Issue March-April 12
I want to talk about housework. Everyone knows that I am famous for never making generalisations, but gay people are always better at housework than straight people. This is because gay people have standards that straight people only dream about.
UPFRONT: Andrew Burry
Gay people iron socks, underwear, pillowcases, towels and bank notes. Gay people have a welloiled machine that sees clothes removed, put in the laundry hamper, taken out again, put in the washing machine, put in the dryer, ironed and put away all in a single day. Gay people never leave their clothes draped on a chair or on their floor.
What someone with HIV looks like
You can’t tell by looking – men of all types get HIV and most remain very healthy. Don’t worry, lots of positive and negative men have great sex together without passing on any viruses – they simply use condoms or act safely.
www.FearLessLiveMore.org.au Produced by the Australian Federation of AIDS Organisations and the National Association of People Living with HIV/AIDS Printed 2011
UPFRONT: Andrew Burry Look inside a gay person’s wardrobe, and all the coat hangers point the same way, shirts are arranged by PMS colour, shoes are neatly aligned in pairs and the overall effect is of an upscale boutique. Underwear is displayed so that the brand name is highly visible with even a passing glance.
the cupboards look attractive, and these are arranged in an aesthetic fashion designed to show how interesting we are and how eclectic are our tastes. Smatterings of Asian, Mexican and Italian products are tastefully mixed to demonstrate our preference for fusion cuisine.
But it’s house cleaning that really sets gay people on the highest plateau. Whereas straight people purchase general-purpose cleaning products, the gay person requires each product to have a very specific function.
All of the above are well known truths about gay people, but we sometimes forget that the big difference between us and our straight counterparts is that we LOVE housework whereas ‘they’ consider it a chore! Strange but true. And, in this, there is a warning.
I am a completely typical homosexual, so it will come as no surprise to learn that my little house requires a total of 21 different cleaning solvents for its daily spruce. Indeed, the kitchen alone requires ten. The stainless steel has a cleaning powder, which is followed by something that polishes. The granite bench tops are sprayed with an anti-bacterial spray and followed up with something to give them a mirror finish. There is something for the ceramic cook top, an oven cleaner, something to go down the sink to make it smell like a flowerbed in full bloom, a floor cleaner, a fridge spray and something I got for the dishwasher (but can’t remember what it does). Gay people don’t buy food products with any intention of eating them. No! Food products are purchased to make
Research shows that 61.2676875% (approximately) of samesex relationships fail over the issue of housework. The reasons are varied, but the main one is that in our love for these tasks, we forget to share them with the one we adore! In the pursuit of our own happiness, we mince around our apartments with a vacuum in one hand, and a feather duster in the other gaining selfish and solitary pleasure. Meanwhile, honey-bun is feeling frustrated and denied, and is no doubt considering doing a little cleaning on the side. If you really want to enrich your relationship and lift it to the next level, remember these words …
“Honey? It’s your turn to spray and wipe!”
Remarkably Unremarkable by SWOP Armed with cameras, Canberra based sex workers set out to represent our view of the world through the eye of a lens. SWOP would like to thank all the people who came to the opening night of Remarkably Unremarkable.
Photography by Nick Nguyen www.aidsaction.org.au Mar - Apr 12 | 03
Netreach 2.0 or update 1.1? Keiran Rossteuscher / Program manager, social marketing At the Council, I think that we can be proud that we do a lot of great work. We probably don't actually talk about it enough. I have never sent out a press release ACON-style reminding people about a workshop or considered framing our work as 'news'. We're more inclined to frame announcements outside of Facebook and ACTQueer about our work in editorial, which means most of our work goes unnoticed unless you pick up and read our Annual Report. That said, what we probably do less is to admit when we get something wrong. As a sector and organisation we are comfortable discussing limitations, giving ourselves a good self-flagellation over not reaching 'hard to reach' populations. But, rarely do we ever say that; you know what? We tried, and it didn't work. And it didn't work because we didn't do a good job. Well here I am, and I'm about to say it! Last year, after research, contemplation and development, the AIDS Action Council finally caught up with many of the other AIDS Councils and developed our Netreach project. Netreach is outreach conducted in online forums, providing a trained volunteer to be answer questions about STIs, condoms, or connecting to groups and services. It is difficult to develop since few of the sites allow Netreach to operate or they consider us a revenue opportunity and charge accordingly. This was new territory for us and so we invested significantly in planning. A two-day training package including a
full manual was designed. In July we trained 7 peer volunteers in a range of communication skills and covered the range of information that they would be able to cover in their role as Netreachers. Systems for coordinating shifts, logging interactions, supporting and following up the Netreachers were developed. Articles were written; ads made to promote it. All good to go, we launched the Netreach program in August last year. We tried, and it didn't work. And it didn't work because we fucked it up.
