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The Global HIV Epidemics among Men Who Have Sex with Men
Report by the CPHHR in partnership with The World Bank and the United Nations Development Programme (UNDP)
June 2011

This new study from the CPHHR, in partnership with The World Bank and the United Nations Development Programme (UNDP), provides the first comprehensive economic analysis of evidence that better HIV prevention, care, and treatment services for Men Who Have Sex with Men (MSM) are shown to improve overall HIV epidemic control. The Global HIV Epidemics among Men Who Have Sex with Men shows that MSM are at significantly higher risk for HIV infection than other groups in many low-and middle-income countries, where fewer than 1 in 10 MSM worldwide have access to even the most basic package of HIV/AIDS prevention and treatment services. The authors urge governments and donors to target MSM in national HIV/AIDS programs as an essential step toward reversing the global epidemic.

This volume presents the first global economic analysis undertaken to explore the emerging epidemics of HIV among men who have sex with men in low- and middle-income countries. Using a scenario-based approach, the book systematically reviews the available data to investigate and characterize these epidemics and propose evidence-based and rightsaffirming responses. These responses, which are demonstrated here to be cost-effective, constitute both a public health priority and a clear human rights imperative. Written to help governments, public health agencies, donors, and communities better understand and respond to the HIV epidemics among these often hidden and stigmatized populations, The Global HIV Epidemics among MenWho Have Sex with Menbrings together reviews of epidemiology and the HIV prevention literature; a novel approach to evaluating interventions in prevention, care and treatment; and modeling, costing, and human rights assessments. The book uses a mathematical model to assess the potential country-level impact of interventions, focusing primarily on Kenya, Peru, Thailand, and Ukraine as examples. In all four countries, greater investment in prevention, treatment, and care for men who have sex with men is shown to improve overall HIV epidemic control.
Press Release |Summary |Purchase | Full Report (PDF 4.48MB) | World Bank

Life Under the Junta: Evidence of Crimes Against Humanity in Burma's Chin State
Report by Physicians for Human Rights, the Chin Human Rights Organization, and the Center for Public Health and Human Rights
January 2011

Trained local surveyors performed a multi-stage, 90-cluster sample survey of households in Chin State from January to March 2010, using an 87-question survey instrument that was translated into five regional languages. Of 621 (89%) households that agreed and were questioned about their experiences over the past year, forced labor and other human rights violations, food security, their health status, and access to healthcare. Surveyed households in all nine townships in Chin State reported a total of 2,951 abuses in the 12 months prior to the interview, with forced labor being the most prevalent. Of the 621 households interviewed, 91.9% reported at least one episode of a household member being forced to porter military supplies, sweep for landmines, be servants, build roads, and do other hard labor. The Burmese military imposed two-thirds of these forced labor demands; they also accounted for all reported rapes. Government soldiers tortured or beat ethnic Chins (reported by 14.8% of households), and killed and abducted civilians with impunity. One out of eight Chin households was forcibly displaced (most to find food), and one-third of all forcible conscriptions were of children under The tatmadaw military accounted for more than 92% of all forced recruitment, and ethnic forces (for example the Chin National Army) were not reported to have forcibly conscripted any children or adults.

Executive Summary

Detention as Treatment: Detention of Methamphetamine Users in Cambodia, Laos, and Thailand
Report by Nick Thomson, a CPHHR faculty member, and the International Harm Reduction Development Program of the Open Society Institute
March 2010

This report details, the prevailing responses have been compulsory detention—generally without medical management of detoxification. Detention in conditions that are themselves threats to health and life, has been done under the banner of “treatment” for drug use, but little or no evidence-based treatment has been available.This report makes clear that drug treatment is not occurring in these compulsory centers,and that what is happening to thousands of (mostly young) people is a threat to public health and safety, and represents ongoing violations of a range of basic human rights.

Human Rights and Non-Lethal Weapons Research
Report by Leonard Rubenstein, published by the American Association for the Advancement of Sciences
Winter 2010

This report outlines essay some of the questions of the ethics of using scientific fields for the development of non-lethal weapons.  Questions of such research include:  the protections human dignity and human rights; whether the intention of the weapon is to inflict disproportionate or indiscriminate, unnecessary suffering on civilians, or to spread terror in the populationdue process of law; is due process with fair decision-making addressed during development and use; and what are the potential implications for new non-lethal weapons development in the other dimension of human dignity as well as the political level.

After the Storm: Voices from the Delta
Joint report by CPHHR and  EAT-Burma

February 2009

The only independant, community-based report on human rights violations that occured during the attempts to bring relief and assistance to cyclone-afflicted communities in Burma after the destruction of Cyclone Nargis.

