Samaritan Ministry

Filling in the Missing Pieces

Caring for Those Often Pushed Away by our Community

Throughout the story of the life of Jesus, we are reminded that we are expected, as Followers, to care for the sick; to reach out to the unloved and the untouchable; to go places where we might not be expected to go. 2018 will another year where we are challenged to love our neighbor.

A Successful Ending to 2017

Two Thousand Seventeen ended with a bang for us, having worked hard to put several happenings in place as part of a busy six-week stretch.  There are many, many volunteers, partner agencies, and sponsors that stepped forward to make all of this possible.  Thank you, thank you!

November – Holiday Hope Bucket Campaign at Central Baptist

Nov. 16 – Annual Thanksgiving Banquet / Central Baptist

Nov. 20 –  Thanksgiving Basket Distribution (Baskets courtesy of Cedar Springs Presbyterian Church)

Nov. 26 – Hope Bucket Dedication in Morning Worship at Central

Dec. 1 – World AIDS Day – testing at Pellissippi State Main Campus

Dec. 1 – World AIDS Day Commemoration Event at Rothchild’s

Dec. 2 – FaithWalk and Al Ichiki 5K in Downtown Knoxville

Dec. 7 – Hope Center Christmas at Cedar Springs Presbyterian Church

Dec.12 – Christmas Box Distribution

 

RAM Clinics

Again this year we will spearhead HIV and Hepatitis C testing at the local RAM (Remote Area Medical) Clinic that will run for 4 days, January 31- Feb. 4 at Chilhowee Park in Knoxville.  We will have a team in place all day for each of these clinic dates.

 

U=U Undetectable = Uninfectious

This moniker, used now for over a year, describes one of the most groundbreaking pieces of HIV research in the 30 plus years of this epidemic.  This research describes the impact of successful HIV treatment (Antiretroviral Therapy or ART) on the ability of an HIV infected person to pass along the virus to another person. Beginning with the Swiss Statement in 2008 and culminating with the “Dear Colleague” letter from the CDC in 2017, evidence has mounted that successful HIV treatment (undetectable) prevents sexual transmission of HIV (uninfectious or untransmittable).  The CDC statement reads, in part, “When ART results in viral suppression, defined as less than 200 copies/ml or undetectable levels, it prevents sexual HIV transmission.”

We believe this understanding is central to ending the HIV epidemic and it means that every person who has HIV needs to be identified and connected to medical care.

 

HIV Rates are Declining!

Overall, annual HIV infections declined 18 percent from 2008 to 2014. Incidence fell sharply among heterosexuals (36%) and people who inject drugs (56%). Several states and Washington, D.C. made substantial, statistically significant, progress in decreasing annual HIV infections. Good News!

 

Relationship with OMH

Wayne has been involved with the OMH (Office of Minority Health Resource Center, U.S. Department of Health and Human Services) to help present webinars to a national audience on a variety of topics related to health and wellness. In October Wayne was part of a panel convened to take a look at “The Role of Faith Leaders and the Health of their Communities.”

Wayne is working with OMH to present two webinars in 2018.

Faith-Based Community HIV Initiatives Serving Women. This webinar will be presented in March, 2018 in conjunction with National Women and Girls HIV Awareness Day.

Community Efforts: Responding to Youth Substance Misuse. This webinar will be presented in September 2018 in recognition of Heroin and Opioid Awareness Week

 

Responding to the Opioid Crisis

In 2011, recognizing the uptick in Hepatitis C infections, and understanding the relationships between injection drug use, HIV, and Hepatitis C (HCV), Samaritan Ministry began to listen and learn, making the necessary changes in our activities to meet the changing times.

We always want to be poised to meet the challenges in our communities.  As Tennessee has made the bold moves necessary to protect our community health, Samaritan Ministry has been engaged with The Tennessee Department of Health and other community partners.

We know that the U.S. is in the midst of an opioid overdose crisis and that 33,000 Americans were killed due to overdose in 2015, a 4-fold increase since 1999. Many people expect this number to be doubled as numbers are gathered for 2017.

