This is an Epidimiology question!!! from the movie And the Band Played On 6. Dis

Question

This is an Epidimiology question!!!

from the movie And the Band Played On

6. Discuss some of the factors, including local and federal politics that inhibited the early war against AIDS.

a. What would have happened if CDC had more support to investigate the initial outbreak?

b. What changes in policy and medicine have improved the life span of HIV positive individuals?

c. Have the factors you identified in 4b, changed more than just the lifespan? Identify at least one way in which these factors have impacted Public health work to end HIV.

Explanation / Answer

B. Treatment options available to HIV patients have a significantly improved in efficacy, safety and tolerability over last decade. There is global consensus that combination antiretroviral therapy decreases mortality and morbidity among HIV posituve population. And new approaches in ART delivery, such as PI boosting and fixed dose combinations are thoght to iimprove treatment outcomes.

Sub Saharan Africa remains the region most affected by HIV. However the virus is now spreading rapidly in Asia and parts of eastern Europe. Despite its rapid spread, several countries achieved success in curbing is transmission. Ex Thailands 100% condom program, Ugandas remarkabke decrease in Hiv prevalence and community-based syndromic management of sexually transmitted infections in Tanzania.

Success also includes development and effective use of highly sensitive and the specific screening test which have Virtually eliminated infection from the blood supply in the developed and developing countries. In addition the administration of short course of nevirapine to mothers during labour and the to newborns Postpartum reduces the risk of mother to child transmission by 50%.

Enormous advances in HIV treatment fundamentally changed the natural history of the disease and supply reduced HIV related morbidity and mortality in the countries where such treatments are accessible. The advent of antiretroviral drugs started a revolution in the management of HIV.

School based sex education programs, voluntary ciunseling and testing, peer- based programs, condom promotion and distribution etc contribute for increasing awareness and preventing Hiv disease. Implementing blood safety practices, universal precautions like prohibition of reusing syringes, needles also helped to check the transmission of the disease. Psychosocial support and counseling has positive effect on the quality of life of people living with Aids.

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