Dear LAMBDA HIV/AIDS OUTreach,

HURRICANE KATRINA INFORMATION

To assist HIV/AIDS organizations and their clients impacted by
this disaster, NMAC has assembled answers to the most frequently
asked questions (FAQ). If you require additional information,
please do not hesitate to contact NMAC personnel directly at its
headquarters: (202) 483-6622 or technical assistance office:
(202) 234-5120.

For the location of HIV/AIDS organizations in your area, please
visit NMAC's online Community-Based Organization database:
http://ga1.org/ct/ipqEh741HqiQ/NMAC_CBO_SEARCH2.

Guidance for Medical Personnel Assisting Displaced HIV+ People
The American Academy of HIV Medicine
(http://ga1.org/ct/kdqEh741HqiY/AAHIVM2/) has provided medical
guidance concerning basic triage for people living with HIV:

1. First priority is to treat active infections. Most HIV
patients will respond to treatment with antibiotics just like
non-HIV patients.

2. Find out the patient's last CD4 (T-cell) count if possible.
The most frequent infections by CD4 count are:

a. CD4 <500 Think TB, herpes zoster, sinusitis, bronchitis

b. CD4 <200 Pulmonary: Think pneumocystis carinii pneumonia
(PCP) in your differential diagnosis. Sub-acute; include dry
cough. This is especially important in patients who are not
getting prophylaxis with Septra, Dapsone or Atovaquone.

c. CD4 <200 CNS: Think toxoplasmosis and cryptococcal meningitis
in differential.

d. CD4 <50 with unexplained fever: Consider Mycobacterium Avium
in differential, especially if patient is not on Clarithromycin
or Azithromycin Prophylaxis.

3. If it's a choice between getting antiretroviral medications
and getting prophylaxis for opportunistic infections, get the
antiretrovirals first to avoid treatment interruptions. Such
interruptions can lead to the development of drug-resistant
virus.

4. People with HIV should get tetanus shots, just like everyone
else.

5. Live virus vaccines should be used with caution in people
with HIV. However, people with T-cell counts over 350 should do
fine and have a normal response. Use clinical judgment --
preventing epidemics remains a priority even with people with
HIV.

6. Certain medications require refrigeration. Norvir (Ritonavir)
is one that requires refrigeration, but can be kept out for
prolonged periods at room temperature. At higher temperatures
present in many of the evacuation centers, do not keep
un-refrigerated. Some basic medication information:

a. Ritonavir and Kaletra (Lopinavir/Ritonavir) are heat
sensitive and are best kept refrigerated. They should maintain
potency at room temperature (77 degrees Fahrenheit) for up to 60
days. Exposure to extreme heat and/or sunlight can greatly
diminish potency necessitating replacement.

b. Some potentially important drug interactions to consider:

** Sustiva (Efavirenz) -- avoid Biaxin, Halcion, Rifampin

** Norvir or Kaletra -- avoid Xanax, Buspar, Valium, Dalmane,
Halcion, Ambien

** Protease Inhibitors -- Invirase, Crixivan, Norvir, Viracept,
Fortavase, Lexiva, Kaletra, Reyataz, Aptivus -- use caution with
Rifampin and Rifabutin, dose modification required

**Reyataz -- avoid Proton pump inhibitors and H2 blockers

7. Attempt to do rapid HIV testing if at all possible, with
appropriate counseling and confidentiality, if possible. People
will need proof of their HIV status to obtain help from HIV
service providers.

8. For a list of HIV specialty clinics and providers, visit the
American Academy of HIV Medicine
(http://ga1.org/ct/kdqEh741HqiY/AAHIVM2/) online and sign up
to access the Hurricane Katrina weblog. There is a list of
clinics by state.

9. There are also some contact numbers for patients to call to
obtain experimental study drugs if they are on a clinical trial.
If no number is posted, call the main number for the
pharmaceutical company involved. We will be updating our list.

10. If patients cannot obtain their medications, make sure that
they stop all antiretroviral drugs, rather than continuing on
only one or two.

