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CPG Minutes July 2008
HIV Prevention Community Planning Group Meeting
USE July 15, 2008 * 10:00 – 3:30pm
Rice Auditorium
CPG: Present
- Archey, Rev. Donald
- Fisher, Brian
- French, Paula
- Gillespie, Tony
- Hail, BSN, Anna Urias
- Howard, James
- Lozano, Dolly
- Morton, Ramon
- Nash, Richard
- Nix, Ryan
- Pasco, Larry
- Prado Reyna,Laura
- Stanley, Debra
- Vesga, Jesus
Absent: Ajiboye, Shola
CPG: Absent w/Proxy
- Tony Gillespie for Ramona Gilmore
- Ramon Morton for Mark Hughes and Wendy Woods
- Richard Nash for CydrisseDoole
ISDH Staff and Technical Advisors
- Archey-Morgan, Cathy
- Arnold, Vivian
- Burcham, Barbara
- *Burkman, Jerry
- Chapman, Erika
- Ford, Marsha
- Hillman, Dan
- Johnson, Elloise
- Newton, Susan
- Perez, Andrea
- Rekas, Dawne DiOrio
Absent w/ Proxy *Jerry Burkman for Larry Harris
- Derek Bernew
- Taniyika Dye - Griffith, IN
- Michelle E. Carr-Watkins - Chicago, IL
General Information
The meeting was called to order at 10:15am by the Community Co-Chair, Ramon Morton. All in attendance introduced themselves. The agenda format was changed.
Tony Gillespie: The purpose of CPG, primarily, is to bring the community and the DOH together to look at HIV Prevention and make recommendations, develop strategies and author a statewide plan to reduce HIV.
Ground Rules: The ground rules were read to the CPG body by Jerry Burkman. She included the following change and addition (in italics) to the list:
Ground Rule # 2. Speak clearly and distinctly
2. Change: Speak clearly, distinctly and loudly
Addition: Mrs. Burkman also stated that to "be on time" was also a ground rule. Per Barbara Burcham, this rule was a suggestion from Ted Forbes during his last visit to Indianapolis.
It was also stated that in the past, the CPG body agreed that the ground rules would be blown up and posted appropriately because only a few had a copy. Andrea Perez volunteered to have copies made from heavy card board for posting.
Meeting AgendaQuestion: Why wasn't the agenda emailed in advance to all members? Having the agenda early allows one to review the pre-planned discussion topics and better prepare for any voting that might take place.
Jerry Burkman asked if the body would like to have the agenda emailed along with the regular documents in order to know what is important in the upcoming meetings.
Barbara Burcham stated that the Prevention program is understaffed. In the Division of HIV/STD Update, July 2008 report, members would see that a CPG liaison has been hired and will be starting the end of this month. She also stated that Prevention did the best they could and agreed that the CPG body did not receive the agenda in a timely fashion this month. However, it hasn't been in the past nor will it become a regular occurrence. Mr. Morton also agreed and apologized from the community aspect. He stated that he too didn't see the agenda until the day before the meeting took place.
Debra Stanley stated that if the body would go back to the original format, what was just discussed regarding the ground rules, submission of the meeting agenda and other items to be discussed during the bi-monthly meeting would be found on a template. All these things were once a part of the agenda. The original format even had a place for, "process" kind of questions. She asked that the original agenda template be reviewed and restored so that when the next Executive Committee conference call takes place, the agenda can be prepared as well.
If members have agenda items, please email them to Ramon or Barbara.
Self Assessment Review
The following comments were made to questions 6, 7, and 28.
- My issue is more important than yours.
- You try to talk over me (competing for status).
- Our role is to be advocates and as advocates, we've got to be comprehensive in the work that we do. So it's not about me, it's about us, it's about HIV.
- We must take me and self out of the process – then we're on the right track.
- Perhaps that question needs to be reworded to be clearer.
- As long as we address peoples concerns and questions, I'm not sure that it requires reworking the question.
- As long as I have the freedom to talk about it and ask questions and discuss it, I don't see any need to go back and discuss it. I don't see the need to go back to find the right wording.
- There is more than one way to correct.
- We are only required to have a self evaluation assessment process - long version or standard version – be mindful this is only one way to assess our process.
- Executive Committee Conference Call: Accepted with the following changes:
- Since May 2008, Paula French was no longer on the Executive Committee. On the Executive Committee 2008 Attendance list, extend the color code (pink) into the June 2008 column.
- Diana Bowden resigned for personal reasons
Minutes Review
- HIV Prevention Community Planning Group Meeting - May 20, 2008: The minutes were accepted with the following correction and comment:
- New Business (arrow 4): Replace the word "lunch" with the word "mileage".
- The new format being used to prepare committee minutes was well received. It was also stated that they are user friendly. Elloise Johnson thanked the body for their comments.
- June Co-Chair Committee Conference Call: June 3, 2008: Accepted
- CPG Executive Committee Conference Call: June 3, 2008: Accepted with the following corrections:
- 2008 Expenses
- Correction: (1st bullet) – Brian Fisher attended the May 20, 2008 meeting.
- Correction: (1st bullet) – All text, excluding Brian Fisher, move under attendance.
- 2008 Expenses
- CPG Executive Committee Conference Call: July 8, 2008: Accepted
May 2008 CPG Expense Report
- Expenses from the HPLS will be reflected in the July 2008 CPG Expense report.
- The expenditures for conference attendees totaled: $ 2,940.02.
USCA Conference scheduled in Miami Florida, September 18 – 21, 2008 will be attended by CPG member, Rev. Donald Archey. Unfortunately other CPG members were unable to obtain a scholarship. There were 125 offered.
