The title of this recording is "Joe Rich - Burnett Foundation Aotearoa". It is described as: Joe Rich, Chief Executive of Burnett Foundation Aotearoa talks about how the organisation has adapted during Covid-19. Joe also talks about Monkeypox, the new HIV Action Plan, and the recent name change from the New Zealand AIDS Foundation to Burnett Fou. It was recorded in Burnett Foundation Aotearoa, 31-35 Hargreaves Street, Ponsonby, Auckland on the 24th August 2022. Joe Rich is being interviewed by Gareth Watkins.  Their names are spelt correctly but may appear incorrectly spelt later in the document. The duration of the recording is 31 minutes. A list of correctly spelt content keywords and tags can be found at the end of this document. A brief description of the recording is: In this podcast Joe Rich, Chief Executive of Burnett Foundation Aotearoa, talks about how the organisation has adapted during Covid-19. Joe also talks about Monkeypox, the new HIV Action Plan, and the recent name change from the New Zealand AIDS Foundation to Burnett Foundation Aotearoa. The content in the recording covers the 2020s decade. A brief summary of the recording is: The recording features Joe Rich, Chief Executive of Burnett Foundation Aotearoa, in conversation with Gareth Watkins. Rich discusses the evolution of the organization, formerly the New Zealand AIDS Foundation, and its strategic response to health challenges, notably HIV/AIDS and Monkeypox. The interview highlights the foundation's shift to a combination prevention strategy, integrating condoms, PrEP, testing, and the U=U campaign, resulting in a decreasing trend in HIV transmission. Rich delves into the challenges posed by Monkeypox, noting its disproportionate impact on gay and bisexual men and the difficulties in combating stigma and misinformation surrounding the virus. The foundation's response includes education, health promotion, and advocating for government action and vaccine accessibility. The impact of COVID-19 on the foundation's services is also explored. The pandemic necessitated a rapid pivot to remote service provision, including online counseling and self-testing kits for HIV and STIs. This shift, while initially a response to lockdowns, has led to an increased preference for remote services, expanding the foundation's reach beyond urban centers. The interview also covers the organization's recent name change to Burnett Foundation Aotearoa, reflecting its broadened focus beyond HIV/AIDS to encompass other STIs and mental health issues. This change honors the legacy of co-founder Bruce Burnett while addressing the evolving needs of the communities served. In summary, the podcast offers insights into the responsive and adaptive strategies of Burnett Foundation Aotearoa in addressing HIV/AIDS, Monkeypox, and broader health issues within the context of changing societal and health landscapes. The full transcription of the recording begins:  So I'm Joe Rich. I'm the chief executive at Burnett Foundation Aotearoa, formerly New Zealand AIDS Foundation. Um, and I have been involved with the foundation for, I think, coming up 11 years or maybe just past around about 11 years. Um, my background, I started in the behavior change marketing team, uh, working on a program back then that was called Get It On, which, uh, eventually became Love Your Condom and Ending HIV. Um, And, uh, I did that for, I think, uh, about four or five years. Um, I was fascinated by behavior change marketing and using, uh, marketing skills to, you know, influence behavior for social good. Um, and then I spent the last, uh, five years, uh, hitting up our operations. Um, uh, and then, uh, two, just over two months ago, took over as the chief executive. We'll get on to the chief executive role shortly, but just reflecting back over the time that you've been there, what has been the most successful campaign that you've run? Do you think? Uh, I would say, uh, back in 2016 when we, um, you know, we, we had changed our strategic approach quite significantly back then to embrace what's now known as combination prevention, so condoms plus Uh, prep plus, uh, testing plus U equals U, um, uh, or undetectable equals untransmissible. Uh, and so that was a massive amount of work at a strategic level, changing the direction and then sort of, um, turning that into a. Uh, a communication and some key messaging through the ending HIV program. Um, I would say that was the most successful thing, uh, most complicated thing that we did because before then it was very much focused on, on one key message, which was condom use. Um, but you know, the results speak for themselves with a pretty clear trend now. De decreasing, uh, transmission of HIV. You mentioned that you, uh, have just stepped into the role of chief executive. So, uh, congratulations. Um, you've, you are, you are coming in at a, a particularly challenging time with, uh, you know, COVID-19 still in the community, but also, um, a time with a, a lot of whole new opportunities. Uh, I'm thinking of the new, um, uh, HIV roadmap. What are the foundation's kind of current top challenges and opportunities? A key challenge at the moment that's very much emerging is monkeypox. Um, you know, not something we necessarily saw coming, uh, but something we deal with, we're dealing with because it's affecting the community. We work with, um, so disproportionately. Um, and so, um, the challenge for us there is Is