Well that feels a little better â˜ş Fast forward to November. The dust settled after a restructure of the organisation and refocusing our work to recognise that we either work on a whole community or individual or defined group basis. It was quite obvious we had dropped the ball. We mobilised to reconnect with the volunteers and over the next couple of weeks had a series of meetings with some of the volunteers. Some of these
messages we got were a bitter pill to swallow. We had thought that training was the key and after this process we could simply let our volunteers loose to get on with it. However, what we learnt was that we let them down. Ok. So we didn't do a great job. We are a small organisation, and a lot is asked of us. There are some very high expectations, quite rightly, since we survive substantially on Government funds. We have to be able to be critical of ourselves and our work as well as embracing criticism from any stakeholder. But that doesn't mean we admit defeat, throw our hands in the air and promise to never mention it again. A mature response is to be grateful for honest feedback, learn from it and try and put things right. We have completely revised the Netreach program with a more realistic set of goals. Most importantly, we understand the essential need to fully respect those who volunteer their time and energy into making it possible. Rather than put our organisational effort into training, we know now that support and encouragement are far more what our volunteers would like. I like to think that we don’t fuck too much stuff up, but when we do I hope that the future will show that we repair rather than despair.
Volunteers as Peer educators Keiran Rossteuscher / Program manager, social marketing
Peer - noun Person who is the equal of another Member of the British nobility (www.dictionary.com) I have sometimes found myself wondering if HIV had not occurred in the 1980s, but instead happened today, what would have been different? Now I was still only an idea when the first cases of Gay Related Immune Deficiency, as it was known back then, we're being identified, and still only learning to walk at the height of HIV notifications a few years later, so I don't have a complete context for everything that happened at the time. My guesses though? Firstly, there wouldn't be the political will power to actually do anything constructive in terms of funding and mobilisation amongst the various groups from those at risk, to clinicians to bureaucrats that we saw from then Health Minister Neil Blewit. Secondly, the response would still ultimately be lead by peers. From it's earliest days and continuing today, the response to HIV is overwhelmingly lead by peers, those affected by the virus - not just those who are HIV positive, and not just by the curious, well meaning and altruistic. Peers, as quoted in the above reference (and yes, I'm using the first of the two!) have always been integral to the success of any response to HIV. They certainly aren't the ONLY legitimate response, but they are undeniably important. Andrew Burry has a fantastic definition of what a peer is, and is always more than happy for you to come and have a chat about it. It is a wonderfully broad and encompassing definition that I can't do justice to in this article, so for simplicity’s sake, I am using the commonly understood ideas of what a peer is. At the Council we have a variety of peers. It won't surprise anyone to hear that an AIDS Council has gay men working there, as well as both positive men and women. We tend to naturally align with our work from a peer perspective. Our youngest staff member manages our Qnet portal for GLBT young persons, our sex worker outreach educators are proud sex workers themselves. The AIDS Councils that we know today were born from the activism of peers, whether mobilising, spreading information, developing early safe sex campaigns, holding forums, or petitioning governments. If you ever hear someone referring to
www.aidsaction.org.au Mar - Apr 12 | 04
us as a grassroots community organisation, this is why. It was sex workers with a trolley full of condoms going brothel to brothel that started what we now know of as SWOP so many years ago, and that is emblematic of us entirely. Some of the most successful programs and events the council has ever been a part of are ones that have had peers drive them. Our range of workshops, Out There (young gay/bi men under 26), Looking Out (gay/bi men 26 and older), Stepping Out (lesbian/bi women), Together (relationships for gay/bi men) are all run by peer volunteers. As much as possible so are the different seminars that we have been running more frequently lately, such as the various gay men's sexual health seminars and most recently Logged On, an online safety workshop - developed and run by peers. More recently we have been using peers to talk to audiences through our I HEART Sex, I HEART Condoms campaign. The feedback we have gained through focus group testing and evaluations have stressed the value of the peers used in the posters. Be it the images, the quotes, the fact that they may or may not know them, the age, cultural background, the subculture or body type, job, even a shared attitude towards condom usage. There were elements of the campaign that the guys could relate to and felt more engaged by the campaign. These peers became ambassadors for condom usage, and people would approach them in social settings to talk it. Our foray into Netreach is another example, and I speak about the challenges of that in another article in the newsletter, but the difference between a random staff member being plonked in the chat room, compared to the presence of a peer is very different. There is a way of talking, an attitude, there is shorthand and other knowledge that the peer can all help to use to break down those barriers an outsider brings with them. If we think back to my initial question, and my thought that peers should be continuing to lead the fight against HIV, I say this only because whilst it was true nearly 30 years ago, it remains true today.
