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[HRC Background File] Thursday January 27 [1994] [2]
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[HRC Background File] Thursday January 27 [1994] [2]
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Records of the First Lady's Office (Clinton Administration)
Elizabeth "Liz" Bowyer's Files
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Withdrawal/Redaction Sheet
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. memo
From: Pam, To: Julie, Re: AIDS Project LA Event [partial] (1 page)
12/23/94
b(6)
002. resume
Biography, Ron Meyer [partial] (1 page)
1/26/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3983
FOLDER TITLE:
[HRC Background File] Thursday, January 27 [1994] [2]
2014-0483-S
sb382
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - [5 U.S.C. 552(b)|
P1 National Security Classified Information |(a)(1) of the PRA]
b(1) National security classified information |(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office |(a)(2) of the PRA|
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information |(a)(4) of the PRA
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy [(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRAJ
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions |(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells ((b)(9) of the FOIA]
RR. Document will be reviewed upon request.
CC: Maggie
Patti
Kim
Lisa
R
THE DAVID GEFFEN FOUNDATION
Andy Spahn
President
BY FEDERAL EXPRESS
December 20, 1993
Kathie Berlin
180 W. 93rd Street, Apt. 6E
New York, NY 10025
Dear Kathie:
Per our discussion, attached please find the invitation to the January 27
Commitment to Life VII benefit along with a proposed run down of the show.
This is very rough, but, as of now, the First Lady would be honored toward
the end of the evening with a VIP reception to follow. The First Lady would
be introduced by Barbra Streisand and expected to speak for about 5 - 10
minutes. Additionally, I have attached a one page memo with some
logistical/production questions for your review.
Thanks so much for your for your attention and assistance. Please
know that I can be in Washington, D.C. at any time for meetings, discussions,
etc. if that would be helpful. I have sent the same packet to Pam Barnett as
you recommended. I look forward to hearing from you and/or Pam at your
earliest convenience. Thanks again.
Sincerely,
Andy andy Spahn
THANKS FOR
YOUR
cc: Pam Barnett
9130 Sunset Boulevard
Los Angeles California 90069
Telephone 310 285 7962
Fax 310 278 9766
DEC 15 +93 13:11 THE RANDY JOHNSON COMPANY
213 937 0845
TO:
P01
12/15/93
TO: ANDY SPAHN
FROM: RANDY JOHNSON
RE: MRS. CLINTON / COMMITMENT TO LIFE VII
PROPOSED ITINERARY & SCHEDULE
THE SHOW IS SCHEDULED TO BEGIN AT 8:15, SHOULD MRS. CLINTON
CHOOSE TO WATCH THE SHOW FROM THE AUDIENCE, WE WILL COORDINATE
HER ENTRANCE TO AUDITORIUM FROM THE HOLDING AREA TO HER SEATS.
MRS. CLINTON'S ARRIVAL AT VENUE SHOULD OCCUR AT THE VERY MINIMUM
NO LATER THAN 7:30
PRIOR TO MRS. CLINTON'S ARRIVAL, THE SPEECH NEEDS TO ARRIVE
FOR TELEPROMPT LOAD NO LATER THAN 5:00 PM.
THE AWARD PRESENTATION FOR MRS. CLINTON WILL BE APPROXIMATELY
AT 10:15. FIFTEEN/TWENTY MINUTES PRIOR TO PRESENTATION MRS.
CLINTON WILL BE BROUGHT TO THE BACKSTAGE LEFT HOLDING AREA.
AT THIS TIME IT IS ANTICIPATED THAT BARBRA STREISAND WILL
INTRODUCE AND PRESENT MRS. CLINTON. INTRODUCTION SHOULD AVERAGE
5 MINUTES. MS. STREISAND WILL INTRODUCE AND PRESENT MRS. CLINTON
WITH AWARD. MS. STREISAND WILL EXIT SR.
MRS. CLINTON WILL ENTER AND EXIT FROM STAGE LEFT.
SPEECH TIME SHOULD AVERAGE BETWEEN 5-10 MINUTES.
FINALE WILL OCCUR AFTER MRS. CLINTON'S SPEECH. MRS. CLINTON
MAY OPT TO VIEW FINALE FROM SL OR RETURN TO PRIMARY HOLDING
AREA.
IMMEDIATELY FOLLOWING END OF SHOW A VIP RECEPTION FOR MRS.
CLINTON HOSTED BY THE EVENING'S CHAIRS WILL BE HELD AT THE TENT
LOCATED BACKSTAGE.
MRS. CLINTON'S DEPARTURE TBD.
PRESS APPEARANCES TBD.
PROPOSED RUNDOWN OF EVENING A/O 12/15 IS ATTACHED. THIS RUNDOWN
IS PROPOSED AND SUBJECT TO MANY REVISIONS.
THE
RANDY JOHNSON
COMPANY
P.O. Box 69-A-18 Los Angeles, CA 90069
DEC 15 93 13:12 THE RANDY JOHNSON COMPANY
213 937 0845
TO:
P02
APLA COMMITMENT TO LIFE VII
PROPOSED RUN DOWN OF SHOW AS OF 12/15/93 SUBJECT TO REVISION
8:15 OVERTURE BEGINS BY THE HOLLYWOOD BOWL ORCHESTRA
OPENING SPEECH/VIDEO TO BE GIVEN BY TBD
WELCOME TO BE GIVEN BY ELIZABETH TAYLOR
JEFFREY KATZENBERG INTRODUCTION BY TBD
HOWARD ASHMAN TRIBUTE BY NEIL DIAMOND "BEAUTY AND THE BEAST"
EMILE ARDOLINO TRIBUTE BY WHOOPI GOLDBERG AND THE SISTER ACT
NUNS "I WILL FOLLOW HIM/SHOUT"
JEFFREY KATZENBERG SPEECH
PETER ALLEN TRIBUTE BY LIZA MINELLI AND THE ROCKETTES
"EVERYTHING OLD IS NEW AGAIN"
HALSTON TRIBUTE BY LAUREN BACALL AND MODELS
FREDDIE MERCURY TRIBUTE TBD
LIBERACE TRIBUTE BY DEBBIE ALLEN & BOYS "I'LL BE SEEING YOU"
KEITH HARING TRIBUTE BY MADONNA
BALLET TRIBUTE BY THE BILL JONES COMPANY
'ANTHEM' BY LIZA MINELLI AND CHOIR "THE DAY AFTER THAT"
APLA SPEECH BY STEVE TISCH
PAUL JABARA TRIBUTE BY LILY TOMLIN "IT'S RAINING MEN"
(AWAITING CONFIRMATION FROM MS. TOMLIN)
MICHAEL BENNETT TRIBUTE BY WHITNEY HOUSTON AND DANCERS
"AND I AM TELLING YOU" AND "SCANDAL" BALLET
ROCK HUDSON TRIBUTE BY DORIS DAY "SECRET LOVE/MY BUDDY"
HOUSE TRIBUTE BY RICHARD GERE
"BACKSTAGE" TRIBUTE BY PATTI LUPONE "AS IF WE NEVER SAID GOODBYE"
MRS. CLINTON TRIBUTE BY TBD
MRS. CLINTON SPEECH
SHOW CLOSED BY WHITNEY HOUSTON, BETTE MIDLER OR BARBRA STREISAND
"I'LL BE SEEING YOU"
DEC 15 93 11:26 THE RANDY JOHNSON COMPANY
213 937 0845
TO:
P01
THE
12/15/93
TO: DANA MILLER / ANDY SPAHN
FROM: RANDY JOHNSON
P.O. RANDY Box 69-A-18. Los Angeles, COMPA
RE: COMMITMENT TO LIFE VII
CA 90069
IN ANTICIPATION OF MRS. CLINTON'S APPEARANCE THE FOLLOWING
ISSUES NEED TO BE COVERED:
1. MAGNATOMETER'S; WHO IS THE SOURCE, WHAT IS THE LOAD IN TIME
REQUIREMENTS, DO WE OBTAIN THE PERSONELL PER STATION.
PRIOR TO THE 17TH OF JAN. WE WILL NEED TO KNOW LOCATIONS
ESPECIALLY BACKSTAGE PERIMETER REQUIREMENTS.
2. WHO IS THE POINT AGENT FOR THE SECRET SERVICE FOR THIS
EVENT. I WOULD LIKE TO HAVE A PRELIMINARY DISCUSSION
WITH HIM, so WE CAN PREP. UNI AMPH. SECURITY (MIKE O'NEAL)
AND BLACKTHORN EVENT MANAGEMENT. ONE PARTICULAR AREA OF
CONCERN WILL BE HER ARRIVAL PORT. WE WILL DESIGN OUR
TRUCKS/TRAILERS AND ANCILLARY TENT PLACEMENT BASED ON THIS
INFORMATION .
3.
WE ALSO NEED TO KNOW WHO THE LIASON FROM MRS. CLINTON'S
OFFICE IS AND WHAT POINT WE CAN BEGIN DISCUSSIONS ON HER
REQUIREMENTS SUCH AS HOLDING AREAS, SIZE OF ENTOURAGE,
ANY SPECIAL LIGHTING OR SOUND REQUIREMENTS. WHITE HOUSE
PRESS CORPS CONTACT & REQUIREMENTS ( ELECTRICS ETC.)
HAIR & MAKE UP NEEDS (IF ANY).
MRS. CLINTON'S SPEECH NEEDS TO ARRIVE FOR TELEPROMPT
LOAD NO LATER THAN 2 HOURS PRIOR TO ARRIVAL.
WILL AN ADDITIONAL SECURED PHONE/FACSIMILE NEED TO BE
INSTALLED ON LOCATION?
PROTOCOL FOR MRS. CLINTON SHOULD BE ADDRESSED AT SOME
POINT PRIOR TO THE 17TH.
ONE OF THE MOST IMPORTANT AREAS TO BE ADDRESSED IS THE MAXIMUM
ANTICIPATED TIME OF SWEEP ON THURSDAY THE 27TH, AND IF ANY PRE
SWEEP SECURITY MEASURES WILL BE IN PLACE ON LOCATION PRIOR
TO THE 27TH
I AM MEETING WITH ANI AMPH. SECURITY MONDAY AT 1:00 PM TO
DISCUSS GENERAL EVENT SECURITY MEASURES & ZONE REQUIREMENTS.
WILL ADVISE OF OUTCOME OF THIS MEETING.
Bardy Jan
P.1
JAN 06 '94 02: 52PM
®
THE DAVID GEFFEN FOUNDATION
Andy Spahn
President
*** FAX FAX FAX ***
TO: Kim Tilley
FAX #: 202-456-2239/2539
FROM: Judy Cammer
DATE: January 6, 1994
TOTAL NO. OF PAGES
4
MESSAGE: Thank you for your assistance. As I mentioned,
this year David Geffen is writing the letter in praise of
the First Lady, and it would be very helpful to have information
regarding her Involvement in AIDS related issues.
If you have problems with this transmission, please call
310-285-7969
OUR FAX NUMBER IS 310-278-9766
9130 Sunset Boulevard
Los Angeles California 90069
Telephone 310 285 7962
JAN 06 '94 02:20PM
P.4
JAN 06 '94 02: 52PM
P.2
DEC 29 93 05:04PM AIDS PROJECT LA
P.5/7
steven
spielberg
September 15, 1991
It is a pleasure to join with his many friends in and
out of the entertainment industry in honoring Sid Sheinberg
with the AIDS Project Los Angeles COMMITMENT TO LIFE Award.
During his years of leadership of MCA, he has followed
the example, set by Jules Stein and Lew Wasserman, of
supporting the needs and concerns of individuals and the
entire community.
Sid and MCA have made significant contributions to a
diversity of causes that have benefited so many, but on this
occasion, it is his concern about AIDS that deserves special
note.
He took an early role in encouraging AIDS-related
programs, including his leadership in developing the first
AIDS education program for the entertainment industry
workplace. When AIDS became a reality for families within
MCA, support of every kind was provided to the individuals
and their loved ones. It was done quietly and
unhesitatingly. As much as anything else, that spoke
volumes about his commitment.
Sid has met the challenge of helping, educating, and
advancing AIDS research. For that, and his continued
support, he and the MCA family deserve our thanks and
applause.
Sincerely,
100 UNIVERSAL PLAZA/BUNGALOW 477/UNIVERSAL CITY, CA 91608/818/777-4600
JAN 06 '94 02: 20PM
P.3
1
P.3
JAN 06 '94 02:53PM
DEC 29 '93 06:05PM AIDS PROJECT LA
P.6/7
Dear Friends,
In the battle against AIDS, few people have made os many significant
contributions to the fight against this tragic epidemic as has Joel Weisman.
Joel was among the physicians who discovered AIDS. He is pre-eminent in
the development of treatments which have dramatically improved the quality of
lives for people with AIDS.
Joel's commitment to the fight against AIDS goes well beyond his professional
responsibilities as a physician. As a founder of APLA and long-time board
member, Joel was among the first to lead the nation in coring for those in need.
His compassion and sensitivity are incomparable.
As Chairman of AmFAR, Joel has demonstrated his continuing dedication
and outstanding leadership in the AIDS crisis on a global scale. He is a dear
friend, and a great man - one who is more than deserving of this distinguished
honor. His manifest commitment to humanity deserves our highest accolades.
Sincerely,
Elizabeth Taylor
JAN 06 '94 02:20PM
P.2
JAN 06 '94 02:53PM
P.4
DEC 25 YJ 05:05PM RIDS PROJECT LA
P.4/?
WARREN BEATTY
Tonight David Geffen is honored with the AIDS
Project Los Angeles "Commitment To Life" award.
I've known him for more than twenty years. From
a young manager nurturing a few uniquely gifted artists
to a wizard altering the economic structures of our
business, his ferocious energy, insight and insistence
on seeing things as they are have only increased while
others have shared the benefits.
It's debatable whether his greatest value in the
fight against AIDS comes to us from his financial generosity,
his relentless organizational skill, or the example of his
fearlessness in knowing and expressing precisely who he is.
As David's societal contribution mounts and business,
political and spiritual Goliaths blink in the aim of his
slingshot, his intelligence focuses, and his anger mobilizes.
- In March, A million dollars to AIDS Project
Los Angeles.
- In May, A million dollars to Gay Mens' Health
Crisis in New York.
He's watching the fort. A captain of industry with
the soul of an artist.
He deserves our thanks.
Sincerely,
JAN 06 '94 02 : 19PM
P.1
JAN-07-1994 13:26 FROM NAPO 202-472-7054
TO
94562239
P.03
DOMESTIC HIV/AIDS INFORMATION
According to the most recent statistics from the Centers for
Disease Control and Prevention (CDC), almost 340,000 Americans
have been diagnosed with AIDS as of September 30, 1993. Over
204,000 of these have died. It is estimated that over one
million Americans are living with HIV.
Men who have sex with men still make up the majority of the
cases (62 percent). Injecting drug use is the second most
common mode of transmission (31 percent) The groups with the
largest increases are women and young people from 18 to 25
years of age. The latter suggests, due to the long incubation
period, that many of these infections occurred during
adolescence.
Racial and ethnic minorities comprise 47 percent of the total
cases, 75 percent of the cases among women and children.
The Clinton Administration is the first Federal Administration
to treat AIDS as one of its top priorities. A National AIDS
Policy Coordinator was appointed by the President to direct
the national policies to stop HIV transmission, to care for
those already infected and to find a cure as soon as possible.
The Office of National AIDS Policy directs policy development
and coordinates implementation from the White House.
Overall AIDS funding has been increased by the Federal
Government by 25 percent over the prior fiscal year.
The National Institutes of Health (NIH) budget for AIDS was
increased by 21 percent to $1.3 billion dollars. The NIH
Office of AIDS Research is being restructured to better
coordinate the research effort. The newly-created National
AIDS Drug Development Task Force is a private-public
partnership to speed up the approval process for new
treatments and to encourage new initiatives.
The United States Government is spending over $500 million in
HIV prevention activities; including counselling and testing,
community level interventions, public information campaigno
and many other activities. This amount is $45 million greater
than the amount spent in the prior fiscal year.
For the current Fiscal Year, the Federal Government will spend
over $600 million to care for people living with HIV/AIDS.
This includes funding to the 35 cities that have reported over
2,000 cumulative AIDS cases, to the states for treatment
services through state-wide care consortiums and to community
and migrant health centers. A total of $22 million is also
JAN-07-1994 13:26 FROM NAPO 202-472-7054
TO
94562239
P.04
devoted to specialized care for women, adolescents and
children.
The Department of Housing and Urban Development will make
available $150 million for housing for people living with
HIV/AIDS. This funding will go towards new construction,
rental subsidies and purchase and conversion of existing
structures. The program also includes for providing care
for residents living with HIV/AIDS.
over 2,000 AIDS-specific non-governmental organizations
conduct prevention, service and research programs in
communities throughout the country. These are supported by a
variety of funding sources, including the federal government,
private corporations and foundations and the general public.
These organizations constitute the first line of defense
against the epidemic and add countless resources to the fight
against the epidemic.
Starting in January, the Federal Government will sponsor a
National Prevention Marketing Initiative, which is part of new
activities to prevent HIV infection among youth. This
initiative includes public service announcements promoting
abstinence among youth 18 to 25 years of age and correct and
consistent condom usage for young people who are sexually
active.
The Health Security Act will provide universal health care
coverage for all Americans, including people living with
HIV/AIDS. By providing health care coverage, people with
HIV/AIDS will be able to live longer and fuller lives and will
not have to live with the constant fear of losing their health
benefits.
The Americans with Disabilities Act, which was enacted into
law in 1990, is being used to provide special protections for
persons living with disabilities or perceptions of
disabilities. This includes protections for people living
with HIV/AIDS. The Act requires employers to make reasonable
accommodations for persons living with disabilities, thus
ensuring that productive Americans can continue to work
The Health Security Act
NURSES AND OTHER HEALTH CARE PROFESSIONALS
The Health Security Act will increase the role of nurses, nurse
midwives, and other health care professionals in primary and preventive care.
It will reduce professional barriers for these health care providers and cut the
paperwork that forces them to spend more time at desks than at bedsides. The
Act will allow nurses, physician assistants, and other health care
professionals to work to their full potentials.
Expands Nurses' Roles
Health care reform will reinforce the role of nurses as health care
providers for primary, preventive, mental health, and long-term care
services. Advanced practice nurses registered nurses who have met
advanced educational and clinical practice requirements -- will play a
crucial role in guaranteeing that every American receives high-quality
care.
Removes Inappropriate Barriers to Practice
Efforts to reduce state barriers to practice will allow nurses and allied
health professionals to contribute on the basis of their skills and work
to the full scope of their training.
Advanced practice nurses will play a crucial role in ensuring that every
American receives high quality health care. They will work in
partnership with physicians and other health providers to ensure high-
quality care.
Increases Training Funds
Funding for training of nurse practitioners and physicians assistants
will be increased to expand existing programs and the number of
graduates annually.
The Act will help increase racial and ethnic diversity among nurses SO
that patients can be served by providers sensitive to cultural
differences.
Nurses and Other Health Care Professionals
Page 2
Reduces Paperwork
Use of standard claim forms and expanded electronic billing will
reduce paperwork SO that nurses can concentrate on providing care to
patients -- not filling out forms.
Introduction of comprehensive benefits will save nurses hours and
hours of frustration now spent in determining if patients are covered
for certain procedures.
Provides New Practice Opportunities
The new home and community-based long-term care program for older
Americans, persons with disabilities, the chronically ill, and other
vulnerable populations such as the mentally ill and children with
special needs, will expand professional opportunities for nurses.
The Act provides incentives for nurses and other health care providers
to work in underserved rural and urban areas.
January 5, 1994
JAN-07-1994 13:25 FROM NAPO 202-472-7054
TO
94562239
P.02
THE WHITE HOUSE
WASHINGTON
January 7, 1994
MEMORANDUM
TO:
Kimberly Tilley, Associate Director of Research
FROM:
Kristine M. Gebbie, R.N., M.N.
National AIDS Policy Coordinator
SUBJECT: Briefing material on HIV/AIDS
Attached to this memo is background information on the HIV/AIDS
epidemic, as well as highlights of the Administration's response
to HIV/AIDS, and a fact sheet on AIDS Project Los Angeles,
sponsors of the "Community for Life" awards event in late-January
that Mrs. Clinton will attend.
Incidentally, I also plan to travel to the Los Angeles area
February 1-4 to meet with community groups and physicians on
health care reform, and AIDS service, research, and prevention.
Please call me if you have questions or need additional
information about the attached materials or my trip.
Attachments
COMMITMENT TO LIFE
DRAFT SPEECH FOR THE FIRST LADY
From: Christopher Kush
To: Phill Wilson
DRAFT
Thank you, Jimmy Loyce, or Steve Tisch, or
I want to
thank you for honoring me tonight with this award.
Two years ago, before the Democratic National Convention, I
had the opportunity to tour AIDS Project Los Angeles, and to
witness first hand the incredible work APLA does to feed and
support people who are living with AIDS. I remember a sense of
warmth and caring so strong that you could almost forget the dire
circumstances that brought this community together. The sad fact
is that communities bind together in times of great need. We learn
to trust and depend on each other, and care for each other when it
is necessary for survival.
At the root of the services APLA provides for the community of
Los Angeles is a tragic virus that has already claimed more lives
than it should have, a virus that the previous Administrations
ignored and just wished would go away.
AIDS could not be ignored by the people who were fighting to
survive. Communities like Los Angeles did not have the luxury of
ignoring the devastation of AIDS. You acted where the government
did not, and built AIDS Project Los Angeles with your generous
donations, and compassion, and vision, and it is an awe-inspiring
achievement.
The Previous Administration could deny the existence of AIDS,
but they could not stop us from caring about the sick.
The Previous Administration could silently allow AIDS to
consume communities of color, and women, but they could not stop
Americans from reaching out and educating others, and talking about
safer sex and condom use, and clean needle exchange.
The Previous Administration could support hatred and ignorance
until AIDS became a national pandemic, but they could not stop gays
and lesbians from loving, and supporting, and caring for one with
pride and dignity.
And a little over a year ago, there was one more thing the
Previous Administration could do--they could leave by either the
front door or the back door.
As we watched our fellow Americans dying by the tens of
thousands, curiously, the previous Administration could not stop
people with AIDS from living, and getting angry, and marching in
the streets, refusing to be ignored, or degraded, or embarrassed
any longer.
They could not stop us from voting them out of office.
Because we were tired of watching our friends and loved ones die.
We were tired of the indifference of our legislators. We were
tired of an Administration that made a distinction between which
citizens were Americans and which were not. We were tired of the
United States Armed Forces discouraging the patriotism of some of
our most patriotic soldiers. We were tired of an Administration
that busied itself with our bedrooms rather than our economy. We
were tired of an Administration that did not lead this nation and
protect the public welfare, and educate, and care for its citizens.
A little over a year ago, Bill Clinton became President of the
United States and began a new Administration. And let me tell you
something--the days of the White House ignoring the AIDS pandemic
are officially over.
You know, since my husband was elected, I have often been
criticized for not staying within traditional feminine boundaries.
One of the things I treasure most in women is our compassion, our
ability to care about the lives and health and happiness of those
around us. And if that is really true, then this is the first lady
that's been in the White House in over a decade.
HIV for me is more than a photo opportunity with an AIDS baby.
Bill and I have lost close friends to this awful disease, and it
transcends the realm of politics for us. I tell you tonight, the
White House is not going to be any different from the hundreds of
thousands of houses across the United States that have been
affected by HIV.
(It would be especially moving here if the First Lady could
talk more specifically about someone she has lost to HIV disease,
and the impressions or lessons that experience left her with.)
President Clinton has appointed a National AIDS Policy
Coordinator, Kristine Gebbie, to coordinate and assist in the
Federal government's attack on AIDS. President Clinton has
instituted mandatory HIV/AIDS education for Federal employees. The
President has also asked for a substantial increase in Federal AIDS
spending last year. And, of course, there is the national health
care bill that would provide Universal health coverage for every
American, especially those who spend themselves into poverty due to
chronic illness. It is not enough.
It is not enough, because until we find a cure, HIV will
continue to spread, and AIDS will continue to take the lives of
Americans. And until we find a cure, we have to commit all of our
talents, and energies, and resources as the government of this
nation to make HIV/AIDS a top national priority.
Even as I commit the Administration to doing more, I think the
much-promised change in the White House is a significant
achievement of this community, and it imbues us with a
responsibility that we do not take lightly. But in many ways this
achievement also increases your responsibility, because the White
House may "get it," but there are still 485 Members of Congress
that may or may not "get it," too. They have to be educated and
held accountable for what they do or fail to do with AIDS.
Now let me tell you what Congress could do to fight AIDS if we
made them.
Congress could strike down the HIV/AIDS travel ban on
immigration, a position that would be in keeping with the American
Medical Association, the World Health Organization, the Centers for
Disease Control, the American Public Health Association, the former
Secretary of Health and Human Services, Louis W. Sullivan and the
current secretary, Donna Shalala, all of whom agree that there no
public health service is served by excluding people who are HIV
positive.
Congress could support needle exchange programs to help stop
the spread of HIV. IV Drug use is the HIV bridge into the
heterosexual and pediatrics communities. Congress needs to follow-
through on the CDC recommendations regarding needle exchange
programs and commit substantial federal funds to providing needle
exchange services and to expanding research into these programs
Congress could also develop and support targeted, explicit
HIV/AIDS education materials that would talk unflinchingly about
the realities of HIV transmission, especially to young people--
materials that discuss honestly and intelligently the differences
between abstinence and being sexually active, gay sexuality, and
female empowerment in sexual situations.
