Windy City Media Group Frontpage News Home
CELEBRATING 28+ YEARS OF Lesbian Gay Bisexual and Transgender NEWS

Search Gay News Articles
Advanced Search
Gay News Sponsor Windy City Times 2014-12-17
Download Issue
  News Index   About WCMG    Publications    Bars & Clubs     Calendar   Videos   Advertisers    OUT! Guide    Classifieds     AIDS @ 32       Marriage
 Local | National | World | Politics | Obits | Profiles | Views | Entertainment | Theater | Dance | Music | Film | Art | Books | TV/Gossip
 Travel | History | Marriage | Youth | Trans | Lesbian | Celebrations | Food | Nightlife | Sports | Health | Real Estate | Autos | Pets | Crime

SCOTTISH PLAY SCOTT Andrews away SCOTTISH PLAY SCOTT Andrews away
Attention, Chicago theater fans! It might be a very long time before ...

Browse Gay News Index   Browse Gay News Archives
  Windy City Times

Advocating for Rectal Microbicides
Extended Online Version
by Bob Roehr
2008-02-27

facebook twitter del.icio.us stumble upon digg google +1 reddit email


The quest to develop a microbicide that protects against HIV infection is proving daunting. Such a compound would be part of a lube or other product used during sex, or perhaps before it, such as a douche.

But a couple of candidates have fallen by the wayside and that was in trials of vaginal sex, not anal sex, where transmission of the virus is far more efficient and the challenges of protection presumably far greater.

The International Rectal Microbicides Advocates ( IRMA ) is one of the few groups pushing for development of microbicides that can be used in the rectum. It issued a report Feb. 24 in New Delhi, India, at the start of the biennial confab of microbicides researchers. The title of that report said it all: Less Silence, More Science.

A paltry $7 million a year is being spent on research into rectal microbicides, only about 3 percent of the total microbicide portfolio. Almost all of the rectal funding is coming from the National Institutes of Health ( NIH ) . IRMA is calling for a five-fold increase to $35 million by 2010, and a diversification of funding from multiple sources.

Common misconceptions are that only gay men are interested in a rectal microbicide and that heterosexuals don't engage in anal sex. But research shows otherwise. Studies in the U.S. and United Kingdom have found that anywhere from 10 to 35 percent of heterosexual women have done the backdoor deed.

The IRMA report notes, 'In absolute numbers, seven times more heterosexual women than gay men in the U.S. practice receptive anal intercourse.'

Given the biology of the vagina and rectum, transmission of HIV through the later tissue is many-fold more efficient. And heterosexuals almost never use condoms when they practice anal sex. This could be an important but hidden source of HIV transmission among heterosexual couples.

Jim Pickett, chairman of IRMA and director of advocacy at the AIDS Foundation of Chicago, says, 'This could be a sizable amount of the epidemic. Anal sex is a highly stigmatized behavior—people who are doing it don't want to talk about it, they lie about it, policy makers don't want to say it, funders don't want to talk about it—so we just don't know' the full extent of the role anal sex is playing in heterosexual transmission.

The 48-page IRMA report is a primer on the history of development of rectal microbicides and where the field is today. It also lays out research priorities for the coming years.

Surveys

Last year IRMA conducted an Internet survey on use of lubricants during anal sex. 'We were going to be happy if a couple of hundred people did this; our wildest dream was 500. We thought, no one was going to take some dusty survey, it is going to be like pulling teeth,' says Pickett.

'But it took on a life of its own; people were posting it, writing about it. It took on a bit of a viral quality, we were seeing periods where 100-150 people a day were taking it, and we kept extending it.'

They finally called it quits after 8,945 people had completed the survey. Some 88 percent were men across a broad range of ages, and most ( 64 percent ) lived in North America. The main survey was in English but volunteers translated it into a handful of language, and the surprising star turned out to be Turkish! Almost 20 percent of the surveys were taken in Turkish.

One of the surprising findings from the survey was how many people use saliva in doing the act, regardless of whether they were using or not using condoms or lube. And that adds the research question of just what effect spit might have on any microbicide.

An earlier Internet survey found that more than a quarter of HIV-negative gay men, and almost half of HIV-positive gay men, douche before and/or after engaging in anal sex. A major reason was simple hygiene, and many thought that a post-sexual douche might protect them from infection with HIV.

Those findings came as a revelation to researchers who hadn't thought about the role that douching might play in making A PERSON more vulnerable to or protected from infection. Now they are scurrying to find out just what effect douching might have on the lower reaches of the gut. They also are considering whether douching might be an effective way to deliver a microbicide.

Optimism

Pickett says the recent failures of vaginal microbicide trials have had no effect on the rectal area because, 'We're in such a different place, we just started safety trials, so the thought of efficacy trials is a long ways away.'

He acknowledges that there has been 'some tension' within the field of microbicide development. Some advocates have focused solely on a vaginal product and tried to ignore any possible rectal use, and even safety issues associated with that likely use. They wanted to minimize controversy that might delay development of a product that could 'empower women.'

But that has started to change, says Pickett. 'I think there is much more willingness to talk about it, there is a much greater acknowledgment of the need.' He believes the FDA has come around to the need for rectal safety data on any microbicides that might be submitted for its approval. The product might not provide protect in the rectum, but at least it should do no harm.

