Tuesday, March 4, 2014

Teens With HIV Give Insight into Epidemic in Africa

    During the 1990s, thousands of babies were born HIV positive in the African country of Zimbabwe. Their parents were also infected with the virus and could not receive treatment because antiretroviral drugs were so expensive then.  HIV is the virus that causes AIDS and is deadly if untreated. So, it was surprising when Dr. Rashida Ferrand went to the country to study the HIV epidemic there and discovered that a handful of these babies, now in their teens, were alive. How they stayed alive with the virus for all these years is unknown, since most die after five years without treatment. Their lives have not been without hardship. Most have developed heart and lung defects, thanks to untreated HIV, and many have received little to no education because their parents had died from AIDS.

Zimbabwe; home of the current HIV epidemic http://www.worldatlas.com/webimage/countrys/africa/zwaf.gif


  
    Dr. Rashida Ferrand’s discovery has also lead to another startling finding; four out of five teens in Zimbabwe who have HIV do not know they even have the disease. This is mainly attributed to the social stigma associated with HIV/AIDS in Africa. Parents do not have their children tested because they are afraid, as one health worker describes, “They fear that if the child is disclosed to, he will go about in the streets or at school telling others and other relatives that don't know that the parents are positive they will be stigmatized or discriminated against as a family." This could possibly be what is leading to the shocking rate of HIV in Zimbabwe and other Sub-Saharan countries, which account for about 69% of the disease in the world. And, unfortunately, the children who are not tested can never be treated with antiretroviral drugs, which are now inexpensive and easily obtained in health clinics around the world. The World Health Organization is now pushing for a new campaign, making HIV testing available to teens around the world, citing it as an issue of children’s rights.

Antiretroviral drugs are the inexpensive treatment for HIV  http://www.wired.com/images_blogs/wiredscience/2010/11/PillsSpilledShadowy_1.jpg

 
     This article reminded me of the smallpox inoculation debate in colonial Boston. During that time, people argued about whether smallpox inoculation should be accepted, since many believed that it went against God. People concluded from this that it is a person’s own right to choose for themselves what they wanted to do with their health. But clearly the debate goes on today in Africa as parents refuse to get their children tested, even though it’s the children who suffer from this choice, not the parents.  
  
     I completely agree with the World Health Organizations standing on this issue. Children, especially teens, should have access for HIV testing. Especially because HIV is so treatable, and most deaths caused by this disease and AIDS could have been prevented. It angers me that petty social fears are getting in the way of treatment for so many.

    Original article: “HIV Teens Survived Against the Odds” by Deborah Cohen, published March 1st 2014 in BBC News’ Health Section. http://www.bbc.com/news/health-26382673 

4 comments:

  1. I definitely agree that everyone has the right to be tested, even if families don't want their children tested. It is a right to be healthy and receive treatment, and social fear truly should not get in the way of this. I think with the huge numbers of people with HIV in Africa, it is becoming increasingly important to test people so they can get the help they need. Parents should not force their children to suffer because of social circumstances.

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  2. It makes me sad that so many people aren't getting treatment because they don't know they have HIV because they refuse to get tested. Unfortunately there is a lot of negativity behind HIV and AIDS and I think that is in part because people relate HIV to drug abuse and promiscuity, which is not always the case. I think if society as a whole could change the way they look at HIV and AIDS as just another life threatening disease then more people would get tested and get the treatment they need and deserve.

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  3. Jackie, this was really, really well written and really held my attention. It really saddens me and also enrages me that these poor children are prevented from getting the treatment they deserve. I believe that if the children do want to be tested they should be able to without their parents permission because it truly is a life or death matter, especially as the disease persists. Your connection to our Epi. D. class was really good and I totally agree with you on it.

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  4. Great article find Jackie! I agree with Amy, when she states the sadness when hearing about how many deaths are happening in Africa because of HIV and AIDS. This puts into perspective that even though these diseases are treatable with the right medication and treatment many simply cannot afford or get to these treatments. This questions whether or not treatments for preventable diseases should be available to all regardless if they can pay for it or not. Since these diseases have a cure isn't is a little stupid to let people die because they can't afford treatment? Shouldn't the goal be to treat as many people instead of making money?

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