understanding what's going on, um, figuring out how to respond and communicating with our communities, um, because there's a lot of anxiety, um, out there around it. And of course. So many similarities in terms of stigma, um, so, you know, it's, it's right up our alley, so to speak, um, uh, but it's, you know, unlike HIV where we've had decades to understand the science behind it and, and, and understand the strategies that work, this is, uh, this is really keeping us on our toes, um, which is a big challenge, um, uh, in terms of opportunities here, the government's, You know, announced, um, funded HIV action plan that they're currently consulting on, which is a significant opportunity comes after many years of advocacy from us and others in the sector, uh, and in the community to, uh, you know, to have a clear direction on the HIV response. Um, so there's a significant opportunity there to ensure our work is feeding into. Um, uh, coordinated approach across the sector, um, to achieve a pretty big goal of HIV elimination of HIV transmission and stigma. Um, and I guess related to that, there's opportunity for us as an organization to set a clear long term. Uh, direction for us and what we want to be doing. We'll get back more onto the direction, um, a little bit later, but I just want to pick you up on the monkeypox and you were talking about how it's, uh, disproportionately affecting communities that the Foundation works with. Why is that? Can you tell me, um, yeah, what, like, what is going on with monkeypox at the moment? Yeah, it's a real A real challenge, because what we're seeing is, um, you know, globally, 99 percent of cases are among men, and 95 percent are among men who have sex with men. And so, uh, the real, the challenge there is that when it's, sometimes when it's being talked about in a mainstream sense, it can contribute to stigma, um, because of the whole lot of judgments people place on, on who's getting it, and assumptions around why they're getting it. Um, Which is, I suspect the root cause of that is, is this, um, the fact that it is generally being transmitted through sex and, and as a society we still place judgment on that, um, and can't seem to talk frankly about sex and things that are transmitted through sex, um, which is just, you know, should be pretty matter of fact, um, it's just a virus that's Being opportunistic, uh, and found a very effective way to spread itself around. Um, but, you know, at the same time, we have to, because it's so disproportionately affecting our community, uh, have a right, we have a right to know, and we have, in fact, it would be homophobic to talk about monkey pox without talking about the fact that it's disproportionately affecting, uh, gay and bisexual men. But in sort of treading that line, um, of stigma becomes quite a challenge. But, you know, and there's also a lot of. uh, discussion around whether or not it meets the technical definition of an STI, um, which is not particularly helpful, uh, it's kind of neither here nor there whether you want to call it an STI, but the fact is it's, it's vastly being transmitted through intimate close contact. between men, uh, generally having sex, uh, and you see that in how it's presenting with the lesions generally being concentrated in the, in the genital area. Um, so it may in fact eventually meet the definition of an STI, um, but, uh, Yeah, that's, I, I suspect that's what's contributing to the, the stigma is just, is the fact that it seems to be emerging and really emerging and, and being transmitted through sex. Um, the, the flip side to that is it can, it can be transmitted through other close contact, but it's much less, seems to be much less the case. So you, you know, you can potentially pass on to other people in your household of, you know, skin that has the lesions on it has touched. clothing or the sofa or something and somebody else comes into contact with that and it can be transmitted. So that, that's a challenge as well because you don't, we don't want to have people assuming that every single person that's being diagnosed with monkey pops is a man who has sex with men, um, but the case is that in the vast majority that is in fact the case, yeah. So, so why currently is it concentrated in, in that particular group of people? Uh, well, it, it seems to be mostly, uh, I mean, there's parallels in HIV there in a way it's, you know, generally speaking, it's an infection that's not easy to get, unlike COVID, you know, um. However, uh, once it's, it does appear to be easily transmitted through sex and, um, the thing with our community, um, gay and bisexual men is we're much more closely connected than the general population. There's a lot less of us, um, you know, we make up maybe two or three percent of the population and, um, The degrees of, I like to call it, you know, the degrees of separation that, that I think the movie, uh, the six degrees of separation, everyone in the world is connected to everyone else through six degrees, but when, within the gay community, that's more like two degrees. Um, and because we're smaller, and we're much more closely connected. Everyone kind of knows everyone or knows someone who knows someone. Um, it means when a new infection gets into our community, it spreads around, um, at a much faster pace than it can in the general population. Um, and that's, that's essentially what it is. Um, that's why we're seeing it