The colossal hard-won progress in the global fight against AIDS might be lost to defunding and unequal access to care, warned various speakers in the first day of the International AIDS Conference.

The 21st edition of the event began on Monday, in Durban, South Africa. Some 18 000 people are expected to attend the week-long convention, including politicians, researchers, popular personalities and people living with HIV.

UN Secretary-General Ban Ki-Moon opened the event by calling on the international community to keep going forward “rapidly and decisively” to reach the objective of ending the AÌDS epidemic by 2030.

Fifteen years of globally coordinated efforts have produced tremendous results in the fight against HIV. The number of deaths caused by AIDS dropped from around 2.4 million in 2005 to 1.1 million in 2015, according to the UN. The rate of HIV infection has also decreased by 38% since 2000.

This has been achieved by huge prevention campaigns – namely to promote protected sexual relations and normalize HIV testing- and exceptional scientific progress. Thanks to constantly evolving treatments, HIV went from being a painful death sentence to a perfectly treatable condition. In 2000, only one million people had access to treatment. Now, it’s nearly 15 million.

“But this progress should not hide the reality,” warned the French organization AIDES. Less than half of the 37 million of people living with HIV in 2015 are being treated. Many other actors in the fight against AIDS called attention to the grave inequalities hiding under the encouraging numbers.

According to UNICEF, AIDS is still the leading cause of death for 10 to 19 year olds in Africa. In the last fifteen years, the raw number of AIDS-related deaths more than tripled in North Africa and the Middle-East. Doctors Without Borders urged the leaders attending the convention to implement a plan of action for improving access to treatment in West and Central Africa, where less than 30% of people with HIV are being treated.

As the first world’s attention slowly ebbed away, so did the funding. Thirteen of the fourteen biggest contributors to the Global Fund to Fight AIDS reduced their donations this year according to the executive director of Onusida, Michel Sidibé.

Do You Know What AIDS Is?

People infected with HIV are seropositive. Not all of them have AIDS. HIV is a virus transmitted by certain body fluids including blood. AIDS stands for Auto-Immune Deficiency Syndrome: the condition that arises as a consequence. Thanks to treatments like tritherapy, seropositive people can now live their entire life without ever developing AIDS.

The HIV virus induces over-activation of certain immune cells called lymphocytes T CD4+, which leads to their destruction. The primary role of the T CD4+ is to activate larger immune response to fight off infections. A seropositive person whose number of T cells drops below a critical threshold has AIDS.

Many conspiracy theories have been spread about the origins of the virus, from “patient zero” being a Canadian flight attendant who single-handedly started the epidemic to the virus being engineered in a lab experiment gone wrong. The most evidence-backed theory, however, is that people first contracted the virus in the 1930s in Congo by eating chimpanzee bush meat.

What’s Next?

New strategies like the “test and treat” approach in South Africa and preventive treatment PrEP, will be discussed in the following days. Innovative treatments are continuing to progress everyday.

Just this week, two researchers from Montreal made a major discovery for the long term treatment of the disease. Drs Nicolas Chomont and Rémi Fromentin from the research center of Centre Hospitalier de l’Université de Montréal (CRCHUM) have found a way to uncover the favourite hiding spots of the virus inside the body during tritherapy.

Tritherapy is an efficient treatment to stop the progression of an HIV viral infection towards AIDS, but the virus known to find hiding spots. These are specific cells, like Lymphocytes T CD4+.  Only one in a million of TCD+ lymphocytes can be used as a hiding spot.

Chomont’s research team has found three cellular markers shared by the hiding spots. In other words, they have identified three distinctive characteristics of the cells housing HIV during triterapy. It could be an important step in the search for a cure.

It’s the second time that the International AIDS Conference is hosted in Durban. The first time was in 2000 when Nelson Mandela had delivered a vibrant plea for universal access to the newly developped antiretroviral treatments. Let’s hope that he might be heard better this time around.

There have been many illustrious and influential figures who have brought their stories and work to Concordia’s H110 auditorium for the Lecture Series on HIV and AIDS since its inception in 1993. Singer Diamanda Galas, dance legend Margie Gillis, General Idea surviving member AA Bronson, AIDS hero Steven Lewis, activist writer Sarah Schulman, South African documentarian Khalo Matabane, and recently, adult film actress Lara Roxx, to name only a few that come to mind. Fittingly, the Lecture Series team (Profs Thomas Waugh and Viviane Namaste) has chosen to invite a figure who was active at the height of the AIDS crisis for their 20th anniversary lecture and have gone somewhat far afield of the global AIDS celebrity and international NGO milieu to bring us a fierce grass roots activist who started the radical, up-hill task of doing HIV prevention in 1980s Columbia, South Carolina. Meet DiAna DiAna, the hairdresser who knew too much.

