Tuesday, November 24, 2015

Give Thanks

By Ceasar Montoya

November is the month of Thanksgiving, Veteran’s Day, and Dia de los Muertos (Day of the Dead).  It is a time of year when we give thanks for the bounty from the harvest. The air is a bit cooler as we prepare to transition into winter.  In relation to the work we carry out in the prevention of STI/HIV and Hepatitis, I encourage you to take time and reflect on the journey we are traveling together. 
There was a time when things such as PrEP (Pre Exposure Prophylaxis) was only a wild concept.  The most recent studies show that PrEP is proving to be an effective tool in the fight against HIV.  The studies show as high as 97% effectiveness in the prevention of HIV transmission.  That’s something to get excited about.
Reflect also on your colleagues who have served in the military. They have contributed toward many of the freedoms which we can sometimes take for granted.  I invite you to take the time and thank one of your colleagues by taking them to lunch, writing a thank you note, or simply saying thanks.  Without a doubt, I am eternally grateful for the strong influence on my life by the love, honor, and respect shown to me from my father Marcos Quintana Montoya (Sgt UCMC Korea). 
CDPHE’s STI/HIV/VH Branch has partnered with Veterans Affairs (VA) to provide top quality care for our veterans.  The VA staff has routinely worked to ensure a smooth interaction for appropriate referrals with CDPHE staff.  This has afforded CDPHE the ability to offer services to veterans, impacted by STI/HIV/VH. 
Dia de los Muertos (Day of the Dead) is becoming increasingly popular in Mainstream America. While not the intent, many cities have pub crawls or parties to celebrate this auspicious event. While celebrating life is an integral component of Dia de los Muertos , it is also a time to remember and honor those who are no longer alive. Those who have passed on. Not a somber remembering, rather a time to embrace all the good memories we have of our loved ones. 
Much like the AIDS quilt commemorates the lives of loved ones who have died of the disease, Dia de los Muertos altars or displays set up with things for remembering those who have died.  Items commonly include marigold flowers, sugar skulls, pictures of deceased loved ones, candy, and other favorite items of the dead.  In celebrating the Day of the Dead, we keep them living, never forgotten, and helping us to remember to value our time here, as it is short lived. 
Let us take the time to enjoy life by celebrating those who have lost the fight against AIDS. For they have provided the necessary momentum for those today who are winning that fight. 
For more information on PrEP:

For information on Veteran’s day:

For further information on Day of the Dead:

Thursday, August 27, 2015

NEW September 2015 Training from the CDPHE

Overview of Pre-Exposure Prophylaxis (PrEP) for Non-Clinical Providers 

September 23, 2015
9:00am - 5:00pm

This 1-day course provides participants with an overview to the role non-clinical providers may play in the implementation of a PrEP Support Program in Colorado as it is currently evolving.  Participants will examine the place for PrEP in the world of HIV prevention; build their knowledge about general PrEP facts needed to interact with clients in a non-clinical capacity; and review and practice the use of a Colorado Brief PrEP Screener and Brief Counseling model (CRAFTS) in order to begin to identify candidates and discuss their interest in a referral.  The class will also provide a general introduction to referral and payment options, basic adherence barriers and approaches, and strategies to reach those most at risk.  This course is intended to be the first course in PrEP Support implementation, with additional training needed to develop specific roles (such as navigation, adherence counseling, or recruitment strategies).  

Visit our Training Calendar for more information and to register: https://www.colorado.gov/pacific/cdphe/hiv-training

Thursday, July 23, 2015

July 26 - Hep C Connection Street Art Event

In honor of World Hepatitis Day, Hep C Connection is hosting a street art event on Sunday, July 26 from 10:00 AM to 3:00 PM.The fair will be held in the alley behind Denver’s Owl & Orchid Tattoo at 3928 Federal Blvd, Denver, CO. Attendees will be able to watch artists paint urban wall murals, receive free hepatitis C testing and gather information about the many public and private organizations who provide support for hepatitis C patients and providers.

Friday, June 26, 2015

National HIV Testing Day - June 27, 2015

By Ceasar Montoya

The first National HIV Testing Day was observed June 27, 1995. Fast forward 20 years to 2015. Many things have changed in the world of HIV care, prevention, and testing. We have technologies which aid in determining HIV infection earlier than what was possible in 1995.

