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This won't be the AIDS-free generation

Survey shows teens don't worry about becoming infected, may not be using protection

Saundra Young | 7/28/2014, noon
He was just 18 years old when he got the news. It was the summer before his senior year in ...
Brennan Stewart, 22, has HIV

— He was just 18 years old when he got the news. It was the summer before his senior year in high school.

"I had a fever of 103," Bryan Seth Johnson said. "My body was hurting; I wasn't eating, couldn't hold down food. I just felt weak all the time."

He went to the hospital, told them he was having difficulty swallowing and was treated for tonsillitis. But he didn't have tonsillitis.

Johnson had the human immunodeficiency virus, better known as HIV.

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(Courtesy Metro TeenAIDS)

Metro TeenAIDS offers free HIV testing through its RealTalkDC program.

"I was basically in shock, because the guy I got HIV from works in the HIV-prevention field," Johnson recalled. "He deleted me from Facebook and basically cut all communication out."

At the time, Johnson was getting tested for sexually transmitted diseases every three months at SMYAL, an organization dedicated to supporting lesbian, gay, bisexual and transgender and questioning youth in Washington. Johnson says he generally practiced safe sex, but once, when he was under the influence, he had unprotected sex.

Still, "I was in denial at the time. I thought it might be a false test."

So he got retested. He remembers the date: September 16. The result was the same.

"The bus ride home was so quiet. Even though there was a whole bunch of noise around me, I blocked everything out."

At home, he could not tell his mother; her baby brother had died of AIDS complications two years before Johnson was born.

One in a million

At the 20th International AIDS Conference in Melbourne, Australia, this week, young people from over 50 countries gathered to make sure the issues of their generation were heard.

The numbers are quite startling.

Globally, 5 million young people between the ages of 15 and 24 are living with HIV. They represent 41% of all new infections. About 2,500 young people become infected every day, according to Advocates for Youth, an organization that works here and in developing countries.

In the United States, 26% of all new HIV infections are among young people ages 13 to 24, according to the Centers for Disease Control and Prevention. Most new infections are among young gay and bisexual males.

Yet only one in five high school students who has had sex has been tested for HIV, according to a new CDC report (PDF) on sexual risk behaviors. Although the majority of sexually active teens report using condoms, those numbers are decreasing, said Dr. Stephanie Zaza, director of the CDC's Division of Adolescent and School Health.

"Teens are unaware of their risk of HIV and how to protect themselves," Zaza said. "As parents and health professionals, and as educators, we need to take responsibility to help them learn about HIV."

'We know what works'

A staggering 60% of youths with HIV in the United States don't know that they are infected, which leads us to an even more troubling statistic: In 2011, about 3,000 young people in this country were diagnosed with AIDS, an increase of 29% since 2008.

"That makes me sick to my stomach," said Adam Tanner, executive director of Metro TeenAIDS in Washington. "I'm horrified. I think we're in a moment now where there is more complacency around HIV."