A message from Executive Committee Chair, Ramon Morton
Ramona Gilmore accepted the position as Chair of the Membership Committee but due to personal reasons, she will not be able to fulfill the duties required of her. I will ask for Debra Stanley's assistance for the next couple of months to prepare assignments of the membership piece.
A lot of committee changes have taken place. Members dropped and new assignments made have resulted in the need for committees to be restructured. These changes, in addition to other committees not having fulfilled their commitments, have affected the board as well causing some members to carry an even heavier load and become "over burdened". There is therefore now a greater need for more people to step up and assume responsibilities. Yes we do come here representing a certain population and that is all important, but we more importantly come representing the HIV/AIDS virus body as a whole. The whole purpose of this group is to look at the big picture and where we should be responding… where we need to be directing interventions.
During the reapplication process, which has never been done before, the Membership Committee, will review each member's roles and assignments in an attempt to determine if committee related assignments are being met. By September, all current members will need to have completed the re-application form found at www.in.gov/isdh/17397.htm.
CPG Facilitator
Barbara Burcham: Michael Reese will not be the facilitator based upon his interest in what he wanted to do for CPG versus the actual needs of the CPG body. During our last conference call, Mr. Reese stated that he wanted to do an assessment but an assessment is not what the CPG body needs.
An Ad-Hoc Committee was formed to look at the Technical Assistance plan recommended earlier by both Ted Duncan and Ted Forbes of CDC that would focus on January 2008 thru January 2009. The new members for this Committee are, Dolly Lozano, Ramon Morton, Debra Stanley, Paula French and Tony Gillespie.
Prevention Update
Larry Pasco requested 20 copies of the insert, 'The Faces of HIV and Other Infectious Diseases' published in the Indianapolis Woman's Magazine.
Question: How much time should be given to Dr Monroe to respond to the letter sent to her regarding needle exchange and harm reduction?
Answer: Jerry Burkman will be meeting with Dr Monroe at 3:30 p.m. for a 15 minute meeting to discuss questions raised in the letter.
Comprehensive Risk Counseling Services (CRCS) Training
Cathy Archey Morgan received a call from Denver STD/HIV Prevention Training Center stating that those that have someone attending the CRCS training have not registered and they are still holding six slots for the names from Indiana. Those attending will need to contact both Cathy and Denver's website to register.
Barbara Burcham stated that she wants to bring the training here for those under-trained and who have never been trained. She also stated that this would be an additional tool counselors could use in CTR and as a motivational piece. The training is not mandatory but is highly suggested.
Counselor Refresher Course
Cathy Archey-Morgan: The counselor refresher course will just be a course to reiterate what the CTR people are already doing and to make sure those trained years ago are up on the CRCS training. One option being considered is to travel and perform training at one site in North, Central, and Southern Indiana.
Barbara Burcham: Lodging and mileage for CPG members will be reimbursed through their agency. That amount will be entered as a contract amendment at a later date from carry over dollars (which have not been approved yet) or from a vacant position we had this year.
CLIA Waiver
(CLIA certifications needed to run laboratory related test) CLIA (Clinical Laboratory Improvement Amendment): Law establishing quality standards for all laboratory testing (except research) to ensure the accuracy, reliability and timeliness of patient test results regardless of where the test is performed. Lab tests are categorized as waived testing, moderately complex, and highly-complex. Laboratories performing these tests must meet certain criteria to perform tests in a particular category.
Rev Donald Archey stated that he had contacted the Allen County Health Department to do rapid testing and they refused. When they refused, he asked if they would come to his site and perform testing there. Again they refused. He also contacted Gary, Elkhart and South Bend, Indiana. During the meeting in Indianapolis, Rev Archey requested to know the exact procedures needed to have someone come to their site and perform testing there. He stated he had not heard of a CLIA Waiver.
Barbara Burcham stated that this is a side issue that would have to be discussed outside of the CPG because it's not on the agenda and it's not a CPG issue; however she would be more than willing to talk with him about this, but outside of the meeting.
Rev Donald Archey stated that he was deeply disturbed and concerned when it comes to the minority population particularly in Fort Wayne, particularly in region 3 and when we are attempting to test where the numbers are disproportionate and we're not allowed to do that nor will a funded agency in that area do the test and I did think it was something that needed to be brought to this committee.
Barbara Burcham: "and if you would like to have Ramon included on that call, I'd be more than willing to in the meeting here either way. You can have your presentation".
Tony Gillespie: "I understand it's not an agenda item, but it certainly is a CPG issue because it's a difference between funded types and non-funded types sites. This is an issue with a well funded region. Allen County Health Department was one of the health departments that received more funding than any other county health department. The fact that this health department was funded when no other organization was funded in that community speaks to what was the vision of ISDH at the time; that communities move toward those kinds of mutual partnerships and organizations learn to work together. So if there is one funded entity in the area that is suppose to provide that service and yet they won't do the CLIA and they won't do the other types of services then, that certainly is an issue that needs to be discussed at community planning".
Barbara Burcham: "Can we move it down to new business?"
Ramon Morton: Yes
Grant Supplement: Grant # 04012
Purpose: Using the state and local health departments to develop a plan to enhance and better address the HIV prevention service for MSMs. The plan will be developed through an assessment of current activities to prevent HIV infections and related risk factors including STDs which are related to HIV. It is to assess our current CPG plan for improvement and enforce the CPG plan immediately thereafter.
There is no additional funding. The award is based on the proportion of MSMs the state had in 2006.