11. For answers to questions, you can try the services of the
National HIV/AIDS Clinical Consultation Center, National HIV
Telephone Consultation Service either online
(http://ga1.org/ct/lpqEh741Hqka/WARMLINE_HOTLINE), or at (800)
933-3413. Other services include the following:

** PEPline -- National Clinicians' Post-Exposure Prophylaxis
Hotline, at (888) HIV-4911 or online
(http://ga1.org/ct/ldqEh741Hqk1/PEPLINE_HOTLINE).

** Perinatal HIV Hotline -- National Perinatal HIV Consultation
and Referral Service at (888) 448-8765 or online
(http://ga1.org/ct/l7qEh741Hqkq/PERINATAL_HOTLINE).
For displaced persons living with HIV/AIDS

Due to the recent tragedy, the Texas HIV Medication Program
(THMP) (http://ga1.org/ct/opqEh741HqiV/THMP_NEWS) has
developed a one-page "Emergency Relief ADAP Application" that
may be completed by displaced residents of Louisiana,
Mississippi and Alabama that have sought refuge in Texas and
would normally receive their medications through their state
AIDS Drug Assistance Program
(http://ga1.org/ct/87qEh741Hqio/ADAP_FACT_SHEET).

The form should be completed and faxed along with a copy of the
applicant's photo ID, ADAP ID card/letter (if available). A copy
of the THMP Medical Certification should also be submitted if
the client is receiving healthcare now at a Texas location. The
fax number is (512) 371-4670.

* A copy of the Emergency Relief ADAP Application can be found
in PDF format by visiting:
http://ga1.org/ct/9pqEh741HqiJ/TX_ADAP_APP.

* A copy of the information release regarding this effort can be
found in PDF format by visiting:
http://ga1.org/ct/o1qEh741HqiD/TX_EMG_MED_RELEASE.

* The standard THMP Medical Certification form can be found in
PDF format by visiting:
http://ga1.org/ct/o7qEh741HqiZ/TX_HIV_MED_FORM.

The Texas State Board of Pharmacy (TSBP) also has extended
emergency refill supply time to aid emergency relief. For more
information, visit:
http://ga1.org/ct/odqEh741HqiK/TX_PHARM_EXT_NOTICE or the TSBP
website: http://ga1.org/ct/l1qEh741HqiC/THMP_REFILL_INFO.

Other important notes to keep in mind:
* The Centers for Medicare & Medicaid Services
(http://ga1.org/ct/8dqEh741Hqi9/CMS_HOME) has acted to assure
that the Medicare, Medicaid and State Children's Health
Insurance Programs will flex to accommodate the emergency health
care needs of beneficiaries and medical providers in the
Hurricane Katrina devastated states. Many of the programs'
normal operating procedures will be relaxed to speed provision
of health care services to the elderly, children and persons
with disabilities who depend upon them.

** Since many beneficiaries have been evacuated to neighboring
states where receiving hospitals and nursing homes have no
health care records, information on current health status or
even verification of the person's status as a Medicare or
Medicaid beneficiary, the normal burden of documentation will be
waived and that the presumption of eligibility will be made.

** Federal Medicaid officials are working closely with state
Medicaid agencies to coordinate resolution of interstate payment
agreements for recipients who are served outside their home
states.

** Health care providers that furnish medical services in good
faith, but who cannot comply with normal program requirements
because of Hurricane Katrina, will be paid for services provided
and will be exempt from sanctions for noncompliance, unless it
is discovered that fraud or abuse occurred.

** Crisis services provided to Medicare and Medicaid patients
who have been transferred to facilities not certified to
participate in the programs will be paid.

** Programs will reimburse facilities for providing dialysis to
patients with kidney failure in alternative settings.

** Medicare contractors may pay the costs of ambulance transfers
of patients being evacuated from one health care facility to
another.

** Normal prior authorization and out-of-network requirements
will also be waived for enrollees of Medicare, Medicaid or SCHIP
managed care plans.

** Normal licensing requirements for doctors, nurses and other
health care professionals who cross state lines to provide
emergency care in stricken areas will be waived as long as the
provider is licensed in their home state.

** Certain HIPAA privacy requirements will be waived so that
health care providers can talk to family members about a
patient's condition even if that patient is unable to grant that
permission to the provider.

** Hospitals and other facilities can be flexible in billing for
beds that have been dedicated to other uses, for example, if a
psychiatric unit bed is used for an acute care patient admitted
during the crisis.

