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http://www.liaac.org/\nAn Interview with Dr. Gail Barouh: Long Island’s History with HIV/AIDS and the Accomplishments of LIAAC. The Long Island Association for AIDS Care, Inc. (LIAAC) is a community-based, not-for-profit agency that provides services and support for Long Islanders infected and affected by HIV/AIDS and at high risk for HIV infection and other infectious diseases. Our staff utilizes a plethora of community resources to refer and link clients to medical treatment, supportive services, and assist them with navigating through a sometimes daunting and complicated social service and health care system.\n
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An Interview with Dr. Gail Barouh: Long Island’s History with HIV/AIDS and the
Accomplishments of LIAAC
This July, LIAAC congratulates President and Chief Executive Officer, Dr. Gail Barouh, for her incredible
career with LIAAC and noble service to the Long Island community. As she begins her retirement we
offer sincere gratitude to Dr. Barouh for her dedication and knowledge, leading the agency in
successfully navigating the grips of the HIV/AIDS epidemic and expansion into a service provider for
many other infectious and chronic diseases. Dr. Barouh recently sat down to look back on her 31-year
journey with LIAAC, and provide her insight on the HIV/AIDS epidemic.
In 1986, America was in the midst of the nation’s most infamous epidemic. New York had the highest
rate of HIV/AIDS in the nation, and though largely considered “a New York City problem,” the epidemic
was rapidly taking its toll on Long Island. It was at this time the Long Island Association for AIDS Care
(LIAAC), the nation’s first suburban-based AIDS service organization was founded. Dr. Gail Barouh,
President and Chief Executive Officer of LIAAC since its inception, recalls people showing up at hospitals
for care and being “put in cabs to go elsewhere,” and refers to this as a time of great prejudice, and
more than prejudice, a time of tremendous fear. Looking back, she recalls that a large part of the fight
against HIV/ AIDS came down to being a long education process, both for families and medical
Dr. Barouh took her background in health education, and the diagnosis of a personal friend, as
motivation to facilitate the first Long Island support and bereavement groups for those diagnosed with
HIV/AIDS, as well as family members, loved ones, and friends of those infected. During a time of great
adversity towards a disease that was not fully understood, and targeted
populations of people believed to be responsible for it, Dr. Barouh
envisioned an agency that would not only combat stigma, but assist
individuals in navigating obstacles for necessary services. Dr. Barouh states
that in developing LIAAC, the needs of HIV/AIDS patients were “too great”
for LIAAC to be a walk-in facility. With this foresight, LIAAC developed a
hotline to rapidly screen questions and created a mobile unit that would
assist people within their own communities. In doing this, LIAAC was able to
ensure optimal support, medical attention, and quality of life throughout
Long Island. Both of these programs still exist and have proven to be
invaluable in connecting people with support and help. LIAAC remains Long
Island’s only bi-county, comprehensive community service-provider, with the region’s only HIV/AIDS
It would be easy to say there is no bright side to an epidemic that has affected an immeasurable number
of people throughout the world. However, with more than three decades of experience, Dr. Barouh
states that there is a silver lining. First, with intense activism in the early days, people did not tolerate
the amount of time it took to test drugs. Therefore, lifesaving medication was fast-tracked, a big step for
HIV/AIDS, as well as other diseases such as cancer and hepatitis. Additionally, Dr. Barouh believes that
rights for the LGBTQ community would not have reached the progression towards equality of today had
it not been for HIV/AIDS. Prior to the epidemic “people lived in the shadows” but began coming out of
the shadows and into the public eye because they were sick, and caring for loved ones who were sick. As
a result, families and society started to see the LGBTQ population “as real people and a real
community.” In this way, HIV/AIDS gave people the ability to be more themselves and overcome
Since 1986, Dr. Barouh states that she has seen both positive and negative changes in the epidemic, and
in society. She fears young people will fall into the cyclical nature of disease, in that currently the
atmosphere of HIV/AIDS is that “most people think it’s not a problem anymore.” Advances in medication
and technology have been invaluable to those diagnosed with HIV/AIDS, extending life expectancy and
calming the panic of the disease. However, that does not make the disease devoid of hardships. Dr.
Barouh reminds us that being on medication for HIV is a lifetime responsibility, and there is an extreme
toll that the disease takes on the body.
Today, LIAAC has become a premier agency in educating the region about inaccuracies surrounding
HIV/AIDS, preventive measures to diminish the spread of HIV/AIDS, as well as other infectious diseases.
As a pioneer for suburban-based service providers, and the HIV/AIDS epidemic, Dr. Barouh’s expertise
and compassion is irreplaceable. With Dr. Barouh’s guidance, LIAAC navigated a difficult path to success,
and continues to serve as a role model agency of perseverance, diversity, and adaptability both
regionally, and nationally. With unending gratitude, LIAAC wishes Dr. Barouh much happiness and
success in all of her future endeavors.