Peter Navario Analysis

The honesty box tries to bring out hidden facts behind the myths told by various researchers concerning HIV/AIDS.  Some of these myths are based on the data presented which are usually inflated to favor funding and to act as a precautionary measure that AIDS exists everywhere. The book opens the ‘honesty box’ on drawbacks of medical research within the tropics. Pisani tackles highly contentious issues with zest, including the possible public health shortcoming of antiretroviral treatment, in addition to the benefits of mandatory HIV/AIDS testing. The author also presents data to show that if couples living in Thailand were to have further premarital sex, then their men would be the least likely to use commercial sex workers and the

I interviewed Dr. Kwa Sey who is an epidemiologist with the Los Angeles County department of Public Health and the Director of the International Health Program at Charles R. Drew University (CDREWU). Dr. Sey earned his M.A. in epidemiology and a PhD in Public Health from the University of California Los Angeles (UCLA) school of Public Health. He has over 16 years of experience working in Public Health. He currently directs CDREWU funded HIV Behavioral Surveillance in Los Angeles and DHAPP funded HIV prevention programs internationally.

As Enrique continues to get closer and closer to the United States he decides that he needs more money to keep him going. “The brick maker offers yet another kindness: if Enrique will work, he will get both food and a place to sleep” (Nazario, p.131). This is good for Enrique. He will be able to make some money and finish up his journey to the United States. The final challenge for Enrique is the Rio Grande. He knows that this will be the hardest part of the trip. He can taste the American soil, but this is where many of the migrants endure the hardest part. For a while Enrique stays in camps that will help him cope with the process of crossing the river. “The encampment he has joined is a haven for migrants, coyotes, junkies, and criminals,

Human immunodeficiency virus (HIV)/AIDS is a pandemic problem affecting global health. At the end of 2015, 36.7 million people were living with HIV/AIDS globally. The rate of incidence is more prevalent in Sub-Saharan Africa with almost 1 in every 24 adults living with HIV/AIDS. In the united states, HIV/AIDS is a diversified health problem affecting all sexes, ages and races and involving the transmission of multiple risk behavior. However, with the introduction of various prevention programs and antiretroviral drugs, the incidence of HIV/AIDS has reduced.

If you look at how everything has developed since AIDS was first regarded as s major threat to public health in the beginning of the 1980’s it could be said that a lot of progress has been made. Not in a way where infected individuals around the world get the treatment they need or the developing countries get completely the support necessary, but today the world is closer to that goal than years before. This is important to outline because people tend to forget the progress been made, as they are only searching for a certain ending or result. The final solution to the dilemma between distribution of drugs to all people in need and the costly and continuous research required to find a cure, is not in reach [3].

HIV is an epidemic that is present worldwide, the disease is concentrated in sub-Saharan Africa for the most part. In context, of the estimated thirty-four million cases of HIV in 2008, twenty-two to twenty-three cases were in sub-Saharan Africa. On the contrary, 1.4 million people are infected with HIV in North America. (Sigall K. Bell, MD, 2011, p. 38). Further, the sum of global infections approximately two million are under fifteen of age. Approximately 50,000 cases a year are in the United States due to the lack of prevention, which then leads to overall prevention. Potential causes of the spreading of HIV are non-effective educational messages along with the high-risk sexual behavior. Also, this just calls for increasing chances of acquiring

Although HIV is no longer the automatic death sentence it was in the 80’s, it remains a thorn even in our modern societies. For instance, HIV treatment is exponentially expensive, and can only be afforded by residents in developed countries. In fact, most third world nations are still in the 80’s as far as HIV treatment technology is concerned. Fatality rates particularly in Africa are astronomical to say the least (Rensburg 267). With prices, for

Despite advances in screening and treatment for human immunodeficiency virus (HIV) over the last 30 years, HIV remains a significant global issue (World Health Organization [WHO], 2015; Yagoda & Moore, 2016). The United States (US) experienced a brief decline in new HIV cases, but total HIV incidence has failed to decrease meaningfully in the past 25 years (Yagoda &Moore, 2016). According to the US Department of Health and Human Services (USDHHS) (2015), there are approximately 56,000 new cases of HIV per year and that number has been holding steady over the last decade. Current strategies to prevent HIV transmission include antiretroviral treatment (ART) for HIV-infected people, voluntary medical male circumcisions, HIV testing, harm reduction, and behavioral risk reduction (Baeten & Heffron, 2014).