disproportionately in our community. So what is the foundation doing as a response to monkeypox in New Zealand? You would have seen our open letter from it. A couple of weeks ago, we asked the government and the health system to, um, you know, to step up the response and, um, we are aware of a, well, we know that they've set up an outbreak response team and they've invited us to be part of that, which is great. So it's been taken seriously in terms of what our role is in that it's going to be primarily around education and health promotion. Um, particularly until we get a vaccine we. You know, the vaccine is going to be the solution, um, but there is a massive shortage globally. Um, the manufacturer, uh, doesn't have the ability to make it currently. Um, so the whole world is stretched in terms of getting this vaccine. So we're looking at at least a few months wait until we can get the vaccine. So until that happens, um, we need to be. Educating our communities on what symptoms to look out for, knowing when to get tested, how to access that testing. And then once we're aware of local transmission, um, talking about ways that people can reduce the risk, um, of acquiring or transmitting, uh, monkeypox. Yeah. And what's the, um, the kind of scale of monkeypox in New Zealand at the moment? Yeah, there's been four reported cases, um, all from returning travelers from overseas. Uh, you know, so far so good, but, you know, the community transmission will come, um, and it's probably going to come before we have the vaccine. So, you know, we need to be, um, communicating actively about that, uh, and what to look out for. You know, we've seen in Australia, um, you know, they got their first. Um, and they're now seeing community transmission, particularly in the state of Victoria. Um, so look at looking across the ditch. It's um, it is starting to grow. Um they have got some early, uh, early access to some vaccine, but very restricted. I think they got 20, 000 doses and more coming anytime soon. So, um, similar to us, that will be happening in the next couple of Uh, looking at other things as well to, to control it until, uh, there is enough vaccine for everyone. And in terms of the, uh, kind of broader community response, um, have your teams been picking up kind of, um, or what have your teams been picking up in terms of, uh, when people are coming into the clinics or getting self tests? Do they have questions about monkeypox or anxieties or? Yeah, there is, uh, there is anxiety, um, about monkey pox and You know, I think there's anxiety in terms of people worried about being impacted. Should I, should I be reducing my number of sexual partners? Um, you know, what's going on and, and in part of that, people not necessarily understanding what the infection is or what the disease is. Um, so lots of. Um, lots of questions around that, you know, lots of concern about getting the vaccine and concern about what people are seeing on some of the, you know, the nasty stigmatizing messages people see on platforms like Facebook under the news stories and things. So a range of concerns, um, that we're We're hearing from people, um, and that's, you know, partly what fed into our open letter, uh, advocating for a stepped up response was reflecting that concern that we're hearing, uh, from the community. Uh, and so, and a lot of the media that we've been doing is trying, you know, to try and break down and address the stigma and, uh, educate the general public around. Why, why things are happening the way they are. The other large health issue that's been happening over the last couple of years, of course, is COVID 19, the COVID 19 pandemic. And I'm wondering, how has COVID 19 affected, um, the foundation services that you provide? Oh, COVID 19. Um, yeah, what a journey. Um, it's been challenging. Um, you know, I think I'm, I'm pretty proud of the fact that we've, although it has felt chaotic at the time, uh, during each of those lockdown periods, managed to pivot quite substantially to provide as much service as we could, um, through remote and online everyone. Um, Uh, mechanisms. So, you know, we managed to keep all of our test HIV and STI testing going through sending out self testing kits, um, you know, move the majority of our counseling, uh, to online, uh, provision, um, and continue to be able to send out things like condoms, um, through mail order and a lot of our, you know, a lot, a lot of our, um, behavior change. marketing and, um, and social marketing shifted to talking about COVID and how to, uh, how to keep yourself from COVID, um, for our communities. So, yeah, there was a lot, um, a lot of quick changes to adjust through that. I think. What's been quite profound for us has been that it seemed to really accelerate the shift, um, from in person service provision to remote service provision. So even coming out of lockdowns, um, there is vastly more appetite, uh, for things like counselling, um, to be delivered online, um, you know, which is great. It really increases our reach outside of the cities where we have. in person services, which is Auckland, Wellington and Christchurch, um, because we were able to learn through COVID, uh, actually how easy it is to provide, um, virtual counselling, uh, we can now provide that as a national scale. Um, and we're also seeing, uh, just a continued trend, um, of increased use of our self testing or home testing services. And that, you know, that