Erika Castellanos is a transgender HIV-positive girl from Belize residing within the Netherlands. Knowledgeable social employee, Erika joined GATE in April 2017 as director of packages. In 2022, Erika was appointed Interim Government Director; in 2023, she grew to become Government Director of GATE. Castellanos, Government Director of GATE (International Motion for Trans Equality), shared her journey from grassroots activism in Belize to international advocacy. She highlighted GATE’s success in eradicating transgender identities from the WHO’s psychological well being classifications. She emphasised common challenges like stigma, discrimination, and entry to healthcare. Castellanos underscored the significance of constructing coalitions throughout various actions, specializing in shared targets to foster dignity and equality. She additionally mentioned developments in HIV therapy, her private expertise residing with HIV, and the transformative affect of U=U (undetectable equals untransmittable). Castellanos advocated for a universalist strategy to human rights rooted in moral accountability.
Scott Douglas Jacobsen: At present, we’re right here with Erika Castellanos to debate GATE, its work, and its relevance in modern conversations. Because the Government Director, my main query is: what was the origin of your curiosity within the work of GATE? How did you’re employed your means as much as turning into the Government Director?
Erika Castellanos: Thanks. I wish to begin by sharing somewhat bit about myself. My identify is Erika Castellanos, and I’m initially from Belize. I at present reside within the Netherlands. I started my activism within the early Nineties in the course of the peak of the HIV epidemic in southern Mexico.
Once I moved again to Belize, I began a undertaking to deliver folks collectively to have interaction in advocacy and create change. I based the primary community of individuals residing with HIV. A couple of years later, I started engaged on points affecting trans and gender-diverse folks in Belize as a result of authorized challenges and criminalization of our identities.
2017 after transferring to the Netherlands, I joined GATE (International Motion for Trans Equality) because the Director of Packages. My work concerned overseeing the tasks we carried out, significantly strengthening the well being packages. I introduced my background in well being initiatives and advocacy to attach our work to the worldwide stage. In 2022, I grew to become the Interim Government Director, and in 2023, I formally transitioned into Government Director.
The journey from working on the nationwide, regional, and international ranges has been fascinating. It has additionally helped me perceive the varied wants and views of various teams in varied settings. My largest lesson isn’t to match one group’s experiences with one other in a distinct nation. The problems confronted and the way they’re skilled are all the time particular to people.
Jacobsen: That’s an necessary level. How do you strategy issues from a theme-based perspective? A rustic’s topical points are extremely individualized on account of its distinctive historical past, demographics, and authorized or coverage obstacles.
Castellanos: Sure, you’re proper. Whereas particular person experiences can range enormously, on the thematic stage, we will determine broader tendencies. We are able to draw distinctions amongst areas or teams of nations with out overgeneralizing or stereotyping their circumstances. Nevertheless, it is a delicate steadiness. Even inside areas or international locations, there are sometimes vital variations. For instance, a rustic with federal states might have authorized programs that function semi-independently, which complicates drawing broad generalizations.
Relating to the problems sure marginalized communities face, some challenges are common, whatever the nation. These embrace stigma, discrimination, entry to healthcare, and points associated to gender identification, legal guidelines, and recognition. There isn’t any nation on the earth the place I can confidently say, “This country has perfected it.”
Jacobsen: Do you discover political conservatism, social conservatism, spiritual conservatism, or gender conservatism to be extra vital obstacles to honest and equitable therapy of people in several international locations, whether or not in Belize or the Netherlands?
Castellanos: It’s a fancy subject. Completely different types of conservatism—whether or not political, social, spiritual, or gender-based—can intersect and create vital obstacles. These obstacles have an effect on entry to healthcare, training, employment, dignity, and housing. The affect of those elements can range in every nation, however all of them contribute to broader challenges for marginalized communities.
Jacobsen: All these points are influenced by the elements you’ve talked about. In some international locations or areas, the dimensions of those influences differs. Nonetheless, they’re all necessary elements that have an effect on entry to common human rights and the extent of freedom of motion that people can take pleasure in. How do you construct coalitions and networks of allied organizations that, on paper, wouldn’t essentially seem like allies? In different phrases, how do you’re employed with organizations that may not look like pure companions however, with somewhat finesse on explicit subjects, can collaborate to advocate for extra dignified therapy, foyer politicians, or push for insurance policies and legal guidelines that promote higher equality and equity? It’s a tough query.
