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MINUTES - 09191989 - IO.1
'4Y sE L .o� I.O.- 1 TO: ` Board of Supervisors FROM: INTERNAL OPERATIONS COMMITTEE 'r DATE: September 11, 1989 ' SrA`couK`t`; SUBJECT: STATUS REPORT ON THE COUNTY'S THREE-YEAR AIDS RESPONSE PLAN Specific Request(s) or Recommendations(s) & Background & Justification RECOMMENDATIONS: 1. Acknowledge receipt of the attached report from the Health Services Department on the status of the County's three-year AIDS Response Plan. 2. Request the Health Services Director to contact Kaiser-Permanente and schedule a performance of the AIDS education play, "Secrets"for the members of the Boards of Trustees of each school district in the County,key school district administrators and Presidents of local Parent-Teacher Associations and Parent's Clubs and invite each of these individuals to attend the perforniance, along with members of the Board of Supervisors and the media. 3. Request the Health Services Director to submit an organization chart of the AIDS Program staff to our Committee on December 11, 1989,indicating how many employees there are currently working on the problem of AIDS in this County, what their classification and job description is and where in the County they are located. 4. Request the Health Services Director to make a further status report to our Committee on the three-year AIDS Response Plan on December 11, 1989. BACKGROUND: We last made a status report to the Board of Supervisors on the status of the AIDS epidemic in Contra Costa County on April 18, 1989. On September 11, 1989 we met with Dr.Wendel Brunner and Francine Wise,R.N.and reviewed the attached report. Unfortunately, this County is seeing the same trend that has been established nationally, namely that AIDS is impacting minority groups disproportionately. Continued on attachment: xx YES Signature: Reco me of ounty Administr tor" _ Recommendation of Board Committee A o e Other: Si ature(s): O S SUNNE WRIGHT MC P ion of Boar on: September 19 1989 Approved as Recommended x Other Vote of Supervisors I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN x Unanimous (Absent ) AND ENTERED ON THE MINUTES OF THE Ayes: Noes: BOARD OF SUPERVISORS ON DATE SHOWN. Absent: Abstain: Attested >4.1, 4"-"l/9 /489 cc: County Administrator Health Services Director Phil Batchelor, Clerk of the Board Public Health Director of Supervisors and County Administrator By , Deputy Clerk clvm:eh(io-1 bo) The Health Services Department has taken steps to respond to the fact that blacks and hispanics are being diagnosed with AIDS at rates substantially higher than the white population. Alternative test sites have been established in Pittsburg and Richmond and the program has made a special effort to hire staff who are culturally sensitive and bilingual. A West County AIDS Network(WeCAN)organization has been established to coordinate the delivery of health services to the West County community. The Health Services Department has assisted community organizations develop AIDS educational programs for minority communities and are providing technical assist a*nce to community organizations which are seeking funding to do AIDS work. The Alcohol/Drug Abuse/Mental Health Division of the Health Services Department is also working to combat AIDS in ethnic minority communities. Among other programs,confidential AIDS testing is now being done at methadone program sites. The Health Services Department will be submitting a request to create two full-time ethnic minority health education specialist positions in order to continue to support community-based organizations and to assist in a coordinated response to AIDS. Our Committee is aware of a very powerful and moving play,"Secrets",which is sponsored by Kaiser-Permanente, which addresses the issues of AIDS in a very realistic manner. We believe that it is important that every high school student in Contra Costa County have an opportunity to see this live performance. In order to encourage this effort, our Committee is suggesting that the Board of Supervisors sponsor a performance of "Secrets"for school board members,administrators and PTA and Parents Club Presidents. Hopefully,after viewing this performance, each school district in the County will make arrangements to have the play performed at an assembly in each high school in their district. Attached is a brochure which provides more information regarding this play. Our Committee is pleased to see the variety and nature of the response which has been made by the Health Services Department to the AIDS epidemic, particularly to minority populations. As the attached report indicates,the Sheriff's Department and Health Services Department are cooperating fully in insuring that staff of the Sheriff's Department are receiving adequate AIDS education and training. - 2 - W W6.V a� J Wcr CD CD j 3 LUcn r r cn co as . co ccs cn 't3 �i ca O Z cf> cz W T c= -Cl. y 'C3 }, �, O Cid O tis i Q 'l+.