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- From: Billi Goldberg <bigoldberg@igc.apc.org>
- Subject: Cuba Article in SF Sentinel
- Message-ID: <1992Dec24.145858.9144@cs.ucla.edu>
- Note: Copyright 1992, Dan R. Greening. Non-commercial reproduction allowed.
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- Date: Wed, 23 Dec 92 20:41:16 PST
- Approved: phil@wubios.wustl.edu (J. Philip Miller)
- Lines: 84
-
- The following article was printed in the San Francisco Sentinel on
- Thursday, December 24, 1992. It is being posted with the permission of
- the author, Charles R. Caulfield.
- ************************************************************************
-
- AIDS in Cuba - A First Hand Account
- by Charles R. Caulfield
-
- After a monumental effort to circumvent the U.S. Immigration laws
- barring HIV positives from entering the United States, two Cuban PWAs
- were able to enter the U.S. to share their experience of being HIV
- positive in the Republic of Cuba.
-
- The two individuals, Juan Carlos de la Concepcion, a physician, and
- Raul Llanos, an economist spoke to a packed audience at New College, 777
- Valencia on Saturday, December 19. Concepcion and Llanos granted an in-
- depth interview to the Sentinel prior to their formal presentation.
-
- Throughout the course of the interview, it was difficult to determine
- if the two men were representatives of the government of Cuba, as they
- spoke of the Cuban model of AIDS health care as a superior example of
- service delivery. This is despite the fact that all HIV positive Cubans
- are required to retire from public life and be domiciled in AIDS
- Sanitoriums. When asked whether or not this was tantamount to a
- quarantine, they stated that it was not, but was in the best interest of
- the internees, so that their health care could be better managed. Both
- men reside in an AIDS Sanitorium, which they described as self-
- sufficient health care communities, which house the 863 known
- seropositives in Cuba.
-
- According to de la Concepcion, HIV antibody testing is routinely
- administered in certain circumstances, such as hospital admissions, and
- applications for marriage licenses. Should an individual test positive,
- they are immediately interred at a sanitorium.
-
- When asked if this consequence would be a deterrent against voluntary
- testing, they stated that it is not, since most HIV antibody tests are
- administered in the types of situations described above. There is little
- voluntary testing for antibodies to HIV in Cuba.
-
- The two gentlemen stated that the Cuban government places a high
- priority upon educating the populace on risk reduction, and that the
- Cuban people are generally well informed regarding how the disease is
- transmitted.
-
- They were asked if their was a treatment underground similar to that
- in the United States, in which alternative and experimental treatments
- are sought through the efforts of the PWAs themselves. In response to
- this, they stated that none as such existed among PWAs themselves, the
- Cuban government is exploring the use of Chinese herbs and other
- adjunctive treatments from outside the mainstream. During their visit in
- San Francisco, they were scheduled to visit Quan Yin Healing Arts Center
- on Valencia to discuss the use of Chinese herbal medicine as an AIDS
- treatment. Cuba has no indigenous herbal folk medicine of its own.
-
- Despite the fact that these two individuals were very well informed,
- it seemed unclear to this reporter exactly what their message to the
- American people was. It seemed that their purpose was to extol the
- virtues of the Cuban medical system, and to dispel negative perceptions
- of the status of PWAs in Cuba.
-
- Both men are actively involved in what is known as the Cuban AIDS
- Prevention Group, in which they participate in community based risk
- reduction education. Lobbying for exemption from the ban against
- immigration for seropositives was spearheaded by the Institute for
- Global Communications. The tour is being facilitated by Karen Wald,
- their regional coordinator for Cuba.
-
- One interesting treatment point made was that the Cuban health
- response is have some noteworthy successes in treatment using low dose
- AZT in combination with low dose alpha interferon. AZT was approved from
- use in Cuba prior to FDA approval in the United States. The visitors
- were very interested in exploring what treatment options exist for
- people in the U.S., although they admitted that the U.S. trade embargo
- against Cuba would make it difficult for them to obtain pharmaceutical
- from companies which operate only in the U.S. Currently, AZT is obtained
- in Cuba by the British branch of Burroughs-Wellcome.
-
- Although the two Cuban visitors appeared to believe that they had a
- clear message to communicate to their American counterparts, it was
- difficult to determine just what this message was, even after
- interviewing them for over an hour, leaving this interviewer with the
- question of whether or not this was a propaganda tour, meant to assure
- their audience that all is well for people living with HIV in Cuba.
-