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I’m far from a doctor or any kind of health expert, but there’s something I think we can all do with having confirmed now – meningitis is not an STD. This seems to be confusing some people.

Yes, several gay men have caught meningitis in New York. That doesn’t make it an STD. Bacteria that cause Meningitis can be spread through coughing, sneezing etc – amazingly enough, gay men can actually catch diseases doing things other than fucking. Amazingly enough, gay men do actually meet other gay men for reasons other than having sex. We have social spots, networks, sports teams, even games nights – yes the gaymers are out there.

Of course any community that meets together has a chance of spreading an illness that spreads through close proximity. This is one of the reasons why meningitis scares – in the UK at least – tend to arise in sixth forms and colleges and schools. But no-one instantly breaks out the safe sex messages then.

For that matter, no-one decides that a meningitis outbreak in a school in New York is connected to one in Los Angeles either. But through gay men in the mix and it must be connected. What, do all gay men in the US gather for a grand convention or something?

Let’s be clear – whether you are sexually active or not has NOTHING to do with whether you are going to catch the bacteria that cause meningitis. Whether you use Grindr or other hookup sites is irrelevant. You can potentially catch the bacteria that could lead to meningitis by being close to someone else with those bacteria. All those headlines about being careful if you’re “sexually active” or that anonymous sex is causing the disease are outright lying.

And it’s funny how none of the many many cases of straight folks with this disease were labelled as being caused by STDs

 But a gay plague makes headlines doesn’t it? It grabs attention! After all, that meme is already really solid and the right wingers can jump on their usual judgemental horses and everyone can have a fun round of pointing and judging the dirty dirty dirty gay men. Another STD that is burning through gay men is a far better story!

 And you don’t want to cause hysteria? Of course you do! Hysteria gets attention and sales and notice! And you must know it’s going to happen – you’re creating the spectre of a deadly disease spreading among gay men. How do you think we’re going to react?! We’re a community that has been massively, overwhelmingly traumatised by AIDS.

 When I first heard about this I was nervous. Hell I was scared. Because I didn’t know – didn’t know how meningitis was spread, how many caught the disease, how fast it was spreading, whether it could be cured (it can if caught early). I wasn’t even able to find out because I just had a vision of a plague ravaging the community, running rampant among gay men, decimating us. Again. Because I am a gay man and we have been there. Because we’re still there. Because the images of a plague killing us en mass has been indelibly burned into our cultural context.

 And how dare you use that? How dare you exploit that fear, that community wide trauma?

 


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As I said on Sunday, Beloved has been away for much of the week – not away away but not around since we've been working different hours and then he had to go away for the weekend. At the same time I had to play host to my brother and cousins (who left midweek) which was somewhat exhausting and mildly irritating at times. And 5 people are missing from work for various reasons so my work load spiked, along with annoying clients and my having to battle with the bosses to ensure everyone's load spiked equally rather than my taking the lion's share, again. And then I got sick with the lurgy – either brought up by my brother from Wales, or from work – either way, stomach cramps, nausea and general badness ahoy! It should also probably be noted here that as of last week we were trying a pill adjustment.

So, that's a bad week by any standards. There was no way it was going to be a good week, and no way I was going to feel other than irritated, tired, ill and generally wanting to reduce the world to ashes. So when I started feeling down, well of course I was feeling down. I was tired, over-worked, ill, not spending enough time with Beloved, skipping meals because I'm tired/ill/don't have time/Beloved's not there to insist/replacing them with snacks or not at all, not getting enough sleep etc etc – being down was expected. So as I spiralled further and further into down-ness I clung simply to the fact that the week would soon be over and then it'd be ok. After all, I had a reason to be down, right? Being down was NORMAL. Not being down would be pretty freaking strange.

Yes, so the weekend rolls round, Beloved comes back and he keep asking me if I'm fine. Well, no I'm not but of course I'm not, right? It's been a bad week, I'm ill, I'm tired, everything is pretty shitty – so no, I'm not ok. But I'm not ok in a context where not ok is expected, right?

Except he's using his “step away from the ledge” voice... which is totally unnecessary, it's not like I'm having one of my major bleak badne- oh. Well shit, when did that happen? Rational Brain, why didn't you even notice Emotional Brain turning all the bad dials up to max?