� CCS L3 Q C O 'O L 'C3 i O CC t� j +�+ �O— Ctf +� Cn © � N L1 ( O CI? tLf is Z LU co E 5 cLU °� Q c t1 c ai O U1 CC 014- E o CG � .� o u, Wt� � S o CIO c CD c!? C CO1 Cl 0 w d W O m �, T LY] Co > '` W �� (n 5 L't.+� N X C` co >, CJ Cly 0 D o v— (1 N � O C W � C7 Ca CD cn cls ct) cu Cn i «•its o a7 a� m„ L..i.J W co o mC3 per,U c lu a, o o o cts r� ^(� S� C1'S '— •� ?' °..' vis �, Qi ` CC V 2 C5 :S2 To cz _ ; 4 Cy 1 ' o is — � ' a _ o CC C z' ` � � crs oo Q3 F- co U O �y o-o !i ? as Z c WN v c° w o a' ;v O ca cinCO w `� O co cz a CAZ ..., a3 W co C4 �` o� -oo. o o o t3v Z =s �a� coo, 44 Wui 4`" CRs o 3a o ccs C's cz � - o ag o aoo ¢o d cts a� o cu w *- "' T- c� d O CIOLU ZO c = c cr cd o� m cz W WCL ) cc z C3oy t— d : Contra The Board of Supervisors Costa Health Services Department Tom Powers, 1st District County Nancy C.Fanden,2nd District OFFICE OF THE DIRECTOR Robert 1.Schroder,3rd District ... Sunne Wright MCPeak,4th District Mark Finucane,Director Tom Tortakson,5th District .PJ Administrative Offices 20 Allen Street County Administrators Martinez.California 94553 Phil Batchelor co.T- �rJ (415)646-4416 County Administrator rq (cf U September 6, 1989 To: Board of Supervisors Internal Operations Committee From: Mark Finucane, Health Services Director ��//� by Wendel Brunner, M.D. , Public Health Directoro Subject: Status Report on the AIDS Response Plan I. AIDS in Ethnic Minority Communities in Contra Costa County A. Impact Nationwide, we have known for some time that AIDS - like a host of other health problems - disproportionately affects the Black and Latino communities. The Centers for Disease Control report a ratio of AIDS case incidence of 3.2 to 1 for Blacks and 2 .8 to 1 for Latinos compared to Whites based on new cases per 10, 000 population of each ethnic group;. In the Health Services Department's three year AIDS response plan, prepared in 1987, we predicted that the AIDS epidemic in Contra Costa County would develop to have a similar disproportionate impact on our ethnic minority communities. We regret to report to the Board that, particularly in the Black communities in our county, we are now reflecting that national AIDS demographic picture. Incidence Proportion of AIDS cases. Contra Costa County NEW CASES PER 10,000 RESIDENTS. 2.5 I ................._..___..........—........ t j .....__................._...._..............._.......................................................................................__._...-_..._..._._...:. 1 0.5 ---... ._..._.........._.._._._..__.........--- .............. O 1982 1983 1984 1985 1986 1987 1988 YEAR OF DIAGNOSIS Whites:540,000 Bl8ck3: 60,000 ®Whites I♦Black and Latino Latinos:66.000 A-345 (11/87) CD SD {, El El ME ral mcm M'O UT Z z Z co U) 2 c y-O.N :•-sw �� CD cm CD cm C cm CD cn m CD CM CD Pa cn cn CD CD co CD Co En an cn CD CD = y N CDo CD cm (p = w to CDCD 2 CD W cn w CD p_ y "• O OO � D ' z _ D 2 m —Di m O v C n O z co D Cl) m v O z C m CD 0J3 T Fn yYf Ffi� r O ,' yixi �a IT •vt��� � .L t n -F��i.;c�.�t T. D,� �TX �tit�r�rs�2•�}ft�"''. � } '*..l '>.,?1.,�,{ "�S. Ji +',a.^7' tri srr 4j y r 4 y .��.�.P�e°.�•.. .c':.t� Contra The Board of Supervisors Costa Health Services Department Tom Powers,1st District County Nancy C.Fanden,2nd District J OFFICE OF THE DIRECTOR Robert I.Schroder,3rd District c Sunne Wright McPeak,4th District :'a' =,'•,• Mark Finucane, Director Tom Torlakson,5th District I,. Administrative Offices n; c: 20 Allen Street County Administrator i•w Martinez,California 94553 Phil Batchelor cosTq uM C�4 (415)646-4416 County Administrator September 6, 1989 To: Board of Supervisors Internal Operations Committee From: Mark Finucane, Health Services Director by Wendel Brunner, M.D. , Public Health Directoro Subject: Status Report on the AIDS Response Plan I. AIDS in Ethnic Minority Communities in Contra Costa County A. Impact Nationwide, we have known for some time that AIDS - like a host of other health problems - disproportionately affects the Black and Latino communities. The Centers for Disease Control report a ratio of AIDS case incidence of 3 .2 to 1 for Blacks and 2 .8 to 1 for Latinos compared to Whites based on new cases per 10, 000 population of each ethnic group, In the Health Services Department's three year AIDS response plan, prepared in 1987, we predicted that the AIDS epidemic in Contra Costa County would develop to have a similar disproportionate impact on our ethnic minority communities. We regret to report to the Board that, particularly in the Black communities in our county, we are now reflecting that national AIDS demographic picture. Incidence Proportion of AIDS cases. Contra Costa County NEW CASES PER 10,000 RESIDENTS. 