For two weeks, Ablé Sanchez didn’t leave their house in South Minneapolis.

“[I was] forced into survival mode,” Sanchez told Uncloseted Media and Rewire News Group (RNG). 

“I felt like there was an invisible wall [to the outside world] that I couldn’t cross unless I really wanted to put myself in a place where there was a chance that I might not be able to come back,” they added.

Queer and Mexican-American, Sanchez was afraid of being targeted by the Immigration and Customs Enforcement (ICE) presence in their neighborhood, even though they are a U.S. citizen. 

“Every day is a risk,” they said, adding that even if they have paperwork, if they fit the profile, they are a target, making it scary to go out at all, even to work or the grocery store.

Sanchez, a 30-year-old sexual health-care educator, has been taking oral pre-exposure prophylaxis (PrEP), the daily preventive medication for HIV, for over a decade, but the mounting stress of ICE raids has made it harder to keep up. 

“A missed dose here and there pushed me to make that appointment [for something more sustainable],” they said. 

Sanchez said they felt like somebody would have their back at their local clinic. It was only a ten-minute drive from where they worked, they knew its staff from previous visits and community outreach, and they could count on finding Spanish-speaking staff and providers of Latino heritage. But not everybody has had that same experience accessing care.

Since ICE’s Operation Metro Surge began in early December, an increasing number of Latino patients in Minnesota are delaying or canceling what can be lifesaving care for the prevention and treatment of HIV.

These findings are particularly concerning for Latino communities, who, as of 2023, are 72 percent more likely than the general U.S. population to be diagnosed with HIV. And while overall infections have decreased, cases among Latinos increased by 24 percent between 2010 and 2022. 

“I’m very concerned that there is going to be a sharp uptick in transmission,” Minneapolis-area community health specialist Alex Palacios told Uncloseted Media and RNG.  

In a January 2026 declaration as part of a lawsuit seeking to end Operation Metro Surge in the days following Renee Nicole Good’s killing, the commissioner of the Minnesota Department of Health said HIV testing among Latino populations has “dropped dramatically” and that “although grantee staff continue to go into the community to promote and provide testing, people are not showing up.”

Local clinics are reporting the same thing. The Aliveness Project, a community wellness center in Minneapolis specializing in HIV care, told Uncloseted Media and RNG they have seen a more than 50 percent decrease in new clients. The clinic serves a large number of Latino and undocumented clients, and while it usually sees 750 people walk through their door each week, according to providers, it reported seeing 100 fewer people each week since December. 

Red Door, Minnesota’s largest STI and HIV clinic has had a “modest uptick” in no-shows and missed appointments since December. 

What happens when treatment stops

Today, there are multiple medications available that work to prevent HIV, and dozens that treat it once a person tests positive. Many people who consistently take their medication have such low levels of the virus that they can’t transmit it through sex. But becoming undetectable requires patients to stay on their medication; otherwise the virus replicates and mutates, weakening the immune system and increasing the risk of life-threatening infections.

“If patients aren’t on their medicines consistently, HIV can learn about the medication and become resistant to them. When this happens, the medicine will not work for the patient, and the new resistant virus could potentially be passed on to others,” said George Frohle, a physician assistant and provider at Aliveness. “Medication adherence is one of the most important aspects of HIV care.”

To maintain care and prevent dangerously untreatable strains from spreading in Minnesota, providers at Aliveness have begun delivering medication to patients when possible, offering telehealth when they can, and pausing routine lab work to limit in-person appointments. 

“The most important thing we can do from a public health perspective is to keep people undetectable so they don’t transmit HIV,” Frohle said, adding that providers in other cities targeted by ICE will need to make plans for missed injection visits, pivot to telehealth and prepare their teams for the “trauma.” 

Sanchez understands the risks of inconsistent treatment, which is why they opted for the injectable preventative medication. 

“I have a lot of risk [to HIV in my community],” Sanchez said. “With so much uncertainty about the future and whether HIV care will remain stable, I realized I couldn’t let this opportunity pass.”

But injectable HIV treatments are commonly dosed at two weeks to six months apart, and the medication must be administered in a clinic—a setting many patients are avoiding, according to providers. 

“They have a two-week window” to get their shots, said Frohle, adding that because patients are afraid to come in person, they have had to transition people off of their injectable HIV treatments and back onto oral HIV treatments without the testing they would normally order had ICE not been in Minneapolis. Oral treatments “weren’t super successful [for these patients] to begin with and that’s why they were on injectables.”

Oral HIV medications, too, must be taken consistently to work. In response, providers have urged patients to have their pills with them at all times in case they get deported or detained. 

The caution is not unfounded. Federal immigration facilities have a history of denying adequate medical care to people living with HIV, despite internal standards that require them to do so. Since 2025, at least two men living with HIV have been denied access to their medication in a Brooklyn jail, according to lawsuits obtained by The City. One man said he was only given his medication after his lips broke open and he developed an open pustule on his leg. And in January 2025, another man died of HIV complications while in ICE custody in Arizona. 

Beyond being detained without proper medication, patients deported to countries with limited access to HIV care, like Honduras and Venezuela, are also at risk, experts said.  

