NEVER STOPS. >>: IF YOU HAVE HEPATITIS C, HELP YOU TO UNDERSTAND IT MORE, AND I KNOW FOR US, THAT THINGS >> KATE: I WANT TO THROW SOME

THERE ARE AT LEAST 32,000 NEW PROBABLY MORE THAN THAT. THE HIGHEST RATE IN THE NATION 6 THE CDC SEES IT AS THE NUMBER ONE CAUSE AS DEATH BY GIVEN ALL OF THAT, DR. >> DR. JENISON: STEVE I THINK IT HAS TO DO WITH IT INJECTION INJECTION DRUG USE. THAT ONE SEEN YOU HAD WHERE >> KATE: WE ALL SQUIRMED AT NEW MEXICO IS ONE OF TWO STATES MANDATED STATEWIDE HARM

I THINK IT'S A VERY BIG STEP HEROIN OVERDOSE DEATHS IN THE REALLY GOING A LONG WAY TOWARD BOTH ADDRESSING THE ISSUE AND PUBLIC HEALTH SECTOR AND NOW WITH THE AVAILABILITY OF SYRINGE EXCHANGE AND THAT SEX, SAFER INJECTING TECHNIQUES, SEEKING TREATMENT FOR THE DRUG THINGS THAT WE CAN DO NOW THAT >> KATE: IT'S EASY FOR A LOT OF PEOPLE TO LOOK AT A DRUG ADDICT OF A THROW AWAY POPULATION, BUT TELL ME SOME OF THE HURDLES YOU WENT THROUGH IN GETTING HARM

POTENTIALLY HOSTILE COMMUNITIES. >> PHILIP: WELL, WE'VE BEEN ACTUALLY QUITE SUCCESSFUL IN THE THAT WE DID WAS RECRUIT A POLICE CAPTAINS FROM HERE IN ENFORCEMENT EDUCATION WITH STATE, AND WITH OUR CRIMINAL JUSTICE FOLKS, OUR PUBLIC AND JUDGES, AND STARTED SENDING HIM OUT AND KIND OF, BY WORKING THE PUBLIC SAFETY ANGLE, I THE BIGGEST OBSTACLE. WE'D HAVE A SHERIFF OR WHOEVER

IN SOME COMMUNITY WHO WOULD JUST IN THIS, THIS IS WRONG, IF YOU >> KATE: ARE YOU GETTING BUY-IN FROM EVEN THE RURAL COMMUNITIES? >> PHILIP: YES, THE CITY OF BIGGEST SUCCESSES IN TAKING THAT ON FROM THE LEVEL OF THE FOLKS SIMULTANEOUSLY WORKING WITH THE BAR ASSOCIATION THERE AND THEN COMMUNITY HEALTH COUNCIL, AND IN A MATTER OF JUST A FEW MONTHS, FROM AUGUST TO NOVEMBER, I WANT TO SAY 2003, THE CITY COUNCIL THERE HAD SIGNED A RESOLUTION, I THINK THAT WHAT I'VE ENCOUNTERED IS A LOT OF ENFORCEMENT AND OTHER PEOPLE

HAVE SORT OF TRADITIONALLY HAVE DONE, BEGINNING TO SEE >> KATE: TALK TO US ABOUT THE WITH HIV, BUT IT'S REALLY A MUCH >> DR. THORTON: IT'S WE KNOW PEOPLE GET OCCUPATIONAL IT LIVES LONGER ON SURFACES, IT'S MORE EASILY SPREAD BY >> KATE: IT STABLES VIABLE >> DR. THORTON: >> KATE: 48 HOURS. >> DR. THORTON: THAT'S ABOUT >> KATE: IN THE PRISONS, YOU HAVE SEEM TO HAVE HIV UNDER KNOWN TO HAVE HIV, ALTHOUGH THERE ARE 2,000 OF HEPATITIS C, ONLY 37 OF WHICH ARE BEING

BECAUSE THERE'S NO MANDATORY TESTING WHEN THEY COME IN OR THEY IN US DEVELOPING TREATMENT >> DR. THORTON: WELL, I THINK MANDATORY TESTING, NO TESTING ON EXACTLY BUT PROBABLY THE I THINK THE NUMBERS ARE THE PRISON SYSTEM, AND THIS THROUGH THE ECHO PROJECT WITH ONE OF THE ONLY STATES DOING PEOPLE ON TREATMENT I THINK IS A >> KATE: IT'S VERY EXPENSIVE TO >> DR. THORTON: IT'S VERY >> KATE: WHAT'S THE DOLLAR >> DR. THORTON: STEVE, DO YOU >> DR. JENISON: I THINK IT'S

ESTIMATED TO BE AROUND 20 TO 30 >> DR. THORTON: FOR A 12-MONTH >> KATE: A CLEAN NEEDLE COSTS IT'S A DIFFICULT ISSUE IN NEEDLES DO REPRESENT A RISK IN A SECURITY ENVIRONMENT, AND TO TO DO SYRINGE EXCHANGE YET, AND >> PHILIP: IN THE UNITED STATES, THERE'S A 10 OR 15 THIS, EITHER BY WAY OF VENDING MACHINES THAT INMATES CAN PUT THEIR USED ONES IN AND GET NEW ACTUALLY DO IT AND IN THESE DOCUMENTED USES OF SYRINGES AS