2.6 2 , 1 ---.._...__...._.._..._.._._...--..............................._........................_......._.._._—_.. 0.6 ' O 1982 1983 1984 1986 1986 1987 1988 YEAR OF DIAGNOSIS Whites: 540,000 Blacks: 60,000 ®Whites =Black and Latino Latinos:68,000 A-345 (11/87) Status Report on the AIDS Response Plan Page 2 Contra Costa County Health Services Department In 1986, the ratio of Black to White cases in Contra Costa County was about equal (1: 1) in proportion to the population of the two groups. In only two years, by 1988, the ratio was over 3 : 1 (cases of Blacks to Whites proportionate to population) . From 1982 through 1985, in our county there were only four cases of AIDS among Blacks. In 1986 alone there were five cases; in 1987, 15 cases; in 1988 , 22 cases. Of course, in this county, the majority of total new cases continues to occur among Whites, as the total White population is much larger than the Black population. Nonetheless, minority populations, and in particular the Black community, are at high risk in the AIDS epidemic. Testing for HIV infection is one way to project into the future information about the people who may be diagnosed with AIDS over the next decade. While data on ethnicity was not collected at our anonymous testing sites until August 1988 and therefore cannot be compared with data from earlier stages in the epidemic, today' s data speak loudly. We seem, tragically, to be seeing the same pattern in the testing data as in the case data. In the first half of this year, 3 .3% of Black clients tested anonymously have tested HIV positive for the first time. The percentage of Latinos testing positive for the first time was 1.7%. The corresponding figure is 1.5% for White clients. While representing only nine percent of the population in Contra Costa County, in the first six months of this year, Blacks made up 27% of all first-time positives B. Response Serving ethnic minority populations has been a priority of the Health Services Department AIDS Program since the program began. In 1987, a position was created in the AIDS Program specifically to target AIDS prevention efforts in communities which have traditionally been underserved. This program component has been- expanded to include three community health outreach workers who target AIDS prevention education to out-of-treatment drug users in West and East County. After the initial Alternative Test Site was opened by the county in July 1985 in Concord, two additional sites were opened in Richmond and Pittsburg to assure the availability of testing services to ethnic minority communities. The AIDS Program has put special emphasis on hiring culturally sensitive and bilingual counselors at the county's three Alternative Test Sites and a Spanish-speaking HIV counselor is on staff at each Alternative Test Site. In October 1987 a community health outreach specialist was hired to conduct a West County needs assessment which included interviews with leaders of community-based organizations, churches Status Report on the AIDS Response Plan Page 3 Contra Costa County Health Services Department and schools. A result of that needs assessment was the establish- ment of the West County AIDS Network (WeCAN) , an organization which continues to meet monthly in West County and includes representa- tives from Familias Unidas, the Martin Luther King, Jr. Family Health Center, Metta Vihara Center, North Richmond Neighborhood Council, the Bay Area Urban League, the Youth Services Bureau, the AIDS Task Force, the AIDS Community Network, Rubicon, Lao Family Services, representatives from Supervisor Tom Powers' office and from Assemblyman Bob Campbell 's office, and employees from other county programs including Public Health Nursing, and the Alcohol, Drug Abuse and Mental Health Division. The county AIDS Program continues to provide coordination and staff support to WeCAN. In September 1988 two full-time, temporary staff members were hired by the AIDS Program to develop educational programs in cooperation with community-based organizations throughout the county. One was to work in West County with community-based organizations serving ethnic minority citizens; the other was to work in Central and East County. Through local community efforts the E1 