1

Lock-Up HIV

A Second Round rapid hiv test in cook

county jail

Action policy plan

By

Alisha white

2

WHAT’S THE ISSUE?Men who refuse Rapid Testing (RT) in correctional facilities could possibly infect others in their community if they do not know their status. Thus, increasing the spread of HIV!

3

The Facts According to the Centers for Disease Control and

Prevention, 1 in 7 people are infected with HIV go through a correctional facility each year.

The CDC also states, that these individuals are twice as likely to be infected than the rest of the population, especially if they practice high risk behaviors such as injection drug use or commercial sex.

Once they leave the correctional facility they re-enter the community not knowing their HIV status!

http://articles.chicagotribune.com/2012-08-28/news/ct-met-hiv-jail-testing-20120828_1_hiv

The facts

4

Race Estimated % of new AIDS diagnoses in 200911 % of population in 200812

White 27% 65%

Black/African American 47.9% 12%

Hispanic/Latino 21.2% 15%

Asian 1.2% 4%

American Indian/Alaska Native <1% <1%

Native Hawaiian/Other Pacific Islander <1% <1%

Multiple races 2% 2%

AIDS among various ethnic groups compares to the percentage of the population that each ethnic group represents.

As shown above, African Americans are disproportionately affected by the AIDS epidemic.

http://www.avert.org/hiv-african-americans.htm

The facts A study by AVERT says, over 230,000 African

Americans have died of AIDS. This accounts for 40% of total deaths!

Out of the 1 million people living with HIV in this country—half are black.

Highest infected are African American women which account for more than 50% of all new HIV cases.

African American women are largely being infected by heterosexual transmission.

The expected lifetime risk of becoming infected with HIV is 1 in 16 for black males (1 in 104 white male), and 1 in 30 for black females (1 in 588 white females) (Avert).

5

http://wwww.avert.org/hiv-action-americans.htm

6

Hiv testing in jails In order to put a dent in the HIV crisis in Chicago, correctional facilities are testing

inmates for HIV by Rapid Testing (RT) unless they refuse or opt-out (Chicago Tribune).

Correctional facilities have become a crucial battleground in the fight against HIV (Chicago Tribune).

The Centers of Disease Control and Prevention (CDC) states that 1 in 7 people living with HIV go through a correctional facility.

Cook County recently added male inmates to opt-out testing. Although, males inmates can opt-out knowing their status is important in preventing the spread of HIV. Detainees Opt-Out for many reasons: • short-time spent in jail• confidentiality• Fear or denial of risks• not wanting to be in jail.

1 in 20 black males are in a correctional facility-

A Cook County Jail inmate gives blood while going through the intake

http://articles.chicagotribune.com/2012-08-28/news/ct-met-hiv-jail-testing-20120828_1_hiv-cook-county-jail-inmates http://www.avert.org/hiv-african-americans.htm

7

The connection! African American women’s increased risk

of HIV infection is due to having unprotected sex with men who have high risk behaviors, including incarceration.

The fact that disproportionate number of incarcerated individuals are black men, HIV test in jails is key to prevention!

8

The answer!

A Second Round Rapid HIV Test (ASRRT) to guarantee inmates know their HIV status. ASRRT willalso help evaluatethe process of RapidTesting.

9

Venues This amendment to section 5 of the Unified Code of Corrections is to improve HIV testing and prevention currently taking place at Cook County Jail System. Section 5 –Unified Code of Corrections:

required in subsection (d) of Section 3 and Section 5 of the 2 AIDS Confidentiality Act. The Department may conduct opt-out 3 HIV testing as defined in Section 4 of the AIDS Confidentiality 4 Act. If the Department conducts opt-out HIV testing, the 5 Department shall place signs in English, Spanish and other 6 languages as needed in multiple, highly visible locations in 7 the area where HIV testing is conducted informing inmates that 8 they will be tested for HIV unless they refuse, and refusal or 9 acceptance of testing shall be documented in the inmate's 10 medical record. The Department shall provide a second roundrapid HIV test to ensure that all detainees are given the opportunity to get tested for HIV even if they have already opt-out. A second round rapid test shall ensure that detainees are educated on the prevention of HIV and are informed of resources in the community for additional support.

10

Policy paramoursRepresentative Camille Y. Lilly (D)78th DistrictYears Served April 2010- PresentChief Co-Sponsor HB 1748Lifelong Resident of Chicago’s Greater WestsideCommittee assignments: Elementary & Secondary Education; Appropriations-Public Safety; Transportation, Regulation, Roads; Business Occupational Licenses (Vice-Chairperson); Appropriations-Human Services; Health & Healthcare Disparities (Vice-Chairperson); Housing; Success in Schools Subcommittee; Select Committee on Discipline.

Biography: Lifelong resident of Chicago's Greater Westside; graduate of Oak Park River Forest High School; bachelor's degree in Management/Marketing from Drake University in Des Moines, IA; master's degree in Hospital Administration from Oklahoma University, and working on Executive MBA from Northwestern University's Kellogg School of Management; serves on the boards of Westside Health Authority, Loretto Hospital Foundation, Bethel New Life, Columbus Park Advisory Council, and Circle Family Care.