>> KATE: AGAINST OTHER PEOPLE? JIMMY, TALK TO ME ABOUT WHAT EDUCATION AND PREPARATION FOR RETURNING TO THE COMMUNITY IN A >> JIMMY: WELL, I THINK WE'RE ALREADY WORKING TOWARDS THAT. WE DO HAVE WHAT'S CALLED A BLUE PROJECT WHEREAS WE GO INTO THE JAILS AND WE EDUCATE FOLKS ON HEPATITIS AND HIV, IF THEY NEED PREVENTION EDUCATION AND THEY'RE ALSO REGISTERED WITH NARCAN THEY GET OUT, THEY RECEIVE THE SUPPLIES, SYRINGES THEY NEED AND ALSO THE NARCAN AND WE HAVE THAT STILL. >> KATE: WE'RE GOING TO TAKE AVAILABLE AT 1-800-593-1845.

HIV AND HEPATITIS C. WE HAVE A CALLER, I BELIEVE >>: YES. >> KATE: WHAT'S YOUR QUESTION. >>: NI QUESTION IS A COMMENT IN THAT I HAVE HEPATITIS C AND I SO THERE'S A WHOLE COMMUNITY OF THAT. >> KATE: THAT'S A VERY DR. JENISON, HOW MANY SUCH >> DR. JENISON: IT REPRESENTS A MINORITY OF PEOPLE ACQUIRING NEW BLOOD SUPPLY WAS MADE SAFE, AND IT BECAME MORE SAFE BETWEEN THE MID TO LATE 1980'S TO THE EARLY 1990'S, BUT PRIOR TO THAT, BLOOD WHAT WAS THEN CALLED NON-A,

THE CALLER IS RIGHT, THERE ARE A LARGE NUMBER OF PEOPLE NOW WHO IN TERMS OF NEWLY ACQUIRED ARE ET RELATED TO INJECTION DRUG >> KATE: DO THEY FEEL STIGMA TISED BY THE MAJORITY OF >> DR. THORTON: I THINK THEY TALKING ABOUT INJECTION DRUG GET IT THROUGH DRUGS. >> KATE: IT'S A HIGH RISK FOR >> DR. THORTON: AND AND PEOPLE INFECTED WITH HEPATITIS C. >> KATE: ONE OF THE DRUGS OF CHOOSE TO INJECT T METH, UNLIKE EFFECT ON HIV AND HEP C RATES?

>> PHILIP: I DON'T THINK THERE'S ENOUGH DATA OUT THERE TO I DO BELIEVE THAT AS -- AS MANY PEOPLE DO -- THAT IS IT DOES IS A GREAT RISK IF IT'S NOT BOTH HERE AND NATIONALLY, TO COME UP WITH INTERVENTIONS FOR THAT PARTICULAR POPULATION. IF ANYBODY OUT THERE WHO IS USING IS HAVING -- HAPPENS TO BE SAY THAT IT'S BEEN -- IT'S USE EITHER COCAINE OR METH AND INJECT IT THAT BY HEATING THE DRUG, AND THAT, IN FACT, IS NOT THAT I TRIED TRY TO GET OUT TO USERS IS TO BOIL THAT SOLUTION

>> KATE: WE HAVE ANOTHER CALL >>: YES. WHEN YOU WERE SPEAKING OF THE HEPATITIS C REMAINING VIABLE ON OBJECTS FOR 48 HOURS, IT RAISES THE QUESTION IN MY MIND, IS IT TRANCE MISS ABLE BY SOME OF THE >> DR. THORTON: IT'S NOT. THE ONLY WAY HEPATITIS C IS TOOTHBRUSHES OR RAISERS WITH >> KATE: YOU'VE GOT TO GET IT >> DR. THORTON, YEAH, YOU HAVE TO HAVE VERY CLOSE CONTACT TO >> KATE: TALK WITH US ABOUT THERE SAYING MORE PEOPLE DIE OF HEART DISEASE, WHY IS AIDS RESPONSE TO THOSE SORTS OF >> JIMMY: WELL, IT'S JUST AS

IMPORTANT, IT'S A HEALTHCARE AS FAR AS THE IMPORTANCE, I'M I MEAN IT'S MY LIFE'S WORK, SO MUCH SUPPORTING OF -- AND WE NEED TO EDUCATE MORE PEOPLE A LOT OF FOLKS HAVE THE IT'S NOT IN THE MEDIA RIGHT NOW, BUT IT STILL IS. >> DR. JENISON: I ALWAYS SAY TREATMENT FOR HIV, HIV AND AIDS DEATH AMONG YOUNG DAWLTS IN THE HEALTHCARE ISSUE. >> KATE: THIS WAS AN IMPORTANT UNFORTUNATELY WE'RE OUT OF TOWN, BUT OUR KVLT AL LINE AT 1-800-593-1845 WILL CONTINUE TO SERVICES STANDING BY TO ANSWER

JUNE 27 IS NATIONAL HIV TESTING PREVENTING HIV AND HEPATITIS C GO TO KNMETV .ORGANIZE AND YOU'LL FIND THE FREE TESTING AND MAY 30. THANKS FOR WATCHING.+++ I'M KATE NELSON.