96:. In 1998, Margo St. James, a local sex workers' rights activist and COYOTE member, received a call from a woman in jail who had been arrested for prostitution, who told Margo that while held awaiting charges, her blood had been drawn without the woman's consent and without her knowledge of what test was being performed. Margo called the Director of STD Control and Prevention of the San Francisco Department of Public Health, Dr. Jeffrey Klausner. Dr. Klausner invited members of the sex worker community for a meeting on the health status of sex industry workers. Before this meeting, Dr. Klausner was aware that the San Francisco Department of Public Health was not "really working with the sex worker population and/or the
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clinic and venue based services to thousands of sex workers in the Bay Area. The St. James
Infirmary services include Primary Care, Gynecological and Urological Care, Transgender Hormone Therapy, HIV/STI, TB & Hepatitis Counseling and Testing, STI treatments, Hepatitis A & B Immunizations, Acupuncture, Massage & Reiki Therapy, Peer and Mental Health Counseling, Support Groups, Food and Clothing, Syringe Access & Disposal, Condoms & Lube, Information & Service linkages, Apprenticeship & Internship Programs, and Research & Education.
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efficiently". In 1996, the Task Force issued its final report and determined that the city's responses to prostitution were not only ineffective, but also harmful. Pertaining to health, safety and services, the report stated that, "programs should include occupational and educational programs, health and other programs for those who continue working as prostitutes, as well as those who wish to transition into other occupations".
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of St. James is to provide compassionate and non-judgmental health care and social services for all sex workers while preventing occupational illnesses and injuries through a comprehensive continuum of services. It is the philosophy of St. James
Infirmary to build upon existing skills and strengths in order to allow individuals to determine their own goals while providing culturally competent and non-judgmental services.
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indeed, the very real stigma associated with this work itself, forces many sex workers into isolation. This isolation puts sex workers at greater risk of occupational health and safety hazards that would otherwise be preventable. Sex
Workers—particularly prostitutes— constitute some of the most socially isolated and politically marginalized individuals in the nation.
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In the early 1990s COYOTE member
Priscilla Alexander developed the program plan for the St. James Infirmary that was founded on a holistic approach towards healthcare for sex workers as determined by the community rather than just focusing on HIV and STI prevention and treatment. Thus, the mission
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prevention, while the stated health concerns of sex workers outside of STIs and HIV are met with minimal care or insensitive and disrespectful treatment. Sex
Workers often do not disclose their profession to their health care providers for fear of arrest or of receiving inadequate care, among other
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district of San
Francisco, the mission of the St. James Infirmary is to provide compassionate and non-judgmental health care and social services for all sex workers while preventing occupational illnesses and injuries through a comprehensive continuum of services. Annually, St. James provides 8,000
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In
January 2012, the "Someone You Know is a Sex Worker" campaign was nominated by the Global Network of Sex Work Projects (NSWP) for a consultancy to the World Health Organization (WHO), in collaboration with UNFPA, UNDP and NSWP. St. James presented the campaign to WHO in Geneva, Switzerland in
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Since SJI is a multi-service clinic, it challenges centuries of beliefs pertaining to the perceived health needs of the sex worker population. Instead of solely focusing on the sexual health needs of sex workers, the St. James
Infirmary combines best practices from Eastern and Western medical to
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There are many factors which affect the working conditions and experiences for all sex workers including the political and economic climate, poverty and homelessness, stigmatization, violence, as well as the overwhelming intricacies of the legal, public and social systems. The fear of stigma and
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workers. So wanted to initially do some outreach to those populations" (J. Klausner, interview, September 4, 2003). This was the beginning of conversations and alliances to be made that provided the framework for a peer led occupational health and safety clinic for sex workers. The St. James
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passed legislation that called for the establishment of the San
Francisco Task Force on Prostitution. This Task Force was formed to investigate, "prostitution patterns", and to "recommend social and legal reforms which would best respond to the City’s needs while using City resources more
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concerns. As most sex workers will not identify as such to their providers, existing service organizations are often misinformed or ill-equipped to address the overall occupational health and safety concerns for sex workers that impact their sexual health practices.
231:, SJI received an award for the “Best Place to Find Sex-Worker Community.” The award was created to acknowledge SJI, and therefore is illustrative of the fact that SJI has been recognized and appreciated by the larger San Francisco community. As stated in the
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To promote community-based public health initiatives on behalf of Sex
Workers, which may be used as a model for improving occupational health and safety standards and developing comprehensive medical and social services for Sex Workers nationally and
235:, “In a field where isolation from your colleagues is common – and a society in which few people outside the trade accept the validity of your work – the infirmary provides an oasis of camaraderie and understanding”.