Yes, I had tripped into the Bad Place. Didn't see it coming and missed the point when “this week is crap and I feel crap because of it.” spiralled into “everything in the world ever is bleak and dark, there is no hope or joy and we will slowly rot in ever lasting despair and anguish why do we even bother.” Or, to put it another way, I missed when the messed up brain took over. The crazy has launched a sneak attack on me and I didn't see it coming. Totally got backstabbed, guys, damn sneaky thing.

And yeah it turns out that skipping meals, while generally being a bad thing, and vomiting, also a bad thing, also seems to mean forgetting to take the pills one takes with meals and possibly bringing back up those you do take. Mea culpa, should have thought, should have known better. This is the problem with routine – you get fixed on a routine and when the routine breaks everything breaks. And not having Beloved there to say “you forgot your pill” (normally something that annoys me immensely, by the way – because damn it I can remember to take my own medication!!! Except... apparently not. Damn it memory, I was winning that argument) just lead to me plain forgetting

Of course, knowing that the deep dark bad place is a cause of the Bad Brain helps a lot, it lets Rational Brain realise that the Big Bad Darkness is not because of a bad week, but because of a Bad Brain and can be duly Ignored..

So it's pills, therapist and Beloved as we work to pull me out of this and set me back on the nice gleaming rails of (almost) sanity that I just merrily decided to skip away from. Yeah not happy – and not just because the brain has kind of decided happiness can't happen – I'm irritated that I'm having to regain ground I just lost. And, yeah, I'm irritated because I screwed up. I know better than this and this whole messed up head space I've been living in has been entirely my own fool fault

And Beloved's feeling guilty. Partially because he didn't notice how far off the rails I'd swerved until today and, I think, because he's mad at me and guilty because of it. Which is something I'm going to have to think and talk through.

So, yeah. How annoying is all that? I would say that it's time to open a bottle, but, frankly, in the Deep Dark Place it's unwise to even joke about drinking as a coping mechanism (even if, yes I've done that, Yes I do do that – it's still a foolish, unsafe, unwise and generally wrong thing to do).
sparkindarkness: (Default)
IS STILL IN EFFECT!

Yeah, that's kind of my reaction to the news. Before we were considered inherently unclean - oral sex or anal sex with another man, no matter how long ago, was a permanant lifetime ban on giving blood in case the straighties were tainted by our terribad gayness

Now? Now apparently we can redeem ourselves by not having sex. Yes, if we're celibate for a year they will consider us de-gayed enough that our blood will not taint their precious straight supply. Why we can be redeemed by not having sex and living life as sexless and celibate... now where have I heard that before? Oh yes, from homophobic religion.

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Today is World AIDS day. Now normally I don’t have much truck with special days for various reasons (which I will get into another time), but like in many things I am driven to talk about this because of anger.

To me, AIDS is very much a thing of anger. It’s a thing to be utterly enraged about beyond all reason.
AIDS is a story of human failing. It’s a story of human prejudice and bigotry and callousness and ignorance and dogma and cruelty. It is a story of how humanity failed.
When AIDS first arrived it appeared in marginalised areas. It spread in Africa which has never managed to hold the west’s attention for any great lengthy of time, it was written off as one trouble among many troubles, not worth any special attention.
And in the west it arose among drug users and gay men. People who, let’s be brutally frank, the powers that be were merrily happy were dying in droves.

And as the infections spread and the death count mounted the powers that be didn’t care. Because they didn’t care about who was dying. Because they were happy they were dying. Because it was something to celebrate, because it was a social cleansing. Because it made the world better that these people were dying. And the ignorance and the fear and the loss continued and the powers that be, in their prejudice – didn’t care.

And, of course, it raged beyond what anyone could have imagined. Encouraged by ignorance, unrestrained by any kind of real intervention, suddenly we had an epidemic, a pandemic, an oh-shit-what-is-this-emic.

But it was too late. We’ve let bigotry and ignorance reign for too long. Now any attempt to combat AIDS was seen as a “gay issue” and was fought by the usual suspects – people who found hatred and prejudice more important than saving lives or stopping an ever increasing plague. It is clear we’re still very stuck on the idea of AIDS as a gay disease. Various blood banks around the world still refuse blood from gay men – regardless of their circumstances, because gay = AIDS while straight = safe. We still have such luminaries as the head of the Catholic church in Belgium calling AIDS “justice”.

