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Focus on building the capacity of health departments to:
• Implement and manage HIV/AIDS prevention programs
• Assess policy and develop programs
• Implement the four strategies of CDC's Advancing HIV Prevention    initiative
• Expand and enhance activities that eliminate racial and ethnic disparities
• Strengthen HIV/AIDS programs that work with youth

Program Highlights
HIV Vaccine Research
NASTAD was selected by the Academy for Educational Development to serve as one of the National Institute of Allergies and Infectious Diseases (NIAID) HIV Vaccine Research Education Initiative (NHVREI) National Partners. NASTAD strives to continue increase the knowledge and build awareness around the development of an HIV vaccines.  For educational materials on the latest in HIV vaccine research, visit the Be The Generation website.

 
National HIV Prevention Inventory
NASTAD and the Kaiser Family Foundation partnered to produce this report that offers a baseline picture of how HIV prevention is delivered across the country. The report is based on a survey of 65 health departments, including all state and territorial jurisdictions and six CDC directly funded U.S. cities and provides a comprehensive inventory of HIV prevention efforts at state and local levels.

 
NASTAD Technical Assistance Meeting: Using the Internet to Reach Gay Men

NASTAD, in partnership with the National Coalition of STD Directors (NCSD), convened a technical assistance meeting for health department HIV/AIDS and STD programs and their community partners.  The meeting focused on using Internet Partner Services (IPS) to reach gay men and other MSM. See MEETING REPORT.

 

Vist NASTAD’s YouTube page to watch other NASTAD videos.


 
NASTAD Prevention Policy Agenda
On November 29, 2007, NASTAD introduced a Prevention Policy Agenda to accompany its newly-released Blueprint, which includes recommendations for federal funding increases and expansion of core HIV/AIDS programs and services at the state and local levels.

 
A New Blueprint for the Future: Ending the Epidemic Through the Power of Prevention
In April 2008, NASTAD released a revised version of A New Blueprint for the Nation: Ending the Epidemic Through the Power of Prevention, along with a companion policy agenda. The Blueprint provides guideline for state and territorial health departments for ensuring they have the financial, political and programmatic resources necessary and in place to meaningfully scale up domestic HIV prevention efforts for the future.

 
Health Department HIV Testing and Linkages to Care Examples
NASTAD and the American Psychological Association (APA) convened a technical assistance call/webinar on Wednesday, November 4, 2009 entitled: "Expanding the Nation's Approach: Scaling-Up HIV Testing and Linkages to Care Among Blacks and Latinos." In conjunction with this webinar, NASTAD released three video profiles detailing health department HIV screening and linkages to care and treatment efforts: Florida, Mississippi and Texas.

 
Youth Issue Brief 1: HIV/AIDS: Crisis among Young Black and Latino Gay Men and Other Men Who Have Sex with Men (MSM)
This issue brief, the first in a three-part series, explores current epidemiological data on young Black and Latino gay men, social determinants of health, structural barriers related to power and privilege and environmental and policy factors. The issue brief also provides strategies for health departments and their community partners to use in their efforts to better understand and reach these populations. Resumen informativo en español.

 
¡Adelante! Strengthening the Response to HIV/AIDS and Viral Hepatitis in Latino Communities
Building on NASTAD’s 2003 policy document entitled Addressing Latino HIV/AIDS: Latino Perspectives and Policy Recommendations, NASTAD released this Call to Action at the 2008 National Latino AIDS Awareness Day (NLAAD) Congressional Briefing in Washington, DC.  With this Call to Action, NASTAD reaffirms its commitment to providing a comprehensive approach to addressing health disparities among Latino communities and urges health departments, national organizations, federal partners, and key community-based organizations and leaders to scale up efforts to fight the HIV/AIDS and viral hepatitis epidemics in Latino communities.  The Call to Action provides a clear understanding of the complex factors that contribute to increased rates of HIV and viral hepatitis in Latino communities and recommends targeted and tailored efforts that respond to these critical challenges. ¡Adelante! en Español

