,,iv #aah? ,,congress #a/ ,session ,h4 ,,res4 #ii ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #g1 #bjbc,ms4 ,lee ( ,cali=nia 7= h]self1 ,mr4 ,tonko1 ,mrs4 ,beatty1 ,mrs4 ,watson ,coleman1 ,ms4 ,williams ( ,georgia1 ,ms4 ,wass]man ,s*ultz1 ,ms4 ,bu%1 ,ms4 ,titus1 ,mr4 ,?ompson ( ,mississippi1 ,mrs4 ,hayes1 ,mr4 ,crd5as1 ,mr4 ,payne1 ,ms4 ,m5g1 ,mr4 ,c>t] ( ,l\isiana1 ,ms4 ,norton1 ,mr4 ,coh51 ,ms4 ,jackson ,lee1 ,mr4 ,quigley1 ,mr4 ,cicill9e1 ,mr4 ,g>ca ( ,ill9ois1 ,ms4 ,dean ( ,p5nsylvania1 ,ms4 ,sewell1 ,ms4 ,jacobs1 ,mr4 ,takano1 ,mr4 ,smi? ( ,wa%+ton1 ,ms4 ,cl>ke ( ,new ,york1 ,ms4 ,blunt ,ro*e/]1 ,mr4 ,soto1 ,mr4 ,ivey1 ,mr4 ,pocan1 ,mr4 ,kri%namoor?i1 ,mr4 ,hors=d1 ,ms4 ,s*ak[sky1 & ,mr4 ,grijalva7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,support+ ! goals & ideals ( ,national ,black ,,hiv_/,,aids ,aw>5ess ,day4 ,:]eas ! ,c5t]s = ,disease ,control & ,prev5tion 7,,cdc7 e/imates t 9 ! ,unit$ ,/ates1 m ?an #a1ahi1jjj p are liv+ ) ,,hiv1 & #ac p]c5t d n "k _! /atus2 ,:]eas 9 ! ,unit$ ,/ates1 m ?an #gjj1jjj p ) ,,aids h di$ s9ce ! beg9n+ ( ! epidemic1 includ+ m ?an #bij1jjj ,african ,am]icans2 ,:]eas1 9 #bjbj1 #cj1fce p ag$ #ac & old] become newly diagnos$ ) ,,hiv 9 ! ,unit$ ,/ates2 ,:]eas s9ce ! beg9n+ ( ! ,,hiv_/,,aids epidemic 9 ! ,unit$ ,/ates1 racial & e?nic m9orities h be5 disproportionately affect$ by ! disease2 ,:]eas ,african ,am]icans are diagnos$ ) ,,hiv lat] ?an _! ,:ite c\nt]p>ts1 are confront$ ) great] b>ri]s 9 access+ c>e & treatm5t1 & face high] morbidity & mortality outcomes2 ,:]eas ,african ,am]icans acc\nt = ne>ly half ( all ^? ) ,,aids :o h di$ 9 ! ,unit$ ,/ates s9ce ! beg9n+ ( ! epidemic2 ,:]eas1 9 #bjag1 #b1fbj ,african ,am]icans di$ ( ,,hiv or ,,aids1 acc\nt+ = #dg p]c5t ( total dea?s attribut$ to ! disease t ye>2 ,:]eas1 9 #bjad1 ,,hiv_/,,aids 0 ! six?-lead+ cause ( dea? = ,black m5 ov]all & = ,black wom5 ages #be to #cd1 & ! fif? = ,black m5 ages #ce to #dd & f\r? = ,black wom5 ages #ce to #dd1 rank+ high] ?an _! respective c\nt]p>ts 9 any o!r racial or e?nic gr\p2 ,:]eas1 9 #bjai1 ,african ,am]icans repres5t$ #db p]c5t ( all p liv+ ) ,,hiv 9 ! ,unit$ ,/ates1 despite compris+ j #ac p]c5t ( ! ,unit$ ,/ates population2 ,:]eas1 9 #bjbj1 ov] #ab1hjj ,african ,am]icans 7 diagnos$ ) ,,hiv2 ,:]eas1 f #bjae to #bjai1 ,,hiv diagnoses = ,african ,am]icans decreas$ by #h p]c5t2 ,:]eas ,african-,am]ican gay & bisexual m5 are m affect$ by ,,hiv ?an any o!r gr\p 9 ! ,unit$ ,/ates1 acc\nt+ = a high] proportion ( ,,hiv diagnoses1 ^? liv+ ) ,,hiv1 ^? ev] diagnos$ ) ,,aids1 & ,,hiv_/,,aids-relat$ dea?s2 ,:]eas1 9 #bjah1 m ?an half ( ,african ,am]icans diagnos$ ) ,,hiv 7 gay or bisexual m52 ,:]eas1 