** Hospital emergency rooms will not be held liable under the
Emergency Medical Treatment and Labor Act (EMTALA) for
transferring patients to other facilities for assessment, if the
original facility is in the area where a public health emergency
has been declared.

More information about CMS emergency relief activities,
including a detailed explanation of billing and payment policy
revisions, and telephone numbers for the state medical
assistance offices can be found can be found here:
http://ga1.org/ct/k7qEh741HqiT/CMS_HOME2/. Frequently asked
questions and their answers on the site will be updated daily by
2:00 p.m.

* Housing: Section 8 recipients impacted by the hurricane have
been directed to report to the local social service department
and/or housing authority in their host city. They will be
eligible to use their benefits there; however, they will be
beholden to the already existing waiting lists in these
locations. To find or offer housing, visit:
http://ga1.org/ct/07qEh741HqkL/HURRICANE_HOUSING2.

In Macon, Georgia, shelters are opening for persons displaced by
Katrina. The Central City AIDS Network, Inc.
(http://ga1.org/ct/91qEh741HqiG/CENTRAL_CITY_AIDS_NTWK/), of
Macon, GA, is providing medical care through its HOPE Center and
is working to supply pharmaceuticals for those who need them.
The agency also reports that it has five available rooms for men
or women its 40 room single-room occupancy (SRO) facility. It
also has four available beds in its long term substance abuse
facility for those who are HIV+ in need of shelter. At this
time, Central City AIDS Network does not have the funds to
provide family housing through its Tenant Based Rental
Assistance program.

* The Department of Health and Human Services, Substance Abuse
and Mental Health Services Administration
(http://ga1.org/ct/97qEh741Hqi-/SAMHSA/) has launched a
toll-free hotline for people in crisis in the aftermath of
Hurricane Katrina. By dialing (800) 273-TALK (8255), callers
will be connected to a network of over 100 local crisis centers
across the country that are committed to crisis counseling.
People who are in emotional distress or suicidal can call at any
time from anywhere in the nation to talk to a trained worker who
will listen to and assist callers in getting the mental health
help they need. People will be provided with immediate access to
local resources, referrals and expertise.

Callers to the hotline will receive counseling from trained
staff at the closest certified crisis center in the network.

* Job Opportunities: NMAC's job bank
(http://ga1.org/ct/k1qEh741HqiR/NMAC_JOBS) lists employment
opportunities across the nation specifically for those seeking
employment in the HIV/AIDS arena.

In the Gulf Region, displaced workers are encouraged to visit
the NOLA.com Reaching Out Forum
(http://ga1.org/ct/i1qEh741Hqi0/REACHING_OUT_FORUM/), which
has job postings listed by employers throughout the United
States who want to help those affected by Katrina.
CraigsList/New Orleans
(http://ga1.org/ct/8pqEh741Hqil/CRAIGSLIST/ ) also has a very
lengthy list of jobs available. Some are for evacuees only;
others will help pay travel and relocation costs and/or will
provide housing. There are also other job search resources and
unemployment benefits
(http://ga1.org/ct/idqEh741Hqip/JOB_RESOURCES) available for
those who have been impacted by the hurricane.

Medical personnel are encouraged to volunteer their services in
the devastated Gulf region. Medical licensing requirements have
been relaxed in the impacted areas. Louisiana has waived license
requirements for medical providers from out of state who wish to
help. In addition, people are signing up to join the Texas
medical corps as a way to deal with licensure. Despite this,
professional and medical volunteers are asked to bring their
license documents with them. Information about volunteer medical
personnel is available from the American College of Physicians
(http://ga1.org/ct/ypqEh741Hqij/AMERICAN_COLLEGE_PHYSICIANS).

