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Trans Woman Defies AIDS Odds, Warns of Rights Rollback
10 Aug
Summary
- Transgender life expectancy in Latin America is tragically low at 35 years.
- Erika Castellanos, diagnosed with HIV in 1995, defied doctors' grim prognosis.
- Funding cuts and human rights rollbacks risk reversing decades of HIV progress.

Erika Castellanos, aged 50, has lived beyond the stark reality of the estimated 35-year life expectancy for transgender women in Latin America. Having been diagnosed with HIV in 1995, she was initially given only six months to live. Castellanos has seen extraordinary medical breakthroughs transform HIV from a death sentence into a manageable condition.
Originally from Belize and later moving to Mexico, she worked to support herself and advocate for HIV hospice care when treatment options were severely limited. Despite facing stigma and discrimination, she persevered, motivated by her experiences.
Today, Castellanos leads Global Action for Trans Equality (Gate) from the Netherlands, focusing on healthcare access and human rights. She highlights the ongoing challenges, including criminalization laws that still impact trans individuals, particularly in Africa.
This concern is echoed by UNAids, which reports a global rollback in human rights essential for ending the AIDS epidemic. Castellanos stresses that recent funding cuts from initiatives like USAID and Pepfar jeopardize decades of progress, urging a restoration of global solidarity.