The methods of transmission have remained the same. HIV is transmitted via blood, semen, vaginal secretions, and breast milk. Risks include sexual contact without a condom, injection drug use or needle sharing, and from mother to child.

We have made progress in significantly reducing the risk of HIV transmission from mother to child through early detection and treatment throughout pregnancy. We are now able to offer Pre Exposure Prophylactics or PrEP to significantly reduce the risk of transmission of HIV from HIV (+) sexual partner to HIV (-) partner. We are also able to reduce the risk of transmission by linking HIV positive people to care and getting them on medication in order to reach viral suppression.

Through all the progress we have made combating HIV, one of the greatest tools we have at hand remains knowing your status. This is done through testing. Testing technologies today allows a test result to be delivered at a medical provider’s office, counseling center, clinic, outreach event, or at home when purchasing a test kit from a pharmacy.

Know your status, test with your partners, and be aware of risks. Through testing and communication, you become a part of the progress toward eradicating the disease of HIV.

For further information on HIV testing activities for NHTD 2015, and for testing sites visit AIDS.gov's HIV Testing Day page.

Tuesday, April 21, 2015

Transgender Inmate's Hormone Treatment Lawsuit Gets Justice Dept. Backing

Ashley Diamond in New York, early 2000's.
From The New York Times -

WASHINGTON — The Justice Department put the nation’s prisons and jails on notice on Friday that it regarded blanket policies prohibiting new hormone treatment for transgender inmates to be unconstitutional.

In court documents, the Justice Department backed a lawsuit brought by a prison inmate who says the state of Georgia illegally cut off the hormone treatment that she had been taking for 17 years.

Monday, April 13, 2015

April and May Training from the CDPHE

Using Social Networks: A Recruitment Strategy for Counseling, Testing and Referral

April 28-29, 2015 
8:30 a.m. - 5:00 p.m.

This two-day course provides participants with a comprehensive understanding of how to utilize social networks as a recruitment strategy for counseling, testing and referral, and to develop knowledge and skills needed to reach highest-risk persons, hard-to-reach communities and people living with HIV/AIDS who are unaware of their status. Participants will learn to differentiate social network strategies from other activities, explain the four phases of a strategy, and describe its ability to reach people at high risk for infection. They will also learn to draw a social network diagram and develop a plan for implementation. With these strategies, providers reach into an existing social network in which infection and/or risk behavior is present in order to identify more people at risk for HIV infection and to recruit for testing, services, and pre-exposure prophylaxis (PrEP). As a strategy, it can be used in either a targeted or programmatic approach. While this class teaches social network strategies for counseling, testing and referral, it can be used to identify and bring people in for any intervention or service, including linkage to care and PrEP screening.

Visit our Training Calendar for more information and to register: https://www.colorado.gov/cdphe/hiv-training

Fundamentals of Street Safety

May 12, 2015 
9:00 a.m. - 5:00 p.m.

This one-day, interactive, skill-building course is for public health professionals who are involved in field work, such as Disease Intervention Specialists, visiting nurses, or community outreach workers. This course is designed to provide participants with an opportunity to increase awareness for the inherent potential for violence and danger in field work. Topics include basic safety principles, assessment of environments and escalating behavior, interpersonal communication skills, and nonverbal intervention skills. Participants will use these tools to identify potentially risky situations, to improve ability to listen to intuition and to promote prevention strategies resulting in increased safety.

Visit our Training Calendar for more information and to register: https://www.colorado.gov/cdphe/hiv-training

Thursday, April 9, 2015

CDPHE's HIV Community Input Meeting Notes from March 20, 2015

On March 17, our HIV/STI/VH Branch held a community discussion. The agenda was based on input collected from stakeholders via an electronic survey and focused on developing strategies around communications and shared agreements for collaboratively moving forward.

Monday, April 6, 2015

From NMAC: How Do You Lead With Race ...

...When You’re Talking About the Science of HIV?
by Danielle Houston  

Scientists agree that race is a social construct,not a biological division.
Black, Latino, White, Asian, Native American or otherwise, we are all human. And yet we see huge health disparities among racial and ethnic groups. These differences affect how frequently a disease affects a group, how many people get sick, or how often the disease causes death.

In HIV, we so frequently discuss the disproportionate number of infections and fatalities in Black and Latino communities, that it’s possible we’ve lost sight of the fact that HIV is not more virulent or infectious in people of color.

