HIV is for life, not just World Aids Day

An HIV and health activist explains why he won't be wearing a red ribbon today.

It's that time of year again. In the past week I've been asked to flash my red pants for Aids awareness (I don't wear any); buy a fundraising red ribbon cupcake (I bake my own); and take part in a world-record-breaking HIV testing event in Soho (I had a test last month).

I'll put bets on who will have the glitziest red ribbon brooch on X Factor on Saturday (Gary); I'll guarantee (once again) that every well-meaning HIV exhibition where I work and study won't show images of gay men (apart from the stock holding-hands-taken-from-behind photo); and it'll be a sure-fire thing that a celebratory C-lister (probably white; probably straight; probably a woman) with a new single to sell will be the voice of HIV -- but just for today...

Please excuse my cynicism: it's World Aids Day again.

Despite the good news stories -- and, for once in the 30-year history of HIV, there are many -- once the red ribbons are packed away for another year (and there will be many more years), it will be business as usual. Business as usual for the millions of people throughout the world without access to HIV treatments; business as usual for the millions of people with no access to ways of preventing HIV or being tested for it; business as usual for the people with HIV, or at risk of acquiring it, who will continue to face stigma and discrimination; and business as usual for the millions of activists, educators, health workers and policy-makers around the world -- many of whom are living with HIV themselves -- for whom every day is "world Aids day".

Behind the fundraising events, the cake bake-offs and the world-record attempts lies the reality of many people with HIV or at risk of it. Despite the astonishing break-through in "new science" in the past two years, international funding for HIV treatment and prevention looks set to plummet as the Global Fund cuts funding for life-saving HIV treatment across Africa.

In the UK, new research from Sigma Research shows that Africans living with HIV face isolation and rely heavily on professional support services: the very health and social-care services that are at the forefront of cutbacks and budget constraints.

And data released this week from the Health Protection Agency shows that HIV diagnoses in gay and bisexual men in the UK are at the highest levels ever. Although some of the increase can be ascribed to recent drives to promote HIV testing (another of those good news stories), these data follow several years of cuts in local NHS funding to HIV prevention programmes for gay men. Last year the pan-London HIV prevention programme for gay men saw cuts of 20 per cent.

So, once again this year I won't be wearing a red ribbon (and I acknowledge that for many other they serve as a symbol of remembrance), flashing my undies nor marking World Aids Day. Instead, I'll be joining the millions of others around the world who research, lobby, campaign and educate around HIV. It'll be a day like any other day: business as usual.

Will Nutland is a doctoral student researching the acceptability of pre-exposure HIV prophylaxis among gay men in London. He used to be head of health promotion at Terrence Higgins Trust

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How a small tax rise exposed the SNP's anti-austerity talk for just that

The SNP refuse to use their extra powers to lessen austerity, says Kezia Dugdale.

"We will demand an alternative to slash and burn austerity."

With those few words, Nicola Sturgeon sought to reassure the people of England, Wales and Northern Ireland last year that the SNP were a party opposed to public spending cuts. We all remember the general election TV debates, where the First Minister built her celebrity as the leader of the anti-austerity cause.

Last week, though, she was found out. When faced with the choice between using the powers of the Scottish Parliament to invest in the future or imposing cuts to our schools, Nicola Sturgeon chose cuts. Incredible as it sounds the SNP stood shoulder to shoulder with the Tories to vote for hundreds of millions of pounds worth of cuts to schools and other vital public services, rather than asking people to pay a little bit more to invest. That's not the choice of an anti-austerity pin-up. It's a sell-out.

People living outside of Scotland may not be fully aware of the significant shift that has taken place in politics north of the border in the last week. The days of grievance and blaming someone else for decisions made in Scotland appear to be coming to an end.

The SNP's budget is currently making its way through the Scottish Parliament. It will impose hundreds of millions of pounds of cuts to local public services - including our schools. We don't know what cuts the SNP are planning for future years because they are only presenting a one year budget to get them through the election, but we know from the experts that the biggest cuts are likely to come in 2017/18 and 2018/19. For unprotected budgets like education that could mean cuts of 16 per cent.

It doesn't have to be this way, though. The Scottish Parliament has the power to stop these cuts, if only we have the political will to act. Last week I did just that.

I set out a plan, using the new powers we have today, to set a Scottish rate of income tax 1p higher than that set by George Osborne. This would raise an extra half a billion pounds, giving us the chance to stop the cuts to education and other services. Labour would protect education funding in real terms over the next five years in Scotland. Faced with the choice of asking people to pay a little bit more to invest or carrying on with the SNP's cuts, the choice was pretty simple for me - I won't support cuts to our nation’s future prosperity.

Being told by commentators across the political spectrum that my plan is bold should normally set alarm bells ringing. Bold is usually code for saying something unpopular. In reality, it's pretty simple - how can I say I am against cuts but refuse to use the powers we have to stop them?

Experts - including Professors David Bell and David Eiser of the University of Stirling; the Resolution Foundation; and IPPR Scotland - have said our plan is fair because the wealthiest few would pay the most. Trade unions have backed our proposal, because they recognise the damage hundreds of millions of pounds of cuts will do to our schools and the jobs it will cost.

Council leaders have said our plan to pay £100 cashback to low income taxpayers - including pensioners - to ensure they benefit from this plan is workable.

The silliest of all the SNP's objections is that they won't back our plan because the poorest shouldn't have to pay the price of Tory austerity. The idea that imposing hundreds of millions of pounds of spending cuts on our schools and public services won't make the poorest pay is risible. It's not just the poorest who will lose out from cuts to education. Every single family and business in Scotland would benefit from having a world class education system that gives our young the skills they need to make their way in the world.

The next time we hear Nicola Sturgeon talk up her anti-austerity credentials, people should remember how she did nothing when she had the chance to end austerity. Until now it may have been acceptable to say you are opposed to spending cuts but doing nothing to stop them. Those days are rapidly coming to a close. It makes for the most important, and most interesting, election we’ve had in Scotland.

Kezia Dugdale is leader of Scottish Labour.