Less Silence, More Science is available online at www.aidschicago.org/rectalmicrobicides.


facebook twitter del.icio.us stumble upon digg google +1 reddit email




Windy City Media Group does not approve or necessarily agree with the views posted below.
Please do not post letters to the editor here. Please also be civil in your dialogue.
If you need to be mean, just know that the longer you stay on this page, the more you help us.

AFC webinar shows other PrEP methods may join Truvada 2014-12-17
LoBianco now at Chicago House 2014-12-17
World: London mayoral candidate; UKIP situation; Jamaican pastor 2014-12-17
ASK LAMBDA LEGAL HIV status and employment discrimination 2014-12-17
Legislators to HHS: End blood donation policy, go to risk-based policy 2014-12-15
Report: New HIV diagnoses in Chicago falling 2014-12-10
AFC document sums up PrEP costs on marketplace 2014-12-10
VIEWS World AIDS Day and my community's ongoing struggle 2014-12-10
HIV-positive beauty queen discusses journey 2014-12-09
World news: HIV poll; Disney art project; Putin's claim 2014-12-09
AFC announces 18 grant recipients 2014-12-05
Vida/SIDA marks World AIDS Day with vigil, dinner 2014-12-04
Runway show marks World AIDS Day 2014-12-04
Illinois health dept. discusses plans for PrEP assistance 2014-12-04
News: India jails trans; Obama on AIDS; 2015 aging confab here 2014-12-03
Coming up: Homeless LGBT youth panel; World AIDS Day at Center 2014-12-03
On World AIDS Day, Lambda calls for end to HIV criminalization 2014-12-02
Providers ask for public's help in restoring HIV/AIDS funds 2014-12-01
Advocates plan for local PrEP push 2014-12-01
World AIDS Day proclamation by President Obama 2014-11-28
Having HIV/AIDS: Fighting stigma 2014-11-26
Chicagoans among POZ 100 youth 2014-11-26
AFC prepares for World of Chocolate 2014-11-26
Smithsonian Channel looks at origins of AIDS Dec. 1 2014-11-25
Chicago prepares for World AIDS Day 2014-11-24
Congresswoman's trans son; HRC co-founder arrested 2014-11-24
Oldest, biggest HIV/AIDS coalition wants scale-up of PrEP; AFC leads locally 2014-11-24
AFC prepares for 30th anniversary 2014-11-20
VIEWS Stigma continues with new HIV-criminalization case 2014-11-19
Chicagoans among POZ 100 youth 2014-11-18
New study: HIV up among Black gay men, gaps in access 2014-11-17
AFC gets ACA grant 2014-11-12
VIEWS Surely, Jesus wants us to aim for church, not cult 2014-11-11
Conference 'shines' light on potential end of HIV tunnel 2014-11-11
AFC funded to help Affordable Care Act signups 2014-11-07
Elton John AIDS Foundation to fund transgender HIV project 2014-11-07
AFC congratulates the governor-elect, urges policy, funding continuity 2014-11-05
VIEWS Echoes of the AIDS hysteria as we battle Ebola 2014-11-04
French PrEP study suggests "on-demand" dosages may be effective 2014-10-30
Season of Concern awards to feature Rondi Reed, John Mahoney 2014-10-28





Copyright © 2014 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
the online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.

 

 

 



 

No SCOTUS stay, same-sex marriages to begin in Florida Jan. 6
 
Myles Brady: Howard Brown's first transgender outreach coordinator
 
National: LGBT bill in Congress; trans soldiers; blood ban
 
March, vigil stress that sex workers' lives matter, too
 
TRAVEL Adults-only spots in Cancun
 
Windy City Times Current DownloadNightspots Current DownloadQueercast Current Download
Windy City Media Group BlogsJoin Our Email List!Donate Now








  News Index   About WCMG    Publications    Bars & Clubs     Calendar   Videos   Advertisers    OUT! Guide    Classifieds     AIDS @ 32       Marriage
 Local | National | World | Politics | Obits | Profiles | Views | Entertainment | Theater | Dance | Music | Film | Art | Books | TV/Gossip
 Travel | History | Marriage | Youth | Trans | Lesbian | Celebrations | Food | Nightlife | Sports | Health | Real Estate | Autos | Pets | Crime



About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots      OUT! Guide     
Identity      BLACKlines      En La Vida      Archives      Subscriptions      Distribution      Windy City Queercast     
Queercast Archives      Advertising  Rates      Deadlines      Advanced Search     
Press  Releases      Event Photos      Join WCMG  Email List      Email Blast     
Upcoming Events      Todays Events      Ongoing Events      Post an Event      Bar Guide      Community Groups      In Memoriam      Outguide Categories      Outguide Advertisers      Search Outguide      Travel      Dining Out      Blogs      Spotlight  Video      News Videos      Nightspots Videos      Entertainment Videos      Queercast Videos      Comedy Videos     
Classifieds      Real Estate      Place a  Classified     

Windy City Media Group produces Windy City Queercast, & publishes Windy City Times,
The Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community,
Nightspots, Out! Resource Guide, and Identity.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.