Castellanos: It’s a difficult query, and there isn’t one common rule on approaching it. Usually, we grow to be consumed by our variations. We create subgroups based mostly on explicit similarities and overlook the shared humanity that connects all of us. We have to cease emphasizing our variations and concentrate on our similarities to construct coalitions with teams that aren’t the same old allies or conventional companions.
For example, you possibly can deliver collectively actions just like the local weather justice motion, the kids’s rights motion, and the trans rights motion. On the floor, their missions might not align, and their particular language or targets might not resonate. Nevertheless, after we take a step again and look at the broader purpose, we understand that every one these actions are working towards bettering the standard of life—whether or not it’s defending the atmosphere to make sure a sustainable future, advocating for the rights and well-being of kids, or offering gender-affirming care to make sure the dignity and well being of trans people.
We should construct on these shared targets and act on the idea—typically mentioned however hardly ever practiced—that we’re stronger collectively. Working collectively permits us to amplify our strengths whereas setting apart variations. Variations mustn’t divide us; they need to be celebrated as a testomony to the distinctive qualities every of us brings to the desk. For my part, the world could be a boring place if we had been all the identical.
For me, the secret’s to step again and ask: What’s our finish purpose? What’s the final result we’re all striving for? After we acknowledge that many people are working towards the identical final result—guaranteeing individuals are glad, residing good-quality lives, having fun with steady jobs, and elevating wholesome households—it turns into simpler to search out methods to collaborate.
Jacobsen: I admire that perspective. What would you think about your most profitable campaigns and advocacy efforts by GATE? What would you attribute the success of these initiatives to?
Castellanos: One of the vital achievements by GATE was the revision of the Worldwide Classification of Illnesses (ICD-11) by the World Well being Group (WHO), which eliminated transgender identities from the chapter on psychological well being problems. This adopted an identical milestone years in the past when homosexuality was faraway from that chapter.
This was a groundbreaking success as a result of, below WHO pointers and the ICD-11, trans individuals are not categorised as mentally in poor health. They not require a psychological sickness analysis however are as a substitute acknowledged by the lens of human variety. This shift was monumental within the historical past of our activism. It opened doorways for particular person autonomy and entry to important companies. It additionally facilitated authorized recognition, enabling trans people to take pleasure in fundamental rights, resembling attending college, opening financial institution accounts, acquiring driver’s licenses, and proudly owning houses as equal residents inside their international locations.
Castellanos: These are the sorts of alternatives which are equalized and opened after we take away these pathologizing practices of psychological well being analysis. That success was achieved by years of onerous work collaborating with companions, feminist organizations, and main member states worldwide. It additionally concerned bringing folks collectively to advocate for change. Importantly, we don’t all the time must be the only real champions for trans folks—having different voices be part of us in championing the way in which ahead is a key aspect of success.
Jacobsen: You’ve additionally carried out vital work round HIV consciousness and training. What’s the present state of this subject? I’m lively on the activist facet and sure engaged with the analysis. How is progress on the entrance of destigmatization, socially and thru the mediation of symptomatology for these affected? And what about developments, even perhaps on the frontier of potential cures?
Castellanos: Science has superior enormously in recent times. I used to be recognized with HIV in 1995. I come from a time and place the place there was little remedy, and I attended funerals nearly each different day as buddies had been dying. At the moment, there was little to nothing we may do as a result of remedy was unavailable. When the primary antiretrovirals (ARVs) got here by, we celebrated.
Regardless of the extreme uncomfortable side effects of these early drugs, they introduced hope. Through the years, we’ve seen unbelievable developments. What was known as a “cocktail” of quite a few tablets has now been lowered to at least one every day for many individuals. That’s exceptional. At present, we’re seeing the event of long-acting therapies, resembling injections that may be taken each two months or each six months, in addition to drugs that may solely must be taken as soon as per week or as soon as a month. These breakthroughs had been unimaginable 10, 15, or 20 years in the past.
We’re on the verge of ending HIV as an epidemic. I’m cautious when utilizing the time period “ending HIV” and all the time make clear it as “ending HIV as an epidemic” as a result of that must be our purpose. The world, humanity, and the United Nations have set targets to realize this by 2030. Sadly, we’re considerably off observe, primarily on account of inequalities—inequalities in entry to newer instruments, newer drugs, and the systemic inequalities that proceed to drive the epidemic.