Bring in an outside investigator to work with. (Are we going to contract services out?)
An Ad-Hoc Committee was established for the purpose of working through some of the technicalities of the plan. Tony requested that Dr. Marvin Bailey, Professor from Indiana University to also be a part of this committee. Ad-Hoc Committee members are Dolly Lozano, Tony Gillespie and Paula French.
Tony Gillespie: Duties of the Ad-Hoc Committee: The mission of the Ad-Hoc Committee is to work with the DOH to provide input into the development of a strategic plan as part of the CDC application for the Supplemental Funding.
Lunch: 11:30 – 12:30pm (South Bend Chocolate Factory)
Advocacy Committee - Tony Gillespie
The committee is waiting on a response from Dr Monroe regarding the letter sent to her for a response to needle exchange and harm reduction. The committee would like a written response on ISDH letterhead so it would be official, to let them know where they are to date. Two days after the letter was submitted to Dr Monroe, a sign-on-letter addressed to congressional leadership calling for Congress to lift the federal ban on the funding for syringe exchange programs, a key weapon in the fight against the spread of HIV and Hepatitis C, was released today with 55 signatures. The letter, circulated by Representatives Elijah E. Cummings (D-MD) and Michael Castle (R-DE), gained bipartisan support, with four Republican signers. The letter was forwarded to Dr. Monroe. Jerry was scheduled to meet with Dr. Monroe later that day.
The Advocacy Committee has requested that Andrea Perez and Cathy Archey Morgan serve as staff technical assistant.
Andrea sent out a notice around the state announcing National Testing Day. Seven cities around the state were able to get signed proclamations from their Mayor. The language that went out in the original press release was that if you were able to obtain these proclamations from your Mayor, your city would be able to get up to 500 test kits depending on the size of your city. Indianapolis received 500; Elkhart 200, South Bend 100 and Gary received 100.
Tony is proposing that the Advocacy Committee send, on behalf of the entire body, a resolution, or letter thanking them; recognizing the efforts of both the Mayor and representatives from those cities. The committee would also like to send a letter of acknowledgement to Dr. Manoj Pardasani who will be returning to New York.
Request that Mr. Charles T. Hiltunen, III, Third House Advocacy or someone make a presentation to the CPG body in September, 2008 on advocacy, what CPG members can say to legislators and definition of lobbying.
2006 HIV Incidence
Richard Passey presented a PowerPoint on the new HIV Incidence report.
Epi Profile: Membership Matrix
Dan Hillman provided packets of his membership matrix requested by the Epi Committee earlier. By September, the Membership Committee will hopefully have a final matrix to present to the full body.
Additional Notes
July 28, 2008, is the start date for the new CPG Liaison, Cena Bain. Send all applications to her after July 28th. Before this date, send applications to Barbara.
Question: During the reapplication process, will an appeals process be made a part of the reapplication process? Answer: The Membership Committee will look at adding an appeals process to the Membership Application process. Discussion ensued.
Final: The Membership Committee will not ask for any applications until the application process is done - not from the public or members per Debra Stanley.
Conference Reports
All conference attendees will provide a written report on workshops attended.
Paula French
I would like to thank the CPG members and Co-Chairs for the opportunity to attend HPLS this year. No matter how long any of us have done this work, it is important that we remain current on emerging issues, new funding directions and new prevention/care strategies. HPLS afforded me that opportunity.
Workshops attended:
The Science of HIV Prevention: Where Are We Now? (CDC)
This session focused on a wide range of issues including microbicides, testing, DEBIs (as well as some of the new interventions that are being rolled out), condom distribution, needle exchange, etc. One of the most interesting aspects of this workshop was the integration of biomedical interventions (such as vaccines, microbicides, HARRT therapy) and behavioral change interventions as well as social changes including needle exchange condom availability in correctional settings, etc. Clearly, we still have a lot to learn and many ways to approach prevention; none of which can be done in a vacuum if we are to prevent the spread of HIV.
Closing the Gap: The CDC's Response to Women at Risk for HIV/AIDS (Institute 2pm-5pm)
This session focused on how interventions for women have evolved over time, beginning with Public Service Announcements (PSAs) on public transportation, on TV/radio, to projects like SISTA and the adaptation for other women such as Latinas, etc. Several other interventions were discussed. The point was made that the findings show that behavioral intervention do lower risk taking and many are effective. Information was also provided about how interventions have been researched and the fact that some are Evidence-based (EBI) and some are Theory-based interventions (TBI). Information was also provided on some of the efforts to "package" new interventions targeting women. "The CDC will continue to identify and disseminate evidence-based interventions for women to close the gap between the epidemic and the need for a variety of intervention strategies".
Turning Data into Prevention: Using Core Surveillance and Behavioral Data to inform Local Prevention Planning (CDC HIV Prevention Program Priority)
Information was provided about how data is collect as well as how surveillance works and how it should work. CDC has begun an Epidemiological Capacity Building Program. ISDH has been funded for inclusion in this program. Clearly, it is critical to prevention that good data be collected, effectively analyzed to be used in the development of prevention programs that address current needs and emerging populations.
Offenders, HIV and other STIs: Understanding the Dangerous Combination of Incarceration and STIs (AIDS Partnership MI)
Excellent workshop, but was not as described as title indicated. The session was actually about case management for persons living with HIV coming out of incarceration. Some of the impressive activities included: the staff always eats lunch with the clients. This removes the "us vs. them" mentality. This has been their prison experience and should not be repeated there. The balloon exercise was very interesting. The clients write priorities on balloons…reunite with family, find a job, stay healthy, keep appointments with their parole officer, etc…., then try to keep them up in the air. As ones fall to the floor, the clients talk about how it felt to see your priority fall, which things were most important to keep in the air, etc. This helps clients to put their priorities in prospective and to realize that these things will take time and patience. They also talked about how clients were laughing and having fun, many for the first time in a long time.