For too long, we have allowed Congress' moral stance on
condoms prevent people from obtaining the information they need to
save their lives. We have allowed Congress to convince people that
condoms are the evil that exists in this world and not the virus
that has infected more than one million Americans and has cost
nearly 200,000 more their lives. We need to decisively say that
any so-called moral stance that threatens the lives of our own
children is immoral. And will not be tolerated.
The Ryan White Comprehensive AIDS Resources Emergency Act is
the first emergency Congress has declared and then not funded.
Congress has still never fully-funded the Ryan White Act, even as
cases continue to skyrocket. Congress could fully-fund Ryan White.
Congress could sponsor a "Manhattan project" and conduct a
directed research project to find a cure for AIDS. It is my
sincere belief that a cure for AIDS will only come when we have put
enough money into research, and yet Congress judges every AIDS
research dollar against the insidious belief that research money
directed toward AIDS is money that is taken away from "innocent"
disease like heart disease and cancer.
After we find that cure we can begin to work on the future
problems facing this nation, like putting an oven in the oval
office so that the President can get still bake without
interrupting her important work schedule.
I have worked hard to develop a national health care plan that
would provide uniform coverage to every American and dramatically
reduce the over-inflated costs of obtaining health care in this
nation, costs that drive a person with a chronic illness to
inhumanely die in poverty because they seek health care that could
save their lives at too dear a cost.
The national health care plan will go through nearly every
committee in Congress and it is my belief that the United States
will adopt some form of national health care in the next few years.
But the health care plan that we have worked to develop, and the
health care plan that will eventually be adopted could be quite
different from one another.
In many ways, you will play the trump card in the national
health care reform debate. You represent the minority of Americans
who probably have the least amount of concern for health care. A
doctor's visit may take money out of your pocket, but not food out
of your child's mouth.
You have shown your generosity by contributing to APLA here
tonight, but I am going to challenge you to give again, not
financially this time, but to give support for a national health
care program that will make life longer, more manageable and less
stressful for people with HIV/AIDS or any other chronic illness.
Will you call your Representative and explain that even though you
have adequate health care and may be happy with it, you still
support a progressive health care reform bill?
People with HIV/AIDS need comprehensive health care services.
They need dental care, and hospice care, experimental therapies,
off-label drug use, substance abuse treatment on demand and no caps
on coverage. And the only way we are going to get these benefits,
is by communicating with our members in Congress.
When it was time to unveil the national health care reform
bill, I marched up Capitol Hill and testified in front of the
nation and in front of Congress, and now, in many ways it is your
turn. You've got the White House on the agenda, now you need to
write and call and visit your members of Congress, and make them
make AIDS a priority. When you give a campaign contribution let
them know that you want that office to take a leadership role in
fighting HIV/AIDS. If you have the White House and Congress on
your side, you have a clear shot at making sure the concerns of
those living with HIV/AIDS, and those who are at risk for being
infected, are covered.
In closing, let me say that while I am deeply honored to be
receiving APLA's Commitment to Life Award tonight, I am afraid only
more time will reveal if I am truly deserving. The ultimate
determination of that will depend on what the President together
with Congress is able to provide in the next several years for
people with HIV/AIDS, how much effective education gets out there,
the kind of health care we as a nation deliver for people with HIV,
and ultimately, if we can find a cure. Until we can make that
determination, I will hold this award in trust with those of us who
are living with HIV or AIDS here tonight, because you are ones we
should be rewarding. You demonstrate to me and those around you
what a commitment to life really is. Please know that your
courage, your strength, and your warmth and love, guide me in my
work and fill me with a deeply-felt respect for the lives and
liberties of every one of us. Thank you.
Talking points & Supplementary Materials
HIV/AIDS National Health Care Concerns--Neighborhood Network
HIV/AIDS Surveillance Report--CDC
Talking Points & Supporting Dada: MMWR on the Effectiveness of
Condoms--CDC
The Public Health Impact of Needle Exchange Programs in the United
States and Abroad--CDC
Federal AIDS Programs FY '94 Appropriation Summary--AIDS Action
Council
Clinton * Gore on AIDS--Campaign Position Paper
Feinstein Statement on HIV Travel & Immigration Ban
Barbara Streisand's Speech for APLA
Clinton Mandates HIV/AIDS Education
First Lady Talking Points:
As of October, 1993, reported AIDS cases
DRAFT
In Los Angeles: 21,850
In California: 62,557
In the U.S.: 339,250
White, not Hispanic:
172,196
Black, not Hispanic:
106,585
Hispanic:
56,818
Asian Pacific Islander:
2,259
Amer. Indian/Ak. Native:
731
Males:
296,231
Females:
43,019
Pediatric AIDS Cases:
4,906
Adult/Adolescent AIDS Deaths: 201,775
AIDS Deaths for Children <13: 2,615
Top 5 Exposure Categories:
Men who have sex with men:
176,793
Injecting drug use:
68,029
Heterosexual Contact:
23,536
Men who have sex with men/injecting drug use: 18,885
Injecting drug use/heterosexual contact:
11,003
New Male AIDS Cases by State 10/92 to 09/93
California: 16,174
New York: 12,019
Florida:
7,629
New Female AIDS Cases by State 10/92 to 09/93
New York:
3,587
Florida:
1,841
California: 1,246
New Pediatric AIDS Cases by State 10/92 to 09/93
New York:
227
Florida:
143
California: 54
In Los Angeles County
Highest cumulative number of AIDS cases: White men
Highest rate (cases per 100,000 population) : Black Men
Highest increase in rate over the past five years: Women
President Clinton's Campaign Promises on AIDS
Increase funding for desperately needed new initiatives in
research, prevention and treatment. (Not Yet Delivered)
Appoint an AIDS policy director to coordinate federal AIDS
policies, cut through bureaucratic red tape and implement
recommendations made by the National Commission on AIDS.
(Delivered)
Speed up the drug approval process and commit increased
resources to research and development of AIDS-related treatments
and vaccines, and ensure that women and people of color are
included in research and drug trials. (Not yet delivered)
Fully fund Ryan White CARE Act. Work closely with individuals
and communities that are affected by HIV to creates a partnership
between the federal government and those with knowledge and
experience in fighting HIV. (Not yet delivered)
Promote a national AIDS education and prevention initiative
that disseminates frank and accurate information to reduce the
spread of the disease, and educates our children about the nature
and threat of AIDS. (Partially delivered)
Provide quality health coverage to all Americans with HIV as
part of a broader national health care program; work vigorously to
improve access to promising experimental therapies for people with
life-threatening illnesses; and improve preventive and long-term
care. (Not yet delivered)
Combat AIDS-related discrimination and oppose needless
mandatory HIV testing in federal organizations such as the Peace
Corps, Job Corps and the Foreign Service; stop the cynical
politicization of immigration policies by directing the Justice
Department to follow the Department of Health and Human Services
recommendation that HIV be removed from the immigration
restrictions list; promote legislation based on sound scientific
and public health principles, not on panic, politics and prejudice.
(Not delivered)
On the Effectiveness of Condoms:
1. Latex condoms are highly effective against the sexual
transmission of HIV when used consistently and correctly during
sexual intercourse.
2. Latex condoms must be used consistently and correctly in order
to be highly effective in preventing the transmission of HIV.
3. Latex condoms are excellent quality products.
4. As a medical device, latex condoms are rigorously tested to
ensure they meet federal and industry quality assurance standards.
5. When condoms fail, it is usually due to user error.
6. Both refraining from intercourse with infected partners and
consistently and correctly using condoms are effective prevention
strategies.
On Needle Exchange Programs (From the CDC Study) :
Some needle exchange programs have made significant numbers of
referrals to drug abuse treatment and other public health services,
but referrals are limited by the paucity of drug treatment slots.
Integrating needle exchange programs into the existing public
health system is a likely future direction of these programs
Although quantitative data are difficult to obtain, those available
provide no evidence that needle exchange programs increase the
amount of drug use by needle exchange program clients or change
overall community levels of non-injection and injection drug use.
This conclusion is supported by interviews with needle exchange
program clients and by injecting drug users not using the programs,
who did not believe that increased needle availability would
increase drug use.
The majority of studies of needle exchange program clients
demonstrate decreased rates of HIV drug risk behavior, but not
decreased rates of HIV sex risk behavior.
Studies of the effect of needle exchange programs on HIV infection
rates do not and, in part due to the need for large sample sizes
and the multiple impediments to randomization, probably cannot
provide clear evidence that needle exchange programs decrease HIV
infection rates. However, needle exchange programs do not appear
to be associated with increased rates of HIV infection.
Multiple mathematical models of needle exchange program impact
support the findings of the New Haven model. These models suggest
that needle exchange programs can prevent significant numbers of
infections among clients of the programs, their drug and sex
partners, and their offspring. In almost all cases, the cost per
HIV infection averted is far below the $119,000 lifetime cost of
treating an HIV-infected person.
Recommendations for the federal government--The federal government
should repeal the ban on the use of federal funds for needle
exchange services and substantial federal funds should be committed
both to providing needle exchange services and to expanding
research into the programs.
On Federal Funding of HIV/AIDS Programs:
FY 93 Funding
FY 94 Funding
Research
$1.073 Billion
$1.3 Billion
Prevention/Edu.
498 Million
543 Million
Ryan White CARE
348 Million
558.5 Million
Housing (AHOA)
100 Million
156 Million
On the HIV Travel and Immigration Ban
APLA stands with the American Medical Association, the World Health
Organization, the Centers for Disease Control, the American Public
Health Association, the former Secretary of Health and Human
Services, Louis W. Sullivan, and the current Secretary, Donna
Shalala, all of whom agree that no public health purpose is served
by the immigration exclusion of people who are HIV positive.
On Federal HIV/AIDS Education
President Clinton has inaugurated HIV/AIDS education and prevention
training for all employees throughout the Executive Office of the
President and all Federal Departments/Agencies.
National Health Care Concerns
*
Universal Coverage
Including the undocumented who may be HIV+.
Choice of Knowledgeable HIV/AIDS Specialists
Ignorance about HIV is still a problem among some
medical providers.
*
Experimental and Alternative Therapies and Off-Label
Drug Usage
Without a medical cure, alternative and experimental
treatments should be a choice for those with HIV.
*
Home Health Care and Hospice Care
Cost-effective and humane alternatives to
hospitalization for the chronically ill.
Dental Care
Important for early detection and prevention of
opportunistic infections.
Mental Health/Substance Abuse Coverage
Mental health is an important component of immune
response. Also, IV drug use is the HIV bridge into
the heterosexual and pediatric communities,
substance abuse treatment on demand must be
available.
Preventative Services
People can lead productive lives with HIV if they
work on correctly managing their condition, that
means access to providers, tests and counseling
before an emergency condition exists. For women,
this means frequent pap smears and mammograms.
*
Anonymous Testing
Until people are free from HIV/AIDS discrimination,
many will only get tested for HIV in an anonymous
setting.
No Caps on Coverage
Budget limits must not prevent anyone with HIV/AIDS
from receiving treatment that could extend their
lives, even when they are end-stage.
HIV AIDS
SURVEILLANCE REPORT
Third Quarter Edition
U.S. AIDS cases reported through September 1993
Issued October 1993, Vol. 5, No. 3
Contents
Table 1. AIDS cases and annual rates per 100,000 population, by state
3
Table 2. AIDS cases and annual rates per 100,000 population, by metropolitan area
with 500,000 or more population
4
Table 3. AIDS cases by age group, exposure category, and sex
6
Table 4. Male adult/adolescent AIDS cases by exposure category and race/ethnicity
7
Table 5. Female adult/adolescent AIDS cases by exposure category and race/ethnicity
8
Table 6. Pediatric AIDS cases by exposure category and race/ethnicity
9
Table 7. AIDS cases in adolescents and adults under age 25, by sex and exposure category
10
Table 8. AIDS cases by sex, age at diagnosis, and race/ethnicity
11
Table 9. AIDS cases, case-fatality rates, and deaths, by half-year and age group
12
Table 10. AIDS cases by year of diagnosis and definition category
13
Table 11. Health-care workers with documented and possible occupationally acquired
AIDS/HIV infection, by occupation
13
Table 12. Adult/adolescent AIDS cases by single and multiple exposure categories
14
Figure 1. Male adult/adolescent AIDS annual rates per 100,000 population
15
Figure 2. Female adult/adolescent AIDS annual rates per 100,000 population
15
Figure 3. Male adult/adolescent AIDS cases
16
Figure 4. Female adult/adolescent AIDS cases
16
Figure 5. Pediatric AIDS cases
17
Figure 6.- Results of investigations of AIDS cases with risk not identified
17
Technical notes
18
Acquired immunodeficiency syndrome (AIDS) is a specific group of diseases or conditions which are
indicative of severe immunosuppression related to infection with the human immunodeficiency virus (HIV).
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
NUMAN
Public Health Service
Centers for Disease Control
CDC
and Prevention
CENTERS FOR DISEASE CONTROL
AND PREVENTION
National Center for Infectious Diseases
Division of HIV/AIDS
Atlanta, Georgia 30333
The HIV/AIDS Surveillance Report is published quarterly by the Division of HIV/AIDS, National Center
for Infectious Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333. The
year-end edition contains additional tables and graphs. All data contained in the Report are provisional.
Suggested Citation: Centers for Disease Control and Prevention. HIV/AIDS Surveillance
Report, 1993;5(no. 3): [inclusive page numbers].
Centers for Disease Control and Prevention
Walter R. Dowdle, Ph.D.
Acting Director
James W. Curran, M.D., M.P.H.
Associate Director (HIV/AIDS)
National Center for Infectious Diseases
James M. Hughes, M.D.
Director
Division of HIV/AIDS
Harold W. Jaffe, M.D.
Director
Surveillance Branch
John W. Ward, M.D.
Chief
Reporting and Analysis Section
Patricia L. Fleming, Ph.D.
Chief
Russ P. Metler, R.N., M.S.P.H.
Surveillance Report Coordinator
Statistics and Data Management Branch
W. Meade Morgan, Ph.D.
Chief
Xenophon M. Santas
Assistant Chief for Operations
Single copies of the HIV/AIDS. Surveillance, Report are available free from the CDC National AIDS
Clearinghouse, P.O. Box 6003, Rockville, MD 20849-6003; telephone 1-800-458-5231. Individuals or
organizations can be added to the mailing list by writing to Centers for Disease Control and Prevention,
OD/OPS/MASO, 1/B49, Mailstop A-22, Atlanta, GA 30333. Confidential information, referrals, and edu-
cational material on AIDS are available from the CDC National AIDS Hotline: 1-800-342-2437, 1-800-
344-7432 (Spanish access), and 1-800-243-7889 (TTY, deaf access)
Table 1. AIDS cases and annual rates per 100,000 population, by state, reported October 1991
through September 1992, October 1992 through September 1993; 1 and cumulative
totals, by state and age group, through September 1993, United States
2
Oct. 1991-
Oct. 1992-
Cumulative totals
Sept. 1992
Sept. 1993
Adults/
Children
State of residence
No.
Rate
No.
Rate
adolescents
< 13 years old
Total
Alabama
465
11.4
705
17.0
2,275
43
2,318
Alaska
18
3.2
60
10.2
154
2
156
Arizona
408
10.9
1.202
31.3
3,059
14
3,073
Arkansas
237
10.0
420
17.5
1,239
21
1,260
California
8,641
28.4
17,474
56.4
62,201
356
62,557
Colorado
415
12.3
1,193
34.5
3,516
18
3.534
Connecticut
538
16.3
1,693
51.4
4,415
98
4,513
Delaware
126
18.5
346
49.9
830
7
837
District of Columbia
724
121.0
1,370
232.3
5.231
78
5.309
Florida
5,007
37.7
9,613
70.6
32,008
751
32,759
Georgia
1,348
20.4
2,597
38.4
9,255
87
9,342
Hawaii
175
15.4
324
27.9
1,250
10
1,260
Idaho
36
3.5
71
6.6
203
2
205
Illinois
1,842
16.0
3,005
25.8
10,522
140
10,662
Indiana
370
6.6
831
14.6
2,443
17
2,460
lowa
86
3.1
196
7.0
577
6
583
Kansas
188
7.5
335
13.3
1,031
5
1,036
Kentucky
207
5.6
316
8.4
1,148
13
1,161
Louisiana
829
19.5
1,172
27.4
4,811
67
4,878
Maine
50
4.0
126
10.2
427
4
431
Maryland
1,096
22.6
2,353
47.6
7,187
152
7,339
Massachusetts
767
12.8
2,532
42.4
7,238
132
7,370
Michigan
784
8.4
1,752
18.6
4,904
62
4,966
Minnesota
237
5.3
624
13.9
1,829
13
1,842
Mississippi
231
8.9
468
17.9
1,483
20
1,503
Missouri
650
12.6
1,679
32.3
4,626
33
4,659
Montana
22
2.7
35
4.3
134
2
136
Nebraska
68
4.3
179
11.1
469
4
473
Nevada
235
18.3
601
44.0
1,641
15
1,656
New Hampshire
48
4.3
99
9.0
368
6
374
New Jersey
2,051
26.4
4,390
56.3
18,106
423
18,529
New Mexico
90
5.8
307
19.4
831
2
833
New York
8,232
45.6
16,031
88.4
63,660
1,321
64,981
North Carolina
648
9.6
1,059
15.5
3,735
75
3,810
North Dakota
4
0.6
4
0.6
32
-
32
Ohio
696
6.4
1,490
13.5
4,944
68
5,012
Oklahoma
228
7.2
716
22.3
1,795
15
1,810
Oregon
283
9.7
732
24.4
2,233
9
2,242
Pennsylvania
1,338
11.2
2,556
21.2
9,086
120
9,206
Rhode Island
102
10.2
305
30.3
842
9
851
South Carolina
347
9.7
1,395
38.4
3,022
38
3,060
South Dakota
8
1.1
23
3.2
57
2
59
Tennessee
442
8.9
967
19.2
2,734
26
2,760
Texas
2,944
17.0
7,164
40.4
23,572
213
23,785
Utah
145
8.2
270
14.9
818
20
838
Vermont
26
4.6
60
10.5
176
2
178
Virginia
606
9.6
1,590
24.9
4,710
82
4,792
Washington
573
11.4
1,459
28.2
4,765
18
4,783
West Virginia
61
3.4
78
4.3
359
5
364
Wisconsin
224
4.5
700
13.9
1,705
19
1,724
Wyoming
4
0.9
36
7.7
91
91
Subtotal
44,900
17.8
94,703
37.0
323,747
4,645
328,392
Guam
1
0.7
2
1.5
12
-
12
Pacific Islands, U.S.
-
-
-
-
2
-
2
Puerto Rico
1,796
50.5
2,621
73.1
10,436
256
10,692
Virgin Islands, U.S.
19
18.6
42
40.8
147
5
152
Total
46,716
18.2
97,368
37.5
334,344
4,906
339,250
1Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
2During the third quarter of 1993, CDC received reports of 23,664 cases and 9,951 deaths among adults/adolescents and 196 cases and 105 deaths
among children.
October 1993
3
HIV/AIDS Surveillance Report
Table 2. AIDS cases and annual rates per 100,000 population, by metropolitan area
with 500,000 or more population, reported October 1991 through September 1992,
October 1992 through September 1993; 1 and cumulative totals, by area and age
group, through September 1993, United States
Oct. 1991-
Oct. 1992-
Cumulative totals
Sept. 1992
Sept. 1993
Adults/
Children
Metropolitan area of residence²
No.
Rate
No.
Rate
adolescents
< 13 years old
Total
Akron, Ohio
36
5.4
46
6.9
214
I
214
Albany-Schenectady, N.Y.
106
12.2
217
24.7
672
14
686
Albuquerque, N.M.
58
9.6
186
30.2
490
1
491
Allentown, Pa.
32
5.3
122
20.0
314
4
318
Ann Arbor, Mich.
29
5.8
63
12.4
194
4
198
Atlanta, Ga.
956
31.3
1,773
56.4
6,836
43
6,879
Austin, Tex.
241
27.6
586
65.0
1,705
14
1,719
Bakersfield, Calif.
50
8.8
161
27.3
357
3
360
Baltimore, Md.
669
27.7
1,628
66.6
4,548
113
4,661
Baton Rouge, La.
92
17.1
135
24.7
469
7
476
Bergen-Passaic, N.J.
267
20.9
677
52.8
2,425
51
2,476
Birmingham, Ala.
116
13.7
259
30.2
716
11
727
Boston, Mass.
659
11.6
2,268
40.2
6,510
117
6,627
Buffalo, N.Y.
69
5.8
198
16.5
653
8
661
Charleston, S.C.
70
13.4
259
47.9
611
5
616
Charlotte, N.C.
118
9.9
245
20.1
747
10
757
Chicago, 111.
1,614
21.5
2,619
34.5
9,251
125
9,376
Cincinnati, Ohio
112
7.3
230
14.7
768
11
779
Cleveland, Ohio
199
9.0
458
20.6
1,414
27
1,441
Columbus, Ohio
158
11.5
336
24.1
1,085
6
1,091
Dallas, Tex.
759
27.7
1,805
64.4
5,867
24
5,891
Dayton, Ohio
67
7.0
132
13.7
481
8
489
Denver, Colo.
335
20.1
1,010
58.9
2,918
13
2,931
Detroit, Mich.
606
14.1
1,233
28.7
3,484
45
3,529
El Paso, Tex.
46
7.5
116
18.3
303
1
304
Fort Lauderdale, Fla.
848
65.9
1,165
88.4
5,114
109
5,223
Fort Worth, Tex.
160
11.5
404
28.2
1,350
15
1,365
Fresno, Calif.
99
12.7
173
21.5
519
4
523
Gary, Ind.
47
7.7
78
12.6
240
2
242
Grand Rapids, Mich.
37
3.9
126
13.0
326
3
329
Greensboro, N.C.
128
12.0
151
14.0
631
11
642
Greenville, S.C.
62
7.4
255
29.8
521
2
523
Harrisburg, Pa.
46
7.7
78
12.9
313
6
319
Hartford, Conn.
167
14.8
565
50.2
1,397
17
1,414
Honolulu, Hawaii
124
14.6
256
29.6
946
6
952
Houston, Tex.
1,023
29.8
2,587
72.8
9,225
87
9,312
Indianapolis, Ind.
170
12.1
397
27.7
1,178
5
1,183
Jacksonville, Fla.
327
35.0
910
94.7
2,140
49
2,189
Jersey City, N.J.
313
56.6
619,
111.8
2,933
68
3,001
Kansas City, Mo.
314
19.6
736
45.4
2,197
9
2,206
Knoxville, Tenn.
35
5.8
78
12.7
238
2
240
Las Vegas, Nev.
180
19.5
468
46.9
1,260
14
1,274
Little Rock, Ark.
82
15.8
171
32.6
485
9
494
Los Angeles, Calif.
3,327
37.1
5,557
61.1
21,704
146
21,850
Louisville, Ky.
90
9.4
166
17.2
509
8
517
Memphis, Tenn.
174
17.1
414
40.1
1,007
9
1,016
Miami, Fla.
1,324
67.0
2,423
120.1
9,303
260
9,563
Middlesex, N.J.
217
21.1
354
34.2
1,515
33
1,548
Milwaukee, Wis.
127
8.8
361
24.8
914
12
926
Minneapolis-Saint Paul, Minn.
204
7.9
550
20.9
1,619
10
1,629
Monmouth-Ocean City, N.J.
111
11.1
366
36.4
1,253
35
1,288
Nashville, Tenn.
125
12.5
269
26.3
844
10
854
Nassau-Suffolk, N.Y.
370
14.1
1,010
38.4
3,200
66
3,266
New Haven, Conn.
318
19.5
987
60.4
2,654
77
2,731
New Orleans, La.
476
36.8
612
46.9
2,868
37
2,905
New York, N.Y.
7,163
83.8
13,288
155.3
54,716
1,183
55,899
Newark, N.J.
838
43.8
1,540
80.6
7,229
184
7,413
Norfolk, Va.
105
7.2
325
21.9
1,006
22
1,028
Oakland, Calif.
563
26.7
1,225
57.2
4,138
26
4,164
Oklahoma City, Okla.
113
11.6
310
31.5
825
1
826
Omaha; Neb.
49
7.5
136
20.6
343
1
344
Orange County, Calif.
553
22.6
717
29.0
2,811
21
2,832
HIV/AIDS Surveillance Report
4
October 1993
Table 2. AIDS cases and annual rates per 100,000 population, by metropolitan area
with 500,000 or more population, reported October 1991 through September 1992,
October 1992 through September 1993; 1 and cumulative totals, by area and age
group, through September 1993, United States - Continued
Oct. 1991-
Oct. 1992-
Cumulative totals
Sept. 1992
Sept. 1993
Adults/
Children
Metropolitan area of residence 2
No.
Rate
No.
Rate
adolescents
< 13 years old
Total
Orlando, Fla.
331
26.1
870
66.3
2,249
42
2,291
Philadelphia, Pa.
1,005
20.3
2,110
42.5
7,082
87
7,169
Phoenix, Ariz.
292
12.8
863
36.9
2,236
9
2,245
Pittsburgh, Pa.
148
6.2
214
8.9
1,026
6
1,032
Portland, Oreg.
249
15.9
655
40.3
1,943
6
1,949
Providence, R.I.
96
10.5
285
31.1
791
8
799
Raleigh-Durham, N.C.
128
14.5
189
20.8
787
18
805
Richmond, Va.
140
15.9
385
42.9
1,006
13
1,019
Riverside-San Bernardino, Calif.
435
16.0
1,045
36.6
2,727
27
2,754
Rochester, N.Y.