Regardless of these challenges, I’m assured that as new instruments are developed, folks residing with HIV will dwell longer and luxuriate in higher high quality of life. I stay longing for a remedy. Now we have already seen a number of instances of a remedy. Nonetheless, these are usually not but replicable on a mass scale as a result of therapies’ severity. Nevertheless, simply having these instances offers hope to all of us residing with HIV.
One other main improvement that has introduced immense hope in recent times is U=U—undetectable equals untransmittable. Scientific proof has confirmed that when somebody has an undetectable viral load, they don’t transmit the virus. It is a large breakthrough on many ranges, together with decreasing stigma, self-stigma, and concern.
I’m married and have two kids. My husband is HIV-negative, and we’ve been collectively for years. He has remained HIV-negative as a result of I’m on therapy and undetectable. I wish to see my kids develop up, have their kids, and see my grandchildren. U=U offers me this hope and peace of thoughts. I do know I can dwell with out the concern of transmitting the virus, which is transformative.
Till just lately—and I say this rightly so—when two adults have consensual intercourse, HIV transmission was typically thought-about the accountability of each people, not only one. Even so, as an individual residing with HIV, I keep in mind all the time carrying a small concern in my thoughts. U=U (undetectable equals untransmittable) has given me peace of thoughts. The scientific proof behind it and the truth that the WHO has publicly supported it has modified how we view HIV. It additionally emphasizes the pressing have to put folks on therapy. If we wish to finish the epidemic, we should guarantee therapy is accessible and inexpensive for everybody—not only for these in rich, high-income international locations.
Jacobsen: I dwell in Canada. Whereas Canada doesn’t all the time get issues excellent, it tends to do pretty properly on progressive human rights points. Canada usually avoids extremes, whether or not falling into obsequiousness on one facet or denialism on the opposite, significantly concerning necessary identification points. How do you see human rights as a part of a unified imaginative and prescient, not solely by GATE but additionally by your personal life? Particularly, how do you strategy a universalist perspective on human rights—one rooted within the precept that whereas we’re glad to see people wherever take pleasure in their full rights, we additionally attempt for everybody, in all places, to expertise the identical?
Castellanos: That’s a wonderful query. Many good issues are taking place in varied components of the world. I might like to see extra progressive international locations that embrace, respect, and uphold human rights function fashions for others to duplicate. One of many massive questions I nonetheless wrestle with—and for which I don’t but have a whole reply—is guaranteeing that marginalized teams are protected. By marginalized teams, I don’t imply simply trans folks; it may embrace indigenous communities, individuals who use medication, folks with low incomes, or others who’re susceptible in several methods.
I see it as an moral accountability—when we’ve privileges that others don’t—to deliver at the least one individual together with us, maintain their hand, and guarantee they will take pleasure in the identical freedoms and rights. Even in international locations which are typically thought-about progressive, there are nonetheless marginalized teams experiencing vital challenges. For instance, there isn’t a single nation the place I really feel ladies are in the absolute best place. Inequalities persist—whether or not it’s in salaries, alternatives, or illustration. In some locations, it’s indigenous communities; in others, it’s the LGBTQ+ group.
Dwelling by rules of respect and shared moral accountability is important. Upholding human rights for everybody is an obligation we should all share. Regardless of the challenges, I stay hopeful. The world may be scary at occasions, however it may also be profoundly inspiring whenever you hear excellent news—a coverage breakthrough, a authorities change, or a group shift. These moments give hope to people and the remainder of the world. We want extra examples of fine issues taking place.
Jacobsen: Erika, thanks for the chance and your time at this time. I’ll begin engaged on making a curated piece based mostly on this dialog.
Castellanos: Thanks as properly. Have a fantastic night.
Jacobsen: You too. Take care.
Castellanos: Bye.
—
Scott Douglas Jacobsen is the writer of In-Sight Publishing (ISBN: 978-1-0692343) and Editor-in-Chief of In-Sight: Interviews (ISSN: 2369-6885). He writes for The Good Males Mission, The Humanist, Worldwide Coverage Digest (ISSN: 2332-9416), and different media. He’s a member in good standing of quite a few media organizations.
***
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Picture by Kyle on Unsplash
The put up Erika Castellanos, International Motion for Trans Equality appeared first on The Good Males Mission.
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