HIV

In Lincoln Park, past Plaza de la Raza cultural center and under swaying pine trees, stands a row of 10-foot wooden panels etched with names. Robert Zaldivar stood quietly in front of the names, surrounded by community members holding lit candles as memories of old friends resurfaced.

The panels bear nearly 2,000 names, and more are added every year. Each one represents an Angeleno, mostly Latinos, who died of AIDS. Zaldivar led the movement to erect this monument, named the Wall Las Memorias, which was finalized in 2004.

Inspired by his late best friend, who was HIV-positive, the Wall represents to Zaldivar the power of remembering those in his community affected by HIV and AIDS. It was designed in the shape of Quetzalcoatl, or the “Feathered Serpent,” an Aztec deity and symbol of rebirth.

That day in early June, he hosted a sunset vigil, joined by AIDS Memorial Quilt founder and Harvey Milk mentee Cleve Jones, to recognize the lives lost since AIDS was first diagnosed 45 years prior, when the Centers for Disease Control and Prevention published a report detailing immunodeficiency in five young gay men in Los Angeles.

At Zaldivar’s feet was a poem, one he wrote in 1995 with his friend Anna Contreras.

It reads:

It is here, we free ourselves from the teaching of guilt.
We unite as one people in our vision, our teaching, and our truth.
Through truth we live, through knowledge we survive.

Contending with stigma and misinformation has been a constant struggle for people who are HIV-positive, he said, a struggle that Zaldivar hopes to make more visible now than it has been in previous decades.

“Sometimes it feels like there’s no other way to draw attention to this problem than to have a physical reminder,” Zaldivar said of the monument. “This reminds us of real people, as more than statistics.”

The statistics Zaldivar refers to include the continuing rise in HIV diagnoses in Latinos across the United States. The most recent CDC data show 39,000 people across the U.S. received an HIV diagnosis. And a Kaiser Family Foundation analysis revealed that between 2010 and 2022, there was a 24% increase in new cases among Latinos. In 2022 alone, Latinos made up 31% of new diagnoses, despite only representing 19% of the American population, the KFF study found.

“Just last week, we had two new diagnoses of HIV in our clinic,” said Bernardo Gomez, assistant manager of HIV resources at the Wall Las Memorias Project. “For context, we had 15 in the past six months, including straight women … I think what we’re seeing is a dangerous loss of support for outreach and education.”

Last year, President Trump released his presidential fiscal year budget for 2026, much of which went into effect last October. In it, he revealed significant cuts to HIV health programs — amounting to $1.5 billion.

The budget recommendation signaled the administration’s yearly priorities, and Trump’s fiscal plan and staffing cuts to HIV teams under the so-called Department of Government Efficiency (DOGE) showed a shift away from HIV prevention and healthcare, which advocates say has led to providers losing jobs and places for testing and resources to shrink. In L.A., the Latino community is feeling the brunt of the loss, Zaldivar said.

The biggest cut to HIV care in the 2026 budget affected the CDC, which lost around $3.6 million. Another devastating loss was $1.7 million cut from the Ryan White HIV/AIDS Program, which many L.A. resource centers report relying on to fund part of their programming and staffing.

Robert Gamboa, associate director of public policy at the L.A. LGBT Center, said that in Trump’s first term, his “Ending the Epidemic” program created hope for soon seeing the end of HIV in the U.S. — a hopefulness that he said was quickly dashed in his second term.

“Now there’s this 180-degree shift in policy, we see these enormous proposals pulling away from funding, and his lack of acknowledgment of World AIDS Day, and Pride in general,” Gamboa said. “The message of that is loud and clear: [The Trump administration] is telling our LGBT community, ‘We don’t care about you.’”

Since Trump’s inaugural address last year, Gamboa said executive orders have only solidified Trump’s shift away from LGBT organizations, “challenging the structural integrity of almost everything we’ve done.”

Gamboa said that last spring, the Department of Public Health, Division of HIV and STD Programs), which supplemented L.A. organizations with substantial HIV funding, sent out a notice that all of their contracts were terminated.

“Well, this caused a massive alarm all across L.A. County. Everyone started freaking out. We had to say, ‘We need an emergency allocation [from state funds] so that we can continue providing HIV services across California,’” Gamboa said. “We’re used to getting upwards of around $20 million in funding at the county level, and it wasn’t happening.”

Since then, nonprofit representatives have confirmed that the contracts were restored at reduced rates. However, the impact of the uncertainty shook the health services community and only caused further distrust among Latino patients.

“We’re already seeing [the impact in L.A.]. In the Latino community, there’s so much fear from the ICE raids. People are afraid to even leave their homes,” Gamboa said. “We’ve worked so hard in building trust and relationships with our communities of color. Now, they’re afraid to even come in. Many of the places they’ve gone to in L.A. County have already closed their doors and ceased services.”

Most recently, the Trump administration announced plans to cut millions in public health funding. This includes $1.1 million that would be slashed from the National HIV Behavioral Surveillance Project, an early-warning system for HIV outbreaks, established by the L.A. County Department of Public Health.

On the White House website, a page called “Cuts to Woke Programs” reads: “President Trump is committed to eliminating radical gender and racial ideologies that poison the minds of Americans.”

Gamboa said that organizations have been discouraged of using “LGBT” in their programming to avoid being defunded as part of the targeted “woke” programs.

“It really affects me,” said Gomez, who has been living with HIV since 1996. “How long will I have medicine?”

Gomez, who is the breadwinner of his family, says his monthly supply of medication costs $1,500 a bottle. “It’s so expensive, and I have insurance. For people without insurance, [the Ryan White program] is the only way they can afford treatment,” Gomez said. “I’m afraid of what will happen to them.”

Gomez takes antiretroviral therapy, a lifesaving medication that reduces the number of infected cells, making the disease less transmissible and prevents HIV from developing into AIDS. According to 2024 HRSA data, the Ryan White program provided antiretroviral therapy to 602,000 people, preventing the spread of HIV.

As the program loses funding, jobs providing HIV care have become more sparse — and programs like the Wall and the L.A. LGBT Center have become more essential to support the thousands left without life-saving care.

HIV program funds are trickling back into L.A. County for nonprofits this year; although some, like the Wall, maintain that it’s “not enough to address the need.” Up until last May, the organization shared that the county funded $1 million of its annual HIV reduction efforts. This year, that number was drastically reduced to $100,000 per six-month contract.

“Many of my social worker friends are off the streets [where they helped at-risk communities] due to just not having enough funding to do their jobs,” said Miguel Rodriguez, program coordinator of HIV testing and prevention at the Wall. “People think only gay men are affected, but basic sexual health for everyone is at risk here. Less [testing] means more infections and transmissions across the board.”

As Robert Zaldivar stresses, the only way to protect L.A.’s Latino HIV-positive community is to support remaining HIV services to get tested or donate to local service organizations.

“What we saw in the ’90s, I’m scared that it will repeat. I want people to remember how serious [HIV] is, and to educate,” Zaldivar said. “Keep getting tested. We don’t report your immigration status or sexuality. Just come in.”

President Donald Trump, pictured meeting with South African President Cyril Ramaphosa in May 2025, plans to end U.S. funding for HIV programs in South Africa over political differences, State Department officials said on Friday. File Photo by Jim Lo Scalzo/UPI | License Photo

June 19 (UPI) — The Trump administration plans to stop funding HIV programs in South Africa under the President’s Emergency Plan for AIDS Relief over policy differences.

The U.S. State Department is winding down the funds South Africa receives from PEPFAR to care for the roughly 8 million people there who are living with HIV, Semafor, Politico and The BBC reported.

PEPFAR was launched in 2003 by former President George W. Bush and, over the last two decades, has partnered with health authorities in more than 50 nations to save 25 million lives and prevent millions of new HIV infections, State Department figures show.

President Donald Trump in a February 2025 executive order accused South Africa of permitting discrimination against white Afrikaners and has slowly pulled back U.S. funding for its HIV programs over the last year.

“The United States has decided to initiate a phased drawdown of PEPFAR programming in South Africa following South Africa’s failure to make demonstrable progress on policy requests by the administration,” State Department officials told Semafor.

Upon retaking office in 2025, President Donald Trump took aim at the program as part of his administrations efforts to slash federal government spending, with specific attention paid to South Africa, which has the largest number of people living with HIV in the world.

Since 2003, more than $8 billion has been sent to South Africa to both care for people living with HIV and distribute medications that can prevent spread of the virus, though funds sent there have been halved in each of the last two years.

South African President Cyril Ramaphosa earlier this month announced that the country was working Gilead to launch the company’s twice-yearly HIV prevention drug Lenacapavir, generic versions of which are set to be manufactured and sold there.

Experts have raised concerns that ending support for PEPFAR programs could lead to millions more HIV infections globally, potentially canceling out 20 years of progress against the virus.

The Trump administration and some of its Republican allies in Congress have said, however, that the program was never meant to be permanent and should be wound down.

President Bush returns from Africa, where he justifiably touted the success of his AIDS relief initiative, to face a battle with Congress over that laudable program. Bush wants to nearly double funding, to $30 billion over the next five years, for the President’s Emergency Plan for AIDS Relief; the House wants to spend $50 billion and expand the program to fight malaria and tuberculosis. But that $20-billion dispute probably won’t generate as much heat as the provision in the bill, written by the late Rep. Tom Lantos (D-Burlingame), killing the requirement that one-third of all funds spent on AIDS prevention go to programs that promote abstinence until marriage. The State Department and some House Republicans oppose the bill, which is now spearheaded by Rep. Howard L. Berman (D-Valley Village) and is slated to be considered by a House committee next week.

The religious right has begun whipping up the hysteria, calling the Lantos bill the “Pro-Aborts Emergency Plan for Abstinence Reduction.” In fact, the bill would do nothing to alter the long-standing ban on U.S. funding for abortion. What it would do is increase the availability of contraception for poor African women — and that is desperately overdue.

Religious groups are fixated on the need to stop HIV transmission through premarital and extramarital sex, but what’s killing African women by the millions is https:///unprotected sex with their husbands. Yet the United States spends more on promoting abstinence and fidelity programs ($198 million in fiscal 2007) than on promoting condom use ($147 million in 2007). Roughly 10 million African girls under the age of 18 are married each year, many to older men who seek HIV-free brides. To those wedded to HIV-positive men, marriage often means a death sentence. They have little power to control their husbands’ condom use or extramarital behavior; they are more likely than young men to contract HIV; and those who know they’re infected and do not want to bear children often have no access to contraception.

By providing life-saving drugs to HIV-positive pregnant women, the president’s program claims to have prevented 157,000 infants from becoming infected. This is a huge accomplishment. What the U.S. funding hasn’t done is reduce unwanted pregnancies. In a clinic in Uganda where pregnant HIV-positive women were receiving anti-retroviral treatment, 93% reported that their pregnancies were unintended. It’s no surprise that many HIV-positive women do not wish to bear children whom they might infect with the virus or leave orphaned. It’s cruel to deny contraception to such poor and sick women should they desire it. And as a public health matter, it’s far cheaper to prevent unwanted pregnancies than to prevent mother-child HIV transmission. Yet U.S. funding for family planning has flat-lined.

Although some U.S. religious conservatives find contraception objectionable, most Americans do not. Congress should take note and expand funding for family-planning programs to help the HIV-positive girls and women.