76
7.1
243
22.4
742
8
750
Sacramento, Calif.
287
20.7
453
31.5
1,490
14
1,504
Saint Louis, Mo.
290
11.6
841
33.3
2,224
21
2,245
Salt Lake City, Utah
129
11.7
241
21.3
726
14
740
San Antonio, Tex.
217
16.1
426
31.1
1,591
14
1,605
San Diego, Calif.
631
24.8
1,474
56.7
4,877
32
4,909
San Francisco, Calif.
1,896
116.9
4,592
279.8
17,397
27
17,424
San Jose, Calif.
183
12.2
502
33.2
1,514
11
1,525
San Juan, P.R.
1,075
57.9
1,638
87.3
6,577
168
6,745
Sarasota, Fla.
90
18.0
148
28.9
570
12
582
Scranton, Pa.
26
4.1
54
8.4
188
3
191
Seattle, Wash.
424
20.4
1,043
49.1
3.536
10
3,546
Springfield, Mass.
92
15.3
210
35.0
574
15
589
Stockton, Calif.
34
6.9
109
21.6
307
8
315
Syracuse, N.Y.
71
9.5
168
22.2
497
6
503
Tacoma, Wash.
38
6.3
137
21.9
360
7
367
Tampa-Saint Petersburg, Fla.
535
25.5
1,421
66.6
3,781
53
3,834
Toledo, Ohio
33
5.4
90
14.6
271
4
275
Tucson, Ariz.
93
13.7
258
37.6
619
5
624
Tulsa, Okia.
70
9.7
236
32.1
549
5
554
Ventura, Calif.
73
10.8
130
19.0
378
1
379
Washington, D.C.
1,345
31.3
2,560
58.7
9,366
138
9,504
West Palm Beach, Fla.
529
59.7
787
86.5
2,916
107
3,023
Wichita, Kansas
62
12.6
96
19.2
276
2
278
Wilmington, Del.
93
17.8
261
49.1
617
6
623
Youngstown, Ohio
23
3.8
29
4.8
148
-
148
Metropolitan areas with
39,112
24.8
81,352
50.9
284,441
4,131
288,572
500,000 or more population
Metropolitan areas with
4,821
10.5
10,306
22.0
31,977
485
32,462
50,000 to 500,000 population
Non-metropolitan areas
2,587
4.9
5,288
10.0
16,621
268
16,889
Total
3
46,716
18.2
97,368
37.5
334,344
4,906
339,250
1 Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
2 Based on Metropolitan Statistical Areas (MSA) revised June 1993. See technical notes.
³Totals include 1,327 persons whose area of residence is unknown.
October 1993
5
HIV/AIDS Surveillance Report
Table 3. AIDS cases by age group, exposure category, and sex, reported October 1991
through September 1992, October 1992 through September 1993; 1 and cumulative
totals, by age group and exposure category, through September 1993, United States
Males
Females
Totals
Oct. 1991-
Oct. 1992-
Oct. 1991-
Oct. 1992-
Oct. 1991-
Oct. 1992-
Cumulative
Sept. 1992
Sept. 1993
Sept. 1992
Sept. 1993
Sept. 1992
Sept. 1993
total²
Adult/adolescent
exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Men who have sex with men
24,334
(61)
46,025
(56)
--
-
24,334
(53)
46,025
(48)
183,344
(55)
Injecting drug use
8,621
(22)
19,142
(23)
2,815
(46)
6,891
(47)
11,436
(25)
26,033
(27)
80,713
(24)
Men who have sex with men
2.638
(7)
5.353
(7)
-
-
2,638
(6)
5,353
(6)
21,142
(6)
and inject drugs
Hemophilia/coagulation disorder
317
(1)
990
(1)
6
(0)
27
(0)
323
(1)
1,017
(1)
2.963
(1)
Heterosexual contact:
1,613
(4)
3,328
(4)
2,588
(42)
5.545
(37)
4.201
(9)
8.873
(9)
24,358
(7)
Sex with injecting drug user
703
1,102
1.474
2.474
2,177
3,576
11,750
Sex with bisexual male
-
-
177
423
177
423
1,250
Sex with person with hemophilia
3
10
20
61
23
71
193
Born in Pattern-II³ country
271
607
165
324
436
931
3,758
Sex with person born
in Pattern-II country
14
43
15
31
29
74
279
Sex with transfusion recipient
with HIV infection
18
59
49
101
67
160
456
Sex with HIV-infected person,
risk not specified
604
1,507
688
2,131
1,292
3,638
6,672
Receipt of blood transfusion,
385
(1)
695
(1)
278
(5)
496
(3)
663
(1)
1,191
(1)
5,984
(2)
blood components, or tissue⁴
Other/risk not identified⁵
1,925
(5)
6,174
(8)
466
(8)
1,833
(12)
2,391
(5)
8,007
(8)
15,840
(5)
Adult/adolescent subtotal
39,833
(100)
81,707
(100)
6,153
(100)
14,792
(100)
45,986
(100)
96,499
(100)
334,344
(100)
Pediatric (< 13 years old)
exposure category
Hemophilia/coagulation disorder
23
(6)
18
(4)
-
-
23
(3)
18
(2)
202
(4)
Mother with/at risk for HIV infection:
329
(89)
397
(91)
347
(96)
417
(97)
676
(93)
814
(94)
4,328
(88)
Injecting drug use
114
126
144
138
258
264
1,920
Sex with injecting drug user
54
68
62
65
116
133
846
Sex with bisexual male
7
5
8
4
15
9
88
Sex with person with hemophilia
5
1
2
2
7
3
21
Born in Pattern-II country
19
22
12
15
31
37
305
Sex with person born
in Pattern-II country
3
3
2
2
5
5
23
Sex with transfusion recipient
with HIV infection
1
1
3
2
4
3
19
Sex with HIV-infected person,
risk not specified
31
45
21
51
52
96
275
Receipt of blood transfusion,
blood components, or tissue
12
16
10
7
22
23
98
Has HIV infection,
risk not specified
83
110
83
131
166
241
733
Receipt of blood transfusion,
12
(3)
15
(3)
6
(2)
9
(2)
18
(2)
24
(3)
327
(7)
blood components, or tissue
Risk not identified
5
(1)
7
(2)
8
(2)
6
(1)
13
(2)
13
(1)
49
(1)
Pediatric subtotal
369
(100)
437
(100)
361
(100)
432
(100)
730
(100)
869
(100)
4,906
(100)
Total
40,202
82,144
6,514
15,224
46,716
97,368
339,250
1 Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
²Includes 7 persons known to be infected with human immunodeficiency virus type 2 (HIV-2). See JAMA 1992;267:2775-9.
See technical notes.
4 Twenty-seven adults/adolescents and 2 children developed AIDS after receiving blood screened negative for HIV antibody. Six additional adults developed
AIDS after receiving tissue or organs from HIV-infected donors. Three of the 6 received tissues or organs from a donor who was negative for HIV antibody at
the time of donation. See N Engl J Med 1992;326:726-32.
Other" refers to 11 health-care workers who developed AIDS after occupational exposure to HIV-infected blood, as documented by evidence of seroconver-
sion; to 4 patients who developed AIDS after exposure to HIV within the health-care setting, as documented by laboratory studies; to 1 person who acquired
HIV_infection perinatally and was diagnosed with AIDS after age 13; and to 1 person with intentional self-inoculation of blood from an HIV-infected person. "Risk
not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died, were lost to follow-
up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
HIV/AIDS Surveillance Report
6
October 1993
Table 4. Male adult/adolescent AIDS cases by exposure category and race/ethnicity, reported
October 1992 through September 1993, and cumulative totals, through September
1993, United States
White, not Hispanic
Black, not Hispanic
Hispanic
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Men who have sex with men
30,094
(73)
125,392
(78)
9,614
(37)
34,166
(42)
5,638
(42)
21,475
(45)
Injecting drug use
4.285
(10)
12,670
(8)
9.667
(37)
29,762
(36)
5,094
(38)
18,143
(38)
Men who have sex with men
and inject drugs
3,001
(7)
11,959
(7)
1,568
(6)
5,974
(7)
712
(5)
3,021
(6)
Hemophilia/coagulation disorder
794
(2)
2,349
(1)
110
(0)
260
(0)
68
(1)
224
(0)
Heterosexual contact:
607
(1)
1,654
(1)
2,125
(8)
6,279
(8)
570
(4)
1,375
(3)
Sex with injecting drug user
227
804
682
2.118
185
599
Sex with person with hemophilia
6
13
1
4
2
4
Born in Pattern-IP country
1
8
605
2,571
-
10
Sex with person born
in Pattern-II country
10
52
31
86
2
11
Sex with transfusion recipient
with HIV infection
25
72
26
51
6
28
Sex with HIV-infected person,
risk not specified
338
705
780
1,449
375
723
Receipt of blood transfusion,
blood components, or tissue
431
(1)
2.519
(2)
157
(1)
606
(1)
91
(1)
385
(1)
Risk not identified³
2,032
(5)
4,380
(3)
2,807
(11)
5,127
(6)
1,234
(9)
2,728
(6)
Total
41,244 (100)
160,923 (100)
26,048 (100)
82,174 (100)
13,407 (100)
47,351 (100)
Asian/Pacific Islander
American Indian/Alaska Native
Cumulative totals⁴
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Men who have sex with men
445
(74)
1,583
(79)
158
(63)
388
(63)
46,025
(56)
183,344
(62)
Injecting drug use
28
(5)
79
(4)
23
(9)
62
(10)
19,142
(23)
60,835
(21)
Men who have sex with men
and inject drugs
22
(4)
57
(3)
42
(17)
107
(17)
5,353
(7)
21,142
(7)
Hemophilia/coagulation disorder
12
(2)
35
(2)
6
(2)
16
(3)
990
(1)
2,890
(1)
Heterosexual contact:
15
(2)
29
(1)
4
(2)
10
(2)
3,328
(4)
9,361
(3)
Sex with injecting drug user
6
12
1
5
1,102
3,539
Sex with person with hemophilia
-
-
-
|
10
22
Born in Pattern-II country
-
3
-
-
607
2,597
Sex with person born
in Pattern-II country
-
1
-
-
43
150
Sex with transfusion recipient
with HIV infection
2
2
-
-
59
154
Sex with HIV-infected person,
risk not specified
7
11
3
5
1,507
2,899
Receipt of blood transfusion,
blood components, or tissue
12
(2)
72
(4)
1
(0)
5
(1)
695
(1)
3,596
(1)
Risk not identified
69
(11)
152
(8)
15
(6)
26
(4)
6,174
(8)
12,474
(4)
Total
603 (100)
2,007 (100)
249 (100)
614 (100)
81,707 (100)
293,642 (100)
1
Includes 9 months of-data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
2 See technical notes.
3 Risk not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died, were lost to
follow-up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
4 Includes 573 men whose race/ethnicity is unknown.
October 1993
7
HIV/AIDS Surveillance Report
Table 5. Female adult/adolescent AIDS cases by exposure category and race/ethnicity,
reported October 1992 through September 1993, 1 and cumulative totals, through
September 1993, United States
White, not Hispanic
Black, not Hispanic
Hispanic
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Injecting drug use
1,718
(46)
4,459
(43)
3,861
(48)
11,386
(52)
1,265
(44)
3,907
(47)
Hemophilia/coagulation disorder
14
(0)
48
(0)
7
(0)
15
(0)
5
(0)
9
(0)
Heterosexual contact:
1,387
(37)
3,595
(35)
2,884
(36)
7,864
(36)
1,192
(41)
3,377
(41)
Sex with injecting drug user
586
1,703
1,191
4,101
667
2,337
Sex with bisexual male
199
627
150
428
60
162
Sex with person with hemophilia
50
140
9
21
1
7
Born in Pattern-IP country
3
5
316
1,143
4
11
Sex with person born in
4
15
26
110
1
4
Pattern-II country
Sex with transfusion recipient
49
176
27
63
17
51
with HIV infection
Sex with HIV-infected person,
496
929
1,165
1,998
442
805
risk not specified
Receipt of blood transfusion,
223
(6)
1,398
(14)
167
(2)
571
(3)
88
(3)
349
(4)
blood components. or tissue
Risk not identified³
398
(11)
793
(8)
1,089
(14)
1,892
(9)
327
(11)
631
(8)
Total
3,740
(100)
10,293
(100)
8,008
(100)
21,728
(100)
2,877
(100)
8,273
(100)
Asian/Pacific Islander
American Indian/Alaska Native
Cumulative totals⁴
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Injecting drug use
15
(15)
34
(15)
17
(37)
52
(50)
6,891
(47)
19,878
(49)
Hemophilia/coagulation disorder
1
(1)
1
(0)
-
-
27
(0)
73
(0)
Heterosexual contact:
57
(58)
104
(45)
20
(43)
32
(31)
5,545
(37)
14,997
(37)
Sex with injecting drug user
15
31
12
21
2,474
8,211
Sex with bisexual male
13
28
1
3
423
1,250
Sex with person with hemophilia
-
2
1
1
61
171
Born in Pattern-II country
1
1
-
-
324
1,161
Sex with person born in
-
-
-
-
31
129
Pattern-II country
Sex with transfusion recipient
8
11
-
-
101
302
with HIV infection
Sex with HIV-infected person,
20
31
6
7
2,131
3,773
risk not specified
Receipt of blood transfusion,
16
(16)
59
(26)
2
(4)
8
(8)
496
(3)
2,388
(6)
blood components, or tissue
Risk not identified
10
(10)
32
(14)
7
(15)
11
(11)
1,833
(12)
3,366
(8)
Total
99
(100)
230
(100)
46
(100)
103
(100)
14,792
(100)
40,702
(100)
1
Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
2 See technical notes.
3 Risk not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died, were lost to
follow-up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
4 Includes 75 women whose race/ethnicity is unknown.
HIV/AIDS Surveillance Report
8
October 1993
Table 6. Pediatric AIDS cases by exposure category and race/ethnicity, reported
October 1992 through September 1993, and cumulative totals, through
September 1993, United States
White, not Hispanic
Black, not Hispanic
Hispanic
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Hemophilia/coagulation disorder
13
(9)
141
(14)
1
(0)
24
(1)
4
(2)
33
(3)
Mother with/at risk for HIV infection:
118
(84)
663
(68)
489
(97)
2,556
(95)
197
(93)
1,074
(90)
Injecting drug use
38
290
153
1,133
69
483
Sex with injecting drug user
22
132
70
390
40
318
Sex with bisexual male
4
39
2
28
3
20
Sex with person with hemophilia
2
13
-
5
1
3
Born in Pattern-II country
-
3
37
300
-
2
Sex with person born in
Pattern-II country
-
-
5
22
-
1
Sex with transfusion recipient
with HIV infection
1
6
1
5
1
8
Sex with HIV-infected person,
risk not specified
10
45
57
148
27
77
Receipt of blood transfusion,
blood components. or tissue
6
29
12
43
5
25
Has HIV infection, risk not specified
35
106
152
482
51
137
Receipt of blood transfusion,
9
(6)
167
(17)
6
(1)
74
(3)
7
(3)
76
(6)
blood components, or tissue
Risk not identified²
1
(1)
9
(1)
8
(2)
29
(1)
4
(2)
11
(1)
Total
141
(100)
980
(100)
504
(100)
2,683
(100)
212
(100)
1,194
(100)
Asian/Pacific Islander
American Indian/Alaska Native
Cumulative totals³
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Oct. 1992-
Cumulative
Sept. 1993
total
Sept. 1993
total
Sept. 1993
total
Exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Hemophilia/coagulation disorder
-
3
(14)
-
1
(7)
18
(2)
202
(4)
Mother with/at risk for HIV infection:
2
(50)
10
(45)
2 (100)
13
(93)
814
(94)
4,328
(88)
Injecting drug use
1
3
1
6
264
1,920
Sex with injecting drug user
-
2
1
2
133
846
Sex with bisexual male
-
1
-
-
9
88
Sex with person with hemophilia
-
-
-
-
3
21
Born in Pattern-II country
-
-
-
-
37
305
Sex with person born in
Pattern-II country
-
-
-
-
5
23
Sex with transfusion recipient
929
with HIV infection
-
1
-
-
3
19
Sex with HIV-infected person,
risk not specified
1
1
-
2
96
275
Receipt of blood transfusion,
blood components, or tissue
-
1
-
-
23
98
Has HIV infection, risk not specified
-
2
-
3
241
733
Receipt of blood transfusion,
2
(50)
9
(41)
-
|
24
(3)
327
(7)
blood components, or tissue
Risk not identified
-
-
-
-
13
(1)
49
(1)
Total
4 (100)
22 (100)
2 (100)
14 (100)
869
(100)
4,906
(100)
1 See technical notes.
2"Risk not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died, were lost to
follow-up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
³Includes 13 children whose race/ethnicity is unknown.
****
October 1993
9
HIV/AIDS Surveillance Report
Table 7. AIDS cases in adolescents and adults under age 25, by sex and exposure category,
reported October 1991 through September 1992, October 1992 through September
1993, 1 and cumulative totals through September 1993, United States
13-19 years old
20-24 years old
Oct. 1991-
Oct. 1992-
Cumulative
Oct. 1991-
Oct. 1992-
Cumulative
Sept. 1992
Sept. 1993
total
Sept. 1992
Sept. 1993
total
Male exposure category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Men who have sex with men
36
(35)
91
(28)
319
(33)
694
(63)
1,489
(60)
6,485
(64)
Injecting drug use
4
(4)
14
(4)
62
(6)
146
(13)
282
(11)
1,245
(12)
Men who have sex with men
5
(5)
8
(2)
45
(5)
110
(10)
204
(8)
1,063
(11)
and inject drugs
Hemophilia/coagulation disorder
47
(46)
172
(52)
440
(45)
42
(4)
154
(6)
385
(4)
Heterosexual contact:
3
(3)
13
(4)
29
(3)
55
(5)
118
(5)
363
(4)
Sex with injecting drug user
/
6
11
24
40
135
Sex with person with hemophilia
-
1
1
-
-
1
Born in Pattern-IP country
-
1
8
8
17
35
Sex with person born in
Pattern-II country
-
I
1
I
2
2
Sex with transfusion recipient
with HIV infection
-
I
-
1
4
9
Sex with HIV-infected person,
risk not specified
2
5
8
22
55
118
Receipt of blood transfusion,
5
(5)
12
(4)
42
(4)
6
(1)
22
(1)
85
(1)
blood components, or tissue
Risk not identified
2
(2)
19
(6)
40
(4)
53
(5)
220
(9)
445
(4)
Male subtotal
102
(100)
329
(100)
977
(100)
1,106
(100)
2,489
(100)
10,071
(100)
Female exposure category
Injecting drug use
12
(20)
14
(8)
86
(20)
123
(32)
283
(30)
931
(35)
Hemophilia/coagulation disorder
1
(2)
1
(1)
5
(1)
1
(0)
4
(0)
9
(0)
Heterosexual contact:
34
(58)
105
(62)
236
(54)
206
(54)
483
(51)
1,329
(50)
Sex with injecting drug user
20
37
127
118
233
754
Sex with bisexual male
1
7
11
14
32
108
Sex with person with hemophilia
2
1
6
2
7
27
Born in Pattern-II country
1
4
11
5
11
64
Sex with person born in
Pattern-II country
-
1
2
-
1
12
Sex with transfusion recipient
with HIV infection
-
2
3
-
2
7
Sex with HIV-infected person,
risk not specified
10
53
76
67
197
357 (
Receipt of blood transfusion,
1
(2)
14
(8)
41
(9)
12
(3)
19
(2)
81
(3)
blood components, or tissue
Risk not identified
11
(19)
36
(21)
67
(15)
40
(10)
167
(17)
291
(11)
Female subtotal
59
(100)
170
(100)
435
(100)
382
(100)
956
(100)
2,641
(100)
=
Total
161
499
1,412
1,488
3,445
12,712
1
Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
2 See technical notes.
3 Risk not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died, were lost to
follow-up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
HIV/AIDS Surveillance Report
10
October 1993
Table 8. AIDS cases by sex, age at diagnosis, and race/ethnicity, reported through September
1993, 1 United States
White, not
Black, not
Asian/Pacific
American Indian/
Male
Hispanic
Hispanic
Hispanic
Islander
Alaska Native
Total²
Age at diagnosis (years)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Under 5
329
(0)
1,167
(1)
478
(1)
8
(0)
8
(1)
1,992
(1)
5-12
248
(0)
183
(0)
155
(0)
7
(0)
1
(0)
594
(0)
13-19
473
(0)
299
(0)
186
(0)
11
(1)
11
(2)
980
(0)
20-24
4,735
(3)
3,282
(4)
1,938
(4)
75
(4)
23
(4)
10,071
(3)
25-29
23,298
(14)
12,067
(14)
7,742
(16)
267
(13)
123
(20)
43,576
(15)
30-34
37,653
(23)
19,017
(23)
11,723
(24)
420
(21)
173
(28)
69,100
(23)
35-39
35,879
(22)
19,483
(23)
10,671
(22)
443
(22)
126
(20)
66,742
(23)
40-44
25,717
(16)
13,213
(16)
7,088
(15)
346
(17)
85
(14)
46,548
(16)
45-49
15,223
(9)
6,869
(8)
3,793
(8)
218
(11)
34
(5)
26,191
(9)
50-54
8,173
(5)
3,800
(5)
2,012
(4)
108
(5)
17
(3)
14,140
(5)
55-59
4,671
(3)
2,121
(3)
1,174
(2)
62
(3)
9
(1)
8,066
(3)
60-64
2,775
(2)
1,155
(1)
587
(1)
20
(1)
10
(2)
4,551
(2)
65 or older
2,328
(1)
869
(1)
437
(1)
37
(2)
3
(0)
3,680
(1)
Male subtotal
161,502 (100)
83,525
(100)
47,984
(100)
2,022
(100)
623
(100)
296,231
(100)
Female
Age at diagnosis (years)
Under 5
320
(3)
1,143
(5)
455
(5)
1
(0)
5
(5)
1,933
(4)
5-12
81
(1)
189
(1)
106
(1)
6
(3)
-
384
(1)
13-19
102
(1)
262
(1)
68
(1)
1-
(0)
1
(1)
435
(1)
20-24
672
(6)
1,347
(6)
594
(7)
12
(5)
10
(9)
2,641
(6)
25-29
1,875
(18)
3,801
(16)
1,699
(19)
23
(10)
23
(21)
7,430
(17)
30-34
2,455
(23)
5,618
(24)
2,126
(24)
48
(20)
34
(31)
10,300
(24)
35-39
1,918
(18)
5,094
(22)
1,707
(19)
38
(16)
14
(13)
8,792
(20)
40-44
1,093
(10)
2,826
(12)
988
(11)
37
(16)
9
(8)
4,961
(12)
45-49
594
(6)
1,187
(5)
472
(5)
21
(9)
5
(5)
2,286
(5)
50-54
359
(3)
706
(3)
273
(3)
14
(6)
2
(2)
1,356
(3)
55-59
344
(3)
381
(2)
168
(2)
8
(3)
1
(1)
903
(2)
60-64
249
(2)
248
(1)
87
(1)
12
(5)
3
(3)
599
(1)
65 or older
632
(6)
258
(1)
91
(1)
16
(7)
1
(1)
999
(2)
Female subtotal
10,694 (100)
23,060 (100)
8,834 (100)
237 (100)
108
(100)
43,019
(100)
Total
172,196
106,585
56,818
2,259
731
339,250
1 Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
²Includes 575 males and 86 females whose race/ethnicity is unknown.
October 1993
11
HIV/AIDS Surveillance Report
Table 9. AIDS cases, case-fatality rates, 1 and deaths, by half-year and age group, through
September 1993, 2 United States
Adults/adolescents
Children <13 years old
Cases diagnosed
Case-fatality
Deaths occurring
Cases diagnosed
Case-fatality
Deaths occurring
Half-year
during interval
rate
during interval
during interval
rate
during interval
Before 1981
92
81.5
30
6
66.7
1
1981 Jan.-June
98
89.8
37
11
81.8
2
July-Dec.
208
91.3
87
5
100.0
6
1982 Jan.-June
407
92.6
155
13
84.6
9
July-Dec.
707
91.1
290
16
81.3
5
1983 Jan.-June
1,312
93.2
526
32
100.0
13
July-Dec.
1,654
93.2
939
42
90.5
16
1984 Jan.-June
2,581
92.8
1,406
51
84.3
26
July-Dec.
3,408
92.8
1,981
62
87.1
22
1985 Jan.-June
4,970
92.0
2,825
99
76.8
45
July-Dec.
6,379
91.6
3,904
128
82.8
69
1986 Jan.-June
8,413
90.4
5,109
138
81.9
65
July-Dec.
10,026
88.3
6,568
189
70.9
91
1987 Jan.-June
13,115
88.6
7,613
218
72.0
117
July-Dec.
14,574
85.7
8,013
257
67.7
168
1988 Jan.-June
16,836
83.4
9,397
258
64.7
134
July-Dec.
17,425
83.1
10,764
338
61.2
174
1989 Jan.-June
20,096
78.7
12,379
352
60.2
171
July-Dec.
20,434
76.5
14,231
333
57.4
184
1990 Jan.-June
22,629
70.8
14,404
357
52.9
191
July-Dec.
22,128
66.3
15,265
377
43.0
190
1991 Jan.-June
25,769
58.7
15,902
357
42.3
163
July-Dec.
27,410
49.4
17,497
325
35.7
199
1992 Jan.-June
30,925
36.1
17,431
384
32.3
168
July-Dec.
31,177
23.4
17,555
318
27.0
197
1993 Jan.-June
27,847
11.4
14,787
213
18.3
161
July-Sept.