Health in Ruins: A Man-Made Disaster in Zimbabwe
PHR Report authored by Frank Donaghue, Rick Sollom, David Sanders, Susannah Sirkin, and Chris Beyrer
January 2009

The PHR report, which includes a preface by Justice Richard Goldstone, Mary Robinson and Archbishop Desmond Tutu, accuses the Mugabe ZANU-PF regime of the systematic violation of a wide range of human rights, including the rights to life, health, food, water and work.

MSM, HIV and the Road to Universal Access- How Far Have We Come?
amFAR Special Report
August 2008
The efforts of Drs. Baral, Sifakis, Beyrer, and Cleghorn have made significant contributions to this report (page 9) and serve to promote this important research agenda.

amfAR MSM Initiative

"The Gathering Storm: Infectious Diseases and Human Rights in Burma"
July 2007

The report details the factors that have contributed to Burma’s dire health situation and to the spread of infectious diseases in Burma and the border regions of China, Thailand, Bangladesh and India. It also presents data about HIV/AIDS, tuberculosis, malaria and lymphatic filariasis from health clinics operated by local governments and NGOs.

The authors explore whether it is possible to deliver international aid in a manner that is transparent and accountable, reach those most in need, and promote respect for human rights and international humanitarian law. They also provide recommendations to the ruling Burmese military regime, donors and foreign aid organizations, and other local and international groups, such as UN agencies and international governments, working on these issues.

"Responding to AIDS, TB, Malaria and Emerging Infectious Diseases in Burma: Dilemmas of Policy and Practice"
March 2006

This report released by the Center details what is known about infectious disease threats, including avian influenza (H5N1 virus) in Burma. It assesses the regional health and security concerns associated with these epidemics, as well as suggested policy options for responding to these threats in the context of tightening restrictions imposed by the ruling military junta.

The authors conclude that these threats constituted clear regional health and human rights concerns. An abridged version of the report was published in the open access journal PLoS Medicine.

Executive Summary in Chinese

Executive Summary in Burmese

"Chronic Emergency: Health and Human Rights in Eastern Burma"
September 2006

The Center for Public Health and Human Rights partnered with Mae Tao Clinic, ethnic minority health organizations and the Global Health Access Program to coordinate ongoing efforts to document the impact of human rights violations on health. The Global Health Access Program provided technical support and training for a health and human rights survey to measure the effect of forced displacement, crop destruction and other human rights violations on infant and childhood disease and death.

"From the Inside Out: Talking to Incarcerated Women About Health Care"
November 2005

The Center, in collaboration with the D.C. Prisoners' Legal Services Project, conducted an assessment of health care access and health needs, including mental health services, among women jailed at the two facilities in the District of Columbia. A total of 55 volunteers were trained on interview techniques and in the specifics of survey research for data collection.

Under the supervision of the project staff, the volunteers worked in the jail facilities over a period of five months to interview over 100 incarcerated women under attorney-client privilege. Questions addressed demographic variables, health status prior to arrest, including any known diagnoses and medication; access to care in the jail, medical services, prescription drug provision; sick call services; and new health conditions which occurred during incarceration, and how they were managed.

Support for this research and report was provided by Paul and Mariann Gertman.

"No Status: Migration, Trafficking and Exploitation of Women in Thailand"
July 2004

This report was released by Physicians for Human Rights at the XV International AIDS Conference in Bangkok, and documents how the lack of legal status of Burmese and Hill Tribe women, and girls in Thailand results in discrimination and exploitation, lack of personal security and inability to access health care and other services. It is based on fieldwork conducted in March, April and May of 2004 by Ms. Karen Leiter, Dr. Chris Beyrer, and Mr. Moh Wit and Mr. Christopher Guerry.

In the News...