Times are changing in Tennessee and Samaritan Ministry is right in the middle of these changing needs.

The timeline for events that brought Samaritan Ministry into the opioid abuse arena began with an outbreak of HIV in Indiana in 2015. This outbreak, with over 200 new HIV infections, took place in rural Scott County, Indiana, in a population heavily involved in intravenous opioid use. This outbreak, unprecedented in America, raised public health awareness that led to a national vulnerability assessment on the likelihood of a similar outbreak in other U.S. counties. Tennessee contains 42 of the 220 most vulnerable counties, many of them in East Tennessee.  This was followed by a public health advisory and other initiatives in Tennessee to address this crisis.

Most recently, the Tennessee Legislature passed (and Governor Haslam signed) a bill to allow syringe exchange programs in an effort to thwart escalating Hepatitis C rates and to proactively work to prevent an HIV outbreak in our state.

Samaritan Ministry has been in the forefront of these developments and is a partner with two East Tennessee non-profits that are poised to begin Syringe Exchange programs in 2018.  Here again, we are helping to fill in the missing pieces to make these programs a reality.

You can see a TIMELINE of these events an initiatives HERE.

STEP TN Off to Smooth Start in Chattanooga

We visited the new Syringe Exchange program in Chattanooga and were overwhelmed with the great start to this exciting new program, called STEP TN.  We invite you to visit the website for this program (part of Cempa Community Care).  Samaritan Ministry is a financial partner with Cempa in order to make this program a success. Visit the web site for STEP TN @ http://www.steptn.org 

 

HIV Basics are Still Important

POZ magazine issues weekly news alerts at the POZ News Desk. (see poz.com) and one recent post got our attention. They recently shared a great summary about HIV Basics that we would like to share with you. This comprehensive piece covers everything from transmission to testing to treatment and everything in between. Read the full post HERE.

New Generic HIV Drugs Get FDA Approval

The treatment landscape for HIV is always changing. Recently, we learned about two new GENERIC combination treatments, Simfi Lo, and Cimduo. (No, we didn’t make those names up.) As some HIV drugs are aging past their patent protection, we are seeing several become available in generic form. This is a big deal, but does come with some caution because older drugs are not always better for the patient.

“The Fair Pricing Coalition (FPC), an ad hoc coalition of HIV and hepatitis C virus (HCV) activists, welcomes the U.S. Food and Drug Administration approvals and launches for Mylan’s Cimduo and Symfi Lo, with benchmark prices 40 percent lower than those of comparator drugs.  Cimduo and two efavirenz-based products join a number of off-patent antiretrovirals (ARVs) – both generic and brands – entering the U.S. market that can potentially increase competition and lead to lower prices for purchasers and payors.”

Read the full Fair Pricing Coalition article at fairpricingcoalition.org

HIV Self-Testing Leads to Self-Empowerment

Samaritan Ministry is a community leader providing opportunities for HIV testing in a variety of settings.  The test that we use (OraQuick Advance Rapid HIV Antibody Test) provides a quick 20-minute turn-around with results provided by a trained HIV counselor.

OraSure Technologies also manufactures an In-Home HIV Test which is available locally as an option for people wishing to determine their HIV status with a maximum level of privacy.  This test is available at Walgreens, Kroger, CVS, and Walmart in Knoxville (retail priced at around $44), and is gaining popularity although it is used more widely outside the U.S.  Please enjoy the article below from OraSure Technologies about the impact of this test in Ethiopia.
Find out more at http://www.oraquick.com!

 

“I remember the first time I got tested was extremely scary and made me feel that knowing my status, which could likely be positive, could mean the end of the world,” Hana said, recalling her experience from many years ago.  At the time, stigma around being HIV positive was high, but knowledge about the virus and its transmission was low.