 
Presentations from NASTAD's TA Meeting on Reaching Gay Men Using the Internet
NASTAD held a technical assistance meeting, in conjunction with the National Coalition of STD Directors (NCSD), focusing on reaching gay men using the internet. Twelve jurisdictions (California, Chicago, the District of Columbia, Florida, Houston, Illinois, Maryland, Massachusetts, New York City, New York State, San Francisco and Texas) participated in the meeting, held in Alexandria, VA on March 29-31, 2009. NASTAD and NCSD will use information from this meeting to tailor technical assistance and support and to better advocate on behalf of health department and community programs committed to this very important topic. The meeting agenda and presentations from the meeting are available on the Resource Materials section of the HIV Prevention page on NASTAD's website.

 
El Plan Para el Futuro (HIV Prevention Blueprint in Spanish)
Los Estados Unidos esta en crisis. La nueva estimación de la incidencia del VIH de los Centros para el Control y Prevención de Enfermedades (CDC) exige que los esfuerzos de prevención del VIH se unifiquen en torno a una estrategia común y sean ampliados para contrarrestar la situación de emergencia que nos enfrentamos. Como líderes de la nación en la lucha contra el VIH/SIDA, nosotros, los programas de prevención del VIH de los departamentos de salud, ofrecemos a la nación un nuevo Plan Para el Futuro. Al construir sobre los éxitos de los programas de prevención de la nación, estamos convencidos de que los Estados Unidos puede cambiar el rumbo de la epidemia del VIH/SIDA.

 
Expanded HIV Testing Report
In September 2007 the Centers for Disease Control and Prevention (CDC) funded 23 jurisdictions through program annoucement PS07-768 Exapnded and Integrated Human Immunodeficiency Virus (HIV) Testing for Populations Disporortionately Affected by HIV Primarily African Americans, or the "Expanded Testing Initiative." CDC's stated goals of the program are to achieve 1.5 million tests and to identify 20,000 newly reported cases of HIV infection annually, with 80 percent of those tests taking place in clincial settings such as hospital emergency departments, community health centers and correctional health care systems. The funded jurisdictions,including two additional ones that received funding in 2008, are charged with developing innovative and creative programmatic approaches, including the use of rapid HIV tsting technologies to ensure that HIV-positive persons received their test results and establishing routine testing as standard across health care services.

In addition to providing background on the expanded testing intiative, this report highlights the findings of a survey that NASTAD conducted with the funded jurisdictions in December 2008. It also highlights notable examples of implementation successes and challenges and offers recommendations for next steps.


 
NASTAD Press Release Regarding CDC's Revised HIV Incidence Estimates
NASTAD issued a press release on August 2, 2008 in reaction to the release of the Centers for Disease Control and Prevention's (CDC) revised HIV incidence estimates. Using new technologies to estimate HIV incidence, CDC now estimates that 56,300 new infections occurred in the U.S. in 2006, a number significantly higher than the previous estimate of 40,000 - a less precise count that had remained static for over a decade.  The original release is published in the August 6, 2008 edition of the Journal of the American Medical Association (JAMA).  NASTAD's Prevention Policy Agenda and background document Prevention Blueprint (see links below) provide concrete recommendations for addressing the HIV epidemic in the U.S.  In addition, NASTAD's Executive Director, Julie Scofield, co-authored an op-ed in the Baltimore Sun with Dr. David Holtgrave, calling on renewed efforts in the fight against HIV/AIDS in the United States.

 
Update on Implementation of HIV Rapid Testing in Health Department Supported HIV Prevention Programs
This report and its companion Executive Summary highlight the results of NASTAD's updated health department survey expanding on a previous 2006 survey of rapid HIV testing.  The report examines issues associated with adoption of rapid HIV tests from various manufacturers, performance of rapid HIV tests and use of multi-test algorithms.