9 #bjah1 among all gay & bisexual m5 :o _h receiv$ an ,,hiv diagnosis1 ,african ,am]icans acc\nt$ = ! highe/ numb] 7#ci p]c5t72 ,:]eas1 accord+ to a #bjaf /udy by ! ,,cdc1 an e/imat$ half ( ,black gay m5 w be diagnos$ ) ,,hiv 9 _! lifetime1 if curr5t ,,hiv diagnosis rates p]si/2 ,:]eas homophobia1 /igma1 religi\s trauma1 & discrim9ation pose major ob/acles to ,,hiv te/+1 treatm5t1 & o!r prev5tion s]vices = gay & bisexual ,african-,am]ican m52 ,:]eas data %[ a #bb-p]c5t decrease 9 new ,,hiv cases among ,black wom5 betwe5 #bjaj & #bjai2 ,:]eas among all wom5 9 ! ,unit$ ,/ates1 ,black wom5 acc\nt = ! l>ge/ %>e ( #f1djj new ,,hiv diagnoses 7#c1djj or #ec p]c5t7 9 #bjai2 ,:]eas ,african-,am]ican wom5 face ! highe/ risk ( ,,hiv & o!r sexually transmitt$ infections comp>$ ) wom5 ( o!r gr\ps2 ,:]eas ! rate ( new ,,hiv transmission among ,black wom5 7#ah4i p] #ajj1jjj7 is ne>ly #aa times z high z ! rate among ,:ite wom5 7#a4h p] #ajj1jjj7 & ne>ly #d times z high z ! rate among ,lat9as 7#d4i p] #ajj1jjj72 ,:]eas among ,african-,am]ican wom51 ! lead+ transmission category ( ,,hiv is het]osexual contact1 foll[$ by intrav5\s drug use2 ,:]eas among ,african-,am]ican m51 ! lead+ transmission category ( ,,hiv is male-to-male sexual contact1 foll[$ by het]osexual contact2 ,:]eas rese>* indicates t ! high inc>c]ation rates ( ,black m5 may contribute to ! disproportionate rates ( ,,hiv transmissions among ,black wom52 ,:]eas1 9 #bjbj1 !re 7 m ?an #aa1jjj p liv+ ) ,,hiv 9 ,/ate & ,f$]al prisons2 ,:]eas among inc>c]at$ populations1 ,african-,am]ican m5 are #e times z likely z ,:ite m51 & twice z likely z ,hispanic_/,lat9o m51 to be diagnos$ ) ,,hiv2 ,:]eas among inc>c]at$ populations1 ,african-,am]ican wom5 are m ?an twice z likely to be diagnos$ ) ,,hiv z ,:ite or ,hispanic_/,lat9a wom52 ,:]eas ! ,williams ,in/itute reports t ,,hiv crim9alization laws disproportionately impact ,african-,am]icans1 :o are m likely to be arre/$ & convict$ ( outdat$ laws lack+ inclusion ( mod]niz$ treatm5t access1 options1 & efficacy1 fac+ long] s5t5ces aft] conviction1 & m likely to exp]i5ce ! lifelong consequ5ces ( a felony conviction includ+ sex (f5d] regi/ry placem5t2 ,:]eas transg5d] wom5 9 ! ,unit$ ,/ates are at high risk = ,,hiv1 ) ! ,,cdc f9d+ t #d 9 #aj transg5d] wom5 survey$ 9 sev5 major ,unit$ ,/ates cities h ,,hiv2 ,:]eas m ?an half ( all transg5d] p diagnos$ ) ,,hiv are ,black or ,african ,am]ican2 ,:]eas1 9 #bjah1 ! ,s\? made up #ea p]c5t ( ! new ,,hiv diagnoses 9 ! ,unit$ ,/ates2 ,:]eas ,african ,am]icans are sev]ely & disproportionately affect$ by ,,hiv 9 ! ,s\?1 acc\nt+ = #eb p]c5t ( all new ,,hiv diagnoses 9 ! region2 ,:]eas socioeconomic issues