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How HIV outreach is tackling an “invisible crisis” in The Bronx

Aviles looks on as his colleague prepares for a customer in a Bronx barber academy.

Charles Aviles, a 36 year-old Bronx resident, will always remember his mother’s childhood friend Ronnie when he thinks about growing up during the 1980s. Ronnie had treated Aviles like a son, helping him with things like tying his sneakers.

“He had one of those million-dollar smiles, like nothing ever bothered him,” he said.

But when Aviles was just 10-years-old, Ronnie passed away suddenly. That was when Aviles first became aware of AIDs. The global epidemic continued to rage throughout Aviles’s childhood years and into the early 1990s.

HIV and AIDs rates have decreased globally since the peak of the epidemic in the 1980s, and earlier this month, New York Gov. Andrew Cuomo announced that the number of HIV diagnoses in the state had declined by 28 percent since 2014. But that doesn’t mean progress is evenly spread: just as the Bronx was disproportionately affected during the crisis’s peak, today it is one of the Center for Disease Control’s 45 HIV hotspots across the country.

There are several factors that feed into the “invisible crisis” of HIV in the south Bronx, according to Dr. Vincent Guilamo-Ramos, director of the Center for Latino Adolescent and Family Health. HIV rates are higher among Latino and African American populations, which disproportionately populate the borough. There are also generally higher rates of HIV among men under 25 years old, particularly those who are gay and bisexual. The Bronx also has the largest youth population of any of New York’s five boroughs. Language and cultural differences also play a role.

Both government and non-profits have been trying to address the issue with outreach programs tailored to specific demographics.

For example, hair care professionals were one of the groups identified by the CDC as potential partners for its Business Response to AIDs initiative, which began in 1992. The program partners with businesses, health departments, community based organizations and government agencies to provide public education on HIV. As barbers in New York are already required by state law to receive training on contagious disease transmission associated with their professional duties, training centers for hair care professionals were an obvious group to incorporate into the program.

Aviles, who is training to become a barber at the Beyond Beauty & Barber Academy in the Bronx’s Westchester Square neighborhood, is also being trained to talk to people about HIV. For Aviles, it’s important not just to have practical knowledge about safe barber practices – sanitizing equipment, taking care with pimples and open wounds – but also about how the community provided by space can facilitate difficult talks.

“Barbershops are the places where you let loose, where you want to be able to talk sometimes and at home you can’t really have certain conversations,” he said. “But when the fellas are around, it’s a great environment to have certain conversations.”

But despite efforts like the CDC’s, there are several reasons that HIV rates remain high across the Bronx today.

There are fewer health services in the area than elsewhere in the city, and Latinos and African Americans are disproportionately uninsured, or have inadequate coverage. For many, that means that PrEP, a highly effective antiretroviral drug, often isn’t available to them. Bronx residents generally have lower incomes than in other parts of the city, Dr Guilamo-Ramos said, and other expenses might seem more urgent than medication for a chronic health condition.

People also feel scared about going into formal spaces like hospitals or clinics to take an HIV test test, said Daniel Leyva, the Latino Commission on AIDs’s press secretary. This discomfort can be especially prevalent among Latinos and people of color, who can feel socially and culturally excluded in places like sexual health clinics.

“It’s really sad to see that a lot of people in our community are still dealing with so much stigma,” said Ivan Ribera, a community engagement specialist at Latino Pride Center whose daily work involves approaching people to talk about HIV prevention.

All of this has grave consequences for the Bronx. The borough’s rate of premature deaths from HIV was twice as high as the New York City average in 2018, according to Community Health Profile data., which put the Bronx’s rate at 12.3 deaths per 100,000 compared to Brooklyn’s 6.4 and the New York City average of 5.9. In total, the Bronx saw 792 premature deaths from HIV last year.

Moreover, the South Bronx itself is a pocket with much higher HIV death rates than anywhere else in New York City. Morrisania, Mott Haven and Hunts Point were among the worst-affected areas.

HIV mortality rates in the South Bronx, compared to the rest of the city.