In addition, the Department of Health and Human Services
(http://ga1.org/ct/kpqEh741HqiH/DHHS_HOME/) has launched a
website (http://ga1.org/ct/0dqEh741HqkS/HHS_VOLUNTEER_INFO/)
and toll-free number, (866)-KAT MEDI, to help identify health
care professionals and relief personnel to assist in Hurricane
Katrina relief efforts. Multidisciplinary healthcare
professionals and relief personnel with expertise in the
following areas are encouraged to visit the website and register
to volunteer for appointment by HHS:

* Administration/Finance Officers
* Nursing Assistants/Nursing Support
* Technicians
* Chaplain/Social Worker
* Nursing Staff Directors
* Clinical Physicians
* Patient Transporters/Volunteers
* Dentists
* Pharmacists
* Dieticians
* Psychologists
* Epidemiologists
* Physician's Assistants or Nurse Practitioners
* Registered Nurses
* Environmental Health
* Physician Chiefs of Staff
* Respiratory Therapists
* Facility Managers
* Housekeepers
* Safety Officers
* IT/Communications Officers Security Officers
* Social Workers
* Medical Clerks
* Supply Managers
* Mental Health Workers
* Veterinarians

Please be advised that individuals must be healthy enough to
function under field conditions, which may include twelve-hour
shifts and austere conditions, including possibly no access to
showers and housing in tents. There also may be:

* No air conditioning
* Long periods of standing
* Sleep accommodations on bedroll
* Military ready to eat meals

These workers will be non-paid, temporary Federal employees, and
will therefore be eligible for coverage under the Federal Tort
Claims Act for liability coverage and Workman's Compensation
when functioning as DHHS employees. Although there will not be
any salary, travel and per diem will be paid.

Where can I learn more about the hurricane, volunteer efforts
for non-medical personnel and donations?
An e-mail list has been established for providers of HIV/AIDS
care and supportive services for people with HIV and their
families, who are located in areas affected by Hurricane Katrina
and/or are in areas where Katrina survivors are relocating.

It is dedicated to provision of HIV/AIDS services and discussion
to support these services, and to collect information to show
were care is available. Please be aware that many people on this
list are facing significant challenges, and restrict posting to
information and queries directly associated with the provision
of AIDS care. This list can be used to compile and distribute a
central list of places offering HIV care.

To subscribe, send a blank e-mail to:
KatrinaAIDSCare-subscribe@yahoogroups.com.

For more information about volunteer opportunities for
non-medical personnel, visit:

* USAFreedomCorps.gov:
http://ga1.org/ct/01qEh741Hqkz/USA_FREEDOM_CORPS/ -- You also
may call: (877) USA-CORPS

* AmeriCorps: http://ga1.org/ct/hdqEh741HqiE/AMERICORPS

* Vista: http://ga1.org/ct/81qEh741Hqik/VISTA

* The Corporation for National Service
(http://ga1.org/ct/0pqEh741Hqk_/NATIONAL_COMM_SERVICE2)

Other notable humanitarian aid efforts and volunteer services
include:

* The American Academy of HIV Medicine
(http://ga1.org/ct/ydqEh741Hqi7/AAHIVM) has a special section
dedicated to health matters related to Katrina.

* The National Association of State and Territorial Directors
(http://ga1.org/ct/npqEh741Hqii/NASTAD) provides detailed
information about HIV/AIDS legislation.

* American Red Cross
(http://ga1.org/ct/hpqEh741Hqiy/AMERICAN_RED_CROSS) volunteers
have been deployed to the hardest hit areas of the hurricane's
destruction, supplying assistance to hundreds of thousands
victims left homeless. Visit their site to learn more about
volunteering. Also, visit:
http://ga1.org/ct/ndqEh741Hqin/AMER_RED_CROSS_DONATE to help
the Red Cross provide shelter, food, counseling and other
assistance to those in need.

* The Rainbow/PUSH Coalition
(http://ga1.org/ct/h7qEh741HqiU/RAINBOW_PUSH) is asking for
volunteers to help staff a Hurricane Katrina phone bank. The
volunteers will provide information and resources to family
members of hurricane survivors and concerned community members
who want to learn how to aid relief efforts. For more
information, contact Mark Loveless at (773) 256-2701 or (773)
331-5956 for more information.

* The National Advocacy Youth Coalition (NAYC)
(http://ga1.org/ct/i7qEh741HqiP/NYAC/) is heading a coalition
of different agencies that are collecting funds to assist LGBT
families impacted by this disaster. For more information about
this effort, visit NAYC online, or call: (800) 541-6922.