The WHO global health sector strategy on HIV/acquired immunodeficiency syndrome (AIDS) has identified four strategic directions to guide countries’ HIV response to achieve the United Nations’ Millennium Development Goal of halting the spread of HIV/AIDS. A core element of strate- gic direction one was the elimination of new HIV infections in children.2

“Everyday the HIV/AIDS pandemic continues to kill three times as many people than died during the terrorist attacks of September 11, 2001” (Elbe 2006, p.119). The Human Immunodeficiency Virus (HIV) weakens the immune system by destroying the cells that fight disease and infection. In the final stages of the HIV infection, it can lead to the acquired immunodeficiency syndrome (AIDS). Not all people who are diagnosed with HIV progress to acquiring AIDS, although once you have been diagnosed with the HIV infection, you have it for life. HIV/AIDS have claimed the lives of more than 39 million people globally since the discovery (World Health Organisation 2014) with a majority of these cases being in sub-Saharan Africa.

The number of people living with HIV remains to escalate, in large part a positive trend, because more than 15 million people worldwide as of March 2015 are on antiretroviral therapy and consequently are living longer(UNAIDS 2015:81). Concurrently, even if new HIV infections have dropped, there is still significant high number of new HIV infections every year, contributing to the burden of the epidemic. Globally, 0.8% of adults aged 15–49 years are living with HIV. Although 80% of people living with HIV live in only 20 countries, the HIV epidemic residues international, affecting all parts of the world and impose significantly to health problems in all corners of the world. Globally, it was able to provide prevention of maother to child transmission of HIV services for 73% of pregnant women living with HIV during the end of 2014.

In 2010 the awareness of HIV infection was higher in women of 13 years and older than the men. Women consisted of 87.8 percent as the men consisted of 83.0 percent. Overall Healthy People 2020 Targets of the reproductive health services and awareness of HIV infection had both increased needed to reach their target. Within the reproductive health services 78.6 percent was between 2006 and 2010; thus the target for 2020 is 86.5 percent. This would be a 10.1 percent increase needed for the reproductive health services. Whereas within the awareness of HIV infection 84.2 percent was in 2010; thus the target for 2020 is 90.0 percent. This would be a 6.9 percent increase needed for the awareness of HIV infection (Healthy People 2020 Leading Health Indicators: Reproductive and Sexual Health,

Haiti was able to dramatically reduce its high rates of HIV/AIDS prevalence in the face of low socioeconomic development and declining Gross National Income (GNI) per capita because its existing NGO-based system for HIV/AIDS prevention was scaled up through international technical and financial assistance. The two leading NGOs in this effort, Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections (GHESKIO) and Partners in Health (PIH), were created at the onset of the HIV/AIDS epidemic in the early 1980s, but initially focused their efforts on treating the side-effects of the epidemic due to a lack of access to antiretroviral therapy (ART). HIV/AIDS thus spread rapidly amongst the population, reaching a peak incidence rate of 4% in the 1990s, and it was not until the early 2000s, when the organizations gained access to antiretroviral drugs through international assistance, that HIV/AIDS prevalence rates began their decline.

Concerning prevention of HIV infection, we must appreciate that while worldwide prevalence of HIV infection in women is 50%, in sub-Saharan Africa this figure is 57%.1 Moreover, young women when compared with young men, are 3 times more likely to be infected.1 Given the particular vulnerability of young women, programmes need to be focussed on reducing infection in young women and therefore in children. Gender equality is a worldwide problem, with many women not allowed basic human rights. Women should be offered equal access to information so they are adequately educated with regards to protecting themselves and preventing HIV infection. It is important that men and women understand that both parties need to take equal responsibility when it comes to sexual behaviour. Furthermore, we need to aim to eliminate physical and

The HIV and AIDS pandemic remains one the most serious development crises in the world (WHO, 2006). Women and children bear a disproportionate share of the burden, and in many settings continue to experience high rates of new HIV infections and of HIV-related illness and death. In 2005 alone, an estimated 540 000 children were newly infected with HIV, with about