AIDS is a
sexually transmitted disease caused by the Human Immunodeficiency Virus (HIV). Globally, December 1st is marked as the World AIDS Day and the theme has been "Getting to zero" since 2011, aimed at zero new cases, zero
intolerance and zero AIDS-related death.
- 2.1 million people live with HIV
- 0.3% HIV prevalence among adults
- 130,000 new cases of HIV
- 130,000 AIDS-related death
- 36% adults on ART
- 103,700 people live with HIV
- 0.19% HIV prevalence among adults
- 6151 new cases of HIV
- 613 AIDS-related death
- 91% adults on ART
In the current
medical scenario where large strides in research are forcing numbers to decline,
the stigma and discrimination associated with HIV-positive
patients need to be highlighted. Alienation of patients and apathy is extremely
high, forcing nations like South Africa to focus the
overall theme on zero intolerance and discrimination.
The World AIDS Day
: The world AIDS day is
celebrated to highlight certain key factors which will aid in better control,
and treatment strategies. Specifying themes for World AIDS Day helps
a HIV-Positive Person not be Feared?
- Focus on critical issues
- Bringing awareness to key issues
- Holding meetings and rallies to encourage open discussions
- Reaching out to people who may be in need of support
- Involving the general public in control
- Removing stigma associated with the disease to encourage greater acceptability and support from caregivers
- Breaking inhibitions about seeking preventive measures like condoms
- Allocating requisite funds into research for newer drugs
Initially, when HIV and AIDS
were first detected there was little knowledge about the disease and there was no effective medical interventions that could limit symptoms, leading to extreme fear and isolation of the affected individual. Now, with greater medical advancements, there is better care and preventive strategies.
have found that the spread of AIDS is not limited to unprotected sex with
multiple partners but could also be due to mother-child transmission
, accidental contamination from bodily fluids like blood and breast milk, re-using syringes and via blood
. A person will not be infected by kissing a person with HIV or shaking hands, deeming it unnecessary to stay away from people with AIDS or to avoid complete physical contact.
of the Theme "Getting to Zero" thus far
Zero" has rallied a lot of focus on bringing numbers down to zero and tolerance
levels to zero. These are the statistics after active control and preventive
strategies have been implemented.
Susceptible Population in India
- 15 million people are accessing life-saving
- New HIV infections reduced by 35% since 2010
- AIDS-related death reduced by 42% since
- 19% decline in new HIV cases in India
- 38% decrease in AIDS-related death in
individual is at a risk of exposure, there are certain populations which are at
a higher risk and amongst whom there is increased prevalence of HIV infection.
- Sex workers: The total number of female sex workers in India is found to be 868,000, out of which 2.68 % are affected with HIV. The incidence of HIV among states like Tamilnadu, Maharashtra, Andhra Pradesh and Karnataka is higher at an average of 14%. The prevention strategies employed by the
Government have enabled medical care to nearly 86% of them.
- Men who have sex with men: 4.4% of men who have sex with men
have HIV in India but nearly 70% of them have access to care
- Transgenders or Hijras: 8.8% of transgenders in India are
living with HIV and the numbers fail to decline due to stigma associated
with being a transgender as well as the stigma associated with AIDS
- Truck Drivers: Truck drivers constitute
33% of the clientele of sex workers as they are
far away from family for long periods.
The incidence of
HIV amongst sex workers and men who have sex with men has been declining
through concerted efforts by the Government, however, HIV cases among
transgenders and truck drivers continue to remain
Fast Track Approach to End AIDS Epidemic by 2030
There is an
increased urgency to end the AIDS epidemic and a fast track approach is being
mobilized by The United Nations to end the suffering of millions across the
world. This fast track approach aims at ending the AIDS epidemic by 2030, with
India and South Africa
increasing efforts, which would mean that no new cases should be reported at the end of 5 years from now.
aims at -
What Are The Current Advancements in HIV/AIDS Treatment?Lifespan
- Forging new partnerships with organizations across the world in
the fight against AIDS
- Involving local support and leadership which will help in
continuous monitoring and accountability
- Identifying populations and communities that require maximum
- Increasing funds for research into discovering better drugs
- Utilizing the research data to help the needy
- Ensuring that everyone has access to medical care
: Current antiretroviral therapy
(ART) ensures that the life span of a person infected with AIDS is not reduced in most instances. The HIV load is reduced considerably but susceptibility to other infections like TB still exist.
When a person is unaffected, but the risk
of exposure is high, then pre-exposure prophylaxis (PrEP) is a medicine that
should be consumed every day. PrEP should be used along with other preventive strategies like
the use of condoms
. The risk of getting HIV is 92% lower for an individual who takes PrEP.
When there has been a possible
exposure like for a health worker or after unprotected sex, post-exposure prophylaxis HIV medicine should be consumed within 3 days
after exposure to reduce chances of getting AIDS. The use of PEP reduced chances of HIV infection by 81%.
In a study
conducted in the UK, it has been found that the use of
ART among pregnant mothers reduced the chances of transmitting the infection to
their babies to 1%.
There is no AIDS vaccine or a cure for HIV. Therefore,
prevention is the only way to stop its spread.
condoms and involve in safe sex practices.
sure you test for HIV at least once a year.
stigma associated with HIV- positive person
test for pregnant women is mandatory
clean syringes and discard them immediately after use
safe blood transfusions
risk patients can use the combination drug Truvada
transparent with your sexual partners. Let them know if you have HIV.
you are HIV-positive, make sure you undergo antiretroviral treatment
positive mothers should not involve in breastfeeding to reduce the risk of
treatment must be given for the HIV-positive mother during and after
pregnancy. The baby should also be given treatment.
- Sex education for youngsters is mandatory
- Spread awareness on AIDS in your community
- Educate young adults on safe sex practices and effects of sharing needles and harmful drugs.
- Organize AIDS awareness camps and teach people about the current HIV treatments available such as ART, PrEP and PEP.