* America's Second Harvest, a national foodbank network
headquartered in Chicago, is deploying more than a million
pounds of food to the hurricane-damaged region. Help them
continue their efforts by donating online:
http://ga1.org/ct/n1qEh741Hqih/FOOD_BANK.

* The Montrose Clinic is one of the primary organizations
providing HIV/AIDS services to those who have come to Houston
from hurricane impacted areas. It also is one of the only LGBT
health providers in the area. The clinic is accepting donations
online: http://ga1.org/ct/y1qEh741HqiI/MONTROSE_CLINIC.

* AIDS Alliance for Children, Youth & Families
(http://ga1.org/ct/h1qEh741Hqim/AIDS_ALLIANCE) has established
the Katrina AIDS Alliance Emergency Fund, which will support the
emergency needs of families and young people living with
HIV/AIDS served by Ryan White CARE Act Title IV programs in
Louisiana and Mississippi. These emergency funds will be
disbursed directly through local programs.
Where Can PLWH/As Find Assistance?
The following organizations are serving PLWH/As now:

Emory Center for AIDS Research
(404) 727-2924

John P. Ouderkirk, MD
Infectious Diseases/Internal Medicine
(404) 588-4680

GEORGIA
Atlanta
Emory Center for AIDS Research
(404) 727-2924

John P. Ouderkirk, MD
Infectious Diseases/Internal Medicine
(404) 588-4680

TEXAS
Houston
Montrose Clinic, Inc., Satellite Location, Body Positive
Wellness Center, Frost Eye Clinic, Montrose Clinic Research
(http://ga1.org/ct/y1qEh741HqiI/MONTROSE_CLINIC)
(713) 830-3033

Thomas Street Clinic, Thomas Street Health Center
(713) 873-4000

Montrose Clinic, Montrose Clinic, Inc.
(http://ga1.org/ct/y1qEh741HqiI/MONTROSE_CLINIC)
(713) 830-3000

Fort Worth
Tarrant County Public Health Main Campus
(817) 321-4700

What organizations does NMAC have in its database?
Below is the NMAC database for Alabama, Louisiana and
Mississippi AIDS service providers. If you need to refer any
displaced PWAs, you may want to send them to one of these
agencies. To access the agency's comprehensive listing for the
United States, visit:
http://ga1.org/ct/n7qEh741Hqi8/NMAC_CBO_SEARCH.

