2009年11月，由云南大理市卫生局出资、10多名防艾志愿者负责经营的以同性恋为主体顾客的酒吧即将正式营业，卫生局和志愿者们计划通过酒吧的平台对更多潜在的艾滋病患者进行“同伴教育”。今年“世界艾滋病日”的主题是“普遍可及和人权”(Universal Access and Human Rights)。本月24日，卫生部部长陈竺在上海表示，同性性行为所引起的艾滋病传播已经占到传播总数的32%。

　　11月25日，是云南大理古城的赶集天，并不宽敞的街道被来自周边农村的人们占满。古城边有一片树林，三三两两的男性往深处走去。小马手拿着一个塑料口袋站在密林间的交叉路中，每来一个人他都上前用方言攀谈几句，然后从口袋中取出些安全套发给他们，对于不熟悉的人，小马还打开盒子告诉他们使用方法。

　　“男同干预男同”

　　小马发放的是男同性恋专用的安全套，而这些人多是农村男同性恋者，他们是乘赶集天来参加这隐秘的集会。他们中年纪大的有70多，小的才不到20，这个秘密形成的场所已有3年多历史。今年25岁的小马同样来自农村，也是一名同性恋者，现在是名志愿者，属于“大理市艾滋病健康促进会，大理好朋友工作组”，当天小马发出了20多个安全套。

　　大理市第二人民医院的大夫张建波，是大理市艾滋病健康促进会的创办人和领导者。这种发展男同性恋者做志愿者，进入到他们隐蔽的集会场所，向其他男同性恋者发放安全套的工作方法被张建波称为“男同干预男同”，他认为，没有办法阻止他们的性行为，只能使这些行为更安全些。

　　本月24日，卫生部部长陈竺在上海表示，性传播已经成为我国艾滋病传播的主要途径。尤其是同性性行为，它所引起的艾滋病传播已经占到传播总数的32%。导致艾滋病传播的同性性行为，绝大多数来自男同性恋者之间。

　　“滚雪球加顺藤摸瓜”

　　大理市在男同性恋中开展防治艾滋病工作，是从2003年开始的。张建波回忆说，开始时最困难的问题是，要找到这些“男同志”。他花了一年的时间依然找不到“男同志”的影子。一个偶然的机会，他将一个“疑似同志”的中学同学叫到办公室，关上门唬他说知道了他的身份，并说明自己没有恶意，只是想在这个群体中做艾滋病防治工作。对方先是吃惊然后矢口否认，最终理解了张建波的目的才表示愿意配合。突破口打开后，这个群体浮现出来。

　　张建波称这种工作形式是“滚雪球加顺藤摸瓜”。几年下来他们掌握了1800多名男同性恋者的基本情况，还形成了一个有10多名骨干志愿者的群体，建立了专门的工作室，定期开展被称为“同伴教育”的活动。在活动中，通过游戏、培训等方法吸引他们参与，许多来自农村的男同性恋者，被请进来第一次接触到防艾知识。

　　“普遍可及和人权”

　　2009年中旬，在大理市防艾工作会上，“大理市艾滋病健康促进会，大理好朋友工作组”提出开设一间以同性恋为主体顾客的酒吧的构想，计划通过酒吧的平台吸引覆盖干预更多的人。这一计划经过论证后，上报市政府得以通过，卫生局投入12万元人民币，由志愿者们选址、装修、设计和经营。现在酒吧已经试营业，将在12月1日“世界艾滋病日”正式开业。

　　今年“世界艾滋病日”的主题是“普遍可及和人权”，这一主题被解读为，希望让更多的人，有更多的渠道能够了解防治艾滋病的相关知识，并对相关人群进行更有效的保护。

　　11月27日，《中国艾滋病感染者歧视状况调查报告》在京发布,这份报告调查了中国2000多名艾滋病病毒感染者受歧视经历。报告显示：被调查的感染者中百分之四十表示曾遭受与艾滋病有关的歧视，有超过三分之二的人的家庭成员因为自己的感染状况而遭受歧视。中国卫生部副部长黄洁夫称，“对艾滋病患者和感染者的理解和关怀，消除对艾滋病感染者和病人的歧视是艾滋病防控的关键环节。”

　　注：本版涉及的同性恋者均为化名

　　□记者 郭铁流 摄影报道

The establishment of municipal government injection of Dali in Yunnan gay bars (Photos)
At 03:12 on November 29, 2009 Source: The Beijing News

    November 25, the local homosexual gathering places, while the ancient city of Dali in the two small woods gay (above). Volunteers dedicated to gay men condom distribution (bottom).

