WOMEN AND AIDS
In 1982, when women were
diagnosed with AIDS, it was thought that they must have been infected through
intravenous drug use. Soon, it was realized that women could become infected
through normal sexual intercourse and that they are at special risk of
contracting HIV.
Worldwide, women now make up 50
percent of adults living with HIV/AIDS. “The epidemic disproportionately
affects women and adolescent girls who are socially, culturally, biologically
and economically more vulnerable, and who shoulder the burden of caring for the
sick and dying,” reports UNAIDS.
Why is the growth of the disease
among women a special concern to AIDS workers? HIV-infected women often face
more discrimination than men, especially in some developing lands. If a woman
is pregnant, the health of her child is endangered; if she already has
children, caring for them becomes a challenge, particularly for a single
mother. Further, comparatively little is known about the unique characteristics
of HIV-infected women and their clinical care.
Certain cultural factors make the
situation especially dangerous for women. In many countries women are not
expected to discuss sexuality, and they risk abuse if they refuse sex. The men
commonly have many sexual partners and unknowingly transmit HIV to them.
Some African men have sexual
relations with younger women to avoid HIV or in the false belief that sex with
virgins can cure AIDS. No wonder WHO state: “INTERVENTIONS MUST BE AIMED AT MEN
(as well as women) if women are to be protected.”
4 AMAZING ASSUMPTIONS ABOUT HIV/AIDS
In a healthy person, helper T
cells stimulate or activate the immune system to attack infections. HIV
particularly targets these helper T cells. It uses the cells to replicate
itself, weakening and destroying helper T cells until the immune system is seriously
compromised. Antiretroviral drugs [ARVs] disrupt this replication process.
1. HIV-INFECTED
PEOPLE LOOK SICK: On average, it takes about 10 to 12 years for someone
infected with HIV to develop AIDS,” says Dr. Gerald J. Stine. During this time,
the HIV-infected will show few if any recognizable symptoms, but they are able
to infect other people.
2. AIDS
IS A HOMOSEXUAL DISEASE. In the early 1980’s, AIDS was initially identified as
a homosexual disease. Today, however, heterosexual intercourse is the primary
mode of HIV transmission in much of the world.
3. ORAL
SEX IS “SAFE SEX.” According to the Centers for Disease Control and Prevention,
“numerous studies have demonstrated that oral sex can result in the
transmission of HIV and other sexually transmitted diseases.” The risk of HIV
transmission through oral sex is not as high as through other sexual practices.
Nevertheless, the practice has become so prevalent that some doctors expect it
to become a significant route for transmitting HIV.
4. THERE
IS A CURE FOR AIDS. Although antiretroviral therapy can, in some patients, slow
the progression from HIV to AIDS, there is currently NO VACCINE or CURE
OTHER OBSTACLES
Even if enough ARVs were supplied
to developing lands, other obstacles would have to be overcome. Some drugs need
to be taken with food and clean water, but hundreds of thousands of people in
some land can eat only every other day.
ARVs (often 20 or more pills
daily) need to be taken at a certain time each day, but many patients do not
own a timepiece. Drug combinations need to be adjusted according to a patient’s
condition. But there is a critical shortage of physicians in many lands.
Clearly, providing ARV therapy to developing countries will be a difficult
hurdle to surmount.
Even patients in developed lands
face challenges in using combination therapy. Research reveals that failure to
take all prescribed drugs at scheduled times is alarmingly common. This may
lead to drug resistance. Such drug-resistant strains of HIV can be transmitted
to others.
Dr. Stine points to another
challenge faced by HIV patients. “The paradox of HIV treatment,” he says, “is
that sometimes the cure feels worse than the disease, especially when treatment
begins before symptoms arise.”
HIV patients on ARVs commonly
suffer from side effects including DIABETES, FAT REDISTRIBUTION, HIGH
CHOLESTEROL, and DECREASED BONE density. Some side effects are
life-threatening.
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