Health

Photo taken by Silvia Escario

Visual approximation of Ms. Harm Reduction back in the day. (Photo taken by Silvia Escario.)

Dear Ms. Harm Reduction,
I’m an escort with an Oxycontin habit. For the most part I can plan ahead and maintain, but sometimes supply runs out and I have to go to work when I’m in withdrawal. I serve a middle class clientele, and I’d lose clients if they found out I was a drug user. I’m also afraid some of them might even become violent if they discovered I was a “junkie.” How do I hide the tell tale signs of dopesickness while working?

Best,
Sniffling Isn’t Cute y’Know

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Ms Harm Reduction has the answers for you! (Photo of Dorothy Howe via the Daily Mail)

Ms. Harm Reduction has the answers for you! (Photo of Dorothy Howe via the Daily Mail)

Tits and Sass strongly believes in a policy of harm reduction and education. We want nothing more than for our readers to be happy and safe from harm. Thusly, we are pleased to introduce a new advice columnist: Ms. Harm Reduction. She’s here to answer your questions about, well, just about anything in an anonymous and shame-free way. Do you have a question about drug use, sex, your personal life, workor anything else? Do you have a query for Ms. Harm Reduction? Send them to info@titsandsass.com.

Dear Ms. Harm Reduction,

I’m a stripper who enjoys her work and likes to party. I’ve noticed many of my workmates have been indulging in the latest MDMA party drug, Molly. How do I safely use Molly while I work?

Best,
Desperately Desiring Molly

Dear DDM,

Ms. Harm Reduction has to wonder why you would choose to do your hard-earned MDMA among the ruffians we call our customers. Wouldn’t you rather enjoy your drugs in the company of your bosom companions, in the privacy of some psychedelic boudoir somewhere? However, if you’ve set your ecdysiast heart on E at the club, we do have some pointers for you.

[READ MORE]

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(Image via the Stigma Project)

(Image via the Stigma Project)

With thanks to members of SWOP-USA

Laws that criminalize HIV exposure are supposed to benefit public health, but in practice are extremely harmful to public health and to the targeted HIV-positive individuals. Sex workers are highly vulnerable to these laws, which sometimes target HIV-positive prostitution specifically. Many require forcible HIV testing, and sometimes they simply criminalize HIV but in reality are applied to sex workers more frequently than to other populations.

The criminalization of HIV-positive sex workers and mandatory post-arrest HIV testing arguably violates international human rights treaties signed by the United States. Treaties with applicable provisions include the International Covenant on Civil and Political Rights (ICCPR) and the International Convention on the Elimination of All Forms of Racial Discrimination (ICERD), specifically their provisions on privacy, rights to equality before the law, and sanctions against inciting hatred and racial bias. Recent forced HIV testing in Greece provoked outrage among international human rights organizations such as Amnesty International and Human Rights Watch. WHO/UNAIDS (World Health Organization/the Joint United Nations Programme on HIV/AIDS) made a statement opposing forced testing. It is widely accepted that best practices for HIV testing, with the best public health outcomes, involve three key principles—consent to testing, the provision of counseling before and after testing, and confidentiality of results. The imposition of felony offenses on individuals who are said to be engaging in sex work while living with HIV punishes members of already vulnerable communities. They are prosecuted even when they use condoms and engage in less risky forms of sex with their partners, sometimes even if they have disclosed their status to their partner. Information about their HIV status, sometimes accompanied by photographs, is often distributed widely by the media in their communities, placing arrestees at risk of retaliation and other abuse. This incentivizes avoiding testing and does nothing to encourage treatment or safer sex practices. [READ MORE]

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via Flickr user 401 (K) 2012

via Flickr user 401 (K) 2012

Next Monday is the deadline to sign up for health care under the Affordable Care Act (ACA), if you don’t already have insurance you want to stick with. Here in New York City, we at Persist Health Project, a peer-led group that connects sex workers with non-judgmental and affordable health care, have been linking our friends and community members up with ACA “navigators” (grant-funded folks who walk you through the application) from Callen-Lorde Community Health Center, our local LGBTQ service provider, to help them through the process. We’ve also partnered nationally with the Sex Workers Outreach Project Chicago (SWOP) and HOOK Online to offer anonymous, online chats about the ACA to answer questions, get folks signed up and help them get into care that works for them (the final chat before the deadline is this Thursday, March 27th at 10 pm EST).

In the process of chatting with sex workers about the ACA, people have talked about various roadblocks they’ve had, especially around having to report income, which is one of the essential steps in insurance enrollment. As one community member told us, “The first thing they did was ask about my income. I just quit right there. I still don’t have insurance.” Getting insured and finding health care can be a frustrating process for anyone, but it’s particularly trying when you don’t feeling comfortable sharing how you make money, or may not even be certain how much you make in order to report it. Most people in the US have had some kind of trouble signing up on the Healthcare.gov site by themselves, and it’s also a time-consuming process (they estimate it takes about 45 minutes to an hour and half to fill out everything, and that’s with an ACA navigator assisting you). [READ MORE]

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via flickr user panavatar

via flickr user panavatar

VICE sent a reporter to Florida to report on the ass shot underground, where not-doctors inject everything from Fix-A-Flat to mineral oil into the buttocks of those seeking a bigger booty. Last week the accompanying documentary debuted online, and it’s worth watching, but be warned that the images of procedures-gone-wrong are horrifying. Reporter Wilbert Cooper talks to Miami-area plastic surgeons and follows Corey Eubanks, who is on probation for charges related to an association with Oneal Ron Morris, “The Duchess,” who had one of her clients die from complications from injections (there is some misgendering of Morris at the beginning of the documentary when Cooper is speaking with a detective about the case). There’s a segment in famous Miami strip club King of Diamonds where Cooper interviews dancers about their procedures and one dancer tells him that she estimates 75% of her coworkers have had some kind of ass augmentation. [READ MORE]

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