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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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anybody who can help - 20-01-2006, 12:35 AM

Hey everyone there,,,,i with my friends here in sunwal are going to organise a programme on the occasion of MARTEYERS DAY "a Public Awareness Programme regarding HIV-AIDS ?(
so would anybody help me on the following topics

1 What may be the important topics that should/must be included in a Public Awareness Programme regarding HIV-AIDS ?(please give in the paoints as far as possible)

2 What are the most important socioeconomic factors which are generally neglected but are up regulating the transmission /spread of HIV/AIDS in a community?

3 Can AIDS (state of acquired immune deficiency state) be due to other causes than HIV infection?

4 HIV is not transmitted by the needles of mosquito but by the needles of I/V drug abusers, why???

5.It is always said in many programmes related with HIV/AIDS awareness that HIV/AIDS is not transmitted by general body contact like
Shaking hands
Kissing
Taking food on the same plate,
It is known that most(I don’t know what % of the total hiv infected) of the HIV +ve pt also get Hepatitis B infection and Hepatitis B is transmitted by general/bodily contact like
Shaking hands
Kissing
Taking food on the same plate,
So aren’t they saying wrong things? Isn’t there any risk of getting Hepatitis B infection by the infected HIV/AIDS people? On what ground we can say like that ?

6. If I think that I’ve exposed to the possible HIV infecting source just 4 months ago and I want to get my blood tested for HIV infection, in that condition
Where?
Who?
By taking how much money? Would check my blood for the HIV infection?

7. Is there any institution /place where one can get his blood tested for HIV infection without any cost?

8. What are the relevant tests available in Nepal regarding HIV infection?
9. Is there any picture that can be shown to a Public Awareness Programme regarding HIV-AIDS so that they can have a good knowledge by seeing that picture/relevant picture(any)?


thanking you
sp rimal
kmc, 8th batch
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20-01-2006, 02:30 AM

Dear Rimal
You are doing a great job. I wish you my best of luck for your endavour. Most of your questions are very genuine and might be asked by the audiance when you talk about HIV/AIDS prevention. I believe that the following link would be very beneficial to you:Since your related to the prevention aspect go though this links:


CDC's Role In HIV PreventionCoinfection: HIV and Other Diseases Prevention of HIV/AIDSSurveillanceTransmission VirologySome of the things whic you need to know are:

FREQUENTLY ASKED QUESTIONS ABOUT HIV/AIDS source


What is AIDS?

AIDS stands for Acquired Immune Deficiency Syndrome and is caused by a virus known as the Human Immunodeficiency Virus or HIV.


What is HIV?

This is the Human immunodeficiency Virus responsible for the infection. It is extremely small and can only survive and multiply within living cells at the expense of these cells.


Which Body Fluids contain HIV?
  • Blood and Blood Products.
  • Semen and possibly pre-seminal fluid
  • Vaginal and Cervical Secretions
  • Breast Milk
How is HIV Transmitted?

The main route of HIV transmission is through:
  • Unprotected sexual contact with an infected person
  • By Sharing needles with an infected person and
  • From an infected mother to child during pregnancy, during birth or shortly after birth while breast-feeding.
For HIV transmission to occur the following criteria must be met:
  1. HIV must be present
  2. There must be sufficient quantity of HIV present
  3. It must go into the bloodstream.
Who is at Risk?

You are at high risk:
  • If you have sex without condoms
  • If you have many sex partners and do not use condoms
  • If your sex partner (s) has/have sex with other persons without using condoms
  • If you have shared unsterilised needles for intravenous drug use.
Will a condom protect me from getting HIV and the AIDS virus?

Used correctly, a condom will protect you from contracting HIV.

A condom and Femidon are two barriers available to prevent the transmission of HIV and other sexually transmitted infections, during sexual intercourse.

Abstinence provides you with the most protection.


Is deep kissing a route of HIV transmission?

Deep or open-mouthed kissing is a very low risk activity in terms of HIV transmission.

There has been only one documented case of someone becoming infected with HIV through kissing; a result of exposure to infected blood through open mouthed kissing.

If you or your partner has open wounds in your mouth, you should avoid kissing until the wound has healed.


Can I become infected with HIV through normal social contact or activities such as shaking hands, kissing, using toilet seats and swimming pools, sharing cutlery, or exposure to sneezes and coughs?

No. This is because HIV is not an air-borne, water – borne or food-borne virus.

Therefore ordinary social contact such as cheek kissing, shaking hands, coughing and sharing cutlery does not result in the virus being passed from one person to another.


How can you determine if someone has HIV?

The only way to ascertain if you are infected with HIV is to have a test for HIV.


How long can HIV survive outside the human body?

Generally the fragile nature of the virus prevents it from surviving for a substantial amount of time in the open air. The length of time HIV can survive outside the body is dependent on the amount of HIV present in the body fluid and the conditions the fluid might be subjected to.