Hana and her friend, Selam, have been going to PSI/Ethiopia’s HIV prevention drop-in centers for the past 4 years.  As peer educators and participants themselves, they understand that knowing your HIV status is an important factor in living a healthy life.  As female sex workers, they know that their risk of contracting HIV is high. Because of this high risk, sex workers are a population that the USAID funded MULU/MARPs project, led by PSI/Ethiopia, can’t afford to miss.

Hana and Selam were part of the insight gathering phase of the HIV Self-Test (HIVST) kits that PSI/Ethiopia is launching in ten towns across Ethiopia where the burden of HIV is high.  A first for the country, this project puts a strong emphasis on empowering consumers like Hana and Selam.

Hana and Selam tell PSI that they make sure to be tested every three months, even though the recommendation is to be tested every six months. “The last time I got tested was two weeks ago using the Ora-quick.  It made no sense when it was being explained to me, but I found it to be so straight forward [when used]. It made me feel like I am the doctor administering my own health using something sophisticated. The convenience and the fact that I don’t have to feel judgment from health practitioners after knowing my status is so empowering that I told everyone I met that day about HIVST,” they explain.

After hearing this, USAID, government health bureaus and local implementing partners were excited about the potential that using the HIV self-testing kits would have with at risk populations. In addition to prevention of HIV through distribution of condoms, STI screening, free counseling and the drop-in centers, Hana and Selam said that being able to find these HIV self-test kits would be hugely beneficial for them.

Hana and Selam had different opinions about where they wanted to have access to the kits. In addition to the drop-in centers, the self-testing kits would be available at pharmacies and health centres.

“I simply can’t wait to show the HIVST kits to my peers once this product becomes abundantly available.” said Selam with a beaming smile.

Backwards and Forwards

A look at the State of HIV through the eyes of Samaritan Ministry…

With the end of 2016, we are taking time to reflect on what we have seen in the course of a year in the HIV world, and as we are providing leadership and care for many of the most marginalized in our community. What have we seen in 2016? What does the view from Samaritan Ministry look like?

Well, there is lots of good news!

There have been notable advances with HIV medications. Even in this one year we are seeing new formulations of medications that are better at fighting HIV and better for people who take them. In 2016 new single tablet regimens have been developed and new formulations of some of the “good old pills” have hit the market.

Research continues with new drugs and combinations and the drug companies are trying to become more consumer friendly as they work to bring new products to market.

However, there is the need to watch closely and to use the consumer protections that are available so that new drugs and their uses are the best they can be. An example of these protections is the Good Participatory Practice (GPP) guidelines, which provide for broad stakeholder involvement in HIV research. Even in 2016, advocates need to be diligent about drug safety.

While PrEP (Pre-Exposure Prophylaxis) has been around for a while, it has taken new flight in 2016 with many more men and women taking this medication to prevent HIV infection. PrEP is big news and it works.

PrEP is a drug combination (Truvada) that can be taken daily to prevent an HIV infection, even though there may be risk. Research has found great, though not 100%, success with this new prevention tool. [Find out more at http://www.whatisprep.org and at cdc.gov/hiv/basics/prep.html.]

Treatment as Prevention is probably the biggest news out of the HIV world in a long time. We know now that the successful viral suppression for the HIV patient means that they will not transmit the virus to another person. This state of viral suppression, commonly called “undetectable” is always the goal of HIV treatment.

We can truly say that “Undetectable” equals zero transmission. Read more from Poz Magazine at Undetectable and No New Transmissions.

Transgender Issues have really been getting a lot of attention in the past year. Many of our favorite publications, such as Positively Aware, HIV Specialist, and ACHIEVE, have devoted space to the special needs of the “Trans” community, a community that is both heavily impacted by HIV and the target of fierce stigma and discrimination. Check out the July 2016 issue of HIV Specialist for interesting perspectives in HIV care for transgender individuals.

One piece that has really gotten our attention is the Hepatitis C Epidemic in the rural geographic region we usually define as the Appalachian region. This corridor stretches from North Georgia through East Tennessee, Kentucky, Southwest Virginia and West Virginia. This surprising development has had a big impact on the Tennessee Department of Health and had led Samaritan Ministry to focus on Hepatitis C in much of our work in 2016. See our Newsletter for more information.