3,724
5.5
2,410
27
7.4
26
Total
3
334,344
60.3
201,775
4,906
53.3
2,615
1Case-fatality rates are calculated for each half-year by date of diagnosis. Each 6-month case-fatality rate is the number of deaths ever reported
among cases diagnosed in that period (regardless of the year of death), divided by the number of total cases diagnosed in that period, multiplied by
100. For example, during the interval January through June 1982, AIDS was diagnosed in 407 adults/adolescents. Through September 1993, 377 of
these 407 were reported as dead. Therefore, the case fatality rate is 92.6 (377 divided by 407, multiplied by 100). The case-fatality rates shown here
may be underestimates because of incomplete reporting of deaths. Reported deaths are not necessarily caused by HIV-related disease.
²Includes 9 months of data collected under the 1993 AIDS surveillance case defintions for adults and adolescents.
³Death totals include 270 adults/adolescents and 2 children known to have died, but whose dates of death are unknown.
HIV/AIDS Surveillance Report
12
October 1993
Table 10. AIDS cases by year of diagnosis and definition category, diagnosed through
September 1993, 1 United States
Period of diagnosis
Before
Oct. 1989-
Oct. 1990-
Oct. 1991-
Oct. 1992-
Cumulative
Sept. 1989
Sept. 1990
Sept. 1991
Sept. 1992
Sept. 1993
total
Definition category
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
No.
(%)
Pre-1987 definition
106,479
(79)
28,634
(64)
29,523
(58)
28,340
(47)
13,876
(29)
206,852
(61)
1987 definition
26,788
(20)
13,559
(30)
16,078
(31)
17,521
(29)
9,537
(20)
83,483
(25)
1993 definition²
1,610
(1)
2,402
(5)
5,467
(11)
15,032
(25)
24,404
(51)
48,915
(14)
Severe HIV-related
immunosuppression³
1,181
2,021
4,669
13,587
22,718
44,176
Pulmonary tuberculosis
362
333
706
1,195
1,115
3,711
Recurrent pneumonia
55
44
85
223
541
948
Invasive cervical cancer
16
8
13
38
48
123
Total
134,877 (100)
44,595 (100)
51,068 (100)
60,893 (100)
47,817 (100)
339,250 (100)
Includes 9 months of data collected under the 1993 AIDS surveillance case definition for adults and adolescents.
²Persons who meet only the 1993 AIDS case definition and whose date of diagnosis is before January 1993 were diagnosed retrospectively. The sum
of diagnoses listed for the four conditions under the 1993 definition do not equal the 1993 definition total because some persons have more than one
diagnosis from the added conditions of pulmonary tuberculosis, recurrent pneumonia, and invasive cervical cancer.
3 Defined as CD4+ T-lymphocyte count of less than 200 cells/uL or a CD4+ percentage less than 14 in persons with laboratory confirmation of HIV
infection.
Table 11. Health-care workers with documented and possible occupationally acquired AIDS/
HIV infection, by occupation, reported through September 1993, United States¹
Documented
Possible
occupational transmission²
occupational transmission³
Occupation
No.
No.
Dental worker, including dentist
-
6
Embalmer/morgue technician
I
3
Emergency medical technician/paramedic
-
8
Health aide/attendant
1
9
Housekeeper/maintenace worker
1
6
Laboratory technician, clinical
15
14
Laboratory technician; nonclinical
1
1
Nurse
13
15
Physician, nonsurgical
5
8
Physician, surgical
-
2
Respiratory therapist
1
2
Technician, dialysis
1
1
Technician, surgical
1
1
Technician/therapist, other than those listed above
-
3
Other health-care occupations
-
2
Total
39
81
1Health-care workers are defined as those persons, including students and trainees, who have worked in a health-care, clinical, or HIV laboratory
setting at any time since 1978. See MMWR 1992;41:823-5.
²Health-care workers who had documented HIV seroconversion after occupational exposure: 34 had percutaneous exposure, 4 had mucocutaneous
exposure, 1 had both percutaneous and mucocutaneous exposures. Thirty-six exposures were to blood from an HIV-infected person, 1 to visibly
bloody fluid, 1 to an unspecified fluid, and 1 to a concentrated virus in a laboratory. Eleven of these health-care workers have developed AIDS.
3 These health-care workers have been investigated and are without identifiable behavioral or transfusion risks; each reported percutaneous or
mucocutaneous occupational exposures to blood or body fluids, or laboratory solutions containing HIV, but HIV seroconversion specifically resulting
from an occupational exposure was not documented.
October 1993
13
HIV/AIDS Surveillance Report
Table 12. Adult/adolescent AIDS cases by single and multiple exposure categories, reported
through September 1993, United States
AIDS cases
Exposure category
No.
(%)
Single mode of exposure
Men who have sex with men
176,793
(53)
Injecting drug use
68,029
(20)
Hemophilia/coagulation disorder
2,212
(1)
Heterosexual contact
23,536
(7)
Receipt of transfusion 1
5,978
(2)
Receipt of transplant of tissues/organs²
6
(0)
Other³
17
(0)
Single mode of exposure subtotal
276,567
(83)
Multiple modes of exposure
Men who have sex with men; injecting drug use
18,885
(6)
Men who have sex with men; hemophilia/coagulation disorder
82
(0)
Men who have sex with men; heterosexual contact
3.718
(1)
Men who have sex with men; receipt of transfusion/transplant
2,554
(1)
Injecting drug use; hemophilia/coagulation disorder
88
(0)
Injecting drug use; heterosexual contact
11,003
(3)
Injecting drug use; receipt of transfusion/transplant
1,114
(0)
Hemophilia/coagulation disorder; heterosexual contact
29
(0)
Hemophilia/coagulation disorder; receipt of transfusion/transplant
704
(0)
Heterosexual contact; receipt of transfusion/transplant
822
(0)
Men who have sex with men; injecting drug use; hemophilia/coagulation disorder
20
(0)
Men who have sex with men; injecting drug use; heterosexual contact
1,764
(1)
Men who have sex with men; injecting drug use; receipt of transfusion/transplant
392
(0)
Men who have sex with men; hemophilia/coagulation disorder; heterosexual contact
4
(0)
Men who have sex with men; hemophilia/coagulation disorder; receipt of transfusion/transplant
27
(0)
Men who have sex with men; heterosexual contact; receipt of transfusion/transplant
163
(0)
Injecting drug use; hemophilia/coagulation disorder; heterosexual contact
20
(0)
Injecting drug use; hemophilia/coagulation disorder; receipt of transfusion/transplant
28
(0)
Injecting drug use; heterosexual contact; receipt of transfusion/transplant
421
(0)
Hemophilia/coagulation disorder; heterosexual contact; receipt of transfusion/transplant
18
(0)
Men who have sex with men; injecting drug use; hemophilia/coagulation disorder; heterosexual contact
4
(0)
Men who have sex with men; injecting druguse; hemophilia/coagulation disorder;
5
(0)
receipt of transfusion/transplant
Men who have sex with men; injecting drug use; heterosexual contact; receipt of transfusion/transplant
71
(0)
Men who have sex with men; hemophilia/coagulation disorder; heterosexual contact;
3
(0)
receipt of transfusion/transplant
Injecting drug use; hemophilia/coagulation disorder; heterosexual contact;
10
(0)
receipt of transfusion/transplant
Men who have sex with men; injecting drug use; hemophilia/coagulation disorder;
1
(0)
heterosexual contact; receipt of transfusion/transplant
Multiple modes of exposure subtotal
41,950
(13)
Risk not identified⁴
15,823
(5)
Total
334,344
(100)
1 Includes 27 adult/adolescents and 2 children who developed AIDS after receiving blood screened negative for HIV antibody.
Six adults developed AIDS after receiving tissue from HIV-infected donors. Three of the 6 received tissue or organs from a donor who was negative
for HIV antibody at the time of donation. See N Engl J Med 1992;326:726-32.
3"Other" refers to 11 health-care workers who developed AIDS after occupational exposure to HIV-infected blood as documented by evidence of sero-
conversion; to 4 patients who developed AIDS after exposure to HIV within the health-care setting, as documented by laboratory studies; to 1 person
who acquired HIV infection perinatally and was diagnosed with AIDS after age 13; and to 1 person with intentional self-inoculation of blood from an
HIV-infected person.
4"Risk not identified" refers to persons whose mode of exposure to HIV is unknown. This includes persons under investigation; persons who died,
were lost to follow-up, or declined interview; and persons whose mode of exposure to HIV remains unidentified after investigation. See Figure 6.
HIV/AIDS Surveillance Report
14
October 1993
Figure 1. Male adult/adolescent AIDS annual rates per 100,000 population, for cases reported
October 1992 through September 1993, United States
67.7
10.0
1.6
22.7
58.4
32.9
16.1
6.2
31.3
169,0
18.3
41.0
Vt.
23.1
16.2
44.9
99.3
25.4
N.H. 19.8
56.1
34,6
31.3
Mass. 83.7
38.4
R.I. 59.5
Conn. 94.1
83.6
9.5
31,0
77.0
53.1
N.J. 100.9
131.8
19.8
Del. 102.6
Md. 95.8
32.7
D.C. 483.6
44,4
53,0
76.0
38,4
Legend
47.5
81,8
(rate per
40.2 37.8 185.2
100,000)
195.5
24.9
63.9
25-49.9
50-74.9
142.6
75+
0
21.1
is
U.S. Rate: 82.2
62.5
P.R. 158.7
(N 81,707)
Figure 2. Female adult/adolescent AIDS annual rates per 100,000 population, for cases
reported October 1992 through September 1993, United States
4.7
0.6
0.0
2.5
4,1
2.7
1.5
1.8
3.9
48.2
1.7
6.3
Vt.
3.4
1.4
8.0
3.0
N.H.
2.6
131
E9.1
2.9
3.1
Mass. 19.1
2.7
R.I.
15.2
Conn. 30.2
4.6
1.1
10.2
2.9
5.9
8.6
N.J.
38.3
1.6
Del. 24.2
Md. 23.1
5.9
D.C. 74.5
4.6
44
4.9
6.3
Legend
4.0
17.0
(rate per
6.9
5.9
14.0
100,000)
0-39
9.7
4-7.9
8.1
8-11.9
31.8
12+
O
5.4
U.S. Rate: 14.0
5.8
P.R. 36.0
(N=14,792) (N
October 1993
15
HIV/AIDS Surveillance Report
Figure 3. Male adult/adolescent AIDS cases reported October 1992 through September 1993,
United States
1,360
32
4
111
681
572
65
17
611
12,019
33
1,498
Vt.
52
177
2,120
N.H.
87
530
157
2,538
759
1,332
Mass. 1,999
247
R.I.
238
Conn. 1,243
1,126
68
16,174
304
1,544
1,342
N.J. 3,126
289
Del. 275
Md. 1,834
876
D.C. 1,141
864
658
1,126
354
1,133
(N=81,707)
282
391
598
2,195
6,441
1,020
of
7,629
C
49
295
P.R. 2,060
Figure 4. Female adult/adolescent AIDS cases reported October 1992 through September
1993, United States
97
2
0
13
50
50
6
5
81
3,785
3
246
Vt.
8
16
420
N.H.
12
67
20
441
68
143
Mass. 502
of
18
R.I.
67
Conn. 429
64
9
1,246
30
129
229
N.J. 1,220
26
Del.
70
Md.
477
169
D.C.
206
98
58
75
63
254
(N=14,792)
25
75
104
387
682
143
8
1,841
O
11
26
P.R. 513
HIV/AIDS Surveillance Report
16
October 1993
Figure 5. Pediatric AIDS cases reported October 1992 through September 1993, United States
2
1
0
2
1
2
0
1
8
227
0
8
Vt.
0
3
16
4
2
N.H.
0
26
4
15
Mass.
31
5
R.I.
0
Conn.
21
3
1
54
1
6
19
N.J.
44
1
Del.
1
Md.
42
14
D.C.
5
23
0
1
3
0
8
(N=869)
2
3
15
41
9
143
O
0
3
P.R. 48
Figure 6. Results of investigations of adult/adolescent AIDS cases with risk not identified,
reported through September 1993¹
27,783 AIDS cases initially reported
with risk not identified
15,184 Incomplete
12,599 Interviews or other
information
follow-up information
11,976 Under
3,208 Died, declined
639 Risk not
17 Other 3 11,943 Reclassified
investigation
interview, or lost
identified
2
to follow-up
1
Excludes 49 children under 13 years of age whose risk is not identified: 40 children who are under investigation and 9 who have died, declined inter-
view, or were lost to follow-up. An additional 228 children who were initially reported with a risk not identified have been reclassified after investiga-
tion.
²Heterosexual transmission. 553 of the 639 persons who had no risk identified after follow-up responded to a standardized questionnaire: 185 (36%)
of 511 persons responding to questions related to sexually transmitted diseases gave a history of such diseases and 123 (36%) of 342 interviewed
men reported sexual contact with a prostitute. Some of these persons may represent unreported or unrecognized heterosexual transmission of HIV.
See MMWR;38:423-4, 429-34.
3
Eleven are health-care workers who developed AIDS after occupational exposure to HIV-infected blood, as documented by evidence of seroconver-
sion; 4 are patients who developed AIDS after exposure to HIV within the health-care setting, as documented by laboratory studies; 1 is a person who
acquired HIV infection perinatally and was diagnosed with AIDS after age 13; and 1 is a person with intentional self-inoculation of blood from an HIV-
infected person
October 1993
17
HIV/AIDS Surveillance Report
Talking Points & Supporting Data: MMWR on the
Effectiveness of Condoms
1. Latex condoms are highly effective against the sexual transmission of HIV when
used consistently and correctly during sexual intercourse.
New, compelling studies demonstrate that latex condoms are highly effective when used
correctly and consistently. (MMWR)
Two studies present the strongest evidence to date that latex condoms are highly effective in
preventing HIV. The studies monitored people at extremely high risk by studying couples in
which one person was HIV-positive and the other was uninfected. With repeated exposures
to HIV, condoms proved to be highly effective for couples using condoms consistently and
correctly.
-
Of 123 couples studied from 1987 to 1991, in which one of the partners was HIV-infected
and they consistently and correctly used condoms, none of the uninfected partners
became infected. However, among 122 couples who inconsistently used condoms,
10 percent (12 of 122) became infected. (DeVincenzi)
-
In an Italian study of uninfected female partners of HIV-infected men, only 2 percent
(3 of 171) of the women whose male partners always used condoms during sexual activity
became infected. Because couples were followed on average for about 2 years, this
results in an infection rate of 1 percent per year. However, 15 percent (8 of 55) of the
partners of inconsistent condom users became infected. (Saracco)
2. Latex condoms must be used consistently and correctly in order to be highly
effective in preventing the transmission of HIV.
Consistent use means using a condom from start to finish with every act of intercourse.
Correct use involves a few simple steps:
-
Use a new condom every time you have sex -- anal, oral, or vaginal.
-
Put the condom on after the penis is erect and before it touches any part of your
partner's mouth, anus, or vagina. (If the penis is uncircumcised, pull the fore-
skin back before putting on the condom.)
-
To put the condom on, pinch the reservoir tip of the condom, then unroll it all the way
down the penis. (If the condom does not have a reservoir tip, pinch the tip enough to
leave a half-inch space for semen to collect.) Always ensure that no air is trapped in the
tip. It can cause the condom to break.
-
If you feel a condom break during sex, stop, and put on a new condom.
-
After ejaculation and while the penis is still erect, hold the rim of the condom and care-
fully withdraw so no semen is spilled.
AMERICA
CDC
RESPONDS
TO AIDS
Using lubricants: You may want to apply additional lubrication to reduce the possibility
the condom will break. You should use only water-based lubricants, such as glycerin or
over-the-counter lubricating ointment.
-
Never use oil-based products with condoms, such as cooking or vegetable oils, baby oil,
hand lotion, or petroleum jelly. They can weaken the latex and cause the condom to
break.
-
Storing condoms: Condoms should be stored in a drawer or closet somewhere cool,
dry, and out of direct sunlight. Changes in temperature, rough handling, or age can
make the latex brittle or gummy. Never use condoms that are damaged or discolored,
brittle, or sticky. And don't store them for a long time in your wallet or car glove com-
partment.
3. Latex condoms are excellent quality products.
Recognizing that latex condoms are highly effective, in April 1993 the FDA announced that
labeling for latex condoms should inform the public that, "if used properly, latex condoms
will help to reduce the risk of transmission of HIV infection and many other STDs." Other
contraceptives are required to carry a statement that they do not protect against HIV infec-
tion and other STDs.
Studies by the FDA Center for Devices and Radiological Health confirm that latex condoms
are a highly effective mechanical barrier to HIV-sized particles.
During the manufacturing process, condoms are double-dipped in latex and undergo strin-
gent quality control procedures.
4. As a medical device, latex condoms are rigorously tested to ensure they meet
federal and industry quality assurance standards.
Every condom manufactured in the United States is tested by manufacturers for defects,
including holes or areas of thinning, before it is packaged.
The FDA randomly tests condoms produced domestically or imported into the United States
to ensure they meet quality assurance requirements. The standard test used by the FDA is
the water-leak test, in which the condom is filled with 300 ml of water and stretched to as
much as four times its original size. If FDA finds that more than 4 per 1000 condoms leak,
the lot is not allowed to be sold in the United States.
5. When condoms fail, it is usually due to user error.
Most condom breakage is due to incorrect usage rather than poor condom quality. Common
reasons for breakage include teeth or fingernail tears, using oil-based lubricants, using old
condoms, exposure to heat, reusing condoms, unrolling the condom before putting it on, or
leaving air in the tip
AMERICA
RESPONDS
CDC
CONTRE
TOAIDS
AND PREVENTION
Many Americans don't know that latex condoms provide better protection from HIV than
natural membrane condoms, and don't understand that they should be used from start to
finish or that only water-based lubricant should be used. It is vital to step up our efforts in
educating the public about correct condom use.
6. Both refraining from intercourse with infected partners and consistently and
correctly using condoms are effective prevention strategies.
A two-pronged AIDS prevention approach is needed in this country -- with messages
encouraging both abstinence and the correct and consistent use of condoms. Both strategies
can be highly effective if practiced all the time.
We know that one of the key determinants of condom use is the belief that condoms work.
Stated another way, sexually active individuals will be less motivated to use condoms if they
don't believe that condoms will be effective barriers. Therefore, it is important that sexually
active individuals get the message that latex condoms provide effective protection from HIV
if they are used correctly and consistently. We have a responsibility to let the public know
that a compelling case now exists for condom use as a prevention strategy -- if condoms are
used consistently and correctly.
A clear message about condoms is not incompatible with the message to young people that
initiation of sexual activities at an early age carries health risks. In fact, recent data from
Switzerland demonstrate that a public education campaign promoting condom use can be
effective without increasing the proportion of adolescents who are sexually active.
(Hausser)
AMERICA
RESPONDS
CDC
TO AIDS
Kantor LM. Scared Chaste? Fear-Based Educational Curricula. SIECUS Report Dec. 1992/
Jan.1993;1-15.
Kirby D. Sexuality Education: It Can Reduce Unprotected Intercourse. SIECUS Report
Dec.1992/Jan.1993;19-25
Ku LC, Sonenstein FL, Pleck JH. The Association of AIDS Education and Sex Education with
Sexual Behavior and Condom Use Among Teenage Men. Fam Plann Pers 1992;24:PP.
The World Health Organization (WHO). Does Sex Education Lead to Earlier or Increased
Sexual Activity in Youth? A Review of 19 Studies Presented at the 9th International Conference
on AIDS, Berlin, Germany, 1993.
On Americans' Desire for Strong HIV Prevention Messages
Center for Population Options. Finding Common Ground: A Proposal for a Public-Private
Partnership to Use the Media to Promote Condom Use Among Sexually Active Adolescents.
New York: Center for Population Options, 1993.
The Roper Organization, Inc. AIDS: Public Attitudes and Education Needs. New York: Gay
Men's Health Crisis, 1991.
AMERICA
RESPONDS
CDC
CENTERA CONTROL
TO AIDS
AND PRIV NITH
THE PUBLIC HEALTH IMPACT OF
NEEDLE EXCHANGE PROGRAMS
IN THE UNITED STATES AND ABROAD
Volume I
SCHOOL OF PUBLIC HEALTH,
UNIVERSITY OF CALIFORNIA, BERKELEY
INSTITUTE FOR HEALTH POLICY STUDIES,
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
PREPARED FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION
September 1993
Project Personnel
Project Personnel
Principal Investigators:
Peter Lurie, MD, MPH*
Institute for Health Policy Studies
University of California, San Francisco
Arthur L.. Reingold, MD
School of Public Health
University of California, Berkeley
Co-investigators:
Benjamin Bowser, PhD
Donna Chen, MPH
Jill Foley, BA
Joseph Guydish, PhD, MPH
James G. Kahn, MD, MPH
Sandra Lane, PhD, MPH, RN
James Sorensen, PhD
Project Assistants:
Pamela DeCarlo, BA
Nicholas Harris, BA
Project Officer:
T. Stephen Jones, MD
Office of the Deputy Director for HIV
Centers for Disease Control and Prevention
Funded through a cooperative agreement with the Association of Schools of Public
Health (ASPH Agreement No. M1589).
For questions on the report, call Peter Lurie at (415)597-9138. Copies of the report 0
be obtained by calling (415)597-9361, faxing a request to (415)597-9213, or writing t
the address below. Please specify whether you want a copy of the Summary, Volum
and/or Volume II.
Peter Lurie, MD, MPH
University of California, San Francisco
Prevention Sciences Group
74 New Montgomery Street, Suite 600
San Francisco, CA 94105
* Philip R. Lee, MD was the Principal Investigator through July 2, 1993
Page i
Executive Summary
EXECUTIVE SUMMARY
How and Why did Needle Exchange Programs Develop?
Needle exchange programs have continued to increase in number
in the US and by September 1, 1993 at least 37 active programs existed.
The evolution of needle exchange programs in the US has been
characterized by growing efforts to accommodate the concerns of local
communities, increasing likelihood of being legal, growing
institutionalization, and increasing federal funding of research, although a
ban on federal funding for program services remains in effect.
How do Needle Exchange Programs Operate?
About one-half of US needle exchange programs are legal, but
funding is often unstable and most programs rely on volunteer services to
operate. All but six US needle exchange programs require one-for-one
exchanges and rules governing the exchange of syringes are generally well
enforced. In addition to having distributed over 5.4 million syringes, US
needle exchange programs provide a variety of services ranging from
condom and bleach distribution to drug treatment referrals.
Do Needle Exchange Programs Act as Bridges to Public Health Services?
Some needle exchange programs have made significant numbers of
referrals to drug abuse treatment and other public health services, but
referrals are limited by the paucity of drug treatment slots. Integrating
needle exchange programs into the existing public health system is a likely
future direction for these programs.
How Much Does it Cost to Operate Needle Exchange Programs?
The median annual budget of US and Canadian needle exchange
programs visited is relatively low at $169,000, with government-run
programs tending to be more expensive. Some needle exchange programs
are more expensive because they also provide substantial non-exchange
services such as drug treatment referrals. The annual cost of funding an
average needle exchange program would support about 60 methadone
maintenance slots for one year.
Who Are the IDUs Who Use Needle Exchange Programs?
Although needle exchange program clients vary from location to
location, the programs generally reach a group of injecting drug users with
long histories of drug injection who remain at significant risk for human
immunodeficiency virus (HIV) infection. Needle exchange program
Page iii
Executive Summary
clients in the US have had less exposure to drug abuse treatment than
IDUs not using the programs.
What Proportion of All Injecting Drug Users in a Community Uses the Needle
Exchange Program?
Studies of adequately-funded needle exchange programs suggest
that the programs do have the potential to serve significant proportions of
the local injecting drug user population. While some needle exchange
programs appear to have reached large proportions of local drug injectors
at least once, others are reaching only a small fraction of them.
Consequently, other methods of increasing sterile needle availability must
be explored.
What Are the Community Responses to Needle Exchange Programs?
Unlike in many foreign countries, including Canada, proposals to
establish needle exchange programs in the US have often encountered
strong opposition from a variety of different communities. Consultation
with affected communities can address many of the concerns raised.
Do Needle Exchange Programs Result in Changes in Community Levels of Drug
Use ?
Although quantitative data are difficult to obtain, those available
provide no evidence that needle exchange programs increase the amount
of drug use by needle exchange program clients or change overall
community levels of non-injection and injection drug use. This conclusion
is supported by interviews with needle exchange program clients and by
injecting drug users not using the programs, who did not believe that
increased needle availability would increase drug use.
Do Needle Exchange Programs Affect the Number of Discarded Syringes?
Needle exchange programs in the US have not been shown to
increase the total number of discarded syringes and can be expected to
result in fewer discarded syringes.
Do Needle Exchange Programs Affect Rates of HIV Drug and/or Sex Risk
Behaviors?
The majority of studies of needle exchange program clients
demonstrate decreased rates of HIV drug risk behavior, but not decreased
rates of HIV sex risk behavior.
Page iv
Executive Summary
What is the Role of Studies of Syringes in Injection Drug Use Research?
The limitations of using the testing of syringes as a measure of
injecting drug users' behavior or behavior change can be minimized by
following syringe characteristics over time, or by comparing
characteristics of syringes returned by needle exchange program clients
with those obtained from non-clients of the program.
Do Needle Exchange Programs Affect Rates of Diseases Related to Injection Drug
Use Other than HIV?
Studies of the effect of needle exchange programs on injection-
related infectious diseases other than HIV provide limited evidence that
needle exchange programs are associated with reductions in subcutaneous
abscesses and hepatitis B among injecting drug users.