 
HPLS Presentations and Plenaries
Sessions from the 2008 HPLSl held June 5-7, 2008 in Detroit, MI. included a presentation on the NASTAD Prevention Blueprint by Dave Kern. A policy plenary featured a presentation of the NASTAD Blueprint by Georgia's Kim Dobson, as well as remarks on the Caucus for Evidence Based Prevention from from SIECUS Vice President Bill Smith and Ed Tepporn from the Asian and Pacific Islander American Health Forum. NAPWA Executive Director Frank Oldham Jr. moderated. CDC convened the closing plenary with Kevin Fenton sharing his vision for program integration across the National Center for HIV/AIDS, Hepatitis, TB and STD Prevention, Acting Division of HIV/AIDS Prevention (DHAP) Director Rich Wolitski talked about CDC's work to addres gay men/MSM, Maria Alvarez discussed CDC's Latino-focused activities, and Janet Cleveland reviewed progress in CDC's Heightened National Response to the epidemic among African Americans (links to CDC presentations forthcoming).

 
HIV Testing in Emergency Departments: A Primer on Issues and Strategies for Health Departments -- September 2007
Continuing efforts to make important information and tools available to support HIV testing, NASTAD created this important tool for health departments and emergency departments (ED) as they work together to implement HIV testing in EDs. The primer conveys the importance of collaborative relationships between health departments and EDs as they work to put into practice CDC's 2006 Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings.  The document also examines the role of health departments in supporting implementation of HIV testing in EDs, reviews considerations for implementation and addresses critical issues and concerns for implementing HIV testing.  In addition, the report highlights health department and ED collaborations within jurisdictions that participated in a January 2007 NASTAD consultation on HIV testing in emergency departments.

 
Report on the Survey to Assess the Impact of Withdrawal of the HIV Oral Fluid Assay -- August 2007
Continuing efforts to make available important information and tools to support HIV testing, NASTAD has released a Report on the Survey to Assess the Impact of Withdrawal of the HIV Oral Fluid Assay.  This report assesses the impact of the discontinuation of bioMérieux production of their HIV-1 serum and oral fluid Vironostika enzyme immunoassay (EIA) platforms in 2007.  The report highlights health department plans for oral fluid HIV testing in light of the withdrawal of these products and the potential impact on HIV testing programs.  NASTAD will use the findings to identify key areas for education and technical assistance across health departments and to identify important areas of advocacy with federal partners and the diagnostic manufacturers.

 
2007 Report on Findings from an Assessment of Health Department Efforts to Implement HIV Screening in Health Care Settings
NASTAD conducted this assessment to gain a better understanding of HIV testing programs at the state and local level. The report, released June 26, 2007, provides an in-depth analysis of the current legal and regulatory environments for HIV testing within states, current state and local health department efforts to support HIV screening in health care settings, and future state and local health department plans for implementation and/or expansion of HIV screening in health care settings.  The report also examines the influence of the CDC's Revised Recommendations for HIV Testing of Adults, Adolescents and Pregnant Women in Health Care Settings on health department efforts to implement HIV screening.

 
Evidence-Based Interventions: Issues and Priorities for Health Departments -- April 2006
This issue brief explains the importance of EBIs in the prevention portfolio.  It includes recommendations towards the goal of a long-term national plan in support of EBIs. It also includes profiles from several states that describe the implementation, adaptation and tailoring, training, and monitoring and quality assurance processes for EBIs in those states. 

 
NASTAD Commemorates National Black HIV/AIDS Awareness Day
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¡Adelante! Fortaleciendo la Respuesta al VIH/SIDA y a la Hepatitis Viral en las Comunidades Latinas
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VIH/SIDA: Crisis entre Hombres Jóvens Gays Negros y Latinos y Otros Hombres que Tienen Relaciones Sexuales con Hombres (HSH) (Young Black and Latino MSM Issue Brief No. 1 in Spanish)
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February 6, 2008 HIV and Hepatitis Prevention Webinar
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April 10, 2008 HIV and Hepatitis Prevention Webinar
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