The rhetoric of AIDS = gay is so ingrained in our discourse that it’s impossible to see a straight person with AIDS without looking for a gay man to blame – even when we talk about souring HIV infection rates among black women we’re looking for a gay man who is causing this! Because it’s easier to believe that isn’t it? Easier to blame someone, easier to pretend you’re safe because you’re straight, easier to make it a gay issue and part of the “special rights” easier to shuffle it under the rug

Of course, fighting HIV/AIDS in the gay community is repeatedly hampered by the undying homophobia that is still happening – so long as people feel the need to hide, so long as people feel the need to lead double lives, so long as people are afraid to go to clinics or to doctors for fear of being outed or for fear of people learning, so long as people are driven into the shadows and the corners of the world and so long as people are repeatedly told that their lives have no value, can there ever be any cure?

And around the rest of the world, dogma and ignorance and cruelty still rules. The Catholic church has the blood of untold millions on their hands for their stance on condoms – a stance they are only now, grudgingly, weakly stepping away from (now becoming the poster child for “too little too late”). Again, ignorance and prejudice abounds, in countries with genocidal policies where being gay carries a prison sentence or worse, you inevitably end up with an under-society that is ideal for spreading disease, with no support or education or help. Scam artists are marketing everything from vitamin C as a cure for AIDS, to sex with a virgin (gods there are still no words for how awful that is). The plague has reached such proportions and such panic that there is even actual denial of the causes and realities of it, doubts that it’s linked to HIV, the peddling of fake cures, anything to stick the head in the sand a little longer and pretend this isn’t happening.

How much of this would have been dispelled if, when the disease first became apparent, there had been a very real effort to examine and educate it? How much of this ignorance and foolishness would have lasted if our prejudice and arrogance hadn’t caused us to ignore it?

Just what kind of golden opportunity did we shit all over in the past?

And further, people living with HIV/AIDS have to deal with the fallout – not just of health, but of attitude.

It enrages me that still today HIV/AIDS is seen more as a failing than as a disease. It enrages me that the language of talking about HIV/AIDS is still the language of blame and stigma. It makes me wonder that if the disease in the west have broke out among a privileged group – or, let’s be frank, if it had been straight western people who were seen dying in such numbers – we would be saddled with this language of blame and shame and shunning?

People living with HIV/AIDS are treated like modern day lepers, despite their having every chance of lead long, fulfilled and wonderful lives. The stigma has lead to treating them like walking bombs, weapons just waiting to go off, a threat to everyone around them

I can’t talk about HIV/AIDS in anything like a calm, rational manner, it is just a subject of so much rage. It is one of the grandest stories we have of human failure in the world today

sparkindarkness: (STD)

There has recently been a kafuffle in Germany (I think) where a HIV+ woman is facing criminal charges for knowingly sleeping with men without protection.

Now, the reaction has been something along the lines of “ZOMG throw the book at her! No, throw the whole damn library at her!” and I can understand that, I had the same reaction myself

Let us not forget that AIDS is a terminal, chronic disease. Despite the increasing ignorance around the subject, no it cannot be cured. Yes it will be there fore life and yes, it has a significant chance of killing or being a contributing cause to the death of the sufferer. Yes, with modern medication someone with HIV/AIDS can manage it for a considerable length of time and live much longer lives than was previously expected – but it is still not something that can be remotely underestimated or something that can be handled with too much caution.

So, in that light, yes. She (and, indeed, any other HIV+ person who knowingly has sex with someone without protection) has done something reprehensible in the extreme and severely damaged and jeopardised other people’s lives. In these circumstances, she should most certainly have used protection. And, some are arguing, she should have disclosed her HIV+ status.

And now that’s why the merry train of my thoughts hits a great big, thick concrete wall. Because it’s all well and good saying that a HIV+ person should disclose their status, but that’s rather blinkered from the realities of society.

Let’s be frank, despite desperate attempts at education, people with HIV/AIDS are often treated like modern day lepers*. We still have an inordinate amount of people who live in terror of HIV/AIDS and believe silly things like it can be caught off a toilet seat or by sharing cooking utensils etc etc etc. Very few people accept that HIV/AIDS is spread by bodily fluids and that it has a very short lifespan outside the human body.

