God, AIDS, Africa & HOPE

Reflections / Gedanken

Using the term “HIV negative” as a substitution for “not being tested”

An attempt at a discrimination graphic.

An attempt at a discrimination graphic. (Photo credit: Wikipedia)

I recently came across an opinion piece from Preston Mitchum, a policy analyst for LGBT issues. He reflects on the question how people use the wording” HIV negative” almost as a hideout for not getting tested. But telling his own story about dating a person being HIV positive and rejecting him, he touches on the whole question of maturity and discrimination. We as church always emphasis not being judgmental and not discriminating against somebody being positive. I remember a talk in a Secondary School for girls here in Cape Town where I discussed with the students the question of stigma and discrimination in the context of HIV and AIDS. And being assured from all present that discrimination would never be an option for themselves, especially being students in a Catholic school,  I dared to ask who of them would have the courage to take a boyfriend who is HIV positive. There was silence and from more than 200 girls only one hand was raised.

I am convinced that we start tackling stigma and discrimination when starting to deal with our own fears, when we confront ourselves with all our hidden anxieties and when we are able to be honest about it looking into a mirror. The honest testimony of Preston might be helpful to reflect on our own standing when it comes to stigma and discrimination in our own midst.

Using ‘HIV-Negative’ as a Substitution for ‘Haven’t Been Tested’

by Preston Mitchum

A policy analyst for LGBT issues confronts his fears about HIV testing.

Filed under: Catholic Church, General, HIV and AIDS, HIV Prevention, HIV Treatment, Reflection, Religion and Ethics, Society and living environment, , , , , , , , , , , , , , ,

Mortality of people with HIV compared to non-infected peers

The eternal question of people being infected or just getting their positive test result is: How long do I have to live? Does it make sense to continue living as if there is a future ahead? HIV-positive people taking antiretroviral therapy who have an undetectable viral load and a CD4 cell count above 500 cells/mm3 have a mortality risk comparable to that seen in the general population, investigators report in the online edition of AIDS. Researchers looked at mortality rates among participants enrolled in two large, randomized controlled trials – the SMART and ESPRIT studies. “We identified no evidence for a raised risk of death compared with the general population in HIV-infected people on ART with an undetectable viral load, who maintained or had recovery of CD+ T-counts to at least 500 cells/mm3,” write the authors. There have been significant improvements in HIV treatment and care in recent years. Anti-retroviral therapy has become more powerful, less toxic and easier to take. Data from cohort studies suggests that people doing well on treatment – often defined as the maintenance of an undetectable viral load and a CD4 cell count above 500 cells/mm3 – have a life expectancy similar to that of age- and sex-matched HIV-negative individuals.
The whole article which was published via NAM’s aidsmap you can read here.

Filed under: HIV and AIDS, HIV Treatment, Medical and Research, , , , , , , , , , , , , , , , ,

More therapy = more unprotected sex?

Scenery around KLCC park at night

 KLCC park at night (Photo: Wikipedia)

There is the argument, that antiretroviral therapy seen as prevention could lead to more unprotected sex in the future. That, so argue the people following this line,  will jeopardize treatment success and discourage from using a condom or taking other measures of protection. On the 7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention in Kuala Lumpur a study was presented addressing the issue. The results are encouraging:  A meta-analysis has found no increase in risk taking in people who are
taking antiretroviral treatment, compared to other people with HIV. In
fact, people on treatment had less unprotected sex and fewer sexually
transmitted infections. For more on this topic please continue reading here.

Filed under: HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, , , , , , , , , , , , , , , , ,

HIV transmission and questions around it…

HIV Particle

HIV Particle (Photo credit: AJC1)

Even in a world where all information about HIV is out in the public there are still questions around transmission and viral load of people living with HIV. Especially when it comes to couples with one being positive and the other negative  these questions arise. In our South African context where there is a whole generation with many people being born and living with the virus, those questions are essential to be asked and answered properly.
Questions like:

* What is exactly viral load and how is it affected by HIV Treatment?
* What is a normal “viral load”?
* What does it mean to have an “undetectable” blood viral load?
* Is the viral load in the blood associated with a person’s risk of transmitting HIV?
* Does HIV treatment reduce the risk of sexual transmission of HIV?
* Is HIV transmission possible when the viral load in the blood is undetectable?
* What is the risk of HIV transmission when the blood viral load is undetectable?
* What does this all mean for people who want to use HIV treatment to prevent HIV transmission

The Body published an article from the Canadian AIDS Treatment Information Exchange Project on all these questions and it is worth reading for those interested. Click here to read the article.

Filed under: HIV and AIDS, HIV Prevention, HIV Treatment, Medical and Research, , , , , , , , , , , ,

How Cheap Drugs From India Fought Against HIV

The court victory again Novartis in India is essential for cheaper drugs available in developing countries.

 

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Do Monthly Bone Drugs Benefit You More Than Weekly MedsIn the mid-1990s in sub-Saharan Africa, HIV and AIDS were decimating the populace. Families, communities and workplaces were torn apart by these crippling and debilitating conditions and there didn’t seem to be any end in sight. At that time, HIV medicine cost a staggering $10,000 per person per year. And that world just seemed to accept that many people were priced out of treatment and there was nothing that could be done about that.

But that wasn’t the prevailing opinion for everyone and so changes were made. In fact, what really made the biggest different was the availability of quality, affordable, generic medicines that were being produced in India. There was a lot of competition between the producers and hardly anyone in India with the condition, and as such, the price dropped enormously. Today it costs around $100 for a year’s treatment.

For the large organisation Médecins Sans Frontières, around…

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Filed under: General, HIV Treatment, Medical and Research, Politics and Society, Reflection, , , , , , , ,

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