“HIV is a stealth type of killer. It sneaks in through events of human bonding: conjugation and childbirth. Events that should be sacred and wonderful, not seeds of death. (Dow, Essex. Preface.)”
Saturday Is For Funerals
Delvedibbers,
Welcome to week two of the journey from Detroit to Botswana. This week our track leads us to explore HIV/AIDS. According to UNAIDS 33.3 million people are living with HIV. So Let’s Talk About it!
Our discussion for this week revolves around Saturday is For Funerals by Unity Down and Max Essex. The book gave me a deeper understanding of the human immunodeficiency virus (HIV), which leads to autoimmune disease (AIDS). For all you book loving science junkies out there this book is a definite reader! The book couples science and the stories of people who are affected by HIV in Botswana.
Coming from the perspective of a western student I had to readjust my thinking to imagine a society in which every person you know is in some way, shape or form affected by HIV. One could make the argument that those infected with HIV most certainly are not the only ones to bear the burden of the virus’ destructive path. HIV is what I like to call a ‘opportunistic home wrecker’. Once the virus creeps in through the utmost sacred human interactions it allows for death to waltz in dismantling families and dreams.
It’s impossible not to have empathy towards HIV’s youngest victims, those who acquire HIV from their mothers. I thought of the young students I have whose experience they will never know. These children will never walk their first steps, read their first books or even have the opportunity to fulfill their dreams without proper therapy. These children have committed no crime yet their right to childhood is gone. I found myself thinking the same thing over and over again, “This isn’t right. This isn’t fair. No one deserves this”.
Throughout the book there were numerous instances where individuals would not mention AIDS as a cause of death even though it was evident. Its hard to imagine choosing to ignore an issue whose eye’s are staring right into yours. But also, as an outsider I have to recognize how scared an on looker must be. Even nurses and doctors would use code words to allude to AIDS as a cause of death but never confirm it. The story of Disana, the fearless man who was buried in China due to an ignorance of AIDS, illustrated the experience that is common to all humanity: fear of the unknown.
All the negativity aside there is hope.
In light of this concept there is hope for HIV patients. In the early eighties when HIV was first recognized clinically it was deemed a death threat that had a potent stigma attached to it. However, twenty years later through research, pharmaceutical companies have made great strides in reducing the viral load (VL.) to optimize the immune system. For instance, Magic Johnson the former point guard for the greatest basketball team in the world (The L.A. Lakers) was infected with the virus in the early nineties. Now, he is 51 still living a healthy vibrant life.
Prior to reading the book my Essex and Dow my knowledge of treatment for HIV/ADIS was modest. For instance, my mind has never entertained the idea that infants can be prevented from acquiring HIV. Further more, highly active retroviral treatments make it possible for patients to lead fulfilling healthy lives. The cost of the treatment is not comparable to the productivity of those inflicted.
In regards to HIV/AIDS and Botswana, the government is working for the people to ensure their health. Due to the fact that leaders have openly addressed AIDS, there has been a decrease in infection rates. . The government recognized the needs of its people and devised a plan through revolutionary partnerships. This my friends is Democracy in action!
As I move onto my own career in medicine I need to bring the question up: what is my generation going to do about HIV/AIDS?
So far there is no vaccine or pill. My generation is going to have to tackle this one (along with sustainability). Controlling infection lies in our hands. What are we going to do about it? I am a science kind of gal who firmly upholds the notion that research is indispensable. However, prevention is the safest bet for reducing rate of infection.
Prevention is crucial when there doubt about a therapy.
There have been findings that suggest that neonatal circumcision reduces HIV/AIDS infection rates. However, in article published by the SAMJ Forum the authors (Sidler, Smith and Rode) argue that there is a discrepancy in major findings. Even more shocking they insinuate that certain peer-reviewed journals have largely ignored contrary evidence. Furthermore, it has been suggested that the published articles have misguided health care providers. The health care providers relay this information to their patients who may engage in risky sexual behavior that results in an increase in rates of HIV infection. Woahhhhhh, talk about the effects of media!
So what method can we trust?
I vote for prevention through education! As a future health care provider I have a right to whine about western medicine that constantly pushes for the anecdote in terms of pills. I say we stop focusing on pills and vaccines until we have a government that fulfils the calls of its people: EDUCATE TO IRRADICATE!
Later DelveDibbers,
Paula
P.S. Milestone in the journey to Botswana occurred. I took my vaccines like a champ…well until I saw the price that is! 😀