Someone who publicly admits their HIV/AIDS status is often going to take shit for it. They may be shunned. They may be ostracised. Many friends may drop them. Family may be more hesitant. And sex partners are certainly going to be leery. And I’ll put my hands up on this one, it’s not fair and it’s not right but I know a part of me is going to flinch if I learn a lover is HIV+

Demanding disclosure ignores the shit that HIV+ people take. In our society with the current stigma that exists, I can’t 100% get behind the idea that a HIV+ person has to disclose under any situation, not until that stigma is reduced.

Which brings to the alternative – protection should be used. ye gods it should be used. And a HIV+ person who KNOWS they are HIV+ should most certainly be using protection (and that doesn’t just mean condoms. You can catch HIV+ from oral sex – especially if you swallow). Knowing your status and not using protection? Well, yeah I’m reaching for that library again. I can’t excuse what the original person or any other person in this situation does here. I can make an argument about disclosure, but not using protection is much weaker.

But it brings in a related point. A lot of people, shockingly but unsurprisingly, don’t insist on condoms despite not knowing their partner’s status (and again. their word isn’t enough. And no, that doesn’t make them a liar – a sizeable portion of the people out there living with STDS do not know they have them). This, again, can be awkward for a HIV+ person insisting on protection (though much much less so that disclosure) because it isn’t demanded every time. Worse, some sexual partners pressure, push and bully so they don’t have to use condoms – I know, I’ve been there. I even had one very ex-ex who put a condom on, waited until I wasn’t looking and took the damn thing off. Sometimes someone will, for whatever reasons, comply with what their lover wishes even if it’s against their better instincts (and I‘ve been there as well). It’s not always simple.

I think we need to change our assumptions. We need to approach our sexual partners with the assumption they DO have an STD unless we‘re extremely sure they do not (again, by testing – not because they said so.) If they cannot prove to you they are disease free, then assume they are not. That doesn’t mean run to the hills (nor does it mean run to the hills if you find they AREN’T disease free) it means take precautions. It also means that we should not tolerate those who resist wearing protection

If we’re willing, prepared and just plain SENSIBLE enough to approach our sex lives with this degree of intelligent caution then whether someone is HIV+ or not or whether they have disclosed or not becomes a moot point – and then maybe we can avoid the idea of criminal charges for GBH or manslaughter or murder for HIV+ people who had sex with someone else. But, with all this, I think we also have to see the shades of grey that are all over this, before we reach to our libraries and start throwing those books.

*Actually, treating lepers like lepers is several kinds of wrong. Not only does no-one deserve such condemnation and ostracism, but leprosy is hardly the most contagious of diseases, in fact, I think it’s primarily hereditary than communicable, but don’t quote me on that.
sparkindarkness: (STD)

I have spoke before on the habit of most nations to ban gay men from donating blood.  But to remind people – as it stands currently in the UK:

Heterosexual man who has unprotected sex with a different woman every night: CAN GIVE BLOOD NOW
Heterosexual man who has unprotected sex with a woman he KNOWS has HIV: CAN GIVE BLOOD so long as he doesn’t think he has the disease
Heterosexual man who has unprotected sex with several prostitutes: CAN GIVE BLOOD AFTER 1 YEAR
Those who have had unprotected sex with an intravenous drug user: CAN GIVE BLOOD AFTER ONE YEAR
Those who have had unprotected sex abroad in a high risk HIV country: CAN GIVE BLOOD AFTER ONE YEAR

A gay or bi man who has oral sex with a condom, once?:  Can never ever ever give blood. EVER.


It’s not much better in most other western nations. And this matters. Yes it does.

It matters because the blood banks are constantly screaming at us for more blood and they are refusing millions of potential donors.

It matters on a personal note it gave me no small amount of hell because my mother gave blood, my father gave blood, my brother gives blood – my whole damn family gives blood. I was raised to believe that giving blood is one of the basic duties everyone owes. And they turned to me and asked why I wasn’t. what could I say, without coming out? For that matter, even being out, I don’t think I’d want to reveal to my parents the exact moment when I lost my virginity. I mean “yeah can give blood last time and I gave blood the time before but I can’t give blood now because I’m sucking dick now” is not a conversation I think many people want to have with their parents.