There are some things that are just not good news and cause grave concern to many of us who work every day to bring an end to this epidemic. Every day we see that stigma and ignorance still exist as related to HIV. Thirty-plus years into the epidemic we are still seeing HIV positive people, (and transgender people, as mentioned above) face discrimination in housing, in the work force, and still many Christians and churches are unwilling to allow LOVE to be the guiding force behind issues related to HIV, including homosexuality and gay rights.  It is important for Christians to stand against injustice and to make noise in the face of hate. As a great positive example, take a look at the statement from the Cooperative Baptist Fellowship (CBF) in the wake of the shootings at the gay club in Orlando. Samaritan Ministry is a proud CBF partner organization. Read the Statement here.

In most states, there are still HIV specific laws that are antiquated and exist in spite of new science and understanding, providing harsh punishment to people solely based on HIV status. The SERO Project provides great information on this topic.

Many states, including Tennessee, make sex education difficult for our public schools, leading to continued, and now generational, ignorance about the basics of HIV. HIV continues to spread in America at about 40,000 new cases per year. Science based, comprehensive, sex education is the best defense against this continuing epidemic.

And… did you know that it’s not AIDS any more?  Actually the term AIDS (Acquired Immune Deficiency Syndrome) has fallen on hard times as medications and other treatment advances have made living with HIV possible, so that AIDS may never occur. [You may have noticed that the only use of the AIDS acronym in this article is in this paragraph as we talk of its demise.] Actually, the term AIDS carries a big load of baggage including fear, stigma, and death that no longer SHOULD be a part of the discussion about LIVING with HIV.  As an example, the federal government’s HIV information website has changed its name from AIDS.gov to HIV.gov. While AIDS has not gone away, the US Department of Health and Human Services says, “ today, people with HIV who are diagnosed early, linked to care, start antiretroviral therapy (ART), and take it as prescribed, can achieve life-long viral suppression that prevents HIV infection from progressing to AIDS.” [from blog.AIDS.gov]

So, what does this mean for 2017?

Will there be an end to the HIV epidemic? Could be. New York State has embarked on an ambitious plan to end HIV in their state by 2020 and they are making some remarkable progress. One of the concrete ways that we can see the epidemic ending is to bring many more people who are HIV positive into the “virally suppressed” category. As mentioned previously, people with suppressed virus will not infect another person. Nationally, the number of PLWH (people living with HIV) who are virally suppressed hovers around 25 – 30% and this is not nearly good enough. In New York, however, this percentage has risen to 62%. We think this proves that it IS possible to whip HIV. Find out more about the New York plan.

Will there be a cure? Tougher question.

Curing HIV is not simple. Remember, some very smart people have been trying to find a cure for more that 30 years. What we do know is there are some remarkable happenings, from the Berlin Patient to something called broadly neutralizing antibodies, which show researchers that curing HIV is a goal that still merits money and time. There is a lot of cure research going on now, and it is pretty exciting.

Where does Samaritan Ministry fit in?

It is important to talk about Jesus Christ and the specific ways that our ministry is working to show God’s love to people. For us it is Golden Rule stuff, but more than that we see the Gospel story as a story of love and redemption. We see Samaritan Ministry as an extension of the life of a Jewish carpenter who modeled love for those that were untouchable, unlovable and outcast. We seek to show love where people are. All people. No boundaries. We are all one in Christ Jesus.

There is neither Jew nor Greek, there is neither bond nor free, there is neither male nor female: for you are all one in Christ Jesus. Galatians 3:28

So, what are we going to do in 2017?

