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The update cautions that prevention programs often fail to target the populations that are most at risk. Specifically, stigma and local laws prevent many countries from tailoring prevention outreach to highly vulnerable groups like injecting drug users, men who have sex with men, commercial sex workers, and longterm couples in which only one partner is infected. And the sobering bottom line is that five people continue to be infected for every two who start treatment with anti-HIV drugs.
De Lay noted that prevention efforts similarly have had difficulty keeping up with the changing dynamics of epidemics in different locales. Asia, for example, once had an epidemic driven mainly by sex work and injecting drug use, but heterosexual sex in China and Indonesia, each of which has enormous populations, now has become a major mode of transmission. “The epidemic is in transition,” said De Lay. “HIV prevention programs are often not evolved to recognize the changing transmission dynamics.”
The report, released by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organisation highlights that beyond the peak and natural course of the epidemic, the HIV prevention programmes are making a difference.
Making a special mention of the Avahan India AIDS Initiative – launched by the Bill and Melinda Gates Foundation, with the ownership now being transitioned to the government – the report says that it has dramatically expanded prevention services for sex workers in the States with high HIV prevalence.
Female sex workers
Due to the efforts of the National Aids Control Organisation (NACO) and the Avahan, prevention services reached more than 80 per cent of female sex workers in four heavily affected States. As prevention services for sex workers had been brought to scale in high prevalence areas of India, reported condom use during sex work is increasing and the prevalence of curable sexually transmitted infections is on the decline, the report says.
See the full article from “The Hindu”
The report notes an evolution in the epidemic in Asia, with the epidemic steadily expanding into lower risk populations through transmission to the sexual partners of those who are most at risk (injecting drug users, sex workers and their clients, and men who have sex with men). Bangladesh is noted as transitioning from a low-level epidemic to a concentrated epidemic among injecting drug users.
Eastern Europe and Central Asia is the only region where HIV prevalence is thought to remain on the rise (a 66% rise from 2001). Ukraine and the Russian Federation are experiencing especially severe and growing national epidemics.
While injecting drug use remains the primary route of transmission in this region, in many countries, drug users frequently engage in sex work and transmit to other sexual partners. Access to antiretroviral therapy tends to be low, especially for injecting drug users.
See the full article from “Aidsmap”
… The continuing rise in the population of people living with HIV reflects the combined effects of continued high rates of new HIV infections and the beneficial impact of antiretroviral therapy,” said UNAIDS in its annual report.
Sub-Saharan Africa remains the most affected region, as it is home to 67 percent — 22.4 million — of those currently living with the human immunodeficiency virus.
In South and South-east Asia, 3.8 million people are now living with the infection, added UNAIDS.
The comparative figure for Eastern Europe and Central Asia is 1.5 million.
UNAIDS observed that in these regions, the epidemic was “experiencing significant transitions.”
While Asia’s epidemic was once concentrated among risk groups such as sex worker, drug users and homosexuals, it is now “steadily expanding into low-risk populations to the sexual partners of those most at risk.”
See the full article from “ABS CBN News”
… During my roughly 2-hour trip from Sacramento to Oakland, I made sure to get into what I call an “Oakland frame-of-mind.” Before splitting town, I went into the old CD case and busted-out some of the mid-90’s hip-hop discs that I acquired in high school. I lead off with Too Short’s “Get in Where U Fit in”, followed by Richie Rich’s “Seasoned Veteran.” After going coast-to-coast through my 3rd CD of choice, may I please say: Book 1 of Tupac’s “All Eyez on Me” is still the greatest hip-hop album in the history of music (and Book 2 ain’t so bad either).
- Any time I’ve attended a sporting event in OakTown, the attire of many of the fans has been quite the eye-opener. Right when I pulled in to the lot at Oracle Arena and parked the MDX, and older gentleman wearing a crayon-red pimp suit (with matching top-hat) and a diamond-encrusted medallion walked by me to the left – with two barely-clothed beauties on each side of him. Across the lot was another man wearing a similar suit, but he went with the lime-green ensemble. Needless to say, I immediately regretted not wearing my purple 3-piece.
