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HIV In Cuba

Decent Essays

During the spring of 1981, cases of Pneumocystis pneumonia and Kaposi’s sarcoma were reported in homosexual men in New York and California1. This marked the start of the AIDS epidemic in the United States as research led to the discovery of HIV as the causative agent 2. Complacency was rampant as many deemed this the disease of gay men. Over time, HIV proved itself as an equal opportunity infection targeting all demographics1. Despite declines in new infections since the peak in the mid 1980s, HIV remains a health concern particularly in low income, minority, and LGBTQ communities 3.
In 2010, all countries in the Americas committed to eliminating HIV transmission between mother and child by 2020 4. Three decades after the AIDS epidemic started, …show more content…

Cuba has built a health care system with preventative medicine as the foundation using education as a tool to reduce the effect of inequities in the social determinants of health 9. As a result, they were able to develop aggressive HIV/AIDS policy to target high risk populations and limit HIV transmissions. Cuba has a 0.1% prevalence rate of HIV and death due to AIDS is estimated to be less than 200 people 10,11. Transmission via intravenous drug use and blood transfusions is rare with 99% of cases resulting from sexual contact with an infected person. Men account for 81% of the HIV positive population …show more content…

The rate of new infections has been relatively stable each year, but 20% of people are unaware they are infected with HIV 3. This greatly increases the risk of HIV transmission with 50% of new HIV cases resulting from those who are unaware of their status 13. At risk populations include Latinos, Blacks, and MSM with 44% of new cases occurring in Blacks and 75% in men 14. With the establishment of the goals for 2020, the White House released a National HIV/AIDS strategy focusing on reducing the number of new cases, increasing access and improving outcomes for HIV positive people, and reducing the disparity in infection 4. The United States healthcare system is based on reactive medicine and the adoption of Cuba’s HIV/AIDS prevention programs would be a necessary step for addressing the epidemic in our

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