When being the Prime Minister gets in the way of a good holiday

Clamouring for Cameron to come back from holiday when things get tough just feeds his Etonian ego.

It can't be easy for David Cameron. You take a nice holiday, to which you're perfectly entitled, and then news happens. Why can't that pesky news just leave you alone for five minutes? But after having cut short a delightful time in Tuscany to declare war on human rights and health and safety after the recent riots, the PM's stay in Cornwall got interrupted by Libya.

The situation in Libya isn't quite as clear-cut as it appeared on Monday night, though - not quite the out-and-out triumph for steely Cameron as it might have seemed after those first few hours, anyway. It's tempting to wonder if our beloved leader hasn't hastily headed back down the M4, only to be called back once again when the rebels started getting on top. You'll probably see him sat at Costa Coffee at Leigh Delamare services, muttering into a phone: "Well, can I go back or not? I've left the bucket and spade and everything."

Whatever Cameron's doing, though, it appears to be working. Whether it's claiming that health and safety and human rights have something to do with the culture that led to rioting in English cities this summer - entirely serendipitously chiming in with his longstanding commitment to obliterate the public sector in the 'red tape challenge', of course - or claiming partial credit for the decision to enforce a no-fly zone over Libya, he seems to have had something of a boost in the polls. He must be hoping that holiday time never ends: every time he goes on one, there's a crisis that apparently warrants his early return in order to appear statesmanlike and sort everything out.

It's our fault, of course, for dragging him back in the first place. Even before Jim Callaghan breezed back from sunny Guadeloupe in 1979 and ticked off the press for their 'parochial' view of events (leading to the infamous Sun headline "Crisis, what Crisis?") politicians have been wary of being seen detached from events, especially if they happen to be in sunnier climes than their constituents. We can't bear the thought of our leaders sunning themselves on a beach somewhere, or sipping white wine on a balcony somewhere disgustingly lovely, when we're suffering at home. We want our leaders to come back and sort out the mess. But it's an attitude that plays right into their hands.

Cameron knows this - he's good at presentation - and so rushes back to save the day every time, like the trusty white knight. The delay during the riots, if anything, made it better for him, not worse. The clamour for our Prime Minister to return from Italy made it seem that he was the only one who could save the day; his return was the only way of changing things around and making the important decisions. So when he did come back, and announced a huge surge in police numbers that capped the violence and unrest, it did the trick. He could have done it all on the phone, and it wouldn't have made any difference at all, but why do that when you can make capital out of it? While everyone else was holding the spanners and working like a dog, Cameron came back at the last second, gave the bonnet a polish and handed the keys back. You have to admire his style, if little else.

Whether the boost for Cameron lingers once the kids have gone back to school, and there are no more holidays to cut short, remains to be seen. I would find it depressing if a bit of tough talking after the riots and a war on human rights have proved popular with voters. What would that say about us? That we love to be governed, I suppose. We want the big Etonian alpha male to come and rescue us when we're in trouble, and keep us safe. What a horrible thought.

Patrolling the murkier waters of the mainstream media
Show Hide image

On World Aids Day, let’s end the stigma around HIV for good

Advances in treatment mean that being HIV positive is no longer a death sentence, but attitudes still lag behind.

Stigma is a dangerous human construct, principally based on unfounded prejudices. None more so than the stigma surrounding HIV. The condition has been a recognised health issue in the UK for more than 30 years, and the advances in treatment have been staggering. Unfortunately attitudes seem to have remained in the 1980s.

A recent Terrence Higgins Trust poll asked people who are living with HIV for words that they have heard to describe their health condition. “AIDS”, “riddled”, “dirty”, “disgusting”, “promiscuous”, “dirty”, “deserved”, “unclean”, “diseased” – were the most cited.

Imagine turning to someone, who lets say has a long term health condition like high blood pressure, and branding them “lazy”, “fat”, “deserving”. Or someone who has just been diagnosed with diabetes being dismissed as “greed”. Of course, I’m not saying that these health conditions are without their own stigma. Rather I doubt that Charlie Sheen would have been subjected to such a vitriolic witch hunt, had it transpired he had either of those.

Once the nausea of that coverage subsided, it was telling to note the absent voices from most of the media debate around HIV and stigma. The thing that struck most was the total lack of understanding of the condition, the treatment, and the lack of representation of those who are living with HIV.

There was little written about the stigma women living with HIV face. That which those within the black African community, or the trans community, or the over 50s – the first generation of people living into old age with HIV – are subjected to.

Such is the stigma and the shame of HIV in black African communities that it can divide families. HIV positive people can be asked to leave home, resulting in separation from their family and isolation from their community. We know of a woman from the black African community who felt so stigmatised for not breastfeeding her baby – due to her HIV treatment – that she stopped her drug regime. She died unnecessarily of an Aids-related illness. After her death, her medication was found in the attic.

While living with HIV can be stressful for all ages, ageing with HIV can introduce challenges to mental health and quality of life. When compared to their peers, older people living with HIV are disadvantaged in a wide range of ways – from poorer health, to social care and financial security. We’ve found that older people fear that social care services will be prejudiced about their HIV diagnosis. One man shared that he feared hugely going into a home – the attitudes towards HIV that he might find, and ignorance from the staff. This fear is rooted in many people’s historic and continued experience of HIV-related discrimination.  

Often considered to be a lower risk group than gay men, women are sometimes forgotten in HIV discourse and yet women are stigmatised as much as any other with HIV. Women living with the condition face a unique stigma. Some are mothers and have been accused of being “irresponsible” and “putting children at risk”.

For the record, taking antiretroviral medication (ART) lowers the amount of virus in your blood to “undetectable” levels. When the level of HIV in your blood is so low that it can’t be picked-up in tests it is undetectable. This means there is an extremely low risk of passing on HIV.

Because of ART, undetectable women have a very low risk of passing on HIV to their babies. New-borns are given their own short course of ART to further reduce their risk of developing HIV, and undergo a series of tests during the first 18 months of life.

Many transgender people are on a difficult gender journey, which includes lots of access to GPs for onward referrals to specialists, and still they worry about HIV stigma. Some deny their HIV status in settings where possible, as they look at it as a barrier to achieving their goal. Gender specialist clinics are embedded in mental health departments, and some positive trans people worry that the stigma of diagnosis might be seen as an indicator of promiscuity, which they feel might work against their cases.

And what of stigma in the gay community? The poll mentioned earlier found that of 410 gay men living with HIV, 77 per cent experience stigma – with more than two thirds experiencing this most from within the gay community.

Those gay men who take the plunge and live openly with their status are often heckled, and sent abuse on dating apps like Grindr, even receiving messages that they shouldn’t be using it because “they’ll infect others”. It’s all too easy in the digital age for stigma to persist, and ignorance to remain faceless.

Stigma is best countered with fact. But there’s a clear lack of education amongst many – both positive and negative. Growing up with sex and relationship education lessons that only teach the reproduction cycle is not enough. Young people should be given clear and detailed information about the risks of HIV, but also how living with HIV in the UK has changed, and it is now an entirely manageable health condition.

Officially, stigma is defined as a mark of disgrace associated with a particular circumstance, quality, or person. Let’s turn that around today, and use the red ribbon to stop stigma. Let’s use it a mark of solidarity, compassion and understanding.

Let’s start a conversation about how we speak and write about HIV. Let’s stand together, today of all days against HIV stigma. Start now – join the solidarity on social media by taking a selfie with your red ribbon and #StopStigma.