“A lot of men [from Venezuela] told me they left because it wasn’t safe to be gay there and because they struggled to access HIV care,” Frohle said. “It’s a little heartbreaking to see new folks not only face the threat of deportation, but to places where they didn’t feel safe medically or identity-wise.”

“Some of these patients will die in their home country,” Dr. Anna Person, the chair of the HIV Medicine Association, said. “It’s a death sentence.”  

A ‘cascading disaster’ 

While ICE’s deployment is threatening the infrastructure of HIV care that Minneapolis has built over decades, experts say there has always been a blind spot in HIV care for the city’s Latino community.  

Vincent Guilamo-Ramos, executive director of The Institute for Policy Solutions at the Johns Hopkins University of Nursing, describes HIV in Latino communities as a “cascading disaster,” the result of years of compounding inequities. 

“There’s been an invisible crisis among Latinos that hasn’t gotten traction,” he said. “The numbers have consistently gone up in terms of new infections, while nationally they’ve gone down. … That should be a big alarm.”

Numbers are rising because structural barriers and stigma are preventing Latinos from receiving care. A 2022 report from the Centers for Disease Control and Prevention found that between 2018 and 2020, nearly one in four Hispanic people living with HIV reported experiencing discrimination in health-care settings. Lack of representation among providers, language barriers, and deep-rooted medical mistrust further complicate access to care, according to  Guilamo-Ramos.

Beyond the medical system, stigma within Latino communities can be equally damaging. According to Human Rights Campaign data, more than 78 percent of Latino LGBTQ+ youth reported experiencing homophobia or transphobia within the Latino community in 2024.

Sanchez agrees that stigma and bias are already massive barriers to care, citing the strict gender norms and Catholic beliefs many Latino communities hold. They said the ICE operation is threatening already delicate access to HIV care. 

“This has caused so much damage to people,” Sanchez said. “Not being able to access your health-care appointments is such a stab in the side. … Being able to navigate any of these things in normal circumstances already has so much difficulty to it.”

Palacios, the health specialist who is themself is Afrolatine and living with HIV, said the heightened ICE presence is worsening barriers that have long undermined the Latino community’s access to HIV care.

“The horizon has always been stark and dim,” they said. “And this just feels like one more thing to address and to fight back against.”

Sliding backwards 

Navigating HIV care is becoming more difficult across the board, as the federal government has decimated HIV funding, compromising decades of progress made in the fight against the virus since Donald Trump retook office just over a year ago.

In February 2026, three months into Operation Metro Surge, the Trump administration proposed slashing $600 million in HIV-related grants, targeting four blue states, including $42 million for Minnesota programs. A federal judge has temporarily blocked the cuts.

“This would completely decimate and gut all of our HIV prevention,” said Dylan Boyer, director of development at Aliveness Project. “That’s the reality that we live in.”

“We have all the tools, and yet we are staring down this rollback of infrastructure and research dollars, prevention efforts, treatment efforts, that are going to put us squarely back in the 1980s,” said Person, a national HIV expert who grew up in Minnesota. “[There] seems to be no other rationale for that besides cruelty, to be quite frank, since there’s no scientific reason for it.” 

Repair and representation 

Jenny Harding, director of advancement at a Minneapolis-area supportive housing program for people living with HIV, said that while ICE’s presence is lessening in the Twin Cities, the “damage is done.” 

Person said that this mending will take years, especially between the medical community and patients, since HIV providers can have a “very fragile” relationship with their clients. 

“It takes, sometimes, years to build that level of trust. And I do worry that folks are just going to say, ‘I don’t feel safe here anymore. The system does not have my best interest at heart, and I’m not coming back,’” she said. “This is not something that you can flip a switch and everything will go back to normal.”

“We need to hold our federal government accountable, particularly HHS, [and] we need to ensure that HIV funding remains intact,” Guilamo-Ramos said. In order to lower rates of HIV in the Latino community, he added, there should be more specialized efforts like bilingual and culturally aligned health-care providers, community-based outreach programs co-located where risk is highest, trust-building initiatives to address medical mistrust, mobile clinics, and targeted programs to re-engage patients who have fallen out of care.

Aliveness Project’s patient numbers have increased in the last few weeks as the ICE operation has waned, but the clinic staff is keeping “a watchful eye” and is having “difficulty reaching folks who are understandably scared.”

“Our biggest focus right now is reconnecting with people through our outreach so no one has a lapse in their HIV medications or prevention care,” Boyer, of Aliveness Project, said.  

For Sanchez, seeing the providers at Aliveness Project speaking Spanish and coming from Latinx backgrounds built enough trust for them to reach out and make an appointment despite the risks. Sanchez feels optimistic about their new injectable prevention strategy with the support of their clinic. 

“There’s many places where you can receive care here in the Twin Cities where you might not see your skin tone … There’s still a lot of health-care professionals that unfortunately carry bias. … Aliveness is the opposite of that,” they said. “Seeing that representation and knowing someone has that cultural context and how to meet you in moments of sensitivity, it’s crucial.”

This story was produced in collaboration with Uncloseted Media, which investigates America’s anti-LGBTQ+ landscape. Uncloseted receives support from MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.