By: David Heitz June 14th, 2015
When news of rural Indian HIV epidemic broke in March, the experts cautioned that can only be the tip of iceberg.Rapaz has never been so evident this reality ...
As of late March 81 people in the small Indiana Scott County had been infected with HIV, most of them dependent on opiates addicts who shared needles and syringes to inject drugs.
As of 10 in June, the number jumped to 169, according to State Department of Health.
The good news is, the number of new confirmed cases finally seems to be slowing down. The bad news is, in Indiana, HIV nightmare is probably being replicated elsewhere.
A report published last month by the US Department of Defense Centers for Disease Control and Prevention (CDC) showed that rates of hepatitis C infection tripled between 2006 and 2012 among people under 30 years of age in four members of Appalachian tribes. Out of almost 1.400 cases reported, three-quarters of them were injecting drug users under 30 years old and living in Virginia, West Virginia, Kentucky and Tennesse.
Although the report focuses on hepatitis C, it is very likely that at least some of them are also infected with HIV. In a story told by Associated Press nominated Danger, Ky., and a city that has become famous for his sexy 1970 decade bans Bo and Luke Duke from the television series "the series Dukes of Hazzard"The journal Public Health warned:" A person can be the Mother of typhoid fever in relation to HIV. "
O HIV e a Hepatitis C traveling together with the Injecting Drug User (IDU)
Dr. Jennifer, an epidemiologist at the University of Kentucky Research Centre of drugs and alcohol, explained that the outbreak of hepatitis C can be a precursor to an HIV epidemic. This is because both diseases are highly communicable through drug use and unprotected sex.
The reverse is also true. HIV outbreaks may signal a coming of an outbreak of hepatitis C, a scenario that is already extending in Indiana.
What these very close bouts of an apocalypse - as the setting for the rural communities of the South is that they were not prepared for this. Such a thing is a fact and point; although a report issued a year ago by the Association of National Rural Health have sounded an alarm warning that this day was coming.
"HIV is of particular concern to rural America because the lack of resources can lead to missed detections of infection and maintenance of the treatment, the report said. "Furthermore, traditional norms and conservative values in rural areas, where often this translates to high prevalence of HIV-related stigma and low disclosure rates, resulting in reluctance to advance to the escrutinamento of" micro-epidemic "of HIV and worse , poor adherence to treatment of those infected, between rural areas. "
Cost of Indiana's treatment of newly infected persons: $ 64 million
Conservative states like Indiana and Kentucky have been quick enough to set up needle exchange programs without facing the growing epidemic.
However, Indiana law only allows the exchange to last a year and, in Kentucky, is left to the decision for individuals. Virginia, West Virginia and Tennessee has no needle exchange program.
When it comes to needle exchange to prevent HIV and hepatitis C, a paradox exists. The federal government refuses to fund needle exchange, wque proved its effectiveness for decades in halting the transmission of the HIV virus. However, many of the newly infected, these poor, rural areas, who depend on the state or funding to receive health care programs, have been hampered by "contending expenses".
Affordable Take care, act now (Translator's note: this is the name of an American policy to health, in free translation say something like: "Take care Act now") are health coverage mandates for everyone. While Indiana, West Virginia and Kentucky have expanded their medical care programs, as the Virginia and Tennessee, no.
Using data provided by the CDC, the cost of treating someone with HIV is $ 379.668. Which will add more than $ 64 million to treat only the new cases of people infected in Indiana.
National Rural Health Association
"It is heartbreaking to see that a preventable disease like HIV became epidemic before we gave attention to what the National Rural Health Association has said for decades: investments, both in the economic domain as in the public health of rural communities are essential" wrote Michael Merit and Brock Slabach in the current issue of the "Revista Rural Roads", the Rural Health magazine of the National Association. Merit is a member of the organization's board of directors; Slabach is senior vice president of services to the membership.
Instead, they argue that health infrastructure in these communities have faced funding cuts. Among the recommendations made last year a policy brief:
- Identifying needs and available resources of each rural community to plan an effective strategy for the community in focus from strategies that HIV in rural areas, are not a one size fits all solution.
- Distribute educational materials to key places such as beauty salons barber shops, restaurants, grain elevators, community centers etc., to help increase awareness of HIV / AIDS in rural communities.
- Intensify efforts to increase the setting of the vision linked to HIV in Rural South Zone, establishing and maintaining for screening to encourage people who would otherwise be reluctant to or not being able to travel to urban sites for HIV testing.
- Training rural health workers includes train doctors about HIV in their specific issues and its management as well as to cultural competence, especially for those people who work with multicultural patients and multiracial populations.
- Increase the number of medical providers in rural counties or offer incentives for HIV experts offer their services to rural communities.
"Yes, Hygiene is the daughter of secular rots"Merit and Slabach wrote on rural roads.
"We will use this tragedy to change the policy and ensure that this is the last epidemic we have to bear."
Note editor and translator:
As strange as it may seem to you, as the text is consistent with our reality that I could not help but translate it; there is unfortunately a detail: The phrase in green above was what I could find as equivalent to an idiom that says:
"Yes, the chickens have come home to roost due to years of neglect," wrote Meit and Slabach in Rural Roads.
I was not able to find a translation or a transliteration for this, which may well be a typical Virginia or Tenessi expression, as was typical of a brown newspaper in Sao Paulo, as it is: "malaco of the three popocos in noia and burn the floor in the mouth of fumor .. (send to a North American translator this phrase and see how it will translate it) and, therefore, I chose to use the phrase mentioned above that is, in fact, authored by Joaquim Maria Marra Machado de Assis, in one of the books of her famous trilogy, and I lack memory, but I believe it must be in Quincas Borba or Dom Casmurro. In Posthumous Memoirs of Brás Cubas I'm sure it is not because I've read this book five times and I know it very well.
Anyway, although I may have fled the brought the author mind which was to use a common axiom for your language and I was not able to translate it. If anyone knows define the phrase and want to share, I'll be delighted to rectify the text and quote / a (s) employees (as)
Editor's Note soropositivo.org:
It is unbelievable that the gates of the beginning of the third decade of the twenty-first Century there are still people like certain pastors of "neo Pentecostal churches" using religious fundamentalism long mummified by Time, in order to monetize their treasure right here on Earth while making a right "allotment - grilagem- Paradise (this also happens in other religious crops, can not deny, but the sinister power of oratory and the ability to engage in polemics all, when, very wisely demonstrated by Boechat, what they lack It is rolling.
And the big rolls. I met certain theses (and do not even need to be a doctor to know that) we pursue, in general, those who can live happily, even what they wish for themselves, but that pudicismo, cynicism and hypocrisy congenital, added to a good deal of ambition and repression prevent them from living. And based on that sprawl up epidemics, build up prisons on land where they should be schools; nor are prisons are dungeons because the idea is to re-educate and Prison Institute resocializar, not to serve as academy banditry.
They want to reduce criminal minority. Do you know what's going to happen? Not? They will entice ten year old children to commit crimes. What's up? Are you angry at your ten-year-old daughter you love so much?
Indeed! In jail only the children of others or, as Getúlio Vargos said: "To all friends, enemies ... At the law" Tertulias flaccid vacum to sleep
Translated from the original in English ADDICTION FUELS HIV AND HEPATITIS C OUTBREAK IN INDIANA, ACROSS RURAL SOUTH By Claudio de Souza Santos on Sunday, 21 July 2015 dayReviewed by Mara Macedo. the woman who makes me smile.