In 2014, I asked San Francisco Health Commissioner (2012-present) Cecilia C. Chung for data on HIV transmission rates among transmen who identify as gay men. Cecilia Chung is regarded by many as the national authority on HIV/AIDS in the transgender community. Chung responded to my inquiry by passive-aggressively sending me a link to a list of all the demographic studies hosted by the San Francisco Department of Public Health website under ‘HIV /AIDS Programs and Research’.

By reviewing these studies I discovered that since 1996 the San Francisco Department of Public Health had been reclassifying all Transmen (Females who identify as male) diagnosed with HIV as Transwomen (Males who identify as female) for statistical purposes. When I pointed this out to Chung he refused to respond. Only after the exchange was re-tweeted by famous actor and comedian Roseanne Barr did Chung admit this to be so:

“You are correct. We have recently changed the method to capture the wide spectrum of gender identity and sex assigned at birth,” Chung finally replied.

2014

However, an updated review of department materials indicates that this change was never implemented. Chung’s department continued to reclassify transmen as transwomen in their HIV statistics. Their most recent (2016) HIV Epidemiology Annual Report states [Page 97, Note on Transgender Status]:

In September 1996, SFDPH began noting transgender status when this information is contained in the medical record. Transgender individuals are listed as either male-to-female or female-to-male. The majority of transgender HIV cases are male-to-female (trans female). Due to the small number of trans male cases and potential small population size, their data are included with trans female cases to protect confidentiality.

[bolding by me. –GM]

https://www.sfdph.org/dph/files/reports/RptsHIVAIDS/Annual-Report-2016-20170831.pdf

2016

Note how this reclassification of transmale HIV data was cited as being for their own good, nonsensically arguing that total erasure of AFAB transgender HIV data ‘protected their confidentiality’. Female HIV transmission rates among women who do not identify as transgender was not reclassified as male, nor was any heightened risk of potential confidentiality breech cited for non-transgender females. Only HIV data pertaining to transmen (women who identify as male) was deemed a risk to patient confidentiality. Only HIV data pertaining to transmen was deliberately erased.

More than one in ten transgender people living with HIV are transmen (identified as female at birth) reports a study released today in the American Journal of Public Health.

 

Characteristics of HIV-Positive Transgender Men Receiving Medical Care: United States, 2009–2014

Ansley Lemons MPH, Linda Beer PhD, Teresa Finlayson PhD, MPH, Donna Hubbard McCree PhD, MPH, RPh, Daniel Lentine MPH, and R. Luke Shouse MD, MPH, for the Medical Monitoring Project

http://ajph.aphapublications.org/doi/10.2105/AJPH.2017.304153

The study looked at data starting in 2009 and ending in 2014, the same year I asked Cecilia Chung to stop reclassifying transmen as transwomen in official statistics.

AIDS Map reports:

“HIV-positive transgender men in the United States have significant unmet social and healthcare needs, according to a study published in Research and Practice. Approximately half were living in poverty and only 60% had sustained viral suppression.

“Many transgender men receiving HIV medical care in the United States face socioeconomic challenges and suboptimal health outcomes,” write the authors. “Although these transgender men had access to HIV medical care, many experienced poor health outcomes and unmet needs.”

Transgender people experience poorer health outcomes compared to cisgendered individuals (people whose current gender identity is the same as the one with which they were born).

Little is known about characteristics and outcomes of HIV-positive transgender men (designated female at birth). A team of investigators therefore analysed the records of patients who received HIV care in the United States between 2009 and 2014. Their aim was to characterise the sociodemographic and clinical characteristics of these patients.

Overall, transgender men constituted 0.16% of all adults but 11% of transgender adults receiving HIV care in the United States. The majority (59%) were aged between 18 to 49 years and 40% identified as gay or bisexual. Although 42% had completed high school, almost half (47%) had an income below the national poverty level. A third were uninsured or relied on a Ryan White programme for their health care. Over two-thirds (69%) had an unmet support need and a quarter were currently living with depression.

Most (53%) were sexually active.

