Red Ribbon mean that I care!!!.

HIV: Human Immunodeficiency Virus It is a retrovirus and destroys the essential conductor ofthe immune system- -the T4 cells. AIDS: Acquired Immune Deficiency SyndromeAcquired: The virus is acquired from someone else. Immune: A protection against disease causing microorganisms. Deficiency: A loss of this protection. Syndrome: A group of signs or symptoms that together define AIDS as a human pathology. So...AIDS is a deficiency of the human immune system which you get from someone else.

+ Since HIV/AIDS epidemic began 20 years ago, over 50 million people have been infected with HIV.+ Children have lost their parents, Families have lost their property, Communities have lost teachers, health workers; business and government leaders, Famous artists and Athletics, etc...+ AIDS is already the leading cause of death in adults (defined here as those aged 15-49).

Impact of HIV and AIDS+Every day, an estimated 15,000 people become infected with (HIV). +Adults and Children become infected as end of 1999 Total: 34.3 million+Estimated death of (adult&child) from the beginning of the epidemic to end 1999. Total : 18.8 million.+Over 90% of (HIV+)people do not have access/cant afford the various therapies.

-- almost 50% are women 27 June 2000About 15 000 new HIV infections a day in 1999lMore than 95% are in developing countriesl1 700 are in children under 15 years of agelAbout 13 000 are in persons aged 15 to 49 years,of whom:-- about 50% are 1524 year olds

00001-E-1 27 June 2000Adults and children estimated to beliving with HIV/AIDS as of end 1999Western Europe520 000520 000North Africa & Middle East220 000220 000sub-SaharanAfrica24.5 million24.5 millionEastern Europe& Central Asia420 000420 000South& South-East Asia5.6 million5.6 millionAustralia& New Zealand15 00015 000North America900 000900 000Caribbean360 000360 000Latin America1.3 million1.3 millionTotal: 34.3 millionEast Asia & Pacific530 000530 000

People living with HIV/AIDSEstimated number of people living with HIV/AIDS by region, 1980 to 1999

+ Sex--vaginal, anal and oral

+ Direct injection--needles and syringes

+ From mother to infant--either through blood or breast milk.

+ Blood transafusion.Be Aware!!!

+ Breathing problems

+ Mouth problems, such as thrush (white spots), sores, change in taste, dryness, trouble + Swallowing, or loose teeth

+ Fever for more than two days

+ Weight loss

+ Poor vision or "floaters" (moving lines or spots in your vision)

+ Diarrhea

+ Skin rashes or itching

+ More than 100 germs can cause opportunistic infections.+ Some of these infections include:- MAC (mycobacterium avium complex) [my-ko-bak-TEER-i-um a-VEE-i-um]

- CMV (cytomegalovirus) [si-to-MEG-eh-lo-vi-res]

- TB (tuberculosis) [too-burr-qu-LO-sis]

- Toxo (toxoplasmosis) [tok-so-plaz-MO-sis]

- Crypto (cryptosporidiosis) [krip-to-spo-rid-e-O-sis]

+ Those people with AIDS should be take care.

+ Should have safe and good environment for their last part of the life.

+ In rural area, even if they couldnt get the treatment, the local community should make comfortable environment.

+ What is Depression ?+ Depression and HIV Infection !!!+ Treatment of Depression in HIV Infection.+ Psychotherapy+ Pharmacotherapy

+ The diagnosis of depression is based on a minimal duration of certain groups of symptoms. + A major depressive disorder is diagnosed when one has several of the symptoms.

Symptoms of a Major Depression+ Depressed mood most of the day, nearly every day.

+ Diminished interest or pleasure in all or most activities.

+ Increased or decreased sleep nearly every day.

+ Fatigue or loss of energy nearly every day.

+ Loss of appetite or weight.

+ Insomnia or increased sleep.

+ Feelings of worthlessness or excessive or inappropriate guilt.

+ Decreased ability to concentrate.

+ Agitation.

+ Recurrent thoughts of death, suicidal thoughts or suicide attempt. + Feelings of hopelessness.

(DSM-IV), 4th edition. Washington, DC: American Psychiatric press 1994:327.

+ It appears to be the most common psychiatric disorder found among HIV-infected individuals. + It has a significant effect on quality of life, progression of disability and ability to receive good medical care. Risk factors for Major Depression in HIV+ Previous depression or family history of depression. + Alcohol, IV drug or other substance use. + Loss of social supports. + Multiple losses.

Treatment Options Combination TherapyPsychotherapy, Supportive,Interpersonal, Cognitive-Behavioral, Group support,etc.. Antidepressants,Stimulants, Testosterone PsychotherapyPharmacotherapyAndrew Elliot, M.DMadison Clinic at Harborview Medical Center, Department of Psychiatry and Behavioral Sciences, University of Washington

+ Danny (age 5) Orphan.+ His parents pass away b/c of AIDS when he was four.