SIDA Group was formed. This group is staffed by the county AIDS Program and composed of representatives from organizations including Familias Unidas, the United Council of Spanish Speaking Organizations, the AIDS Task Force, Planned Parenthood, the Child Abuse Prevention Program, Head Start and the county's Mental Health Division. The AIDS Program also provides technical assistance to community-based organizations seeking funding to do AIDS work. At present Familias Unidas, the AIDS Task Force, Planned Parenthood, the Martin Luther King, Jr. Family Health Center and the Metta Vihara Center in our county all receive State funding to provide AIDS prevention education and support services for people with AIDS. The Health Service Department's Alcohol, Drug Abuse and Mental Health Division is also engaged in work to combat AIDS in ethnic minority communities. A recently-funded program to begin confiden- tial HIV testing at methadone programs in the county serves clients at sites in Richmond and Pittsburg. The Drug Program Administra- tion has received funding to provide AIDS counseling and referrals to ethnic minority women at risk for both substance abuse and HIV infection. This program is now established in West County and will have additional staff in East County soon. C. Recommendations Northern California Grantmakers, a consortium of foundation and corporate representatives, has awarded Contra Costa County Health Services a grant of $19, 000 to continue our efforts to build the capacity of the Latino community to conduct its own AIDS prevention and education programs. The Northern California Status Report on the AIDS Response Plan Page 4 Contra Costa County Health Services Department Grantmakers recognized the Health Services Department's role in .promoting leadership from organizations based in ethnic minority communities. Through work which strengthens community-based programs, we enable people best-suited for the work to build local programs which are then able to seek independent funding. In September the Health Services Department will submit the Northern California Grantmakers award to the Board of Supervisors for acceptance. The Health Services Department is pursuing personnel action to establish two full-time ethnic minority health education specialist positions. With two persons specifically hired to work in ethnic minority communities throughout the county, we will be able to continue to support community-based organizations and to assist in a coordinated response to AIDS. The county will then be in a better position to serve minority populations which are at increasing risk for HIV infection and thereby reduce the financial, personal, and social impact of HIV infection and AIDS on individuals, families and communities in our county. This effort remains a priority of the Public Health Division and the Health Services Department despite the reductions in administration and program services we will be recommending in other areas. II. .§ eriff' s Department Training To clarify information in the last report to the Internal Operations Committee, the Health Services Department AIDS Program and Sheriff's Department have cooperated in providing ongoing AIDS education and training to Sheriff's deputies and inmates of the detention facilities. In FY 1987-88 all institutional custody staff at the Main- Detention Facility, Marsh Creek and Work Furlough received training on AIDS transmission and prevention. Five deputies were trained as AIDS information resource persons for the detention facility staff. All new recruits to the Sheriff's Department receive AIDS education as part of their orientation. Training for deputies is provided jointly by Detention Facility medical staff and Public Health Division staff. Inmate education at the Main Detention Facility began on a regular basis in May 1988 and continues weekly. The Sheriff's Department has cooperated in the development of "Health Kits, " containing health education materials and condoms, which are distributed at the time of release when requested by inmates. Status Report on the AIDS Response Plan Page 5 Contra Costa: County Health Services Department A review, of the Sheriff's Department's needs for training is currently being conducted. If the Sheriff Ia Department. determines that additional training is needed', the AIDS Program will collaborate on development of a training plan. 5 .L Contra Costa County .o Health Services Department PUBLIC HEALTH DIVISION ®F ST'4,CO"t_irI'Cq Contra Costa County AIDS Program Quarterly Report of HIV/AIDS Statistics April - June, 1989 FIFTEEN NEW CASES DIAGNOSED In the second quarter