By Peter Piot, Laurence Garey
Peter Piot, founding govt director of the Joint United countries Programme on HIV/AIDS (UNAIDS), recounts his event as a clinician, scientist, and activist combating the sickness from its earliest manifestation to this day. The AIDS pandemic was once not just catastrophic to the health and wellbeing of hundreds of thousands around the globe but in addition fractured diplomacy, worldwide entry to new applied sciences, and public wellbeing and fitness regulations in countries around the globe. As he struggled to get sooner than the sickness, Piot came upon technological know-how does little reliable whilst it operates independently of politics and economics, and politics is valueless if it rejects medical facts and recognize 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 health and wellbeing 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, displaying what could be completed whilst technological know-how, politics, and coverage converge at the floor. but it is still a delicate success, and Piot warns opposed to complacency and the results of lowered investments. He refuses to simply accept a global during which excessive degrees of HIV an infection are the norm. in its place, he explains how one can proceed to lessen the prevalence of the sickness to minute degrees via either prevention and remedy, till a vaccine is discovered.
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Extra resources for AIDS Between Science and Politics
For example, in Switzerland treatment has had a major impact on mortality. Since antiretrovirals have been on the market mortality has fallen to less than one hundred deaths per year. On the other hand the rate of new infection has not followed this trend, even if in 2009 newly declared cases of HIV fell some 17 percent, coinciding with a new campaign of prevention. In France in 2009 some one hundred fifty thousand people had HIV. The proportion of recently acquired adult infections among newly diagnosed people was 30 percent.
In Cape Town, less affected than the places just mentioned, 16 percent of pregnant women were infected. However, in the Western Cape Province, prevalence among adults was much lower, around 5 percent. When HIV is so highly prevalent, the risk of complacency is real as people may perceive it as a “normal” part of life. In one community in KwaZulu-Natal, not far from Durban, 40 percent of pregnant women are seropositive, and the new infection rate is still between 5 and 10 percent per year, so that young women who are starting their sexually active life have a 50 percent risk of HIV infection after ten years, and death from AIDS ten years after that because treatment is not always available.
PROMINENCE OF HUMAN RIGHTS The third epidemic The big scare Discrimination How to counter discrimination 9. THE LONG-TERM VIEW Revisiting the prevention strategy Notes Index TRANSLATOR’S NOTE AIDS is a hot topic. It is a global phenomenon, like nothing that came before it, and recognizes neither national boundaries nor social strata. In translating a book on AIDS three years after its 2011 appearance in French I realized that I was running the risk of it being out of date by the time it was published.
AIDS Between Science and Politics by Peter Piot, Laurence Garey