In June 1995, three Republican Dallas County commissioners drafted a letter to 43 area doctors urging them to support the countyâ€™s recently enacted ban on the distribution of free condoms in high-risk neighborhoods by public health workers to combat the spread of HIV/AIDS.
The letter, signed by Commissioners Kenneth Mayfield (pictured above), Mike Cantrell and Jim Jackson, called homosexuality unacceptable and compared it to drug abuse and prostitution.
â€œWe donâ€™t want anyone, especially anyone in authority, telling our children or future grandchildren that itâ€™s an approved or acceptable lifestyle to be a homosexual, a prostitute or a drug user,â€ the letter stated. â€œAnd, we donâ€™t intend to be the vehicle through which others are given this message.â€
Fourteen years later, Mayfield and Cantrell remain on the Commissioners Court, and their position on the condom ban hasnâ€™t changed.
But this time, they found themselves in the minority, as the five-member court voted 3-2 Tuesday, Jan. 13, to overturn the ban.
Jackson is no longer on the court, and Republican Commissioner Maurine Dickey broke ranks with Mayfield and Cantrell, joining Democrats John Wiley Price and Jim Foster.
Foster, whoâ€™s openly gay, said Tuesdayâ€™s vote will allow the county health department to be proactive, rather than reactive, in combating HIV/AIDS and other sexually transmitted diseases.
â€œItâ€™s a big day in Dallas County,â€ Foster said after the vote. â€œWe should have never been in this position.â€
The condom ban was enacted prior to the introduction of life-extending antiretroviral medications for people with HIV/AIDS, and one LGBT health advocate compared the policy at the time to â€œethnic cleansing.â€
But Republican commissioners who enacted the ban maintained that the health departmentâ€™s practice of distributing condoms and needle sterilization kits, which began in the mid-1980s, encouraged illegal and immoral behavior. It would be eight years after the condom ban before the U.S. Supreme Court overturned Texas anti-sodomy law.
Even in 1995, though, mainstream medical groups strongly advocated the distribution of condoms to combat the spread of HIV/AIDS. For example, the president of the Dallas County Medical Society and a contingent of infectious-disease physicians warned that the ban would lead to â€œa public health and a financial disaster.â€
This go-round, the county health department prepared a report noting that while the overall rate of new HIV infections has remained relatively stable over the last several years, some alarming trends have emerged in certain groups.
For example, while African-Americans make up only 20 percent of Dallas Countyâ€™s overall population, in 2007 they accounted for 46 percent of all new HIV cases.
Meanwhile, the rate of new HIV infections among people ages 13 to 24 has nearly tripled in the last five years, and they now represent the highest-risk age group.
Also, in each of the last two years, Dallas County has had the highest rate of new HIV infections in the state.
Mayfield and Cantrell, however, werenâ€™t convinced.
Mayfield made an issue out of the health departmentâ€™s condom program during his initial campaign in 1994, when he defeated a Democratic incumbent.
And after Price, the lone member of the court to oppose the ban in 1995, proposed revisiting it in December of last year, Mayfield responded with an alternative.
Mayfieldâ€™s proposal wouldâ€™ve allowed public health workers to distribute condoms only to certain people, such as those already diagnosed with HIV/AIDS or STDs.
But Mayfield scrapped the alternative before Tuesdayâ€™s meeting, instead offering a last-minute amendment that would have prohibited the distribution of condoms in schools.
The amendment failed, after Dickey said she was more concerned about the fiscal impact of HIV/AIDS. According to the health departmentâ€™s report, the average lifetime cost of treating someone with HIV/AIDS is more than $600,000.
â€œI think we need to put the taxpayers first,â€ Dickey said before the vote. â€œIf we prevent two people from getting AIDS in Dallas County, we will have saved over $1 million of the taxpayersâ€™ money.â€
Zachary Thompson, director of the health department, told the court that decisions about distributing condoms in schools would be left up to individual districts.
Thompson also noted that Dallas had been the only major metropolitan area in Texas to prohibit public health workers from distributing condoms, which are provided at no cost by the state.
About two-thirds of all new HIV infections in Dallas County are among men who have sex with men, and LGBT health advocates praised Tuesdayâ€™s decision.
â€œAt least we have begun the journey to not being the laughing stock of the nation, which is probably good for our image,â€ said Don Maison, executive director of AIDS Services of Dallas. â€œAnd the other thing that I think is really great, is that if you remember from the  election, whatâ€™s happened to Dallas County now, I think thereâ€™s a good chance that the Commissioners Court will be cleaned up considerably, including the two who voted no.â€
While Tuesdayâ€™s vote was a step in the right direction, Maison added that it doesnâ€™tâ€™ undo the â€œincalculable damageâ€ caused by the condom ban.
â€œI can look myself in the mirror. If I were Mayfield or Cantrell, I couldnâ€™t,â€ Maison said. â€œItâ€™s politics influenced by right wing Christians. Itâ€™s the religious right, and they think itâ€™s OK if homosexuals become infected and die. I really believe thatâ€™s their mentality. â€¦ Think of the lives lost over these 14 years.â€
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