DiAna DiAna Concordia HIV poster
Curlers and Condoms playing Thursday at Concordia

“It was in 1986 that I became aware of HIV and AIDS,” DiAna tells me over the phone as she prepares for a day of cutting, styling, listening and teaching at her salon in a primarily black neighbourhood of Columbia. “I just saw [AIDS] on the front of a magazine. Nobody wanted to talk about it because it was all sexual and needles and of course nobody in South Carolina does any of those things,” she tells me, her beautiful Bostonian accent still intact after decades of living and working south of Dixie.

In 1991, DiAna’s then-unorthodox methods for talking about sex and condoms were documented in Canadian-born Ellen Spiro’s short film DiAna’s Hair Ego, which will also be screened on Thursday. Today, Columbia has the forth-highest rate of HIV infection per capita in the United States, she says, and according to one Center for Disease Control study, HIV infection is the leading cause of death for black women aged 25 to 34, the same age of many of the women who visit DiAna’s salon. Black heterosexual women remain one of the populations most affected by HIV in the USA, disproportionately so.

The magazine DiAna read that day, perhaps Cosmopolitan or Marie Claire or one of the more liberal magazines of the period, had a cover headline about a woman who had contracted HIV from her boyfriend and DiAna got thinking about how this could and would affect her community. “Both of them were ‘straight’ she yet she still got infected. I started to get curious because it was something that nobody really knew about… So I got the information, and people started sharing the articles that I was getting. It snowballed from there, and I eventually started doing presentations and going into churches where they didn’t want to talk about sex or AIDS or anything, especially in the Bible Belt. They were quite shocked that I was able to talk about HIV and AIDS,” she tells me with the fluid verbal arc of someone who has talked about her activist beginnings many times, with concentration and generosity.

“I had to figure out a way for people to start using condoms. So I started wrapping them up in wrapping paper so that clients would start taking them home. You didn’t have to be a client, you could just come and get condoms and information and see videos on HIV and AIDS,” she says with a smile her voice.

DiAna DiAna (Photo still from DiAna's Hair Ego, 1991)

She knew she was onto something: she had found a way past the sexual shame that prevented women from asking their male partners to use condoms and eventually men would come into the salon and elaborately ask for condoms for their “friend,” or more sadly, to demand that DiAna stop giving out condoms to girls who would ask for them. She went on to found the South Carolina AIDS Education Network (SCAEN), which then spun off into the South Carolina HIV/AIDS Council, a drastically underfunded charity run by her friend and one-time trainee Bambi Gaddist.

DiAna's Hair Ego video still

“I asked her ‘Do you wanna be the VP of a company that pays nothing?’ And she said yes,” DiAna laughs warmly as she recalls inviting her BFF to helm the organization that started in a salon and went on to do workshops in schools, and safer sex outreach with sex workers and with men in cruising parks. She would do HIV saliva tests in her salon, but found that people were reluctant, as they still are, to come in for their results. And don’t even get her started on the cruising grounds! Or rather, come to the lecture and ask her about the truck stops…

“I gave the whole thing [until] 2000: by then everybody should be cured and we should know what AIDS is, right? It was very difficult to deal with agencies that didn’t want to give any money. Some of the politicians didn’t want to talk about AIDS at all because it would be bad for their election, and they gave no support,” she tells me with more than a hint of despair.

Many of the men who opposed her grass-roots prevention methods are still in power in the heavily Republican state and continue to defund and oppose her and Gaddist’s efforts to provide prevention by and for their community. In the years since DiAna has stopped working on the front lines of radical sex ed in Columbia, South Carolina’s bureaucrats have shown even less support for initiatives that she and her peers have tried to create, even though grass-roots prevention and peer support has proven to be more effective than top-down methods.

“I’ve had clients come in and ask me ‘Is the AIDS thing still going around?’” she laments. The lessons DiAna learned go deep. The effects of misogyny, homophobia, religious conservatism and bureaucratic public health policies lead inevitably to more illness, less knowledge, and a crisis that may never end unless we stop it ourselves.

