Thomas Knoble has been doing HIV/STD/HVC testing work in San Francisco since 1991 with a focus on gay and bisexual men, transgender females and people who inject drugs. Thomas currently serves as the Ending the HIV Epidemic Manager for the Community Health Equity and Promotion Branch. They are a California HIV State Certified Trainer charged with training all new test counselors. Within this role, they coordinated and oversaw a team of health workers to implement and evaluate the California State HIV Basic Counselor Training and to develop materials. Their efforts have raised awareness around testing quality assurance issues throughout California and the critical role of integrated HIV, STI and HCV prevention, with a key focus on social determinants of health for marginalized communities. Thomas worked extensively during the COVID-19 and Mpox responses to center the strength and resilience of communities to equitably respond.