A New Communications Paradigm? Andrew Burry
One of our biggest challenges is communication. How do we reach those vulnerable to HIV risk if they do not identify as gay, or are not community attached or who do not know of their own vulnerability? When there was a crisis and people were dying, engaging with those vulnerable to HIV was relatively easy. It wasn’t so much a case of finding them; they were very likely to find us. As an AIDS Council we can no longer rely on the relevance that those days delivered to us, and indeed it is probable that we seem quite irrelevant to a majority in the communities we work with. Even though this may be the case, our mission requires us to respond to health and wellbeing needs of all priority populations regardless of whether they connect to us or not. At the same time, communication methods and modalities have changed significantly. More of us connect with more people more frequently, and we do so through expanding social media opportunities. Reaching key populations efficiently is much more difficult and becoming more so. At the same time, many community members are finding less reason to connect to organisations or institutions that represent them. Perhaps many don’t feel a need to be represented at all. On one hand, we might think this is a good thing if it means, for example, more people living with HIV are managing things quite well without community support in addition to their medical services. On the other hand, it may not be so good if it means some people are living in mild misery, and as I wrote recently there is a risk for all of us that mild misery becomes the new happy. This lack of connections has implications in terms of ensuring people who engage in behaviour that includes risk, have enough information for their decisions to be sufficiently well informed. For years, we relied on the use of so-called gay media to communicate this information. Gay media means that information is put where gay people are such as in magazines, at gay venues and through peer education initiatives. In a sense, this is a kind of trap, because it relies on gay people behaving like gay people and they don’t so much any more. But in addition to that, these efforts target gay men, but not all men that have anal sex with other men are gay. What do we know about the relative risk profiles of gay men compared to nongay men that have sex with other men?
For the AIDS Action Council, this is a serious issue. If we cannot disseminate information, no matter how well executed, with real confidence that enough of our target will be exposed to it often enough, how do we shape a new paradigm? Is there a communication model that is sensitive to a population that is more diverse and disparate? Well, we have to think so. We are working towards a more integrated network of communication that incorporates important principles of peer education. It means we are trying to be where people are rather than merely resident in a building like Westlund House. We have to be increasingly a more virtual organisation rather than one of bricks and mortar. We are redefining what we mean by “media� and we now include all means by which information is passed from one place to another, recognising that word of mouth is the most common and frequently the most effective. We created Facebook pages some years ago of course. However, like most organisations, we did it because we thought we should, but we didn’t have a clear strategy or an understanding of what it could do. We also made a common error in looking at Facebook as being a medium. That is, we saw it predominantly as a place for putting information - and therefore as an end in itself. But, of course Facebook and equivalents are platforms and you can’t get from A to B by standing on a platform. So, now we look at Facebook as being an integral part of our network of communication; its temporary and temporal nature gives it a role of moving people to someplace else. Our strategy is to use it to drive people to other places where information is more permanent such as our websites. When we want to share information, we must now include as broad a range of these platforms as possible. Traditional media, social media platforms, blogging sites, peer workshops, newsletters, other people’s websites, chat sites, medical practices, our trained volunteers, teachers and educators and so on. The messaging needs to be consistent because people
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Our purpose is to generate peer conversation. For example, if we want young people to learn that HIV is a real but avoidable possibility, we have to have young people discussing it amongst themselves. Our strategy of generating and sustaining conversations amongst semi-homogenous groups like young people, positive people, sex workers, CALD communities and so on is a direct reflection of our commitment to peer education and this is has been a cornerstone of our community approach from the beginning. We’ve suspected for some time, that we have rather lost our way in the language we use when talking with our constituent communities. Indeed, I said “talk with�, but I fear that we have been increasingly “talking at� these communities. What was a broadbased community response to HIV was generated by groups of people with common interests talked together and came up with strategies to confront the developing crisis of AIDS. But over time, this kind of grass roots response became organised and bureaucratised into an industry and some of the direct connection with our own