"Improving the health status of underserved populations through sustainable and comprehensive research, service and educational initiatives related to infectious diseases."

 Topics on International Health

by Meredith Maxey [Honors Tutorial college/BIOS]          

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Human Immunodeficiency Virus: HIV

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HIV/AIDS in Africa

 

*24.5 million people currently living in Africa with HIV/AIDS

*2.7 million new cases in the past year

*2 million killed in the past year

Map Source

 

Major Impacts of HIV/AIDS

1) Life expectancy

Graph Source

 

2) Family: If the “bread-winners” of the family become ill, then there will be no income.  Also, those that are supposed to be making a living may not be able to if they are forced to stay home and care for the sick individual.  Furthermore, there are oftentimes multiple members of households that are sick.  This leads to the sick caring for the sick – not everyone will get the care they need.  Also, children frequently get the disease from their parents.  Or, they might have been orphaned by AIDS -- and in the process had to watch their parent suffering.  Family structure is affected in this way because children will be left caring for other children. 

Picture: African family Source 

 

3) Healthcare: Healthcare workers are getting the disease at the same time that more healthcare workers are needed! This means, among other things, that there aren't enough workers to distribute medications. Also, there will be a decrease in care available for opportunistic infections

 

4) Education

Picture: Education and HIV -- A vicious cycle Source

 

5) Labor & Economy: AIDS has a domino effect (as shown in the family and education impacts).  AIDS prevents people from working, which harms the economy. If the economy is sufficiently weakened, it makes the country less able to cope with the problem.  The vast majority of people with AIDS are between 15-49 years old – the working class!  The increased mortality rates also results in a smaller skilled population and labor force.  The increased sick leave for those that are sick, and for their families, decreases productivity as well.  Finally, if there is less of a taxable population, there will be reduced resources available for public expenditures like AIDS education.  Essentially, AIDS = loss of income + higher medical bills.  Interestingly, there has been a correlation found between lowered life expectancy and the lowering of the gross national product.

 

Picture: African people digging graves for those killed by AIDS Source 

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UNAIDS/WHO

 

United Nations Programme on HIV/AIDS

World Health Organization

More than 75 countries involved through these two organizations with the mission of uniting the world against AIDS.  

 

Prevention of HIV

Key components

-Condom use

-Counseling/testing: VCT (voluntary counseling and testing centers)

-Treatment for mother/child

-Treatment of HIV/AIDS

-Antiretroviral drugs (ARV)

                                                          

*Senegal is a good example of how effective early and sustained prevention efforts can be.  Less than 1% of Senegal’s population has HIV/AIDS.  Uganda also is a good example.  They went from 15% to 5% of the population with HIV/AIDS in about ten years. Picture Source

 

What’s necessary for improvement?

-4 main things that need to be accomplished

1) Gain international support 

     -The WHO has a set a target for everyone to have access to treatment by 2010

     -The US is helping via PEPFAR (President’s Emergency Plan for AIDS Relief) Logo Source

2) Ensure a domestic commitment

3) Reduce stigma/discrimination

4) Focus on women/girls and gender inequality issues

 

How about some numbers?      

-Countries with 5-10% of population infected:

Kenya, Uganda

 

-Countries with 15-20% of population infected:

South Africa, Zambia

 

Countries with over 20% of population infected:

Botswana, Lesotho, Swaziland, Zimbabwe

 

South Africa is a good example to look at because it is a wealthy country with a significant HIV/AIDS burden.   

Picture: South Africa Source

 

 

 

 

 

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Last updated: 04/20/2012

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