Michael Aksten

Directions Website

Michael Aksten I am a Community Health and Governance Leader focused on HIV prevention, care, and public health strategy.

Through lived experience, advocacy, and service, I share practical, stigma free information that keeps people informed, supported, and connected. Michael Aksten’s work is supported by a strong portfolio of professional training and applied leadership across HIV prevention, linkage to care, quality improvement, governance, and systems strategy. He has translated that education into active service through nonprofit board leadership, public health advisory roles, patient engagement initiatives, and community based advocacy focused on improving outcomes for people affected by HIV. His professional training includes specialized coursework in HIV testing, rapid linkage to care within emergency departments and urgent care settings, and pan viral testing and referral strategies within college and university health centers. This practical foundation informs his understanding of how individuals are connected to care quickly, safely, and effectively within complex healthcare systems. Michael has also completed multiple trainings aligned with Ryan White Quality Management and Continuous Quality Improvement, including consumer engagement in quality improvement, quality committee best practices, and Lean Six Sigma informed methodologies. He applies these principles through governance and advisory work centered on retention in care, identifying service gaps, strengthening accountability, and improving patient centered delivery systems. In addition, he has completed LGBTQIA cultural humility training and formal leadership development through HealthHIV’s Board Leadership Training and ASO/CBO Leadership programs. His work in nonprofit governance, healthcare advisory settings, and strategic planning reflects practical application of these disciplines in real world environments. Through continued education supported by HealthHIV, the Ryan White HIV/AIDS Program Training Center, the Effi Barry Training Institute, DC Health, the National HIV Curriculum, the HIV Justice Network, and Prevention Access Campaign’s U=U University, he continues to refine his expertise and expand his impact. His work remains grounded in the Denver Principles, meeting people where they are, reducing stigma, expanding access to care, and helping prevent HIV transmission.

Reading this UNAIDS update, I feel relieved, encouraged, and cautiously hopeful. The Board’s decision to reject sunsetti...
10/27/2026

Reading this UNAIDS update, I feel relieved, encouraged, and cautiously hopeful. The Board’s decision to reject sunsetting UNAIDS is an important affirmation that the global HIV response must continue.

What stands out most to me is the commitment to put communities at the center, protect human rights and gender equality, and shape the transition around each country’s needs and readiness.

But relief comes with concern. Keeping UNAIDS in place is only the beginning. Funding commitments must become dependable resources, and organizational changes must protect continuity of services. People who rely on care and support need stability throughout this transition.

I’m grateful to the advocates, community representatives, and countries standing behind this work. I hope the next chapter brings stronger accountability and meaningful community leadership.

Today, I’m taking a moment to welcome this news. Tomorrow, the work continues. ❤️🌍

10/27/2026

So, I have 95 Courses done through HealthHIV, Ryan White HIV/AIDS Program Capacity Building Training Center, HRSA HIV/AIDS Bureau, CDC TRAIN, D.C. Health, Effi Barry Training Institute, National Coalition for LGBTQ Health, The Q, LGBTQIA+ Health Education Center, NATAP, PRIME, and from the University of Washington (via the IDEA Portal) ~

All that being said..... now it's time to get more certificates..... Federal Government (FEMA) ~

Course List:

Orientation to FEMA Logistics

An Introduction to Hazardous Materials
(I know this, but want the Cert)

Animals in Disasters: Community Planning

Animals in Disasters: Awareness and Preparedness

Special Events Contingency Planning for Public Safety Agencies

Guide to Points of Distribution

Public Information Officer Awareness

Mitigation eGrants System for the Subgrant Applicant

Mitigation eGrants System for the Applicant

Social Media in Emergency Management

Continuous Improvement (CI) Overview

Introduction to Disaster Logistics and Supply Chain Management

Preparing the Nation for Space Weather Events

Military Resources in Emergency Management

Introduction to the Incident Command System, ICS 100

Preparing for Federal Disaster Operations: FEMA Response Partners

An Introduction to Exercises

How to be an Exercise Evaluator

TERT Basic Course

Basic Incident Command System for Initial Response, ICS-200

Forms Used for the Development of the Incident Action

Plan and Incident Management

Introduction to Unified Hazard Mitigation Assistance (HMA)

Fundamentals of Emergency Management

Emergency Planning

Introduction to Deliberate Planning

Critical Concepts of Supply Chain Flow and Resilience

Leadership and Influence

Decision Making and Problem Solving

Effective Communication

Developing and Managing Volunteers

Introduction to the Federal Priorities and Allocations System

Implementing the Federal Priorities and Allocations System (FPAS)

