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It's better to light a candle than to curse the darkness

Public Health & Infectious Diseases

     

Main topics can be found within the left column; sub-topics and/or research reports can be found near the bottom of this page.  Thank you
     

"HIV/AIDS is not merely a medical problem: the manner in which the virus is impacting upon society reveals the intricate way in which social, economic, cultural, political and legal factors act together to make certain sections of society more vulnerable. The epidemic exposes the method and the impact of marginalisation and inequality in clear terms.

Marginalised groups in our society have little or no access to basic fundamental and Human Rights such as food, medical services and information. Many of these groups are ostracised by society at large, and their lifestyles criminalized, making it practically impossible for them to participate in mainstream processes whereby they could demand their rights. Coupled with this dismal situation, there is minimal awareness about HIV and no real options for safer lifestyles. The stark reality of the HIV/AIDS epidemic is thus that people are becoming HIV positive because they have no access to basic fundamental Human Rights. For the same reasons, the impact of infection is a lot graver for those with no access to rights. It is time to recognise this link between marginalisation, Human Rights and vulnerability.

It is also time to recognize that the HIV/AIDS epidemic itself has given rise to a range of Human Rights violations. The refusal of treatment, denial of access to essential drugs including antiretroviral therapy, discrimination in the health care and employment sectors, women being deprived of their rights and thrown out of their homes etc are just some examples of these violations. Apart form having a serious impact on the lives of people living with HIV, these violations are pushing the epidemic underground. Unless these Human Rights violations are addressed, there cannot be the creation of an enabling environment, where people come forward to access health and other services, or even get tested.

There is also a need to understand the exact manner in which factors of gender, caste, region, class, sexual orientation influence the impact of these Human Rights issues for different sections of society. Along with social and economic factors, there are laws, which complicate the influence of these factors. To understand these different contexts would be the first step in addressing the problems they entail." Report of the National Conference on Human Rights and HIV/AIDS

ADDITIONAL ARTICLES:

Document Name & Link to Document Description

File Size /pdf

A jihad against Aids

If the best vehicle for educating a Muslim population about Aids is one that carries authority, enjoys mass reach and possesses the power to convince, who better than the person who leads prayers at a mosque?

 

Addressing HIV-Related Stigma and Discrimination in Africa

ICRW and its in-country partners are investigating how HIV/AIDS-related stigma is manifested in a community context. By focusing on the community and its institutions - health facilities, the workplace, schools, and religious groups - as the basis for analysis, ICRW and its partners will gain an understanding of those factors that perpetuate or mitigate stigma and create barriers to HIV prevention, care, and support efforts.

 

Administration Targets AIDS Prevention

The Bush administration has pulled information about the effectiveness of condoms from a government Web site and is engaged in a "witch hunt" against those who promote condoms in the fight against AIDS, several groups charged Monday.

 

Adoption Agency Admits HIV Discrimination In the first known case in the country challenging a private adoption agency’s refusal to provide services to a couple because one of them is HIV-positive, a new York couple has settled a lawsuit charging Children of the World, an adoption agency licensed in new Jersey and new York, with violating federal and state laws prohibiting discrimination against people with disabilities, including HIV/AIDS. 103 kb pdf

AIDS & Communication Issues

Presentation by W Ssany-Sseruma—African HIV Policy Network

Pdf 95 kb

AIDS Communication-An International view

HIV/AIDS requires attention to sexuality, not just sex and its biological consequences

 

AIDS edict fuels dispute

Man with disease banned from using pool at mobile home park

 

AIDS/HIV Disease and Socio-Culturally Diverse Populations Culture embodies the values, attitudes, beliefs and practices of a group as well as its roles and structures, communication styles, technology, art, and artifacts. The numbers of reported cases of AIDS/HIV disease are dramatically increasing in some ethnic and minority groups.  

Aids orphans 'to double'

The number of children orphaned by Aids will almost double to 25m by the end of the decade, experts predict.

 

AIDS-case studies - conceptual

This paper presents outline accounts of some social and economic features of the HIV/AIDS epidemics in five countries

Pdf 71 kb

Americans With Disabilities Act (ADA)

The Americans With Disabilities Act (ADA) is a civil rights law that ensures equal opportunity in employment, public accommodations, transportation, state and local government services and telecommunications for people with disabilities.

