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MS FRCS MCh(Urology) Member of Parliament Role of Parliamentarian Legislator Budget Allotment Prevention Drugs Treatment Centers / Facilities Rehabilitation Awareness Natural History Acute Infection 2 to 3 weeks Recovery + Serovonversion 2 to 4 weeks Asymptomatic Chronic Infection Average 8 years Symptomatic Infection AIDS Death HIV HIV Antigen 2 to 6 weeks Window Period HIV Antibody After 6 weeks Tests Test Specificity Sensitivity Cost Tridot 96 96 Rs. 150 ELISA 99% 99% Rs. 250 Western Blot 100% Rs. 1500 Tests Test RTA – PCR Specificity Sensitivity Cost 100% 100% Rs. 4500 Why AIDS is Unique? Plague Small Pox Tuberculosis Malaria Syphilis Asymptomatic Stage Average 8 years Range 3 to 15 years HIV + ve but not AIDS Patient Cultural Change / Challenge Homosexuality Promiscuity Premarital Sex Casual Sex Legislation Mandatory Premarital Testing? Mandatory Testing before employment? Compulsory Testing of Antenatal Mothers? Punish Doctors refusing treatment of HIV / AIDS patients? Guidelines for safe medical practice – safety of Medical and Paramedical personnel Questions? Condom vending machines in educational institutions? Condom vending machines in Army barracks? Making it Compulsory to put hoardings on safe practice of sex and warning against AIDS in all Public / Private industries Disease Spread Air Coughing Sneezing Disease Spread Urine Faeces Transmission Food Water Disease Spread Sweat Saliva Tears Disease Spread Semen Vaginal Fluid Disease Spread Sexual Intercourse Vaginal sexual intercourse Man to Women Women to Man Disease Spread Anal Sex M with M M with W Disease Spread Oral Sex Disease Spread Use of Condoms When Properly Used Disease Spread Tissue Transplantation Disease Spread Blood and Blood Products Blood Transfusion Intravenous Drug Users Health care workers Disease Spread Doctor to Patient Infected Physician Dental Procedures Patient to Doctor Disease Spread Inanimate Objects Cloths Towel Tooth brush Shaving Blade Disease Spread Vectors Mosquitoes Bed Bugs Disease Spread Using Public Toilet Disease Spread Ear, Nose Piercing Disease Spread Tattooing Mother to Foetus During Pregnancy At the time of Birth Breast Feeding Prevention Abstinence Before Marriage Faithfulness after Marriage Life is a pain. And enjoyment of love is an Anaesthetic Cesare Pevese Safe Sexual Practice Use of Condoms When Properly Used Disease Spread Washing of Genitalia after sexual intercourse Disease Spread Masturbation Circumcision Postexposure Prophylaxis After Sexual Intercourse AZT After Solid Needle Prick AZT After Large Bore Needle Prick AZT + LPV/r Sexually Transmitted Diseases Syphilis Chancroid Gonorrhoea HPV Herpes LGV Fungal Infections Vaccines Research level