WORLDS AIDS DAY 1st DECEMBER 2012 Getting to Zero: Zero new HIV infections. Zero discrimination. Zero AIDS related deaths. By-Dr. Dharmendra Gahwai (MD Community Medicine stu.) CIMS , Bilaspur(CG)
INTRODUCTION World AIDS Day is celebrated around the world on December 1st each year. It has become one of the most recognized international health days. The day is a key opportunity to raise awareness, commemorate those who have passed on, and celebrate victories, such as increased access to treatment and prevention services.
Between 2011-2015, World AIDS Days will have the theme of "Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS related deaths". The World AIDS Campaign focus on "Zero AIDS related deaths" signifies a push towards greater access to treatment for all.
HISTORY World AIDS Day was first conceived in August 1987 by James W. Bunn and Thomas Netter, two public information officers for the Global Programme on AIDS at WHO. First observance of World AIDS Day was on1 December 1988. Since then , World AIDS Day, observed on 1 December every year, is dedicated to raising awareness of the AIDS pandemic caused by the spread of HIV infection.
Worlds AIDS Day Themes 1988 – Communication. 1989 – Youth. 1990 - Women and AIDS. 1991 - Sharing the Challenge. 1992 - Community Commitment. 1993 - Act1994AIDS and the Family. 1995 - Shared Rights, Shared Responsibilities. 1996 - One World. One Hope. 1997 - Children Living in a World with AIDS. 1998 - Force for Change: World AIDS Campaign With Young People. 1999 - Listen, Learn, Live: World AIDS Campaign with Children & Young People. 2000 - AIDS: Men Make a Difference.
2001 - I care. Do you? 2002 - Stigma and Discrimination 2003 - Stigma and Discrimination2004Women, Girls, HIV and AIDS 2005 - Stop AIDS. Keep the Promise 2006 - Stop AIDS. Keep the Promise -Accountability 2007 - Stop AIDS. Keep the Promise – Leadership 2008 - Stop AIDS. Keep the Promise- Lead - Empower- Deliver. 2009 - Universal Access and Human Rights. 2010 - Universal Access and Human Rights. 2011-2015 - "Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS related deaths".
HIV continues to be a major global public health issue, having claimed more than 25 million lives over the past three decades. There were approximately 34 [31.4–35.9] million people living with HIV in 2011.
2.5 million [2.2 million - 2.8 million] people became newly infected with HIV. 1.7 million [1.5 million - 1.9 million] people died from AIDS-related illnesses.
In 2011, more than 8 million people living with HIV were receiving antiretroviral therapy (ART) in low- and middle-income countries. Another 7 million people need to be enrolled in treatment to meet the target of providing ART to 15 million people by 2015.
In the last ten years the landscape of national HIV epidemics has changed dramatically, for the better in most countries. Countries are making historic gains towards ending the AIDS epidemic: 700000 fewer new HIV infections across the world in 2011 than in 2001.
The HIV epidemic in India, first recognized in 1986, now just 25 years old, it is counted among the most serious public health problems in the country.
The Government of India estimates that about 2.40 million Indians are living with HIV (1.93 ‐3.04 million) with an adult prevalence of 0.29%. Children (<15 yrs) account for 3.5% of all infections, while 83% are the in age group 15- 49 years.
India carries the largest burden of HIV behind South Africa and Nigeria. The epidemic in India shows a declining trend overall.
The four high prevalence states of South India (Andhra Pradesh – 500,000, Maharashtra – 420,000, Karnataka – 250,000, Tamil Nadu – 150,000) account for 55% of all HIV infections in the country. West Bengal, Gujarat, Bihar and Uttar Pradesh are estimated to have more than 100,000 PLHA each and together account for another 22% of HIV infections in India.
All the high prevalence states show a clear declining trend in adult HIV prevalence. HIV has declined notably in Tamil Nadu to reach 0.33% in 2009 down from 0.58% in 2007.
The Indian epidemic is concentrated among vulnerable populations at high risk for HIV. The concentrated epidemics are driven by sex workers and by injection drug user.
VISION AND GOALS(UNAIDS Report on the global AIDS epidemic 2012)
Vision: To get to Zero NewInfectionsGoals for 2015: Sexual transmission of HIV reduced by half, including among young people, men who have sex with men and transmission in the context of sex work. Vertical transmission of HIV eliminated and AIDS- related maternal mortality reduced by half. All new HIV infections prevented among people who use drugs.
Vision: To get to ZeroDiscriminationGoals for 2015: Countries with punitive laws and practices around HIV transmission, sex work, drug use or homosexuality that block effective responses reduced by half. HIV-related restrictions on entry, stay and residence eliminated in half of the countries that have such restrictions. HIV-specific needs of women are addressed in at least half of all national HIV responses. Zero tolerance for gender-based violence.
Vision: To get to Zero AIDS-relatedDeathsGoals for 2015: Universal access to antiretroviral therapy for people living with HIV who are eligible for treatment. TB deaths among people living with HIV reduced by half. People living with HIV and households affected by HIV are addressed in all national social protection strategies and have access to essential care and support.
“United Nations Political Declaration on HIV and AIDS: Intensifying Our Efforts to Eliminate HIV and AIDS” (2011) take specific steps to achieve ambitious goals by 2015. Drawing from the 2011 Political Declaration, UNAIDS has articulated 10 specific targets for 2015 to guide collective action.
10 Specific Targets for 2015 ( Political Declaration, UNAIDS 2011) 1. Reduce sexual transmission by 50%. 2. Reduce HIV transmission among people who inject drugs by 50%. 3. Eliminate new infections among children and substantially reduce the number of mothers dying from AIDS-related causes. 4. Provide antiretroviral therapy to 15 million people. 5. Reduce the number of people living with HIV who die from tuberculosis by 50%.
6. Close the global AIDS resource gap and reach annual global investment of US$22 billion to US$ 24 billion in low- and middle-income countries. 7. Eliminate gender inequalities and gender- based abuse and violence and increase the capacity of women and girls to protect themselves from HIV. 8. Eliminate stigma and discrimination against people living with and affected by HIV by promoting laws and policies that ensure the full realization of all human rights and fundamental freedoms.
9. Eliminate restrictions for people living with HIV on entry, stay and residence. 10. Eliminate parallel systems for HIV-related services to strengthen the integration of the AIDS response in global health and development efforts.
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The best gift to AIDS PatientBe kind Sometimes I have a terrible feeling that I am dying not from the virus, but from being untouchable. Amanda Heggs