Advanced Internet-based Strategies and Safeguards: Updates and Guidance for Internet Service Providers (Public Health Solutions, NY)
This was the best workshop of the conference. There was great interaction and discussion about this emerging intervention opportunity. Many good ideas about being safe, integrity of the intervention (one bad one effects us all), reporting ideas, the importance of policies/procedures, etc.
Shaping the Future of Community Planning: What's Your Viewpoint? (CDC HIV Prevention Program Priority)
This session began with the CDC representative stating that the CDC is committed to the future of CPG. It seems that we may see some changes associated with CPG, but I'm not sure what those might be. However, they also said that this may be the last HPLS as we know it. They are looking at ways to offer skills building etc without a full-fledged CPG focused conference. There was a lot of discussion about what different CPGs look like and how they operate, etc. One person asked whether or not CDC-funded interventions must be DEBIs. The answer was a swift, to the point, "no". The CDC rep reiterated that while funded behavioral interventions must be evidence-based, they are not required to be a DEBI. It was mentioned several times that the new CDC initiative is close to being released, but is still undergoing review.
Plenary Sessions:
Thursday morning:
Mostly the state of HIV in Michigan, plus numerous welcomes from local public officials. Interesting speech by a minister whose sister died from HIV and who himself is living with the disease. Mixed reaction to the tone of this presentation.
Friday lunch:
Overview of the history of CPG and what is now HPLS (CPLS). Very interesting for those of us who have been associated with CPG for so many years; also good look back for newer members.
Tony Gillespie
How HPLS is Changing (this was not a workshop)
- CRCS: Using CRCS for the Re-entry population (those being released back into regular society)
- Rapid HIV Testing: The effort to create a partnership or create partnerships between bath houses and the health departments
- (Inaudible - coughing took place)
- Open discussion about what goes on in other states
- Community Planning: Connecting Your Needs Assessment and Your Epi Profile
Jerry Burkman
- Re-entry for our Veterans (mental issues and HIV also)
We have great programs for our veterans
Ramon Morton
- CPG Forum with CDC and NASTAD: MSM numbers are coming up higher. African Americans are next and then Mexicans.
- Integrating Prevention Care and Medical In to One. There needs to be funding to continue the work.
- Visited many other workshops.
Old Business
HIV Get Tested Day
Indiana juvenile judicial system re-entry rank 6th nationwide.
There were seven cities that actually participated in HIV Get Tested Day.
Andrea will be completing the number of test done on HIV Get Tested Day of sites and data report.
There were traditional and non-traditional activities done on HIV Get Tested Day.
Jerry Burkman was told that she would need to write Dr Monroe's response to the letter regarding needle exchange and harm reduction. She would be meeting with Dr Monroe today at 3:30pm to discuss why she should support needle exchange and harm reduction. Tentative key points for discussion included the purpose of harm reduction, current regulations and what needs to be changed and supported and supporters of the Harm Reduction Bill.
New Business
ISDH Identification: Members, please make sure you are wearing your ISDH identification pass at all times. There will be no access to any floor with out it.
HIV Testing in Fort Wayne revisited
Rev Archey stated that, 'he was not insinuating that the State Department of Health was prejudice and if any vocabulary or the way he presented it came out that way that was not how he intended it. However he's in Fort Wayne, Indiana and the only funding site in Fort Wayne that provides testing is the Allen County Health Department and the event that his agency has done over the past 5 years is not new but is done annually. So he didn't know any other way to look at it on a Fort Wayne basis since he is there, other than that race is playing a part in that'. He encouraged everyone around the table that if they are in situations where this is taking place in their community, that it should be brought to this committee. He encouraged everyone not to be intimidated in anyway - to express their feelings of what is taking place in their community. He also stated that the situation in Fort Wayne has been on going.
Barbara Burcham: "(inaudible) and I talked and he found out this last Thursday and didn't have any opportunity to let me know because had I known Friday, I would have possibly been able to have some answers today but it didn't happen that way".
Sites must be approved test sites. If it (inaudible) distributed (inaudible) to be distributed to funded or indirectly funded sites. Funded meaning, are they getting prevention dollars. Indirectly funded sites are ones that use our lab and enter into the evaluation system. If sites are not approved, then they are encouraged to collaborate. When situations arise such as that, then I would be willing to intercede and facilitate the conversation but if they fall within the guidelines of their contract, if they have certain set policies, depending upon the circumstances, all I can hold them to is the terms of their contract with us. But I'd be willing to enter into the discussion as I offered with Donald Archey. To be an approved site, the things that you need to qualify and there's a list but the key of confidentiality of records is (inaudible) storages samples etc. The testing date is July 26, which is a very short turn around. I feel I'm willing to at least start a conversation to try and see if we can identify one or two people from Fort Wayne and this is what my attempt will be. I can't guarantee because I'm not in Fort Wayne but I will attempt to see if we can get one or two people from up there in order to provide that testing at that site. Unfortunately you're not an approved test site.
I've visited sites that have expressed an interest of what the things are that are necessary to become an approved site if they don't meet the criteria then I can't approve it. I talk to them about ways that they can attempt to meet whatever that system they have in order to reach the level that they could be approved but until there's a settlement to that, I refer them to places to talk to them about how certain places are doing it maybe they can work with you and get you up to speed".