Friday, March 20, 2015

LGBT Health Awareness Week, March 23 - 27

by Ceasar Montoya

Allies are people who may not be LGBTQ but who support LGBTQ events, activities, lifestyle and culture. I am one of your allies. I grew up with both friends and family who are LGBTQ. As such, I have a degree of understanding of the issues you face. However, we all have room to grow. I encourage you to participate in the scheduled activities at CDPHE from March 23rd to March 27th.

Please see the links below for more information. As an ally, I ask that you recognize that though we are in a time where same sex couples are winning the right to celebrate their lives and be recognized legally before governments, we have a ways to go achieve social justice for the LGBTQ community. We still witness many injustices such as the recent murder of Angie Zapata and the unfortunate encounter with authorities that the friends and family of Jessie Hernandez are left to deal with.

Substance Abuse and mental health issues often lead to negative outcomes, which can impact the overall wellbeing and health of the LGBTQ community. Despite variances in socio-economic status, race/ethnicity, or culture, let us stand united in support of creating change. Let us unite toward those issues that may have a negative impact on the community. Participate in whatever way you feel you can. Every little grain of sand adds up and can create a mountain of change for the better.

LGBTQ resources:

PFLAG Colorado

It Might Really 'Get Better' for LGBT Teens - The Atlantic

One Colorado's report on transgender health

Colorado HealthCare Resources for LGBTQ

Scheduled Events at CDPHE 

Monday, March 23

Mental Health, Suicide and Substance Abuse

12-1 Room C1A

Tuesday, March 24

PrEP HIV Preventative

12-1 Room C1E

Wednesday, March 25

LGBT Spirituality

12-1 Room C1A

Thursday, March 26

Health Discrepancies Trans Panel

12-1 Room C1E

Thursday, March 19, 2015

National Native HIV/AIDS Awareness Day, March 20

by Ceasar Montoya

Friday, March 20th 2015 Marks the 8th Annual National Native HIV/AIDS Awareness Day. This also coincides with the first day of Spring, This is a time in Native culture for new beginnings, a time to celebrate life. Instead of reviewing statistics and focusing on what can be perceived as negativity. I will focus instead on the positive. We live in a time when resources are available to not only help prevent HIV, but to also allow individuals who are positive to live long, healthy lives when accessing successful treatment.

Tools that are available in today’s HIV prevention battle are testing, condoms, and Pre Exposure Prophylaxis or PrEP. PrEP is a treatment designed to help prevent the transmission of HIV and is quickly becoming more accessible. No matter what your ancestry is, be it Kanaka Maoli (Hawaiian), Alaska Native, Lakota, or Mexican, it is our collective responsibility to do our part to create a healthy indigenous population for our children and grandchildren. For more information on prevention, testing and activities, please check out these resources below:

Tuesday, March 10, 2015

"I stand for 10 women living with HIV in Colorado."

Mel Mattson (right and left) representing the women of Colorado living with HIV.
Today, National Women and Girls HIV/AIDS Awareness Day, I am privileged to be one of 181 volunteers representing the estimated 1,819 women living with HIV in Colorado. Please join me in this effort to shed light on the impact of HIV/AIDS on women and girls in Colorado and throughout the United States.

- Mel Mattson, STI/HIV/Viral Hepatitis Section Chief

Monday, March 9, 2015

National Women and Girls HIV/AIDS Awareness Day, March 10

by Caesar Montoya

HIV/AIDS impacts us all. March 10th is National Women and Girls HIV/AIDS Awareness Day. Our sisters, daughters, mothers, grandmothers and wives are part of the picture of HIV/AIDS. Fortunately, we live in a time when people have access to treatment and services to support healthy living with HIV. For example, a woman with HIV can have a healthy pregnancy and deliver a child free of HIV. As recent as a decade and a half ago, this was still a challenge.

Many women who contract HIV are not even aware they were at risk. Factors that impact women at risk are partner violence as well as hidden injection drug use by partners. Rather than blame anyone, we are here to build knowledge, confidence, and acceptance in order to empower our women and girls to stay healthy and to help keep others healthy. This is done initially by utilizing today’s tools such as HIV testing and treatment.