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Culminating experience project for the Masters in Public Health program at SFSU conducted by Executive Director Naomi Akers, MPH(c) in collaboration with Melissa Gira Grant and St. James Infirmary staff, 2007.
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Presentation authored by Chuck Cloniger, FNP & Deborah Cohan, M.D., in collaboration with the San Francisco Department of Public Health and UCSF Department of Obstetrics & Gynecology.
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activist community in 1999, is a peer-based, full spectrum medical and social service organization serving current and former sex workers of all genders and their families. Located in the
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To increase formalized communication, cooperation, coordination, and collaboration among individuals and agencies within the San Francisco Bay Area and other areas who serve Sex Workers.
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Sex Worker Environmental Assessment Team(SWEAT) Study data prepared by Alix Lutnick and Deb Cohan, presented at the XVII International AIDS Conference in Mexico City, August 6, 2008.
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Presentation of research results from the collaborative efforts of SJI staff, UCSF Department of Obstetrics & Gynecology and the San Francisco Department of Public Health, 2002.
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proclaimed November 13, 2004 to be “St. James Infirmary Health Day” in San Francisco. In addition, the St. James Infirmary was awarded the 2009 Community Service Award by the
105:(EDA) and a timely event in the San Francisco County Jail. Via collaboration with the Department of Public Health STD Control and Prevention Section (known as "City Clinic"),
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A summer internship project conducted by current Executive Director Naomi Akers, as part of the Masters of Public Health Program at San Francisco State University, 2006.
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247:"Criminalization, legalization or decriminalization of sex work: what female sex workers say in San Francisco, USA" Reproductive Health Matters, 2009.
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Mathieu, L. (2003). The emergence and uncertain outcomes of prostitutes' social movements. The European Journal of Women's Studies, 10(1), 29-50.
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SWEAT Study data prepared by Alix Lutnick and Deb Cohan, presented at the XVII International AIDS Conference in Mexico City, August 6, 2008.
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The Infirmary is run by and serves current and former sex workers from the many sectors of the adult entertainment industry that include
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269:"RenegadeCast: Evaluating Podcast Social Media as a Health Promotion Tool for Sex Workers & Adult Entertainers with Internet Access"
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RenegadeCast: Evaluating Podcast Social Media as a Health Promotion Tool for Sex Workers & Adult Entertainers with Internet Access
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Cohan, D., Lutnick, A., Davidson, P., Cloniger, C., Herlyn, A., Breyer, J., et al. (2006). Sex worker health: San Francisco style.
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Can the Decriminalization of Sex Work Assist HIV Prevention? Female Sex Workers in San Francisco, California Give Their Opinions
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Alexander, P. (1995). Prostitution is sex work: Occupational safety and health (report): National Taskforce on Prostitution.
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Some medical clinicians assume that the primary health concern of sex workers must be sexually transmitted infections or
109:(UCSF), COYOTE and EDA, in 1999, the first Occupational Health and Safety Clinic run by and for Sex Workers was created.
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Under "Hold and Treat" laws, persons arrested for prostitution charges would be forcibly tested and treated for
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To increase access to primary healthcare and social services for Sex Workers within the San Francisco Bay Area
583:"St. James Infirmary – A peer-based occupational health and safety clinic for sex workers and their families"
558:"St. James Infirmary – A peer-based occupational health and safety clinic for sex workers and their families"
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743:(PhD thesis). San Francisco, California: The Institute for Advanced Study of Human Sexuality. Archived from
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Infirmary was made possible because of the unique vision of sex worker rights activists from COYOTE and the
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51:
322:"Providing Educational Opportunities to Sex Workers" – Annie Sprinkle's dissertation for her PhD at the
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http://stjamesinfirmary.org/wordpress/wp-content/uploads/2008/05/Evaluating-Podcast-Social-Media.pdf
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Working Conditions, HIV, STIs and Hepatitis C Among Female Sex Workers in San Francisco, California
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address all the potential holistic health needs of sex workers. The goals of the Infirmary are:
250:"Sex Worker Health, San Francisco Style" Sexually Transmitted Infections Online, July 19, 2006.
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659:
http://stjamesinfirmary.org/wordpress/wp-content/uploads/2008/08/lutnick_sex-work-culture.pdf
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http://stjamesinfirmary.org/wordpress/wp-content/uploads/2008/08/lutnick_-sex-work-legal.pdf
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http://www.nswp.org/news-story/st-james-infirmary-posters-presented-international-conference
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487:"St. James Infirmary celebrates two decades of providing healthcare to SF's sex workers"
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Peer-based occupational health and safety clinic for sex workers in San Francisco, CA
261:"Working Conditions, HIV, STIs and Hep. C Among Female Sex Workers in San Francisco"
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Alexander, P. (1998). Sex work and health: A question of safety in the workplace.