The majority (57%) had been living with HIV for ten or more years; a quarter had a history of an AIDS diagnosis. The vast majority (93%) had ever taken antiretrovirals; 88% were on HIV therapy and 83% were fully adherent to their treatment. Last viral load measurement was undetectable in 69% and 57% had a current CD4 cell count above 500 cells/mm3. Two-thirds of patients had a viral load test every six months but only 40% had received sexual health or HIV prevention counselling from a healthcare professional.

More than 1 in 10 transgender persons receiving HIV care were transgender men. HIV-positive transgender men receiving medical care in the United States constitute a small group with socioeconomic challenges, unmet needs for supportive services, and poor healthcomes,” conclude the authors. “To decrease disparities and achieve health equity among HIV-positive men, HIV care models could incorporate transgender-sensitive health care and mental health services and health insurance inclusive of sex reassignment procedures and physical sex-related care.”

[bolding by me. -GM]

 

 

https://www.thetimes.co.uk/article/meet-alex-bertie-the-transgender-poster-boy-z88hgh8b8

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TRANS HEALTH MANIFESTO

September 20, 2017

 

‘Action For Trans Health’ Logo (Facebook)

From the UK ‘Action for Trans Health‘ Org:

TRANS HEALTH MANIFESTO

INTRODUCTION
Following the centuries-long repression of trans lives at the hands of the state, the next stage in the UK government’s war of bureaucratic attrition is the recent publication of an NHS consultation that fails in every possible capacity, and a survey that gathers less data than we’ve already presented them. We call upon everyone fighting for the health of trans people to boycott this consultation & the survey, and reject its procedures & results in full. We encourage hostile participation in the form of direct submissions of demands that don’t react to the questions posed or restrict themselves to the scope imposed by the government.

We wholly reject the NHS’s attempt to codify the abuse, torment & traumatisation of trans people under the guise of ‘healthcare’. We demand accountability for the historic & present abuse of power that the NHS has encouraged glorified psychiatrists to carry out. You do not own our bodies, you cannot control our lives, and you will not prevent our needs being met. We will not tolerate compromise.

The following living document is our vision for trans futures.

We do not consider that our work will ever be complete, there will always be greater things on the horizon. As such, this manifesto is not final, but an open draft which will evolve as we do. This is our call to action. We will fight anyone who stands in the way of universal liberation. This is war, and we will win.

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From HERE.

Dr. Richard J. Curtis

 

Dr. Richard J. Curtis has announced that she will be closing her private UK gender clinic by the end of the year.

For twelve years the ‘TransHealth’ clinic provided private-pay cross-sex hormone treatments and surgical referrals at exorbitant cost for clients who had been rejected for treatment by the NHS or for those who wanted to bypass the free National Health Service protocol.

 

From her website

The announcement comes on the heels of the suspension of Dr. Helen Webberley’s online gender clinic following calls for increased supervision of off-service providers.

Dr. Richard Curtis had previously been placed under investigation by the UK General Medical Council following allegations of failure to follow accepted standards of care.

The clinic was started in 2006 when Curtis took over the private practice of infamous psychiatry consultant Dr. Russell Reid, once the UK’s best-known expert on transsexualism. Reid was found guilty of gross professional misconduct for authorizing inappropriate surgeries for gender dysphoric and body dysphoric clients, including the amputation of healthy limbs for “Body Integrity Identity Disorder” clients.

Dr. Richard Curtis, a heterosexual female formerly named Vanda Zadorozny, underwent medical and surgical gender procedures herself in 2005.

Vonda Zadorozny

Dr. Curtis announced last year that she had decided to stop providing gender treatments to individuals under 18 years of age.

The decision to close the clinic entirely “arises due to a number of personal, professional, and business related reasons” according to her website.

This is amazing. The public relations firm Mediasource, representing the American Society of Plastic Surgeons issued a glowing and newsworthy press release this week titled “Gender Confirmation Surgeries Rise 20% in First Ever Report”.