See the full article from “411mania.com”
Although studies have not found high levels of infection among the regions prostitutes, HIV prevalence among sex workers in Djibouti is recorded to be as high as 26 per cent while estimates of the infection rate in Yemen range up to seven per cent.
The report highlights progress in Egypt in undertaking biobehavioural studies of street children, women sex workers, men who have sex with men and injecting drug users, providing among the most comprehensive data on infection rates in the region. A 2006 study showed 6.4 per cent of high-risk men and 14.8 per cent of high-risk women were HIV-infected.Data remain extremely scarce in the oil-rich Gulf, where the only cited study for Saudi Arabia dates back to 2004 and revealed that 90 per cent of men who acquired Aids through heterosexual sex in the kingdom were infected during intercourse with a woman prostitute.
Studies on the impact of migration on HIV rates are likely to be particularly pertinent to the Gulf, with researchers warning that the many S …
See the full article from “National”
According to the Chinese government, the number of people confirmed to be living with HIV was 319,877 at the end of last month, up from 135,630 in 2005. Most experts view those numbers as suspiciously low, however, for the world’s most populous country. In large part, that is because the groups most at risk are highly stigmatized in China and at risk of imprisonment or harsher penalties, so it is difficult to get accurate numbers.
A similar situation occurs in the Middle East and North Africa, according to Dr. Paul De Lay, a deputy executive director of UNAIDS. “Even in sub-Saharan Africa, we still have a dearth of information about high-risk groups,” he said.
As in China, the AIDS epidemic is changing in Eastern Europe and Central Asia. Where it once was characterized chiefly by drug abuse and prostitution, it is now spreading into the general population. AIDS prevention programs in those regions are not shifting as rapidly, and are still focused on high-risk groups.
… Viet Nam has had some great results in the fight against
HIV/AIDS, with participation from the countrys 26 ministries and agencies,”
Trong said.
Beagle said that Viet Nam had successfully managed to contain
and shrink the spread of HIV/AIDS among drug addicts while improving knowledge
among the population about HIV/AIDS to minimise discrimination against those
living with the disease.
She affirmed that UNAIDS would continue giving support to Viet
Nam to mobilise the joint strength of domestic and international human resources
to the fight against HIV/AIDS.
She informed Trong that a Vietnamese representative was invited
to sit on the UNAIDS programme co-ordinating board.
Also in Ha Noi yesterday, the National Committee on HIV, Drugs,
Prostitute Prevention and Control held the launch of the Viet Nam National
Network of People Living with HIV (VNP+).
Latest UNAIDS figures released Tuesday show that women still account for about half of all infections of the almost quarter million HIV/AIDS cases in the Caribbean. AIDS-related illnesses were the fourth leading cause of death among Caribbean women.
And HIV prevalence is especially high among young women, says UNAIDS researchers. This may be due in part to still risky behavior on the part of some younger people. For instance, according to a 2004 national behavioral survey in Jamaica, nearly half (48 percent) of young men (aged 15–24) and 15% of young women had more than one sexual partner in the previous 12 months
In Haiti alone, HIV prevalence among pregnant women in 2006–2007 ranged from 0.8 percent in the western part of the country to 11.8 percent in one urban setting.
Overall, HIV/AIDS claimed 12, 000 lives alone last year, in a region where sex between a man and a woman, often tied to prostitution, remains the main driver of HIV transmission in the region.
I quit the adult business after entering into rehab for sex addiction. My intentions when entering were not recovery oriented, in fact, I planned on using ‘Sex Rehab with Dr. Drew’ as a springboard, hoping the national coverage would rocket my porn-star persona and career, knowing full well the implications. A porn star that goes to rehab for sex addiction? Isn’t she just a workaholic? It took three days of the mic guy chasing me around, calling me Jennie, for me to realize that I’ve spent my entire adult life developing the identity of a woman I am not. A woman that exists for the sole purpose of others’ enjoyment. I realized I have no identity as Jennie Ketcham and that I am incapable of developing sincere and intimate relationships. I don’t blame this problem on being in pornography, it was something I’ve struggled with for a long time, but to continue as an adult performer would just perpetuate the issues. I quit because I wanted an identity outside of being a porn star. I wanted to be Jennie again.