impact ! rates ( ,,hiv transmission among ,african ,am]icans 9 ! ,s\? & ?r\gh\t ! ,unit$ ,/ates2 ,:]eas socioeconomic factors l income inequality1 pov]ty1 & lack ( access to ,,hiv prev5tion education & basic heal? s]vices1 & cultural factors l homophobia1 transphobia1 & racism all pose significant *all5ges to combat+ ! ,,hiv_/,,aids epidemic2 ,:]eas ! epidemic ( community & int]p]sonal viol5ce t communities mo/ impact$ by ,,hiv exp]i5ce disproportionately fuels ! ,,hiv epidemic2 ,:]eas ! ,unit$ ,/ates is see+ signs ( progress2 ,:]eas1 f #bjad to #bjah1 ,,hiv diagnoses among ,african-,am]ican wom5 fell by ov] #aj p]c5t & h also fall5 %>ply among ,african ,am]icans :o inject drugs2 ,:]eas culturally compet5t outrea*1 te/+1 education1 c\nsel+1 & h>m r$uction practices are all critical to prev5t ,,hiv2 ,:]eas lifesav+ treatm5t is also a prov5 prev5tion tool1 & rese>* %[s t antiretroviral drugs c r$uce ! am\nt ( virus to undetectable levels 7also kn[n z viral suppression71 effectively result+ 9 no risk ( transmission ( ,,hiv2 ,:]eas1 9 #bjab1 ! ,food & ,drug ,adm9i/ration approv$ preexposure prophylaxis 7,pr,e,p7 z prev5tion = p :o are ,,hiv-negative2 ,:]eas ,pr,e,p c r$uce ! risk ( ,,hiv transmission = ,,hiv-negative p by up to #ii p]c5t2 ,:]eas1 9 #aiih1 ,congress & ! ,cl9ton adm9i/ration creat$ ! ,national ,m9ority ,,aids ,initiative to help coord9ate fund+1 build capacity1 & provide prev5tion1 c>e1 & treatm5t s]vices )9 ! ,african-,am]ican1 ,hispanic1 ,asian ,pacific ,isl&]1 & ,native ,am]ican communities2 ,:]eas ! ,national ,m9ority ,,aids ,initiative assi/s ) lead]%ip developm5t ( community-bas$ organizations 7,c,b,os71 e/abli%es & l9ks provid] networks1 builds community prev5tion infra/ructure1 promotes te*nical assi/ance among ,c,b,os1 & raises aw>5ess among ,african-,am]ican communities2 ,:]eas #bjbb m>ks ! #bd? ye> ( ! ,national ,m9ority ,,aids ,initiative :i* has successfully e/abli%$ lifesav+ s]vices & programs to address ! ne$s ( ^? communities1 families1 & individuals mo/ impact$ & burd5$ by ,,hiv2 ,:]eas /udies %[ t div]sity 9 heal? c>e lead]%ip c enhance quality ( c>e1 quality ( life 9 ! workplace1 community relations1 heal? communication1 & ! ability to positively affect community heal? /atus2 ,:]eas ,,hiv /udies h f\nd t pati5t-provid] race_/e?nic concordance is associat$ ) high] provid] cultural compet5cy & t great] cultural compet5cy ( heal? c>e provid]s is associat$ ) increas$ quality & equity ( ,,hiv c>e z def9$ by pati5ts record+ high] levels ( self-efficacy & m likely to be on & adh]+ to antiretroviral 7,,arv7 !rapies2 ,:]eas x /&s to reason t ! l9kages betwe5 provid] id5tity1 cultural compet5cy1 & pati5t