Do Needle Exchange Programs Affect HIV Infection Rates?
Studies of the effect of needle exchange programs on HIV
infection rates do not and, in part due to the need for large sample sizes
and the multiple impediments to randomization, probably cannot provide
clear evidence that needle exchange programs decrease HIV infection
rates. However, needle exchange programs do not appear to be associated
with increased rates of HIV infection.
Are Needle Exchange Programs Cost-effective in Preventing HIV Infection?
Multiple mathematical models of needle exchange program impact
support the findings of the New Haven model. These models suggest that
needle exchange programs can prevent significant numbers of infections
among clients of the programs, their drug and sex partners, and their
offspring. In almost all cases, the cost per HIV infection averted is far
below the $119,000 lifetime cost of treating an HIV-infected person.
Page V
Executive Summary
Recommendations
1. Recommendations for the federal government
The federal government should repeal the ban on the use of federal
funds for needle exchange services and substantial federal funds
should be committed both to providing needle exchange services and
to expanding research into these programs.
2. Recommendations for state governments
State governments in the eleven states that have prescription laws
should repeal these laws.'
States should repeal the paraphernalia laws as they apply to syringes.*
3. Recommendations for local governments and communities
Local governments should enter into discussions with local community
groups to develop a comprehensive approach to preventing HIV in
injecting drug users, their sex partners, and their offspring. This
approach should include needle exchange programs and the expansion
of drug treatment services.
Local communities should seek to further increase sterile syringe
availability by encouraging the sale, distribution, or exchange of
syringes by pharmacists.
4. Recommendations for researchers
Descriptions of the "kinetics" and determinants of needle use patterns:
injecting drug users' sources of needles, methods of disposal of
needles, frequency of needle re-use, and needle-sharing patterns. How
do these change when a needle exchange program or other changes in
needle availability are implemented?
Evaluations of "natural experiments" in which needle availability laws
change or pharmacists expand the over-the-counter sales of syringes.
Surveys of pharmacists to determine their willingness to participate in
pharmacy-based syringe sale, distribution, or exchange and to identify
the barriers to their participation.
'Prescription laws preclude the purchase of a syringe without a prescription, limiting sterile syringe availability and
creating a risk of arrest for needle exchange program staff and clients.
Paraphernalia laws exist in 46 states and require pharmacists to determine whether the purchaser intends to use the
syringe for "legitimate medical purposes." Conviction under a paraphernalia law is a felony or a misdemeanor.
Page vi
FEDERAL AIDS PROGRAMS FY 94 APPROPRIATION SUMMARY
(NUMBERS ARE ROUNDED TO THE NEAREST MILLION)
HIV/AIDS Specific
FY 93 Funding
FY 94 House
FY Senate Numbers
FY 94 Totals
programs
numbers
Increase over FY 93
using higher numbers
Increase over FY 93
NIH-Research
$1.073 Billion
+ $227 Million
+ $227 Million
$1.3 Billion
CDC-
Prevention/Education
$498 Million
+ $45 Million
+ $45 Million
$543 Million
Ryan White Care Act:
Totals
$348 Million
+ $210.5 Million
+ $213 Million
558.5 Million*
Title I
$185 Million
+ $140.5 Million
+ $143 Million
325.5 Million*
Title II
$115 Million
+ $69 Million
+ $69 Million
$184 Million
Title IIIB
$48 Million
+0
+0
$48 Million
Title IV**
$0
+ $22 Million
+ $22 Million
$22 Million
AIDS Housing
Opportunities Act
(AHOA)
$100 Million
+ $25 Million
+ $56 Million
$156 Million
* Conference item
**$21 Million from the Pediatric AIDS Demonstration Programs was transferred into Title IV, thus the
real funding increase is $1 Million
NOTE:
These are the final AIDS funding figures from Congress Appropriations Committee for FY 94
CLINTON
GORE ON AIDS
0
Fighting the AIDS epidemic will be a top priority of a Clinton/Gore Administration. If we fail to commit
our hearts and resources now to fighting AIDS, we will pay a for greater price in the future, both in
deaths and in dollars. We need leaders who will focus national attention on AIDS, to encourage com-
passion and understanding, to promote education and to speak out against intolerance.
We can't afford another four years without a plan to declare war on AIDS. We can't afford to have yet
another President who remains silent about AIDS or who puts the issue on the back burner.
THE CLINTON/GORE PLAN
Increase funding for desperately needed new initiatives in research, prevention and treatment.
Appoint an AIDS policy director to coordinate federal AIDS policies, cut through bureauc
red tape and implement recommendations made by the National Commission on AIDS.
Speed up the drug approval process and commit increased resources to research and
development of AIDS-related treatments and vaccines, and ensure that women and people of
color are included in research and drug trials.
Fully fund the Ryan White CARE Act. Work closely with individuals and communities that are
affected by HIV to create a partnership between the federal government and those with
knowledge and experience in fighting HIV.
Promote a national AIDS education and prevention initiative that disseminates frank and
accurate information to reduce the spread of the disease, and educates our children about the
nature and threat of AIDS.
Provide quality health coverage to all Americans with HIV as part of a broader national health
care program; work vigorously to improve access to promising experimental therapies for people
with life-threatening illnesses; and improve preventive and long-term care.
Combat AIDS-related discrimination and oppose needless mandatory HIV testing in federal
organizations such as the Peace Corps, Job Corps and the Foreign Service; stop the cynical
politicization of immigration policies by directing the Justice Department to follow the
Department of Health and Human Services' recommendation that HIV be removed from the
immigration restrictions list; promote legislation based on sound scientific and public health
principles, not on panic, politics and prejudice.
THE CLINTON/GORE PLAN
Prevention and education
Launch a strong and effective AIDS education campaign.
Reevaluate the AIDS prevention budget at the U.S. Centers for Disease Control to ensure that
education is a top priority.
Ensure that increased funding for prevention and services goes directly to community based
organizations that are on the frontline of the battle against the HIV virus.
Promote AIDS education in American schools.
Provide drug treatment on demand to stop the spread of HIV by intravenous drug users.
Increase funding for behavior and social science research so that we can better understand the
behaviors that put people at risk for HIV.
Support local efforts to make condoms available in schools.
Treatment and care
Provide health care for all Americans, including those with HIV, through coverage they obtain
either on the job or through government-mandated programs, which will include:
- Comprehensive inpatient and outpatient services, including frequent diagnostic
monitoring, early intervention therapies, and psychological care.
- Prescription drugs and improved access to experimental therapies. Because treatments
are not accessible unless they are affordable, a Clinton/Gore Administration will support
legislation that denies tax breaks to companies that raise the cost of drugs faster than
Americans' ability to pay for them.
- Adequate options for long-term home- and community-based care that minimize
unnecessary and wasteful hospitalizations.
- Voluntary, confidential, or anonymous testing and counseling for AIDS and HIV for
every American who wants it.
Encourage the Centers for Disease Control to review periodically their definition of AIDS to
ensure that symptoms and infections that occur among women, people of color and drug users are
included in the federal definition, and promptly made eligible for all federal benefit programs for
people with AIDS.
Develop programs with the Department of Health and Human Services to ensure that America's
health care professionals are kept fully and regularly informed about diagnosing and treating HIV.
Have the National Institutes of Health (NIH) develop a formalized mechanism to make sure that
state-of-the-art information is broadly and rapidly disseminated to health professionals and people
with HIV disease.
Research and drug development
Work vigorously to develop a vaccine against AIDS and to find therapies that will destroy HIV,
repair the immune system and prevent and treat AIDS-related infections.
Increase funding for both AIDS-specific and general biomedical research.
Expand clinical and community based trials for treatments and vaccines, and raise the level of
participation of under-represented populations.
Reorganize the NIH infrastructure to streamline AIDS research efforts and improve planning,
efficiency and communication.
Promote a more rapid review by the NIH of research grant applications and a speedier
distribution of funding for approved studies.
Facilitate greater access to drugs and work to speed up the drug approval process. Ensure that
the FDA has the resourcesto assist in the efficient design of AIDS-related drug trials and to
review their results rapidly. The FDA will also make possible greater access to promising
experimental therapies without compromising patient safety.
Discrimination
Fight all AIDS-related discrimination and discrimination based on race, gender and sexual
orientation.
Fully implement the Americans with Disabilities Act and resist any efforts to weaken its
provisions. The Department of Justice and the U.S. Commission on Civil Rights must make it a
high priority to monitor the occurrence of AIDS-related discrimination and the enforcement of the
ADA with respect to HIV-related complaints.
Forbid health insurance companies from denying coverage to HIV-positive applicants. Prohibit
all health plans from adopting discriminatory caps or exclusions that provide lower coverage for
AIDS than for any other life-threatening illnesses. No American will be denied health coverage
because he or she loses a job or has a pre-existing condition.
Oppose mandatory testing in federal organizations like the Peace Corps and Foreign Service.
Lift the current ban on travel and immigration to the U.S. by foreign nationals with HIV.
THE RECORD
As chairman of the National Governors' Association, Governor Clinton formed the first
working group of governors to develop an AIDS policy. Clinton was a moving force in the
creation of an AIDS action plan adopted by the Governors' Association which called for
education and prevention efforts at the local, state and federal levels.
Governor Clinton supported teacher training for AIDS education and a detailed study of the
availability of HIV education at the local level.
Since 1990, AIDS education has been required in all Arkansas schools, and there has been a
40% increase in HIV counseling and voluntary testing in Arkansas.
The Arkansas AIDS Advisory Committee was established in 1987. This committee makes
recommendations on HIV policy and program services. HIV services in the state currently
include anonymous testing at two centers and confidential testing and counseling at public health
clinics in all 75 Arkansas counties.
Senator Al Gore voted to ban discrimination against people with AIDS or HIV.
Voted for legislation to remove HIV from the immigration restrictions list.
Supported funding for the Ryan White AIDS Act.
Voted to provide emergency relief to metropolitan areas hardest hit by AIDS, to health care
facilities serving many low-income individuals and families with HIV and to states to assist in
improving the quality of treatment and support services for people with HIV.
SEM B1
THURSDAY, FEBRUARY 18. 1993
No. U
The PRESIDENT pro tempore. The
people who are subject to this exclu-
Senator from California is recognized
sion are already in the country. If
for 2 minutes.
these people are driven underground.
Mrs. PRINSTRIN. Thank you very
and not allowed to work or receive
much Mr. President.
health insurance, they win not obtain
Mr. President. I rise in opposition to
the preventive health care they may
the Nickles amondment and In support
need now And eventually they will
of the Kennedy second degree arnend-
vary likely and up in the already over-
ment
burdened emergency rooms of our
Mr. President, I have always believed
county tala.
that public health decisions belong in
But let us be clear. Cost is not 2 fac-
the hands of public health officials. I
tor in this debate. The law gives the
consur with the position or the Amar-
Attorney General the authority to de-
loan Medical Association, the World
nort any immigrant, for DP to b years.
Health Organisation. the Centers for
who becomes & public charge, and this
Disease Control. the American Public
authority exists irrespective of the im-
Health Association the former Sec-
migrant's HIV status
retary of Health and Human Services.
Mr. President. when X came to the
Louis W Sullivan, and the current See-
U.S. Senate, I never believed that I
retary Donna Shalala, all of whom
would find myself, standing on the
agree that there is no public health
noor. debating a policy which would E
purpose served by the immigration ex-
keep in existence a debention camp.
clusion of people who are HIV positive.
where people, who would otherwise be
I also concur with the reasoning us-
free. are kept behind barbed wire. quar
fered by the distinguished Benator
antined without adequate health care
from Massachusetts that public health
until they die, solely because thes have
decisions are best made by the officials
40 incurable disease, which is not cab-
charged with protecting the public
ually transmitted. Mr. President, one
health. not by the legislative branch of
of the darkest memories in my State's
Government And the policy which is
bistory is the memory of detention
DOW under debate should not in my
camps where innocent Americans of
opinion. be statutory.
Japaness descent were interned during
Mr. President, for too long, politics
World Was II, simply on the basis of
have dominated the discussion around
their sthnic background,
the AIDS spidemic And while the do
Former Secretary Bullivan was right
bate has gods DH. the public health has
in communicating the opinion of the
often suffared and lives have been lost
Centers for Disease Control to Presi-
IE is time to and the debate, and get on
dont Bush and recomprending that this
with the task at hand which 1 main-
policy, which serves no public health
talh, 18 to protect the public health.
benefit. be ended. And President Clin-
Mr. President, as 8. former mayor, I
ton IB right to implement Secretary
have some experience with this disease,
Sullivan's recommendation
and one thing I know for sure is that If
Mr. President, I hope that we can
you drive & disease like AIDS under-
move beyond the fear. and deal with
ground. you do not protect the public
the facts around AIDS Time 1a wast-
health you andanger 1t. That is the po-
ing- The virus which cause AIDS knows
sition of virtually every public health
DO boundaries. Our attention should be
official in the country. What is impor-
turned to the more than 1 million
Learn L 18 educating people with the real
Americans who are already infected
facts.
with HIV.
And the facts are, Mr. President, that
Apart from South Africa. the United
hundreds of thousands of immigrants
States has been the only industrialized
are permitted to enter this country.
country to have such A ban, and this
any of whom may suffer with terminal
has caused us to be the subject or criti-
diseases, such as cancer or heart dia-
cism around the world. It to time to
case which cost just as much M AIDS
join the family of nations and send a
to treat, but there is DO discussion of
message to the world that discrimina-
these people becoming public charges.
tion against people with ADS must
The facts Are that the vast majority of
not be tolerated
the people subject to the exclusion
The PRESIDENT Dro tempore. The
under discussion qualify for immigrant
time has expired.
status to be reprited with their fami-
Mrs. PEINSTEIN. Thank you very
Hes. And the facts are that must of the
much.
P.02
The Lee Solters Company
Public Relations
los Angeles / New York
8383 Wilshire Boulevard. Suite 850
Beverly Hills. CA 90211
1
(213) 651-9300 FAX (213) 651-5944
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
THANK YOU WARREN, AND THANK YOU AIDS PROJECT L.A. FOR THE AMAZING
WORK YOU'RE DOING AND FOR GIVING ME THE OPPORTUNITY TO DO MY PART
TONIGHT IN THE FIGHT AGAINST AIDS. I DEEPLY APPRECIATE THIS AWARD.
FEW OF US HAVE RESPONDED WITH ENOUGH URGENCY TO MEET THIS CRISIS
OF CATASTROPHIC PROPORTIONS, CERTAINLY NOT THE LAST TWO PRESIDENTS.
I DON'T MEAN TO BE PARTISAN -- BECAUSE HEALTH, HUMAN RIGHTS AND
TOLERANCE OUGHT NOT TO BE PARTISAN ISSUES. BUT THAT'S WHAT
HAPPENED THESE LAST 12 YEARS.
BIGOTRY WAS LEGITIMIZED. RULES WERE MADE BY AND FOR WHITE,
CHRISTIAN, HETEROSEXUAL MALES. ALL THE REST OF US WERE LEFT OUT.
AND A DISEASE, THAT HAS INFECTED FAR MORE HETEROSEXUALS THAN
HOMOSEXUALS THROUGHOUT THE WORLD, WAS DISMISSED AS A GAY DISEASE
WITH THAT OFFICIAL, HOMOPHOBIC WINK - IMPLYING THAT THOSE DEATHS
DIDN'T REALLY MATTER.
I WILL NEVER FORGIVE MY FELLOW ACTOR, RONALD REAGAN, FOR THE
GENOCIDAL DENIAL OF THE ILLNESS'S EXISTENCE; FOR HIS REFUSAL TO
EVEN UTTER THE WORD 'AIDS' FOR SEVEN YEARS AND FOR BLOCKING
ADEQUATE FUNDING FOR RESEARCH AND EDUCATION WHICH COULD HAVE SAVED
HUNDREDS OF THOUSANDS OF LIVES.
P.03
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
THEN CAME GEORGE BUSH, ONCE THE MODERATE, WHO IN A FAUSTIAN
2
BARGAIN, ALLIED HIMSELF WITH THE SAME PRIMITIVE, GAY BASHING
IMMORAL MINORITY.
LIKE MANY OF YOU, I SAT AND WATCHED THE REPUBLICAN CONVENTION IN
UTTER DISBELIEF. HOW COULD THE PAT ROBERTSONS AND THE PAT
BUCHANANS, PRESUMING TO BE THE SPOKESPEOPLE FOR GOD, SPEW SUCH
DOCTRINES OF DIVISIVENESS, INTOLERANCE AND INHUMANITY? WHO IS THAT
GOD?
A LOT OF US OF DIFFERENT POLITICAL OUTLOOK CAME TOGETHER THAT
NIGHT. THE RADICAL RIGHT LINKED THE ISSUES FOR US AND REMINDED US
OF HOW MUCH WAS AT STAKE AS THEY BRANDED THE CONCERNS OF WOMEN,
GAYS, MINORITIES AND DEMOCRATS AS UNAMERICAN. HOW DARE THEY CALL
US UNAMERICAN!
WHEN PAT ROBERTSON STOOD UP AND WARNED OF CLINTON, AND I QUOTE: "HE
WANTS TO REPEAL THE BAN ON HOMOSEXUALS IN THE MILITARY AND APPOINT
HOMOSEXUALS TO HIS ADMINISTRATION," I, AND MILLIONS OF OTHER
AMERICANS, WERE EVEN MORE CONVINCED THAT BILL CLINTON WAS OUR
CANDIDATE.
WHEN PAT BUCHANAN THUNDERED, AND I QUOTE, "WE STAND WITH GEORGE
BUSH AGAINST THE AMORAL IDEA THAT GAY AND LESBIAN COUPLES SHOULD
HAVE THE SAME STANDING IN LAW AS MARRIED MEN AND WOMEN," I
WONDERED: WHO IS PAT BUCHANAN TO PRONOUNCE ANYBODY'S LOVE INVALID?
HOW CAN HE DENY THE PROFOUND LOVE FELT BY ONE HUMAN BEING FOR
ANOTHER - A LOVE THAT ALL TOO OFTEN TAKES THEM TO THE BITTER END,
P.04
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
3
HOLDING EACH OTHER IN HOSPICES AND HOSPITALS ALL OVER THIS NATION.
WELL, GEORGE BUSH DIDN'T SAY "NO" TO THE BUCHANANS, BUT WE SAID
"NO" TO GEORGE BUSH.
THE FAR RIGHT FINALLY WENT TOO FAR. THEY CAME OUT THAT NIGHT AND
THE COUNTRY LOOKED STRAIGHT INTO THE FACE OF HATE AND, THANK GOD,
(THE GOD I KNOW), THE MAJORITY OF THE PEOPLE SAID "ENOUGH!" ENOUGH
RACISM, ENOUGH SEXISM, ENOUGH GAY BASHING, NAME CALLING AND
DISCRIMINATION, ENOUGH EXTREMISM.
ISN'T IT JUST FANTASTIC THAT THE AMERICAN PEOPLE CAME DOWN ON THE
RIGHT SIDE, THE SIDE OF HUMAN RIGHTS, CLEAR AND SIMPLE?
AND WE ELECTED NEW LEADERS. WE DID IT - YOU DID IT - I DID IT ...
WOMEN, GAYS, JEWS, PEOPLE OF COLOR, WORKING PEOPLE, OLD PEOPLE,
YOUNG PEOPLE, ALL OF US WHO VALUED OURSELVES ENOUGH TO DEMAND THAT
OUR VOICES BE HEARD, ALL OF US WHO CHERISH COMMON DECENCY AND
COMMON SENSE REVOLTED AND OUT-ORGANIZED, OUT-FINANACED AND OUT-
THOUGHT THOSE WHO DESPISE WHAT IS BEST ABOUT THIS COUNTRY -- OUR
CULTURAL, RACIAL AND RELIGIOUS DIVERSITY.
I KEEP PINCHING MYSELF. FINALLY, A PRESIDENT WHO IS COMMITTED TO
FINDING A CURE FOR AIDS.
FINALLY A PRESIDENT WHO ACKNOWLEDGES THE PATRIOTISM OF GAYS AND
P.05
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
4
LESBIANS WILLING TO SERVE IN THE ARMED FORCES AND WHO WILL REMOVE
THE GAG RULE PREVENTING MEDICAL WORKERS FROM ADVISING PREGNANT
WOMEN AS TO THEIR CHOICES.
FINALLY WE HAVE A PRESIDENT THAT I THINK REALIZES THAT THE MOST
COST-EFFECTIVE THING TO DO IS SPEND MONEY ON AIDS RESEARCH AND
PATIENT CARE WITH THE SAME SENSE OF URGENCY THAT HAS BEEN DEVOTED
TO THE MILITARY BUDGET OR BAILING OUT THE FAILED S & L's.
NOW THAT THE COLD WAR IS OVER WE HAVE TO REDEFINE NATIONAL
SECURITY. I KNOW I'VE PAID A HELLUVA LOT OF TAXES FOR WEAPONS THEY
SAID WOULD PROTECT US IF WE WERE ATTACKED BY A FOREIGN ENEMY.
IT'S TIME TO STOP LIVING WITH THE PARANOIA OF "WHAT IF" AND START
FACING THE REALITY OF "WHAT IS". "WHAT I8" IS A REAL CRISIS IN
EDUCATION, IN HEALTH CARE, IN THE ECONOMY. "WHAT IS" THE REAL
NATIONAL SECURITY, IS THE NEED FOR A NATION TO FEEL SECURE.
BUT HOW CAN WE FEEL SECURE WHEN OUR TEENAGERS ARE NOT BEING
EDUCATED ABOUT AIDS - WHEN, ACCORDING TO THE WORLD HEALTH
ORGANIZATION, BY THE YEAR 2000 MOST NEW HIV INFECTIONS MAY BE FOUND
IN WOMEN. AND THEY ALSO ESTIMATE THAT, BY THEN, THE FIGURES COULD
REACH A STAGGERING 40 MILLION PEOPLE INFECTED - 10 MILLION OF THOSE
WILL BE ORPHANS. THESE REALITIES FRIGHTEN ME MUCH MORE THAN THE
"WHAT IFS" OF BEING ATTACKED BY A FOREIGN POWER.
P.06
11/18/92
BARBRA STREISAND S SPEECH FOR APLA
5
THE MORAL IMMUNE SYSTEM OF THIS COUNTRY HAS BEEN WEAKENED AND
ATTACKED AND THE AIDS VIRUS IS A PERFECT METAPHOR FOR IT.
THE MALIGNANT NEGLECT OF THE PAST 12 YEARS HAS LED TO THE BREAKDOWN
OF OUR COUNTRY'S IMMUNE SYSTEM: ENVIRONMENTALLY, CULTURALLY,
POLITICALLY, SPIRITUALLY AND PHYSICALLY. I KEEP ASKING MYSELF:
WHY WAS OUR IMMUNE SYSTEM NOT STRONGER? WHY DID WE NOT HAVE BETTER
RESISTANCE TO THAT DEADLY VIRUS OF HATRED?
I FEEL THAT WE ARE NOW ENTERING A TIME OF HEALING. WE ARE GRATEFUL
THAT OUR NEW PRESIDENT IS COMMITTED TO LIFE - THAT HE HAS PUT
BEFORE US AN AGENDA WHICH IS COMPASSIONATE, CARING AND AS HE HAS
SAID: "AIDS POLICY CAN NOW BE MADE BASED ON SOUND SCIENTIFIC AND
PUBLIC HEALTH PRINCIPALS - NOT ON PANIC, POLITICS AND PREJUDICE."
WE WILL BE THERE TO SUPPORT HIM EVERY STEP OF THE WAY. OUR HOPES
ARE HIGH AND so ARE OUR EXPECTATIONS.
BUT LEST WE BE LULLED INTO A FALSE SENSE OF SECURITY, THE STRUGGLE
GOES ON: JUST LOOK AT THE VOTE FOR HATE IN COLORADO WHERE VOTERS
RESCINDED ANY PROTECTION FOR GAYS IN EMPLOYMENT OR HOUSING.
THERE ARE PLENTY OF US WHO LOVE THE MOUNTAINS AND RIVERS OF THAT
TRULY BEAUTIFUL STATE, BUT WE MUST NOW SAY CLEARLY THAT THE MORAL
CLIMATE THERE IS NO LONGER ACCEPTABLE, AND IF WE'RE ASKED TO, WE
MUST REFUSE TO PLAY WHERE THEY DISCRIMINATE.
P.07
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
6
NANY OF US IN THIS COMMUNITY WORKED VERY HARD TO GET THIS PRESIDENT
AND MANY MEMBERS OF CONGRESS EDECTED. WE DIDN'T DO so IN ORDER TO
BE INVITED TO FORMAL STATE DINNERS AT THE WHITE HOUSE. WE
SUPPORTED THESE CANDIDATES BECAUSE THEY PROMISED US PROFOUND
CHANGE. AND WE WANT THEM TO KNOW - WE WILL BE LISTENING, WATCHING
AND WAITING.
IN 1986 I SAW A PLAY BY LARRY KRAMER CALLED "THE NORMAL HEART"
WHICH AFFECTED ME DEEPLY AND I PLAN TO MAKE IT INTO A MOVIE. SET
AGAINST THE BEGINNING OF THE AIDS EPIDEMIC - IT'S ABOUT EVERYBODY'S
RIGHT TO LOVE.
THE MAIN CHARACTER, NED WEEKS, FOUNDED THE GAY MEN'S HEALTH CRISIS
ONLY TO BE THROWN OUT BECAUSE HE WAS TOO LOUD, TOO AGGRESSIVE, TOO
ACCUSATORY, TOO ANGRY.
