God, AIDS, Africa & HOPE

Reflections / Gedanken

21.09.2009 Stop pre-test counselling

After writing about the mandatory testing law to be introduced by our MEC of Health next year – at least that is his plan – I reflected more on it and I came to the conclusion, that mandatory testing indeed once again would medically stigmatize people.  Patients are entitled to refuse examinations and treatment options – and that also goes in my humble opinion for HIV and AIDS.  When I go to a doctor and he recommends a full blood test it is on me to say “yes” or “no” – if I am diagnosed with cancer it is on me whether I chose a treatment option or I let the cancer have its way without any further treatment. So I would suggest to include a HIV test into the normal full blood test, but with a clear “opt out” option.

And consequently  I would do away with the pre-test-counselling. I think it is rather a nice way of keeping thousands of people voluntarily or with low pay busy, but it once again segregates this virus. No one is counseled according to a book when he or she might have cancer or any other disease. It is done after a proper diagnose has been done – and that is how we should also treat the patient, who get’s a positive result.  I strongly believe that with all the – very often very unprofessional counseling – we scare people away and make the situation more complicated than it is necessary. Again, if somebody wants to have more information before a test – so it be like with every other test; but not more and not less. Let’s start to de-stigmatise HIV first in the medical field…

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

20.09.2009 Beyond the condoms…

Having written a blog entry about the criminalization of  HIV and seeing the response so far, I just realise that there are quite some moral and ethical issues we still have to deal with in the fields of HIV and AIDS. One is used to hear only about the condom story when talking about or talking with the Catholic Church, but there are more things coming to my mind:
– Equality of man and women
– Criminal Code and HIV
– Travel restrictions or travel ban and human rights
– Commencement and possible cessation of treatment
– Dealing of the Catholic Church (or any church) with their own clergy being positive
– Understanding of sexuality in the context of Europe, Africa and Asia as well as Latin America
– Abstinence only or diverse approach towards prevention work

I wish I could convince the German and the Southern African Bishops Conference to set up a study group on all these issues and surely a couple of more questions, which will come up in a brainstorming session. It would make such a difference.

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

22.08.2009 Notice of Events in September and October 2009

For those living and working in Germany the following events might be of interest:

03.09. / 04.09.
Munich

Allerheiligen Hofkirche  20h00 African voices    Benefice Concert of the Cape Town Opera  http://www.eventin.de   –  Hotline: 01805-570000

05.09.
Nuernberg

Staatstheater   20h00 African voices    Benefice Concert of the Cape Town Opera   http://www.staatstheater-nuernberg.de

30.10.
Dresden

Kongresscentrum 14h00 Symposium:  Ithemba – Hope for African Children living with the virus (German/English)
Info: viola.klein@saxsys.de
Participants: Premier of Saxonia, Mr. Tillich, Mayor of Dresden, Mrs. Orosz, Dr. Ulrich Heide (German Aids Foundation), Rev. Fr.Stefan Hippler (HOPE Cape Town),
Jochaim Franz (be your own hero e.V.), Bob Geldorf (Aid Africa) u.a.

31.10.
Dresden

Schauspielhaus  9h00 4th HOPE Gala
http://www.hopegala.de

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Association & Trust, Medical and Research, Politics and Society, Uncategorized, , , , , , , , , , , , , , , , , , ,

21.08.2009 – Homeopathy and HIV

Homeopathy not a cure, says WHO
People with conditions such as HIV, TB and malaria should not rely on homeopathic treatments, the World Health Organization has warned.

It was responding to calls from young researchers who fear the promotion of homeopathy in the developing world could put people’s lives at risk. The group Voice of Young Science Network has written to health ministers to set out the WHO view. However practitioners said there were areas where homeopathy could help. In a letter to the WHO in June, the medics from the UK and Africa said: “We are calling on the WHO to condemn the promotion of homeopathy for treating TB, infant diarrhoea, influenza, malaria and HIV. “Homeopathy does not protect people from, or treat, these diseases. Those of us working with the most rural and impoverished people of the world already struggle to deliver the medical help that is needed. When homeopathy stands in place of effective treatment, lives are lost.”

Dr Robert Hagan is a researcher in biomolecular science at the University of St Andrews and a member of Voice of Young Science Network, which is part of the charity Sense About Science campaigning for “evidence-based” care. He said: “We need governments around the world to recognise the dangers of promoting homeopathy for life-threatening illnesses. We hope that by raising awareness of the WHO’s position on homeopathy we will be supporting those people who are taking a stand against these potentially disastrous practices.”

Dr Mario Raviglione, director of the Stop TB department at the WHO, said: “Our evidence-based WHO TB treatment/management guidelines, as well as the International Standards of Tuberculosis Care do not recommend use of homeopathy.” The doctors had also complained that homeopathy was being promoted as a treatment for diarrhoea in children. But a spokesman for the WHO department of child and adolescent health and development said: “We have found no evidence to date that homeopathy would bring any benefit. “Homeopathy does not focus on the treatment and prevention of dehydration – in total contradiction with the scientific basis and our recommendations for the management of diarrhoea.”

Dr Nick Beeching, a specialist in infectious diseases at the Royal Liverpool University Hospital, said: “Infections such as malaria, HIV and tuberculosis all have a high mortality rate but can usually be controlled or cured by a variety of proven treatments, for which there is ample experience and scientific trial data.

“There is no objective evidence that homeopathy has any effect on these infections, and I think it is irresponsible for a healthcare worker to promote the use of homeopathy in place of proven treatment for any life-threatening illness.”

However Paula Ross, chief executive of the Society of Homeopaths, said it was right to raise concerns about promotion of homeopathy as a cure for TB, malaria or HIV and Aids. But she added: “This is just another poorly wrapped attempt to discredit homeopathy by Sense About Science. The irony is that in their efforts to promote evidence in medicine, they have failed to do their own homework. There is a strong and growing evidence base for homeopathy and most notably, this also includes childhood diarrhoea.”

The UK’s Faculty of Homeopathy added that there was also evidence homeopathy could help people with seasonal flu. Dr Sara Eames, president of the faculty, said people should not be deprived of effective conventional medicines for serious disease. But she added: “Millions die each year as those affected have no access to these drugs. “It therefore seems reasonable to consider what beneficial role homeopathy could play. What is needed is further research and investment into homeopathy.”

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/8211925.stm

Published: 2009/08/20 23:04:55 GMT

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

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