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http://stjamesinfirmary.org/Uploads/SFExoticDancersHealthAssess.pdf
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St. James Infirmary posters presented at international conference
244:"SJI Occupational Health & Safety Handbook 3rd Edition" (2010)
314:"Sex Worker Health, San Francisco Style; The St. James Infirmary"
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Sex Worker Health, San Francisco Style: The St. James Infirmary
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286:"Social Content and the Health of Sex Workers in San Francisco"
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Harvey Milk Lesbian, Gay, Bisexual, Transgender Democratic Club
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Social Context and the Health of Sex Workers in San Francisco
278:"A Pilot Health Assessment of Exotic Dancers in San Francisco"
253:"Can the Decriminalization of Sex Work Assist HIV Prevention?"
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became executive director of St. James Infirmary in May 2018.
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A Pilot Health Assessment of Exotic Dancers in San Francisco
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In November 2004, San Francisco Board of Supervisors members
57:. Its services are free and confidential. Named after the
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for sex workers run by sex workers in the United States.
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http://stjamesinfirmary.org/Uploads/SWHealthSFStyle.ppt
306:"The Health Needs of Sex Workers, A Descriptive Study"
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http://stjamesinfirmary.org/Uploads/HealthNeedsSW.ppt
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The Health Needs of Sex Workers: A Descriptive Study
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http://stjamesinfirmary.org/Uploads/SocialContent.ppt
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Medical and health organizations based in California
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Sex worker organizations based in the United States
302:and the San Francisco Department of Public Health.
733:Providing Educational Opportunities to Sex Workers
352:SF Task Force on Prostitution Final Report, p. 24
343:SF Task Force on Prostitution Final Report, p. 3
546:“Best place,” Bay Guardian July 30, 2003, p. 88
459:"Trans woman hired to lead St. James Infirmary"
432:"St. James Welcomes Our New Executive Director"
406:Journal of American Medical Women's Association
324:Institute for Advanced Study of Human Sexuality
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512:http://stjamesinfirmary.org/?page_id=1673
296:San Francisco Department of Public Health
292:University of California at San Francisco
607:"Sex Worker Health: San Francisco Style"
290:Collaborative study project between the
485:Nahmod, David-Elijah (April 24, 2019).
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69:, the St. James Infirmary is the first
107:University of California San Francisco
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796:Organizations based in San Francisco
645:Sex Worker Environmental Study Team
524:http://stjamesinfirmary.org/?p=1918
294:, the St. James Infirmary, and the
363:"What We Do - St. James Infirmary"
86:San Francisco Board of Supervisors
65:(Call Off Your Old Tired Ethics),
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730:Sprinkle, Annie (February 2002).
647:http://sweat-shorts.blogspot.com/
522:SJI Media Project Goes to Geneva
457:Madison, Alex (April 25, 2018).
19:For the American folk song, see
419:Sexually Transmitted Infections
94:sexually transmitted infections
50:, the St. James Infirmary is a
791:Sexuality in the United States
239:Publications and presentations
225:In the July 2003 issue of the
71:occupational safety and health
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34:), founded by members of the
801:Healthcare in San Francisco
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811:Prostitution in California
298:. Funding provided by the
228:San Francisco Bay Guardian
176:operators, and many more.
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21:St. James Infirmary Blues
61:activist and founder of
103:Exotic Dancers Alliance
588:. Stjamesinfirmary.org
563:. Stjamesinfirmary.org
781:Clinics in California
614:stjamesinfirmary.org
367:stjamesinfirmary.org
168:workers, street and
166:Internet pornography
765:St. James Infirmary
436:St. James Infirmary
59:sex workers' rights
40:Tenderloin district
28:St. James Infirmary
741:St James Infirmary
464:Bay Area Reporter
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496:January 26,
470:January 26,
442:January 26,
202:Recognition
196:Toni Newman
162:nude models
775:Categories
620:2019-05-31
592:2019-05-31
567:2019-05-31
331:References
216:Chris Daly
158:adult film
48:California
36:sex worker
174:phone sex
172:workers,
156:workers,
152:workers,
150:peep show
144:workers,
52:501(c)(3)
491:Hoodline
160:actors,
372:26 June
326:, 2002.
138:escorts
80:History
74:clinic
63:COYOTE
748:(PDF)
737:(PDF)
610:(PDF)
586:(PDF)
561:(PDF)
498:2020
472:2020
444:2020
374:2016
214:and
154:BDSM
26:The
126:HIV
42:in
32:SJI
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