MONTHS LATER, DISCOURAGED, DISHEARTENED - SICK OF FIGHTING HIS
FRIENDS AS WELL AS HIS ENEMIES, SICK OF THE STUPIDITY - WORN DOWN,
HE NOW FACES HIS LOVER WHO'S DYING OF AIDS. AND HIS LOVER LOOKS
UP AT HIM AND SAYS: "PLEASE LEARN TO FIGHT AGAIN. DON'T LOSE THAT
ANGER. JUST HAVE A LITTLE PATIENCE AND FORGIVENESS -- FOR YOURSELF
AS WELL." AFTER HIS LOVER DIES, NED CRIES OUT: "WHY DIDN'T I FIGHT
HARDER! WHY DIDN'T I PICKET THE WHITE HOUSE ALL BY MYSELF IF
NOBODY WOULD COME?"
P.08
11/18/92
BARBRA STREISAND'S SPEECH FOR APLA
7
WE'RE FILLED WITH HOPE RIGHT NOW THAT SOME DAY, SOME HOW, WE WILL
SEE AN END TO THIS HUMAN TRAGEDY. BUT LET US VOW, IF NEED BE, TO
PICKET THE WHITE HOUSE ALL BY OURSELVES - UNTIL SOMEBODY COMES.
THANK YOU.
The White House
Office of the Press Secretary
For Immediate Release
September 30, 1993
CLINTON MANDATES HIV/AIDS EDUCATION
During today's Cabinet Meeting President Clinton inaugurated HIV/AIDS education and prevention training
for all employees throughout the Executive Office of the President and all Federal Departments/Agencies.
Kristine Gebbie, National AIDS Policy Coordinator, briefed the Cabinet during the meeting today.
"HIV/AIDS awareness and education is essential in every work-place; President Clinton is setting an
excellent example by educating the Federal work-force" Ms. Gebbie said.
President Clinton's directive sets the following dates for education and training in the Federal Government:
All White House Staff and the Executive Office of the President will participate in HIV/AIDS
education and training by World AIDS Day - December 1, 1993.
All Departments and Agencies within the Federal Government will fully implement comprehensive
education and training programs and install progressive work-place policies over the next 12 months
and will have completed such programs by World AIDS Day 1994.
All Departments and Agencies will work closely with the Office of the National AIDS Policy Coordinator
in developing and executing their respective programs. Training for HIV/AIDS prevention and education
will include:
Preparing managers and supervisors to respond fairly to an HIV infected employee
Teaching employees the basic facts on how the virus is and is not transmitted and how
to avoid infection
The Presidential directive calls for an on-going process of training for new employees and supervisors,
including updates on the status of the epidemic. It also requires the establishment of progressive work-
place policies for those who employ persons with HIV/AIDS or any other life-threatening chronic disease.
While the private sector has some excellent examples of company-wide training and some Agencies have
vigorous programs, there has been no coordinated effort to inform the Federal work-force.
In the Cabinet Meeting, the President said, "We need to set an example--We need to be seen setting that
example I want all of you take this as serious as I do. It is very important to me."
###
S
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NATIONAL HEALTH SECURITY ACT: CONSIDERATION FOR HIV/AIDS CARE
An estimated one million people are infected with HIV in the United States. While the epidemic has
continued to affect the gay community, it is also increasing disproportionately among heterosexuals,
persons of color, women, and adolescents. Providing comprehensive health and prevention services
for populations at risk is essential, and will be accomplished under health care reform.
First and foremost, the guarantee of comprehensive health coverage with no lifetime limits
will provide Americans with serious, chronic disease the security of knowing that their
medical needs will always be met. Some particular areas of importance for AIDS patients
included in the benefit package are coverage for prescription drugs, home-care, long-term
care, and reasonable limits on how much patients can be required to spend out-of-pocket each
year.
Persons with HIV or AIDS will always be able to buy this universal coverage at any time and
at the same community rates paid by everyone else within a health alliance. There will be no
pre-existing condition exclusions, and the amount of premiums paid by individuals will not be
based on their health status.
In many ways, the way AIDS and other serious chronic diseases will be accommodated will
demonstrate the National Health Security system's flexibility in treatment decisions, and in portability
within the larger health care system.
The National Health Security program will build on the existing structure and spirit of Ryan White
programs for high HIV prevalence cities and states, and community-based clinics. Outpatient care,
prevention, and treatment of substance abusers, and specialty sites developed for the HIV-infected
community will be expanded.
The National Health Security Act does not pretend that health reform alone will provide all
that AIDS patients require. The proposal includes expanded funding for research, education,
and prevention efforts related to the spread of HIV and continued funding for the Ryan White
Care Act.
Providing quality care for AIDS patients requires a complex mix of primary care and
specialized services, with the capacity to respond quickly and with flexibility to emerging
medical developments.
ADDS is infectious. and people living with the HIV virus or AIDS frequently develop other
infectious diseases such as tuberculosis. The clinical treatment of AIDS encompasses several
important public health objectives, chief among them the need to refer infected individuals
into care programs as early as possible. The Public Health Initiatives component of the health
care reform will devote new resources to these purposes.
The National Health Security Act's public health initiatives will build new capacities and
strengthen the core public health functions throughout the nation, enabling communities to
reduce the spread of the HIV epidemic.
From the Office of the National AIDS Policy Coordinator
V
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To kim
Date 1/6
Time 3:40
WHILE YOU WERE OUT
M
Judy Cammer
of
David Getten soffice
Phone 310-285-7963
Area Code
Number
Extension
TELEPHONED
X
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL
Message Julic Hopper suggested
Shocall
In
Operator
AMPAD
EFFICIENCY®
23-023 CARBONLESS
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
001. memo
From: Pam, To: Julie, Re: AIDS Project LA Event [partial] (1 page)
12/23/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3983
FOLDER TITLE:
[HRC Background File] Thursday, January 27 [1994] [2]
2014-0483-S
sb382
RESTRICTION CODES
Presidential Records Act - [44 U.S.C. 2204(a)]
Freedom of Information Act - 15 U.S.C. 552(b)]
PI National Security Classified Information [(a)(1) of the PRAJ
b(1) National security classified information |(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA]
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information [(a)(4) of the PRA)
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information |(b)(4) of the FOIA]
and his advisors, or between such advisors [a)(5) of the PRA]
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA]
b(7) Release would disclose information compiled for law enforcement
purposes [(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
SUBJECT:
AIDS project LA event
12/23
Julie, I took a call yesterday from Andy Spahn, President of the
Geffen Foundation. AIDS Project LA wants two 81/2 X 10 black and
white photos and a bio for Hillary. Preferrably they would like
the pictures to be two different poses.
Pictures and bio should be sent to the following:
Diane Connors
APLA
1313 North Vine Street
310 7962
Los Angeles 90028
If you need to use it, their fedex account number is:
(b)(6)
Thanks, Pam
001
Press RETURN to continue, GOLD MENU for options or EXIT to cancel
Kim-
Paul Jaimeson mentioned that David Mixner might be a good person to call for
Hillary's AIDS speech. However, I think I remember Mixner turning nasty following
the whole "Gays in the Military" situation.
That made me think of Bob Hattoy. Bob could probably give some good suggestions
toward the speech. Bob's problem is that he has a pretty consistent record of
flapping his jaws with the press when unwarranted by the Administration.
WASHINGTON EDITION / LOS ANGELES TIMES
Maggie-No
U.S. Urges
High Court
Bill Kennery-
to Back Calif.
in Tax Case
check Yes pol.
see if included
By DAVID G. SAVAGE
TIMES STAFF WRITER
W
ASHINGTON-Siding with
California in a tax case in
U
nlike most states and nations.
which treat the local oper-
which $4 billion IS at stake. lawyers
ations of a multinational firm as
for the Clinton Administration on
though they are separate business-
Wednesday urged the Supreme
es. California treated multination-
Court to uphold the state's use of
als as a single business and taxed a
the so-called "unitary tax" on mul-
portion of the whole enterprise.
tinational corporations.
Corporate tax lawyers complain
The legal brief. filed in the
this unitary method permits Cali-
pending case of Barclays Bank VS.
fornia to tax profits that were not
California, 92-1384. redeems Clin-
earned within the state.
ton's campaign pledge to take a
But state lawyers counter that
"pro-California" stand in the huge
the simple accounting system com-
tax dispute. which involves the
bats international tax cheating.
nation's foreign trading partners.
Some foreign firms have allegedly
In an earlier phase of the case.
shifted their costs so as to claim
officials of the Ronald Reagan and
they earn no profits in California.
George Bush administrations had
Nonetheless, state lawmakers
contended that California's distinct
bowed to pressure from interna-
method of taxation disrupted the
tional business last year and essen-
nation's foreign relations and
tially repealed the unitary tax. But
should be declared unconstitution-
billions of dollars in past collection
al.
remain in dispute.
If the high court were to adopt
The high court is expected to
that view, the state could be forced
hear arguments in the case in late
to pay refunds or forgo disputed tax
March and issue a ruling by sum-
assessments that amount to $4
mer.
billion.
But the Administration brief ar-
gues that neither Congress nor the
White House put California on
notice during the 1970s and 1980s
that its taxing system was disrup-
tive.
The state should not be "unjustly
held liable for refunds of tax that
violated no federal policy" at the
time. the brief says. Congress could
have required all states to adopt an
identical taxing system. but it did
not do so. the brief noted.
Brad Sherman. chairman of the
state Board o: Equalization. praised
the Administration's action and
said that it could save California far
more than 11 will cost to repuild the
freeways that were damaged in
Mondav's earthquake.
"After 12 years of this case.
wonderful 10 have a pro-Culifornia
brief. he said.
SEAL
genera
SACRAMENTO
THE
450 N STREET, 23RD FLOOR
SACRAMENTO, CA 95814
(816) 445-4154
BRAD SHERMAN
CHAIRMAN,
STATE BOARD OF EQUALIZATION
SAN FRANCISCO
9C1 WILSHIRE BLVD, SUITE 210
60 FREMONT STREET, SUITE 1403
SANTA MONICA. CA 90401
MEMBER.
SAN FRANCISCO, CA 94105
(310) 451-6777
FRANCHISE TAX BOARD
(415) 396-9880
(818) 380-3188
FACSIMILE (310) 458-9088
FOR IMMEDIATE RELEASE
CONTACT: Coby King
January 20, 1994
(310) 451-5777
CLINTON BACKS CALIFORNIA IN
$4.1 BILLION UNITARY TAX DISPUTE
Administration Files Pro-California Brief
With U.S. Supreme Court in the Barclays Case
Late yesterday afternoon, the Clinton Administration gave a much-needed boost to
California by filing a pro-California brief with the United States Supreme Court in Barclays Bank
PLC V. California Franchise Tax Board, a multi-billion dollar case which pits California tax
authorities against most of the world's large multinational corporations. The brief filed by the
Solicitor General urges the U.S. Supreme Court to hold that California's previous system of
worldwide unitary corporate taxation did not pose an unreasonable interference in the ability of
the Federal Executive to conduct foreign commerce.
Brad Sherman, Chairman of the State Board of Equalization (California's elected
tax commission) stated: "Today President Clinton nearly assured that California would not
suffer an economic aftershock rivaling the damage done by the Southern California
earthquakes."
Sherman continued, "The administration's pro-California brief represents a triumph
of reason over the pressures of multinational corporations."
Barclays and related cases pose a potential total loss to California of approxi-
mately $4.1 billion in refunds payable and cancellation of pending tax assessments. Sherman
stated, "The $4.1 billion at stake was over four times the estimated cost of rebuilding
Southern California's freeways damaged by the recent earthquakes. In light of this,
President Clinton's consistent support of California in this litigation is particularly welcome."
The Clinton Administration action represents a dramatic shift from the position of
the Bush and Reagan Administrations, which had consistently supported foreign-based
multinational corporations against California.
Jan 20,94 15:40 No .004 .02/04
310458688 :731
A victory in Barclays will allow the California Franchise Tax Board to collect an
additional $2.4 billion from multinational corporations. In addition, the California victory will
effectively dispose of $1.7 billion in tax refund claims filed against California by multinational
corporations."
The Supreme Court is expected to issue its decision in May or June. The case
turns on whether California's constitutional right to draft its own tax laws conflicts with the
Federal Government's right to conduct foreign policy; the U.S. Supreme Court typically yields to
the federal executive and legislative branches on such foreign policy issues.
The key language of the brief stated, "[t]he court must look to federal policies in
effect at the time the tax was levied, lest States unjustly be held liable for refunds of taxes that
violated no federal policy, and were thus in no way unlawful at the time the disputed tax liability
was incurred. Judged by this standard, Barclays' claim must fail." The Administration's brief
extended this analysis to domestic corporations seeking refunds, and stated that refund claims
arising under the related Colgate-Palmolive litigation should also be denied.
Sherman concluded, "With the overwhelming need to rebuild our damaged
infrastructure and public facilities, California can ill-afford the economic aftershock that a
defeat on the Barclays case would represent."
Background
President Clinton first focused on the tax dispute when he was campaigning in California in
May of 1992. At that time he met with Sherman, a Democrat, regarding the issue, and assured Sherman that
he would take a pro-California position if elected President. Two months later. Clinton sent a letter to
Sherman putting the promise in writing. Today Sherman commented, "The President stood up for California
and kept his promise, in spite of intense pressure from foreign-based multinationals and foreign governments.
We in California did our part by adopting legislation so that beginning in 1994 our tax law will be in full
harmony with international norms."
Last October the Clinton Administration filed a brief urging the U.S. Supreme Court to
refuse to hear the Barclays appeal, and thus leave intact California's 1992 victory before the California
Supreme Court. However, last November the U.S. Supreme Court decided to hear the Barclays appeal as
well as the related appeal of Colgate-Palmolive
The Clinton Administration was under substantial pressure from foreign governments.
particularly the British, to back the foreign-based multinationals against California. The British government
threatened to retaliate against U.S.-based companies if California prevailed unless there was a "satisfactory
resolution" of the issue. However, this foreign pressure subsided substantially when California changed its
tax laws: the British have essentially withdrawn their threats of retaliation. The tax law changes bring
California's 1994 law into harmony with international norms for taxing multinational corporations.
Jan 20,94 15:40 No .004 P.03/04
310458908 731
Barclays Bank PLC V. California Franchise Tax Board deals with taxation of multinational
corporations. Barclays has asked the U.S. Supreme Court to reverse a 1992 California Supreme Court
decision which upheld California's use of the "mandatory worldwide unitary" method of taxing multinational
corporations. While California allowed multinationals to opt out of the mandatory worldwide method in
1987, the State still has over $4.1 billion at risk in litigation in which the multinationals sought tax refunds
and refused to pay long-disputed tax assessments for tax years prior to 1987.
The corporations that decide not to use the "world wide unitary" method compute their taxes
using the "water's edge" method, the same method used by the federal government and virtually every foreign
country.
WHAT'S AT STAKE FOR CALIFORNIA
BARCLAYS AND RELATED UNITARY TAX CASES
Based on October 1993 estimates.
If We Lose
and then lose
Totals
Barclays
Colgate-Palmolive
in Billions
(Foreign Based
(U.S. Based
Multinationals)
Multinationals)
Refunds Payable
$400 Million
$1.3 Billion
$1.7
Cancellation of
$400 Million
$2.0 Billion
$2.4
Pending Assess-
ments on 1987 and
Prior Years' Re-
turns
TOTALS
$.8 Billion
$3.3 Billion
$4.1 Billion
Source: Brad Sherman, Chairman, State Board of Equalization
Jan 20,94 15:40 No.004 P.04/04
310458908 731
PUB
P.2
003
Room Kim
1
P.2
APLA COMMITMENT TO LIFE VII as of 1/21
3104560611 ENTERTAINMENT RADIO NETWORKS
OVERTURE
"GVERTURE"
HOLLYWOOD 30WL ORCH
(Marc Shaiman)
OPENING VIDEO
TOM HANKS (voice over)
"STREETS OF PHILADELPHIA"
BRUCE SPRINGSTEEN
It 6 Band/Singers)
WELCOME
ELIZABETH TAYLOR
PETER ALLEN
"FVER?THING OLD IS NEW AGAIN"
THE ROCKETIES (18)
'DON'T CRY OUT LOUD"
MELISSA MANCHESTER
Peter Hume)
HALSTON
LAUREN BACALL & 4 models
HOWARD ASHMAN
"FEAUTY AND THE BEAST"
ANGELA LANSBURY
Marc Shaiman)
JAN 24
1994-01-24 24.94 10:08AM
2
P.3"3 -
EMILE ARDOLINO
"MY GOD"
THE SISTER ACT CHOIR
Kathy:Najim Mary Wickes
Werdy Makena, Ellen Dow
Edith Diaz, Ruth Kobart,
Sherri Izzard, Susan Johnson
Pat Brown, Carlene Kolehoven
3104560611 ENTERTAINMENT RADIO NETWORKS
*(brought on by 9 Rockettes)
(Marc Shaiman)
APLA SPEECH
STEVE TISCH (+2 APLA clients)
KATZENBERG INTRO
DAVID GEFFEN
HONOREE
JEFFREY KATZENBERG
FREDDIE MERCURY
"DEAR FRIEND"
VIDEO
"?!!????"
JON BON JOVI
LIBERACE
"COME RAIN OR COME SHINE"
DEBBIE REYNOLDS
(w/JASON PRIESTLY
& IAN ZIERLING)
*(brought on by 9 Rockettes)
(Joey Singeri
JAN 24 '94 24 '94
1994-01-24 10,51 10:08AM
!
KEITH HARING
DENNIS HOPPER
"PHILADEL?HIA"
NEIL YOUNG
P.403 P04
3
PAUL JABARA
"DISCO MEDLEY"
JENIFER LEWIS
(+ Maxine Waters, Julia Waters,
Carmine Twilley and 6 Dancers)
(Marc Shaiman)
IMAGES
"REQUIEM"
SARAH BRIGHTMAN
3104560611 ENTERTAINMENT RADIO NETWORKS
(+12 Choir & Flautist)
(David Caddick)
BAILET
"DANCE SOLO" (on tape)
BILL T. JONES
"BACKSTAGE" TRIBUTE
"AS IFWE NEVER SAID GOODBYE"
PATTI LuPONE
(David Caddick)
ROCK HUDSON
"MY BUDDY" (on tape)
DORIS DAY (on tape)
MICHAEL BENNETT
"ANDI AM TELLING YOU"
JENNIFER HOLLIDAY
(brought on by Rockettes)
(Marc Shaiman)
HOUSE TRIBUTE
RICHARD GERE -
'ANTHEM'
"THE DAY AFTER THAT"
LIZA MINNELLI & CHOIRS
"THE DAY AFTER THAT" (encores)
(Bill LaVorgna)
CLINTON NTRO
BARBRA STREISAND
M860:01 85:01
HONOREE
HILLARY RODHAM CLINTON
JAN 24 '94
CLOSNG
"DONT CRY"
WHITNEY HOUSTON
(+Keyboard, Bass, Drums)
(Ricky Minor)
JAN 24 '94 10: 08AM
P.1
R
THE DAVID GEFFEN FOUNDATION
Andy Spahn
President
*** FAX FAX FAX ***
TO:
Julie Hopper
FAX #: 202-456-2317
FROM: Andy Spahn
DATE:
January 24, 1994
TOTAL NO. OF PAGES
4
MESSAGE: Attached please find the most recent run-down
for the January 27 Commitment to Life event
If you have problems with this transmission, please call
310-285-7969
OUR FAX NUMBER IS 310-278-9766
9130 Sunset Boulevard
Los Angeles California 90069
Telephone 310 285 7962
Fax 310 278 9766
JANUARY 24, 1994
NEXIS INFORMATION ON HRC AND ACT/UP SEARCH:
-
Wayne Turner spokesman for Act/Up pubically negative
about Aids Task Force. Called it "smoke and mirrors."
-
Act/Up has past history of plans to disrupt Clinton's
speeches. example: Moscane Center July 5, 1993.
-
Hattoy, White House staff and active member of
Act/Up
is he still around?
-
Act/Up feels it played an pivotal role in getting
Clinton elected, but are now perpetually unsatisfied
and considered extremely militant.
ARchitectural
Digest
Nexisurdate
Copyright 1994 McClatchy Newspapers, Inc.
Sacramento Bee
on HRCTAIDS
+ART(UD
January 16, 1994, METRO FINAL
SECTION: MAIN NEWS; Pg. A2
LENGTH: 334 words
HEADLINE: EVERYBODY WANTS TO BE A STAR
BYLINE: Jan Stevens from Bee news services
BODY: Doherty had better play it cool. It's a tough job market out there for actors if
the clamor to get a part in Arnold Schwarzenegger's next action-adventure film is any
indication. Rhode Island's film commissioner, Rick Smith, said aspiring actors have been
calling every few minutes or so for information on getting jobs in "True Lies." In the film,
by "Terminator" producer-director James Cameron, Schwarzenegger plays an undercover
agent. A casting call for extras will go out next month.
Even first ladies are getting stagestruck. Hillary Rodham Clinton will reportedly join
Barbra Streisand Jan. 27 at L.A.'s Universal Amphitheater. No singing, it's a speaking
part to spark interest in a huge AIDS event. Others reportedly lined up for the show:
Whitney Houston, Bruce Springsteen, Richard Gere, Liza Minnelli and The Rockettes.
Streisand kicked in $ 200,000 to the new fund created in memory of President Clinton's
mother, Virginia Kelley, to fight breast cancer.
Maybe Hillary could show some of the administration's new anti- AIDS public service
announcements for condoms when she's onstage. Or better yet, give them away like Yves
Saint Laurent. The fashion designer announced recently he would send 200,000 condoms
to randomly chosen Parisians as a Valentine's Day AIDS warning. The condom comes
inside a white folder printed with a photograph of a nude male with a woman's
silhouette in the foreground and carries the message "Yves Saint Laurent dresses men."
LANGUAGE: ENGLISH
LOAD-DATE-MDC: January 17, 1994
JAN 26 '94 11:49AM
PR.6
The WALT Disney Company.
Rebecco brand transmittal memo 7671
Banbara # of pages
4
&
From
8.
Ca.
MICHAEL D. EISNER
Dept.
Phone #
Fax #
Fax 0
A Biography
Michael D. Eisner, chairman and chief executive
officer, joined The Walt Disney Company in September 1984.
Together with Frank G. Wells, who joined Disney at the
same time as president and chief operating officer, he
immediately undertook a program to revitalize the company's
motion picture, television and theme park operations.
Under his leadership, Disney has greatly increased the
number of motion pictures distributed annually, made a
successful return to prime-time network television and
entered TV syndication.
In addition, the company opened the innovative Disney-
MGM Studios Theme Park at Walt Disney World in 1989. Its
enormous popularity led to the decision to double its size
within months of its opening.
Disney also moved into commercial television with KCAL-
TV in Los Angeles, magazines with the purchase of Discover
and FamilyFun, book publishing with the formation of
Hyperion Press and contemporary music with the formation of
Hollywood Records.
Disney earnings increased more than six-fold during the
first eight years of Mr. Eisner's tenure.
5(in South Buona Visen Street/Burbank. California 91521 818-560-1000
JAN 26 '94 11:49AM
FP.7
2
The largest undertaking to date has been the
construction of Euro Disney in France. The theme park and
resort, in which Disney owns a 49.9 percent interest, is
situated on 4,800 acres 20 miles east of Paris. It opens
April 12.
Under Mr. Eisner's leadership, Disney also has become
one of Hollywood's most successful film studios. From 1988
through 1991 it twice led the industry in domestic box-
office receipts and was near the top the other two years.
Beginning with "Down and out in Beverly Hills" (1986),
Disney has turned out a succession of hit motion pictures
that includes "Who Framed Roger Rabbit," "Good Morning,
Vietnam," "Three Men and a Baby," "Honey, I Shrunk the
Kids," "Dick Tracy" and "Pretty Woman."
The company also began releasing a new, full-length
animated movie each year. "Beauty and the Beast" (1991) and
"The Little Mermaid" (1989) now rank as the top two such
films at the box office in initial release.
In network television, Disney's Emmy Award-winning
"Golden Girls" and "Empty Nest" remain among the top-rated
shows. Two that made their debuts in 1991-~"Home
Improvement" and "Nurses"--also were immediate hits.
JAN 26 '94 11:50AM
FP.8
3
Disney has become the leader in children's animated TV
programming. The Disney Afternoon--four daily half-hour
series--was a hit from its inception in 1990. Later
"Darkwing Duck" became part of the daily show and also
appeared on Saturday mornings, where it immediately won its
time period on ABC-TV.
Before joining Disney, Mr. Eisner was president and
chief operating officer of Paramount Pictures Corp. During
his eight years there, Paramount's motion picture division
enjoyed great box-office success with such hits as "Raiders
of the Lost Ark," "Saturday Night Fever," "Grease" and
"Terms of Endearment."
Paramount also ventured into cable TV under Mr. Eisner
with the purchase of a one-third interest in the USA Network
and quadrupled its network television presence with such
shows as the Emmy Award-winning "Cheers" and "Family Ties."
Before joining Paramount Mr. Eisner was senior vice
president, prime time production and development for ABC
Entertainment In an earlier position there, he supervised
the development of "Happy Days," "Barney Miller," "Laverne
and Shirley," "Rich Man, Poor Man" and "Roots."
As a Founding Member of the Board of the Points of
Light Foundation, Mr. Eisner was host in September, 1991 at
a special ceremony at Walt Disney World honoring the first
575 recipients of the Points of Light Award for heroic
volunteer efforts in behalf of their communities and
neighbors.