Dr. Guilamo-Ramos has piloted a number of pioneering outreach and education programs in recent years, but described youth infection rates as a “raging epidemic”. As a result, two of the programs he runs – Families Talking Together and Fathers Raising Responsible Men – target teenagers and work with families to communicate on the issue.

Ribera said he talks to approximately eleven people a week on an individual basis as part of his outreach work, and that much of it involves trying to get people to use condoms. “There’s this idea that NYC condoms don’t work,” he said, alluding to rumors that condoms issued by the city’s Health Department are faulty. “So we try to push condoms, to eliminate those patterns.” In addition to approaching people in the street, Ribera and the Latino Pride Center produce discreet boxes filled with a range of differently-sized and -flavored condoms and leave them in places like barbershops.

Churches are another space being leveraged to offer a culturally-specific outreach service, due to their standing in minority communities and the close personal relationships they often cultivate in areas such as the Bronx.

“Churches are becoming a mediator between communities and its services people who are nervous about seeking services somewhere else,” said Leyva, adding that they can be particularly important for people who don’t see themselves as a part of at-risk groups or who don’t realize the breadth of health services they are entitled to use. “At the end of the day, it’s about promoting safe spaces for people to discuss sensitive issues.”

In Aviles’s mind, the necessary outreach work to combat HIV in the Bronx shouldn’t pose as many challenges as it appears to. “It doesn’t mean you got the cooties or anything like that. You’re just a normal person,” he said. “Things happen.”

Posted in Bronx Neighborhoods, Community Resources, Featured, Front Page, Health, south bronx, Southern BronxComments (0)

Bronx Political Trailblazer and Civil Rights Leader Rev. Wendell Foster Remembered

Rev. Wendell Foster, a civil rights activist who marched in Selma with Dr. Martin Luther King and the first black city council representative from the Bronx, died on Tuesday, Sept. 3. He was 95 years old.

“He endured Jim Crow, marched for civil rights, fought to open doors of opportunity for his constituents in the Bronx, and blazed a trail for black lawmakers across our city,” Mayor Bill de Blasio tweeted on Wednesday. “Our hearts are with the Foster family tonight.”

Pastor of Morrisania’s Christ Church for 52 years, Foster was known for his deep connections to the neighborhoods he served both spiritually and politically.

“Rev. Wendell Foster was a pioneer, and someone who helped to make the Bronx and our nation a better place,” said Borough President Ruben Diaz, Jr. in a statement. “As the first black elected representing the Bronx in the City Council, Rev. Foster was a historic figure in our borough and a dedicated public servant who inspired a whole generation of elected officials to serve their community.”

Foster told the New York Times in 2009 that he came to New York from Alabama when he was 13 years old after reading in a black newspaper about “what people were doing ‘up north.’” The bus station he left from was segregated.

He became an ordained minister and was then sent by a bishop to Bermuda, where he met his wife, Helen Foster. The two returned to New York, settling down on Woodycrest Avenue in the Bronx. Their 63rd anniversary would have been Monday, Sept. 9

Foster’s first run for city council in 1973 proved unsuccessful. One of his opponents, south Bronx political power-broker Ramon Velez, sent Foster one of his own sound trucks to advertise his campaign message throughout the neighborhood, according to Rev. Bruce Rivera, who took over for Foster as senior pastor at Christ Church last year.

“Could you imagine any opponent sending assistance to help?” said Rivera, who was 16 years old at the time.  “We didn’t know anything about how politics operated in the Bronx. We didn’t know anything about petitions.”

Rivera was introduced to Foster the same year he helped out on Foster’s first campaign. “If it wasn’t for him, I probably would have been another lost kid in the South Bronx,” Rivera said. “His influence deeply changed my life.”

Foster finally won the 16th council district seat on his third try in 1977. The district encompasses the Morrisania, Highbridge and Crotona neighborhoods. According to Rivera, many of Foster’s policies were developed by asking neighbors and community members what their needs were.

