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Thursday, October 15, 2009

hiv rash


Measles, a viral infection characterized by a rash and malaise, can become a complicated case that involves meningitis (inflammation of the tissues surrounding the brain) or multi-organ involvement. Death can and does occur, luckily, no one has died of it in the United States. Still, about a quarter of a million children die from it in under-served parts of the world where vaccine and/or treatment for measles is not available.

You may be asking yourself what the big deal is about 131 cases in a country of over 300 million. The real answer is that 131 is likely an underestimate of the true number reported to the health departments all over the country. Other cases may go unrecognized. People who are immune-compromised or sick with other conditions may develop measles and not know it. They may die from it and not know it. Other than the rash, there are few other ways to recognize it beyond lab tests that may take too long or be to costly to perform. Also, because measles is so rare, few physicians may recognize it on symptoms alone.

The other reason why this is a big deal is that measles is perfectly vaccine preventable. In the United States of America, in 2008, there should be no cases of measles. Living for your faith and beliefs is one thing; dying because of them is another. The worst offenders in the non-vaccination campaign are misinformed individuals who, with all the evidence to the contrary in peer-reviewed study after peer-reviewed study, still believe that vaccines cause diseases like autism or auto-immune conditions. The truth to this is that they might cause something, but the overwhelming evidence is that they don't. So slacking on measles means that they have been slacking in other vaccines, and that's a scary proposition.

HIV/AIDS in Pakistan: the context and magnitude of an emerging threat


STUDY OBJECTIVE: The objectives of this review were to: (1) assess the nature and comprehensiveness of information regarding HIV/AIDS in Pakistan; (2) to evaluate the extent of HIV/AIDS in Pakistan by epidemiological estimates; (3) to indicate the implications of the results for health policy in Pakistan and other regions at a similar stage in the epidemic. DESIGN: A structured review of published, unpublished, and government literature was undertaken to collate all available information and present a descriptive epidemiological profile of HIV/AIDS in the country. SETTING: Pakistan, a developing country in the South Asian region. National and regional information and analysis are presented in so far as the data allowed. Sample sizes varied from 1.35 million people screened at the national level to smaller studies of fewer than 100 screened. RESULTS: Data pertaining to HIV/AIDS in Pakistan showed the best national estimates of HIV prevalence as 64 per 100,000 (0.064%). Within patients with sexually transmitted diseases the seroprevalence was as high as 6100 per 100,000 (6.1%); in men with extramarital contacts, 5400 per 100,000 (5.4%) and was as low as zero in some studied populations as well. The average age of onset was reported as 30 years. It is estimated that if all incident cases of AIDS were to die, there would be at least 5000 deaths annually attributable to HIV/AIDS. CONCLUSION: Coupled with the extremely low awareness of HIV/AIDS in Pakistan, as well as growing number of cases, the AIDS epidemic is poised to take a hold in Pakistan. The presence of additional risk factors such as unscreened blood, and low condom use rates make the situation fertile for AIDS to become a major public health issue. Pakistan's health policy must be proactive in tackling this emerging health threat.

Tuesday, September 22, 2009

skip to main | skip to sidebar HIV AIDS


Main article: Origin of AIDSAIDS was first reported June 5, 1981, when the U.S. Centers for Disease Control (CDC) recorded a cluster of Pneumocystis carinii pneumonia (now still classified as PCP but known to be caused by Pneumocystis jirovecii) in five homosexual men in Los Angeles.[138] In the beginning, the CDC did not have an official name for the disease, often referring to it by way of the diseases that were associated with it, for example, lymphadenopathy, the disease after which the discoverers of HIV originally named the virus.[70][71] They also used Kaposi's Sarcoma and Opportunistic Infections, the name by which a task force had been set up in 1981.[139] In the general press, the term GRID, which stood for Gay-related immune deficiency, had been coined.[140] The CDC, in search of a name, and looking at the infected communities coined “the 4H disease,” as it seemed to single out Haitians, homosexuals, hemophiliacs, and heroin users.[141] However, after determining that AIDS was not isolated to the homosexual community,[139] the term GRID became misleading and AIDS was introduced at a meeting in July 1982.[142] By September 1982 the CDC started using the name AIDS, and properly defined the illness.[143]A more controversial theory known as the OPV AIDS hypothesis suggests that the AIDS epidemic was inadvertently started in the late 1950s in the Belgian Congo by Hilary Koprowski's research into a poliomyelitis vaccine.[144][145] According to scientific consensus, this scenario is not supported by the available evidence.[146][147][148]A recent study states that HIV probably moved from Africa to Haiti and then entered the United States around 1969.[149