 

Analysis of the policies, pronouncements-stigma in Nigeria

(Large report-increased down-load time)

The international community had long recognized the limiting effect of HIV-related stigma and discrimination on the control of HIV/AIDS. It is known to undermine the ability of individuals, families and societies to protect themselves and provide support and reassurance to those affected  

Analytical Review of Quarantine! : East European Jewish immigrants and the New York City epidemics of 1892

Quarantine! examines the typhus fever and cholera epidemics that struck New York City in early and late 1892, respectively. Because typhus fever was traced to a boat load of Russian Jewish immigrants, Jews from throughout Eastern Europe were stigmatized. Only months after typhus fever struck the city, the cholera epidemic began. While the second disease appeared more widespread, the Eastern European Jews were once again blamed. A history of the political, health, immigration, and discrimination issues of the year, the book is aimed at a broad audience from high-schoolers to adults  

BioTerrorism

Testimony before the Subcommittee on Government Efficiency, Financial Management, and Intergovernmental Relations

1,229 kb pdf

Breaking Down Barriers-Lessons on Providing HIV Treatment to Injection Drug Users Throughout its 25-year history the HIV pandemic has inflicted its worst damage on disenfranchised and marginalized populations—such as injection drug users, sex workers, refugees, asylum seekers, prisoners, and men who have sex with men. Pdf 811 kb
Breaking the silence - Stigma, discrimination and HIV/AIDS
Hers is not the sort of life anyone would wish on his or her
 worst enemy. To describe it as rough would be an 
understatement.
 

Budget Would Cut Medicaid Payments

Pres Bush's budget would rein in growth of Medicaid by reducing payments to public hospitals and cracking down on state efforts to get additional federal money; administration refers to 'closing loopholes' and 'abusive practices,'

 

CDC Hindered by GOP Oversight

Bush administration audits of the Centers for Disease Control and Prevention have provoked complaints from center officials who say the requests are hindering the organization's ability to effectively execute HIV prevention programs.

 

Celebrating Erving Goffman Stigma leads us from the total institution back to everyday life, but now we are armed with a vision of how the self can be deeply discredited even if not entirely destroyed. Stigma is "The Presentation of Discredited Self in Everyday Life."  
     

Cohesiveness of society

Civil society is a distinct realm of modern human experience: family, friends, neighbors, and citizens. It is the social glue that holds a country together and includes the strength of families, community voluntarism, interest groups, philanthropic associations, friendships, selflessness, public and civic spirit—the moral elements of society

326 kb pdf

Coping with Stigma How should we deal with stigma and its impacts?  This question would probably seem absurd to an ancient Greek, about to brand someone with a visible mark to signify that this person was immoral or dangerous and thus undesirable, someone to be denigrated and avoided.  Stigmatization in ancient Greece was a form of risk management.  Even today, stigmatization can be a positive force for risk reduction pdf
Costs & results of Information Systems Costs and results of Information systems for poverty monitoring, health sector reform, and local government reform in Tanzania 1,071 kb pdf

Cure versus care

The term 'Quality of Life' is often heard... and said at the Hospice to remind us of our main aim and purpose. As most of our patients have been diagnosed with a terminal disease, further treatment is often inappropriate and cure is not always an option.

 

Democracy, Dictatorship, and Infant mortality

Explains the relationship between these three issues

94 kb pdf

Disclosure of HIV Infection Among Asian/Pacific Islander American Women For Asians/Pacific Islanders, disclosure of HIV may be particularly difficult because of its association with death, illness, drugs, and homosexuality, topics deemed to be "taboo" in Asian cultures  
Discrimination: Yes. People who are HIV-positive or who have AIDS are protected from employment discrimination under both the Connecticut Human Rights Law (CGSA §46a-60) and the federal Americans with Disabilities Act (ADA).  Both of these statutes prohibit discrimination in employment on the basis of a person’s disability.  
Don’t treat me like I have leprosy We all have prejudices.  Even the most fair-minded of us will at times harbour irrational stereotypes of people who are in some way different. 422 kb pdf
Editorial attacks shift away from condoms in HIV prevention The authors also note that although condoms are extremely cost effective, their importance to HIV prevention seems to have been forgotten in the push for global treatment access, and that other substantial obstacles still exist to effective condom distribution schemes.  
Effectiveness of Various IEC in Improving Awareness and Reducing Stigma Related to HIV/AIDS Among School going Teenagers Stigma is defined as a ‘significantly discrediting attribute’ possessed by a person with an ‘undesired difference’.  Stigma is a common human reaction to disease.  Throughout history many diseases have carried considerable stigma, including leprosy, tuberculosis, cancer, mental illness and many STDs. Now HIV/AIDS is the topmost in the list of diseases to be stigmatized. Pdf 259 kb

ETHICS IN PUBLIC HEALTH INSTITUTIONS

The July 2002 Health Policy and Ethics Forum on ethics in public health research and practice addresses a number of thorny issues facing public health institutions. One of the most fundamental issues confronting public health workers is the problem of protecting confidentiality in public health activities. This problem raises the question of what is and what is not research in the public health arena.