might be just because Because it was the only option available to people during those lockdown periods, they tried testing in a different way and realized actually that's really convenient and have kept it going. Um, so yeah, lots of, uh, I guess I would, I would summarize the COVID 19 journey as, um, a rough time, uh, like for many organizations, just in terms of the amount of work it took to pivot. Um, You know, and just the, the well being in general, you know, um, for our staff and our communities. Um, but, uh, also has highlighted opportunities, um, uh, for us to, to be more accessible. Yeah. Can you just, uh, talk a wee bit more about, um, the kind of the online offerings versus the, the kind of the physical face to face offerings and, and, um, how that balances now? Yeah. Uh, so. I would, I would say, if you took, if you took an example being our testing, um, before COVID, it was, I would say it was about, uh, two thirds in person, one third, uh, uh, self testing, so then the kits would mail out to people's homes, and then, um, through COVID, obviously, just during the lockdown periods, it completely flipped, um, because we couldn't see people in person, uh, and then post lockdown, it's, it's almost, um, um, It's now two thirds, uh, home testing, uh, and one third in person, um, which is, you know, fantastic in terms of, uh, being able to reach, uh, people in more diverse regions, um, people who struggle to access a clinic. Um, you know, one of the challenges is it's not necessarily as comprehensive a service. You don't, um, you know, to do the STI component, you have to pay a little bit extra if you're doing that. Remotely, whereas if you're doing it in the center, it's still free. Uh, and of course you, you know, in the center you do get, um, you know, a peer health worker, um, who's able to answer any questions you have, and generally have a bit of a discussion about sexual health. So, it's not, it's not as a comprehensive a service, but that said, people still seem to really value the convenience of it, um, more than anything. Do you find that you get more, uh, Positive results via self testing in the home versus somebody coming in into the centre. Uh, yeah, we, well, we did initially when we started providing self testing, um, a few years ago, uh, there was a higher rate of, um, positives, um, from that than in person. Uh, it seems to have leveled out. It's about the same now and, you know, part of me wonders if that's just the, uh, almost a bit of a catch up, like, um, when you provide a service that's now accessible to people who. We're not able to access services previously, you might be more likely to pick up undiagnosed infections. Whereas once it's been accessible for a few years, um, it sort of seems to level out. Have your teams kind of noticed any change in kind of, uh, community behavior? I'm thinking in terms of like, um, virtual hookups or, I know in Wellington there was the closure of the sauna throughout the COVID period. Have there been any changes to how communities are behaving sexually, do you know? We don't have the data necessarily, um, yet to indicate how covid in general, the last couple of years, has changed sexual behavior and health seeking behavior. Um, so all we have to go on is anecdote, , uh, and a and hunches. Um, uh, but uh. You know, certainly during the lockdown periods, we know that, um, there was a lot less, uh, sexual activity. And in fact, we had people, um, almost policing one another on Grindr in terms of, uh, you know, noticing other people were seeking, uh, hookups, uh, during the lockdown period. Um, I can recall that from 2020 and to some extent, you know, we've seen a continued decrease in HIV diagnoses in the last couple of years. Um, You know, that trend had started back in 2016. So there's a reasonable level of confidence that there is a downwards trend, but it's, there's the potential that, um, the last couple of years have been impacted by people having less opportunity to have sex, um, either during a lockdown period. Um, because it's pretty much, you know, not in the rules, um, or at least with a, with a casual partner, um, or someone not in the household, um, or even, you know, potentially after a lockdown period, it takes some people, you know, I'm just speaking, you know, people I've spoken to and, um, and friends that some people are still very cautious even, you know, several months after lockdown in terms of, uh, whether they're willing to go to a sauna type venue or, you know, so. There is the potential it has reduced the number of, um, of hookups. It's also potentially reduced access to testing in general. Um, so, uh, yeah, there's, uh, I think we need another year or two of data to understand, um, exactly how much COVID has contributed to things. We mentioned at the, uh, start of the interview that, uh, there is a new kind of roadmap for HIV elimination, uh, the transmission of HIV in, uh, in New Zealand, uh, eliminating that by 2032. And I'm aware that, um, the foundation, uh, a few years ago now had a desire to eliminate HIV transmission by 2025. What has been the, um, the kind of issue in terms of trying to stop transmission happening. Why is it so hard? The goal we set in 2016 was to eliminate transmission by 2025 and we set that with some colleagues in the sector, uh, in lieu of a government strategy or direction, you know, we sort of realized that wasn't going to come anytime soon and