Hogyan nevelj hangyakolóniát? – 1. rész


AntsHungary presents: How to raise an ant colony? the ant colony’s raising starts with a test tube. fill the clean test tube with some water theen put a piece of wool in it not too tight and not too loosely pull down the wool with a hooked wire expressly. only until the water level not along! than put the ant queen in this test tube. this test tube will guarantee the humidity for a long time the end of the test tube also close with a piece of wool it let through the air so gives the optimal breeze for the hatching test tube. the queen feels safe herself in this tight, closed test tube and the humidity imitate the underground conditions most of the claustral ant species don’t claim feeding at the first time, but we recommend to feeding every species from the beginning, to helps their successfull colony founding. most species needs to feed with honey and insects only some harvester species deflect from it. put a small honey at the side of the test tube with a hooked wire put only a few from it, less than a drop. we should think how big our ant, and how big her stomach possibly if we think this, we won’t make that mistake to give too much honey them and they stick in it. recommend to cut half the insects for the ants they will easily access to the soft parts in it. then put the test tube in warm, dark, calm and vibration-free place when the queen can laying eggs leisurely. can guarantee the darkness if package the test tube in a piece of cellophane. some days later the queen is laying down her first eggs. this time we don’t have much work, just to take care for the feeding and keep the test tube clean. give them half-cutted insect pieces 2 times a week and 1 or 2 days later clear off them before they deteriorate after a few weeks the eggs develop.. …first for larva, ..after for puppae. larvae eats protein already, so this time important the feeding regularly. first workers will hatch from the puppae. with the small and mediom sized ants it needs 4-6 weeks from egg to worker but with some big sized spices this time could be 2 and half months even. If the test tube became dirty during the hatching we have to move the queen and the brood into a new, clean test tube. it’s much easier now, than when have workers if the surface of the cotton covered by mould, or the water discoloured, it could be a dangerous habitat for the ants, so have to move them for a new tube. we need the following tools for the transfer: first top up the new test tube with the earlier mentioned method, then put the queen into the new one. finally have to move the brood carefully. need a small drop of water. watering a bit the hair of the brush, so the brood will stick to it and we can move them carefully to the new test tube. the brush has soft hairs wich don’t damage the brood. try to move all of the eggs. don’t have to put them for the same place, the queen will put them to a heap. 🐜 Subscribe! 🐜 – and check the next episode. 🙂

Élet 5 centiméteren! – Temnothoraxok gondozása FormiKIT micro hangyafarmban


If you don’t know Temnothorax species, you should know they are tiny species and found small colonies. They can live lifelong in the FormiKIT micro formicarium. Here can see the queen. The moister spoinge is a bit dirty in this formicarium, i should replace it to a new one. But how can we do this, to avoid their escape? Check this, here is the first trick! We will replace the sponge and the colony will stay in the formicarium during. The FormiKIT Micro include 6 screws we will get out 5 from these. We will leave only the roofing’s screw. The formicarium won’t come aparts, but we can slide carefully the nest’s top layer. Take out the old sponge, and put the new one into. Then slip back the top layer. We have some deserters of course. Don’t afraid, just put them back with a brush. Finally close and assemble the formicarium. You can see the new sponge is much cleaner! This sponge is really thin, as can see before. This is important. Don’t forget: it can store only a few water, so really important to moister it regularly, at least 1-2 times a week. Temnothorax species don’t need high humidity, but they also drink sometimes. Put a piece of tape on the moister hole, to slow down the evaporating. I raised up them a bit. They are trying to hide in the pole and guarding the queen. We can clean up the dirty arena with a humid cotton wool. I show you a mature colony too. The winged male ants this year appeared in this colony. You can see they have massive brood. This is how looks a mature colony in the Temnothorax species. But they are still no more than 5 centimeter. I show you the 2nd trick with this colony. Need a small piece of wool, and a hooked tweezer. When all ants in the nest-part, close the entrance with the wool. Take out the 4 screws from the arena. If you take apart the arena like this you can wiping and cleaning it, just how you want. Don’t have to worry about the escapes during the cleaning. The two screws still keeps in gross the nest-part. If we finished with the cleaning assemble it again and give food for the ants. You can see a new-born worker in this scene. They has this bright color after born, during the first day. She looks just like a “ghost-ant” 🙂 This colony get honey, … …cockroach pieces, … …and shattered nut pieces for food. It seems they like the cockroach mostly now. You can put the formicarium in different ways, but don’t forget: the water in the sponge will always goes downwards. Thanks for watching! You can find the own-designed FormiKIT Micro formicarium on our ant-site! If you enjoyed, don’t forget to subscribe to the AntsHungary’s YouTube channel! 🙂

Elképesztő hangyaváros szövőhangyákkal! (Polyrhachis dives)

Elképesztő hangyaváros szövőhangyákkal! (Polyrhachis dives)


Hello everyone, this is a new antsite video In this episode we are going to rebuild an ant city. Keep watching until the end – i promise it will be super exciting… This is an old formicarium A thriving weaver ant colony lived in it before. You can saw this colony in some previous videos, or even personally on terraristic exhibitions. This colony lived 2, 2 and half year long in this formicarium. So the goal is to populate again this formicarium with a thriving ant colony. We have chance now to rebuild this system, so why don’t we upgrade a bit this whole formicarium to be more spectacular? You know i have plenty of creativity, so i find out a cylinder shape instead of the previous brick. This is more elegant and even more spectacular. Then I want something more in my mind.. If the weaver ants can get an own tower, why don’t they get an own city instead? This is the story how comes the idea to build an ant city. The structure build up from three different towers, with three outside gallery between them. There are three escape-prevent edge, and three openable ventilation grid on the top of the towers. There are more ventilation grids on two place at the sides, for the better breezing. There are many carcase laying on the floor of the old formicarium. Also can find tainted, unhatched larvae somewhere. The diameter of the biggest cylinder was planned for the size of the old bonsai tree. Meanwhile we get a big family of weaver ants so they will move into the new place. You can see what a massive nest they built in their previous home. They weaved almost everything for nest in the left formicarium, and there are many of workers in the left formicarium also. The ant city looks much amazing after the furnish. The old bonsai tree also looks epic in it, and i put another, smaller bonsai tree inside. Ants can hide between it’s roots. The ant city looks like a real metropolis after the ants have moved in. Every ants working on it’s own task busily. Some of them are building new home and others throwing out the garbage from the old nest. Every ants run fast to their work on the busy trails. After the settlement the ants moved in the old nest at the top of the tree immediately, and they start to throwing out the old larvaes and garbage from it. I didn’t record video from the settlement, because I have put them through almost one by one during an afternoon. It wasn’t too interesting for a video you can believe. An now let’s see the freshly building new nest. One day after the settlement some ants gathered spectacularly between the roots. At that time we could guess what they planning, and a few times later the first strings just appear. The ants just start to weaving their new nest. Catch their larvae in their mouth and working busy on the building operations, so they pass so much with the building on the first day! A few days later the new nest starts to equal to it’s final form. The walls became more stronger as the ants wave more and more layers on it. They use every kind of building material, this reason there are black and green threads in the walls which comes from the fake grass which covers the floor. Meanwhile they start to renew the old nest at the top of the tree. They have repaired the entrances, and they start to build together the nest with the wall of the cylinder. Can see well the fresh silks with brighter color than the old weaves. We can see inside the nest through the formicarium wall. There are many of workers and larvae working hard inside. That workers who don’t work, they guarding in a typical position on the most important strategy places. Sometimes we can notice winged males (drones) in the colony. The smallest, sloping tower still empty, because I give them food and water here. I put a test tube with full of water here, and they start to use it ardently. Hopefully they won’t drown in the open water, if this happens i have to find out another method for watering. There is a build in thermometer at the side of the formicarium. The back of the thermometer have to cover with grid, to avoid them to move inside it. Those areas where the ants feel the ventilation of the air, they try to discover new places. They stick out their antennae often through the dish to find out what is at the other side. A few workers waiting standby on the only door where no any escape-prevent oil around. But don’t worry, i never open this door. If they thirsty or hungry many workers start to raiding in their territory to find food or water. But of course their activity depends from the temperature and light also, in cooler temperature they goes inside the nest instead. And it seems they try to reach the lighter places – i think this could be some escaping instinct. It is such a catching sight, as these tiny insects organizing their society and living their everyday. We can admire them for hours, and can observe more and more interesting ant-things, but unfortunately our video is ending now, hope see you again next time! Don’t forget to like, subscribe and hit the 🔔 icon to get notifications for our new videos! 🙂

