God, AIDS, Africa & HOPE

Reflections / Gedanken

08.02.2010 Monday blues again…

Monday morning starts off with two doctors interested in the HOPE Cape Town project. Somehow an interesting dialogue between European and African thinking. For me amazing to see how people really try to get a grips on the HIV pandemic in Southern Africa and develop ideas how to minimise the transmission rate. Obviously also the stance of the Catholic Church is part of the discussion.

Thereafter a TV request and discussion with the producer what is possible on short notice. It is sometimes difficult to judge and see how we can get the legitimate request for information together with what we can render on possibilities to fulfill such requests. In the moment, lots of TV teams are searching for motives, interviews and stories around the soccer world cup 2010… People in South Africa are generally more sensitive about cameras in townships and I can understand it. For too long, townships have been used and sometimes abused to produce, what was requested, without really respecting the dignity of the people. Times have changed and I think it is good that they have changed.

CCMA next, the center for conciliation and arbitration has scheduled a meeting to discuss a case of dismissal, I have been involved with. Also here it is sometimes not easy to find a balance between the very different standpoints of view of the employee and the employer. But after an informal discussion a solution is found and the more legal ways avoided. I am quite relieved about it.

Then office work, emails – I think I did write about them a couple of days earlier – to answer takes time, a request for an interview tomorrow regarding Nelson Mandela and his release from prison has to be prepared, some phone calls and then it is time for a home visit with house mass. A good tradition to bring some families together to celebrate the Eucharist in their home and then to stay together for a decent meal and lots of chat and discussion. It is good to touch again the lives of people, talk about families, their joys and hard times, about any topic just coming up. I always find a house mass very intense as people are more participating, are more part of the celebration.

The evening ends with some preparation for tomorrow, some last emails to answer and reading the latest news on the internet.

Filed under: HIV and AIDS, HOPE Cape Town Association & Trust, Medical and Research, Reflection, Society and living environment, , , , , , , , , , , ,

27.10.2009 In between in Europe…

Press Release European Commission:

A strategy for combating HIV/AIDS in the EU and neighbouring countries 2009-2013

Today, the Commission has renewed its efforts to fight HIV/AIDS in the EU and neighbouring countries by adopting a strategy for the period 2009-2013. Effective HIV treatment exists but there is still no cure or vaccine against AIDS. The number of people living with HIV/AIDS in the EU and neighbouring countries has increased from 1.5 million in 2001 to 2.2 million in 2007. Approximately 730,000 of these people live in the EU. With 50 000 newly diagnosed HIV cases in the EU and the neighbouring countries alone in 2007, there is no time for complacency. Disparities exist between the numbers of HIV cases and the different modes of transmission across Europe. The strategy tackles these differences by concentrating on 3 key areas: HIV prevention and HIV testing, priority groups most at risk of HIV and priority regions. The strategy is accompanied by an action plan which illustrates concrete steps, target groups and evaluation tools that can be used to measure progress.

EU Health Commissioner Androulla Vassiliou said “We need to continue the political momentum in the fight against HIV/AIDS. We need to encourage people to take responsibility for themselves and their partners by talking about and practicing safe sex and going for HIV testing. However, this needs to go hand in hand with the respect for the human rights and non discrimination of people living with HIV/AIDS. We have treatment options today that can delay the outbreak of AIDS for many years”.

Objectives

The overall objectives of this Strategy are: (i) to reduce new HIV infections across all European countries by 2013, (ii) to improve access to prevention, treatment, care and support and (iii) to improve the quality of life of people living with, affected by or most vulnerable to HIV/AIDS in the European Union and neighbouring countries.

The strategy calls on all key actors including national authorities and NGOs to work on:

  • improving information for all, especially targeting young people who have missed the successful HIV communication campaigns in the past
  • addressing migrants from countries with a high prevalence of HIV to make them knowledgeable on preventing transmission, HIV testing and treatment options
  • improving policies targeting, in particular, the populations most at risk, emphasising human rights, and addressing discrimination and stigma associated to HIV/AIDS

Priority regions

HIV infections are particularly high in the neighbouring countries of the Union. Exchange of good practices on prevention, testing, treatment and care between countries is important. This is especially beneficial in times of budget constraints. The cooperation and know how transfer of doctors, nurses and public health experts as well as the sharing of quality data will help colleagues in neighbouring countries to improve evidence based prevention, state of the art testing and treatment services, and to improve surveillance. Such joint efforts will reduce new infections and improve the life of people living with HIV/AIDS and underline the value of good cooperation between neighbours.

Priority groups: most at risk populations

The strategy reiterates the fact that the biggest impact on the epidemic can be achieved when the situation of the most at risk populations is efficiently addressed. The major at risk populations in Europe are men having sex with men, accounting for about 40% of all new infections in the EU, migrants from high prevalence areas, and injecting drug users, with a share of up to 70% of all new infections in EU neighbouring countries. Tailor-made approaches to reach these groups are essential towards containing the epidemic in Europe.

Early testing and timely access to treatment save lives

Of particular concern is the high number of persons who are not aware of their infection. About 30% of people in the EU and up to 70% of people in several neighbouring countries do not know their HIV status. This presents a serious concern for policy makers. Late diagnosis usually leads to late treatment and hence to a reduced life expectancy, a lower quality of life and to an increased danger of transmitting the virus to partners.

Background

The European Commission is involved in the fight against AIDS at European and Global levels. The first strategy on combating HIV/AIDS in the EU and neighbouring countries, adopted in 2005 laid the foundations for today’s updated strategy. A number of key achievements relate to a stronger political commitment, involvement of civil society at European level, the operational centralisation of HIV/AIDS surveillance by the European Centre for Disease Control and Prevention (ECDC), efforts to facilitate access to affordable antiretroviral medicines, funding of prevention projects and programmes, investments in research, and a close cooperation between partners.

More information:

http://ec.europa.eu/health/ph_threats/com/aids/aids_en.htm

http://ec.europa.eu/health-eu/health_problems/hiv-aids/index_en.htm

MEMO/09/479

Filed under: HIV and AIDS, HIV Prevention, Politics and Society, , ,

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, , , , , , , , , , , , , , , , , ,

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