Coordinating Health and Social Services Recovery

~~~

Just to name a few to get me through November..... trust me there's a LOT more I could list here, but it would just go on and on and on

119 courses | 38.95 CEUs | 389.50 equivalent contact hours | 40 study weeks + 4 flex weeks

📣 Friends and community, I could use your help!I’m applying for a scholarship to attend AIDSWatch 2027, March 15–17 in W...
10/26/2026

📣 Friends and community, I could use your help!

I’m applying for a scholarship to attend AIDSWatch 2027, March 15–17 in Washington, D.C., where advocates meet with lawmakers about issues affecting people living with or impacted by HIV.

My community work includes facilitating peer support, helping establish community advisory groups, serving on HIV planning councils, and advocating for accessible healthcare, LGBTQIA+ health, and disability rights. I work to ensure community voices help shape the services and policies affecting them.

Attending AIDSWatch would help me strengthen that work, learn from fellow advocates, and bring new knowledge and resources back to our community.

Would you consider writing a brief letter or statement of support for my scholarship application?

If you know me through my community involvement, advocacy, or our personal connection, you could share:

- How you know me and my connection to the community.

- An example of how I’ve supported, advocated for, educated, or shown up for people living with or impacted by HIV.

- Why attending AIDSWatch would benefit me and the communities I serve.

- Your perspective on my leadership, reliability, or commitment to advocacy.

No formal title or lengthy letter is needed. A few sincere paragraphs in your own words would mean a great deal.

📅 My application is due November 2, 2026, so I would appreciate receiving your statement as soon as possible.

📧 Please send your statement or any questions to [email protected].

Thank you for considering this request and supporting my community work. ❤️

Today we mourn the passing of Walter Koenig, whose talent, warmth, and unforgettable performances left a lasting mark on...
10/26/2026

Today we mourn the passing of Walter Koenig, whose talent, warmth, and unforgettable performances left a lasting mark on generations of fans around the world. He passed of old age at home in North Hollywood last night surrounded by his daughter and niece.

Best known for his iconic role as Pavel Chekov in Star Trek: The Original Series, Walter helped inspire audiences with his optimism, humor, and adventurous spirit. Beyond Star Trek, his long and distinguished career showcased his versatility as an actor and his genuine love for his craft.

His remarkable talent continued to shine in his later years, most recently with his performance in the short film Mr. Fleischmann, for which he received the Platinum Award for Best Actor at the 2026 Independent Shorts Awards, a fitting recognition of a lifetime devoted to his craft.

Walter’s legacy extends far beyond the screen. Through countless convention appearances and interactions with fans, he shared his kindness, wit, and appreciation with everyone fortunate enough to meet him.

He understood what Star Trek meant to people and embraced the community that grew around it.

Rest in peace.

I have had 4 ports now, many different kinds.... double lumen, single lumen, had my last one that was replaced 10/08 for...
10/26/2026

I have had 4 ports now, many different kinds.... double lumen, single lumen, had my last one that was replaced 10/08 for about 10 or so years..... of course the first 3 got infections and that's why they were replaced....

Now, I have been on Facebook for a long time..... and I have never, never seen as many ad's for seeking compensation for the ports due to infection, clotting, and breakage.... until now.

10/26/2026

WASHINGTON, D.C. — FRIDAY, OCTOBER 23, 2026 — The Save HIV Funding campaign today released highlights from its Still Rally at IDWeek 2026 in Washington, D.C., where leading infectious disease experts, healthcare providers and HIV advocates gathered to sound the alarm over threats to federal HIV funding just days ahead of the midterm elections.

The October 21 rally followed an urgent congressional appeal signed by 139 organizations, calling for immediate action to protect the nation's HIV research infrastructure amid delayed funding for four sophisticated HIV clinical trial networks, threats of political interference in scientific grantmaking and the potential diversion of federal research dollars.

Set against a striking wall of black quilt panels inspired by the original AIDS Memorial Quilt, the rally brought together national health leaders and community advocates to underscore the human stakes of federal funding decisions — and warn that decades of progress in HIV research, prevention, treatment and care remain at risk.

139 ORGANIZATIONS SOUND THE ALARM

Delivered to congressional appropriations leaders on October 20, the organizational sign-on letter identifies three imminent threats to federal HIV research:

• Delayed clinical trial funding: An overdue funding opportunity threatens the renewal of four major HIV clinical trial networks — ACTG, IMPAACT, HPTN and HVTN — responsible for advancing HIV prevention, treatment and cure research.

• Political interference: Proposed changes to NIH grantmaking could undermine the scientific peer-review process and shift funding decisions toward political appointees.

• Threats to research dollars: The potential transfer of infectious disease research funding from the National Institute of Allergy and Infectious Diseases (NIAID) to the Department of Defense raises concerns about transparency, congressional oversight and the future of biomedical research.