DiAna DiAna “Curlers & Condoms: Grassroots Prevention Then and Now” Thursday March 21, 7 p.m. // Room H-110 of the Henry F. Hall Building, 1455 de Maisonneuve Ouest. FREE, followed by reception with DiAna DiAna and former guests of the Lecture Series

When activists founded AIDS Community Care Montreal in 1987, they hoped that one day we would see people live with HIV and not just die from it. Twenty-five years later, community org ACCM celebrates survival and success with a fabulous cabaret hosted by Antonio Bavaro, with Toronto’s Ryan G Hinds, and performance artist Danny Gaudreault + friends this Sunday, February 3 at the Sala Rossa. (See details for our ticket contest below!)

Active in the Toronto and Montréal cabaret scenes, a beloved writer for Xtra and all-around fabulous personality, Ryan G Hinds (featured photo by Georges Dutil) will be making Cabaret87 the highlight of a whirlwind weekend such as he’s so notorious for in Montréal. Winner of the 2011 Steinert & Ferreiro Award for LGBT commitment to the arts, Hinds is diva with enough soul for two cities, and will doubtless be a show-stopper on Sunday night.

In terms of my art, AIDS means honouring the past, celebrating the present, and charting the future. Every time I step on stage, I bring ghosts with me: artists and story tellers like Craig Russell, Sylvester, Peter Allen, and Liberace inspire my work. For ACCM’s 25th anniversary I wanted to tell a story of looking back with affection (without denying the tough moments) and remaining hopeful for tomorrow, and I dedicate it to our absent friends and present comrades.” – Ryan G Hinds

Known for his triple (goddess) threat performances as Connie Lingua (or Hedwig, or Frank-N-Furter more recently) Antonio Bavaro is a Concordia theatre student, and so much more! Hailing from the Court of the Wild Rose, and soon to be featured in his own 10th Anniversary show (Cabaret Cochonne), Bavaro is a fixture of the alt-drag scene in the 416, 780 and 514 who is sure to serve more than lip sync at this special event. He’ll be thinking about Sticky Vicky (the late Vincent Richards) when he takes the Sala Rossa stage to host Cabaret87.

Antonio Bavaro as Frank-N-Furter at the Mainline Theatre, 2012

My first friend/mentor to pass away from AIDS is an Edmonton legend: the electro-punk Broadway club kid coat-check queen by the name of Sticky Vicky, Vincent Richards. They were the first drag queen to be nice to me when I was still under-aged, and they were always supportive of my charisma, uniqueness, nerve & talent once we started performing on the same stage. (Supposedly she was the #1 blow-job groupie of punk band SNFU). You never really understood what she was saying, but you always knew she cared. Thank you, Vicky.” – Antonio Bavaro

Inexplicably moving performance interventions are Danny Gaudreault’s calling card, whether at Radical Queer Semaine events or at numerous art festivals like Visualeyez and Écho d’un fleuve. His work evokes loss and alienation with a decidedly theatrical approach. Inspired by clown and nightmarish Edward Gorey-esque motifs, Gaudreault is unflinching and always awesome.

COHÉSION et autres tentatives – Performance #4 from Danny Gaudreault on Vimeo.

My art practice is about affirming a hybrid identity by adding several layers of perceptible references. Similarly, HIV/AIDS is not an identifiable motif, but is present when I make reference to my own vulnerabilities: I am potentially affected and therefore concerned. I am also engaged in looking at ‘the other’ in an empathetic way, the same mode in which I consider the past, the present and the future: with hope.” – Danny Gaudreault (translation by JA)

Coral Short and Deanne Smith round out a stellar line-up of queer artists who will help ring in ACCM’s silver anniversary in style. See you there!

Cabaret 87 – ACCM’s 25th anniversay

Hosted by Antonio Bavaro w/ Ryan G Hinds, Danny Gaudreault, Coral Short, Deanne Smith + friends (Cocktail hour hosted by Lady Gaza + Mini Maul, with lots of prizes and an auction!)

Sunday, Feb 3, 8pm – $15

@ La Sala Rossa, 4848 boul. St-Laurent, Montréal

WIN 2 FREE TICKETS TO CABARET87 by adding a comment below and liking our Facebook page. The winning commentator/liker will be selected randomly on Saturday, Feb 2 and announced on Forget the Box’s Facebook page (go ahead and like ACCM‘s too).  Good luck!