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We Keep Finding What We Decide to Look For
The instruments to close the HIV and hepatitis C epidemics already exist: SHIELD, MMP, and the HCV clearance cascade have each lit up exactly the stage they were built to see. The gaps that remain aren't failures of science; they're failures of funding, and the December 2026 budget deadline will force a choice about whether we keep the capacity to measure at all.

Travis Roppolo
Sep 77 min read


A Referral Is Not a Strategy for Aging With HIV
More than half of people living with HIV in the U.S. are now 50 or older—a public health success that demands more than good referral networks. Building HIV-inclusive aging organizations means developing real capacity before someone ever needs to be sent somewhere else.

David “Jax” Kelly, JD, MPH, MBA
Jul 64 min read


Pride, Policy, and the Mental Health of Our Communities in 2026
Nearly a year after shutting down the 988 Lifeline's LGBTQ+ youth specialized services, the administration says Press 3 will return by the end of 2026, restored under an executive order that refuses to recognize some of the young people it exists to serve. The research record shows what that costs: harm to mental health, disrupted HIV care engagement, and advocate burnout. This Pride, taking care of ourselves so we can take care of each other is a public health strategy.

Travis Roppolo
Jun 155 min read


Ebola, TB, and the Cost of Walking Away from Global Health
On April 24, 2026, a nurse in Ituri Province in the Democratic Republic of the Congo (DRC) developed a fever. She died three days later. Her samples were tested locally and returned negative, because...

Travis Roppolo
Jun 17 min read


The Last Clean Snapshot: What the CDC's 2024 HIV Data Tells Us About What Comes Next
The Centers for Disease Control and Prevention (CDC) released its National HIV Prevention and Care Objectives: 2026 Update on May 18, 2026, presenting the most recent national picture of the U.S. HIV...

Travis Roppolo
May 255 min read
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