communities became loosened. The difference is that instead of talking in the way that peers do, we started to talk in the way of teachers or parents. Rather than be supportive of the rights of gay men, sex workers or others to make their own informed decisions, we began to be instructive in our presentation and language. We have drifted towards a sort of blandness, as if we just need to keep repeating the same old messages and just spruce them up with clever graphics and imagery. For some years, it seems to me, we have stopped speaking in the language of our peers and adopted a more authoritarian tone. So when we talk about building a new paradigm for communicating and supporting our communities, we are really talking about re-establishing something of the past. Rather than look at new social media and other technologies as requiring a new approach, we instead look at these as new opportunities to do what we’ve always done. And that is peer education and support.
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Book
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a free workshop for gay and bi men over 25
sex relationships networks meeting people coming out Saturdays self esteem
10:00am - 4:00pm 17 & 24 March ‘12
for m ore infor m ation or to RSVP, contact C hai at t he A AC o n 02 6257 2855 or workshops@aidsaction.org .au
WESTLUND HOUSE RESOURCE CENTRE
www.aidsaction.org.au Mar - Apr 12 | 05
IATROGENESIS Nada Ratcliffe The term ‘iatrogenesis’ refers to adverse effects, harm or complications caused by or resulting from medical treatment or advice – in a nutshell it means damage caused by medicine. But isn’t medicine supposed to help us live healthier and longer lives? Hold that thought. In Australia it is virtually impossible to gain a true picture of how many adverse events occur as a result of medical errors alone. Believe it or not, recent official estimates (2008) reflect that approximately 20,000[1] iatrogenic deaths per year for which 'hospital separation' figures are available from the Australia Bureau of Statistics (ABS). These are the ones that are “officially” recognised as being due to ‘error’, by practitioners and administrators and hence, politicians. They are not the ones where the cause of death is attributed to something else, like cardiac arrest (won’t we all have a cardiac arrest if we die?). Most of us will know of a case where the cause of death has been questionable. Some of the primary areas of iatrogenesis include but are not limited to: * Failed surgeries * Dangerous drug interactions * Denial of psychogenic conditions * Treatment error * Unnecessary procedures * Neglectful care of the elderly and people with disabilities * Unnecessary prescription of drugs * Practitioner insistence on Caesarean section * Insufficient recognition of mental disorders * Infection due to medical negligence * Diagnostic error *Unwanted disclosure of stigmatised illness (particularly relevant in the case of HIV and Hepatitis C)
Another notable area where a monumental medical breakthrough has been a double edged sword is around the use of antibiotics. So much good has come from antibiotics but the blinkered, inappropriate and over prescription of these medications has led to a plethora of problems – on a number of levels, some that are ironically bad for our health and wellbeing. I fondly recall my tutor in microbiology in 1981 at Sydney University. She was very thin with perfectly styled long black hair, an artificial eye and called a spade a spade. She was a great teacher and had a knack of explaining very complex microbiological classifications in a logical and easily absorbed manner. It was also when I learned about the microbial world of sexually transmitted infections and when they first drew my interest. She would enthusiastically highlight the brilliant discovery of penicillin by Alexander Fleming in the 1920’s when he first saw fungus growing on his experimental plates of the bacteria staphylococci and noticed that the fungus was killing the live bacteria. However, even 30 years ago, she also expressed serious concern about the harm that antibiotics could cause. She sought to instil in us the ability to look at the other side of medical discoveries and procedures and how, if used incorrectly or inappropriately, without proper foresight and boundaries, medicine as we know it can turn against us. Both the common cold and influenza are viruses that cannot be treated with antibiotics, but why then are people still routinely being prescribed antibiotics for these ailments? This pattern has led to great harm and significant costs to individuals, communities and populations in a relatively short period of time. Clearly the phenomenon of antibiotic resistance existed for many years. Now we have a situation where some bacteria are resistant to most, if not all antibiotics and are now described as “superbugs”. Some have taken up residence where they are most
