Download AIDS and Women’s Reproductive Health by Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal PDF

By Lincoln C. Chen, Jaime Sepulveda Amor, Sheldon J. Segal

Over the earlier decade, the AIDS pandemic has propagated so largely and exerted one of these dev­ astating effect that one might adequately ask the query, Why no longer focus all AIDS efforts on illness keep watch over on my own? Why hyperlink AIDS with women's reproductive future health? what's the clinical foundation for this linkage? and the way may well reduction~ keep watch over and women's overall healthiness goals be promot­ ed concurrently? those questions represent the relevant subject matters addressed during this monograph. The 15 chapters during this quantity are meant to supply state of the art stories of key interac­ tions among AIDS and women's reproductive health and wellbeing for an viewers of scientists and coverage makers within the AIDS and inhabitants fields. Impetus for this monograph is available in pan from what we understand to be an insufficient worldwide reaction, so far, to AIDS and women's overall healthiness ;>roblems. a standard platform has did not emerge one of the disparate expert groups operating within the components of AIDS, STDs, and family members making plans. therefore, endeavors in those fields were remoted, and possibilities for joint motion were neglected. a huge and, as but, unharnessed power exists for strength­ ful interdisciplinary collaborations which could boost regulations and courses opposed to those urgent illnesses of humankind.

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Such new treatment efforts could contribute simultaneously to the solution to two daunting health and social problems: illicit drug use and HIV infection. The two are interrelated and flourish in the same populations. Any intervention that reduces intravenous drug use will help deter the spread of HIY. The tension between those concerned with drugs and those concerned with AIDS arises because some interventions that diminish the risk of HIV transmission (such as needle exchange or use of bleach to clean needles and syringes) lend the appearance of condoning, or at least acknowledging, the continued use of intravenous drugs.

In our assessment, both mechanisms are probably operative in communities where circumcision is not practiced. The foreskin directly increases the susceptibility of men to HIV-l and indirectly affects the prevalence of Sills in the population. This promotes transmission of HIV-l by rendering women more susceptible to HIV-I, and subsequently results in increased infectivity ofHIV-I-infected women for their male sex partners. An additional twist in these relationships is that chancroid, the main cause of genital ulcers in much of Africa, is more frequent, more severe, and more refractory to treatment in individuals with HIV-l infection (28).

However, this is a small price to pay to control the spread of a devastating disease. REFERENCES 1. Gostin LO. Public health strategies for confronting AIDS: legislative and regulatory policy in the United States. lAMA 1989; 261:1621-1630. 2. Fineberg HY. Screening for HIY infection and public health policy. Law, Medicine & Health Care 1990; 18:29-32. 3. Oeary PD, Barry MJ, Mayer KH, Brandt AM, Gostin LO, Fineberg HY. lAMA 1987; 258:1757-1762. 4. Turnock BJ and Kelly CJ. Mandatory premarital testing for human immunodeficiency virus: the Illinois experience.

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