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HIV/Aids Overview “The most serious disease epidemic of our time.” Caused by infection with the human immunodeficiency virus Recently tied to wild chimpanzees through contact with their blood around 1931 Targets and destroys cells which coordinate our immune system leaving us vulnerable to diseases and cancers Incidence By 2004, 900,00 cases in U.S. with 500,000 deaths Currently, 850,000 are living with HIV 40,000 new cases a year Dramatic increases for teens Worldwide 5 million new cases a year 42 million suffer from it Another 45 mil. by 2006? Transmission HIV typically enters the body through unprotected bodily fluid exchanges during oral-genital, vaginal or anal intercourse An additional 20% contract via contaminated needles Children can also contract from mother before or during birth or through breast feeding Symptoms Often it begins with a brief flulike illness a few weeks after infection Fevers, swollen lymph glands, rashes, loss of appetite, muscle aches Then bloody stools, repeated fevers, and especially, oral candidiasis Eventually antibodies to the virus are detectable through blood tests Course As HIV spreads, the body loses its ability to defend itself Within 8-11 years one or more severe diseases attack Pneumonia, encephalitis, fungal infections, salmonella are all common Now improvement in drug therapies has slowed the former rapid descent to death Treatment No cure Thousands of scientists worldwide are trying to cure or prevent In 1996 a drug which inhibits the virus’ copying abilities emerged HAART (Highly Active Antiretroviral Therapy) has stymied the virus Complicated regimen, toxic side-effects Prevention To be completely safe, no interpersonal sexual contact or a monogamous, mutually faithful relationship Short of that: don’t share needles avoid contact with semen keep away from anuses, urine, sex workers Preventing STD Transmission Pleas for abstinence and dissemination of educational materials have failed to stem the tide Perhaps advice concerning assessing risk rather than insisting on abstinence is the most practical path Assessing Risk Look to yourself first – get a comprehensive screening Spend a lot of time with your prospective partner before engaging in sexual activity Swimming against the cultural tide Self-disclosure – but many lie Obtain prior medical exams, costs can be controlled Use condoms Avoid multiple partners Wash, inspect, inform