ALABAMA
Anniston
Health Services Center, Inc.
(256) 832-0100

Birmingham
AIDS Alabama, Inc.
(205) 324-9822

Birmingham AIDS Outreach
(205) 322-4197

Birmingham Health Care for the Homeless
(205) 439-7201

Girls' Inc. of Central Alabama
(205) 595-4475

Jefferson County AIDS in Minorities
(205) 324-9822

WOW Community Outreach
(205) 854-1934

Gadsden
Quality of Life Health Services, Inc.
(256) 492-0131

Hobson City
AIDS Services Center
(256) 832-0100

Huntsville
AIDS Action Coalition of North Alabama, Inc.
(256) 536-4700

Mobile
Mobile AIDS Support Services
(251) 471-5277

Mobile County Health Department
(334) 690-8167

Youthful America, LLC
(251) 767-7806

Montgomery
Alabama Department of Health
(334) 206-5364

Montgomery AIDS Outreach, Inc.
(334) 280-3388

Oliver2, LLC
(334) 324-8248

Selma
Black Belt Chapter of the American Red Cross
(334) 874-4641

Selma AIDS Information & Referral
(334) 872-6795

Tuscaloosa
American Red Cross, West Alabama Chapter
(205) 758-3608

LOUISIANA
Alexandria
Central Louisiana AIDS Support Services
(318) 442-1010

Arabi
Whole Health Outreach Inc
(504) 271-9110

Baton Rouge
Baton Rouge AIDS Society Testing and Training Center
(225) 923-AIDS

Baton Rouge Black Alcoholism Council
(225) 926-9057

Family Service of Baton Rouge
(225) 927-9810

Friends for Life-AIDS Resource Center
(225) 923-2277

Columbia
HEROES
(318) 649-2106

Franklin
Teche Action Board, Inc.
(337) 828-0102

Grambling
Minority Health Promotion Initiative, Inc.
(318) 288-7455

Hammond
Southeast Louisiana Area Health Ed. Center
(504) 345-1119

Houma
South Louisiana Human Resources, Inc.
(985) 879-3768

Lafayette
ACADIANA C.A.R.E.S.
(337) 233-2437

Southwest Louisiana Area Health Education Center
(337) 989-0001

Lake Charles
Southwest Louisiana AIDS Council
(318) 439-5861

Metairie
Jefferson Parish Human Servs Authority
(504) 838-5596

Nineveh Baptist Church
(504) 263-1161

Monroe
Four(4) Runners Community Action program, Inc
(318) 325-8381

Greater Coalition Providing AIDS Resources Ed.
(318) 325-1092

Shreveport
Brotherhood Task Force of NWLa
(318) 861-3444

The Philadelphia Center
(318) 222-6633

YWCA of NW LA AIDS Minority Community
(318) 226-8717

MISSISSIPPI
Clarksdale
Aaron E. Henry Community Health Services Center, Inc.
(662) 624-2504

Dorchester
Center for Health Education & Research
(617) 265-0628

Greenville
Our House Inc/Safe Dates
(601) 334-6873

Greenwood
Greenwood Leflores Hospital (Chip)
(601) 459-7294

Hattiesburg
University of Southern Mississippi / College of Nursing
(601) 266-5320/4451

Jackson
Building Bridges, Inc
(601) 922-0100

Center for Certified Diabetes Foot Care & Training Clinic
(601) 372-9575

Central Mississippi American Red Cross
(601) 353-5444

Grace House, Inc.
(601) 353-1038

Jackson State University, Mississippi Urban Research Center
(601) 979-4081

Mississippi Department of Health
(601) 960-7725

Mississippi Phoenix Coalition
(601) 981-1700

Mississippi Children's Home Society
(601) 352-7784

National Alumni AIDS Prevention Project /Jackson State
University
(601) 968-2519

New Life Ministry, Inc.
(601) 376-0707

Not Here Foundation, Inc
(601) 376-0707

Lambert
Aiello Center
(601) 326-5893

Marks
Deporres Health Center
(601) 326-9232

Oxford
Rape Crisis Services of Northwest Ms
(601) 234-9929

Yazoo City
Community Impact, Inc.
(323) 750-8426

What Title IV organizations are open?
Below are the Title IV organizations that are open:

ALABAMA
Mobile
University of South Alabama
(251) 434-5120

Birmingham
Family Clinic at Children's
(205) 939-6701

ARKANSAS
Pine Bluff
Jefferson Comprehensive Care System (including Little Rock)
(870) 535-3062

Augusta
White River Rural Health Center
(870) 347-2534

LOUISIANA
Baton Rouge
Friends for Life AIDS Resource Center
(225) 923-2277

Shreveport
The Philadelphia Center
(318) 222-6633

FLORIDA
Ft. Lauderdale
Comprehensive Family AIDS Project
(954) 728-8080

Tampa
Florida Family AIDS Network
(813) 974-6643

Miami
Miami Family Care Program
(305) 243-6522

Orlando
Orlando Regional Healthcare System
(407) 895-4100

Jacksonville
Northeast Florida Pediatric AIDS Program
(904) 244-3051

Rivera Beach
Palm Beach County Health Department
(561) 882-3262

GEORGIA
Atlanta
Georgia's HIV Demonstration Program for Children, Adolescents
and Families
(404) 651-7655

Waycross
Ware County Board of Health
(912) 285-6022

MISSISSIPPI
Jackson
Universitty of Mississippi Medical Center
(601) 984-5206

TENNESSEE
Nashville
Comprehensive Care Center
(615) 321-9556

Memphis
Memphis HIV Family Care Network
(901) 495-3486

TEXAS
Houston
Houston Regional HIV/AIDS Resource Group (multiple sites)
(713) 526-1016

Dallas
Dallas Family Access Network
(214) 456-2329

Ft. Worth
Tarrant County Pediatric and Family HIV/AIDS Project/Catholic
Charities
(817) 534-0814

San Antonio
South Texas Family AIDS Network (including Corpus Christi and
Harlingen)
(210) 358-9581

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