It matters because AIDS can hit ANYONE. AIDS is not a gay disease. AIDS is not something straight people can ignore. AIDS is something everyone needs to be aware of. And the last thing we need is MEDICAL EXPERTS like the NHS and the Red Cross encouraging this idea that AIDS is only a problem for gay and bisexual men. This is important, people are getting MORE ignorant about the dangers of AIDS, not less. We do not need authorities to be encouraging such foolishly.

And it matters because it is pure bigotry. Blood is screened. Heterosexuals can and do carry AIDS. We know this. It is beyond the vaguest imagining of logic to believe that a promiscuous heterosexual who doesn’t use contraception is in any way “safer” than a celibate gay man who had sex once 20 years ago. But that is what the rules now says. The rules now say that that heterosexual man who has lost count of his sexual partners this week and doesn’t even know what a condom is – is STILL safer than a celibate or monogamous gay man. Because the gay man has had sex with a man. Once. Decades ago. Or only one man. It doesn’t matter – gay and bi men are the risk.

And that is homophobia. There is no other logical reason for it. No amount of arguing about the greater percentage of gay men with AIDS matches up against the utterly cavalier way we treat the blood of straight people. No amount of precautious justifies a lifetime ban for a man who has sex with another man. That one act renders you eternally tainted. That is not about infection, that is not about health, that is not about the (screened, remember) blood supply. It’s not about keeping people safe. That is about homophobia. That is about keeping the icky icky gay blood out of pure and righteous straight veins.

We do not need major health authorities telling the public, the world, that gay and bi men are inherently unclean. We do not need major health authorities telling people that a man having sex with another man is something that will taint you for the rest of your life. We do not need these messages, we do not need to be told that our sex is inherently wrong and dangerous, that our blood so polluted that it cannot be allowed into the blood supply.

We do not deserve that – and we cannot underestimate the damage it does.

sparkindarkness: (STD)

It appears there has been survey regarding sexual habits.
One of the things it has found is that a greater number of straight women who have anal sex bareback than gay men – i.e. most women who have anal sex do not have their partner wear a condom during. Further, it showed that the women who didn’t use condoms were also not getting any kind of regular STD check. Perhaps most disturbing is the fact that young women are less likely to use condoms than older women.

Now, there are many things wrong and many things unsaid about this survey, aside from the problems of self-reporting. There’s the problem that many people in a monogamous relationship won’t feel the need to use condoms – gay, bi and straight – and that’s understandable. There’s the problem that its highlighting anal sex when it is hardly the only sex act that can spread STDs in general and HIV in particular.

However, there is one thing that screams out to me from this survey that makes me furious and has made me rage before – again it is an indication that AIDS = gay disease is still believed, at least on some level, at least to some degree.

Frankly I don’t know whether to be angry about that or deeply sad. Probably both.

I have said before that AIDS is one of the greatest failures of mankind. AIDS is a tribute to mankind’s ignorance, mankind’s prejudice and mankind’s indifference to the vulnerable. AIDS is a pandemic that could easily have been reduced to a fraction of its current levels if the ignorance surrounding it hadn’t been encouraged, if the victims of the disease hadn’t been met with such indifference by the powers that be because it was only some irrelevant minorities who were dying. If the various religious and right wing groups with their toxic agendas hadn’t hijacked the whole damn thing to push forward their anti-sex, anti-contraception, anti-gays spiel.

And the sad thing is that this ignorance is not only continuing, but seems to be growing. People still believe the foolishness that AIDS is a gay disease. In fact, even MORE people believe that now than believed it in 2000. People still believe they are safe because they are not gay. (And it’s ironic that a study highlighting this partially perpetuates that by focusing on anal sex). Even now whenever a survey comes out that says, for example, that infection rates among black women are soaring, they go looking for black men on the down-low. Because there simply HAS TO BE A GAY MAN INVOLVED! Has to has to has to has to. It is a rule.

This needs to be ultimately, unequivocally clear here. It is possible to be straight and catch HIV. It is possible to catch HIV from straight sex. It is possible to catch HIV from vaginal sex. It is even possible to catch HIV from oral sex. It is possible to catch HIV without a single gay man being involved in the process anywhere. Being straight does not make you safe, being straight does not mean you can’t catch it. Only having sex with straight people who themselves only have sex with straight people does not make you immune.

And above all, for gays, bis and straights alike – the condom bloody WORKS people.

This ignorance is literally killing people.

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