Tony Gillespie: "My concern is the funding process is called into question about the fact that Fort Wayne ranks 3rd or 4th in disease prevalence but number two in funding".
Discussion ensued.
Barbara Burcham: We've got TA's assistance coming to assist our staff on the 21st of July. It's a site consultation.
Celebrations / Announcements
Erika Chapman:
- International Overdose Prevention Day is August 30, 2008.
- Viral Hepatitis 101 Training. Erika will be in Lake County providing training to the northern region of the state next Friday, July 25, 2008 from 10-2pm and 2-4pm.
- Erika will be conducting two presentations at the American Public Health Association in San Diego, California on Juvenile Diabetes.
Please contact Erika for trainings in your area.
Cathy Archey-Morgan: The Dept of Corrections is beginning to send people to the HIV Prevention Counseling training.
Rev Donald Archey: On July 26, 2008, Union Baptist Church will collaborate with the AIDS Task Force to do a minority AIDS walk.
Larry Pasco: The Harm Reduction Institute also does overdose prevention. They train active drug users on how to use prevention medications.
Next Meeting: September 16, 2008 @ 10:00 A.M. (promptly)
Meeting was adjourned at 3:30 PM


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At least 23 militiamen recently joined the Taliban in the western Farah province, and many of them handed their US-provided weapons to the Taliban, fighting in the northern parts of the country. Right from the beginning, the government of President ...
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Ten Things You Didn't Know (but should)
1. If I were a Desperate Housewive, I'd be Bree van der Kamp, as revealed in one of those nifty online quizzes.
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Part 1
Part 2
If I just laid out the products I use and how I use them I don't think that would benefit anyone so I am going to give you a little bit of background on my skin, it's type, and the struggles I have had.
I have had problem skin since my early teen years which is relatively common considering puberty. But as I got into my late teens and into college my acne developed a life of its own. After realizing that the common drug store brands were not working for me, I decided to invest in Proactiv. I used it for about a year and realized that my skin was not as bad as it was before, but not completely clear. I decided to upgrade to the Extra strength version and it worked for a while, but with consistent use my acne started coming back. It also became extremely cystic in nature and it got progressively worse month after month. The extra strength Proactiv was becoming too harsh and the more I used it the more sensitive my skin became without getting rid of the breakouts. I decided that the money for proactive was not worth the investment. With a little more research I thought I would be able to find something cheaper and better at the drugstore. Unfortunately, that wasn't the case. Everything would work for 2 weeks and then become too harsh for my face or stop working. I went to the dermatologist and was prescribed a few things but they didn't work. Around this time I was on a healthy body mission and I started exercising consistently, eating clean, and I lost 40 pounds. I also did a total body and organ cleanse which completely cleared my skin. It was the best my skin ever looked! I realized how important our food is to the over all health of everything on the outside. I did however still have many scars from my acne battle so I used this microdermabrasion kit from Olay and it really and truly did work! By the time I was done using the kit, most of my scars were completely faded. If you don't have sensitive skin, I would highly recommend this kit because It did wonders for my skin.
I also started using Lancome's Genifique and Teint Idole foundation. One of my clients from work works at lancome and I decided that I would buy at least one item. Lucky for me, they had a promotion and I got to try the genifique and other products with the purchase of the foundation.
I also have EXTREMELY oily skin so I learned about Dr. Houschka's Normalizing day oil which works to prevent excessive oil production from the sebaceous glands (I Know! I will get into it a little further down.) The oil was the Icing on the cake because my pores stopped oozing oil.
My skin was GLOWING! I got so many compliments.
The problem was the fact that these products are very pricy. I started thinking that I could go back to drug store items. But at this point it was just a thought. I decided not to repurchase the microdermabrasion kit from Olay because I wanted to find something new. I also decided that I wasn't Aging yet so maybe I could try a cheaper serum. I also decided that 45 bucks for a foundation was excessive so I was on a mission to find a cheaper foundation for everyday use and save the Teint Idole for special occasions. I had so quickly forgotten that I have already tried ALL foundations in the drugstore near me and they all broke me out.
All of these factors contributed to my downfall... again. I decided to try the Mac Studio Fix Fluid since I use the Studio fix powder for setting. It broke me out. BADLY. HORRIBLY. I think the worst part was the fact that I didn't realize that the foundation was breaking me out so I continued using it for 2 weeks! One day I decided to switch to the lancome foundation and my skin immediately thanked me. But the damage had been done. I had to start from square one again. Unfortunately I didn't take any pictures at it's worst but I did take some pictures when it started calming down. I will include them at the end of this post.
I started trying drugstore cleansers again but everything felt like it was burning. It was horrible. Whatever I was allergic to in the foundation had made my skin extremely sensitive. It was very painful and I wanted to stay home in my bed all day. It was like having a head ache concentrated on your face. Anyway, I had to figure our something fast.
I heard about Cetaphil for very sensitive skin so I picked it up and thank God it didn't burn my face. I was so happy. I went back and bought the moisturizer with SPF so that my scars don't keep getting darker. It definately helped to calm my face down a whole lot in two weeks. It didn't however get rid of the acne and the cysts on my face. Conveniently, my awesome cousin who has equally as severe skin issued called me up and told me about an awesome new discovery which was helping her tremendously. It took me about 2 weeks to be convinced but she kept hammering at me until I ordered the sample size of The Dermalogica Dermal Clay Cleanser. She told me to wash twice with it. I was nervous because of my extremely sensitive skin. Supprisingly it didn't irritate my skin and It was very refreshing. I decided to just go ahead and try the moisturizer that goes with it. After a week, I also purchased the exfoliator (daily microfoliant.) I can honestly say that these products have been life savers for my skin.
