2019 Annual Meeting

May 19th, 2019 | 08:00am EDT to May 22nd, 2019 | 12:00pm EDT

Monday, May 20

Plenary Session - Discussion with Federal Partners

This session will include key updates from federal partners on the Ending the Epidemic 2030 initiative. Leadership from HRSA-HAB, HRSA-BPHC, and CDC-DHAP will share their agency-specific activities.

  • Moderator: Terrance Moore
  • Laura Cheever (HRSA-HAB) [Slides]
  • Eugene McCray (CDC-DHAP) [Slides]
  • Judith Steinberg (HRSA-BPHC) [Slides]

Plenary Session – The Time is Now: What Does It Mean to End the Epidemics?

This session will explore what it means to end HIV/AIDS as an epidemic from epidemiological, provider, and community perspectives and highlight what shifts are needed for jurisdictions to move toward zero new infections, zero AIDS deaths, and zero stigma. Specific focus will be placed on how health departments, providers, and community leaders have redirected efforts in coalition to achieve and implement ending-the-epidemic strategies.

  • Moderator: Terrance Moore
  • Johanne Morne (New York)
  • Jaron Benjamin (Housing Works)
  • Patrick Sullivan (Emory University) [Slides]
  • Rupali Doshi (Washington DC) [Slides]

Social Media for Health Departments

Social media and social marketing have become integral to public health communication. In an ever-changing landscape, health departments may feel behind the curve regarding emerging communication technologies and optimized social media engagement. NASTAD will explore social media platforms and the rules of engagement, as well as best practices to communicate accessible, appealing, targeted, and stigma-free messaging. [Slides]

  • Maya Perry (NASTAD)
  • Howard Winchester (NASTAD)

Tuesday, May 21

Plenary Session – Borders, Bridges, and Walls: The Intersections of Public Health and Human Rights

As the country and the world debate the merits of nationalism versus globalism, borders have become ground-zero at which our collective capacity for compassion and empathy is being tested. During this session, panelists will discuss the realities and implications of current immigration and refugee trends and ongoing efforts to end HIV and hepatitis and protect the public’s health. The discussion will include the importance of policy and rhetoric in addressing the needs of vulnerable immigrants, refugees, and key populations as well as how to better utilize routine data to reduce stigma and address community concerns.

  • Moderator: Marlene McNeese (Houston)
  • Sonya Schwartz (National Immigration Law Center)
  • Tshiwela Neluheni-Tshinaba (Institute of Health Programs and Systems) [Slides]

Plenary Session – Don’t Leave the Overdose Epidemic Behind: Incorporating Harm Reduction in Ending the Epidemic Plans

Comprehensive plans must be multifaceted, including overdose prevention efforts, syringe services programs (SSPs), and other harm reduction strategies to create an effective public health response to the HIV and hepatitis epidemics. This session will explore state, jurisdictional, community, and coalition-based efforts to incorporate harm reduction strategies and drug user health as pillars of Ending the Epidemic (EtE) plans.

  • Moderator: Andrew Gans (New Mexico)
  • Katie Burk (San Francisco) [Slides]
  • Annette Gaudino (Treatment Action Group)
  • Monique Tula (Harm Reduction Coalition) [Slides]

Concurrent Breakout Sessions (Part I)

Show Me the Data! Using Data Strategies and Tools Effectively to Maximize Outcomes Along the HIV Continuum

This session will provide health department staff an opportunity to discuss strategies to use HIV surveillance and care program data to evaluate their programs’ effectiveness and identify ways to bolster the HIV care continuum in their jurisdiction. Speakers will discuss initiatives in HIV cluster detection and response and continuous quality management (CQM) within the Ryan White HIV/AIDS Part B program, including their successes, challenges, and lessons learned.

  • Moderators: Erin Bascom (NASTAD) and Amanda Bowes (NASTAD)
  • Dawn Fukuda (Massachusetts) [Handout]
  • Paul Loberti (Rhode Island) [Slides]

Ending the Hepatitis Epidemics: Strengthening Health Department Infrastructure to Make Elimination a Reality

The World Health Organization has committed to eliminating hepatitis B and C by 2030. The National Academics of Sciences, Engineering, and Medicine provided recommendations and targets for elimination and HHS OHAIDP is working to update the National Viral Hepatitis Action Plan to align with this goal. Despite the momentum underway to plan for hepatitis elimination, we know that there are significant gaps in the current infrastructure at the national, state, and local levels that is critical to elimination such as under-resourced surveillance, insufficient harm reduction services, and restricted treatment access. During this breakout, results from NASTAD’s Ending the Viral Hepatitis Epidemics: Health Department Infrastructure and Technical Assistance (TA) Needs Assessment will be presented, updates on NASTAD’s Viral Hepatitis TA Center and ASTHO’s Elimination Planning Project will be provided, and the discussion will focus on how we get to where we actually need to be to make hepatitis elimination a reality. [Slides]

  • Moderator: Boatemaa Ntiri-Reid (NASTAD)
  • Geetika Nadkrani (ASTHO)
  • Corinna Dan (OIDP)
  • Lucy Wilson (University of Maryland, Baltimore County)
  • Beth Crutsinger-Perry (Washington)

PrEP Financing and Access for Priority Populations

Health departments have a critical role to play in financing the scale-up of Pre-exposure Prophylaxis (PrEP), improving access to it, and promoting health equity. This session will feature strategies to maximize access for priority populations through STD clinics in the context of health insurance coverage gaps and other constraints. Participants will also discuss recent updates from HRSA regarding HIV program subgrantee eligibility for 340B participation.