Foster was the primary sponsor of 74 city council resolutions, according to New York City data, targeting everything from police reform and better access to libraries and parks, to increased public housing and always for equity in black and Hispanic Bronx residents.

Foster served on the council until 2002 He was succeeded by his daughter, Helen Foster. She was the first black woman elected official in the Bronx, where she represented the 16th district for 11 years, stepping down in 2013.

 “He was a committed and dedicated public servant who gave his all to making a difference during a challenging time in the Bronx,” said Vanessa Gibson, current councilperson representing the 16th district. “His work paved the way for African American elected officials in the Bronx and I proudly stand upon his shoulders thankful for his service through the years.”

After his years on the council, Foster continued to serve his community through his church and as a community advocate.

 “The liberation movement has never ceased: It’s always been,” said Foster in his 2009 New York Times interview. “You’ll always find a few nuts like myself out there, trying to better things.”

Foster is survived by his wife, Helen, his two daughters, Helen and Rebekah, and two grandchildren.

Posted in Bronx NeighborhoodsComments (0)

A church divided

The Bedford Park Presbyterian Church in the Bronx was founded in 1900 and began holding bilingual services in English and Korean, 73 years later. Last year, a conflict between the English pastor and the Korean-speaking members was temporarily quelled by having both congregations worshiping separately in the same building. But now, the English congregation has no pastor, with worries that it might have to permanently discontinue.

Posted in Multimedia, North Central Bronx, VideoComments (0)

[Video] An Easter tradition thrives in Tremont

[Video] An Easter tradition thrives in Tremont

By Manuel Rueda

St Joseph’s Church is attended mostly by Hispanic immigrants. Since 1971, members of this parish take to the streets of Tremont during Good Friday to re-enact the passion of Christ. The 14 stations of the cross are carefully replicated by community members dressed in biblical garb, as a pre-recorded voice leads prayers from a loudspeaker and describes the challenges faced by Jesus on his way to crucifixion.

Rafael Gonzalez played the son of God this holy week, dragging a massive wooden cross around the neighborhood, for the sixth consecutive year. Gonzalez is proud to serve in his community, but he is aging and this could be his last year in this role.

Posted in Bronx Neighborhoods, The Bronx BeatComments (0)

Church of the Holy Rollers

By Alex Berg

One by one, seven teenage boys zipped down the hallway on skateboards. Like successive bullets fired out of a shotgun, the teens hit a waist high ramp that launched them into a tango with the air and the board beneath their feet. Fifteen year-old Jose Castillo flew off the triangular ramp, air bound for mere seconds before his feet and board separated, bringing him crashing to the ground under a nearby basketball hoop.

The hoop was tagged with yellow, orange and red graffiti — “Jesus Lives.” The skate ramp was inside a South Bronx church.

Castillo is a member of HeavenBound7, a skateboarding team started by Henry Pena, a 51-year-old computer technician by day and volunteer youth minister by night at La Segunda Iglesia Cristiana Church. Pena is something of a coach to the 30 to 40 teens on the team who come to the Morrisania church on Friday nights to skate on ramps and grind rails he built himself.

During some practices, Pena instructs Castillo to bend his knees or fix his form. Other times he is a quiet onlooker. But his mission is always clear: give kids a constructive activity in an unexpected location to get them off the streets in a neighborhood taxed by drugs and crime.

When the skaters tell outsiders they skateboard inside a church, they’re often met with crooked stares. The fusion of religion and skateboarding strikes people as novel, since religion is associated with discipline and skateboarding is an unconventional sport. Then again, skateboarding is simply a rarity in the Bronx, where there are only three skate parks – Mullaly near Yankee Stadium, one on Allerton Avenue towards the northeast and Throgs Neck in the far northeast – and none in the Central or South Bronx.

“The Bronx is gritty,” said Damion Blair, a 20-year-old student at the Art Institute of New York, who was one of the first to skate in the church with a congregation of 50. “It’s real hard to raise any kids with the violence. It’s not a good environment. You never hear skaters come to the Bronx to skate. Never. You hear skaters go to Manhattan, Queens and Brooklyn. Because there’s no safe environment for people to skate.”

