By Peter Piot, Laurence Garey
Peter Piot, founding government director of the Joint United international locations Programme on HIV/AIDS (UNAIDS), recounts his adventure as a clinician, scientist, and activist combating the disorder from its earliest manifestation to at the present time. The AIDS pandemic was once not just catastrophic to the wellbeing and fitness of thousands around the world but additionally fractured diplomacy, international entry to new applied sciences, and public healthiness regulations in international locations around the globe. As he struggled to get prior to the ailment, Piot chanced on technology does little sturdy whilst it operates independently of politics and economics, and politics is valueless if it rejects clinical facts and recognize for human rights.
Piot describes how the epidemic altered worldwide attitudes towards sexuality, the nature of the doctor-patient dating, the impression of civil society in diplomacy, and conventional partisan divides. AIDS thrust healthiness into nationwide and foreign politics the place, he argues, it rightly belongs. the worldwide response to AIDS during the last decade is the optimistic results of this partnership, displaying what could be completed whilst technology, politics, and coverage converge at the floor. but it is still a delicate fulfillment, and Piot warns opposed to complacency and the results of lowered investments. He refuses to simply accept an international during which excessive degrees of HIV an infection are the norm. as a substitute, he explains tips to proceed to lessen the prevalence of the ailment to minute degrees via either prevention and remedy, till a vaccine is discovered.
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Additional info for AIDS Between Science and Politics
I was then heavily involved in epidemiological research on sexually transmitted diseases in Africa and Belgium, but far from imagining that this new syndrome would, over more than three decades, affect some seventy million people and cause over thirty million deaths. It took a long time before the full extent of the epidemic was realized, that of an unprecedented viral infection transmitted by body fluids, including genital secretions and blood, and from mother to child. The first public reactions to AIDS were dominated by fear when faced with the litany of unavoidable death and suffering, and anxiety at the defeat of medical salvation.
Key interventions to reduce D include early diagnosis through wide availability of testing and counseling, early antiretroviral treatment, patient support, treatment adherence, accessible and competent health services, and stigma reduction to encourage individuals to access testing and treatment. In mathematical modeling terms, the purpose of infectious disease control is to bring the reproductive rate Ro below one, as it results in the epidemic dying out, since over time less people are newly infected to replace those who died or are cured from the infection.
New wealth helped HIV soar in China, and also in Vietnam. AIDS is not always connected to poverty: it may relate to fast development, with its inequalities and loss of sexual cultural heritage. 2 Number of AIDS-related deaths by year and region, 1990–2012: (A) South, Southeast, and East Asia; (B) Europe and Central Asia; (C) Latin and North America; (D) Sub-Saharan Africa; (E) Caribbean. SOURCE: UNAIDS. India shows different features. In southern districts with an average of two million inhabitants, infection rates are low compared with Africa, but may affect 3 percent of the population.
AIDS Between Science and Politics by Peter Piot, Laurence Garey