ARLINGTON HEIGHTS, Ill. – For the first time, the American Society of Plastic Surgeons (ASPS) is reporting on the number of gender confirmation surgeries in the United States. ASPS—the world’s largest plastic surgery organization—found that more than 3,200 transfeminine and transmasculine surgeries were performed in 2016. The procedures can include anything from facial and body contouring to gender reassignment surgeries.”

The press release went on to cite Chicago plastic surgeon Dr. Loren Schechter(*):

“There is no one-size-fits-all approach to gender confirmation,” said Loren Schechter, MD, a board-certified plastic surgeon based in Chicago. “There’s a wide spectrum of surgeries that someone may choose to treat gender dysphoria, which is a disconnect between how an individual feels and what that person’s anatomic characteristics are.

Access to gender confirmation procedures has improved in recent years. In just the first two years of collecting data, ASPS found the number of transgender-related surgeries rose nearly 20 percent from 2015 to 2016. “In the past several years, the number of transgender patients I’ve seen has grown exponentially,” said Dr. Schechter. “Access to care has allowed more people to explore their options, and more doctors understand the needs of transgender patients.”

(*Regular readers will remember Dr. Schechter as the business associate of psychologist Randi Ettner and her husband, who provide dubious and highly paid “diagnosis” and supporting testimony for convicted male murderers who wish to obtain prison funded “sex changes” and subsequent transfer to women’s facilities.)

Anyway, Reuters ran with the story and it took off internationally.

Gender Confirmation Surgeries on the Rise in US” read the headlines. “US Gender Confirmation Surgeries Up 19% in 2016, Doctors Say”.

Media outlets stuck with the same narrative that ASPS/Reuters provided: Surgeries to alter sex characteristics showed a 20% annual increase, likely due to increased media exposure of transgender issues, the removal of Medicare’s blanket ban on coverage, and increased insurance coverage of such procedures under the Affordable Care Act. Some news outlets added testimonials from satisfied customers who felt reborn after surgical procedures.

CBS News used commentary from Gearah Goldstein, a late-transitioning self-employed activist dedicated to medicalizing gender in children and eliminating private sex-segregated facilities for girls in public schools. Goldstein described his psychological relief after undergoing facial feminization surgery performed by Dr. Schechter. New York Magazine’s science writer Jesse Singal tweeted Goldstein’s testimonial as evidence of the efficacy of cosmetic facial feminization surgery for men who identify as transgender.

https://twitter.com/jessesingal/status/867117853320806401

Washington Post science writer Amy Ellis Nutt, who believes that identification with a sex role, or “Gender Identity”, is a biological process that occurs in utero, used a rebirth testimonial from 74 year old Denee Mallon: “When I woke up from surgery, I felt a certain sense of peace and tranquility.”

Business Insider quoted HRC press officer Sarah McBride (formerly Tim McBride):

 “Sarah McBride, a press secretary for the Human Rights Campaign agreed the data is novel and important, adding that “there’s been a real dearth” of statistics about the transgender community until recently.”

Articles quoted various supporting statistics directly from the American Society of Plastic Surgeons survey. Business Insider placed some of the data into a helpful graph. Have a look at the findings:

[this graph has now been removed from the Business Insider article. The article itself has not been redacted]

Even a cursory glance at this “supporting data” reveals that these numbers are meaningless. Equal numbers of male facial feminization and female facial masculinization procedures?! Nonsense. Only a hundred or so mastectomies or breast augmentations?! Only fifteen genital surgeries recorded nationally by the ASPS?! What exactly is being measured here? Not much.

Elizabeth Nolan Brown at Reason.com writes a detailed breakdown of the problem with the ASPS survey and conclusions:

http://reason.com/blog/2017/05/23/gender-confirmation-surgery-2016-stats

Retraction Watch also covered this story:

http://retractionwatch.com/2017/05/23/reuters-removes-story-gender-confirmation-surgery-firm-mistakenly-released-data/

You can read the original (now retracted) Reuters story at NBCNews, which is still running the story with the following notice:

“Editor’s Note: Reuters has withdrawn this story because of questions surrounding the data supplied by the American Society of Plastic Surgeons.”

http://www.nbcnews.com/feature/nbc-out/u-s-gender-confirmation-surgery-19-2016-doctors-say-n762916

Have transgender related surgeries increased by 20% in the past year? We have no idea. They could have spiked by over 300% (insert any figure). Or they could have dropped as more genderists adopt a “non-binary” belief system (or for whatever reason). We just don’t know.