 

EVERYBODY HAS AN HIV STATUS! Has stigma kept you from knowing yours? Stigma keeps people who are HIV- infected from getting the care they need, and from feeling safe in their own communities. At the same time, stigma allows others to deny that they personally are likely to be infected or affected by HIV. This denial makes people who are infected seem abnormal, and it becomes easier to believe that they are "different," that HIV only happens someplace else. Not true, at all.  
Evolved Disease-Avoidance Processes and Contemporary Anti-social Behavior: Prejudicial attitudes and avoidance of People with Physical Disabilities Drawing on evolutionary psychological logic, we describe a model that links evolved mechanisms of disease-avoidance to contemporary prejudices against individuals with physical disabilities.  Because contagious diseases were often accompanied by anomalous physical features, humans plausibly evolved psychological mechanisms that respond heuristically to the perception of these features, triggering specific emotions (disgust, anxiety), cognitions (negative attitudes), and behaviours (avoidance). 130 kb pdf
Examples of Stigma and Discrimination Examples of Stigma in Life situations  
Examples of Stigma and Discrimination The workplace remains a potentially unsafe environment for people with HIV/AIDS, whether they are currently at work, returning to work, or looking for work for the first time. 65 kb pdf

For world, arrogance instead of help

The Bush administration never seems more out of touch with global reality than when it wades into issues of population control.

 

Former Maryland governor wants public registry for people with AIDS
``People should know if they are around people with AIDS,'' said 
Schaefer, a former governor and mayor of Baltimore. ``I feel it's 
absolutely necessary that a registry be set up. It (AIDS) is 
an epidemic in Africa and it's an epidemic here.''
 
Gender, AIDS, and ARV Therapies-ensuring that women gain equitable access to drugs Given limited resources, choices will inevitable be made about who will be treated and when, raising the issues of equity in access to treatment for sub-groups of those infected 181 kb pdf
History of Epidemics and Plagues Diseases like measles and mumps that ravaged virgin populations are now rarely lethal for even the most susceptible human hosts. What were once fatal epidemic diseases are now simply childhood annoyances. These diseases attack only those with the least well-developed immune systems, young children. The microbes and their hosts have coevolved and adapted to a form of equilibrium. A truce has been called—at least temporarily.  Infectious diseases must be closely watched and appropriately feared; as the past has taught us, humility is a far greater virtue than either arrogance or hubris when it comes to dealing with Nature.  
HIV/AIDS and Human Rights
Discrimination adds to the daily struggles faced by the growing number
 of people living with HIV/AIDS in the United States—people who are 
predominantly poor and disproportionately African American or Latino/a.  
Almost every agency told us that the biggest problems facing their clients 
involve meeting basic needs—coping with poverty, hunger, illiteracy, 
inadequate medical care, lack of transportation, and homelessness…
Individuals living with HIV/AIDS need to know their rights and need to  
resources to advocate for themselves when their rights are threatened
1153 kb pdf

HIV Mandatory Test May lead to False Security

MANDATORY testing may lead to false security in the military that an HIV/AIDS free environment has been created,

 

     

HIV/AIDS-related Stigma and Discrimination: A Conceptual Framework and an Agenda for Actions—Horizon Report

Jonathan Mann identified three phases of the HIV/AIDS epidemic: the epidemic of HIV, the epidemic of AIDS, and the epidemic of stigma, discrimination, and denial

511 kb pdf

HIV/AIDS-related Stigma and Discrimination-Asia HIV / AIDS - related stigma and discrimination (S&D) not only make life unbearable for the estimated 4.2 million people living with the virus in South Asia. S&D are regarded by many as the greatest barriers preventing further HIV infections, providing adequate care, support and treatment  
HIV/AIDS Stigma: The Latest Dirty Secret The rejection of HIV/AIDS stigma is based on the understanding that all acts of social exclusion relating to HIV/AIDS are not only morally wrong but also counterproductive to effective HIV/AIDS prevention and treatment 191 kb pdf
HIV-Related Stigma and Knowledge in the United States: Prevalence and Trends, 1991-1999 Overt expressions of stigma declined throughout the 1990s, with support for its most extreme and coercive forms (e.g., quarantine) at very low levels by 1999. However, inaccurate beliefs about the risks posed by casual social contact increased, as did the belief that people with AIDS (PWAs) deserve their illness  
HIV/AIDS Stigma A number of studies have provided evidence that stigma is associated with delays in HIV testing by people who are at high risk of being infected with HIV 275 kb pdf
Human rights abuses & HIV transmission to girls The catastrophe of HIV/AIDS in Africa, which ahs already claimed over 18 million lives on that continent, has hit girls and women harder than boys and men.  In many countries of eastern and southern Africa, HIV prevalence among girls under age eighteen is four to seven times higher than among boys the same age, an unusual disparity that means a lower average age of death from AIDS, as well as more deaths overall, among women than men 607 kb pdf
HUMAN SEXUALITY: CONDOMS: LIFE SAVERS OR KILLERS?
In 1987, Surgeon General C. Everett Koop publicly recommended
 that people use condoms to prevent the transmission of HIV, which
 develops in to AIDS. Some conservative Christian organizations 
attacked his stance. Phyllis Schlafly of Eagle Forum accused him 
of promoting "safe fornication with condoms" as "a cover-up for the 
homosexual community." Conservative anti-tobacco advocate and a 
close colleague of Koop defended the Surgeon General. She said: 
"I hate to be in a public debate with Phyllis Schlafly, since we have 
a lot of things in common. But she is wrong about Dr. Koop....In 
everything I've read in Dr. Koop's written speeches, he stresses 
monogamy as the first line of defense against AIDS."
 