    Gay AIDS Prevention activities room. Come to participate in the activities of gay men chatting in the corridor side of the sun, after a long period of hard, and now they have a strong sense of identity activities room.

In November 2009, from Yunnan, Dali City Health Bureau funded more than 10 volunteers for AIDS Prevention operations to homosexuality as the main customers of the bar will soon open for business, health boards and volunteers are planning a platform through the bars of potential for more AIDS patients, "peer education." This year's "World AIDS Day" the theme of "universal access and human rights" (Universal Access and Human Rights). On the 24th of this month, Health Minister Chen Zhu in Shanghai, said same-sex sexual behavior caused by the spread of HIV transmission has accounted for 32% of the total.
 

November 25, is the ancient city of Dali, Yunnan, a fairground scene days, the streets were not wide of the people from the surrounding countryside filled. The ancient city of Side with a forest, 3322 male Wangshen Chu walked. Colt hand holding a plastic bag standing forests between the cross-road, every one person came up with the dialect he chatted a few words, and then out of the pocket some of condoms distributed to them, for those who are not familiar with, pony also open the box to tell them to use.

"Men with the intervention in men with"

Gay colt is the exclusive distribution of condoms, and these were mostly gay men in rural areas, they are by country fair days to participate in this intimate gathering. Of them are older than 70, only a small less than 20, the formation of the secret places of history has been three years. 25-year-old colt, also from rural areas, is also a homosexual, it is volunteers, are "AIDS Health Promotion Dali City, Dali good friend of the Working Group", the same day issued a pony more than 20 condoms.

Dali City Second People's Hospital doctor Zhang Jianbo, Dali City, AIDS Health Promotion is the founder and leader. Gay men volunteer to do this development, access to their hidden meeting places, to other gay men condoms ZHANG Jian-bo working method is referred to as "men with men and with the intervention," he says, there is no way to stop their sexual behavior will only make it safer these acts.

On the 24th of this month, Health Minister Chen Zhu in Shanghai, said sexual transmission has become the main way of HIV transmission in China. In particular, homosexual sex, it caused the spread of AIDS has accounted for 32% of the total transmission. Led to the spread of AIDS, homosexual acts, the vast majority from among gay men.

"Snowball plus thus led"

Dali City gay men in HIV-prevention work was started in 2003. ZHANG Jian-bo recalled that, at the beginning of the most difficult problem is to find these "gay." He spent a year still can not find "gay" in the shadow. A chance, he would a "suspected comrades" of secondary school students into his office, closed the door, he said fool knows his identity and explains he did not malicious, just want to do in this group of AIDS prevention and control work. First surprised and then deny the other end to understand the purpose of Zhang Jianbo only said they would cooperate. Breakthrough opens, the group surfaced.

ZHANG Jian-bo said that this kind of work the form of "snowball plus allows for deeper investigation." A few years later more than 1,800 people who mastered the basic situation of homosexuals, but also formed the backbone of a more than 10 volunteer groups, set up a special studio, on a regular basis is called "peer education" activities. At the event, through play, training and other methods to attract them to participate, and many gay men from rural areas, were invited to come in first contact with the AIDS Prevention Knowledge.

"Universal accessibility and Human Rights"

In mid-2009, the work of the meeting in Dali City, AIDS Prevention, "AIDS Health Promotion Dali City, Dali good friend of the Working Group" proposed to be created by a gay bar as the main idea of the customer, plans to bar coverage of a platform to attract more intervention and more people. This project has been demonstrated, the city reported to be passed, the health bureau invested 120,000 yuan, from the volunteers location, decoration, design and operations. Now bar has the soft opening will be December 1, "World AIDS Day," officially opened.

This year's "World AIDS Day" the theme of "universal access, and human rights", the theme has been interpreted as, we hope to more people, more channels to understand the prevention and treatment of AIDS-related knowledge, and more related to population effective protection.

November 27, "China AIDS Survey of Discrimination Report" released in Beijing, the report surveyed more than 2,000 Chinese infected with HIV experience discrimination. The report showed: The survey indicated that 40 percent of infected persons had been subjected to AIDS-related discrimination, more than two-thirds of family members because of their infection status discrimination. Chinese Vice Health Minister Huang Jiefu said, "for AIDS patients and infected persons to understand and care, the elimination of HIV-infected persons and AIDS prevention and control of the patient's discrimination is a key link."

Note: The edition of the homosexuals were involved in an alias

□ reporter Guo Tie stream photo coverage