queer silicon valley team

Trans Pride Flag

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trans day of visibility flag raising

On the 6th annual International Transgender Day of Visibility on March 22, 2016, the county raised the Transgender Pride Flag at the County Government Center, making it the first county in the nation to do so. Afterwards, it was decided to fly it under the rainbow flag everyday as well. Read more about Pride flags in Santa Clara County

Getting to Zero

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getting-to-zero-scc

It was at the 2011 United Nations World AIDS Day that the international Getting to Zero (GTZ) program was launched with the goal of achieving zero deaths, zero new infections, and zero stigma. In 2015, Supervisor Ken Yeager worked with the county’s Public Health Director Dr. Sara Cody and community stakeholders to explore how to start such a program in Santa Clara County.

Once it was known how to create a GTZ program that suited our needs, Yeager asked the Board of Supervisors in 2016 for funding and received approval for a $6 million budget spread over four years to 2020. Yeager stated at the time that it was one of his proudest moments as an elected official.

The program has four focus areas: and post-exposure prophylaxis (PEP) implementation, guideline-based sexually transmitted disease (STD) and HIV screening, initiation and retention of HIV care, and reducing stigma.

One of the main elements of reducing infection is pre-exposure prophylaxis (PrEP), an HIV prevention tool based on taking a daily medication designed to prevent HIV RNA from replicating itself in the body. Daily use of the drug can reduce the risk of getting HIV from sexual contact by virtually 100%.

PrEP is a remarkable tool in the fight against HIV/AIDS but has hurdles to implementation. Truvada, the only FDA-approved PrEP drug, costs as much as $2,000 a month. Much of the county dollars to cover the cost of the treatment for people who cannot afford it comes through Medi-Cal dollars and a federal program called 340B.

In 2017, the CDC announced that individuals with undetectable viral loads have essentially no risk of sexually transmitting HIV. This is a significant breakthrough that helps to reduce transmission.

Of the three goals of Getting to Zero, reducing stigma is the hardest to quantify and requires the most sustained effort and funding. Through collaboration with the county’s Office of LGBTQ Affairs, the GTZ initiative supported nine mini-grantees to conduct unique projects that reduced HIV-related stigma.

The county has sponsored two extensive marketing campaigns geared to inform young Hispanic/Latino men who have sex with men about the option of PrEP. Another PrEP awareness campaign was specific to African-American residents.

By 2018, the county was halfway through the four-year program and already had seen increases of more than 50% in PrEP prescriptions compared to the baseline before the County began Getting to Zero. The initiative set a new precedent for increased County STD clinic hours and staff, greater number of healthcare workers trained on PrEP/PEP, and other public health advancements that will continue after GTZ sunsets.

According to a 2020 Master’s Project from San Jose State University, the GTZ program in Santa Clara County has allowed for significant strides in transmission reduction and available care for current and new diagnoses, especially when compared state-wide. Read more here.

Santa Clara County has come far since the early dark days of AIDS. But much work still needs to be done. The goals of Getting to Zero are within our grasp, and we must remain committed to doing everything we can to ensure that we reach them. For everyone who has been involved in this pandemic, our hearts are full of both sadness and hope.

Provided by Getting to Zero staff with Supervisor Ken Yeager

Ken Yeager Office of LGBTQ Affairs

Imperial Courts

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royal members the annual imperial court event scaled

Kevin Roche, a member of the Imperial Courts, remembers that it was over fifty years ago when groups in Portland and San Francisco first started drag balls. “This is when being in drag was a more transgressive activity than it is considered nowadays,” he said in an interview. This was the beginning of the Imperial Courts on the West Coast. After drag balls were established behind the scenes in 1967, the International Imperial Court System (IICS) was founded in San Francisco and hosted many drag shows and coronation balls. Later IICS was incorporated as a 501(c)(3) organization to raise money for charity while still having a lot of fun.

Mama José, also known as José Julio Sarria, was the first Empress in San Francisco, the mother of all queens participating in the Imperial Courts. Kevin recalled: “She was the mother empress of us all. She rather notoriously declared herself empress when she won a pageant at one of these balls and they were going to crown her queen, and she took the Tiara out of their hands and says, ‘I’ve been a queen all my life. I hear hereby declare myself Empress.’ This was something that was transgressive. This was revolutionary.” Mama José was an outspoken activist for the drag community in San Francisco, whose goals for the Imperial Courts included education and cultivating a greater community sense of gay pride, identity, and unity.

The San Francisco chapter of the Imperial Court is still active today. Mama José died a few years ago, in 2013; a piece about her on the Imperial Court’s website notes that Mama José was “a proud openly gay Latino, drag queen, and one of the great iconic American pioneering political activists and leaders of the modern-day LGBT Civil Rights and Social Justice Movements, [who] gracefully and peacefully passed on from this life after a long battle with cancer at his home in Albuquerque, New Mexico, at 7:02 AM on Monday, August 19, 2013 in his 90th year blessing this earth.”

Learn more about participating in the Imperial Courts at their website: imperialcouncilsf.org

Imperial Family of San Jose Casa de San Jose