11

Policy paramoursRepresentative Elizabeth Hernandez (D)24th DistrictYears Served 2007- PresentCo-Sponsor on HB 1748Committee assignments: Aging (Chairperson); Labor; Approp-Elementary & Secondary Educ (Vice-Chairperson); Consumer Protection; Disability Services; Appropriations-Human Services; Health & Healthcare Disparities.

Biography: Full-time state legislator; former Senior Policy Advisor to Lt. Governor Patrick Quinn; administrator in Cicero public schools for 17 years; community volunteer and current member of Children’s Center of Cicero and Berwyn, Cicero Youth Services, and Pilsen-Little Village Mental Health Agency; Labor Council for Latin American Development member; former UFCW member; AA in Liberal Arts, Morton College (2001), coursework in public administration, Governors State University; married (Charlie) and mother of two daughters and one son.

12

Policy paramoursRepresentative Patricia R. Bellock (R) 47th DistrictYears Served 1999-PresentCommittee assignments: Human Services (Republican Spokesperson); Labor; Appropriations-Human Services; Mass Transit; Disability Services; Financial Institutions; Medicaid Subcommittee.

Biography: Full-time legislator; born in Chicago; graduated from Saint Norbert College with a bachelor's degree in History and American Government; rated top five Illinois legislators on business issues by IL Manufacturers; recognized for her landmark legislation requiring mental health parity, MRSA infection control, improving Amber Alert system and strengthening child support; Champion of Free Enterprise by IL Chamber of Commerce; Legislator of Year, Long Term Care; Disabilities; Autism and Fire Protection Groups.

13

Policy paramoursSenator Emil Jones III (D)14th District Years Served 2009-PresentChief Senate Sponsor HB1748Committee assignments: Committee of the Whole; Energy; Licensed Activities (Vice-Chairperson); Redistricting; Transportation; Subcomm on Health Care Licensing; Subcommittee on Special Issues; Subcommittee on Redistricting II; Commerce (Chairperson); Local Government.

Biography: Emil Jones, III, born May 16, 1978, the son of former Senate President Emil Jones, Jr., and the late Patricia Jones. He graduated from Chicago Christian High School in Palos Heights and attended Chicago State University and Robert Morris College. Former Administrator at the Illinois Department of Commerce and Economic Opportunity.

14

StakeholdersNon-Governmental• Chicago Department of Public Health• Cook County Department of Public Health• Chicago Black Gay Men Caucus• AIDS Foundation of Chicago• Cermak Health Services of Cook County• Faith Inc.• Men and Women in Prison Ministries• Midwest AIDS Training and Education Center• Asian Health Coaliton• CPPW Cook County Site• CPPW CDC Site• Chicago Health Corps.

Non-Profits• AIDS Foundation of Chicago• American Lung Foundation• Alexian Brothers AIDS Minstry • American Cancer Society• Access To Care

Governmental • The Department of Health and Human

Services• The Center for Disease Control and

Prevention• National Institute of Health• Administration for Children and Families• Agency for Health Care Research and

Quality• Environmental Protection Agency• Food and Drug Administration• Centers for Medicare and Medicaid

Services• Health Resources and Services

Administration• National Library of Medicine• White House

15

Referenceshttp://www.aidschicago.org/inside-story/503-three-years-later-opt-out-testing-the-norm-in-cook-county-jail

http://connection.ebscohost.com/c/articles/25743570/young-incarcerated-mens-perceptions-experiences-hiv-testing

http://article.wn.com/view/2012/08/28/County_jail_to_expand_HIV_testing/

http://articles.chicagotribune.com/2012-08-28/news/ct-met-hiv-jail-testing-20120828_1_hiv-cook-county-jail-inmates

http://www.slideserve.com/carina/key-issues-in-hiv-testing-in-jails-rapid-testing-linkage-to-care-and-evaluation

http://www.thebody.com/index/whatis/prison_testing.htm l

http://www.thebody.com/content/67094/money-well-spent-opt-out-testing-in-prisons-can-ca.html

http://www.aidschicago.org/advocacy-home/hiv-testing

http://www.aidschicago.org/illinois-news/545-the-new-2012-updates-of-the-illinois-hiv-testing-law

http://www.edhivtestguide.org/EDHITestWhat-4263.html

http://www.chicagoreporter.com/blogs/hiv-prison-population-could-grow-just-changing-question

http://www.healthystates.csg.org/NR/rdonlyres/6C3A47EE-14FE-4448-8E02-35D89F1B0B3C/0/IllinoisHIVTestingExpansion.pdf

http://www.cdc.gov/hiv/strategy/echpp/pdf/chicago_echpp_report.pdf

16

Referenceshttp://www.hivlawandpolicy.org/resourceCategories/view/10 http://archive.constantcontact.com/fs108/1109221482129/archive/1111294715042.html http://archive.constantcontact.com/fs071/1109221482129/archive/1109912731834.htmlhttp://www.cdcnpin.org/scripts/display/NewsDisplay.asp?NewsNbr=60386 http://www.huffingtonpost.com/2012/11/19/routine-hiv-screening-us-preventive-services-task-force-uspstf_n_2161090.html http://www.hfs.illinois.gov/assets/062712n2.pdf