Note that HIV is fragile and many common substances such as hot liquid, soap, bleach, alcohol, and the gastric juices found within your stomach can destroy the virus.

The studies on the survival of HIV outside the body have been conducted in the laboratory under controlled scientific conditions. These studies found HIV to be inactivated by heat.

Is there a risk of HIV transmission when having a tattoo, during body piercing or while visiting the barber or hairdresser?

When visiting the barber there is no risk of infection unless the skin is cut (which may occur if the barber accidentally cuts you) and if there is a transfer of infected blood.

If the instruments are contaminated with infected blood and are not sterilised between clients there is a risk of HIV transmission.

To reduce the risk of blood-borne infections such as hepatitis and HIV ensure that the razor / instruments used are new or have been properly sterilised.

However, people who carry out body piercing, tattoos, or hairdressing should follow procedures called “universal precautions”, which are designed to prevent the transmission of blood-borne infections such as HIV and hepatitis B.


What are Universal Precautions?

These are a set of guidelines that were designed to protect both workers and their customers from HIV and other blood-borne illnesses such as hepatitis.

The guidelines state that any instrument designed to penetrate the skin as tattoo or acupuncture needled either should be used only once and discarded, or should be thoroughly cleaned and sterilised after each use.


Can I get HIV from a mosquito?

No, it is not possible to get HIV from mosquitoes or other biting and blood-sucking insects. The results of experiments and observations of insect-biting behaviour indicate that when an insect bites a human, it does not inject its own or previously bitten person’s blood into the next bitten person. Rather, it injects saliva, which acts as a lubricant so the insect can feed efficiently.

Diseases such as yellow fever and malaria are transmitted through the saliva or specific species of mosquitoes. However, HIV lives for only a short time inside an insect. Unlike organisms that are transmitted via insect bites, HIV does not reproduce nor survive in insects. Thus, even if the virus enters a mosquito or another insect, the insect does not become infected and cannot transmit HIV to the next human it bites.

QUICK Links:

AIDS
HIV/AIDS Information and Links
HIV/AIDS website Links
HIV clinical resources
HIV Testing Basics
Just Diagnosed
HIV Medications
HIV Monitoring Tests
Inspiring Stories
Ryan White CARE Act Reauthorization News
Medicare Prescription Drug Coverage ("Part D")
AIDS Conference Coverage

Most of your answers has been covered in the above text few of which that I believe has not been cover are answered according to their question no.

2. Illeterate: hesitation to talk about HIV/AIDS, risk behaviour and safe sex related issues among themselves and illeteracy is high in poor socioeconomic group of Nepal.

3. AIDS is only caused by HIV infection but immunocompromised condition can be due to various causes like: cortocosteroid therapy, DM, anticancer drugs and more which leads to transient or permanent immunocompromised state.

6. Even before 4 months (window period) if you want to check the possible infection PCR and after 4 month ELISA for screening and Western Blot for confirmation is done. The best place would be Infectious Disease control Teku, Kathmandu, although most of the hospitals and nursing homes do have ELISA.

7. According to my knowledge there are no such institutions or organizations in Nepal. If it is there please let us know.

8. I am not sure about PCR (although for TB it is done in Nepal) however ELISA and Western Blot is done in Infectious Disease Control, Teku.

9. There are many posters and related materials available in the WHO office in Kathmandu, you can get it from there.

Have nice holiday Rimal


Angel
xenoMED | NDR
“Nothing brings me more happiness than helping people in the society. It is a goal and an essential part of my life - a kind of destiny.”

Last edited by Angel; 20-01-2006 at 03:33 AM.
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20-01-2006, 02:56 AM

Center for Disease Control, Atlanta, USA
Frequently Asked Questions on HIV and AIDS

Definitions; Origins; Disease Progression; Survival Symptoms; Testing; Treatment Men On the Down LowTransmission; RumorsStatistics; Blood SafetyCDC's Clinical Studies of Daily Oral Tenofovir for HIV PreventionPDF VersionCoinfection with HIV and Hepatitis C Virus PDF Version


Angel
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Last edited by Angel; 21-01-2006 at 11:56 PM.
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CDC-NCHSTP-Divisions of HIV/AIDS Prevention Site Index - 20-01-2006, 02:58 AM

CDC-NCHSTP-Divisions of HIV/AIDS Prevention Site Index


Angel
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20-01-2006, 03:06 AM

I can just give u a link that has short account of HIV/AIDS and the figure. may be it could help. It was prepared by my fren in Kathmandu... check the following link that can help u. Site is not a detail abt HIV/AIDS but has collected ideas and shorten the topics to be understood generally check the following
http://www.aidsyouth.tk
or
http://www.geocities.com/aids_youth

for more figures in south-asia and other global check the following link http://www.unaids.org
moreover u have urged for AIDS in Nepal and what facilities r included in Nepal regarding AIDS. Well no Nepali site has ever been made to help HIV/AIDS besides a site probably names Story one or some thing that just shows stories

hope u will get some benifits


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