The church HeavenBound7 calls home, an unexceptional tan building with traditional red doors and a well-lit sign, is located in a neighborhood where more than 40 percent of families lived in poverty in 2007. It is on 169th Street two blocks away from where a 15-year-old girl was shot in the head by a 16-year-old boy when she was caught in gang cross fire walking home from school in November. She remarkably survived.

HeavenBound7 is the first of its kind in the Bronx, though skateboarding ministries are emerging around the country as a way to draw kids to church, said Steve Rodriguez, a representative of 5boro, a New York skate gear manufacturer and skate team sponsor.

“It’s funny to me because it’s like complete irony,” said Mathew Melendez, a 19-year-old City Tech student who was also one of the first to join HeavenBound7. “Skateboarding is all like rebels climbing over fences looking for good spots. And then church people are like good fellow people. Put that all together it’s like, what, a skateboarding team by a church? Whoa.”

At the end of practice, Pena, who counts woodworking as a hobby, used a drill to remove a railing attached to the floor. The team helped with the effort, moving the wood ramps and platforms to the corners of the recreation room. When everything was cleaned up, they congregated around Pena outside before he drove a few of them home. They can’t walk home around 9 p.m. because the streets are “hot,” in Pena’s words.

“I just feel there’s a need for people to be a little bit more sympathetic about kids,” Pena said, as his normally warm voice became raspy and choked up. “Because there’s so many people out there who are willing to say ‘Hey, want to sell some drugs? Want to go beat up this kid? Or go steal this? I want to give them a safe haven to get away from that.”

The team opens its doors to kids who often come from “disadvantaged homes, very sad situations,” said Chanabelle Arriaga, a member of the church and the president of the HeavenBound7 board that advises and supports the team. “I just wish there were more people who cared who would take an interest in the underprivileged and not turn their cheek.”

Pena, who has four daughters of his own, definitely does not turn a cheek; he literally invites kids off the streets into the church to add to the cacophonous clattering and clanking that echoes throughout the building thanks to the skating.

“We don’t have a lot of resources,” said Melanie Figueroa, the mother of Shane Rivera, one of the skaters. “They needed a male role model. They started out with one little trick and they gained so much knowledge.”

Shane Rivera has also acknowledged the benefits of the team, which spurned a personal commitment to school and self-improvement. It has provided Rivera with a religious outlet, though he normally attends a Catholic church closer to his home.

“It’s kind of a weird skate spot,” said Rivera, a muscular fifteen-year-old clad in a trendy skating t-shirt. “I think we’re the only team that does this; we’ll say a prayer before we skate.”

Nevertheless, none of the teens have skateboards that say “I follow Jesus Christ Skateboarder” on the underside of the deck, the wooden board, or t-shirts with “Jesus is my homeboy” across the chest. (And there is most definitely no “Jesus died so you could skate” merchandise.)

A skater goes off the up-ramp at La Segunda Igelesia Cristiana Church in Morrisania. By Alex Berg

A skater "soars high" at La Segunda Igelesia Cristiana Church in Morrisania. By Alex Berg

Religious participation is not mandatory. There is an occasional Bible lesson or prayer, though Pena usually teaches about “soaring high” in other areas of life, like education, personal hygiene and getting a good job.

The results of Pena’s efforts are palpable. The team, which runs on a $500 stipend from the church and is mostly paid for out of Pena’s pocket, will be giving $2,000 towards two college scholarships in the spring, one for a HeavenBound7 skater and the other for a local high school student from fundraising and money donated by church outsiders and companies like Plaza Construction, where board president Arriaga works.

Some of the costs are due to Pena’s inclination to give out skateboards on the street, as he did before he started the team. After taking a class at the church that encouraged participants to delve into a hobby, Pena tried to construct a skateboard using his woodworking knowhow. He couldn’t build a functional skateboard, but his interest grew and he opened a skate shop with a friend, then one on his own in Mott Haven last year. He left both behind because they were too expensive and too much work to maintain.