Why Aids is Worse in africa


Photo by Getty Images
By Anthony RuthPublished: May 22, 2007
As an economics student at Harvard, Emily Oster couldn’t figure out why no one in her field was working on HIV/AIDS—particularly what’s causing the epidemic in Africa—so she took up the topic herself. Now a research fellow at the Becker Center on Chicago Price Theory, she’s gottenAfricans are four to five times more likely to contract HIV from unprotected intercourse with an HIV-positive person. Oster attributes this to higher instances of bacterial and viral STDs in Africans—nearly half carry the herpes virus—which make them more susceptible to HIV.
Finally, Oster used death rates to estimate the prevalence of AIDS in the general African population. She found that the popular UN estimates of African AIDS cases, which are based on tests of pregnant women at prenatal clinics, are about three times too high. However, Oster says, the news is not as good as it sounds. “My study, which estimated changes in the infection rate over time, also drew a second, chilling conclusion: In Africa, HIV is spreading as quickly as ever.”
In addition to the December Esquire article, Oster’s research on AIDS was featured in a January New York Times story on the future of economics.

HIV/AIDS and Tumours


(1) Kaposi's Sarcoma

HIV/AIDS and Tumours (1) Kaposi's Sarcoma
Photo: Philippe Kestelyn

HIV/AIDS and the Eye Teaching Set 12/24

What If ... Your Lover Had HIV?


What if your significant other told you that they were infected with HIV or AIDS? What would you do? Would you stay in the relationship or would you leave? That is the question I've asked myself many times since learning that my best friend was infected by her fiancé.

She chose to stay for many reasons but the main reason she chose to stay was out of fear of loneliness. While I realize that many people remain in relationships for the wrong reasons, at some point you have to wonder if it's really worth it.

I want to share three stories with you about choices: The choice to stay; the choice to leave; and the choice not to reveal status.

Tia's Story: The choice to stay
Back in 1993 there wasn't enough information about HIV and AIDS for Tia to make an educated decision. At the request of her fiancé, she got tested. She tested positive but chose to stay even after she found out that they were in different stages of the virus. She battled with feelings of shame, fear, embarrassment and hopelessness.

AIDS affected couple weds in Karachi

Rubina Naz Weds Iqbal

This is the first time in history of Pakistan that two HIV/AIDS affected people have decided to marry and live a happy married life. Iqbal and Rubina Naz both are suffering with the deadly disease. Both bride and bridegroom are from Karachi.

Rubina’s first husband died 2 years ago with AIDS, while she was left behind suffering this deadly disease. Rubina has four children. Iqbal separated with his first wife four years back, he is also suffering from the same disease.

The families of both, Rubina and Iqbal, are happy on the couple’s decision of living a normal life. The newly wedded couple believes that their wedding will send a positive message to all those who are affected by HIV/AIDS. Rubina Naz is currently taking medical assistance from ARAA (Association for Rehabilitation of AIDS Affectees).

The wedding is being jointly financed by NGOs, Sindh AIDS Control Program and other Civil Society members. Their decision will prompt the people who are also suffering with this disease and will give them courage to face the life in a better way.

Predicting the Spread of AIDS


We use differential equations to predict the spread of diseases through a population. The growth of AIDS is an example that follows the curve of the logistic equation, derived from solving a differential equation. We will see how to solve differential equations later in this chapter.
The HIV Virus invades a white blood cell...Image source.
Populations usually grow in an exponential fashion at first:
However, populations do not continue to grow forever, because food, water and other resources get used up over time. Differential equations are used to predict populations of people, animals, bacteria and viruses that are being affected by external events.