I decided that I would just continue to use them from now on since they work. I WILL NOT deviate from this regimen until something stops working or one of these products is discontinued.
Now that you know a little bit of my skin background, I will go into my regimen .
Regimen. All the Products I Use will have pictures and DETAILED descriptions below.
Morning Routine:
1. Cleanse with Dermalogica Dermal Clay Cleanser 2x
2. Moisturize with Dermalogica Pure Light and let sit in for 2 minutes
3. Apply Dr. Houschka Normalizing day oil
Night Routine:
1. Remove eye makeup with L'Oreal gentle eye makeup remover
2. Cleanse with Cetaphil Cleanser and Olay Professional Cleansing Brush (If wearing makeup)
3. Cleanse with Dermalogica Dermal Clay Cleanser 1x (2x if I didn't use the Cetaphil/brush combo)
4. Apply Dermalogica Active Moist Moisturizer
5. Apply Lancome's Genifique Youth Activating Concentrate
6. Apply Lancome's Eye cream
1. Use the CVS Mint Masque as an overnight spot treatment if necessary after Genifique on my spots only.
2. Use Dermalogica's Daily microfoliant 1x a week At night INSTEAD of the Dermal Clay cleanser to Exfoliate.
3. Use the Dermalogica Dermal Clay Cleanser as a Mask 3x a week after my first wash at night
Other Important factors that play a huge role
Other Important factors that play a huge role
- I have to make sure that my face and everything that touches it is clean. I change my pillowcase once a week and I flip it mid week.
- I change my face towel once a week so I am not transferring bacteria back onto my face
- I wash my face makeup brushes once a week to prevent bacteria transfer
- I wipe my phone down with alcohol once a week with alcohol to prevent bacteria transfer
- I keep hair products away from my face/tie my hair up at night
- I try my hardest to keep my hands off my face all day.
That is ALL I do. I tried my hardest to keep things as simple as I can since my skin is extremely sensitive. I tried to listen to my skin and give it what it needs. Every single product on this list has a specific and necessary purpose. I am well aware that using too many (and unnecessary) products can further damage the skin. There is no need to use two of the same types of products if one is doing its job.
DISCLAIMER. Now, before I go into details about each product, why I continue to use it, and it's value, I feel like I have to do a disclaimer. Firstly, All the products I talk about were purchased with my own money and I am just sharing my personal experience. What works for me might not work for you especially since everyone has different skin. Some people can use drug store skin care and it works amazingly. Unfortunately, I am not one of those people. After suffering through another cystic acne/ scarring breakout I never want to have one again. Since I have found Products that seem to be working well with my skin chemistry, I will stick to them and stop trying anything else that could potentially break me out.
The worst part about this regimen is the price. I hate the fact that almost all of these products are EXTREMELY expensive in my opinion. But I am just learning that it is an expense I am going to have to deal with. Ultimately, I think if I stick to these specific products I might actually save more money. The products last a very long time and a little goes a long way. I have spent so much money collectively on items that have not worked and I end up throwing them away. I am just happy to have found something that seems to be working. I will let you know if anything changes.
Also, Just because products are expensive, does not mean I have to pay full price. I usually get most of these products for half price or less by shopping on Amazon and Ebay (carefully and making sure they are brand new and sealed.) That definitely gives my wallet a little bit of relief.
I will also be taking some of the product descriptions from the official websites. I will link them here if you want to do more research on the brands. I tried going more natural with my skin care and Dermalogica stood out to me because they pride themselves in non harmful chemicals.It was also developed by the International Dermal institute so I feel like I can trust the products. Also I tried out the oily skincare kit from Dr. Haushcka and I fell in love with their normalizing day oil. As for Lancome, I have no clue what is in their products. All I know is they work for me.
Dermalogica: http://www.dermalogica.com/us/
Dr. Hauschka: http://www.drhauschka.com/
Lancome: http://www.lancome-usa.com/
Ok, enough rambling. On to the products.
This truly is a miracle/lifesaving product to me. It "single handedly" calmed down the angry acne on my face. It soothed my face gently while cleansing it deeply. As my cousin suggested, most of the time wash my face with it twice. The first time really gets all the dirt off. The second time gives me that clean, tingly, refreshing feeling that lasts for a good 5 minutes after you wash your face. It feels Sooo good!! Since It is a clay cleanser, It also doubles as a facial mask (so convenient for me; no need to get a separate mask.) I use it as a mask 3x a week after my first wash at night only. I will go into night time masking and exfoliating when I talk about exfoliation. Anyway, I am in love with this cleanser and I am so glad I started using it. A little really does go a long way so I know it will last me for a very long time. Here is the Description from the site:
Purify and refine oily skin with this deep-cleansing clay formula, containing oil-absorbing, water-soluble Kaolin and Green clays. Calming Cucumber and Sage soothe, while refreshing Menthol revitalizes even the most tired skin. Formulated without artificial fragrances and colors.
8.4 Oz retails for $34.00. I can usually find it on amazon or ebay for cheaper.
2. Dermalogica Daily Microfoliant
As the name of this product states, it is so gentle that you can use it to exfoliate everyday. Now, because my skin is very sensitive, I decided not to do that. I decided to ease into it and start off with once a week. I also use it INSTEAD of my Dermal clay at night when I do use it because it does end up lathering up into a cleanser. It is actually an amazing consistency. It is made with finely ground rice powder and other chemical exfoliants which are water activated. I keep it far away from water in my bathroom. I apply a small amount of the powder to my palm and I slowly add drops of water and work it into my face for about a minute until it becomes foamy. It does not physically "scrub the skin so you are not tearing your skin surface. This is also another dual action product which makes me love it even more. It also acts as a brightener which will help fade all these acne scars I have acquired.