Illness, Stigma and AIDS Imagine a disease that arouses great fear throughout the United States, especially in New York and other large cities where it is rampant.  Imagine that the disease has no cure and is fatal to most people who manifest its symptoms.  Physicians prescribe a variety of treatments but with little success Pdf 119 kb
Impact of Armed conflict on Child Development The impact of armed conflict cannot be fully understood without looking at the related effects on women, families and the community support systems that provide protection and a secure environment for development. Children's well-being is best ensured through family and community-based solutions that draw on local culture and an understanding of child development.  

Impact of Faith-based organizations

Recently faith-based organizations have generated increasing interest as agents for preventing and mitigating the HIV/AIDS epidemic.

Pdf 503 kb

INDONESIA care-Unaids care and support Providing care and support for HIV-positive people, eliminating discrimination and stigma, and promoting the involvement of people living with HIV/AIDS in the response to the epidemic are priorities for government, donor and nongovernmental organizations and HIV positive people's support groups 65 kb pdf

Influence of the Church in Bringing About Change

Statistics of HIV/AIDS prevalence in Namibia are not impressive. The figures are worrying. However, a holistic approach to fighting the pandemic may reverse the trend, if the ongoing efforts are maintained or intensified. Led by the Lutheran Church in the country, religious organizations have assumed a major role in this endeavor

 

Integrating Ethnomedicine Into Public Health

From an anthropological perspective, ethnomedicine—meaning the folk medicines of specific ethnic groups—depends on location. Preliterate indigenous populations used plants that were available in their local environments to treat illness and promote health.

 

International Organizations of Medical Sciences-Ethical Guidelines

The Guidelines relate mainly to ethical justification and scientific validity of research; ethical review; informed consent; vulnerability ­ of individuals, groups, communities and populations; women as research subjects; equity regarding burdens and benefits; choice of control in clinical trials; confidentiality; compensation for injury; strengthening of national or local capacity for ethical review; and obligations of sponsors to provide health-care services

 

Interventions to reduce HIV stigma

This paper reviews 21 interventions that have explicitly attempted to decrease AIDS stigma both in the developed and developing countries and 9 studies that aim to decrease stigma related with other diseases

Pdf 689 kb

Interventions to Reduce HIV/AIDS Stigma: What Have we Learned?

This paper reviews 21 interventions that have explicitly attempted to decrease AIDS stigma both in the developed and developing countries and 9 studies that aim to decrease stigma related with other diseases.

 

Interventions: Research on Reducing Stigma

The term stigma has many associations and implications rooted in history, social science, and public health, but the historical concept of physical stigmata and the sociological framework of deviance and social interactions fall short of research needs for guiding desirable public health interventions to reduce stigma. 

 

“Is the Church HIV Positive? Building the Political Will to Remove Barriers and Restore Dignity” Some may argue that at no time has there been more recognition, and support generated towards the eradication of HIV and AIDS, nonetheless we must recognize that still our collective response is woefully insufficient when it comes to justice, mercy, or humility. Still, the HIV and AIDS pandemic remains an enormous challenge today for all of us. Our global family remains conflicted, often divided on theological and moral ground differences. Muslims, many Latin American countries, the Vatican, and the United States under the influence of the religious right struggle with specific commitments to high risk groups, sexual practices, and gender equality. Empowerment of women, detailed language on HIV prevention, and explicit references to male and female condom use often stop the potential for dialogue before it can even commence. UN Secretary General Kofi Annan accused a number of countries of “putting their heads in the sand” and failing to deal with the global realities of HIV and AIDS. My point here is not to pick on the Religious Right. The so-called progressive left is hardly itself A Model of Christian Charity.  

Keeping the Public in the Dark

People cannot be trusted to make judgments about the scientific process, therefore, truthful information about scientists and their potential biases must be kept secret. Mum’s the word. Such paternalism is curious coming from conservatives, unless the subtext is to champion profit over integrity

 

 


 

 

 

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