potent and destructive – in large hospitals where they can readily be carried from patient to patient by stethoscopes, name tags, watches and hands. It is now known that there are almost no bacteria where there is not resistance to more antibiotics than there were 10 or 15 years ago. Unfortunately, I don’t feel that there are any easy answers; the horse has bolted. However, it may well help individuals if they ask questions of their treating medical practitioners and allied health professionals. For many and particularly older people, questioning the doctor can be a daunting thought. A ‘god like’ culture developed over a long period and it will take time to overcome so that people represent their own best interests. Health practitioners in Australia are well trained and have a reputation for being among the best in the world. However they, like you and me, are human beings. We make mistakes as individuals in our personal lives and in our respective careers. There are other ways that we as can work against bacterial resistance: minimise use through regulatory controls (e.g. ban the use of antibiotics in animals for food), surveillance of resistant bacteria and resistance genes, infection prevention/ control strategies and hygiene systems. It is inspiring to see highly qualified and experienced practitioners like some that we have here in our midst in Canberra, recognising the need for change and highlighting where medicine has gone askew. It’s an important issue – for health’s sake, let’s not go back to the dark ages. In coming editions, I will focus more upon how we as a community can take responsibility and personal and community action to enhance our own health and work towards healthier communities. We must all be active participants. [1] 20,000 deaths in a single year?
Qnet and its role in peer education Nick Nguyen / Social Marketing Co-ordinator Qnet started in 2003. It is an online community for gay, lesbian, bisexual, transgendered and intersex people 25 years and under. Qnet was created by the AIDS Action Council of the ACT with the purpose of making a safe online environment for young queer people in the ACT and surrounding NSW, to exchange information and share experiences. Also on the Qnet website there are resources and information on safe sex, coming out, better understanding about sexual identity and STIs, as well as information that friends, families, teachers, supporters and peers can access if they needed to offer support. Qnet is used by the AIDS Action Council to connect with the young queer generation, to get the “Safe Sex Message” across, without saying so much all the time, but by being a safe, supportive and information rich environment. The good thing about ACT is that it is quite contained; it means if one person gets the message, that message can expand throughout the community easily. There was an incident that I came across not long ago. My friend, who was studying at university in the ACT, went out clubbing one night and was picked up by a guy at the club. It started out fine. They had a great time at the club, drinking and dancing, but then when my friend went home with the guy, sex was expected. My friend quickly asked for a condom. The response he got from the other guy was “I don’t have any, but come on, let’s go without it for once tonight”. Then my friend refused to have sex with the guy he had just met. After my friend told me that story I asked him how much he knew about STIs and the importance of using a condom. He surprised me with his knowledge about STIs and condom use. I asked him where he got the www.aidsaction.org.au Mar - Apr 12 | 06
information, he said Qnet Website. I am really pleased to hear that young queer people do access Qnet to search for useful information on to help them to make choices about their health. In late 2010 we ran an online survey of young same sex attracted young people in the ACT about Qnet, even those who hadn’t used it before. Based on the results of the survey Qnet is expanding out of just the webpage form. Now there are monthly activities for Qnet members (anyone 25 and under who identifies as GLBT) to have a chance to get involved, to interact with other young queer people from the area in a different environment to a youth centre, university or nightclub. It’s not better or worse, it’s just different. In 2011 we started with two Qnet movie nights. They were held at Westlund House at the end of winter last year. In addition to the movie there were trivia questions and games at the beginning, with prizes. We had a good number of attendees and they enjoyed the activities. Due to the positive feedback from activities last year, Qnet has more activities planned throughout 2012, such
as Qnet picnic at the park, movie and games nights as well as bowling nights. We don’t want to be limited in the variety and ways people can join in, so hopefully there is something everyone will enjoy. This year, we have had two Qnet picnics in the park, held at Nara Gardens behind the Canberra Hyatt. Everyone who attended had a great time in the sunshine and the peaceful surroundings. We enjoyed the time with each others’ company; we shared stories and some experiences but also became more active with outdoor games like Finska. Early in 2012 Qnet formed a reference group to help with the developing of the brand. The meeting will happen once every two months. We are seeking ideas from the members of the reference group to make Qnet better and more useful for our community. At the first meeting we had in January this year one member attended. I do think it wasn’t too bad. The Qnet Reference Group is still new and needs time to develop. Despite just one other person at the meeting, we did have lot of ideas. These ideas will be used in the near future to help Qnet to improve, so that more people know about it, and that it is more relevant to the people who need to use it. Qnet is changing day by day and it becomes much more than just a website where our community can access information they need. Qnet is building a strong bridge to connect with the younger generation, to help them overcome their fears in society and give them knowledge to make the right decisions in life.