In addition, new and promising options for HIV treatment and prevention are now available. Be sure to ask for details about PrEP, Pre-Exposure Prophylaxis. This latest HIV medication can be taken by someone who is still HIV negative to help prevent them from contracting HIV from a positive partner. The statistics documenting successful studies are significant.

In celebration of National Women and Girls HIV/AIDS Awareness Day, let us each do our part and encourage our women to get informed, get tested, and get on treatment. Together, we can build healthier communities.

More information about programs and services

Colorado's The Empowerment Program

Colorado's It Takes a Village

Where is Sisters of Colorado United for Education, from Plaza Aztlan

Colorado's Servicious de la Raza

CDC's National Women and Girls HIV/AIDS Awareness Day

WomensHealth.gov's National Women and Girls HIV/AIDS Awareness Day
CDC's Pre-Exposure Prophylaxis information

Monday, February 23, 2015

American Men's Internet Survey, Colorado 2013

From PRISM Health at Emory University, Atlanta, Georgia:

We are pleased to present you with this state report from the American Men’s Internet Survey (AMIS) 2013, an online HIV behavioral survey of men who have sex with men, conducted by Emory University Rollins School of Public Health. The survey was conducted between December 2013 and May 2014 through website banner ad recruitment of men in the U.S. reporting sex with men. Data from the survey include demographics, sexual history, and HIV testing behavior.

Thursday, February 19, 2015

April Trainings from the CDPHE

Working with Men Who Have Sex with Men

April 14, 2015
9:00 a.m. - 5:00 p.m.

CDPHE's Laboratory Training Room 

This one-day course seeks to raise the skill of service providers to effectively conduct HIV prevention and treatment activities with gay men and other men who have sex with men (MSM). This course will provide information on the nature of gender identity, sexual orientation, and culture that will first seek to create an awareness of the complex issues surrounding MSM behavior. This course will assist service providers conceptualize MSM behavior in light of dominant norms in U.S. society, and will allow providers to use this knowledge to construct programming and communication strategies to work with MSM that are both respectful and effective.

Registration Information: Go to www.co.train.org and search for course ID #1055573.

Using Social Networks: A Recruitment Strategy for Counseling, Testing and Referral (SNS) - Two-day Course

April 28-29, 2015
8:30 a.m. - 5:00 p.m.

CDPHE's Main Campus
Building A - Carson Room

This 2-day course provides participants with a comprehensive understanding of how to utilize social networks as a recruitment strategy for Counseling, Testing and Referral (CTR) and to develop knowledge and skills needed to reach highest-risk persons, hard-to-reach communities and PLWHA who are unaware of their status.  Participants will learn to differentiate SNS from other activities, explain the four phases of the SNS, and describe the benefits of SNS to reach people at high risk for infection, draw a social network diagram and develop a plan for implementation. With SNS, providers reach into an existing social network in which infection and risk behavior is present  in order to identify more people at risk for HIV infection and to recruit for testing, services, and PrEP. As a strategy, it can be used in either a targeted or programmatic approach.  While this class teaches SNS for CTR, it can be used to identify and bring people in for ANY intervention or service, including linkage to care.

Registration Information: Go to www.co.train.org and search for course ID #1055581.
Note: This is a two-day event and you only need to register once to cover both days.

We've still got spots open for our March Trainings.

Visit our Training page for the training calendar and for more information.

Wednesday, February 18, 2015

Janet Mock to Speak in Denver Next Week on Trans Women's Cultural Issues

from Metropolitan State University of Denver:

Rachel B. Noel Distinguished Visiting Professorship 2015
and the Institute for Women's Studies and Services 24th Annual Bridge Speaker

February 26, 2015
11:00 a.m.
6:00 p.m.

Featuring Janet Mock
Weaving Our Stories: Trans Women & Our Legacy at the Intersections

‌Writer, cultural commentator, advocate for trans women’s rights and the New York Times bestselling author of Redefining Realness: My Path to Womanhood, Identity, Love & So Much More. Feminist cultural critic bell hooks called Janet’s memoir, “A lifemap for transformation,” while Melissa Harris-Perry said "Janet does what only great writers of autobiography accomplish—she tells a story of the self, which turns out to be a reflection of all humanity.” A board member at the Arcus Foundation, Janet has been called one of the smartest women on Twitter by Fast Company and her work has been recognized by the Sylvia Rivera Law Project, the Anti-Violence Project, and Planned Parenthood. Hailing from Honolulu, Hawaii, Janet lives and writes in New York City, and has been fan-girling over Beyonce for 16 years.
Visit Metropolitan State University's website for more information and to register.