of 1989, 15 new AIDS cases were diagnosed among Contra Costa County residents. All cases "The statistics Of epidemiology are are among adult males. human beings with the tears removed. Twelve (80%) are homosexual They capture the number of sufferers or bisexual men. one (6.7%) is an IV drug user and two but not the quality or the weight (13.3%) are to-date without of the suffering that IS being a determined risk. Eight cases (53.3%) are White, four endured, for the fundamental reality (26.7%) are Latino and three of AIDS is that it slowly, prematurely, (20%) are Black. and with great cruelty robs young Six cases (40$) are residents of west county, seven (46.7$) men and women of their function, their are central county residents and two (13.3%) reside in plans and dreams, and ultimately, their east county. lives. Further, the numbers do not Seven cases (46.7%) were capture the profound effect of the diagnosed at Merrithew Memorial Hospital and other epidemic on health care workers, who by county clinics, six (40%) at the nature of their work have been Kaiser and two (13.3%) atprivate institutions. placed in the path of the epidemic." one of the cases diagnosed died before the end of the Gerald H. Friedland, M.D. second quarter. Clinical Care in the AIDS Epidemic. In "Daedalus Journal of the American Academy of Arts and Sciences. Living with AIDS. Spring 1989. AIDS DIAGNOSIS The following statistics include AIDS cases as defined by the Centers for Disease . Control. From February 1982 through the end of June 1989, there have been 323 reported cases. Of this total number, 208 (64.4%) have been reported to have died. Caution should be used in interpreting case fatality rates due to incomplete reporting. Homo/bisexual 75% Cumulative Totals by Transmission Category: Homosexual/bisexual . . .male 241 (75%) Homosexual/bisexual . . .male 20 ( 6%) & IV drug user IV drug user . . .male 25 ( 8%) heterosexual . . .female 2 (<l%) Blood/blood product . . .male 24 ( 7%) 25 recipient . . .female 1 (<l%) 20 27 Heterosexual . . .male 0 Other 2% : : .male 5 ( 2%) Heterosexual 2% Other* . . .male 5 ( 2%) . . .female 0 Blood recipient 7% 323 Homo/Bisex & IVDU 6% Heterosexual IVDU 8% Cumulative Totals by Ethnic Group: White . . .male 238 (74%) White 75% : . .male 3 (<l%) 24� Black . . .male 48 (15%) . . .female# 4 ( 1$) Latino . . .male 24 ( 7%) 25 . . .female# 1 (<l%) Asian . . .male 4 ( 1%) Latino 8% . . .female# 0 52 Native American . . .male 1 (<1%) Asian 1% . . .female#_ 323 #Of the eight AIDS cases among women, Black 16% 4 are Black (50%) , 3 are White (37.5%) , 1 is Latina (12.5%) Native American <1% Cumulative Totals by Age Group: 0-12 . . .male 2 (<l%) Soo%s . . .female 0 13-19 . . .male 1 (<l%) 427%9 130 . . .female 0 8..7 20-29 . . .male 46 (14%) . . .female 2 (<I%) 30-39 . . .male 128 (40%) . .female 2 (<l%) 32 40-49 . . .male 86 (27%) >23 4s . . .female 1 (<l%) 50-59 . . .male 30 ( 9%) . . .female 2 (<1%) 50-59 60+ . . .male 22 ( 7%) 10% 20-29 . . .female 1 (<l%) 60. 0.19 15% 323 7% HIV TESTING The following statistics include those persons tested anonymously for HIV at Contra Costa County's Alternative Test Sites (ATS) and STD Clinics. The number that appears to the left of the slash (/) is the total number of tests. for the time period indicated. The number that appears to the right of the slash is the total number of new HIV-positive results for the same time period. Since the Health Services Department began anonymous HIV testing in July 1985, 14,596 tests were administered to clients that did not have a prior positive result. Of that total, 435 (3�) have had HIV-positive results. These are new figures based on recently completed computerization of all testing data. CONTRA COSTA COUNTY** TOTAL EAST WEST CENTRAL OTHER Total this quarter 829/13 135/2 168/4 406/ 7 120/0 Total year-to-date 1672/29 230/2 360/7 837/19 245/1 Total same quarter '88 988/38 112/6 230/7 455/20 191/5 As data on this page indicate, 13 people teste No-:Tested bg Risk,: April ivae 1989 onymously w seropos an ere found to be itive for the Homosexual/bis:exual male 88/: 6 first time during the second quarter of 1989. Of Homo/ba/drug user*** male 3fQ those 13 people, six are homosexual or bisexual IV drug user1.male 61/' 3 men; six are IV drug users (three men and three heterosexual: fei►ale 29/.: 3 an i al women) d one 's a heterosexu man Of the men unknown 1/ 0 found positive, six are White, three are Black Blagd/blond product; ..male ]2/ 0 and one is Latino. Two females are Black and one recipient flemale 12/` 0 i he Is White Four of t 13 positive cases are residents of west count seven reside in central