But that won’t stop the international media from pushing the narrative, uncritically, with fake data supplied by the medical gender industry.

Indeed, as of today they are still reporting it.

Story continues to spread. Published today by Mirror Daily

 

From the EPATH Conference website

The Second Biennial conference of the European Professional Association for Transgender Health (EPATH) has issued a last minute “code of conduct” as it prepares to deal with stalking, harassment, threats, and abuse of presenters from attendees following the activist hijacking of the USPATH conference earlier this year. The EPATH and USPATH conferences are regional events sponsored by the World Professional Association for Transgender Health (WPATH), a medical lobbying group comprised of individuals who make a living off the medicalization of sex-roles among individuals that identify as transgender.

The Code of Conduct issued for the April 6- 8th EPATH conference, being held in popular medical tourism hotbed of Belgrade, Serbia, reads as follows:

 

CODE OF CONDUCT

This year, in line with good governance arrangements, all attendees, speakers, sponsors and volunteers at the 2nd biennial EPATH conference are required to agree with the following code of conduct. We expect cooperation from all participants to help ensure a safe environment for everybody.

The 2nd biennial EPATH conference takes place in a friendly environment where everyone should feel welcome, safe and comfortable to share ideas and engage in open discussion without threat of intimidation or public humiliation.

We expect all conference participants to be respectful in person and online towards other delegates, speakers, organisers, staff and volunteers.

We expect all conference participants to behave and to use language that is respectful, non-pathologising and consistent with human rights standards, taking into account its shifting and complex contextual and cultural character. Ultimately this caution applies equally to transgender health and all other formal and informal settings in which human interaction takes place. Please refer to our Language Policy.

We are committed to providing a harassment-free conference and training experience for everyone, regardless of gender, gender identity and expression, sexual orientation, disability, physical appearance, body size, race, or religion.  Harassment of participants, speakers, staff or volunteers in any form will not be tolerated.

Harassment includes offensive verbal comments, and other forms of using disrespectful and pathologising language inconsistent with human rights standards, deliberate intimidation, stalking, following, harassing, photography or recording without explicit consent, sustained disruption of talks or other events, inappropriate physical contact, and unwelcome sexual attention. Conference participants asked to stop any harassing behaviour are expected to comply immediately.

These policies apply in every space at the venue related to conference, and to all participants in every role.

If a participant engages in harassing behaviour, EPATH may take any action they deem appropriate, including warning the offender or expulsion from the conference with no refund.

If you are being harassed, notice that someone else is being harassed, or have any other concerns, please contact a member of conference staff immediately. Timo Nieder of the EPATH board and Guy Bronselaer, onsite manager, are available as a first point of contact: +32 486 688 579. Conference staff can be identified, as they’ll be wearing branded clothing and/or badges.

We will be happy to assist those experiencing harassment to feel safe for the duration of the event, for example by providing escorts. Contacting police should be the last resource if this is required.

We expect conference participants to follow these rules at all event venues and related social events.

We trust that this code of conduct mirrors the views of the vast majority of our participants.

 

[end]

 

TPATH (Transgender Professional Organization for Transgender Health), an organization comprised of transgender medical activist members of WPATH, has issued an “expression of concern” about the code of conduct. They communicated their “alarm” that the code “might be used to curb the freedom of all participants to communicate the harm caused by certain presenters and methodologies. such as by filming for documentation or acts of protest like speeches and silent picketing. These methods, steeped as they are in the tradition of WPATH and history, may indeed be “disruptive”, but any “public humiliation” experienced by the recipients might better be attributed to their own failure to respond to more ‘reasonable’ dialogue over the years and decades that preceded these actions.”

 

Read TPATH’s full complaint below the fold:

 

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