Essay on Epidemiology and Communicable Diseases: HIV

HIV has affected people all across the world. HIV comes with physical and mental symptoms. The body symptoms include skin flaking off, being dry, skin peeling off (Saliba 23) , fingernails falling off (32), and weight loss (14). Mentally it is hard to sleep, people become weak, and are tired all the time (23). People all across the world are infected with this disease, and the problem with this is the fact that most do not even know they have it. The most people who are infected each year are African Americans, gays, or bisexuals. 10,315 African Americans were infected in 2015. The U.S.A. has estimated about 1.1 million are infected with the disease. Equally to about 12,333 deaths happened in 2014 from AIDS related diseases, and 6,721 deaths from AIDS directly. Although there are a large amount of people getting infected, on the other hand eighteen percent of the population with HIV is declining since 2008-2014 (“U.S. Statistics”). In the world about 33.2 million people worldwide have HIV, with 22.5 million people in sub Saharan Africa are living with this condition, one out of nine people who live in South America have HIV or AIDS (Saliba 8).

According to the Centers for Disease Control and Prevention (CDC), about 50,000 people are infected with HIV each year. In 2010, the most recent year for which this information is available, there were around 47,500 new HIV infections in the United States (p. 1). The population of people with HIV is diverse due to the fact that it does not discriminate. Men and women of any age,

Being that Blacks/African AMericans make up only 12 percent of the UNited States population, they account for about 44 percent of new HIV infections annually. It is estimated that at least 280,000 Black/African American men and women have died since the the epidemic began. Another race/ethnic group also disportionately affected by HIV/AIDS are Hispanics/Latinos. They make up about 15 percent of the United States population and account for 21 percent of new annual HIV infections. In total both minority groups makes up about 65 percent of HIV/AIDS cases. The likelihood of an African American or Latino male or female contracting the viruses are twice that of their white counterparts (CDC).

Human Immunodeficiency Virus, or better known as HIV, has been in the United States since the mid to late 1970’s. HIV, if left untreated can lead to Acquired Immunodeficiency Syndrome or AIDS. Once HIV is contracted it is a life-long disease and as of today there is no cure for the virus. The virus works by destroying CD4, or T cells, and eventually destroys enough to break down the body’s ability to fight off infection and disease. If left untreated the virus will break down the CD4 cells and once these cell levels drop below 200 cells per cubic millimeters of blood you are then considered to have developed AIDS (Centers for Disease Control and Prevention, 2014). The virus is thought to of come from West

The brunt of the impact of HIV has taken over the African American population due to complex set of social, individual and environmental factors. The spread of the disease is the number one cause of death in African Americans, both male and female. It is alarming and at the same time devastating for the African people throughout the world not able to organize and work together to combat the reality of HIV that is invading the black communities. With this alarming epidemic, this paper will identify the internal and external risk factors or challenges affecting the prevention/intervention that has been developed for the African Americans with HIV.

There have been 4,043 reported diagnosed cases of Human Immunodeficiency Virus infection (HIV) per 100,000 populations. Human Immunodeficiency Virus is a virus that attacks the body’s immune system. The Human Immunodeficiency Virus attacks a specific white blood cell called T- helper cells which are used to fight off infection. As the virus destroys the t- helper cells, it replicates, destroying the immune system of the individual. Individuals who have the Human Immunodeficiency Virus Infection will have to constantly take medication to suppress the spread of the disease. If left untreated it will become very difficult for the individual’s body to fight off the virus resulting in death.

Various studies show evidence that link the relationship between social determinants of health and the risk for HIV. Interrelated social determinants of health can create a context of vulnerability and risk for HIV. It is very important to be able to recognize the interrelation components of HIV risk in order determine the HIV prevention response that is the most effective. For instance, research shows that HIV rates are significantly higher in Black men who have sex with men (MSM) than for MSM of other races. These rates, which are very disproportionate, are not attributable to a higher frequency of sexual risk behaviors. To appropriately address risk for MSM of different races, it is imperative to understand the process of disease transmission among these populations, in other words, the social determinants of health that are involved, such as access to healthcare (CHLA, 2012).

The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. Social determinants for HIV would be in the poor black community where people are unable to afford condoms, new needles and are uneducated in this disease. The epidemiologic triangle is a model that scientists have developed for studying health problems and how they spread. The epidemiologic triangle of this disease would be the host (the human), environment (which tends to be lower income black community’s) and agent (HIV).

HIV stands for human immunodeficiency virus and can lead to acquired immunodeficiency syndrome (AIDS) if not treated (About HIV/AIDS, n.d). Unlike some other viruses, the human body cannot fully rid itself of HIV completely, even with treatment. Simply put, once you contract HIV, you have it for life. This disease attacks the body’s immune system, specifically the CD4 cells (T cells), which help the immune system stave off infections. When left to its own devices, HIV reduces the number of CD4 cells (T cells) in the body, making the person more likely to

Poverty, healthcare access, and risk taking behaviors are all among the answer. One in 4 African-American women lives in poverty, and people living in poverty also get lower-quality health care in general. Exchanging sex for drugs, money, or to meet other needs causes the increase HIV risk factors. For woman living in poverty with low quality health care gives the HIV infection to advance into AIDS more quickly. HIV is mostly spread to women through sexual contact. Untreated STDs that break the skin, like genital herpes, give HIV an access into the bloodstream. 23% of African American women were infected with HIV by injection drug use. Being under the influence of any substance can cause woman to have high risk behaviors such as unprotected sex and sharing of injection drug paraphernalia.

HIV and AIDS have affected millions of people throughout the world. Since 1981, there have been 25 million deaths due to AIDS involving men, women, and children. Presently there are 40 million people living with HIV and AIDS around the world and two million die each year from AIDS related illnesses. The Center for Disease Control estimates that one-third of the one million Americans living with HIV are not aware that they have it. The earliest known case of HIV was in 1959. It was discovered in a blood sample from a man in Kinshasa, Democratic Republic of the Congo. Looking further into the genetics of this blood sample researchers suggested that it had originated from a virus going back to the late 1940’s or early 1950’s. In 1999,

The most recent UNAIDS/WHO estimates show that, in 1999 alone, 5.4 million people were newly infected with HIV [9].

HIV is the human immunodeficiency virus that causes AIDS. A member of a group of viruses called retroviruses, HIV infects human cells and uses the energy and nutrients provided by those cells to grow and reproduce. AIDS (acquired immunodeficiency syndrome) is a disease in which the body's immune system breaks down and is unable to fight off certain infections, known as "opportunistic infections," and other illnesses that take advantage of a weakened immune system. When a person is infected with HIV, the virus enters the body and lives and multiplies primarily in the white blood cells. These are the immune cells that normally protect us from disease.

“Epidemiology is the study of the distribution and determinants of health-related states or events (including disease), and the application of this study to the control of diseases and other health problems (WHO, 2015)”. “Various methods can be used to carry out epidemiological investigations: surveillance and descriptive studies can be used to study distribution; analytical studies are used to study determinants (WHO, 2015)”.This paper discusses about epidemiology of HIV infection, including factors that contribute the development of the disease, epidemiologic triangle, role of community health nurse and the national organization that address the communicable disease.

Currently, there are no vaccines and no cures for HIV or AIDS, although scientists are researching and finding new drugs and treatments. So far, scientists have discovered a variety of drugs and medication that can be used to control and slow the virus and the progression of the disease. There are some drugs which interfere with the virus ability to make copies of itself by disabling a protein it needs, like Non-nucleoside reverse transcriptase inhibitors. If someone is diagnosed with HIV, it is important to start with treatments as soon as possible.