outcomes 9 ! cl9ical sett+ w\ld also apply to noncl9ical sett+s important = advanc+ public heal?2 ,:]eas ,,aids s]vice organizations h play$ a vital role 9 respond+ to ! ,,hiv epidemic1 yet _m are plagu$ by an und]repres5tation ( racial & e?nic m9orities 9 lead]%ip positions2 ,:]eas rese>* on community emp[]m5t sugge/s t heal? outcomes are improv$ :5 individuals are engag$ 9 advanc+ ! heal? ( _! own communities & work+ ) _! pe]s & p>tn]s 9 heal? promotion & s]vices2 ,:]eas a focus on equity 9 ! provision ( s]vices sugge/s a div]se public heal? work=ce c help su/a9 mu* ne$$ att5tion to community-id5tifi$ priorities & raise ! responsiv5ess ( ! heal? c>e sy/em to div]se populations2 ,:]eas1 9 #bjaj1 ! ,obama adm9i/ration unveil$ ! fir/ ,national ,,hiv_/,,aids ,/rategy1 :i* id5tifi$ a set ( priorities & /rategic action /eps ti$ to measurable outcomes = mov+ ! ,nation =w>d 9 address+ ! dome/ic ,,hiv epidemic2 ,:]eas1 9 ,decemb] #bjba1 ! ,national ,,hiv_/,,aids ,/rategy = ! ,unit$ ,/ates 7#bjbb-bjbe7 0 releas$ & includ$ actions & goals 9 ord] to r$uce ,,hiv-relat$ disp>ities & inequalities2 ,:]eas1 9 #bjaf1 ,prev5tion ,access ,campaign & community memb]s liv+ ) ,,hiv laun*$ ! ,undetectable equals ,untransmittable 7,u,u7 movem5t to build & communicate a cons5sus ab\t ! l>gely unkn[n fact t p liv+ ) ,,hiv :o are on treatm5t & h an undetectable viral load _c sexually transmit ,,hiv2 ,:]eas :5 p liv+ ) ,,hiv are on treatm5t & h an undetectable viral load1 !y protect _! own heal?1 !y _c transmit ,,hiv to _! sexual p>tn]s1 & _! ,,hiv is untransmittable2 ,:]eas1 9 #bjac1 ! ,national ,association = ! ,advancem5t ( ,color$ ,p 7,,naacp7 releas$ a manual ( be/ practices = fai? lead]s to mobilize communities1 advocate = community support = p infect$ ) & affect$ by ,,hiv_/,,aids1 & organize dialogues on ,,hiv_/,,aids z a social ju/ice issue z "p ( ,! ,black ,*ur* & ,,hiv3 ,! ,social ,ju/ice ,imp]ative2 ,:]eas ! ,af=dable ,c>e ,act's expansion ( ,m$icaid & re=ms to ! individual insurance m>ket h help$ l[] ! un9sur$ rates = noneld]ly ,african ,am]icans by m ?an "o-?ird betwe5 #bjac & #bjaf1 lead+ to bett] heal? outcomes = ,african ,am]icans liv+ ) or at risk ( ,,hiv2 ,:]eas ,national ,black ,,hiv_/,,aids ,aw>5ess ,day 0 f\nd$ by #e national organizations 9 #aiii to provide capacity-build+ assi/ance to ,black communities & organizations2 & ,:]eas1 ea* ye> on ,febru>y #g1 individuals1 organizations1 & policymak]s across ! ,nation p>ticipate 9 ,national ,black ,,hiv_/,,aids ,aw>5ess ,day to promote ,,hiv education1 te/+1 community involvem5t1 & treatm5t 9 ,black communities3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives-- 7#a7 supports ! goals & ideals ( ,national ,black ,,hiv_/,,aids ,aw>5ess ,day2 7#b7 enc\rages ,/ate & local gov]nm5ts1 includ+ _! public heal? ag5cies1 & m$ia organizations to recognize & support su* day1 to publicize its importance among _! communities1 & to enc\rage individuals1 especially ,african ,am]icans1 to get te/$ = ,,hiv2 7#c7 comm5ds ! "w ( ,,aids s]vice organizations1 community-bas$ organizations1 fai?-bas$ organizations1 heal? c>e provid]s1 community heal? c5t]s1 & heal? dep>tm5ts t are provid+ effective1 culturally compet5t1 evid5ce-bas$1 prev5tion1 treatm5t1 c>e1 & support s]vices to p liv+ ) & vuln]able to ,,hiv_/,,aids2 7#d7 supports ! implem5tation ( ! ,national ,,hiv_/,,aids ,/rategy & its goals to r$uce new ,,hiv cases1 increase access to c>e & improve heal? outcomes = p liv+ ) ,,hiv1 r$uce ,,hiv-relat$ disp>ities & heal? inequities1 & a*ieve a m coord9at$ national response to ! ,,hiv_/,,aids epidemic2 7#e7 reque/s ! ,secret>y ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices to prioritize ! di/ribution ( ,national ,m9ority ,,aids ,initiative grants to ,,hiv-bas$ ag5cies t are m9ority-l$ ) pref]5ce giv5 to organizations l$ by p :o id5tify z ,african ,am]ican_/,black1 ,lat9o1 ,am]ican ,indian_/,alaska ,native1 ,asian ,am]ican1 or ,native ,hawaiian_/,pacific ,isl&]2 7#f7 supports r$uc+ ! impact ( inc>c]ation z a driv] ( new ,,hiv transmission rates )9 ! ,african-,am]ican community2 7#g7 supports r$uc+ ! numb] ( ,,hiv transmissions 9 ! ,african-,am]ican community result+ f intrav5\s drug use2 7#h7 supports effective & compreh5sive ,,hiv prev5tion education programs to promote ! e>ly id5tification ( ,,hiv ?r\gh volunt>y r\t9e te/+1 & to connect ^? 9 ne$ to cl9ically & culturally appropriate c>e & treatm5t z e>ly z possible2 7#i7 enc\rages ,/ate & local gov]nm5ts1 includ+ _! public heal? ag5cies1 & community-bas$ organizations to %>e & dissem9ate ,undetectable equals ,untransmittable 7,u,u7 in=mation2 7#aj7 supports appropriate fund+ = ,,hiv_/,,aids prev5tion1 c>e1 treatm5t1 rese>*1 & h\s+1 includ+ community-bas$ approa*es to fight /igma1 discrim9ation1 racism1 sexism1 homophobia1 & transphobia2 7#aa7 enc\rages compreh5sive prev5tion1 treatm5t1 & c>e /rategies t emp[] public heal? work]s1 educators1 fai? lead]s1 & o!r /akehold]s to engage _! communities to help decrease viol5ce1 discrim9ation1 & /igma t[>d individuals :o disclose _! sexual ori5tation1 g5d] id5tity1 or ,,hiv /atus2 & 7#ab7 enc\rages ,/ate1 local1 & ,f$]al ag5cies to consi/5tly p>tn] & =mally engage ) network lead]s compris$ ( subject matt] exp]ts ) liv$ exp]i5ce to uphold ! mean+ful involvem5t ( p liv+ ) ,,hiv z laid out 9 ! ,d5v] ,pr9ciples ( #aihc4