Atlanta HIV prevention advocates plan town hall on Fulton County public health firings

An exterior shot of the Neighborhood Union Health Center in Atlanta.
The Neighborhood Union Health Center at 186 Sunset Ave. NW in Atlanta, part of the Fulton County health department, offers sexual health services. Layoffs at the county agency have advocates worried about any impact on Fulton's HIV prevention services. (Rebecca Grapevine / Healthbeat)

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Atlanta HIV prevention advocates plan to hold a town hall Wednesday to discuss the layoff of 17 workers from the Fulton County Board of Health.

The town hall is scheduled for 11 a.m. to 1 p.m. at Mayfaire Medical, Suite 410, in the Summit South Building at 777 Cleveland Ave. in Atlanta. It is open to the public.

The event is being organized by Daniel Driffin, an independent public health consultant, and William Francis, pastor of The 166 Church. Both have spent years working on HIV prevention.

They are concerned about access to services like testing and access to drugs that can prevent infection in the wake of last week’s layoffs of Fulton health department staff who worked on HIV and sexual health.

“The safety net is literally being yanked out from under people,” Francis said.

Fulton, DeKalb, and Clayton counties were among the 15 counties in the nation with the highest rates of new HIV diagnoses in 2022, according to the latest available data from AidsVu.

“We as a community are going to have to figure out what can be done so people don’t fall through the cracks of public health,” Francis said.

After the surprise layoffs, the state Department of Public Health placed two senior Fulton health department leaders on unpaid administrative leave: District Health Director Dr. Lynn Paxton and Carol Lawrence, human resources director. The DPH said the Fulton layoffs were unauthorized.

Neither state nor Fulton health department officials would elaborate on the layoffs, or the source of the funding for the terminated staff.

“My greater concern is that this will ripple across the state,” said Jeff Graham, executive director of Georgia Equality, a nonprofit LGBTQ advocacy organization.

“There needs to be some transparency from the state health department and Fulton County immediately,” Graham said, adding that groups that provide services to people with HIV are worried about their own funding and also want to ensure that people have the services they need to prevent HIV.

Some of the affected Fulton workers and other advocates told Healthbeat that innovative services like a syringe exchange and initiatives with community groups to promote HIV testing could be disrupted.

Tyson Randolph, who was among those laid off last week, said the terminations will have “major implications for the community’s health going forward.”

“I was in the developmental process of building the bridge with the kids at this community center … but my efforts are all out the window.”

Rebecca Grapevine is a reporter covering public health in Atlanta for Healthbeat. Contact Rebecca at rgrapevine@healthbeat.org.

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