By Peter Piot, Laurence Garey
Peter Piot, founding government director of the Joint United countries Programme on HIV/AIDS (UNAIDS), recounts his event as a clinician, scientist, and activist scuffling with the affliction from its earliest manifestation to this day. The AIDS pandemic used to be not just catastrophic to the wellbeing and fitness of thousands all over the world but additionally fractured diplomacy, worldwide entry to new applied sciences, and public health and wellbeing rules in countries around the globe. As he struggled to get sooner than the affliction, Piot stumbled on technological know-how does little sturdy whilst it operates independently of politics and economics, and politics is valueless if it rejects clinical facts and appreciate for human rights.
Piot describes how the epidemic altered international attitudes towards sexuality, the nature of the doctor-patient courting, the impression of civil society in diplomacy, and standard partisan divides. AIDS thrust overall healthiness into nationwide and overseas politics the place, he argues, it rightly belongs. the worldwide response to AIDS over the last decade is the optimistic results of this partnership, exhibiting what might be accomplished whilst technology, politics, and coverage converge at the floor. but it is still a delicate fulfillment, and Piot warns opposed to complacency and the implications of diminished investments. He refuses to simply accept an international during which excessive degrees of HIV an infection are the norm. as an alternative, he explains tips to proceed to minimize the prevalence of the illness to minute degrees via either prevention and remedy, till a vaccine is discovered.
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Additional info for AIDS Between Science and Politics
Whereas men who have sex with men remain the most seriously affected, in particular young African Americans, in 2010 heterosexuals accounted for 25 percent of new infections, and slightly less of all people living with HIV. Women accounted for 20 percent of new infections in 2010, of whom 61 percent were black heterosexual women, a particularly vulnerable group. New infections among injecting drug users have significantly declined since the 1980s. 4 Estimated new HIV infections in the United States, 2010, for the most affected subpopulations.
The economic crisis and other problems, such as terrorism and climate change, also require the world’s attention. Some experts estimate that we are spending too much on this epidemic at the expense of other health issues; they metamorphose AIDS into a trivial chronic disease, forgetting that thirty-four million people will sooner or later need antiretroviral treatment and that for every person under treatment in the world, nearly two new people are infected with HIV. As is so often the case, some experts hope for simple solutions to complex problems.
Even in Africa the variation between countries has increased over the years. 8 It was not just a political denial. 7 percent in 1992. KwaZulu-Natal province was the most affected at 5 percent. In 1996, two years after the end of apartheid was marked by an extraordinary mobility as townships disappeared, the epidemic jumped to 14 percent prevalence in the adult population. In West Africa, in Senegal, Mali, or Niger, the infection rate is lower than in Washington DC or New York City. Ivory Coast used to be the most affected country, as until recently it had a high offer of employment with, in the capital Abidjan, an excess of men over women.
AIDS Between Science and Politics by Peter Piot, Laurence Garey