HIV/AIDS: Central America, South America, & Caribbean


The AIDS crisis in Latin America takes many forms that vary from country to country. Governments and civil society have responded accordingly, some more effectively than others. While the region claims some of the world’s more daring strategies for treating AIDS and slowing its spread, AIDS advocates in the region also must contend with a culture of machismo that hinders vital public education efforts.
Nearly 140,000 Latin Americans were diagnosed with HIV in 2N005. About 1.6 million people are now believed to be living with the virus there. Throughout most of the region, the primary form of transmission is between men who have sex with men, although the disease has spread into the homosexual population as well.
Brazil and Cuba, despite their poor infrastructures and impoverished populations, have stabilized the spread of HIV and AIDS in their countries through health care programs that allow HIV-positive citizens to obtain treatment without calling attention to their status. The programs have significantly curbed those nations’ AIDS death rates and have even stabilized the disease’s spread. However, in order to protect new generations from falling victim to the epidemic, Brazil and Cuba must also reverse the stigma that forces many HIV and AIDS patients to hide their disease.

skip to main | skip to sidebar HIV AIDS


GENEVA: The World Health Organisation warned on Tuesday that progress in tackling tuberculosis was far too slow, as it doubled its estimate of the ravages the disease is causing among HIV/Aids patients.Some 9.27 million people contracted TB in 2007, an increase of about 30,000 over the previous year mainly in line with population growth, according to the WHO’s annual report on tuberculosis control.They included some 1.4 million people with HIV/Aids, compared to an estimated 600,000 in 2006 reported last year.More than one death in four — 456,000 of the 1.75 million tuberculosis deaths recorded in 2007 — is now thought to involve an HIV/Aids patient.‘These findings point to an urgent need to find, prevent and treat tuberculosis in people living with HIV and to test for HIV in all patients with TB in order to provide prevention, treatment and care,’ said WHO Director General Margaret Chan in a statement.However, the report reiterated that there were severe shortcomings in tackling tuberculosis and coordinated care for both diseases largely due to feeble heath care in the developing countries that are the hardest hit.Just one in seven HIV patients get vital preventive treatment for TB, said WHO HIV/Aids director Kevin De Cock.Overall, more than one third of tuberculosis cases are not diagnosed, leaving many out of reach of treatment and, crucially, increasing the risk of spreading the contagious disease, according to the UN health agency.While the overall rate of TB infection fell in three years to 139 cases per 100,000 people, the improvement was too slow, said Mario Raviglione, the agency’s anti-tuberculosis chief.’We are talking about less than one per cent per year, which will get us to potentially eliminate TB in a very distant future: we are talking centuries if not millenia in a way,’ he told journalists. The growth in the estimated impact on HIV/Aids patients was largely down to better data and understanding.’The revision is illustrative of the fact that people living with HIV have a risk of developing tuberculosis that’s 20 times greater than HIV negative people,’ said De Cock.Despite progress in testing TB patients for HIV in Africa, the combination of poor diagnosis, rising drug resistance and the evidence of the impact on highly vulnerable HIV/Aids patients have heightened alarm among health experts.Detection of the highly contagious disease has stagnated after a sharp improvement nine years ago, while the impact drug resistant strains of the TB bacteria has grown to infect an estimated 500,000 people.Just one per cent of them receive treatment and 150,000 of them die, according to the WHO, which regards resistance as the ‘achilles heel’ of the anti-TB drive.‘The scale-up of interventions to deal with multidrug TB is not at the pace we would like to see and is far from the targets that have been established,’ Raviglione said.Furthermore, 10 per cent of them were almost incurable extra-resistant strains (XDR-TB) that are now found in 55 countries.The WHO is gathering the 27 countries that account for 85 per cent of multidrug resistant cases of tuberculosis — including India, China, Russia, South Africa and Bangladesh - for a meeting in Beijing on April 1.‘You could be in middle of a drug resistant TB epidemic and not even know about it,’ De Cock pointed out.

HIV/AIDS


rimary author(s): Tom Potokar, Consultant Plastic Surgeon and Prakash Lohana, SHO in Plastic Surgery, Welsh Centre for Burns and Plastic Surgery, UK.

Latest version: March 2007

Burns


rimary author(s): Tom Potokar, Consultant Plastic Surgeon and Prakash Lohana, SHO in Plastic Surgery, Welsh Centre for Burns and Plastic Surgery, UK.

Latest version: March 2007