Without the stores to worry about, the bills still add up. The team travels to New Jersey and Connecticut to go to skate parks and amateur competitions, where a few of the skaters have placed. Pena spent roughly $3,000 of his own money on raw materials to build the ramps and equipment for the team this year. The church should also purchase special insurance in the event of an injury that would cost $150 per month on top of its current insurance, but cannot afford it.

Fortunately, the skaters mostly throw 360 flips and ollies instead of, say, a “Christ air,” a trick where a skater lets go of their board entirely as he or she is launched off a ramp and holds his or her arms out to look like the image of crucified Christ.

“They want to complete a trick. So I think what’s appealing about it is a sense of accomplishment,” Pena, who became the youth minister nine years ago, said. “Then they transfer that sense of accomplishment to school. That’s one of my regulations. You do good in school you can come here and skate. You don’t do good in school, I’m sorry.”

Since Jose Castillo began participating in the team, he has improved in school because Pena asks to see report cards and he has begun helping neighborhood kids with their skating.

“I used to be the type of kid who used to be in the streets. And like, do nothing else,” said Castillo, who has lose, lanky limbs that matched his relaxed manner. “But after I got involved in skateboarding, met Henry and came over here, it’s like everything just changed. Became a new kid, actually.”

Jose Castillo waits for his turn to take on the grind rail.  By Alex Berg

Jose Castillo waits for his turn to take on the grind rail. By Alex Berg

For Castillo, skating has become an all-consuming way of life. He has to make a concerted effort to skate less. During one practice, he cut his foot from a fall. Pena bandaged it up in a bathroom the teens skate out of to propel themselves down a hallway and into the recreation room because they have limited space.

The skaters occasionally skate outside to escape the tight space, a relief from crashing into a wall at the end of the up-ramp. That has allowed some of the participants to go places they normally would not go.

“It opens up your mind to different things. It doesn’t make you secluded. You meet a lot of new people that you never thought you’d meet or talk to. If we never had a skateboard we’d never know half of the places in Manhattan,” Blair, who calls Pena a “second pops,” said.

While the skaters have found a venue for athleticism and personal growth in the team, it hasn’t been all smooth sailing. Many of the parishioners have voiced their differences with skating in the church, said William Garcia, the president of the church board and Pena’s brother in law.

Skateboarding leaves black marks on the church’s floors, which angers parishioners who want to preserve the condition of the recreation room. There have been scheduling conflicts to use the space and the skating is very loud. (The parishioners who are most vocal against the skateboarding did not return any calls or emails.)

Not to mention, since the days Pena was a teenager himself at the church after he was invited in by a youth minister, different administrations have been more or less welcoming of youth activities. Some have felt it is a nuisance and the church is not a place for teenagers while others have been open to youth activities.

“I feel like he’s the one actually bringing the kids in that church,” Nicole Ortiz, Pena’s 24-year-old daughter, said. “He’s the only one making an effort to reach out into the community. The church is being very rigid and conventional. They don’t want to try new things.”

The skaters are cognizant of the disagreements over the space. Melendez and Blair both said they understood why the congregation would want to preserve the space, since it is used for other activities.

Positive feedback from parents has temporarily assuaged the churchgoers’ gripes. However, there is no answer for the growing team’s need for a larger space. Pena’s next mission is to campaign for a skate park in the Central or South Bronx.

The skaters want one too. Yet Castillo is concerned that if there’s a skate park nearby, the skaters will have to deal with threats other than their safety. He frets that once other kids start skateboarding, they’ll fall in love with the sport and take each other’s boards.

“Around here you got all these projects and stuff,” Castillo said. “You put a skate park in the projects, some kid could come out of nowhere and say ‘hey, give me your skateboard.’ And then they’re going to get so addicted to it they’re going to come every day and take every single kid that comes to the park they’re skateboard.”

Still, more holy rollers would be welcomed, maybe even praised.

Posted in Bronx Life, Bronx NeighborhoodsComments (3)