The signatories warn that disruptions could dismantle research teams, compromise ongoing clinical trials and slow medical advances extending beyond HIV, including research into cancer, tuberculosis, viral hepatitis and emerging infectious diseases.

THE HUMAN COST OF FUNDING CUTS

The rally brought together leaders from the Infectious Diseases Society of America (IDSA), HIV Medicine Association (HIVMA), AVAC, Whitman-Walker Health, PrEP4All and the U.S. People Living with HIV Caucus.

• Jeanne Marrazzo, MD, MPH, CEO of IDSA, opened the program with a call to defend science and federal HIV programs.

• Mitchell Warren, Executive Director of AVAC, served as emcee, highlighting the campaign's efforts to safeguard HIV research.

• Ronald Johnson, representing the U.S. People Living with HIV Caucus, addressed the consequences of funding cuts for people living with HIV.

• Anna Person, MD, HIVMA Chair, emphasized the importance of collective advocacy and congressional leadership.

• Benjamin Brooks, JD, MPH, Director of Government Affairs at Whitman-Walker Health, addressed the consequences of defunding community-based HIV prevention organizations.

• Nada Fadul, MD, MPH, HIVMA Board Member, highlighted the implications of Medicaid funding changes and research losses for patients and healthcare providers.

A LOVE LETTER TO PEOPLE LIVING WITH HIV

One of the rally's most personal moments came when Jeremiah Johnson, Executive Director of PrEP4All and co-founder of the Save HIV Funding campaign, read a love letter to people living with HIV written by advocate Kamaria Laffrey, who originated the campaign's powerful living obituary concept. Her deeply personal reflections inspired others living with HIV to write their own living obituaries, sharing the lives, futures and milestones they stand to lose if access to lifesaving treatment and care is threatened. Surrounded by Quilt panels, the reading brought the discussion back to the people whose lives depend on continued access to research, prevention, treatment and care.

Japan recorded its lowest number of reported new HIV cases in the past 20 years — but health officials say testing remai...
10/25/2026

Japan recorded its lowest number of reported new HIV cases in the past 20 years — but health officials say testing remains important. 🇯🇵🎗️🏳️‍🌈

Finalized figures for 2025 show 624 newly reported HIV cases in Japan.

That is the lowest annual number recorded over the past 20 years.

A further 266 people were newly reported as AIDS patients, bringing the combined total of newly reported HIV cases and AIDS patients to 890.

The number of newly reported AIDS patients was also the second lowest in the past 20 years.

But there is an important distinction:

These are reported diagnoses, not necessarily the number of people who became infected with HIV during 2025.

Some people may have acquired HIV earlier but only received a diagnosis that year.

Around 30% of all newly reported HIV/AIDS cases were people diagnosed after already developing AIDS, according to the AIDS Surveillance Committee.

Officials also noted that growth in the number of HIV tests performed at public health centers has stalled.

So while the decline in reported HIV diagnoses is an important development, early testing and access to sexual-health services remain key issues.

Knowing your status means HIV can be treated earlier — and today, effective HIV treatment can allow people to live long, healthy lives.

When was the last time you got tested? 🏳️‍🌈🤍

More treatment options matter.The FDA has approved IDVYNSO, a complete, once daily, two drug HIV treatment combining Dor...
10/20/2026

More treatment options matter.

The FDA has approved IDVYNSO, a complete, once daily, two drug HIV treatment combining Doravirine and Islatravir in a single tablet.

What makes this approval especially noteworthy?

• No Tenofovir
• No Integrase Inhibitor
• One tablet taken once daily
• A complete two drug regimen

IDVYNSO is approved as a switch option for certain adults who are already virally suppressed on a stable treatment regimen, have no history of virologic treatment failure, and have no known resistance substitutions associated with Doravirine.

This is significant because HIV treatment is not one size fits all. As people living with HIV live longer and manage other health conditions, having additional treatment options can support more individualized conversations about long term care, tolerability, medication interactions, and overall health.

IDVYNSO will not be appropriate for everyone. Resistance history, Hepatitis B status, other medications, and potential drug interactions must be carefully reviewed with an HIV care provider. This information is being shared for educational purposes and is not a recommendation to change treatment.

Progress in HIV care is not only about developing new medications. It is also about expanding informed choices for people living with HIV.

https://www.merck.com/news/fda-approves-mercks-once-daily-idvynso-doravirine-islatravir/

IDVYNSO is approved for adults with virologically suppressed HIV-1 with no history of virologic treatment failure and no known substitutions associated with resistance to doravirine IDVYNSO is the first and only non-INSTI, tenofovir-free, once-daily, complete two-drug regimen to demonstrate non-infe...

Today, tools like PrEP exist to help prevent HIV; however, not everyone has access to them, is able to use them, or even...
10/20/2026

Today, tools like PrEP exist to help prevent HIV; however, not everyone has access to them, is able to use them, or even knows they exist.

For this reason, research continues to find more prevention options, including vaccines.

Learn more and discover how you can participate in studies at HelpEndHIV.org

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Nashua, NH

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