Now, a little more about why masks and exfoliating is best done at night. When we exfoliate/mask, it takes off the top layer of our skin and the dirt and gunk. If we do it in the morning, we expose that fragile layer of skin to makeup, dirt, and most importantly the harmful rays of the sun. If we do it at night, not only is our skin protected from the daily elements, but our skin can benefit more from the night creams and serums we use. Regeneration of the skin happens when we sleep so if we exfoliate at night and use a night cream we are getting the maximum benefit of all three.
The description of this product from the site is as follows: Our number one exfoliant! Gentle, Rice-based exfoliating powder activates upon contact with water, releasing Papain, Salicylic Acid and Rice Enzymes that micro-exfoliate dead cells, instantly leaving skin smoother and brighter. Formulated without artificial fragrances and colors. This product retails for $50.00 for 2.6 oz... Yikes!! Again, I always look for a cheaper way to purchase it.
3. Dermalogica Pure Light Spf 30
Spf is a crucial part in my skin care regimen. It protects against the harmful cancer causing rays of the sun and it helps to prevent hyper pigmentation and a darkening of the scars on my face. This moisturizer is truly amazing. I have tried almost ALL of the spf moisturizers in the drug store and I always had that greasy sunscreen feel and look left on my face. I always felt like my pores couldn't breathe and they just helped the bacteria on my face thrive more. This is the first sunscreen moisturizer that will actually protect your face with its high spf but also not clog your pores and not feel greasy or break you out...at least that is what it does for me. It has a very light liquid-y consistency. 2-3 drops spreads evenly across my face. I use this moisturizer in the morning only because I don't need spf at night. Again, it doubles as another brightener so I get to fade my scars while protecting my skin all day. Since two of the products I am using from this brand are brighteners I won't use anything else. I will be patient and allow them to do their job. Description from the website: A brightening, conditioning SPF moisturizer with an exclusive blend of peptides, minerals and botanical extracts to help treat and prevent cellular discoloration for unsurpassed skin brightening and tonal balancing. Contains UV Smart Booster Technology for enhanced photoprotection against pigment-inducing UV light. Formulated without artificial fragrances and colors.This product retails for $60.00 for 1.7 Oz. Ridiculously expensive. I got half price on amazon.
4. Dermalogica Active Moist
Sometimes people with extremely oily skin think they need to use drying products and skip the mositurizing. That will only leave you with more oily skin and dry patched at the same time. I needed a regular oil free moisturizer that didn't irritate my skin so I decided to pick this up as well. I love it. I use It after I wash my face when I am not going outside (mostly at night). Sometimes I get home from work in the afternoon and it comes in handy after I wash my face. It is very light and moisturizing at the same time. Not much else to say about it. Description of this product according to the website: This oil-free, lightweight moisturizer in a sheer, easy-to-apply formula helps hydrate combination skin. Contains Silk Amino Acids and a unique combination of plant extracts that help improve skin texture and combat surface dehydration. Formulated without artificial fragrances and colors. It retails for $38.00 for 1.7 oz. Yet another extremely expensive product which I try to get for a cheaper price.
5. Dr. Hauschka Normalizing Day Oil
This is my solution to oily skin and It has been for close to a year. When you try out a million products that claim to help reduce oil production with nothing working, you tend to keep an open mind. I got a sample kit from this holistic brand from whole foods last year and I fell in love with this oil because it actually works. It is a different and counter intuitive approach to fighting oil. You see, Oily skin is caused by over active sebaceous glands. This oil works because when you use it in the morning after cleansing your face, it "tricks" your sebaceous glands into thinking that they have already produced enough oil causing them to slow down in oil production. I think it is the special mixture of plant oils in this particular product because I have tried other oils (EVOO, EVCO, Carrot...) and they did not work! I massage 1-2 drops ONLY on my T zone after my Pure Light moisturizer in the morning to ensure that I don't produce any oil through the day. If you have oily skin, trust me and try this out! I was skeptical at first but here I am one year later and still in love. Also, notice the amount in the bottle is about one year's worth of use... so you can imagine how long this will last! I definitely think it was worth the investment. Description from the website:
Plant extracts blend with plant oils to balance excessive oiliness, diminish the appearance of pores and visibly reduce blemishes. Provides protective, fortifying benefits to mature skin.
- Light oil is quickly absorbed by the skin
- Calms and balances excess oil production
- Rich in natural antioxidants to calm redness and strengthen skin
- Softens the appearance of hypo- and hyper-pigmentation
- Used as directed, Normalizing Day Oil lasts approximately 5-6 months
6. L'Oreal Oil Free Eye Makeup Remover
I don't know about anyone else but eye make up is extremely difficult to remove with a regular cleanser (especially mascara.) I would always end up scrubbing my eyes more than is necessary and still wake up with mascara and liner smudges. I decided that I would be more gentle with my eyes and just use a gentle eye makeup remover before I wash my face. This is one of the Drugstore products that works for me. I chose this one for two reasons. Firstly, I used the toner version of this brand and I actually loved it. It was extremely gentle on my face so I felt like I trusted the line. Secondly, I am not a fan of the ones with oil. I always find some of the oil randomly and uncomfortably floating in my eyes. My only issue with this is the quantity. For 8.99 at my drugstore I feel like I should be getting a whole lot more than 4 ounces. I have had my eye on the Bioderma makeup remover. I might try it out at some point... especially since you get a whole lot more and it will last me longer like my other skin care products.