Monday, February 16, 2015

Colorado HIV and HCV Specialty Care Network List Available

You can find the list of mental health professionals serving persons living with HIV and AIDS, and those co-infected with HCV, on these webpages. The list has been separated into multiple sheets by region:

Note: This document is posted on Google Drive so that we can keep it up to date. It will work best on the latest versions of major web browsers. If you are having trouble seeing it, it could be due to an outdated web browser, and updating your browser may help.

Monday, February 9, 2015

March Trainings from the CDPHE

Cultural Sensitivity - Two Day Training

March 10, 2015
9:00 a.m. - 5:00 p.m.

CDPHE's Laboratory Training Room 

This two-day course is designed to define cultural competence and to explain the role cultural competence has in providing effective HIV prevention services. The course describes the issues of racism, stereotyping, prejudice, culture, class, taboos, ethnocentrism, power and privilege and also provides the basic foundation of building individual cultural competence. It will introduce participants to the skills necessary to begin a cultural dialogue so that they can better understand the impact of culture on risk.  It will challenge participants to examine their own views and listen openly to the views of others.  Participants will identify personal biases, understand how biases are formed and increase their level of comfort in addressing bias-related issues. The class also incorporates interpersonal reflection surrounding participant attitudes and biases.  The class does not address differences in language, values, beliefs, customs or traditions within various racial or ethnic groups or communities.  

Registration Information:  Go to www.co.train.org and search by course ID #1055571.
Note: This is a two-day event and you only need to register once to cover both days.


Status Disclosure

March 31, 2015
9:00 a.m. - 5:00 p.m.

CDPHE's Laboratory Training Room

This one-day course is designed to train HIV Prevention and Care and Treatment Providers to support clients to explore issues related to HIV status disclosure, to determine whether disclosure to a particular person is the best strategy for them at this time, and to prepare to disclose. While the disclosure may include partners, the class is designed to explore disclosure to friends, family, care providers, employers, or anyone within the client’s social network. The Recommendations for HIV Prevention with Adults and Adolescents with HIV in the United States, 2014, state that clients who disclose to their networks often increase their level of support which enhances linkage to care and adherence to treatment, leading to viral suppression. Disclosure to at risk partners decreases transmission and presents opportunities for PrEP or nPEP. At the end of this course, participants will describe contextual issues surrounding HIV status disclosure; identify benefits and concerns of disclosing HIV status for clients, coaches, and confidants; describe the four step process to introduce, explore issues, coach and summarize for disclosure; and demonstrate, in a practice session, how to coach people living with HIV/AIDS (PLWHA) in disclosing status to important people in their lives.
Registration Information:  Go to www.co.train.org and search for course ID #1055551.

Friday, February 6, 2015

National Black HIV/AIDS Awareness Day - February 7, 2015

by Ceasar Montoya

HIV/AIDS is still disproportionately affecting communities of color. Latinos and Blacks continue to make up more HIV/AIDS cases in comparison to white populations.

Will you allow this to continue? Will you continue to stigmatize those who are impacted? Will you instead take a pledge toward action?

It has been proven time and time again that knowledge does not equate to behavior change. Let your commitment to an action plan that supports behavior change be your first step. Then take action to support those who need help.

It’s important to have the facts. And while statistics aren’t going to change anything, together, we can move forward toward creating a tomorrow where HIV/AIDS does not negatively impact our communities of color.

The Colorado Department of Public Health and Environment has a vast amount of resources, information, and support services to partner with these populations and close the gap. Get tested, know your status. Take part in testing and outreach activities. Find out what your local health organization has to offer. Community based organizations and local churches and schools are also great resources for outreach. The tools to change behavior and the disproportionate statistics are at hand.

One of our greatest strengths is the strength found in community. Each step, no matter how small, leads to positive individual change. Each individual change leads to positive outcomes. Zero new HIV/AIDS cases can be achieved. It’s up to all of us.