Just Released: Safeguarding Health in Conflict Coalition’s 3rd annual report: No Protection, No Respect. The report details attacks on health care facilities, infrastructure, workers, and patients during 2015 and the first quarter of 2016.
Congratulations! Director Chris Beyrer to be installed as first Desmond M Tutu Professor of Public Health and  Human Rights.
News: African academinc challenge homophibic laws. Read here.
Listen! CPHHR Director Chris Beyrer discusses the AIDS Pandemic on Minnesota Public Radio.
New Publication: Sexual violence against female sex workers in the Gambia
Just Released! New JAIDS Special Issue: HIV Risks and Vulnerabilities Among Key Populations in West and Central Africa - Evidence to Inform HIV Prevention, Treatment, and Care
Join Us: March 31 4-5:30pm in Sheldon Hall for 'Health Transitions in Myanmar: 2015'
New Report: Syrian Medical Voices from the Ground: The Ordeal of Syria’s Healthcare Professionals.
Free: Editors of The Lancet have identified important articles from their respective journals to highlight World AIDS Day. They're freely available Dec. 1-31, including the Series on HIV and Sex Work.
Hot News! CPHHR Director Chris Beyrer has been appointed to the UNAIDS Scientific Experts Panel and is a newly elected member of the Institute of Medicine.
Just Released! The Lancet Series on HIV and Sex Work was recently released at AIDS 2014 in Melbourne. Congratulations to the team on an incredible Series!
New publication: MSM in Malawi: a qualitative assessment of health seeking and provision practices
New Publication: GBV in Conflict: Displaced Women in Colombia
Article: Sex Work Criminilization and HIV - Facing Reality
AIDS 2014: The 20th International AIDS Conference is fast approaching! The newly released destination guide is a great resource for LGBT attendees.
Just released! On the frontline of eastern Burma’s chronic conflict - Listening to the voices of local health workers in Social Science and Medicine. Full article.
New Report: The full report from the conference on the protection of health workers, patients and facilities in times of violence is now available.
Post-Doc Position: The CPHHR is looking for a post-doctoral research fellow to conduct analysis of quantitative data from studies with MSM in several settings. Details and application instructions.
Call to Action: Len Rubenstein recently convened a group of experts to address the issue of protection of health workers, patients and facilities in times of conflict. The Call to Action is available here.
Tribute: Please visit the IAS website for a tribute to Nelson Mandela, as well as links to his AIDS conference speeches.
New Reports: OSF profiles 11 access to justice projects in their new report Bringing Justice to Health. Read.
Just out: The Task Force on Preserving Medical Professionalism has found that since 9/11/2001, the DoD and CIA have involved U.S. military and intelligence agency health staff in activities that inflicted severe harm on detainees in U.S. custody. Read.
New Reports! Meeting the HIV-related needs of gay men, other MSM and Transgendered persons worldwide. Read.
Just Released: 'A Human Rights Approach to Heath and Conflict' by Center faculty Katherine Footer and Len Rubenstein. Read.
New Report: Center faculty have just published a new report 'Social and Structural Risks for HIV among migrant and immigrant MSM in Moscow." Read.
Just Released: Turning surveillance into support for MSM in Africa. Read.
HOT NEWS! The US Supreme Court ruled that Groups receiving federal money to combat AIDS abroad may not be required to adopt policies opposing prostitution. Read the full article here.
New Report: A new project lead by Dr. Stef Baral highlights HIV risk among MSM in Malawi and the discusses the need for data. Read.

New! Center faculty have published a new article"Modified social ecological model: a tool to guide the assessment of the risks and risk contexts of HIV epidemics" available here.

Read! Center faculty have published a new article 'Modeling the impact of HIV prevention and treatment for MSM on HIV trajectories in LMICs. Read.
Exclusive: The AMA has written to Secretary of Defense Hagel concerning allegations that detainees on hunger strike are being force-fed with assistance from physicians. Click here to view the letter.
Just out! Center faculty member Len Rubenstein published an article in Foreign Affairs describing issues of compromised medical care in conflict zones.
Hot News! The Huffington Post released an article on a recently published study on HIV among transgendered women, led by Center Faculty member Stefan Baral. Read.
New! The NYTimes published a letter comcerning a recent piece on attacks on Syrian doctors, written by Center faculty member Len Rubenstein. Read.
Update: HIV among MSM examined at CROI 2013. Read.
New! Click here for video of the CROI 2013 Plenary 'The Global HIV MSM Epidemic: Time to Act', by Center Director Chris Beyrer.
Hot Topic: The Center recently hosted the film "Beneath the Blindfold", which reveals the reality of life after torture. This informative documentary follows the lives of four torture survivors as they build new lives, careers and relationships. Please visit the website for more information.
Just Released! The eBriefing for the NYAS/CPHHR event 'New Paradigms of Risk and Protection: Understanding the HIV Epidemics among Gay and Bisexual Men' is now available on the NYAS website. Congratulations to everyone who worked together and made this event a tremendous success!
Congratulations! Gift Trapence attended the LGBT Human Rights Defenders event at the UN in NYC with Secretary General Ban Kyi-Moon, Yvonne Chaka Chaka and Ricky Martin as a leader in the fight against homophobia. Congratulations on this incredible honor!
Just Released: 'Free and Equal', a booklet published by the UN human rights office describes sexual orientation and gender identity in international human rights law. Read.
New Report: 'Impact of Maternal Depressive Symptoms on Growth of Preschool- and School-Aged Children', just published in Pediatrics, found that Maternal depressive symptoms during infancy may affect physical growth in early childhood. Congratulations to the Center's Pam Surkan and team on this interesting article. Read. Article.
Hot News! Burma's Daw Aung San Suu Kyi spoke via video to the International HIV/AIDS Conference in Washington D.C. on Thursday about ending the stigma experienced by many HIV/AIDS patients. Read. 
New Video! Burma's Aung San Suu Kyi accepts Nobel Peace Prize in Oslo, Norway. Watch Video.

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