  1. We will show up…
    • To share HIV and HCV facts with hundreds of members of our community whenever and wherever we have the opportunity.
    • To BE the presence of Christ in our community.
  2. We will be bridge builders and we will collaborate…
    • Through our partnerships with a vast array of groups across the country. These partnerships will be defined not by how we are alike, but that our central focus is on ending HIV in our communities.
  3. We will serve…
    • Making more than 2000 individual contacts in 2017.
    • Hosting 24 HIV Support Group meetings
    • Providing food, emergency assistance and glasses to those in need.
    • Providing HIV testing to at least 300.
    • Providing HCV testing to at least 500.
  1. We will lead…
    • Through organizations like CBF, The Tennessee Department of Health, and the FAITH Coalition.
  2. We will speak for justice…
    • Working with our state legislators to promote justice and to seek positive changes in laws.
    • For those without power and voice.

Won’t you pray for our ministry work in 2017?

PrEP Fails in Gay Man Adhering to Daily Truvada

Researchers have for the first time documented a case of an individual contracting HIV, a multi-drug resistant strain, while apparently adhering well to the daily regimen of Truvada as pre-exposure prophylaxis (PrEP). The scientists concluded that it is indeed possible for individuals who are adherent to PrEP to contract HIV when they are exposed to a virus that is resistant to both drugs included in Truvada.

Read more about this news here:  prep-fails-article

Treatment News: 8-Week Long-Acting Injectable HIV Treatment Succeeds

A long-acting injectable formulation of ViiV’s cabotegravir and Janssen’s Edurant (rilpivirine), dosed every four or eight weeks, is safe and generally well tolerated and suppresses HIV as well as a daily oral regimen in an ongoing trial.  The companies intend to start Phase III trials of long-acting cabotegravir/Edurant, dosed every eight weeks, later this year. If this research is successful, the treatment will likely hit the market in 2019.

Read more of this article from POZ.com here: 8week-injectable-article

Treatment News: FDA Approves Gilead’s HIV Tablet Odefsey

The U.S. Food and Drug Administration has approved the single-tablet HIV treatment regimen Odefsey, which includes a new, safer version of tenofovir.  The tablet is an updated version of Complera, swapping tenofovir alafenamide, or TAF, for tenofovir disoproxil fumarate, or TDF.

Research has shown that TAF is safer to the bones and kidneys than TDF and suppresses HIV just as well. TAF more efficiently enters cells, requiring a dose one tenth that of TDF, and leads to 90 percent less drug in the bloodstream where it may cause toxicities.

Read more about this treatment news here: https://www.poz.com/article/fda-approves-gileads-hiv-tablet-odefsey-updated-version-complera

 

 

Wrapping Up 2015

Thanks to many, many volunteers and scores of donors, we were able to end 2015 in very comfortable shape.  We were able to minister to many and our financials are looking good for 2016.

Between the middle of November and Christmas we were very busy with a variety of events – all successful – and this is where our wonderful volunteer corp comes into play. Here is a brief rundown:

November 19 – Annual Thanksgiving Banquet – we served 200 and had 40 volunteers!

November 29 – Dedicated 170 Holiday Hope Buckets at Central Baptist Bearden – gifted to the Hope Center

November 23 – Thanksgiving Basket Deliveries – we delivered 50 baskets with 15 volunteers!

December 1 – World AIDS Day program with about 80 in attendance – 20 people involved in planning and implementation

December 8 – Christmas Food Boxes Delivered 50 – 15 volunteers

December 10 – Hope Center Party – provided 170 Hope Buckets and transport for clients with vans from 3 churches.

December 12 – FaithWalk and Al Ichiki 5K – 100 participants… 20 volunteers — raised $2300 to support ministry work.

Needless to say, we are off to a great start for 2016 and grateful for all of the support we receive from all over the community.

This is an opportunity to thanks all of our supporters, our individual donors, and our financial partners, especially….

The MAC AIDS Fund
Broadway Cares/Equity Fights AIDS
Cooperative Baptist Fellowship
Tennessee CBF
Central Baptist Church of Bearden
Central Baptist Fountain City
East Tennessee AIDS Fund
Cedar Springs Presbyterian Church
First Baptist Church, Knoxville
The City of Knoxville
FISH Hospitality Pantries
The Equitas Group

Here’s wishing all of you a great 2016!

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