  • Moderator: Edwin Corbin-Gutiérrez (NASTAD) and Vrushabh Shah (NASTAD)
  • Diana Jordan (Virginia)
  • Amanda Dennison (NCSD)

Ending HIV: The Role of Social Marketing and Community Engagement

This session will discuss the work of the Kaiser Family Foundation’s Greater Than AIDS campaign to support communication and outreach activities of health departments and others to increase knowledge and understanding of HIV and combat stigma. [Slides]

  • Moderator: Jennifer Flannagan (NASTAD)
  • Robbyn Kistler (Greater Than AIDS)
  • William Lyons (Georgia)
  • Shelley Lucas (Texas)

Plenary Session – Dollars and Sense: Coordinating and Financing Campaigns to End the Epidemics

Initiatives to end HIV, HCV, and the opioid epidemics must work at the intersection of evidence-based prevention, treatment, and structural interventions. This requires dynamic leadership and coordination of multiple, seemingly disparate, public health strategies and financing mechanisms. Topics to be discussed include forecasting to determine the investments needed for synergistic responses to the epidemics; the role of prescription drug access in ending the epidemics and novel policies that support treatment and prevention scaleup; and how health departments can think broadly and systemically to ensure the synergy and sustainability of public and private resources to end the epidemics.

  • Moderator: Demetre Daskalakis (New York City) [Slides]
  • Jen Kates (Kaiser Family Foundation) [Slides]
  • Melinda Becker (National Governors Association) [Slides]
  • Samuel Burgess (Louisiana) [Slides]

Concurrent Breakout Sessions (Part II) 

Incorporating Syringe Services Programs into HIV and Hepatitis Prevention and Care Strategies

This session will explore unique and innovative ways state and jurisdictional health departments have developed integrated HIV and hepatitis testing programs in partnership with SSPs. A range of strategies will be explored including co-locating services, increasing SSP ability to conduct phlebotomy, and coordinated patient navigation.

  • Moderator: Laura Pegram (NASTAD)
  • Peter Whiticar (Hawaii)
  • Meredith Brantley (Tennessee)
  • Alexandra Bradley (HIPS)

HIV Criminalization: Awareness, Policies, and Justice

Laws criminalizing HIV perpetuate stigma and are a deterrent to treatment and care. A number of states have modernized their laws to remove felony penalties, incorporate supportable scientific standards related to transmission risk, and make other changes that protect PLWH from prosecution and harsh sentences; however, outdated, stigmatizing laws remain on the books in much of the country. This session will be a discussion about ways that health departments work to protect PLWH from the consequences of harmful laws, and the role that health departments can play in informing public policy as states seek to modernize HIV criminalization statutes. We will also discuss emerging efforts to address the criminalization of hepatitis exposure and transmission, and lessons we can glean from the HIV criminalization arena.

  • Moderators: Dori Molozanov (NASTAD) and Isabel Lechuga (NASTAD)
  • Beth Crutsinger-Perry (Washington)
  • Randy Mayer (Iowa)
  • Preston Mitchum (Advocates for Youth)

Trauma-Informed Approaches to HIV Prevention and Care Services

This breakout session will provide a brief introduction to trauma, an overview of the impact of trauma in PLWH, a description of trauma-informed approaches and strategies, and practical steps for HIV providers and organizations to develop and operationalize for delivering trauma-informed care, treatment, and prevention services to PLWH.

  • Moderators: Bianca Ward (NASTAD) and Kristina Santana (NASTAD)
  • Holly Hanson (Iowa)
  • Mahelet Kebede (NASTAD)

Reframing Population-Specific Language to Influence Programming, Policy, and Data

As health departments ramp up programming to achieve national and jurisdictional goals of ending the HIV epidemic, we must disrupt the current status quo, especially for gay, bisexual and other men who have sex with men (GBM). This session will focus on the role of leadership in reframing the ways we refer to GBM to support better evidence-based programming, address implications of long-standing gaps in population-based data, and influence policy changes.

  • Moderator: Andrew Zapfel (NASTAD)
  • Tom Bertrand (Rhode Island)
  • Terrance Payton (Washington DC)

Wednesday, May 22

Closing Plenary Session – A Call to Action: The Chair’s Challenge [Slides]