decided to set our own goal. Um, and You know, to be fair, I think we've, as a sector, as a community and a sector, we've actually come quite a long way since 2016. Um, infections are definitely tracking down, uh, they're at about half of what they were at that point. Um, and so I feel like we've We've kind of done all we can do in terms of the advocacy and working together to make changes in terms of access to things like testing, access to tools like PrEP, early access to treatment, promoting the concept of U equals U and reducing HIV stigma. We really are at the point where we need that leadership and direction from the government and investment, you know, not just in community organizations, but community organizations, absolutely. But also, you know, in other important, um, important areas such as research and HIV, and comprehensive access to HIV. Services and sexual health services. So I think we were ambitious thinking we could do it without the government support by 2025. Um, they've obviously extended the time frame. Um, we're well, well and truly supportive of the strategy or the action plan that they've, um, they've put together. Uh, some of the. areas that I think we need to go further, um, that we'd really like to see, I guess, weighted in terms of implementing in the action plan, uh, activities around reducing stigma. It's still such a significant issue for the well being of people living with HIV, uh, and for, you know, and it presents as a significant barrier to people who aren't living with HIV, um, in terms of accessing testing and prevention tools, um, and stigma. Occurs at a wider societal level, uh, but also occurs within the gay community, and it also occurs in health settings. So it's a really complicated area that needs focus, but also we need, um, more investment in, or focus on access to tools like PrEP, um, We need it delivered in community based settings. We need people who are not in residence, or not eligible for publicly funded healthcare, who are, you know, living in New Zealand and at risk of HIV to be able to access this prevention tool, um, in a publicly funded way. Um, we need, you know, better access to more treatments and HIV services. Um, so yeah, there's, there's certainly lots, um, lots more to do. Uh, and I think the other thing to say is that the, you know, we're going to have to get a lot more targeted. Uh, in turn, what I mean by that is, you know, over the last five years we've, you know, been working really hard at, at, um, engaging our core community, uh, gay and bisexual men, uh, and new tools like PrEP and U equals U. Um, and we're reasonably effective at getting, um, You know, people closely connected to that community and, um, well engaged in health, um, using and motivated you to use those tools, but that's kind of the low hanging fruit, so to speak, you know, now we need to, uh, now we need to go wider and we need to be reaching people who we aren't typically engaging with to make sure that they have access to these tools. Um, and are motivated to use them. Um, so yeah, it's, uh, it's, it's going to require a lot more detailed focus work across, not just, you know, the Burnett Foundation, but across the system and across, um, um, government as well. And I think you could probably say that, um, Through the work of the foundation and setting that 2025 goal, that actually the government has seen that it's actually successful what you've been doing, that the transmission, the HIV positive rates have come down in terms of newly diagnosed. So do you think that this roadmap would have happened if you hadn't been doing the legwork since 2016? Hmm. That's a good question. Um, I think. I mean, alongside all the work we've been doing, we've been advocating since 2016 or even before then that they need to show leadership and have a national strategy that's funded. Um, so I think that that ongoing advocacy has absolutely played a part. Um, but yeah, I think it makes it easy for them to get behind because it's a very achievable thing, you know, we're kind of halfway there already. The momentum's going, the sector's motivated, community's motivated. You know, they just need to step in and show some direction and invest in the response. So, yeah, I mean, we're really stoked that they have, um, yeah. Another change that's happened just recently, and I've been referring in this interview to the foundation, um, but the, the name change, so you've gone from the New Zealand AIDS Foundation to the Burnett Foundation Aotearoa. How's that change been received? It's been received very well, actually, um, you know, which is interesting. I think I've observed different organizations or companies, uh, rename themselves over the years. And you certainly usually get your tire kickers and your naysayers. Um, um, but in this case, the vast majority of feedback that, um, that we've heard is, you know, about time or, Oh, this is fantastic. Uh, you know, really makes sense. Um, which I think is a. You know, testament to the, the thought and the work that went into the process, um, to get it right, because it's not, uh, it wasn't a decision taken lightly, you know, building on 37 years of history, um, incredible history that's very personal to our communities and some very heroic people, uh, involved in the beginning. We didn't want to, um, you know, we wanted to respect their, their legacy, um, but also make sure that the name was fit for purpose