Hetero1.sexual male 279/: 1 y� female; l$7 : 0 county and two in east county. Sex :Partner.. male 42/ 0 Comparative data from the first half of 1988 and female::: 70/ 0 the first half of 1989 show that among Other male 20/ 0 female; 24/; 0 homosexual/bisexual men without a prior positive unknown 3[:> 0 test result, tested at the County's ATS and STD ' 82, i clinics, there was a statistically significant No. Tested by Ethnicxtx,April June 1989 decrease in the numbers testing positive (p<.05) . White male 327/ 6 In 1988, 39 tests out of 249 were positive. In fema1e; 230/ 1 1989, 18 tests out of 200 were positive. Among unknotan 1/ 0I. IV drug users without a prior positive test Black .male 88/::. 3 result, there was an increase in the proportion female: 51/; 2 of clients testing positive, but the increment unknown 1j0 was not statistically significant. In 1988, four Latino mal,111Ae 70/; 1 tests out of 179 were positive. In 1989, seven 1. . .female: 24/ 0 tests out of 157 were positive. Asian male 13/ 0 ..female:1.1. 15/; 0 The figures presented are representative only of Nat ve American male 1/ 0 persons who self-select to come to Public Health f:emalei 2/.! 0 Alternative Test Sites and STD Clinics. Persons Other ,male ]/ p who know they are seropositive who are being female' 51 0 retested have been excluded from this r port. e 829/;]3 Report legend No ;Tested by Age Group, lpril June 19891:1 *Includes heterosexuals on whom risk information is incomplete 12 19 riale 30/: 0 due to death, refusal to be interviewed or loss to follow-up, female 4 0/; 0 patients still under investigation, men reported to have had 2 0 2 9 male 19!5/ 3 heterosexual contact with a prostitute and for whom no specific female! 108/,; l1.I risk was identified. 3 0 3 9 male 1 62/ 5 **Geographic distinctions as recommended by the Contra Costa fema 1.. 1 1 1;/: 2 County Community Development Department. East County includes the 4.0........A.4:.::, 491. ma ie 7 6/, 2 cities of Pittsburg, Antioch, Brentwood and the surrounding area. female; 4 5/ 0 nest County includes Richmond, El Sobrante, Pinole, Hercules and 50 5 9 male' 2 0/ 0 surrounding area. Central County includes Concord, Walnut Creek, female 12/ 0 San Ramon and the surrounding area. "Other" includes any areas 60+. male . :; 20/ 0 outside of Contra Costa County. femal e 5/ 0 ***Data on this category of risk have been collected since 8/88. Unknown . .male 7J 0 ****Includes heterosexuals who have had sex with a partner who female 2/ 0 used IV drugs, had hemophilia, received blood between 1977 and May unknown ...2 0 1985, or was known to be HIV-infected. Also includes women who 8 2 9':1 3 had sex with a homosexual or bisexual man. CONTRA COSTA COUNTY :AIDS-::PROGRAM .:SERVICES>> Telephone 646 1240 .for more inrormat on COUNSELING AND TESTING PREVENTION EDUCATION Three alternative test sites where people Presentations, literature and technical are tested free and anonymously for HIV. assistance on AIDS issues. Also direct All clients receive pre- and post-test contact with individuals at risk on the counseling and risk reduction information. streets of our County's cities. Testing is available at the following times and locations: • Tuesdays 1 pm to 9 pm at 2355 Stanwell EPIDEMIOLOGY Circle, Concord • Wednesdays 6 pm to 9 pm at 39th and Reporting of diagnosed AIDS cases as Bissell, Richmond required by law. Voluntary partner • Thursdays 5:30 pm to 8:30 pm at 340 notification also offered. Black Diamond, Pittsburg. SUPPORT GROUPS AIDS CASE MANAGEMENT Assures maximum use of community resources, Support groups for people affected by AIDS provides emotional support, respite and are led by professional facilitators who attendant care; transportation, food and have .additional training in AIDS issues and housing assistance and bereavement services. Groups currently meeting are: counseling. • People with AIDS/ARC • Spouses/lovers of people with AIDS/ARC/HIV+ AZT/PENTAMIDINE DISTRIBUTION PROGRAM • HIV-positive men Contra Costa County's Health Services • HIV-positive women Department has received federal funds to • Parents of people with HIV infection pay for AZT and Pentamidine for persons who • Grief support for anyone whose loved need these medications and are unable to one(s) has died from HIV disease. pay for them. Please contact Duane Chapman For more information about these groups or (beeper No. '946-8752) for eligibility others needed, please contact Mary Parish screening. at 646-1240 or 934-1616. Contra Costa County Department of Health Services Public Health Division P.O. Box 871 Martinez, California 94553-0087 SE .L .O 'v n�S,A,COUK� V� 5804