Prevention Programs

HIV Alliance is committed to preventing new HIV infections.  In Oregon, the populations most at risk for HIV are: gay/bi men and other men who have sex with men (MSM), people who inject drugs (PWID), and partners of people living with HIV/AIDS (P/PLWHA).  Our prevention programs are committed to reducing risk amongst these populations.

Our programs for men who have sex with men (MSM) are housed under the Alliance for Men’s Wellness.  These programs include outreach and recruitment into testing for the MSM community Unzipped Alliance, Party Unzipped, The Alliance for Men’s Wellness newsletter and our Regional Health Fairs are all facets of this program.

Our programs for people who inject drugs (PWID) are focused around our needle exchange program, an evidence based intervention proven to reduce HIV and Hepatitis C (HCV) infections.  Embedded in our needle exchange program is our Hepatitis C (HCV) program to improve access to healthcare to those living with HCV.  A HCV/HIV dual infection can be incredibly challenging.  Our Hepatitis C Community Health Worker helps our HCV clients manage their Hepatitis C disease and remain HIV negative.

The partners of people living with HIV/AIDS can be particularly at-risk for contracting HIV.  We assist these individuals by educating our clients living with HIV on safer sex and disclosure practices through our Guys Like Us program.  We also offer testing and risk reduction counseling to the partners of all our HIV-positive clients.  We provider a space for anyone who feels at risk for HIV to contact our prevention manager with any questions they might have.

Hosting an Event? Let us Know!

The HIV Alliance prevention outreach team is committed to representing gay/bisexual/pansexual men and transfolk in the community and ensuring equitable access to sexual health and wellness information and safer sex supplies. If you are hosting or know of an event happening in the community, please let us know! We would love to come and table, distribute safer sex supplies, or otherwise support your event. Please fill out the form below and we will make every effort to be in attendance!

 

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Harm Reduction Coalition

The Harm Reduction Coalition is a quarterly meeting discussing health and wellness of people who inject drugs.  The Coalition’s goals include:

  • Increase provider and community awareness about issues facing people who inject drugs
  • Engage people who inject drugs in their care and wellness
  • Promote principles of Harm Reduction

For more information or to attend a meeting contact the Prevention Manager at 541.342.5088.

 

 

Philosophy of Harm Reduction

Harm Reduction is a public health philosophy that seeks to empower individuals, remove barriers to accessing the support that they need, and supply pragmatic approaches to risk reduction in a non-judgmental/non-coercive way that is compassionate and accepting of any positive change.  Harm Reduction supports a wide spectrum of strategies from doing the behavior more safely, to limiting certain behaviors, to abstinence.

Principles of Harm Reduction include:

  • Meeting the client where they are, using programs designed for the community being served.
  • Non-judgmental and non-coercive services are provided to clients in the communities and places where they are comfortable and safe in order to empower them to reduce the attendant harm.
  • Accepts that drug use is part of our world and chooses to work to minimize its harmful effects on the people using drugs, rather than ignore or condemn those individuals.
  • Understands that drug use and behavior change are complex and multifaceted. They include a continuum of behaviors from severe abuse to total abstinence.
  • It acknowledges that some drug use methods are safer than others, and respects each individual’s drug use choices.
  • Ensures that people who inject drugs and those with a history of drug use routinely have a real voice in the creation of programs and policies designed to serve them.
  • Affirms that people who inject drugs are the primary agents responsible for reducing the harm from their drug use, and seeks to empower them to support each other and share information.
  • Recognizes that the realities of poverty, class, racism, social isolation, past trauma, sex-based discrimination and other social inequities affect both people’s vulnerability to and capacity for dealing with drug-related harm.
  • Does not attempt to minimize or ignore the real or tragic harm and dangers associated with licit and illicit drug use.

 

HCV 101

  • Designed for older teen and adult audiences
  • Reviews the facts about the Hepatitis C virus.
  • Informs about liver function, transmission of the virus, and effective prevention techniques

Hepatitis C Virus (HCV)

  • “Hepatitis” literally means “inflammation of the liver”
  • HCV Is a blood-borne virus, transmitted blood-to-blood, that damages the liver
  • The liver is a vital organ with over 500 functions – we cannot live without a liver.  It is a “non-complaining” organ –  it has no nerve endings to feel pain due to damage or injury
  • The most common way that HCV is transmitted is through sharing injection drug equipment like syringes; it can also be transmitted through contaminated instruments used in tattooing or piercing, or through sharing personal care items like razors, tweezers, clippers and toothbrushes.
  • HCV can be sexually transmitted but the risk is considered to be low
  • HCV is a hearty virus and can live up to 4 days on a surface like a table, and can live up to 63 days inside a syringe
  • Approximately 20% of people who have Hep C have the acute type which presents with symptoms like a severe flu but resolves itself within 6 months; the remaining 80% have chronic Hepatitis C which generally has no symptoms and people can have it for 20-30 years without knowing it
  • Approximately 3-5% of HCV infected mothers pass on the virus to their babies
  • Hepatitis A, B and C are completely separate viruses and are only found in humans.  There are vaccines for Hepatitis A and B
  • There is no vaccine for Hepatitis C
  • There are new drugs like Sovaldi and Olysio that can cure Hepatitis C but they are still very expensive and not available to everyone – consult your doctor

Hepatitis (HCV) Community Health Program

The HCV Community Health Program at HIV Alliance is designed to help people living with HCV in Lane County to stabilize and maintain their health through support, advocacy, referral services, and emergency financial assistance.  Clients struggling to meet basic needs can work with our Community Health Worker to access transportation and nutrition assistance.

In September 2014, we began a partnership with Food For Lane County to insure that our HCV clients are receiving healthy food on a regular basis.

For more information about our HCV Community Health program contact Bonnie Hylton bhylton@hivalliance.org or Paul Homan phoman@hivalliance.org

Hepatitis (HCV) FAQs

  • HCV was officially identified in 1989
  • There are 6 different genotypes of HCV; 75% of people w/HCV have Genotype 1, which is the hardest one to treat
  • The most common and severe symptom of HCV is fatigue.
  • There is no correlation between a person’s health and the concentration (viral load) of the HCV the person has (in terms of the health of the liver).
  • Sexual transmission is low-risk for transmitting HCV because it is transmitted from blood to blood.
  • There is some controversy about the risk associated with sexual transmission of HCV because many people who believe they acquired the disease through sexual activity also had other risk factors for acquiring HCV, such as intravenous drug use.
  • It is estimated that the risk of an HCV positive mother passing the virus on to her baby at birth is about 3-5%.  These numbers are only estimates, however, because many studies of HCV do not include people in prisons or the homeless.
  • When a person first contracts HCV they need to limit their fat intake.  When the disease is more progressed they need to limit protein intake because the liver develops problems with processing protein.
  • HCV puts a person at increased risk for acquiring liver cancer.
  • About one quarter of HIV-infected persons in the United States are also infected with HCV. Those that contracted HIV through injection drug use have a co-infection rate between 50-90%.
  • HCV is one of the most important causes of chronic liver disease in the United States and liver damage resulting from HCV infection progresses more rapidly in HIV-infected persons. HCV infection may also impact the course and management of HIV infection.
  • HCV lives longer outside the body than HIV, and is infectious for at least 16 hours and up to 4 days. If you are protecting yourself against HCV, you are also protecting yourself against HIV.