7. Lancome's Genifique Youth Activating Concentrate
I did't go looking for this product because I would never seek out an extremely expensive product. But because I got to try it out through a Lancome promotion from one of my clients I can not run from it. I tried, but it was pointless. I don't know what is in this thing that makes acne magically disappear in a few days and leave me with gorgeous flawless glowing skin but since it works I will continue to use it. I don't know about anyone else's experience but it works well with my skin chemistry to clear my acne. I must admit that is the main reason I am using it but I am glad it doubles up as an anti aging concentrate. I am 24 and you might think I should not be worried things like aging at this age. I disagree. In fact I believe this is the perfect time. If i start taking preventative measures now, I might not need to worry about correcting as much when I get older. Aging is inevitable. I would just like to slow down the process as much as I can and It starts now. There is very little you can do when your skin is already droopy and damaged apart from surgery. Prevention is always better than cure. I obviously don't have aging skin yet so I can't speak on that aspect but I can say that the overall quality of my skin has improved over a short period of time and that is enough to make me continue using this miracle product. Description from the website.
Lancôme introduces Génifique - our serum that intensely hydrates and promotes skin's natural exfoliation, a characteristic of young skin.Result:Visibly younger skin in just 7 days. Skin looks as if lit from within – breathtaking radiant. Its youthful quality returns: cushiony soft and velvety to the touch. Drop by drop, skin is vibrant with youth, its tone becomes astonishingly even, its texture dramatically refinedThis product is ridiculously priced. The prices vary depending on the size but I decided I was getting a better value by purchasing 1.7 fl oz for $100.00. I actually purchased this via Ebates and Sephora so I was able to get cash back. I look at this as an investment into my skin and my face; the first thing anyone sees when they look at me.
8. Lancome High Resolution Eye Refill 3X eye cream
Continuing on with the string of RIDICULOUSLY expensive products is another Lancome item. I am actually still in the deciding process with this eye cream. I don't really have dark circles or wrinkles around my eyes. Just a few small fine lines and I would like to prevent more. I got this in a Lancome promotion and it has fairly good reviews so I will use the whole jar and then decide if it made a difference. It has a creamy consistency and I apply a little all around my eyes before I go to bed. It does not irritate my eyes. Description from website: This staple formula, featuring the Refill-3X complex, helps reduce the number, depth and size of wrinkles for visibly renewed smoothness.Visibly diminishes dark circlesHelps reduce the appearance of under-eye puffinessIt retails at $60.00 for 0.5 oz. I have not purchased this yet so I haven't felt the pain in my pocket!
9. CVS Purifying Mint Masque
Here is a product that I use only as a spot treatment overnight for stubborn pimples. It drastically reduces their size, redness and irritability. I think it also seems to dry them up very quickly with the mint aspect. It is too harsh for me to use on my entire face but the pimples can handle it. Again, I don't use it all the time. mostly for emergencies. I think any minty mask would work. I bought it from CVS and I want to say it was around $5.00. Worth the price and better than any other spot treatment I have tried.
10. Cetaphil Daily Facial Cleanser and Olay Professionals Face Brush
I use these two together primarily as a first wash to remove my makeup at night if I used foundation. This is the only cleanser that has been gentle enough for my sensitive skin. Since it does not foam, the brush aids in really getting the makeup off my face. The cleanser and brush can be found in any drugstore. The brush has worked for me for almost 8-9 months and I replace the heads regularly.
I think I have covered every aspect of my skin care. Again, this is what works for me and I don't plan on changing anything unless it stops working.
Unfortunately I did not take pictures at my skin's worst state but I do have a few to show you of when I was using the Cetaphil and I just started with Dermalogica. Many of the active breakouts were already gone but since I scar very dark you will be able to see where all the pimples were. I will continue to post updated pictures of my face every month or so until it is cleared so you can see how these products are all working together.
My skin is no where near perfect but it has come a very long way. If you have any questions please leave them in the comment section below. I know this was long but I like to be very specific with what I use and why I use it. Thank you for reading and don't forget to follow my blog on the right hand side of the page :)
First pics I took
Two Weeks Later, Getting better
And then I got Burned with hot oil I was cooking with SMH
Getting beter again
And more better pics...
I will be back to post more as the weeks go by...


text:
The Senate Homeland Security Committee held a hearing on Thursday on the subject of dual-use research amid the growing concern that such research could be used for the purposes of bioterrorism.
Worries have grown in recent years about dual-use research, which is scientific research that can be used for positive medical and scientific purposes and bioterrorism. Technological advances have given scientists the ability to create synthetic viruses in laboratories, C-SPAN reports.
After the September 11, 2001, terror and anthrax attacks, a report called "Biotechnology Research in an Age of Terrorism" was released in 2003. The National Academy of Sciences report detailed recommendations for the handling of research that was considered dual-use.
The National Institute of Health released its policy on research of this type on March 29 in an effort to apply the recommendations the National Academy of Sciences made in the 2003 report. The implementation of the report has begun and localized policies focusing on the review process are expected to follow.
During the hearing, health and administration officials in infectious diseases and biotechnology discussed the policy and examined methods to make sure the research does not fall into the hands of terrorists.
Witnesses during the hearing, which was chaired by Sen. Joe Lieberman (I-Conn.), included Daniel Gerstein, the Homeland Security deputy undersecretary for science and technology, and Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases.