Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Thursday, 8 September 2011

Why lifting the ban on gay men giving blood has made me more angry

So, the lifetime ban on men giving blood who have ever had sex with another man has been – partially - lifted. After a 12-month ‘window period’ of effective celibacy, men who have ever had sex with another man can give blood. Great. A particularly discriminatory restriction has been lifted.

It’s fine if you’re celibate, or asexual, or a monk. As the Twitter feed of my favourite online magazine said when the announcement was made, “it’s that awkward moment when you realise you’ve not had any in so long, it’s OK for you to donate blood”. For some people, that will be the case, either out of choice or not through want of trying. The vast majority of gay men, I suspect will not fall into the monk category. After all, even in the most remote outposts of the UK, the internet has made it more than possible for men who want to have sex with men – regardless of whether they’re gay or not – to do just that. They don’t even have to define as ‘gay’ these days.

But how should you feel when you’re in a monogamous, long-term relationship of over four years, and you know that you’re free of any sexually transmitted infections (STIs)? I’m entering into a civil partnership with him next year, for goodness’ sake.

I take great issue at being pigeon-holed in that great mass of gay men who are at particularly high-risk of catching and transmitting hepatitis B, which is difficult to detect for up to 12 months after transmission. Quite rightly, this article points out the tacit failure of UK governments, past and present, to immunise against hepatitis B, as 85% have done. So, surely there is a big question about the duties of government and the public healthcare systems to protect against such diseases? I am a gay man, but I’m not a member of the mass of gay men who, somewhat mythically, carry a myriad of STIs. Whereas sexually active gay men may well be at high risk statistically, I simply don’t believe this is the case for many, simply because they don’t have sex, they engage in safe sex, or they engage in safe sexual activity which is within the confines of any normal, loving relationship. I do take responsibility for my health, funnily enough.

It couldn’t just be men who have sex with men who are prevented from giving blood, so I had a look on the National Blood Transfusion Service website, which gives some advice on who should, and shouldn’t give blood. At the top of the page, it gives its less severe advice. Apparently you should not give blood if:

“You've already given blood in the last 12 weeks (normally, you must wait 16 weeks)”Fat chance, the blanket ban was only lifted today so thus far in my life I’ve been prevented from doing so.

“You have a chesty cough, sore throat or active cold sore.”Hmmm, not lately. Last time I checked my phlegm-like output, there weren’t any STIs lurking.

“A member of your family (parent, brother, sister or child) has suffered with CJD (Creutzfeld-Jakob Disease)”Not as far as I know. Although we did eat British beef in the 1990s - does that count?

There are many other reasons given, including if you’ve had a recent tattoo or body piercing or if you’re pregnant (none, certainly not the latter, apply to me). Fair enough. I would assume there are valid, legitimate medical reasons behind all of this, not least in the interests of the health of the individual giving blood but also public health at large.

Going towards the bottom of the page (where most eyes will have begun to turn off, because the website isn’t brilliantly designed) it finally tells me that I should never give blood if I’m a man who's had sex with another man, even safe sex using a condom. So, I can be entirely clean, clear and safe of any nasty STIs or HIV, completely healthy, yet still banned (and that will still apply to me when the ban is partially lifted, because I’m in a sexually active relationship).

What’s more, any woman who has had sex with another man, who in turn has had sex with another man must never give blood less than 12 months after sex. That might rely on an awful lot of investigative work on the part of the woman who surely, shouldn’t be expected to know the sexual history of the man she’s in the sack with (and wouldn’t necessarily get an honest or reliable answer as a result).

Human honesty, therefore, is rather problematic. The National Blood Transfusion Service, quite rightly, needs to ensure that the quality of the blood it takes from people does not in any way endanger public health. But surely science is better than ever before to ensure that the quality of blood is never compromised? The questions that are asked of people should, surely be based on everyone’s unprotected sex and not just one group. There are significant numbers of people in the UK who still have unprotected or high-risk sex, without condoms, and in this instance, I’m talking about people who engage in sexual activity with the opposite sex.

I can’t say I’m in a massive hurry to give blood. But I’d like to one day. Who knows when a close friend or family member will need that particular blood type that I have because, God forbid, they’ve been involved in some horrific accident or has to undergo some sort of emergency medical procedure? It doesn’t bear thinking about. For the time being, I can’t go anywhere near one of those big trucks the National Blood Transfusion Service trundles around the country, and enjoy my first ever post-transfusion cup of tea and a biscuit.

What am I led to believe? The argument from the powers-that-be seems to be that a 12-month restriction can only rest on some sort of inherent homophobia at worst (and I hate to think this), at best a complete ignorance of the sexual behaviours of gay men, not least women who’ve ever had sex with gay men. My response is: let the science do the talking and treat us as individuals, gay, straight or whatever.

Anything less, and it will still feel like the state thinks what I’m doing in the bedroom is a bit wrong.

Worth saying also that London Lesbian and Gay Switchboard is a good port-of-call for advice on these matters: 0300 330 0630.

Sunday, 31 October 2010

Big Society, little town

2-4 High Street, Shefford
I've just got back from a weekend staying with a good friend of ours, Angie, who lives in a town called Shefford in Bedfordshire. It's a pleasant little community that still has a few pubs, several restaurants, a fire station, a bowls club, and a brewery. Some of these places are housed in fine historic buildings, many of which seem to be well looked after and inhabited by businesses or private residents. Coincidentally, it also resides in the Mid Bedfordshire constituency, the Member of Parliament for which is one Ms Nadine Dorries, as I pointed out in my previous post.

As we drove into Shefford at the weekend, Angie pointed out a cluster of attractive Grade 2 listed buildings, in which she's become rather interested in developing a small business. Having a rather useful knowledge of English Heritage databases, I delved into the history of 2-4 High Street a little further. Parts of the building date from the early 17th century, encased by a more obvious early to late Victorian structure. Peering inside, there are beautiful old beams, low ceilings and great space, all elements of the buildings character which give it so much potential for a variety of uses. 



Another view of the building, from the 'shop front' side
The significance of these old buildings- which nestle quite happily on a prominent junction at the end of the High Street - is that Angie wants them to be the home for a new venture called 'The Retreat', which she hopes will be the leading centre for yoga and complementary health in Bedfordshire. In Angie's words, “the Retreat is a beautiful and growing sanctuary offering an abundance of complementary treatments, classes and workshops, which are designed to feed mind, body and soul”. It will offer a range of different styles and disciplines of yoga for different abilities and ages, crystal healing, reiki, Oriental facial massage, Tai Chi, Indian head massage and pilates as well as relaxation, meditation, personal development workshops and coaching. Angie already runs successful workshops in her own home and strongly believes people achieve health and balance in their lives through developing their spiritual, emotional and physical health. 

The Retreat would be a one-stop shop for people wanting to explore ways in which to further their development. Although Angie would clearly run the place, she won't – and can't - take it all on herself. That wouldn't be the point, given the amount of services she would like to offer in the building. There would be a Fair Trade organic cafe and music rooms to use for local young people for example. Some of the rooms could be used as a small-scale business awayday venue, as an alternative to stuffy, modern and overpriced hotels, and a range of local voluntary organisations and societies could use the space for performance arts and similar activity.

Angie's keen on getting investment from a wide-range of sources – possibly local businesses or public sector organisations. There's clearly a potential for some sort of community interest company to be set up – Angie doesn't anticipate making millions from the venture – but it would provide a means of an income to her and others, as well as volunteering opportunities.

The real potential is in the role that The Retreat could play in becoming a hub of health and wellbeing, filling the void where other local services are likely to be cut back as a result of local government funding cuts. Shefford is growing – new, high quality housing is being built on old industrial land and there are around 6,000 people resident in the town, who Angie believes would be a ready client or customer base for the Retreat. And with good road links to other villages and towns in Mid-Bedfordshire, it could easily be a destination for others too.

Is this the Big Society in action? There's something about Angie's plan which isn't 'just another business' – it needs community support from many quarters for it work and, if it does work, would become a real asset to Shefford, which fundamentally is not an unappealing place by any means, but could do with some investment and creativity. What's more, the local unitary authority is not likely to be getting any funding windfalls any time soon so it really will fall to Shefford citizens to come up with the initiative and the capital to provide facilities for their own community.

I'm really excited about what The Retreat could become – not only because I want a close friend to have success in her venture, but because from a political angle I think it could serve as a barometer as to how the Big Society that we're all expected to be a part of can actually become a reality. Perhaps I also feel the need to give Government the benefit of the doubt, considering my less than positive thoughts on the subject a few weeks ago.

I've asked Angie to keep me posted with her project, and I hope that I can return to it on this blog when there's more to tell. And, when the time comes, I've even offered to dab a paintbrush here and there and help restore the place. It's early days, but I'm convinced that with the right people and a sound business case, it could help transform a little corner of Bedfordshire for the benefit of many people. There's still many hurdles to overcome – but with the right plan it could be saved from becoming yet another soulless supermarket.

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