+ Danny developed symptomatic AIDS and was cared for by his grandparents.

+ A great consolation to them all was the support and care shown by their neighbors and townspeople.

+ They never felt the isolation that some families experience.Danny died at five years of age.

+ Scott and Nancy+ Scott is a hemophiliac who was transfused with "bad" blood.+ Many are kids like Scott who prepared to die at the height of youth. + Nancy is Scott's mother.

+ She is the woman who lives with AIDS.

+ But she does not carry the virus inside of her. + Carrying it in her heart.

Tiffany and Emma+ Tiffany who is living with AIDS.

+ Her mom, an IV drug user and prostitute died with AIDS.

+ Emma is grandmother of Tiffany.

+ She takes care of Tiffany with excesses of love and encouragement.

+ She says: "Give all that you can and all that you have.

+ HIV and AIDS are concerns of all sectors, and all of society+Know what to do!! How to do it!! we MUST succeed!!+We must avoid splits between a focus on prevention and an emphasis on care.UNAIDS - Programme Coordinating Board,Geneva, (25 May 2000) World Aids Day: Geneva, 1 December 1999Remarks from the speeches

UNAIDS International ThemeListen!!! Learn!!! Live!!! 1st December Every Year

+ Creating political will and mobilizing resources.

+ Increasing access to voluntary HIV counselling and testing.

+ Increasing access to psychosocial support and impact alleviation.

+ Improving health service.

+ Increasing access to drugs of special interest to people living with HIV infection.

+ Countries need to develop plans for care and support as part of their strategic planning at any level(national/district) on HIV/AIDS.

+ Essential for the people living with/affected by HIV. Resources: Family members, representatives of religious communities, health-care providers, public sectors.+ Association of people living with HIV are a good example.+ It can help reduce stigma and other negative consequences of HIV.+ An important goal is to support Inclusion-Enabling affected people to live as normal members of Society.

+ Lack of income/become jobless.

+ An overall reduction in the number of household dependents.

+ Denial, ostracism and abandonment as not infrequent social responses.How to solve ?+ Make donation for those who face the problems.+ Government/private banks should give loan with/low interest.+ Organizations(like Red Cross, UNAIDS) make some events can support their morality and strength.

Definition: a group of people sharing the same geographic, cultural and economic environment.

Home care Practical and Personal SupportEmotional and Social Support+ light domestic duties such as cleaning,etc..+ helping with shopping + preparation of meals. + going to medical center/hospital with you. + active listening / discussing with the problems.+ accompany for social activities e.g.. going to public places

+ Powerful tool for expanding the response to the epidemic.+ Who receive care can break the denial by Local Community.+ Can demonstrate that no reason to fear becoming infected through everyday contact.+ And also help dispel misguided beliefs about HIV transmission.+ Providing diagnosis and treatment helps decrease the rate of spread among HIV negative people.+ Infected people can live without discrimination in Community.

Option [I]+ AIDS patients should be treat just like everybody.

+ They should have right to work and have normal life.

+ Isolating or discrimination to them can make situation worse.+ If somebody has AIDS and spread it intentionally, he/she convicted as a murder.

Option [II]+ From the point of natural development, AIDS is a very normal phenomena in the history of human.+ But the problem is it is becoming as a war between human and nature.+ Do our best to fight against it in order to maintain the control.+ For AIDS patients, the best way is to treat them properly and make them comfortable, try to lengthen their life span.+ In this actual situation around as-good/bad-we know the way to protect our self. + So, Try our best!! Thats the correct attitude of life.

Option [II]+ HIV is seem to be deathly for everybody.

+ But if you have unrisk behavior, you will safe!!!

+ AIDS peoples are just like everybody, but they have to take care themselves to live long time.

+ They should know what is that and how can spread to others.

+ So, they can protect and not to generate HIV to the other people.

Option [ from Aung ]+ The impact of this epidemic is seriously to our human.+ As we survive as always, we must try our best.+ But the risks are too high for that.+ For AIDS people specially children, we should have special treatment and care system.+ The government/NGO should make the grant/fund for those children. + Also, we have to increase the rate of access to the drug/vaccine.+ In the mean time, we have to stick together and fight against this disease from different point of view.

+ The knowledge of this disease is need for people living in developing countries.

+ The supporting and caring program are essential for AIDS patients.

+ If we can improve the effective strategy, the infection rate can be decrease.

+ Anyway, everybody who live on the earth should be responsible to fight against AIDS.

AIDS

AIDS is a sickness. I feel that people who have AIDS are not different than us. Please take my hand and I will be your friend!!! I will find help for you!!!

I will help you see the light of day, every day!!!

Christine Genco (age 12)