World AIDS Day is Dec. 1, a time to raise awareness about HIV/AIDS and the progress made in fighting it.

Here in North Carolina, more than 37,000 people are living with HIV and last year saw more than 1,400 new cases, according to state health officials.

Anthony Petro, associate professor of religion and women's, gender and sexuality studies at Boston University, said we have come a long way in treating the disease and the way we talk about it matters just as much. He observed diseases like HIV/AIDS often get wrapped up in politics and societal judgment, which can affect both public understanding and even scientific research.

"When you think about public health itself, it is the application of medicine to a public and that depends upon us knowing who the public is that we care about," Petro explained.

Petro recalled the early years of the AIDS epidemic brought questions about whether the imagined "American public" included certain groups such as queer people, sex workers and IV drug users. He recounted in the absence of "state support," local activists helped advance the movement. He contended it was only when medical researchers decided it was a virus that it gained a level of "prestige" and funding started to flow. Petro noted today, access to reproductive and transgender health care are issues currently walking a moral-political line.

President-elect Donald Trump has picked Robert F. Kennedy Jr. to lead the Department of Health and Human Services. Petro emphasized Trump's selection has concerned public health experts as Kennedy has expressed a level of suspicion about whether HIV truly causes AIDS. He has instead suggested recreational drugs called "poppers" could be the real reason, which the medical community said is false.

Petro, like others, acknowledged a lot of work is still needed, related to HIV prevention and treatment.

"To hear someone today in 2024, thinking about those kind of conspiracy theory approaches to thinking about HIV and AIDS, is certainly troubling but it is not new," Petro stressed. "I think we do have a very good infrastructure for HIV/AIDS care."

Petro encouraged people to learn more about tools like pre-exposure prophylaxis, or PrEP, which can prevent HIV before exposure. In North Carolina, making PrEP more accessible could help lower new infection rates, especially in communities that are most affected. The Centers for Disease Control and Prevention said most insurance plans, including Medicaid, are required to cover PrEP with no out-of-pocket costs.


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North Dakota has joined a handful of states in modernizing laws about the spread of HIV - the virus that causes AIDS - and criminal penalties associated with it.

Gov. Kelly Armstrong has signed a bill that fully repeals a decades-old law, where someone suspected of willfully transmitting HIV could be charged with a felony and face up to 20 years in prison.

Jason Grueneich - the executive director of the group Shine Bright & Live - said that approach is outdated and only creates more stigma.

He said he feels the old laws, while likely well-intentioned, were adopted out of fear at the height of the crisis.

"Ultimately what happened was," said Grueneich, "instead of protecting the public, it hindered public health."

He said there weren't major threats of infected people trying to spread on HIV on purpose. But he added that those at risk were discouraged from getting tested, even as treatments advanced.

Some lawmakers questioned what could happen if there was malicious intent. Bill supporters, including state health officials, pointed to other laws that protect against that - and without unnecessary penalties.

With this repeal, Grueneich said HIV is no longer singled out among other sexually transmitted diseases.

Now, organizations like his can focus more on increasing awareness within communities across North Dakota.

"What we're seeing now is that the few states that have decriminalized or repealed these laws," said Grueneich, "there is an increase in testing."

Health officials note that today, people with HIV given certain medical treatment can achieve an undetectable viral load, meaning they can't transmit the virus sexually.

Grueneich added that keeping criminalization laws in place only paves the way for a person to make false claims against, for example, an ex-partner.

He said it can be very difficult for someone wrongly accused to state their innocence.




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World AIDS Day is Dec. 1, dedicated to raising awareness of the AIDS pandemic caused by the spread of HIV.

Thousands of people live with H-I-V/Aids in Arizona. More than 80% of those who were diagnosed with the virus in 2020 were linked to care, according to the Arizona Department of Health Services.

Anthony Petro, associate professor of religion and women's, gender and sexuality studies at Boston University, cited progress in how to medically treat the disease and noted how we speak about it has also changed. Petro said some diseases, such as HIV/AIDS, take on a set of political and moral meanings which can affect societal and even scientific views.

"When you think about public health itself, it is the application of medicine to a public and that depends upon us knowing who the public is that we care about," Petro explained.

Petro noted the early years of the AIDS epidemic brought questions about whether the imagined "American public" included certain groups such as queer people, sex workers and IV drug users. He recalled in the absence of "state support," local activists helped advance the movement. He contended it was only when medical researchers decided it was a virus, it gained a level of "prestige" and funding started to flow.

Petro added today, access to reproductive and transgender health care are issues currently walking that moral-political line.

President-elect Donald Trump has picked Robert F. Kennedy Jr. to lead the Department of Health and Human Services. Petro acknowledged Trump's selection has concerned public health experts as Kennedy has expressed a level of suspicion about whether HIV truly causes AIDS. He has instead suggested recreational drugs called "poppers" could be the real reason, which the medical community said is false.

Petro, like others, stressed a lot of work is still needed, related to HIV prevention and treatment.

"To hear someone today in 2024, thinking about those kinds of conspiracy theory approaches to thinking about HIV and AIDS, is certainly troubling, but it is not new," Petro outlined. "And I think we do have a very good infrastructure for HIV/AIDS care."

Petro reminded people about pre-exposure prophylaxis, or PrEP, which is the use of antiretroviral medication to prevent HIV. Most private insurance and Medicaid programs are required to cover PrEP services without co-pays or deductibles, according to the Centers for Disease Control and Prevention.


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Today is National HIV Testing Day. First observed in the U.S. in 1995, anyone who is sexually active is urged to get tested to know their HIV status.

The federal government underscores the importance of testing to show self-value, compassion and respect. According to the Centers for Disease Control and Prevention, almost 14,000 Hoosiers are living with HIV, the virus that causes AIDS.

Alan Witchey, president and CEO of the Damien Center, an HIV/AIDS resource in Indianapolis, said the blood test is free and confidential, and insurance is not required.

"Nobody has to know that you're coming, and you can either make an appointment or you can just walk in," Witchey explained. "It's just a quick finger prick; you will have your results in 20 minutes."

He added testing for other sexually transmitted diseases can be performed at the same time. A positive test result will alert the Damien Center staff to connect the person to support services and the clinic. For a negative result, medication is available for HIV prevention. The services are available at little to no cost.

The Centers for Disease Control and Prevention said 100,000 cases of AIDS, the condition which mutates from an HIV diagnosis, were reported in the U.S. between 1981 -- the first reported case -- and 1989. Since then, the invention of life-extending medications has lessened the public's urgency to get tested.

Witchey emphasized HIV is still growing and spreading, even as other epidemics have evolved.

"Even though you don't hear about HIV as much anymore, it is still here," Witchey pointed out. "And a lot of people still have this misconception that HIV is a death sentence, or they won't be able to afford the medications even if they are HIV-positive."

"Ending the HIV Epidemic in the U.S." is a federal program with the aim of lowering new HIV infections nationwide by 75% by next year and at least 90% by 2030. Funding will be used to zero in on locations with the most frequent HIV transmission.


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