for today. Um, so I think we balanced that really well. And when you say fit for purpose, so, um, explain that to me, like, how did, how did that name come about? Um, uh, so there was, I mean, there was two main challenges we were trying to address. Uh, one was that having the word AIDS in the name was, people were telling us it was problematic. Um, clients would sometimes tell us that, uh, you know, they would walk past the clinic several times before they would even have the courage to walk in the door, um, and, uh, and get tested. You know, and that's, you know, that was a minority of clients, but, you know, how many clients didn't even make it into the door to tell us that that was the challenge, uh, because, you know, AIDS really has nothing to do with the services that we're providing these days. Um, so there was that it was about reducing a barrier, um, a real barrier that existed, um, to access and engagement in our services and programs. Um, and the other one was, uh. I guess really recognizing that over. our history, uh, our work has evolved. We don't just work on HIV anymore. Our services tend to be around broader HIV and other STIs and even mental health. Um, and so we needed a name that didn't pigeonhole us too much in terms of the types of services and programs that we offer. Uh, and we know that, you know, as things have evolved, um, over the last 37 years, they will continue to. Um, so yeah, it was, uh, those were the two, um, two key reasons. And when we went out to our stakeholders and community to, um, Ask for feedback and ask for thoughts on in terms of changing the name to address these two key issues, um, the feedback we got, uh, particularly from life members and those involved at the beginning was, yeah, great, you know, we never expected this was going to be the name forever. Um, but. One thing you have to do is honor the legacy of this organization, um, in the name, um, and so, you know, faced with that challenge, with that weirdo being laid down, um, we really couldn't think of a better way to do it than to name it after Bruce Burnett, one of our co founders, um, you know, a man living with HIV who'd returned from a The Kiwi who had returned from the U. S. Um, after seeing the devastation that AIDS was having in the U. S. at the time and knowing that New Zealand needed to get in front of it, that no one here was talking about it. Um, and because of that early action that he led and he mobilized and rallied others to support him, um, we wouldn't have had the successful response that we've had to HIV. Uh, so yeah, we're really proud to have named the organization after Bruce Burnett. The full transcription of the recording ends. A list of keywords/tags describing the recording follow. These tags contain the correct spellings of names and places which may have been incorrectly spelt earlier in the document. The tags are seperated by a semi-colon: 2020s ; Aotearoa New Zealand ; Auckland ; Australia ; Bruce Burnett ; Bruce Burnett Clinic (Auckland) ; Burnett Foundation Aotearoa ; COVID-19 (coronavirus) ; COVID-19 lockdown ; Christchurch ; Coming Up ; Ending HIV (campaign) ; Grindr ; HIV / AIDS ; HIV Action plan (2022-2032) ; HIV education ; HIV stigma ; HIV testing and prevention ; HIV transmission ; Joe Rich ; Love Your Condom ; MPox ; New Zealand AIDS Foundation (NZAF) ; People ; PrEP (Pre-Exposure Prophylaxis) ; STI ; Undetectable = Untransmittable (U=U, campaign) ; Victoria (Australia) ; Wellington ; access ; action plan ; activities ; advocacy ; anxiety ; assumptions ; behaviour ; behaviour change marketing ; bisexual ; building ; change ; clothing ; combination prevention ; coming out ; communication ; community ; community impact ; community response ; condoms ; confidence ; counselling ; courage ; data ; desire ; education ; engagement ; face ; friends ; fruit ; gay ; government ; health ; health care ; health challenges ; health system ; healthcare seeking behaviour ; history ; honour ; hookups ; in-person service provision ; journey ; judgement ; leadership ; legacy ; letter ; love ; mail order ; mainstream ; marketing ; media ; mental health ; minority ; msm ; name change ; news ; opportunity ; organisation ; other ; pandemic ; period ; plan ; prevention ; programme ; public health ; public health response ; regions ; remote service provision ; research ; respect ; self test ; separation ; sex ; sexual behaviour ; sexual health ; social ; stigma ; strategy ; struggle ; support ; testing ; time ; top ; understanding ; vaccination ; vaccine accessibility ; work. The original recording can be heard at this website https://www.pridenz.com/joe_rich_burnett_foundation_aotearoa.html. The master recording is also archived at the Alexander Turnbull Library in Wellington, New Zealand.  For more details visit their website https://tiaki.natlib.govt.nz/#details=ecatalogue.1093070. Joe Rich also features audibly in the following recordings: "Our Forgotten Epidemic. Part Four - How we lost so many", "Our Forgotten Epidemic. Part Two - who was Bruce Burnett?", "Our Forgotten Epidemic. Part Five - Do we dare to hope?", "Our Forgotten Epidemic. Part Six - Our future is our past", "Our Forgotten Epidemic. Part Three - our communities take action" and "Our Forgotten Epidemic. Part One - an epidemic arrives". Please note that this document may contain errors or omissions - you should always refer back to the original recording to confirm content.