Hogyan nevelj hangyakolóniát – 3-6/B. rész

Hogyan nevelj hangyakolóniát – 3-6/B. rész


antsite.eu presents: How to raise an ant colony? – part: 3/B If the colony grows out the test tube, and it gets dirty, we possibly keep them in an open test tube. This is a “velvety tree ant” colony with hundreds of workers. Normally it’s a bad idea to open this test tube, but i show you a technique which we can use this time. Temporarily we can use a simple container box for it, but the best will be the formicarium – i will tell you later why. As first step we should put on some escape-prevent oil to the top of the container. This will prevent the ants to run away. Oiling only a few, otherwise the oil will leak down, and the ants will stick in it. Put the colony into the container, and open the test tube carefully. Ants will flooding out immediately, but they can’t run out from the box. Much easy to feeding such a big colony in this box than in the test tube. Even the ants have more space, and they can react if someting goes wrong in the test tube. In a closed test tube the water can flooding the ants, but with this open test-tube keeping method the whole colony can escape out from the tube. Put tinfoil on a clean test tube setup. Put this into the box and the ants will moving into this one later from the old and dirty test tube. They do it because they feels the darker and cleaner test tube more safety and comfortable. We can hurry them if we tip them out from the test tube, but this species spray formic-acid during stress so we don’t want as many ants to be suicide. Carefully get out the wool-pieces. The ants find the honey immediately – they really need enough food now. Throw some cutted worms also to give them protein. You can see the workers not really successfull on the escap-prevent oil. They can’t walk on this oiled surface. Few days later the ants has moved to the new test tube, so we can get out the old one. But make sure to tip out all of the workers from it. If we check them closer, we can see they moved all the brood with eggs and larvae to the new test tube. So this is a really effective method for moving a colony. The ants did it themselves, we only has to give the ideal conditions for them. Now let’s see the detriments: The escape-prevent oil will disappear from the top of the container within a few weeks. It goes dry or the ants put some dust on it, or somehow fight themselves through. So time to time we should put some fresh oil on it, and could be a good idea to close the container with a cap. But now i have to say another problem! If the box hasn’t got enough ventilation the colony inside can be suicide during stress with their formic-acid, or can choke without enough fresh air. Better ventilation or some soil could help on this, but the best final solution if we keep the ants in a formicarium. In this the ventilation optimal for sure, and we can observe the nest much better than in a test tube. So if we have a bigger formicarium we can use the arena-part similarly like the container before. But first we have to close the nest-part to prevent the ants to move in too early. Then put the test tube in the arena-part. We can use test-tube holder to prevent the rolling. Now open the test tube and let the spotters out. We put the food in the arena not into the test tube anymore. Can feed in small bowls or just simply on the ground of the arena, because acrylic formicariums are easy to clean. We can put in different kind of foods, and we can learn the ants to find the food themselves everywhere in the arena. If the test tube gets dirty or goes dry we can put in a new, clean test tube near the old, and the ants can move themselves within some days. If they don’t want to move Just tip them out from the old test tube and let the new one inside the arena, so they have to move into the new one. But with this method we will loss some brood, because some of the eggs and larvae will stick into the test tube, so we have to put them back carefully with a brush. So better if the ants move themselves. Our colony number will raising because of the more space and more food. It could happen some weeks or some months later – depends of the species. When they have enough workers to find every food in the arena the ants are ready to move in the formicarium’s nest-part. Important to wait until they have enough workers, because if we let them in too early the colony could move in, but maybe they won’t have enough workers to go out searching for food. It could emerge a crisis in the colony because they don’t have enough food to grow workers, but even don’t have enough workers to find food. The recommend worker number to open the nest is different – depends of the species. It could around 30-50 workers with a smaller species, but with a bigger species maybe 20 can be enough. After we open the nest-part the spotters will scout their new territory. If they find it suitable the whole colony will move in. Sometimes needs days for the moving – it depends from the colony number. Bigger colonies has more workers so they find the new place faster and moves themselves faster. After that we only have to feed and drink the colony, so we can observe as they grow more and more workers, and our ant-society grows up slowly. Don’t forget to like and subscribe, and hit the bell 🔔 icon! Click for the next episode!

#1 How to move a queen ant into a test tube? / Királynő kémcsőbe költöztetése – ENGLISH SUB

#1 How to move a queen ant into a test tube? / Királynő kémcsőbe költöztetése – ENGLISH SUB


Let’s see how can we moving a queen ant into a test tube! Here are the ingredients. Here’s the queen, the empty test tube, the hooked wire, and two pieces of cotton wool. Load up the test tube about this level, as you can see, or maybe a little more. Then put one of the cotton wool into the the test tube. It has to close so tightly. Then with the hooked wire – carefully but with smoothly moves push down to the water level. Don’t make any bubbles if it’s possible. This wool will close the water from the queen. And finally you can move in the queen. This is her new home. And with the other wool we can close the tube. It breath a little, so the queen will have enough air inside.

Tuberculosis (TB): Progression of the Disease, Latent and Active Infections.

Tuberculosis (TB): Progression of the Disease, Latent and Active Infections.


Tuberculosis, or TB, is one of the oldest
and most common infectious diseases. About one third of the world population is believed
to be infected with TB. Fortunately, only about 5% of these infections progress to active
disease. The other 95% of infected people are said to have a dormant or latent infection;
they do not develop any symptoms, and do not transmit the disease.
Tuberculosis is caused by a rod-shaped bacterium, or a bacillus, called Mycobacterium tuberculosis.
An infection is initiated following inhalation of mycobacteria present in aerosol droplets
discharged into the atmosphere by a person with an active infection. The transmission
process is very efficient as these droplets can persist in the atmosphere for several
hours and the infectious dose is very low – less than 10 bacilli are needed to start
the infection. Once in the lung, the bacteria meet with the
body’s first-line defense – the alveolar macrophages. The bacteria are ingested by
the macrophages but manage to survive inside. Internalization of the bacilli triggers an
inflammatory response that brings other defensive cells to the area. Together, these cells form
a mass of tissue, called a granuloma, characteristic of the disease.
In its early stage, the granuloma has a core of infected macrophages enclosed by other
cells of the immune system. As cellular immunity develops, macrophages loaded with bacteria
are killed, resulting in the formation of the caseous center of the granuloma. The bacteria
become dormant but may remain alive for decades. This enclosed infection is referred to as
latent tuberculosis and may persist throughout a person’s life without causing any symptoms.
The strength of the body’s immune response determines whether an infection is arrested
here or progresses to the next stage. In healthy people, the infection may be stopped permanently
at this point. The granulomas subsequently heal, leaving small calcified lesions. On
the other hand, if the immune system is compromised by immunosuppressive drugs, HIV infections,
malnutrition, aging, or other factors, the bacteria can be re-activated, replicate, escape
from the granuloma and spread to other parts of the lungs causing active pulmonary tuberculosis.
This reactivation may occur months or even years after the initial infection.
In some cases, the bacteria may also spread to other organs of the body via the lymphatic
system or the bloodstream. This widespread form of TB disease, called disseminated TB
or miliary TB, occurs most commonly in the very young, the very old and those with HIV
infections. Tuberculosis is generally treatable with antibiotics.
Several antibiotics are usually prescribed for many months due to the slow growth rate
of the bacteria. It’s very important that the patients complete the course of the treatment
to prevent development of drug-resistant bacteria and re-occurrence of the disease.

Urinary Tract Infections, Animation.


A urinary tract infection, or UTI, is an infection
in any part of the urinary system — the kidneys, ureters, bladder and urethra. An infection of the urethra, or urethritis,
may cause burning sensation when urinating and cloudy discharge. A bladder infection, or cystitis, may result
in pelvic pain, frequent, painful urination, and blood in urine. A kidney infection, or acute pyelonephritis,
may cause back pain (possibly only on one side), high fever, chills and nausea. UTIs typically occur when bacteria enter the
urinary tract through the urethra and multiply in the bladder. Most commonly, these bacteria come from the
digestive tract through fecal matter. UTIs are more common in women because of their
anatomy. Specifically, the short distance from the
A to the opening of the urethra and bladder makes it easier for the bacteria from the
digestive tract to reach the urinary system. This is why the most common UTIs occur mainly
in women and affect the bladder and urethra. Other bacteria may be brought over with S
contact. Women who use certain types of birth control
such as diaphragms or spermicidal agents are more at risk. Hormonal deficiency during menopause also
makes women more vulnerable to infection. Infection limited to the bladder can be easily
treated with antibiotics. However, if left untreated, a lower urinary
tract infection may spread up to the kidneys where it becomes more dangerous. A kidney infection may result in permanent
kidney damage. In rare cases, an infection may also spread
to the bloodstream and can be life threatening. Urinary tract infections can be prevented
following these steps: – Drink plenty of fluids – to flush out
bacteria more frequently. – Wipe from front to back after a bowel movement
– this helps prevent bacteria in stools from spreading to the urethra. – Empty the bladder soon after I to flush
bacteria. – Avoid feminine products such as douches
and powders, which could irritate the urethra. – Avoid diaphragms and spermicides as birth
control methods

11/30/18 “Ending The Epidemic Nashville”-News Conference


. GOOD AFTERNOON HI. MY NAME’S STUDENTS BUT AND I HAVE THE PLEASURE OF WORKING WITH — MANDATED BRIGHTLY ON HIS — HEALTH POLICY ADVICE THAT AND I HAVE THE JOB HERE TO SEE IF THIS OPTION IN. TO KICK US OFF AND JUST WANT TO SAY A BIG THANK YOU TO ALL OF YOU FOR COMING SOME EXCITING. EVENTS AN EXCITING ANNOUNCEMENT AND WITHOUT ANY FURTHER ADO I’D LIKE TO MOVE ON WITH THE PROGRA. AND FAST OFF I WOULD LIKE TO INTRODUCE DR JAMES HELDER TH. HE REALLY NEEDS NO INTRODUCTION HE’S THE TWELFTH PRESIDENT AND CEO OF MEHARRY MEDICAL COLLEGE – HIS RESEARCH IN HIV AND AIDS IS INTERNATIONALLY ACCLAIMED. HE’S ALSO VERY WELL — HIS WORK ATTACKED. TWO DECADES AGO EARLY ON IN THE EPIDEMIC IN THE EARLY EIGHTIES AND HE HAS HAD AN H. AND CDC FUNDS — TO WORK ON THAT FOR TWO DECADES HE’S INVENTOR OFELEVEN PATENTS BASED ON HIS RESEARCH. HE’S VERY WELL EDUCATED HE HAS AN UNDERGRADUATE FROM HARVARD UNIVERSITY WHERE HE NOW HAS A SEAT ON ITS BOARD OF ED TO SEE IS. HE WAS THEN THE VERY FAST AFRICAN AMERICAN ROAD SCALA FROM HIS HOME STATE OF ARKANSAS. BEFORE GOING ON TO RECEIVE HIS PHD FROM OXFORD UNIVERSITY AND HIS MD FROM JOHNS HOPKINS. AT JOHNS HOPKINS HE WAS ALSO THE VERY FIRST AFRICAN AMERICAN TO ADD A FULL PROFESSORSHIP. AND TENURE IN THE BASIC SCIENCE. IT GOES WITHOUT SAYING THAT DOCTOR HILDRETH HAS RECEIVED NUMEROUS AWARDS FOR LEADERSHIP RESEARCH AND HIS DEDICATION TO EDUCATION. QUALITY AND ACCESS TO CAT IN THE COMMUNITY. UNDERGRADS TEN MY CANCER DOT HOLDER THING KEEPING [inaudible] EVERYONE. AND THANK ALL OF YOU FOR BEING HERE FOR THIS REALLY IMPORTANT. ANNOUNCEMENT TODAY. TOMORROW’S WORLD AIDS DAY LET’S GO TO MARK THIRTY SEVEN YEARS. SINCE JUNE NINETEEN EIGHTY ONE WHEN THE FIRST CASES OF YOUNG MEN YOUNG GAY MEN. TURNED UP AT OPPORTUNISTIC INFECTIONS. WE NOW KNOW THAT THOSE YOUNG MEN WERE AFFECTED BY HIV. AND SINCE THAT TIME MORE THAN SEVENTY MILLION PEOPLE AROUND THE WORLD. HAVE BEEN INFECTED BY HIV AND HALF OF THOSE INDIVIDUALS HAVE DIED. AND THAT MAKES A CHEVY ONE OF THE MOST SIGNIFICANT HUMAN HISTORY. MORE THAN THIRTY SIX MILLION PEOPLE ARE STILL LIVING WITH HI. INCLUDING A MILLION PEOPLE HERE IN THE UNITED STATES. AND HERE IN NASHVILLE WEATHER RATES OF HIV INFECTIONS HAVE DECLINED OVER THE LAST FEW YEAR. THE RIGHT AND NATIONALIST TO HIGHER THAN THE STATE MISTER HIGHER THAN THE NATIONAL AVERAG. SO. THE OTHER THING TO TO MAKE NOTE OF IS THAT THERE IS A SIGNIFICANT DISPARITY IN HIV INFECTIONS. NATIONALLY AND HERE IN NASHVILLE AS WELL IN TERMS OF AFRICAN AMERICANS. VERSUS WHITES. SO FOR THE HIV PANDEMIC IS TELL A GLOBAL. NATIONAL AND LOCAL PROBLEM. THAT DEMANDS AN ORCHESTRATED RESPONSE ACROSS MANY DISCIPLINES AND ORGANIZATIONS AND AGENCIES. THE BEST HOPE FOR ENDING THE HIV SCOURGE THERE TOO HOPES REALLY. VACCINES AND A CURE. BUT UNFORTUNATELY THOSE DO NOT APPEAR TO BE IN THE OFFING ANYTIME SOON. AND THEY’RE GONNA REQUIRE CONSIDERABLY MORE RESEARCH. AS AN HIV RESEARCH I’M CONVINCED WE WILL FIND A SOLUTION. BUT IN THE MEANTIME WE MUST TAKE STEPS TO BRING THIS A PANDEMIC TO AN END. THANKFULLY BECAUSE OF SOME BRILLIANT RESEARCH ON THE PARTS OF MANY MANY INDIVIDUALS WE HAVE MORE THAN TWENTY DRUGS. AVAILABLE TO TREAT HIV. AND WHEN THEY’RE USING A PROPER COMBINATIONS THEY DO AMAZING JOB OF SUPPRESSING THE VIRUS. WE ALSO KNOW THAT INDIVIDUALS PROTECTED WITH HIV WHO ARE EFFECTIVELY TREATED DO NOT PASS THE VIRUS ON TO THEIR SEX PARTNERS. FURTHERMORE THOSE INDIVIDUALS WERE AT RISK OF HIV COMBINATION OF THESE — DRUGS WILL ALSO DRAMATICALLY LOWER THE RISK OF IT ACQUIRING HIV. AND THESE EFFECTS OF THE DRUGS HAVE GIVEN US AN APPROACH TO ENDING THE HIV PANDEMIC. SO FEW YEARS AGO THE UNITED NATIONS JOINT PROGRAM IN AIDS. ANNOUNCED A NINETY NINETY NINETY APPROACH. WHAT THIS MEANS IS WE WANT 90% OF THOSE INDIVIDUALS WERE INFECTED TO BE WHERE THEIR STATUS? WE 190% OF THOSE INDIVIDUALS TO BE IN TREATMENT. WE 190% — THEY TREATED INDIVIDUALS TO ACHIEVE VIRAL SUPPRESSION. THIS IS ACHIEVED THE MODELING SHOWS US THAT WE CAN ACTUALLY IN THE H. ID — KIND OF THIS APPROACH IS NOW BEING IMPLEMENTED IN COUNTRIES AND COMMUNITIES AROUND THE WORL. THAT IS THE BASIS FOR THE NATIONAL IN THE EPIDEMIC — MOVEMENT IT IN THE UNITED STATE. WHICH STARTED SEVERAL YEARS AGO IN NEW YORK CITY. IN MAY OF TWENTY SEVENTEEN A MEETING WAS CONVENED IN ATLANTA GEORGIA. BY THE TREATMENT ACTION GROUP. ON THE SOUTHERN ACE COALITION. AND LEADERS OF SEVERAL JURISDICTIONS IN THE SOUTH. ABOUT WATCHING THE TV A PROGRAM HERE IN AND SOME FURTHER DISCUSSIONS SEVERAL DAYS JURISDICTIONS WERE IDENTIFIED. THAT WOULD BE. SUBJECT TO THE I. E. T. EFFORTS IN THE EPIDEMIC EFFORTS DOES INCLUDE NASHVILLE. JACKSON MISSISSIPPI. AND THE STATE OF ALABAMA LOUISIANA. IN THE SUMMER OF TWENTY SEVENTEEN BACKED BY COMMUNITY SUPPORT. MANDATED BRILEY MADE THE COMMITMENT TO SUPPORT THE DEVELOPMENT OF AN E. T. PLANNED FOR NASCO. WE’RE VERY GRATEFUL TO THE MAYOR FOR SUPPORT FOR DOING SO. THEN ON WORLD AIDS DAY LAST YEA. AND ENDING THE PANDEMIC SUMMIT WAS HELD AND MAY HAVE A MEDICAL COLLEGE. AND THANKFULLY THAT MEETING INCLUDED A HUNDRED AND TWENTY INDIVIDUALS FROM A BROAD RANGE OF STAKEHOLDER GROUPS. TO MEET AND DISCUSS. AND THEN THE EPIDEMIC HERE IN NASHVILLE. THE COMMUNITY ESTABLISH SOME GUIDING PRINCIPLES THAT ARE VERY IMPORTANT FOR YOU TO UNDERSTAND AND KNOW. THESE GUIDING PRINCIPLES HAVE. INFORMED THE WORK OF THE GROUP FROM START TO FINISH. THESE OUR COMMITMENT TO HEALTH EQUITY [inaudible] SOCIAL JUSTICE. DATA DRIVEN DECISIONS. DETERMINING ASSETS AND STRENGTH. AND RACIAL INCLUSION. IN APRIL OF TWENTY EIGHTEEN THE MAYOR APPOINTED THE ENDING IT EPIDEMIC TASK FORCE WHEN ASKED FILM. TO SERVE AS AN ADVISOR ROLE TO OVERSEE THE PROCESS. I WAS HONORED WHEN THE MAYOR ASKED ME TO SERVICE CHAIR. THE TASK FORCE HAS ESTABLISHED SIX MAJOR GOALS FOR THE FIVE YEAR PLAN FOR NATIONAL. THEY INCLUDE ENSURING THAT 90% OF NEST BILLIONS WHO LIVE WITH HIV KNOW THEIR STATUS. DECREASING BY TWO THIRDS THE NUMBER OF NEWLY INFECTED INDIVIDUALS IN NASHVILLE. LINKING 90% OF NEWLY INFECTED PERSONS TO CARE WITHIN MONTHS ONE MONTH OF DIAGNOSIS AND THIS IS CRITICAL TO SUCCESS. ENGAGING 90% OF PEOPLE DIAGNOSED WITH HIV TO HIV CARE. ENSURING THAT 90% OF PEOPLE WHO ARE IN CARE ACHIEVE OUR SUPPRESSION. ALASKA MOST IMPORTANTLY VERY IMPORTANTLY ELIMINATING DISPARITIES IN H. I. V. OUTCOME. TO ACHIEVE THESE GOALS THERE WERE SIX ACTION COMMITTEES EVER ASSEMBLED. INCLUDING A HUNDRED AND FORTY INDIVIDUALS FROM AROUND THE COMMUNITIES REPRESENTING MULTIPLE DISCIPLINES AND FIELDS OF EXPERTISE. THESE COMMITTEES WERE. ACCESS TO TREATMENT AND CARE. COMMUNITY EDUCATION AND STIGMA [inaudible] DATA [inaudible] POLICY. PREVENTION AND SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEES MET SEVERAL TIMES OF CHANGE — IN OCTOBER TO DEVELOP THE RECOMMENDATIONS THAT ARE FOUND IN THE DRAFT REPORT. THE DIVERSITY OF THE PEOPLE ON THESE COMMITTEES WAS INSTRUMENTAL TO MAKING SURE. THAT THE PLAN WAS APPROPRIATE FOR NASHVILLE AND DAVIDSON COUNTY. AND VERY IMPORTANT IN MANY INDIVIDUALS LIVING WITH HIV SERVED ON THESE COMMITTEES. THE SUCCESS OF THE PROCESS CAN ALSO BE ATTRIBUTED TO A HIGHLY EFFECTIVE COORDINATING COMMITTE. THIS COMMITTEE FACILITATED AN INTEGRATED THE WORK OF THE COMMITTEE’S. AND CEATE AN ENVIRONMENT THAT WAS VERY SUPPORTIVE A MEANINGFUL ENGAGEMENT BY THE COMMITTEE MEMBERS. WE’RE REALLY EXCITED TO UNVEIL THIS DRUG PLAN TODAY. TO ALL OF YOU. AND TO INVITE COMMUNITY COMMENT. THE COMMENTS WILL BE COLLECTED. AND WLL INFORM FINALIZING THE PLAN. WHICH WILL HAPPEN OVER THE NEXT SEVERAL WEEKS. IN THIS FINAL FORM IN LATE JANUARY FEBRUARY BY THE TASK FORCE. I WOULD NOW LIKE TO ACKNOWLEDGE AND THANK THOSE INVOLVED IN DEVELOPING THIS PLAN. FIRST AND FOREMOST I WANT TO THANK ALL MEMBERS OF THE NATIONAL COMMUNITY. ESPECIALLY THOSE INDIVIDUALS LIVING WITH HIV. GOING GAZED IN THE PROCESS. SO MANY MEMBERS OF THE COMMUNITY CERTAIN ACTION COMMITTEES PROVIDED INVALUABLE INPUT. HELP US ESTABLISH THE GUIDING PRINCIPLES AND CLEARLY WITHOUT COMMUNITY INVOLVEMENT. THIS PLAN COULD NOT HAVE BEEN GENERATED AND IT IS A COMMUNITY PLAN. OWNED AND POWERED BY THE COMMUNITY. SO I WOULD LIKE TO TAKE JUST A FEW MINUTES TO ACKNOWLEDGE AND THANK THE MEMBERS OF THE TASK FORCE. FOR THE TIME AND ATTENTION. THEY DEVOTED TO THIS PROCESS. AND THEY INCLUDE DOCTOR STEPHANIE BAILEY WHOSE DAY SO SHOOTING FOR PUBLIC HEALTH. MARRY MEDICAL COLLEGE. JOHN RECOMMENDS AS A MEMBER OF THE TENNESSEE GENERAL ASSEMBLY. BRIAN HALE WHO IS THE CEO NEIGHBORHOOD HEALTH. KEVIN HARTMAN BECAUSE THE OWNER OF THE NATIONAL PHARMACEUTICAL SERVICES SHERIN HURT EXECUTIVE DIRECTOR OF ST WORKS AND A MEMBER OF THE METRO COUNCIL. JOSEPH IN TORONTO THE TOWER TORONTO YOU SEE — NATIONAL CARES — JULIAN LEGS A COMMUNITY ADVOCAT. MICHELLE JOHNSON WHO IS FROM THE TENNESSEE JUSTICE CENTER. DOCTOR BILL PAUL DIRECTOR THE METRO HEALTH DEPARTMENT. DR STEPHEN REFINED A WHO’S THE CHIEF MEDICAL OFFICER. FOR THE VANDERBILT — COMPREHENSIVE CARE CENTER WITH THIS IN YOUR SERVICE. METROPOLITAN INTERNAL DONE NATIONAL CHURCH. TOM MOORE EXECUTIVE DIRECTOR OF OASIS CENTER. AND DOCTOR CAROLYN LESTER. WHO IS THE DIRECTOR OF THE HIV STD PROGRAM FOR THE TENNESSEE? DEPARTMENT OF HEALTH. WOULD YOU PLEASE DRAW MEANING KNOWLEDGE AND PACKING THEM FOR THEIR WORK. TO THANK THE MEMBERS OF THE COORDINATING COMMITTEE WITHOUT WHOSE EFFORTS. THIS CANNOT HAPPEN. THEY INCLUDE KERR BOWLS FROM THE SOUTHEAST EIGHT EDUCATIONAL TRAINING CENTER. BRADLEY. FROM THE TENNESSEE DEPARTMENT OF HEALTH JUDITH BURKE FROM THE OFFICE OF THE MAYOR. AMBER CALLING FROM THE METRO DEPARTMENT OF HEALTH. LARRY FRAMPTON FROM NATIONAL CARES. AVENUE GORDON FROM NATIONAL CARES. BEN GRAMBLING WHO WAS OUR FROM NATIONAL CARES. JUST LOVE FROM THE PUBLIC HEALTH DEPARTMENT. BRADY MORRIS FROM THE NATIONAL REGIONAL HIV PLANNING COUNCIL. PETER BOERO FROM THAT BINDLE UNIVERSITY TO RICK SMITH FROM MARY. ROBIN TERREL TERRY TERRELL FROM METROPOLITAN FIRST RESPONSE CENTER. AND OF COURSE KRISTEN’S ACT FROM THE OFFERED SOME MAYOR WHO’S NOW WITH THE DEPARTMENT OF HEALTH KRISTIN. SIXTY IS OVER THERE BASS DRUM IN A KNOWLEDGE OF I WANT. TO JUST SAY A GENUINE THANKS TO MAYOR BRILEY FOR HIS SUPPORT OF DEVELOPING THIS PLAN. AND ALSO FOR HIS COMMITMENT TO A HEALTHIER NASHVILLE. SORT OF WITHOUT HIS SUPPORT HAS- INTEREST. ACHIEVING THE SYSTEM WOULD NOT HAVE HAPPENED. ON THAT NOTE I’M HAPPY TO TURN THE MIKE OVER TO OUR MAYOR MAYOR DAVID BROUGHT. WELL HE STOLE MY THUNDER. BECAUSE I BUT I DID WANT TO THANK EVERYBODY WHO HAS PARTICIPATED IN EITHER ONE OF THE COORDINATING COMMITTEES OR ON THE TASK FORCE — SO AND SO LET ME JUST SAY THIS – AS IS TYPICAL IN NATIONAL — A GOOD THING HAS COME TO LIGHT NOT BECAUSE THE MAYOR THOUGHT OF IT. BUT BECAUSE SO MANY PEOPLE IN THE COMMUNITY DECIDED TO COME TOGETHER AND FOCUS ON AN EFFORT THAT WARRANTS MORE EFFORT THAN VIRTUALLY ANY OTHER — CONCERN WE HAVE IN OUR COMMUNITY RIGHT NOW — I’M OLD ENOUGH TO REMEMBER — WHEN — GETTING FOCUS ON THIS ISSUE REQUIRED A GROUP LIKE ACT UP. TO ENGAGE IN CIVIL DISOBEDIENCE. TO BOMB GET OUR COUNTRY TO FOCUS ON THE FACT THAT — PEOPLE WERE DYING WITHOUT EXPLANATION AND WITHOUT CARE — AND THANKFULLY WE ARE FROM THAT DAY AND TODAY IN A CITY LIKE NATIONAL. AS A COMMUNITY WE HAVE THE OPPORTUNITY TO COME TOGETHER. AND IN FACT — NOT JUST IN PRACTICE MODE IN THEORY — IN FACT IN. THE EPIDEMIC — WE IT’S IN OUR CITY — TO FOLLOW THROUGH ON THE EFFORTS OF SO MANY WHO DIDN’T MAKE IT TO A POINT WHERE THERE WAS A TREATMENT. FOR HIV AND AIDS. TO THE FAMILIES THAT WERE DESTROYED TO THE LIVES THAT WERE LOST. FOR DECADES IN OUR COUNTRY IN OUR CITY EXIST. TO FOLLOW THROUGH AND CROSS OVER THAT BARRIER CROSSOVER THAT RIVER AND TRULY IN THE EPIDEMIC OF HIV AND AIDS IN OUR COMMUNITY. I KNOW THAT COUNSELING SHARING HER WHO’S HERE WITH ME SHARES HEY AT NATURAL CARES AND EVERYTHING HE HAS DONE TO MAKE THIS AN EFFORT IN OUR COMMUNITY THAT IS ACTUALLY POSSIBLE TODAY. I KNOW HIS — TENURE AT NATIONAL CARES — MORAL SOME DAY COME TO AN END — I SURE HE HOPES SO — BUT AS HE MOVES INTO A DIFFERENT PHASE OF HIS LIFE LET US EACH AND EVERYONE OF US IN THIS ROOM. MAKE AS STRONG A COMMITMENT TO ENDING THE EPIDEMIC AS HE HAS SHOWN IN HIS LIFE WORKING AT NATIONAL CARES OVER THE LAST DECADES. JOE I WANT TO PERSONALLY THANK YOU FOR EVERYTHING YOU’VE DONE IN THE CITY TO FOCUS ON WHAT IS TRULY SOMETHING THAT WE SHOULD AND CAN DO. IN NATURAL SO JOE I APPRECIATE EVERYTHING YOU’VE DONE. NATIONALS LOOK WITH LUCKY TO HAVE DR JAMES HILDRETH HERE IN OUR TOWN AS WELL — NOT JUST BECAUSE OF THIS ISSUE BUT BUT BECAUSE OF ALL THE LEADERSHIP HE IS DEMONSTRATING EVERY DAY IN TERMS OF IMPROVING THE QUALITY OF HEALTH OF THE PEOPLE IN THIS COMMUNITY AND I WANT TO THANK YOU. DOCTOR HOLD WITH FOR YOUR COMMITMENT TO THE CITY OF NATURAL. SO I’M HERE TODAY ESSENTIALLY TO ACCEPT THE WORK OF THE CITY — THIS REPORT EVEN THOUGH WE’RE STILL READY FOR MORE COMMUNITY INPUT IS GOOD WORK — AND I CAN TELL YOU THAT I’M COMMITTED TO MAKING SURE THAT AS WE MOVE FORWARD AS A COMMUNITY WE IMPLEMENT THE RECOMMENDATIONS AND THAT WE MAKE THE KIND OF PROGRESS THAT IS NECESSARY TO IN THE SECOND EPIDEMIC IN NATURAL. THAT’S BECAUSE IT’S POSSIBLE. AND IS RIGHT. IT IS OUR OBLIGATION EVEN TODAY SIX HUNDRED NATURALLY INSERT OUR BAR LIVING AMONGST US THAT DON’T ACTUALLY UNDERSTAND THAT THEY HAVE HIV. THAT IS A STEP THAT WE CAN EASILY WITH ME. JUST A LITTLE BIT MORE EFFORT. PUSH THROUGH AND RESOLVE. BECAUSE OF MEDICAL ADVANCES WE NOW HAVE THE ABILITY TO PUSH DOWN THE TRANSMISSION LEVEL BEYOND BEING THE LOW. LEVEL OF TRANSMISSION THAT TOOK PLACE AT THE HEIGHT OF THE EPIDEMIC. AND AS WE ARE SO PROSPEROUS AND NATURAL WE NEED TO DO MORE TO REACH OUT TO MARGINALIZED COMMUNITIES THAT ARE AT THE HIGHEST RISK. OF GETTING TRANSMISSIONS. THAT’S ALWAYS BEEN THE CASE SOMETHING WE’VE GOT TO FOCUS ON AND IT’S GONNA REQUIRE EACH AND EVERYONE OF US TO DO SO TODAY. I’M HERE TO ACCEPT THE REPORT. BUT EVEN BEFORE THE REPORT IS FINAL I’M CALLING UPON NATIONAL TO MAKE OF THE THE KIND OF COMMITMENT NECESSARY. TO END THE EPIDEMIC IN THE CITY. A COLLABORATION AND COMMUNITY EFFORT. OUR DOOR IS OPEN WE LOOK FORWARD TO TALKING AND MAKING PROGRESS WITH ANYBODY WHO’S GOT A SHOULDER TO PUT TO THE WHEEL. SO AGAIN LET ME SAY THANK YOU. TO EACH AND EVERY PERSON WHO HAS PARTICIPATED SO FAR. AND WE LOOK FORWARD TO FUTURE COLLABORATION AND EFFORTS IN THIS REGARD A NATURAL I THINK DOCTOR BILL PAUL IS NOW COMING UP SO IT WITH THAT I WOULD LIKE TO INTRODUCE. DR BILL PAUL THE DIRECTOR OF THE HEALTH DEPARTMENT. THANK YOU GOOD AFTERNOON THANK YOU FOR BEING HERE — AND AS HOST I GUESS I GET TO WELCOME YOU AND GET TO CELEBRATE THE FACT THAT — SOME OF THE OF THE THE GREATNESS THAT’S IN THIS ROOM. KIND OF RUBS OFF ON THE WHOLE DEPARTMENTS — SO WE’RE ON WE’RE WE’RE GRATEFUL YOU’RE HERE — MANY OF YOU WILL REMEMBER REVEREND BILL BARNES — HE’S A PASSIONATE LIFELONG ADVOCATE FOR AFFORDABLE HOUSING. FOR FIXING POLICIES THE DISADVANTAGE SOME NASH BILLIONS CREATE UNHEALTHY CONCENTRATION OF POVERTY AND ALL THAT GOES WITH IT. I REMEMBER ONE OF THE FIRST TIMES I MET HIM I WAS MAKING AN EARNEST PRESENTATION ABOUT — GROCERY STORES FRUITS AND VEGETABLES IN FOOD DESERT’S. AND HE RAISED HIS HAND HE SAID. WE’VE BEEN TRYING TO GET A GROCERY STORE AND CHILL FOR TWENTY YEARS THE DIFFERENT THIS TIME. AND SO EVER SINCE THEN WHAT I HAVE IN A ROOM WITH A GROUP OF PEOPLE. TRYING IT TALKING ABOUT SOMETHING NEW. I FIND MYSELF ASKING WHAT’S GOING TO BE DIFFERENT THIS TIME. WANT TO THANK ALL THE PEOPLE WHO HAVE WORKED ON THIS AUDACIOUS PLAN TO END THE EPIDEMIC OF HIV. THE COLLABORATIVE WORK JUST ON THIS PLAN OVER LAST YEAR BY SO MANY PASSIONATE PEOPLE FROM SO MANY DIFFERENT DIFFERENT DISCIPLINES DIFFERENT PARTS OF TOWN DIFFERENT ORGANIZATIONS AS A SHARED COMMUNITY PROJECT [inaudible] FEELS. DIFFERENT FROM BUSINESS AS USUA. IS DEFINITELY WORTH CELEBRATING SO THANK YOU GIVE YOURSELVES A ROUND OF APPLAUSE FOR COMING — COMING UP WITH THE WORK. LIES AHEAD. TURNING THIS PLAN INTO PROJECTS INTO WORK INTO RESULTS IN TO CHANGE WHAT IS GOING TO BE DIFFERENT THIS TIME. WE’RE GOING TO GET A BIG NEW INFUSION OF FUNDING. ARE WE GOING TO GET MORE ATTENTION AND HIGHER PRIORITY FROM THE METRO COUNCIL THE NATIONAL COMMITTEE I SURE HOPE SO. I’M ALSO NOT ABSOLUTELY SURE THAT THAT. IS EVERYTHING WE NEED TO TO TO BE IFFERENT THIS TIME I CAN THINK OF TWO THINGS I’M GONNA TALK ABOUT AND THEY WERE THINGS AT THE SUMMIT A YEAR AGO. THEY CARRIED THROUGH. FIRST WE ALL OF US NEED TO COMMIT TO WORKING TOGETHER. THERE ARE MANY ORGANIZATIONS WORKING SPECIFICALLY ON EACH I MEAN MANY MORE THAT ARE HELPFUL TO PEOPLE WHO ARE FACING HIV — THE THE EVEN IF HIV IS NOT THEIR MAIN MISSION. THE THING IS THERE’S A LOT OF IMPROVEMENT IN OUR WORKING TOGETHER AS A SEAMLESS EFFECTIVE COMMUNITY EFFORT. TO SUCCEED ONE WOULD NEED TO USE THE PRINCIPLES OF COLLECTIVE IMPACT IT STARTS WITH A COMMON AGENDA. CON THAT’S WHAT THIS PLAN REPRESENTS SECOND REQUIRES SHARED MEASUREMENT SYSTEMS. AND IT WE NEED YOU AND WE ALL AND AND LOOKING TOGETHER AT THE DATA ACROSS ALL THE PARTICIPATING ORGANIZATIONS. THIRD MUTUALLY REINFORCING ACTIVITIES AS WE MOVE FORWARD. WE NEED TO DRAW ON THE STRENGTHS OF EVERY PERSON EVERY ORGANIZATION THAT’S ENGAGED — SOME OF US WILL NEED TO DO NEW THINGS SOME OF US WILL NEED TO DO DIFFERENT THINGS. FOURTH IT WILL RICK REQUIRE. CONTINUOUS COMMUNICATION IN WAYS THAT MAXIMIZE TRUSTS AND BEST SUPPORT THE IMPLEMENTATION PLAN. FIFTH IT WILL REQUIRE BACKBONE SUPPORT AND WE WILL THE RESOURCES SPECIFICALLY FOR THIS PLAN TO HOLD IT ALL TOGETHER. WE WILL HAVE A COORDINATOR FOR THIS. IF WE COME TOGETHER AND COMPETE TO DO BATTLE ON BEHALF OF OUR EGOS ORGANIZATIONS ARE BOARDS THINGS WILL NOT BE DIFFERENT. IF WE GET IMPATIENT WITH THE GIVE AND TAKE OF COLLABORATION WHOSE FAITH AND GO BACK TO OUR CORNERS MISTRUST WILL WIN AND THINGS WILL NOT BE DIFFERENT. IF WE COMMIT TO WORKING TOGETHER AS A COMMUNITY NOTHING WILL STOP US. AS FIRST THING WORKING TOGETHER SECOND THING. WE D NEED TO KEEP FOCUSING ON EQUITY [inaudible] PERSISTENTLY CONSISTENTLY — WE NEED TO KEEP PAYING ATTENTION LISTENING MEASURING KEEP LEARNING NEW SKILLS AND ADDRESSING BARRIERS WHEN WE FIND THEM. HIV THRIVES ON THE MARGINS. AND IF WE’RE NOT WORKING TO REDUCE MARGINALIZATION OF PEOPL- WE’RE WE’RE NOT WORKING TO REDUCE WE’LL PROBABLY WILL NOT. BE DOING THINGS DIFFERENTLY. SOME OF OUR ORGANIZATIONS MIGHT FEEL LIKE HEY WE GOT THIS — IN MIDEAST MAYBE SOME OF US DO BUT MY GUESS IS WE ALL HAVE THINGS TO LEARN AND IMPROVE ON AND THAT THE HEALTH PART WE’VE LAUNCHED AN EFFORT TO OPERATIONALIZE AN INSTITUTIONALIZED EQUITY. IN OUR ORGANIZATION FOR US IS PRETTY BIG. IT WILL TAKE TIME BUT WE HAVE TO DO IT. FREE REALLY FOCUS ON EQUITY TO THE POINT OF TRANSFORMING EACH OF OUR ORGANIZATIONS FROM OUR BOARDS TO OUR FRONTLINE STAFF. WE WILL ABSOLUTELY AND THE AFTER THE EPIDEMIC OF HIV. AND START TO TRANSFORM NASHVILLE IN THE PROCESS. SO WE NEED TO WORK TOGETHER WE NEED TO KEEP OUR EYES ON EQUITY. I’M CONFIDENT THAT IF WE SUCCEED IN THESE TWO THINGS WE WILL ABSOLUTELY. AS COMMUNITY AND THE EPIDEMIC OF HIV. JONATHAN MANN MINOR IN THE GLOBAL EFFORT TO FIGHT AIDS THERE TO QUOTES I THINK RESONATE WITH THE WORK AHEAD FOR NASHVILLE. AS WE END THE EPIDEMIC AS WE END THE HIV EPIDEMIC FIRST. SILENCE EXCLUSION AND ISOLATION OF INDIVIDUALS GROUPS OR NATION. CREATES A DANGER FOR US ALL [inaudible] SECOND. PEOPLE SAY THERE’S NO USE TRYING TO CHANGE THE WORLD. BUT IF WE DON’T TRY. WILL IT CHANGE. THAT’S ALL I HAVE FOR YOU RIGHT NOW. I WOULD LIKE TO INTRODUCE THE REVEREND TERRY TERRELL CHIEF OPERATING OFFICER OF THE FIRST RESPONSE CENTER AND SHE’S GOING TO INTRODUCE YOU TO THE PLAN. GOOD AFTERNOON EVERYONE. ON BEHALF OF THE TASK FORCE THE COMMITTEE AND OUR NATIONAL COMMUNITY I HAVE THE HONOR OF SHARING HIGHLIGHTS OF OUR PROCESS. AS WELL AS HIGHLIGHTS OF THE PLAN IN WHICH EACH OF YOU WILL HAVE ACCESS — TO WHEN WE’RE FINISHED. AS IT WAS MENTIONED WE BEGAN THIS PROCESS — A LITTLE OVER A YEAR AGO WITH A GROUP OF COMMUNITY MEMBERS WE HAD FOURTEEN TASK FORCE MEMBERS WE HAD — FOURTEEN THAT CAN — COORDINATING COMMITTEE CHAIRS BUT THAT WAS JUST ONLY A TIP OF THE ICEBERG WE HAD ABOUT ANOTHER HUNDRED AND TWENTY OR SO. INDIVIDUALS THAT WORKED WITH US IN EACH OF THESE COMMITTEES THE SIX ACTION COMMITTEES THAT LAID THE GROUNDWORK FOR THIS PLAN — WE HAD A TOTAL OF THIRTY FIVE MEETINGS AS A GROUP — WE HAD AN ALL COMMITTEES MEETING WHERE WE CAME TOGETHER AND WE REPORTED ON THE WORK THAT EACH OF OUR GROUPS WERE DOING. AND THEN WE COULD NOT HAVE DONE THIS WITHOUT THE SUPPORT OF THE TREATMENT ACTION GROUP. SOUTHERN AIDS COALITION OR THE CARE FOUNDATION OF AMERICA THOSE ORGANIZATIONS — WERE FOUNDATIONAL IN ASSISTING OTHER CITIES IN PUTTING PLANS TOGETHER AND THEY WERE VERY INSTRUMENTAL IN WE NEEDED TO MOVE OUR PLAN FORWARD ON SUCH AN ACCELERATED RATE — OUR TIME FRAME WAS PRETTY AMBITIOUS — AND RESPECTS OTHER CITIES THAT BEGAN THE WORK OF THEIR OWN PLA. OUR ENDING THE EPIDEMIC PLAN IS A FIVE YEAR PLAN — AND IT’S JUST THE BEGINNING WE’RE NOT SAYING THAT WHATEVER THE PLAN STATES TODAY IS WHAT THE PLAN IS GOING TO LOOK LIKE A YEAR FROM NOW TWO YEARS FROM NOW OR EVEN FOUR YEARS FROM NOW. WE HOPE THAT THIS IS A DOCUMENT THAT WILL BE A LIVING DOCUMENT SOMETHING THAT WILL CONTINUE TO BRIEF AND LIVE AS WE CONTINUE THE WORK AND THERE’S ADVANCES IN SCIENCE AS WELL. AS OUR ABILITY TO DO THE WORK WITHIN OUR COMMUNITY. BUT WAT WE WOULD DO. IS THAT WE DON’T WANT TO KEEP THIS PROCESS IN A BUBBLE. WE KNOW THAT THERE’S SO MANY OTHER THOUGHTS AND EXPERIENCES THAT WE NEED TO BE ABLE TO FACTOR INTO THIS PROCESS AND SO WE WOULD LIKE TO INVITE YOU THE COMMUNITY. AND THOSE THAT DO YOU KNOW ABOUT WHAT LIKE TO PARTICIPATE TO GIVE US FEEDBACK WE WANT TO HEAR FROM YOU WE WANT TO KNOW WHAT YOU LIKE ABOUT THE DOCUMENT. WE WILL LIKE TO FOR YOU TO LET US KNOW WHAT WE MESSED WITHIN THE DOCUMENT AND WHO NEEDS TO BE INVOLVED AS WE MOVE FORWARD — AT THE END OF THIS PRESENTATION I’M GOING TO SHOW YOU ALL HOW TO ACCESS A COPY OF IT AS WELL AS GIVE US FEEDBACK. SO WHY NOW — WELL WHY THIS TIME WHY THIS PLACE YES THERE HAS BEEN GREAT TO ADVANCES — AND PROGRESS IN OF LITTLE DIAGNOSIS OF THE DISEASE HOWEVER THERE IS STILL POPULATIONS THAT ARE DISPROPORTIONATELY IMPACTED BY HIV AND AIDS AND SO I WILL WORK STILL — HAS A GROUND THAT WE NEED TO COVER AND THERE’S PLENTY OF WORK FOR US TO DO MOVING FORWARD. STILL BEING IMPACTED BY THE SAME GENDER LOVING MALES WITHIN OUR COMMUNITY PARTICULARLY BETWEEN THE YOUNG ADULTS AGES EIGHTEEN TO THIRTY FIVE THIS IS WHAT THIS CHART — SHOWS THERE HAS BEEN PROGRESS AND THOSE COMMUNITIES OF ID DRUG USE AS WELL AS HETEROSEXUAL CONTACT BUT THOSE RATES STILL — KIND OF INCREASING AND CERTAIN POPULATIONS SO OUR WORK NEEDS TO CONTINUE. AS DOCTOR HILDRETH MENTIONED EARLIER THE NATIONAL RATES FOR NEW DIAGNOSES IS MUCH HIGHER THAN THE STATE. LEVEL AS WELL AS THE NATIONAL LEVEL. SO WHAT ABOUT OUR GOALS. WHEN WE BEGAN THIS PROCESS DOCTOR WHO JUST SAT US DOWN AND SAID LISTEN I WANT YOU TO GIVE US RECOMMENDATIONS THAT WILL BE EFFECTIVE? AND OF COURSE THERE WAS CONVERSATION WILL DO WE NEED TO THINK ABOUT THE BUDGET HE’S LIKE DON’T THINK ABOUT THE BUDGET LEXUS THINK ABOUT THINK YOUR LEGS TO STOP THERE WITH WHAT OUR COMMUNITY REALLY NEEDS TO PUT AN END TO THE EPIDEMIC. SO THE WORK AND THE GROUND THAT WE LAID OUT WE WERE AMBITIOUS WE REALLY DID THINK ABOUT WHAT WOULD IT TAKE TO END. THE EPIDEMIC HERE IN NASHVILLE TENNESSEE. SO OUR GOAL IS TO ENSURE THAT NO IVY KNOW THEIR STATUS. DECREASED BY TWO THIRDS THE NUMBER OF NATIONAL RESIDENCE WITH NEWLY ACQUIRED HIV. LINK 90% OF THOSE DIAGNOSED WITH HIV TO CARE WITHIN A MONTH OF DIAGNOSES. ENGAGE 90% OF PEOPLE DIAGNOSED WITH HIV IN CARE. ENSURE THAT 90% OF THOSE ENGAGED IN CARE. ACHIEVE VIRAL SUPPRESSION. AND ELIMINATE DISPARITIES AND HIV OUTCOMES. GOALS WILL BE ACHIEVED AMONG ALL POPULATIONS AND WITH IN THIS PLAN WE DID TAKE TIME AND CARE TO REALLY LOOK AT SOME OF THOSE SUB POPULATIONS THAT WERE MOST DISPROPORTIONATELY IMPACTED BY THE DISEASE. SO HOW ARE WE GOING TO GET THER. WHEN YOU TAKE THE OPPORTUNITY TO LOOK AT THE PLAN YOU CAN LOOK AT HOW WE PLAN TO DO THIS IN CHAPTER? FIVE GET MORE PEOPLE TESTED. USE THE MEDIA AND SOCIAL MEDIA TO INCREASE AWARENESS AND ENGAGEMENT [inaudible] PROVIDE COMPREHENSIVE HEALTH SEXUAL HEALTH INFORMATION TO AL. TAKE FULL ADVANTAGE OF MEDICAL ADVANCES LIKE CRAP IMPACT. GET THE RIGHT CARE TO THE RIGHT PEOPLE AT THE RIGHT TIME AND PLACE INCLUDING MEDICATION. STRENGTH IN EARLY INTERVENTION WORK FORCE AND PEER SUPPORT NETWORKS [inaudible] MAXIMIZE — COMPATIBLE OF SKEWS ME. MAXIMIZE CAPABILITIES OF PRIMARY CARE. ADDRESS SOCIAL DETERMINANTS LIKE HOUSING TRANSPORTATION AS WELL AS WORK FORCE. SO WHAT ARE SOME OF THE THINGS THAT WE NEED TO DO TO MOVE THE PLANT FOR OUR AS THE MAYOR MENTIONED. TO CREATE AN OVERSIGHT BODY. THAT WILL TAKE OWNERSHIP OF THIS PROCESS. DR PAUL MENTIONED THE HIGHER OF A DEDICATED — METRO PUBLIC HEALTH DEPARTMENT STAFF POSITION. WE NEED TO INCREASE AND DIVERSIFY FUNDING SOURCES. WE NEED TO BE ABLE TO IDENTIFY AND PARTNER. AND HAVE THOSE COMMITMENTS WITH THOSE THAT WE CAN BE SUSTAINED FOR THE BENEFIT OF THOSE THAT WE SERVE. AND TO ESTABLISH A DATA TEAM WE WANT TO BE ABLE TO TRACK AFFECTED FULLY. THE WORK THAT WE’RE DOING TO MAKE SURE THAT WE’RE REACHING OF THAT SIGNIFICANT CHANGE THAT WE NEED. SOUTH BETWEEN NOW AND I BELIEVE IT’S THE MIDDLE OF JANUARY WE WILL OPEN UP. READ FOR THE PUBLIC TO BE ABLE TO GIVE COMMENTS. WE INVITE YOU TO GO TO THE HEALTH DOT NATIONAL DOT GOV. WEBSITE. AND I’M GONNA DO A LITTLE SHOW AND TELL HERE. AND IT’LL TAKE YOU TO THE HEALTH DEPARTMENT [inaudible] PAGE. SO YOU HAVE THE SCROLLING PIECE HERE. AT THIS POINT IS THE FIRST BULLET. THAT TAKES YOU TO NASHVILLE HIV ENDING THE EPIDEMIC PLAN. CLICK THERE. AND HERE YOU HAVE TWO OPTIONS YOU CAN GET A COPY OF THE PLAN. PDF. IN ITS ENTIRETY. AS WELL AS LEAVE YOUR FEEDBACK. NOW FOR THOSE OF YOU WHO LIKE HARD COPIES NOW. THERE ARE COORDINATING COMMITTEE MEMBERS PLEASE IDENTIFY YOURSELVES. THAT HAVE SOME HARD COPIES THAT ARE AVAILABLE TODAY. SO PLEASE SEE ANY OR ONE OF US AND WE’LL BE HAPPY TO GIVE YOU WHAT WE HAVE. IF NOT PLEASE GO TO THE HEALTH DOT NATIONAL DOT GOV — WEBSITE. AND PLEASE GET YOUR COPY AND WE WELCOME YOUR FEEDBACK ON THE PLAN BECAUSE THIS IS DEFINITELY DEFINITELY A COMMUNIY EFFORT — THANK YOU SO MUCH FOR YOUR TIME WE LOOK FORWARD TO YOUR FEEDBACK AND NOW I WILL TURN IT OVER TO JOE INTERNAL TAKE. YOUR HONOR. ALMOST SAID DAVID MEANT LIKE NOT APPROPRIATE IN PUBLIC — I WAS NOT EXPECTING THAT THANK YOU THAT WAS EXTRAORDINARILY KIND — AND I WAS GOING TO SAY THIS BUT I DO FEEL LIKE. IN SOME WAYS HELPING TO BE PART OF THIS PLAN IS PART OF THE LEGACY — THAT MOVIE ON THE WALLS OF THE AGENCY THAT I WORK WITH TO BE PART OF THE ENGAGEMENT OF THE COMMUNITY AS A WHOLE. IN DOING SOMETHING THAT IS TRULY REMARKABLE AND THAT WILL SAVE AND TRANSFORM LIVES. ON YOU KNOW THERE’S A POSTER IN OLD — I THINK IT CAME FROM RICHMOND VIRGINIA BUT BASICALLY REMINDS US WHICH IS A GOOD REMINDER OUR WORLD AIDS DAY. THAT EVERY PERSON LIVING WITH HIV OR AIDS. IS SOMEONE’S BROTHER. SOMEONE SISTER SOMEONE’S SON SOMEONE’S DAUGHTER. SOMEONE’S LOWER SOMEONE’S HUSBAND SOMEONE’S WIFE — SO I JUST WANNA SAY A FEW THINGS ABOUT YOU KNOW THERE’S A LOT OF NUMBERS. IN THIS PLAN THAT YOU READ AND WE WILL BE. WELCOMING SOME QUESTIONS THIS AT THE END — BUT JUST A LITTLE BIT. YOU KNOW AS A GAME AS WOMEN WITH HIV FOR THINK THIRTY THREE YEAR- AND I FOUND OUT BASICALLY THEY SAID YOU’VE GOT IT. WE DON’T KNOW HOW TO MEASURE IT. WE DON’T KNOW HOW TO TRACK IT WE CERTAINLY DON’T HAVE ANYTHING TO TREAT IT. SO. GOOD LUCK. THE WORLD IS DIFFERENT TODAY YOU KNOW AS YOU’VE HEARD WE NOW HAVE TREATMENTS WHERE AND I SHOULD ALSO SAY IN THE SET AND THERE’S AN 80% CHANCE YOU’LL BE DEAD IN THE YEAR. BECAUSE THAT’S WHAT MORTALITY RATES FOR LIKE FOR THE DISEASE BACK THEN. THAT’S NOT TRUE ANYMORE PEOPLE NOW LIVE FOR DECADES PEOPLE NOT ONLY HAVE LIVED FOR DECADES BUT CAN USE THE TOOLS. TO ELIMINATE THEIR RISK OF TRANSMITTING THE VIRUS TO LOVED ONES — AND THOSE ARE THE OPPORTUNITIES THAT HAVE DRIVEN THIS PLAN AND MADE THIS PLAN — YOU KNOW POSSIBLE — I DO WANT TO JUST SAY THAT SO WITH THE GOALS THAT TERRY WAS TALKING ABOUT. SO WHAT DES THAT MEAN IN SORT OF HUMAN TERMS AND THE ONE THING I THINK YOU NEED TO REALIZE THA. IF WE ACHIEVE OUR GOAL OF REDUCING INFECTIONS BY TWO THIRDS THAT MEANS THAT NINETY FOUR PEOPLE IN NASHVILLE WHO WOULD OTHERWISE BE LIVING WITH HIV WILL NOT BE LIVING WITH HIV. YOU KNOW WHO WILL NOT AND DESPITE ANYTHING THAT PEOPLE SAY ABOUT HOW MUCH EASIER IT IS TO MANAGE IZZY’S WHICH IS TRUE. I THINK ANY PERSON LIVING WITH THIS DISEASE WILL REMIND YOU THAT IT’S STILL NO WALK IN THE PARK THERE ARE LOTS OF ISSUES AND CONSIDERATIONS THAT WE ALL FACE AND THAT WE NEED TO GRAPPLE WITH. THAT ARE IN THEIR MIND ALL THE TIME AND PEOPLE WILL BE FREED YOUNG FOLKS STARTING OUT THEIR LIVES WILL BE FREE FROM THOSE ADDITIONAL BURDENS AS A RESULT OF OUR SUCCESS IN THIS PLAN. BUT THERE’S ALSO — COMMUNITY AND PUBLIC HEALTH IMPACT THIS WELL BECAUSE I KNOW. PEOPLE ARE INTERESTED IN THAT RETURNED SO LET ME ALSO TRANSLATE THAT IF DOLLARS. ON YOU KNOW THE CURRENT ESTIMATES ARE THAT THE LIFETIME COST OF CARING FOR A PERSON WITH HIV WITH NEW ADVANCES IS THREE HUNDRED AND SIXTY THOUSAND DOLLARS. IF YOU MULTIPLY THAT BY THE NINETY FOUR PEOPLE WHO WILL NO LONGER BE HIV POSITIVE. THE WHAT IT DOES IS THIS IS SAVING THIRTY THREE MILLION EIGHT HUNDRED AND FORTY THOUSAND DOLLARS IN HEALTHCARE COSTS OF THIS COMMUNITY. THAT’S A LOT OF MONEY THAT CAN OBVIOUSLY BE USED AND DEVOTED TO TWO OTHER ISSUES WHICH ARE NEEDED — SO THERE ARE BOTH INDIVIDUAL THIS IS A WIN WIN PLAN THERE ARE BENEFITS TO INDIVIDUALS AND THEIR BENEFITS. TO THE COMMUNITY ON AND I’M JUST BEEN HONORED AND PLEASED TO BE PART OF IT. ON AT THIS POINT WHAT WE WANT YOU TO OFFER INPUT THROUGH THE MECHANISMS THAT WE SET UP WE’D BE HAPPY TO ENTERTAIN ANY QUESTIONS AT THIS POINT TO ANY OF US THAT YOU MIGHT HAVE ABOUT THE PLAN — THE PROCESS AT THIS POINT. AND THESE ARE FOR READING SO IN ORDER TO SEE [inaudible] ANYBODY [inaudible] NOT. WE DID SUCH A COMPLETE JOKE CONGRATULATIONS. WHAT’S YOUR BRINGS YOU THE FACT. THANK YOU ALL FOR BEING HERE WE APPRECIATE IT PLEASE DO YOU PROVIDE YOUR FEEDBACK IN THANK YOU VERY MUCH. THIS IS SERVICE AT THE METRO NASH’S SERVICE AT THE MADRID LEGEND NOTICE PRESENTATION IF YOU WOULD LIKE TO FOR THIS REASON. AGAIN. OVER MORE INFORMATION ABOUT THIS AND OTHER PROGRAMS IS STILL DONT

HIV and AIDS: Infection Stages, Pathology and Treatment, Animation

HIV and AIDS: Infection Stages, Pathology and Treatment, Animation


HIV for human immunodeficiency virus is
a virus that attacks the immune system weakening the body’s ability to fight
infections progressive destruction of the immune system eventually leads to
its failures a state known as acquired immunodeficiency syndrome or AIDS when
the body is incapable of defending itself from common infections HIV
targets a specific group of cells called cd4 plus cells cd4 is a receptor
expressed on the surface of many immune cells including T helper cells
macrophages and dendritic cells where it is essential for cell communication and
hence normal function of the immune system HIV hijacks this receptor to gain
access to the cells apart from cd4 receptor another factor called a
co-receptor is also required for HIV entry and infection several Co receptors
have been identified in different cell types with cxcr4 and ccr5 being the most
common cxcr4 is expressed on many t-cells but usually not on macrophages
and is used by t tropic strains of HIV ccr5 is expressed on macrophages some
t-cells and is used by M tropic strains some HIV strains use ccr5 to infect
initially but evolved to use cxcr4 later during disease progression viruses that
can use both Co receptors are called dual tropic some people are born with a
deletion in ccr5 and are substantially resistant to HIV infection HIV life
cycle starts with attachment of an HIV envelope protein gp120 to cd4 receptor
and co-receptor followed by fusion of HIV with host cell the virus then
injects its content HIV RNA and several enzymes into the cell one of these
enzymes known as reverse transcriptase is used to convert HIV RNA into DNA an
important step that would allow the virus to integrate into host cell DNA
once in the new HIV enzyme integrase inserts the viral
DNA into the host DNA at this point the virus may adopt either latent or active
infection inactive infection HIV uses the host machinery to produce multiple
copies of its RNA and proteins which are then assembled into new virus particles
ready to infect more cd4 cells in latent infection the virus remains integrated
in host DNA and may lie dormant for years forming a latent HIV reservoir
which can reactivate and infect again at a later time HIV is transmitted through
infected body fluids most commonly via s contacts shared contaminated
needles and mother to child during childbirth or through breastfeeding it
is not transmitted through air or casual contacts diagnosis is by detection of
viral protein RNA proviral DNA or antibody produced against HIV there are
three stages of HIV infection the acute stage generally develops within a couple
of weeks after a person is infected with HIV during this time patients may
experience flu-like symptoms HIV multiplies rapidly resulting in high
viral load in the blood and increased risks of transmission the chronic stage
also called clinical latency is usually asymptomatic HIV continues to multiply
but at much slower speeds patients may not have any symptoms but they can still
spread HIV to others without treatment the disease usually progresses to AIDS
within two to ten years AIDS is the final stage of HIV infection as the
immune system is failing the body can’t fight off common diseases and
opportunistic infections take hold AIDS is diagnosed when cd4 cell count is
lower than 200 per microliter or if certain opportunistic infections are
present there is currently no cure but treatment with antiretroviral therapy
can slow down progression to AIDS and reduce transmission risks antiretroviral
drugs are classified based on their ability to interfere with certain
stages of HIV lifecycle accordingly there are entry and fusion inhibitors
reverse transcriptase inhibitors integrase inhibitors and protease
inhibitors these drugs however cannot reach the latent virus which hides out
safely in healthy T cells that may reactivate and infect again this is the
major reason why HIV infection is not curable with current available
treatments