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艾滋病防治任重道远
http://www.edu.cn 2011-06-02 科学网 张笑
6月2日出版的《自然》杂志刊登社论——《小名字，大疾病》（A big disease with a little name），对艾滋病现状以及防治工作进展进行了讨论。以下为文章主要内容：
从首例艾滋病被发现至今正好30年，艾滋病治疗研究已取得许多可喜成果，但我们还有许多工作要做。各种突破性研究在持续地为人们提供着更新、更好的艾滋病防治手段，最近一次有关抗逆转录病毒药物的研究则是支持艾滋病“防治结合”理念的迄今最有力证明，而在此之前，相关研究也显示抗逆转录病毒治疗确有成效。
但这并不意味着新的生物医学干预手段能减慢艾滋病传播速度。目前在发展中国家的艾滋病人中，有600万正在接受抗逆转录病毒治疗，而未接受治疗的则约有1000万。此外，还有更多的初期感染及高风险感染人群在等着预防和治疗。
全球财政问题是一方面，像美国、欧洲这样富裕的地区都受经费削减的困扰，资金不足造成的艾滋病防治不及时或将持续一段时间。此外，出于害怕以及社会歧视因素，许多人不愿做艾滋病检测，从而使得相当高比例的人群不知道自己是否患病，这同样给艾滋病防治带来困难。
虽然艾滋病防治所需成本巨大，但有学者研究认为，以不作为的态度对待艾滋病，由此造成的损失将远大于积极防治。
抗逆转录病毒药物对降低艾滋病感染可起到一定作用，但减少艾滋病传播更需要社会行为规范的改变。如果我们不这么做，艾滋病在今后30年内带来的损失仍将倍增。
艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复 艾滋病不治会早死，早治才康复
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| 图示∶2011年5月正式出版的《中国特色医疗金鉴》登载的刘君主任及其机构事迹 |
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AIDS long way to go
Zhang Xiaotian http://www.edu.cn 2011-06-02 Web of Science
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June 2 issue of "Nature" magazine published an editorial - "small name, big disease" (A big disease with a little name), on AIDS prevention and control of progress of the current situation and discussions. The following is the main content of the article:
Far from the first case of AIDS was discovered just 30 years of AIDS treatment has made many encouraging results, but we still have much work to do. Groundbreaking research in a variety of continuing to provide for people with new and better means of AIDS prevention, the most recent relevant studies of antiretroviral drugs is the support of AIDS "prevention with" by far the most powerful proof of concept, but before , research also shows that antiretroviral therapy had proved effective.
But this does not mean that the new biomedical interventions can slow down the rate of HIV transmission. Among current AIDS in developing countries, there are six million are receiving antiretroviral therapy, without treatment is about 1,000 million. In addition, there are more high-risk infection initial infection and the prevention and treatment of people in waiting.
Global financial problems is one thing, like the United States, Europe, this wealthy region plagued by funding cuts, lack of funds caused by AIDS is not timely or will continue for some time. In addition, out of fear of discrimination and social factors, many people do not want to do HIV testing, enabling a high proportion of sick people do not know if this is equally difficult to AIDS.
Although the cost of a huge AIDS, but scholars believe that in order not to treat AIDS as the resulting loss will be much larger than the positive control.
Antiretroviral drugs to reduce HIV infection may play a role, but to reduce the spread of AIDS is more in need of social norms change. If we do not do this, AIDS in the next 30 years, losses will continue to multiply.
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