Please visit the resources below for more information:

Thursday, February 5, 2015

Understanding Undetectable Viral Load and Reducing HIV Transmission in 2015

by the CDPHE's Regina Charter and Nancy Wolff

Since the mainstream discovery of HIV in 1981, the Centers for Disease Control (CDC) has made huge strides in understanding the treatment, testing and prevention of HIV. Since 1987, Regina and I have worked at the Colorado Department of Public Health and Environment (CDPHE) in the Sexually Transmitted Infection (STI)/HIV/Viral Hepatitis Branch providing prevention services to people infected and affected by HIV. We’ve witnessed and experienced the evolution of the HIV epidemic. HIV has changed from being a terminal illness to a chronic infection. A big reason for the medical advancement of care and treatment for HIV is the increasing number of People Living with HIV/AIDS (PLWHA) who are accessing care. Treatment with HIV medication generally leads to maintaining an undetectable viral load (UND VL). This creates healthier individuals and healthier communities. The scientific breakthroughs are to be celebrated!

The current research on HIV transmission and new medical interventions are exciting and promise big changes in HIV prevention, but the information can be confusing and leave us wondering how to guide clients. Due to that, some case managers and social workers serving PLWHA have requested guidance and clarification on the current research and how to speak to clients about Undetectable Viral Load test interpretation and HIV transmission. This article is intended for providers serving people infected and affected by HIV.

Monday, February 2, 2015

Upcoming Webinar: Principles of Effective Suicide Care: Evidence-Based Treatments

From the National Action Alliance for Suicide Prevention

Tuesday, February 10, 2015 | 1–2:30 p.m. Eastern Time

Individuals at risk for suicide who seek help from a behavioral health professional should expect to receive care that is research informed, collaborative, and focused explicitly on suicide risk. Research suggests that practitioners who receive formal training in suicide care models have improved confidence, competence, and efficacy.

In a comprehensive Zero Suicide approach, a skilled and savvy workforce with extensive training in suicide care and treatment is critical.

By the end of this webinar, participants will be able to:
Explain how evidence-based approaches to treatment improve outcomes for those at risk for suicide.
Recognize the importance of treating suicide symptoms directly.
Describe two evidence-based models of suicide care.
Understand the perspective of people with lived experience and how it is affected by receiving evidence-based care.

Learn More and Register for the Webinar

Monday, January 26, 2015

Popular Opinion Leader Training In Denver

The Department's Colorado Capacity Building Team is pleased to announce that there are still seats available in the Popular Opinion Leader (POL) course. This course will be offered next month, from February 24-26th at Z-Place, in northeast Denver.

by January 30, 2015

Notifications will be sent out shortly after January 30, 2015.

The Popular Opinion Leader Training Center will be sending registration information and prerequisite reading information to applicants’ email inboxes. As this course will be marketed nationally, we would like to encourage the HIV Prevention Contractors to register as soon as this information arrives. We don’t want someone else from another state taking your space.

Course information:

February 24-26, 2015

Dana Williams (APIAHF)
Jennifer Freeman Smith (APIAHF)

Z Place
4800 Telluride St., Building 5
Denver, CO 80249

CDPHE Job Opportunity: STI/HIV Community Planning Coordinator


The Disease Control and Environmental Epidemiology Division is recruiting for a STI/HIV Community Planning Coordinator (General Professional III, position #01696).

The announcement is open to all Colorado residents and is scheduled to be posted through February 5, 2015, or once 30 qualified applicants are received, whichever comes first. As such, applicants are strongly encouraged to apply early.

Please follow the above link for the job announcement and instructions on how to apply. Please forward this email to interested parties. Thank you in advance for your interest in this career opportunity!


Katie Brooks
Human Resources Consultant

Thursday, January 22, 2015

Viral Hepatitis Prevention Coordinators, a Vital CDC Program Helping to Achieve the Goals of the Viral Hepatitis Action Plan

by Dr. John Ward - from AIDS.gov's blog.

Viral Hepatitis Prevention Coordinators (VHPCs) are vital to the implementation of the nation’s Action Plan for the Prevention, Care, & Treatment of Viral Hepatitis, and ultimately, achievement of 3 of the national goals of reducing viral hepatitis transmission and disease:
  • Increase the proportion of persons who are aware of their hepatitis B virus (HBV) infection,
  • Increase the proportion of persons who are aware of their hepatitis C virus (HCV) infection, and
  • Reduce the number of new cases of HCV infection.  
 Read the rest of Dr. Ward's post at AIDS.gov's blog.