JAN 26 '94 11:50AM
JAN 26 '94 12:15PM
F.49
4
Mr. Eisner serves on the board of directors of Denison
University, California Institute of the Arts and the
American Hospital of Paris Foundation. He is a trustee of
Georgetown University. He and his wife Jane, are members
of the board of directors of the Environmental Media Assn.
Born in Mt. Kisco, N.Y., Mr. Eisner grew up in New York
city. He attended the Lawrenceville School and is a graduate
of Denison University, Granville, Ohio, with a B.A. in
English literature and theater.
The Eisners are the parents of three sons, Breck, Eric
and Anders. They live in Los Angeles.
###
2/14/92
JAN 26 '94 11:51AM
TP.11
BARRY DILLER
Barry Diller is Chairman and Chief Executive Officer of QVC Network,
Inc. He joined QVC in January 1993.
Before joining QVC, Mr. Diller served as Chairman and Chief Executive
Officer of Fox Inc. from October 1984 to April 1992. He guided Fox
through the purchase of seven television stations in major U.S. markets
and the formation of Fox Television Stations. Inc. He also oversaw the
creation of Fox Broadcasting Company, a national satellite-delivered
television service.
Prior to joining Fox, Mr. Diller served for 10 years as Chairman and
Chief Executive Officer of Gulf + Western's (now Paramount
Communications) Paramount Pictures Corporation. In March 1983, in
addition to running Paramount, he became President of the conglomerate's
newly formed Entertainment and Communications Group. which included
Simon & Shuster, Inc., Madison Square Garden Corporation and SEGA
Enterprises, Inc.
Before joining Paramount, Mr. Diller served as Vice President of
Prime Time Television for ABC Entertainment. While at ABC, he pioneered
the made-for-television "Movie of the Week" and "novels for television,"
now known as the miniseries.
Mr. Diller serves on the Boards of the Museum of Television and
Radio, California Institute of the Arts. and the Academy of Television Arts
and Sciences Foundation. He is a member of the Board of Councilors for the
University of Southern California's School of Cinema-Television and is a
member of the President's Export Council.
UPC
SC---
BARRY DILLER
Withdrawal/Redaction Marker
Clinton Library
DOCUMENT NO.
SUBJECT/TITLE
DATE
RESTRICTION
AND TYPE
002. resume
Biography, Ron Meyer [partial] (1 page)
1/26/94
b(6)
COLLECTION:
Clinton Presidential Records
First Lady's Office
Liz Bowyer
OA/Box Number: 3983
FOLDER TITLE:
[HRC Background File] Thursday, January 27 [1994] [2]
2014-0483-S
sb382
RESTRICTION CODES
Presidential Records Act - |44 U.S.C. 2204(a)]
Freedom of Information Act - [5 U.S.C. 552(b)]
P1 National Security Classified Information |(a)(1) of the PRA]
b(1) National security classified information [(b)(1) of the FOIA]
P2 Relating to the appointment to Federal office [(a)(2) of the PRA]
b(2) Release would disclose internal personnel rules and practices of
P3 Release would violate a Federal statute |(a)(3) of the PRA|
an agency [(b)(2) of the FOIA]
P4 Release would disclose trade secrets or confidential commercial or
b(3) Release would violate a Federal statute [(b)(3) of the FOIA]
financial information [(a)(4) of the PRAJ
b(4) Release would disclose trade secrets or confidential or financial
P5 Release would disclose confidential advice between the President
information [(b)(4) of the FOIA)
and his advisors, or between such advisors [a)(5) of the PRAJ
b(6) Release would constitute a clearly unwarranted invasion of
P6 Release would constitute a clearly unwarranted invasion of
personal privacy |(b)(6) of the FOIA]
personal privacy [(a)(6) of the PRA
b(7) Release would disclose information compiled for law enforcement
purposes |(b)(7) of the FOIA]
C. Closed in accordance with restrictions contained in donor's deed
b(8) Release would disclose information concerning the regulation of
of gift.
financial institutions [(b)(8) of the FOIA]
PRM. Personal record misfile defined in accordance with 44 U.S.C.
b(9) Release would disclose geological or geophysical information
2201(3).
concerning wells [(b)(9) of the FOIA]
RR. Document will be reviewed upon request.
JAN 26 '94 11:51AM
JAN-26-1994 11:29 FROM
CAR ANNA PEREZ
TO
92789766
PP.10
Post-It" brand fax transmittal memo 7671
of pages
Bebecra
Laura Bachrach
$
ceften
80.
CAA
Dept.
Phone #
FAX .
Fax 310/278-9766
RON MEYER
Ron Meyer is the president and a co-founder of Creative Artists Agency, Inc. (CAA).
Meyer, along with four fellow agents, left the William Morris Agency in 1975 to found CAA,
building it over the past nineteen years into a remarkably successful and respected enterprise.
CAA today represents the majority of Hollywood's leading actors, writers, directors, producers
and performing artists.
He started his career twenty nine years ago in the mailroom of the Paul Kohner Agency in
Los Angeles after having served in the Marine Corps. He joined the William Morris Agency in
1970, working there as an agent until leaving to co-found CAA. Meyer also serves on the boards
of Aids Project Los Angeles, the Museum of Contemporary Art and American Film Institute.
He is the father of three daughters,
(b)(6)
and lives
in Malibu, California with his wife Kelly Chapman. He is 49 years old.
002
1/94
TOTAL P.01
JAN 26 '94 11:52AM
P.12
®
THE GEFFEN COMPANY
Andy Spahn
Executive Vice President of Public Affairs
DAVID GEFFEN
David Geffen is one of the most influential figures in the entertainment industry today.
Whether considering music, film, or theater, his imprint has marked some of the most
honored and successful projects of the past 20 years.
His Geffen Pictures has been responsible for such blockbusters as Beetlejuice and Risky
Business and is currently readying the highly anticipated Interview With A Vampire, as well
as the film versions of M. Butterfly and Dreamgirls. Geffen Theater has coproduced the
latter two sensations for Broadway along with other Tony Award winners: Cats, Miss
Saigon, and Little Shop of Horrors (also a Geffen Picture).
He founded Geffen Records in 1980 (as part of The David Geffen Company), debuting with
artists such as John Lennon and Elton John. During the next decade, the label became the
most successful independent record company in history, encompassing the likes of Guns 'N
Roses, Aerosmith, Peter Gabriel, Nirvana, Cher and Don Henley. Geffen Records has been
honored with 19 Grammy Awards and 36 platinum records. Acquired by MCA in 1990,
Geffen has continued to lead the company as its chairman.
Geffen began his career as an agent at William Morris before forming Asylum Records in
1970 featuring Jackson Browne, The Eagles, Joni Mitchell and Linda Ronstadt, all of whom
were clients of the management company he has created with Elliot Roberts. Not
surprisingly, it was Asylum that was the most successful independent label ever - until
Geffen Records.
The David Geffen Foundation supports a number of causes and has become a major force
against AIDS. David Geffen himself is a member of the American Foundation for AIDS
Research (AmFAR), is on the Board of Governors of AIDS Project Los Angeles (APLA).
and is a founding member of Hollywood Supports, and organization for performers
with AIDS.
9130 Sunset Boulevard
Los Angeles California 90069
Telephone 310 285 7962
Fax 310 278 9766
JAN-IAN 26 '94 11:46AMM Richard Jordan, Publicity TQ
913102789766
FP.22
JEFFREY KATZENBERG
A Biography
Jeffrey Katzenberg, chairman of The Walt Disney Studios since October, 1984, is
responsible for the worldwide production, marketing and distribution of all Disney
filmed entertainment, including motion pictures, television, cable, syndication,
home video and The Disney Channel.
Prior to joining Disney, Mr. Katzenberg served as president of production for
Paramount Pictures Corporation's motion picture group. During this period, he
formed a close working relationship with Michael Eisner, then president of
Paramount Pictures, and their successful collaboration continues at Disney where
Mr. Eisner serves as chairman of the board and chief executive officer of The Walt
Disney Company. Richard Frank, another former Paramount colleague who
served as president of the Television Group, also re-teamed with Mr. Katzenberg at
Disney to become president of The Walt Disney Studios.
Under Mr. Katzenberg's leadership, the Studio has produced an unprecedented
string of popular motion pictures. Among the titles that he has guided through
production are "Down and Out in Beverly Hills," "Three Men and a Baby," "Good
Morning, Vietnam," "Dead Poets Society." "Honey, I Shrunk the Kids," "The Little
Mermaid," "Pretty Woman," "Beauty and the Beast," "Father of the Bride," "The Hand
That Rocks The Cradle," "Sister Act" and "Aladdin," which has become the highest
grossing film in the studio's history and the highest grossing animated film of all
time.
During Mr. Katzenberg's first four years at Disney, Buena Vista Pictures Distribution
(the releasing arm for all Disney, Touchstone and Hollywood Pictures product)
JAN-JAN_26 '94_ 11:47AMM Richard Jordan. Publicity TO
913102789766
FP.3
2
increased its share of the box office from approximately 3% to 20% in 1988. It
continues to be one of the top distributors in the industry, ranking number one in
1990 and number two in 1991. Hollywood Pictures made its debut in July, 1990,
with "Arachnophobia" (produced in association with Steven Spielberg's Amblin
Entertainment). That banner will ultimately produce 10-12 films per year, effectively
doubling the Studio's current motion picture output.
During Mr. Katzenberg's tenure, Disney has established itself as one of the most
profitable studios in the industry by consistently producing motion pictures at a cost
well below the MPAA-reported average. Over one billion dollars in financing for
Disney films has been raised through limited partnerships with Silver Screen
Management, Inc. and Touchwood Pacific Partners. A joint venture has also been
arranged with Interscope Communications and Nomura Babcock & Brown to bring
in additional funds for production and distribution.
With regard to television, Disney has become a major supplier with such perennial
favorites as the top rated "Home Improvement" and "Empty Nest," as well as
"Nurses" and the long-running "The Golden Girls." Buena Vista Television, the
Studio's syndication arm, has also experienced unprecedented growth during this
period with successes running the gamut from classic movie and television
packages to such popular entries as "Siskel and Ebert." "Live With Regis and
Kathie Lee," and a quartet of animated programs which comprise "The Disney
Afternoon" ("Darkwing Duck," "Talespin," "Chip 'n Dale's Rescue Rangers" and
"DuckTales"). The Disney Channel continues to be the fastest growing major pay
service in the country. Since 1984, The Disney Channel has grown from 1.7
million subscribers to over six million, and in 1991, The Channel was the only pay
service in America to substantially increase its subscriber base.
In the area of broadcast television, the studio acquired Los Angeles independent
television station KHJ in 1988. Since then, the call letters have been changed to
KCAL and a pioneering three-hour primetime news broadcast has been put in
place, giving this venerable station a new look, helping it to consistently build a
new audience.
Feature animation has been an area of tremendous growth, as The Walt Disney
Studios has revitalized its animation department and entered its most productive
JAN
JAN
26
'94
11:47AMM
Richard Jordan, Publicity TO
913102789766
FP. 41
3
period since the late 1930s. The 1988 release of "Oliver & Company" charted new
box office highs for an animated feature, only to be surpassed the following year by
"The Little Mermaid," which, in turn, had its box office record broken in 1991 by the
critically acclaimed "Beauty and the Beast" and "Aladdin" in 1992. "Beauty and the
Beast" became the first animated film in history to be honored with a best picture
Academy Award nomination. It went on to win two Oscars for music, as did
"Aladdin." A second animation facility opened at The Disney-MGM Studios in
Florida in 1989 and is building its capacity toward a goal of producing a new
feature animated film every other year.
Meanwhile, theatrical reissues of classic animated films, such as "101 Dalmatians,"
"Lady and the Tramp," "Bambi," "Peter Pan" and "The Jungle Book," continue to be
more popular than ever. Disney entered the field of network television in fall, 1985,
and achieved great success with its "Adventures of the Gummi Bears Series." "The
New Adventures of Winnie the Pooh" premiered in 1988 and became an instant hit.
In all of its other filmed entertainment divisions, Disney has also experienced
unprecedented growth. In the area of pay television, a five-year exclusive
arrangement with Showtime/The Movie Channel for the premiere of Touchstone
films was renewed in 1991 for a second five-year period. Additionally, the
international market for the studio's film and television product continues to expand
rapidly.
Since 1984, Buena Vista Home Video has become a leader and innovator in its
field, pioneering new marketing and sales strategies. such as sell-through
pricing that is, marketing videos at low prices to encourage consumers to
purchase them for their home libraries. Disney has eight of the top 10 best-selling
video releases of all time, including the number-one best-sellers, "Fantasia" and
"Beauty and the Beast."
The Studio has also taken a very active role in the development of new attractions
for the Disney theme parks and has sought out the talents of such innovative
filmmakers as George Lucas and Francis Ford Coppola. "Captain EO," "Star
Tours," "Body Wars" and "The Muppets 3-D" are four popular examples. The Wait
Disney Studios also helped create and produce all film and television segments for
The Disney-MGM Studios Theme Park at Walt Disney World.
JAN- JAN 26 '94 :48AMM Richard Jordan, Publicity TO
913102789766
FP.5
4
While serving as president of production for Paramount Pictures, Mr. Katzenberg
was closely involved in the signing of Eddie Murphy to a long-term deal which
resulted in such hit films as "48 Hrs.," "Trading Places" and "Beverly Hills Cop." He
was also involved in the revitalization of the Star Trek concept with the production
of "Star Trek: The Motion Picture" and its first two sequeis.
During his tenure at Paramount, that studio produced a string of box office
blockbusters which included "Airplanel," "Raiders of the Lost Ark," "Flashdance,"
"Terms of Endearment," "Footloose," "Indiana Jones and the Temple of Doom" and
"Witness."
A native New Yorker, Mr. Katzenberg began his career in motion pictures after
working as a political campaign aide to Mayor John Lindsey. He served as
assistant to David Picker, then president of United Artists and later president of
production for Paramount. In 1974, Mr. Katzenberg began a 10-year term with
Paramount Pictures, initially working as the assistant to the studio's chairman Barry
Diller, at their New York headquarters. Three years later, he moved to California.
Subsequently, Mr. Katzenberg became a production executive in the motion
picture division and was promoted to president in May, 1982.
Mr. Katzenberg and his wife, Marilyn, have twins, Laura and David, and reside in
Los Angeles.
###
(6/23/93)
TOTAL P.05
P.3
JAN 25 '94 05:29PM
COMMITMENT
PgT
The frogram itself is
a couple hundred
VII
pages because it
doubles as an
ADB90K,
HEAVEN CAN WAIT
-
CELEBRATING THE AMAZING LEGACIES OF
THOSE WE HAVE LOST TO AIDS INCLUDING:
PETER ALLEN
ROCK HUDSON
EMILE ARDOLINO
PAUL JABARA
ARTHUR ASHE
LIBERACE
HOWARD ASHMAN
ROBERT MAPPLETHORPE
MICHAEL BENNETT
FREDDIE MERCURY
HALSTON
THE WORLD OF DANCE
KEITH HARING
AND THOUSANDS MORE
BENEFITING
AIDS PROJECT Los ANGELES
THURSDAY, JANUARY 27, 1994
AIDS
ELUNIVERSAL
PROJECT
AMPHITHEATRE
LOS ANGELES
AIDS PROJECT Los ANGELES, 1313 N. VINE Sr., Los ANGELES 90028, 213-993-1600
P.4
JAN 25 '94 05 29PM
INSERT
Pages
SCHEDULED TO APPEAR:
HOLLYWOOD Bown. ORCHESTRA
KATHY NAJIMY
Tom HANKS
DEBINE REYNOLDS
BRUCE SPRINGSTEEN
DENNIS HOPPER
ELIZABETH TAYLOR
NEIL YOUNG
THE RADIO CITY ROCKETTES
JENIFER LEWIS
MELISSA MANCHESTER
MAXINE WATERS
LAUREN BACALL
JULIA WATERS
ANGELA LANSBURY
CARMINE TWILLEY
MARY WICKS
SARAH BRIGHTMAN
WENDI MAKKENA
BILL T. JONES
SUSAN JOHNSON
PATTI LUPONE
DARLENE KOLDENHOVEN
DORIS DAY (VIA SATALLITE)
SHERRI IZZARD
JENNIFER HOLLIDAY
EDITH DIAZ
RICHARD GERE
PAT BROWN
LIZA MINNELLI
ELLEN ALBERTINI Dow
BARBRA STRESAND
RUTH KORART
WHITNEY HOUSTON
P.5
JAN 25 '94 05: 30PM
ON BEHALF OF OUR 4,000 CLIENTS, VOLUNTEERS, EMPLOYEES AND THE
BOARD OF AIDS PROJECT Los ANGELES, WE JOIN WITH YOU IN APPLAUDING
AIDS
THIS YEAR'S COMMITMENT TO LIFE RECIPIENTS, FIRST LADY HILLARY
PROJECT
RODHAM CLINTON AND DISNEY STUDIOS CHAIRMAN, JEFFREY KATZENBERG.
LOS ANGELES
THESE TWO INDIVIDUALS HAVE CONTRIBUTED AND MOBILIZED RESOURCES TO
IMPROVE THE QUALITY OF LIFE FOR PEOPLE WITH AIDS/HIV, AND THEIR DEDICA-
TION AND COMMITMENT IS AN INSPIRATION TO US ALL. WE SALUTE BOTH OF THEM FOR THEIR GENER-
OSITY, VISION AND COMPASSION.
THIS EVENING HONORS NOT ONLY THEM. TONIGHT'S THEME, "HEAVEN CAN WAIT," WILL
BE CELEBRATING THE AMAZING LEGACIES OF THOSE WE'VE LOST TO AIDS, MOST NOTABLY IN THE
ARTS AND ENTERTAINMENT. As THE EPIDEMIC RAGES ON, TRAGICALLY MORE CREATIVE TALENT IS LOST
EVERY DAY.
THIS EVENING WE ALSO SALUTE OUR FRIENDS IN THE ENTERTAINMENT INDUSTRY, THE HEALTH
CARE INDUSTRIES AND INDIVIDUAL DONORS WHOSE SELFLESS CONTRIBUTIONS HAVE HELPED TO MAKE
TONIGHT'S EVENT SUCH A GREAT SUCCESS. WE THANK EVERYONE HERE FOR THEIR GENEROSITY IN
SUPPORTING APLA, WHICH ALLOWS US TO MAINTAIN OUR QUALITY CLIENT SERVICES AS THE NUMBERS
OF PEOPLE LIVING WITH HIV/AIDS INCREASES. YOUR CONTRIBUTIONS DO MAKE A DIFFERENCE.
WITH GRATITUDE AND APPRECIATION, WE SALUTE YOU ALL.
STEVE TISCH
JAMES LOYCE, JR.
CHAIR, BOARD OF DIRECTORS
EXECUTIVE DIRECTOR
JAN 25 '94 05 30PM
P.6
DAVID GEFFEN
Tonight we are honored to salute Hillary Rodham Clinton with the AIDS Project Los
Angeles Commitment to Life Award. Throughout her lifetime - - and especially this past year,
as our First Lady - Hillary Clinton has worked tirelessly to improve the lives of all Americans,
especially those whose voices are often not heard.
In particular, we honor Hillary Clinton for her work on health care reform, where she
has demonstrated great determination, vision, and compassion, and has changed the very nature
of our national debate. The President asked Hillary Clinton to head his health care reform
effort not only because of her position as First Lady, but because she has proven herself a
thoughtful analyst and a champion of the disenfranchised. As the President said in his September
22, 1993 speech to Congress, "I knew we needed a talented navigator, someone with a rigorous
mind, a steady compass, and a caring heart."
Travelling across this nation, she has heard the voices of thousands of Americans who
have suffered in the current health care crisis, individuals and families who have been devastated
financially and emotionally by lack of insurance. Health care reform will insure that all of us,
including people with AIDS and HIV, will always have their medical needs met. Her historic
effort to provide universal coverage and comprehensive benefits will assure all Americans the
security that they will never again lose their health care coverage.
Mrs. Clinton's participation tonight means a great deal to the more than 3,700 people who
depend on AIDS Project Los Angeles for their well-being. Her support recognizes the
importance of the work being done by APLA and helps to focus national attention on our
struggle against AIDS and HIV.
In one short year, Hillary Rodham Clinton has done a great service to our nation through
her remarkable efforts to guarantee health security to every American. We owe her our deepest
gratitude and utmost respect. That is why we honor her tonight.
Sincerely, Hard Gaffen
P.7
JAN 25 '94 05 31PM
MICHAEL D. EISNER
For nearly two decades I have known the incredible generosity of
Jeffrey Katzenberg. Tonight the world gets to know.
Until now, only his closest friends and associates have been aware
that the phenomenal energy he pours into his work is fully matched
by the energy he puts into his community. His commitment to the battle
against AIDS is but one example of his willingness to give of his time and
talent unconditionally to a cause that matters.
A's with everything he does, his involvement in APLA has been
total. And it has featured that wonderful Katzenberg impatience. He is
determined that not a day nor a dollar be wasted in bringing the much
needed care to our community for AIDS patients.
Jeffrey has turned his attention to the causes of fighting AIDS,
applying the same organizational expertise, generosity of spirit and blazing
energy that have marked each of his life's endeavors.
I know of no person more committed to life and to living it
productively than Jeffrey Katzenberg, so it is perfect justice that he should
receive tonight an award that bears that name and typifies what he stands
for.
Congratulations, Jeffrey.
Sincerely,
mine 0 Em
20
DIE
JAN 25 '94 05:32PM
P.9
COMMITMENT TO LIFE CHAIRMEN
BARRY DILLER
MICHAEL EISNER
JAN 25 '94 05 :32PM
P.10
COMMITMENT TO LIFE CHAIRMEN
DAVID GEFFEN
RON MEYER
P.11
JAN 25 '94 05: 33PM
DANA MILLER
TONIGHT'S EVENT IS THE CULMINATION OF A DREAM COME TRUE FOR DANA MILLER. IT WAS OVER
ONE YEAR AGO THIS WEEK THAT DANA PITCHED HIS "HEAVEN CAN WAIT" TRIBUTE CONCEPT TO AIDS
PROJECT Los ANGELES BOARD CHAIR, STEVE TISCH. THEIR GOAL OF PRODUCING AN AIDS BENEFIT THAT
FOCUSES ON THE DEVASTATING IMPACT OF THE PANDEMIC AND ONE THAT PUTS A FACE WITH THIS DISEASE
IS BEING REALIZED TONIGHT.
DANA MILLER IS CO-CHAIRMAN OF AMERICA'S #1 PRIVATELY OWNED RADIO NETWORK,
ENTERTAINMENT RADIO NETWORKS, INC. IN THAT CAPACITY DANA OVERSEES THE PRODUCTION, SALES
AND DISTRIBUTION OF 37 OF THE MOST SUCCESSFUL RADIO PROGRAMS IN THE WORLD, AIRING ON OVER
3500 AFFILIATES FEATURING A WIDE RANGE OF WORLD RENOWNED PERSONALITIES.
A CLASS OF '77 USC GRADUATE, DANA GOT HIS FIRST GIG AS A DISC JOCKEY IN SANTA BARBARA.
SOON AFTER, HE BECAME CONCERT PROMOTER AT THE SANTA BARBARA COUNTRY BOWL PRODUCING
75 EVENTS AT THE LEGENDARY FACILITY. IN 1978, DANA MET MIKE LOVE, LEAD SINGER OF THE BEACH
Boys, WHICH LED TO A FIVE YEAR ASSOCIATION WITH THE BAND. THAT RELATIONSHIP MARKED THE
GENESIS OF HIS CAREER AS SYNDICATOR, PRODUCER, MANAGER AND COMPANY OWNER.
THROUGHOUT THE EIGHTIES, DANA OWNED ONE OF ENTERTAINMENT'S LEADING PERSONAL
MANAGEMENT COMPANIES. IN PARTNERSHIP WITH HIS CLIENTS, DANA WAS INVOLVED WITH THE SALE OF
OVER 150 MILLION ALBUMS WORLDWIDE, THE WINNING OF FOUR GRAMMY AWARDS, SEVEN AMERICAN
MUSIC AWARDS AND THREE PEOPLE'S CHOICE AWARDS. IN ADDITION, DANA PRODUCED OVER 320
HOURS OF TELEVISION FEATURING HIS CLIENTS.
JAN 25 '94 05 33PM
P.12
As PRODUCER, DANA WAS AWARDED CABLE TELEVISION'S HIGHEST HONOR, THE ACE AWARD,
FOR HIS MUSIC SPECIAL, "THE BEAT OF THE LIVE DRUM.' " HE HAS SERVED AS AN INDEPENDENT PRODUCER
FOR PARAMOUNT TELEVISION, MCA/UNIVERSAL AND CAROLCO TELEVISION. HIS WEEKLY TELEVISION
PROGRAM, "POWER HITS USA" IS NOW IN ITS FIFTH YEAR ON THE AIR AND IS CURRENTLY SEEN IN 19
COUNTRIES.
DANA IS ON THE BOARD OF DIRECTORS OF APLA AND IS A MEMBER OF THEIR EXECUTIVE
COMMITTEE AND THEIR FINANCE AND HUMAN RESOURCES COMMITTEE. HE CURRENTLY SERVES AS
CHAIR OF APLA's DEVELOPMENT COMMITTEE. DANA'S EFFORTS ON BEHALF OF THIS EVENING ARE
DEDICATED TO THE MEMORY OF MATTHEW J. MURRAY.
P.13
JAN 25 '94 34PM
MOVIE AND TELEVISION PRODUCER STEVE TISCH HAS LEAD A LIFE RICH IN SPIRIT AND PHILANTHROPY. His
TELEVISION AND FEATURE FILM PROJECTS HAVE CONSISTENTLY PORTRAYED REALITY, OFTEN FOCUSING ON THE LIVES
OF EVERYDAY PEOPLE WHO MADE A DIFFERENCE.
TISCH ALSO MAKES A DIFFERENCE THROUGH HIS WORK AS CHAIR OF THE BOARD OF AIDS PROJECT Los
ANGELES, AND THROUGH THE GENEROUS CONTRIBUTIONS OF THE STEVE TISCH FOUNDATION.
STEVE TISCH BEGAN HIS CAREER IN ENTERTAINMENT WHILE STILL A STUDENT AT TUFTS UNIVERSITY. TISCH
HAD A SUMMER JOB WORKING AS A FILM BOOKER IN HIS FAMILY'S MOVIE CHAIN. THE FOLLOWING SUMMER HE
WORKED FOR JOHN AVILDSEN AND HIS LAST SUMMER JOB WAS WITH OTTo PREMINGER. AFTER HIS GRADUATION,
TISCH RECEIVED HIS START IN THE INDUSTRY AS PETER GUBER'S ASSISTANT AT COLUMBIA PICTURES. SOON AFTER
AT TWENTY-TWO, HE BECAME A PRODUCTION EXECUTIVE, AND DURING HIS FOUR YEAR TENURE AT THE STUDIO, HE
SUPERVISED PRODUCTIONS ON SUCH FILMS AS "THE LORDS OF FLATBUSH," "TOMMY," "THE LAST DETAIL," AND
"WHITE LINE FEVER."
IN 1976, HE LEFT COLUMBIA TO PRODUCE HIS FIRST PICTURE, "OUTLAW BLUES," STARRING PETER FONDA
AND SUSAN ST. JAMES. DURING THE SHOOT, HE MET JON AVNET, AND SOON AFTER, THE PAIR FORMED TISCH/
AVNET PRODUCTIONS. TOGETHER, THEY WERE INVOLVED IN SUCH TELEVISION PROJECTS AS "SILENCE OF THE
HEART," ABOUT TEENAGE SUICIDE; "SOMETHING So RIGHT," CENTERING ON A RELATIONSHIP BETWEEN A
TROUBLED CHILD AND A MEMBER OF THE BIG BROTHER ORGANIZATIONS; "PRIME SUSPECT," ABOUT NEWS AND
MEDIA ABUSE; "HOMEWARD BOUND," THE WINNER OF A CHRISTOPHER AWARD, WHICH DEALT WITH A FAMILY'S
ACCEPTANCE OF THEIR YOUNG SON'S BATTLE WITH CANCER; "No OTHER LOVE," ABOUT TWO MARGINALLY
RETARDED YOUNG PEOPLE WHO FALL IN LOVE WITH EACH OTHER; AND "CALL TO GLORY," BOTH MOVIE AND SERIES,
WHICH DEPICTED AN AIR FORCE OFFICER AND HIS FAMILY DURING THE TURBULENT YEARS OF THE CUBAN MISSILE
CRISIS AND KENNEDY ASSASSINATION.
"THE BURNING BED," THE CONTROVERSIAL DRAMATIC SPECIAL STARRING FARRAH FAWCETT AND
TELEVISED BY NBC IN 1984, HOLDS THE DISTINCTION OF BEING THE HIGHEST-RATED TELEVISION FILM EVER AIRED
ON THE NETWORK. CREDITED WITH GIVING MANY WOMEN THE INCENTIVE TO SEEK HELP FROM ABUSE, "THE
BURNING BED" RECEIVED EIGHT EMMY NOMINATIONS AND WON NUMEROUS OTHER AWARDS.
ONE OF TISCH/AVNET'S FEATURE PROJECTS AND THE SLEEPER HIT OF 1983, "RISKY BUSINESS" STARRING
THE RELATIVELY UNKNOWN ACTOR AT THE TIME, TOM CRUISE, HAS BEEN DESCRIBED AS A "BREAKTHROUGH IN
Pg 16
P.14
JAN 25 '94 05: 35PM
SHOWING TEENAGE LIFE AS IT IS, WITH THE TERROR AND THE EXULTATION MAKING VIEWERS ACTUALLY SEE WHAT
IT IS TO BE YOUNG, INSTEAD OF WHAT A MIDDLE-AGED PRODUCER THINKS WILL SELL TICKETS. OTHER THEATRICAL
FILMS INCLUDED "DEAL OF THE CENTURY," STARRING CHEVY CHASE, SIGOURNEY WEAVER AND GREGORY HINES,
AND AN OFF-BEAT ROMANTIC COMEDY "COAST TO COAST," WITH ROBERT BLAKE AND DYAN CANNON.
SINCE HIS FORMATION OF THE STEVE TISCH COMPANY IN 1986, TISCH HAS PRODUCED "Evil IN CLEAR
RIVER," A TELEVISION MOVIE STARRING LINDSEY WAGNER AND RANDY QUAID; AND THE CBS SERIES "DIRTY
DANCING"; AS WELL AS THE CONTROVERSIAL COMEDY "SouL MAN," THE WARNER BROTHERS COMEDY "HoT
TO TROT," STARRING BOB GOLDTHWAIT, DABNEY COLEMAN, AND A HOST OF SATURDAY NIGHT LIVE/SECOND
CITY ALUMNAE, AND TOUCHSTONE'S "BIG BUSINESS," WITH LILY TOMLIN AND BETTE MIDLER.
HIS 1989 PRODUCTION SLATE INCLUDED THE CBS MOW, "OUT ON THE EDGE," STARRING RICK
SHROEDER AND THE FEATURE "HEART OF DIXIE," STARRING ALLY SHEEDY, PHOEBE CATES, VIRGINIA MADSEN,
AND TREAT WILLIAMS.
IN 1990, HIS FEATURE FILMS WERE "HEART CONDITION," STARRING BoB HOSKINS, DENZEL WASHING-
TON AND CHLOE WEBB, DIRECTED BY JAMES PARRIOTT. "BAD INFLUENCE," STARRING ROB Lowe AND JAMES
SPADER, AND FOR HBO, "JUDGEMENT," STARRING KEITH CARRADINE, BLYTHE DANNER, JACK WARDEN AND
DAVID STRATHAIRN.
AIRING IN THE SPRING OF 1992 WERE TNT's "KEEP THE CHANGE," STARRING WILLIAM PETERSON; AND
THE CONTROVERSIAL "AFTERBURN" FOR HBO, STARRING LAURA DERN, WHICH GARNERED THREE EMMY
NOMINATIONS.
TISCH ALSO PRODUCED "FRESHMAN DORM," A
TELEVISION SERIES FOR CBS, WHICH AIRED AS A SUMMER
REPLACEMENT IN 1992.
IN 1991, TISCH WAS ELECTED TO SERVE ON THE
BOARD OF DIRECTORS FOR AIDS PROJECT Los ANGELES.
IN 1992, HE WAS ELECTED CHAIR OF THE BOARD OF APLA.
PRESENTLY TISCH IS IN PRODUCTION OF "CORRINA,
CORRINA STARRING WHOOPI GOLDBERG AND RAY LIOTTA
NEW LINE, AND "FORREST GUMP" STARRING TOM HANKS,
ROBIN WRIGHT AND SALLY FIELD FOR PARAMOUNT.
P.15
JAN 25 '94 05 35PM
GRAND SPONSOR
BARRY DILLER
THE CAST MEMBERS OF THE WALT DISNEY COMPANY
PRESENTING SPONSOR
THE GEFFEN FOUNDATION
PREMIER ANGELS
MCA / UNIVERSAL
THE TISCH FAMILY FOUNDATION
ANGELS
CBS BROADCAST GROUP
JOSEPH E. SEAGRAM & SONS, INC.
Fox INC.
LORRAINE AND SID SHEINBERG
GEFFEN RECORDS, INC.
WARNER BROS.
LIBERTY MEDIA, TCI AND ENCORE
WASSERMAN FOUNDATION
NATIONAL BROADCASTING COMPANY, INC.
PARAMOUNT COMMUNICATIONS INC.
JANN & JANE WENNER
REVLON
WESTERN INTERNATIONAL MEDIA CORPORATION
BENEFACTORS
ALLEN & COMPANY INCORPORATED
THE Roy DISNEY FAMILY FOUNDATION
THE HERB ALPERT FOUNDATION
EMI RECORD GROUP, NORTH AMERICA
THE ATLANTIC GROUP
VAN FLETCHER AND SKIP PAUL
MR. & MRS. SID R. BASS
CONNIE & RICH FRANK
BERTELSMANN Music GROUP
SANDY GALLIN
THE BROTMAN FOUNDATION OF CALIFORNIA
KEVIN E. GARRITY
CALVIN KLEIN INC.
GUESS?, INC.
CAPITAL CITIES / ABC
HOME Box OFFICE
THE RICHARD M. COHEN FOUNDATION
INTERNATIONAL CREATIVE MANAGEMENT
COMCAST CORPORATION
INTERSCOPE RECORDS
CREATIVE ARTISTS AGENCY, INC.
MICHAEL JACKSON
BARBARA & MARVIN DAVIS
KRAUS BEER MEDICAL GROUP
JAN 25 '94 05 36PM
P.16
BENEFACTORS
DANA MILLER
SONY PICTURES ENTERTAINMENT
MIRAGE RESORTS INCORPORATED
STEVEN SPIELBERG/AMBLIN ENTERTAINMENT
MIRAMAX FILMS
THE FRAN & RAY STARK FOUNDATION
ANI & JERRY Moss
TECHNICOLOR
CRAIG MURRAY PRODUCTIONS
GLENN & TONY THOMAS
NEW WAVE ENTERTAINMENT
POLYGRAM
THE STEVE TISCH FOUNDATION
DONNA & JOE ROTH
WARNER BROS. RECORDS, INC.
SONY MUSIC ENTERTAINMENT
STEVE & ELAINE WYNN
PATRONS
JAY C. ANDERSON
PEGGY & ERIC LIEBER
ARCO
MATTEL Toys
BEAR, STEARNS & Co., INC.
MAVERICK
BARBARA & PETER BENEDEK
MEDIAAMERICA, INC.
BLOOM, DEKOM, HERGOTT & COOK
MGM/UA
SUSAN & ANDY BOROWITZ
THE MILKEN FAMILY MEDICAL FOUNDATION
THE BOSTON COMPANY
PETER MORTON
SOPHIA AND RON BRAVERMAN
MTV NETWORKS
BRESLAUER, JACOBSON, RUTMAN & CHAPMAN
THE NEW REPUBLIC
BROADWAY CARES - EQUITY FIGHTS AIDS
MARY & NORM PATTIZ
CAPITOL RECORDS
PLANET HOLLYWOOD
GRAYDON CARTER/VANITY FAIR
RADIO CITY MUSIC HALL PRODUCTIONS
CITY NATIONAL BANK
RIKKI & FRED ROSEN/TICKETMASTER
CONTINENTAL AIRLINES
RUBIN POSTAER AND ASSOCIATES
ENTERTAINMENT WEEKLY MAGAZINE
DON SIMPSON & JERRY BRUCKHEIMER
JOSEPH FARRELL & CATHERINE PAURA
So. CAL. CENTER FOR IMMUNO-SUPPRESSION AT MHMC
GANG, TYRE, RAMER & BROWN
SONOPRESS
THE GERSH AGENCY INC.
MARLO THOMAS & PHIL DONAHUE
GIANT
ANDREW TOBIAS
JILL & BRAD GREY AND DEBORAH & BERNIE BRILLSTEIN
TRANSAMERICA LIFE COMPANIES
DEBORAH & ALLEN GRUBMAN
TURNER ENTERTAINMENT GROUP
DEBBIE & MARK HAMMOND
ANDREW G. VAJNA
JIM HENSON PRODUCTIONS
VIDCO INTERNATIONAL & ASSOCIATES
HAROLD I. HUTTAS
VIRGIN INTERACTIVE ENTERTAINMENT
INTERSCOPE COMMUNICATIONS
WELLS FARGO BANK
ITC ENTERTAINMENT
KEVIN WENDLE
MARIO KASSAR
WILLIAM MORRIS AGENCY
ARNOLD WILLIAM KLEIN, M.D.
MARGO & IRWIN WINKLER
HELEN GORMAN KUSHNICK & SARA KUSHNICK
WITT/THOMAS PRODUCTIONS
JACK LARSON
ZIFFREN, BRITTENHAM & BRANCA
JAN 25 '94 05 36PM
P.17
AIDS PROJECT LOS ANGELES
BOARD OF DIRECTORS
STEVE TISCH
CHAIR
HAROLD I, HUTTAS
VICE-CHAIR
TIM ENGEL
TREASURER
VALLERY KOUNTZE
SECRETARY
JEFF JENEST
ASSISTANT SECRETARY
REV. DR. IGNACIO CASTUERA
BARRY DILLER
GIL GERALD
LINDA GERSH
WILL HALM
W. DAVID HARDY, M.D.
R. SCOTT HITT, M.D.
JEFFREY KATZENBERG
ALIZA LIFSHITZ, M.D.
STEVEN Lowe
SHARON LUND
JOHN MARTENS
RON MEYER
DANA MILLER
STANLEY NEWMAN
MATT REDMAN
HOPE TSCHOPIK SCHNEIDER
ROBERT M. SERTNER
MICHAEL V, SMITH
HEATHER SHUEMAKER
JEWEL THAIS-WILLIAMS
*HONORARY MEMBER
JAMES LOYCE JR.
EXECUTIVE DIRECTOR
JAN
25
'94
05:
37PM
P.18
AIDS PROJECT LOS ANGELES
BOARD OF GOVERNORS
November 1, 1993
DIANE ABBITT &
PASTOR ANDREW ROBINSON-GAITHER
BRIAN MURPHY
ROBERTA BENNETT
DAVID GALLIGAN
MARC & JANE NATHANSON
ARLEN & MICHELE ANDELSON
SANDY GALLIN
SKIP PAUL
MARK ANDERSON
KEVIN GARRITY
LEONARD PETERSON
MICHAEL ANKETELL
BISHOP OLIVER B. GARVER, JR.
THE REV. A. STEPHEN PIETERS
JORGE ARCINIEGA, Esq.
DAVID GEFFEN
TOM & PEGGY POLLOCK
ALISON ARNGRIM
BOB GERSH
EUGENE H. ROGOLSKY, M.D.
LEWIS S. BASKERVILLE
ESTELLE GETTY
SID & LORRAINE SHEINBERG
STEPHEN BENNETT
HONORABLE JACKIE GOLDBERG
CRISTOFER C. SHIHAR
JOEL BERGENFELD
DAVID E. GOODING
BARBRA STREISAND
HONORABLE TOM BRADLEY
STAN & ELYSE GRINSTEIN
BRUCE SWARTZ
MICHAEL CALDERON
DAVID HOCKNEY
MARIO TAMAYO
KENIA M. CASARREAL, PH.D.
SKY JOHNSON
ELIZABETH TAYLOR
DUKE COMEGYS
BRUCE E. KANTER, C.P.A.
JIM WATTERSON
ANNE CRAWFORD
BARRY KROST
CONGRESSMAN HENRY WAXMAN
GORDON DAVIDSON
HONORABLE STEPHEN M. LACHS
JOEL WEISMAN, D.O.
EUNICE DIAZ, M.S., PH.D.
ALEXANDRA M. LEVINE, M.D.
JORDAN WEITZMAN, M.D.
ROD DYER
& SYLVIA WEITZMAN
WAYNE LITWIN
BRUCE EICHER
JUDITH JOHNSTON-WESTON
MICHAEL LOMBARDO
MARTIN FINN, M.D.
DAVID D. WEXLER
MADONNA
BARBARA FOLEY
RUE THAIS-WILLIAMS
GERMAN MAISONET, M.D.
RABBI ALLEN 1. FREEHLING
IRA & ADELE YELLIN
PETER MATZ & MARILYNN LOVELL
E. FRITZ FRIEDMAN
RICHARD ZEICHIK
CRAIG R. MILLER
P.19
JAN
25
as '94 PROJECT LOS ANGELES, the largest AIDS
05: 37PM
CLIENT CONTACT volunteers regularly phone clients who are
organization in California and the second largest in the
not assigned to a case manager to check their health status
was founded in 1982, when a dedicated group of
and assess their ongoing needs.
saw their friends becoming sick and wanted to do
iing to stop it. They had the foresight to establish the
CLIENTLINE provides immediate referrals and information
's first hotline for HIV/AIDS information. The following
about resources within APLA and the community for clients
the group incorporated as a non-profit organization.
via telephone.
y, APLA provides direct assistance to people living with
HOME HEALTH PROGRAM offers nurse case management
AIDS, educational programs to increase HIV/AIDS
services under various grants, providing home care attendants
reness among the general population and public policy
under a state-funded pilot project and the AIDS Medi-Cal
mams to increase government allocations for HIV/
Waiver Program.
related services and advocate for people with HIV/AIDS.
THE MENTAL HEALTH PROGRAM provides crisis interven-
LIENT DEMOGRAPHICS
tion, assessment counseling, support groups and referrals to
largest number of APLA clients are gay or bisexual men.
HIV/AIDS-sensitive mental health providers.
Recently, there has been a tremendous increase in African-
SIGNIFICANT OTHERS FOR EACH OTHER is a pcer support
American, Latino and female clients. Approximately 45% of
the agency's clients are people of color.
program for partners who are caring for someone with HIV/
AIDS or who have recently lost someone to HIV/AIDS.
SOURCES OF INCOME
HOSPITAL VISITATION VOLUNTEERS provide emotional
Approximately 80% of APLA's annual budget is raised
support for hospitalized individuals, their families and
through fund raising events and other donations from
significant others.
individuals, corporations, and foundations. The remainder
is from government sources.
THE SPIRITUAL ADVISORY COMMITTEE assists clients, their
friends and families with issues of faith and spirituality in a
WHERE YOUR TIME AND MONEY GOES
sensitive and non-denominational manner.
AIDS Project Los Angeles allocates 82% of its annual budget
THE BUDDY PROGRAM provides social interaction, emotional
to help make the lives of people affected by HIV/AIDS better.
support and limited practical assistance to clients.
That includes direct client carc, education and training to
prevent the further spread of the disease and public policy
PHONE BUDDIES provide emotional support by telephone
efforts at the local, state and federal levels.
contact with APLA clients every two weeks, developing a
CLIENT SERVICES
compassionate relationship which assists clients in
coping with day-to-day realities of HIV/AIDS.
APLA provides services to people in Los Angeles County
with AIDS or symptomatic HIV disease. All services are free
THE CHEMICAL DEPENDENCY AND ADDICTIVE BEHAVIORS
of charge to registered clients.
PROGRAM provides assessment, support and therapy groups,
and referrals to treatment and 12-Step programs for people
INTAKE AND ASSESSMENT conducts a needs assessment for
affected by HIV/AIDS and alcohol, drugs and sexual
each client who registers, to determine their immediate and
compulsiveness.
long-term needs. Based on those needs, clients are either
assigned a case manager or assisted through other programs.
THE RESIDENTIAL SERVICES PROGRAM offers transitional
housing for clients with mental health or addictive behavior
COMPREHENSIVE CASE MANAGEMENT ensures that clients
problems and a subsidized program of housing certificates
with the grearest need are connected with all appropriate
for homeless persons with HIV/AIDS.
services and resources within APLA as well as other organi-
zations in the community.
P.20
05: 38PM
SUPPORT SERVICES
(Spanish); 800-553-AIDS (TDD). For recorded information
in Asian, Pacific Island and Middle Eastern languages, call
THE NECESSITIES OF LIFE PROGRAM (NOLP) is designed to
800-922-2438.
provide basic food necessities, dietary supplements, personal
care items. Professional nutritional counseling is available.
THE HIV-AFFECTED COMMUNITY EDUCATION AND ADVO-
Eligibility is based upon income. This program currently
CACY PROGRAM focuses on educating and empowering the
serves 1,100 people.
HIV-affected community and their health care providers on
early intervention and management of AIDS/HIV.
THE R.E. GREEN/RONALD LEBARON DENTAL TREATMENT
CENTER, Southern California's only. HIV dedicated dental
MATERIALS DEVELOPMENT produces collaborative materials
facility, provides dental services to all clients free of charge.
for APLA prevention and client programs.
TRANSPORTATION SERVICES provides rides through taxi
SEX ESSENTIALS rargers young gay and bisexual men who
vouchers and volunteers to clients needing help getting to
have difficulty maintaining safe sex by way of street out-
and from medical appointments. Rides are scheduled based
reach, interactive workshops, and peer phone counseling.
on volunteer availability.
THE LEGAL SERVICES DEPARTMENT provides assistance to
OTHER APLA PROGRAMS AND SERVICES
clients concerning debtor/creditor issues, wills, financial and
THE PUBLIC POLICY DEPARTMENT interacts with national,
medical powers of attorney and referrals are
made for other legal matters.
state and local governments to impact legislation, increase
public funding for HIV/AIDS-related research, education,
THE INSURANCE AND PUBLIC BENEFITS PROGRAMS provide
and support services; and to affect public policy in the
interests of those with HIV/AIDS. The department also
counseling, education, assistance in identifying and accessing
directs the Citizens and Neighborhood Networks, two
public benefits programs and advocacy concerning specific
claims and HIV/AIDS-related issues. Monthly seminars are
grassroots campaigns designed to foster change by creating
dialogue on HIV/AIDS issues between constituents and their
open to the public free of charge.
elected officials
EDUCATION AND TRAINING
AIDS PROJECT ADVOCACY SERVICES, APLA's public policy
THE EDUCATION AND TRAINING DIVISION works to increase
office in Sacramento, works directly with state legislators to
HIV/AIDS awareness, foster behavioral change to prevent
sponsor and write legislation to benefit those with HIV/AIDS
transmission of HIV, encourage HIV testing when appropri-
statewide and nationally and influence state polices and
ate and promote early intervention, management and
budgers.
treatment of HIV/AIDS.
THE COMMUNICATIONS DEPARTMENT increases public
THE SPEAKER'S BUREAU program offers basic information
awareness and involvement through media placements,
and education on HIV/AIDS transmission, prevention and
advertising campaigns, several publications and a monthly
resting to organizations, schools/universitics and businesses
cable television program.
throughout Los Angcles County.
THE AIDS PROJECT Los ANGELES
"SABER ES PODER" (Knowledge = Power) is an interactive
MISSION STATEMENT
workshop, taught in Spanish, targeting Latino adolescents
and stresses the importance of communication among
The purpose of AIDS Project Los Angeles is to support and
Latinos as it relates to HIV/AIDS.
maintain the best possible quality of life for persons in Los
Angeles County with AIDS and AIDS-related illness, and
THE SOUTHERN CALIFORNIA HIV/AIDS HOTLINE provides
their loved ones, by providing and promoting public and
anonymous information, referrals and support to callers and
privately-funded vital human services for them; to reduce the
is available at 800-922-AIDS (English); 800-222-SIDA
overall incidence of Human Immunodeficiency
Pg
33
JAN 25 '94 05: 39PMiding risk-reduction education
WHAT You CAN Do
/ C.'21
information to persons primarily affected by and at risk
IDS, and the general public; to reduce the levels of fear
Make a donation. APLA relies on local community
33
discrimination directed toward persons affected by
support and private funding to do its job.
and to enhance and preserve the dignity and self-
ect of those persons, by providing and promoting
Volunteer. APLA has a wide range of volunteer
ally-needed education to the public, health care
opportunities to suit your talents, interests and
iders, educators, business and religious leaders, the
schedule. People of all ages and backgrounds find
dia, public officials, and other opinion leaders; and to
volunteering at APLA to be gratifying, worthwhile
are the ongoing support for all these services by
and enjoyable.
olving, educating and cooperating with a wide range of
ganizations and individuals in AIDS-related service
Join Citizens or Neighborhood Network. Grassroots
ovision, and by supporting effort at all levels of the
lobbying efforts such as these have proven to be very
blic and private sectors to secure adequate development
effective in influencing political opinions on key HIV/
ad finance of AIDS research, education and human
AIDS-related issues.
ervice programs.
Practice safer sex. It is every individual's responsibility
to help stop the spread of HIV/AIDS by protecting
themselves and their partner.
Donate food to the Necessities of Life Program or
organize a food drive.
FOR MORE INFORMATION,
PLEASE CONTACT:
AIDS Project Los Angeies
1313 N. Vine St.
Los Angeles, CA 90028
213-993-1600
Southern California AIDS Hotline
1-800-922-AIDS (English)
1-800-222-SIDA (Spanish)
1-800-553-AIDS (TDD)
1-800-922-2438 (for recorded information in Asian,
Pacific Island and Middle Eastern languages)
P.22
JAN 25 '94 05 39PM
MANY THANKS TO OUR PERFORMERS
WHO GRACIOUSLY DONATED THEIR
TIME AND TALENT TO BE HERE
WITH US TONIGHT
MELISSA MANCHESTER
LAUREN BACALL
SARAH BRIGHTMAN
WENDY MAKKENA
DORIS DAY
LIZA MINNELLI
RICHARD GERE
KATHY NAJIMY
TOM HANKS
DEBBIE REYNOLDS
JENNIFER HOLLIDAY
THE ROCKETTES
DENNIS HOPPER
THE "SISTER Acr" CHOIR
WHITNEY HOUSTON
BRUCE SPRINGSTEEN
BILL T. JONES
BARBRA STREISAND
ANGELA LANSBURY
MARY WICKES
JENIFER LEWIS
NEIL YOUNG
PATTI LUPONE