FOR YOUR DIARY March Monday 12
Canberra Day
Thursday 15
STRIP Sexual Health Clinic 6:00pm – 8:00pm, the Ranch at Fantasy Lane
Wednesday 14
PSN Dinner 6:00pm – 9:00pm, Westlund House, Acton
Saturday 17
STRIP Sexual Health Clinic 10:00am – 12:00noon, Westlund House, Acton Looking Out Workshop (Enquiries to Chai for details) 10:00am – 4:00pm, Westlund Hoouse, Acton
Wednesday 21
AIDS Action Council Volunteer Meeting Getting into Canberra Community 6:00pm – 7:30pm, Westlund House, Acton
Thursday 22
AAC Legal Clinic (enquiries to Marcus for details) 6:00pm – 9:00pm, Westlund House, Acton STRIP Sexual Health Clinic
STRIP: FREE & EASY SEXUAL HEALTH CHECKS - MARCH 2012 Every Thursday night @ The Ranch and Saturday mornings @ Westlund House Call 02 6257 2855 for more information
www.aidsaction.org.au/strip
RIP STSexual
health check-ups
6:00pm – 8:00pm, the Ranch at Fantasy Lane Saturday 24
STRIP Sexual Health Clinic 10:00am – 12:00noon, Westlund House, Acton Looking Out Workshop (Enquiries to Chai for details) 10:00am – 4:00pm, Westlund House, Acton
Wednesday 28
PSN Dinner 6:00pm – 9:00pm, Westlund House, Acton
Thursday 29
STRIP Sexual Health Clinic 6:00pm – 8:00pm, the Ranch at Fantasy Lane
April
HIV futures seven
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Friday 6
Good Friday
Monday 9
Easter Monday
Wednesday 11
PSN Dinner 6:00pm – 9:00pm, Westlund House, Acton
Saturday 14
Out There Workshop (Enquiries to Chai for details) 10:00am – 4:00pm, Westlund House, Acton
Wednesday 18
AIDS Action Council Volunteer Meeting Modern homophobia & the law 6:00pm – 7:30pm, Westlund House, Acton
Saturday 21
Out There Workshop (Enquiries to Chai for details) 10:00am – 4:00pm, Westlund House, Acton
Dropbox Quick Start
Sunday 22
Earth Day
Tuesday 24
Qnet Bowling Night (Enquiries to Nick for details) 6:00pm – 9:00pm, AMF Bowling Belconnen
Wednesday 25
Anzac Day
Dropbox is a free service that lets you bring all your photos, docs, and videos anywhere. Any file you save to your Dropbox will also automatically save to all your computers, phones, and even the Dropbox website. This means that you can start working on your computer at school or the office, and finish on your home computer. Never email yourself a file again!
Thursday 26
AAC Legal Clinic (enquiries to Marcus for details) 6:00pm – 9:00pm, Westlund House, Acton
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www.hivfutures.org.au Australian Research Centre in Sex, Health and Society, La Trobe University
What is Dropbox?
After you install Dropbox on your computer, a Dropbox folder is created. If you’re reading this guide, then that means you had no problems finding your Dropbox folder :). This folder is just like any other folder on your computer, but with a twist. Any file you save to your Dropbox folder is also saved to all your other computers, phones, and the Dropbox website. On top of your Dropbox is a green icon that lets you know how your Dropbox is doing: Green circle and check: All the files in your Dropbox are up to date. Blue circle and arrows: Files in your Dropbox are currently being updated.
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