警惕"被动感染"艾滋病 专家建议防艾需倾向健康人群


  警惕"被动感染"艾滋病 专家建议防艾需倾向健康人群

      2011-07-26 08:15:40来源: 新华网(广州)

          新华网广西频道7月26日电(记者张莺、王志伟)记者在广西南宁市等地采访艾滋病病毒感染者、社会健康人群及广西疾控部门,发现较多艾滋病病毒感染者为“被动感染”。专家建议,防艾宣传要注重社会健康人群干预,提醒他们远离艾滋。

  “被动感染”

      来自桂林农村的40岁艾滋病患者蔣丽向记者讲述她的遭遇。24岁那年,蒋丽和同县男子阿强结婚,婚后生下一个儿子。儿子2岁多时开始生病,伴随发烧、淋巴肿大等。

      治疗三四年后,儿子的病不见好转,当地医生怀疑孩子得了艾滋病。2005年,阿强带着蒋丽和儿子到广西壮族自治区疾控中心,一家三口抽血检验,全部被确诊为艾滋病病毒携带者,儿子通过母婴传播感染,阿强和蔣丽在儿子出生之前就已感染。

      此时阿强向蒋丽坦白,婚后不久他因在县城打工,和妻子两地分居,曾去洗浴中心找过“三陪女”,可能因此感染艾滋病。

      阿强和蒋丽把患病的消息告诉双方父母和兄弟姐妹,招来的是两家人的“避而远之”。从此蒋丽一家在县城过着“卑微”的生活,对外保密病情,外出看病要“偷偷摸摸”。2009年冬天,蒋丽一家到南宁,在城中村租了房子,靠打短工维持生活。两年来,蒋丽说她没有一个朋友,最大的愿望是希望儿子长大成人。

      记者在自治区疾控中心艾滋病科门诊部采访了桂林市临桂县的龙英。这个41岁的南宁城市清洁工独自租住在城中村,丈夫两年前死于艾滋病,16岁的女儿在老家生活。

      龙英丈夫早年在外打工,夫妻长期两地分居,丈夫在外沾花惹草感染艾滋病毒,回家又传染给妻子。

      龙英说,2003年丈夫在南宁被确诊为艾滋病,她自己于2004年也被确诊。为了不让社会排斥女儿,他们两人向身边的所有人隐瞒病情,长期在南宁打工挣钱治病。

      2009年3月,龙英丈夫去世。直到现在,他们家里人还不知情。龙英因承受过多压力变得抑郁,不愿回家面对亲人,在南宁从不和别人交往。

  防控形势

      社会对艾滋病人的包容从未减少,政府除提供部分免费药物,还致力于通过“红丝带”等宣扬关爱艾滋病人。然而,一些艾滋病人心理健康堪忧,存在向健康人群传播病毒的风险。

       记者采访了23岁的艾滋女孩蓝蓝,她感染艾滋病已5年。2005年,广西来宾市忻城县农家姑娘蓝蓝初中毕业后到南宁打工,两个月后认识了大她十岁的李姓商人,两人开始交往同居。

      蓝蓝说,两年里她曾为男友堕胎三次,其中一次是在城中村的小诊所。由于年龄悬殊,李家人未接受蓝蓝,李姓商人很快与别人结婚,但还和蓝蓝保持着性关系。蓝蓝说,2008年5月,她打算去泰国旅游,却在出国体检中被检测出艾滋病病毒阳性反应。

      蓝蓝一直对家人和朋友隐瞒病情,她曾一度想自杀。“我有点担心他被我传染,他老婆被他传染。”

      如今,蓝蓝一面维持和李姓商人的关系,一面主动在当地艾滋病友圈里寻找合适的结婚对象,有时也和社会人士接触。

      自治区疾控中心一名医生告诉记者,他认为这些年轻艾滋病人任性,医院多次对他们进行道德教育,很担心他们做不该做的事,在社会上传播病情。

      “蓝蓝是个很有主见的女孩,她称自己是因为堕胎沾染了黑诊所不干净的医疗器械才得艾滋病,但我们推测她是由于有多个性伴导致。”这名医生说。

  降低感染

      有专家认为,已有的艾滋病宣传是讲已经染病的人该怎么做,但从预防遏制新发感染者角度,要加大宣传防艾滋病,使健康人群自律。

      记者从广西卫生部门了解到,今年一季度广西艾滋病感染者新增率跟去年同比上升20%以上,死亡率也同比上升。

      专家认为,我国艾滋病防控应实现几个转变:一是从吸毒人群的针具交换、美沙酮治疗、小姐干预为重心,转移到以一般人群干预为重心;二是宣传上从同情关怀病人,转移到宣传艾滋病危及性命、危害家庭和社会、关系国家安全;三是从防、治结合机构不分转变到防、治结合机构分开,疾控部门要把艾滋病治疗的职责转交给医院,尽力做预防。

      广西社会科学院社会学研究所的傅慧明长期关注艾滋病问题,并于2008年至2010年参与百色至隆林高速公路建筑工人防艾实验项目研究。她说,广西通过性传播感染艾滋病的比例已达70%以上,政府干预重点应转移到健康人群身上。

      她说,目前我国农村的安全套推广进展缓慢。在广西一些偏远地区,很多学生初中毕业后即外出打工。傅慧明建议教育部门在初中生中推广安全套正确使用,教育他们加强自我保护。她说:“加强对健康人群的防控干预,才能降低艾滋病新增感染。”(完)

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  更多来源∶新浪商业登载

  http://vic.sina.com.cn/news/27/2010/1231/26801.html

  TOM新闻登载

  http://post-social.news.tom.com/s/63000AD83310.html

  中国青年网 健康频道

  http://news.youth.cn/jk/201012/t20101231_1447239.htm

   环球时报-环球网

  http://news.163.com/10/1231/15/6P8B7PTU00014JB6.html

   环球网

  http://china.huanqiu.com/hot/2010-12/1390550.html

  

  

  Guard against "passive infection" AIDS Prevention AIDS experts suggest that healthy people tend to be

      2011-07-26 08:15:40 Source: Xinhua (Guangzhou)

          Xinhua Guangxi Channel July 26 (Xinhua correspondent Zhang Ying, Wang Zhiwei) reporter in Nanning City to interview HIV-infected persons, community health groups and disease control departments in Guangxi, found that more HIV-infected persons as "passive infection" . Experts suggest that AIDS prevention should focus on community health promotion intervention in the crowd, reminding them to stay away from HIV.

  "Passive infection"

      40-year-old from rural Guilin AIDS JIANG Li told reporters about her experience. 24 years old, Jiang, LJ and A strong man with the county got married gave birth to a son. 2-year-old son became sick a long time, accompanied by fever, lymph node enlargement.

      Treatment three or four years later, his son's illness did not improve, the local doctors suspected the child had AIDS. 2005, A strong JIANG Li and his son to the Guangxi Zhuang Autonomous Region with the CDC, a family of three blood tests, all were diagnosed as HIV positive, the son of infection through mother to child transmission, A strong and Jiang, LJ, before the birth of his son already infected.

      JIANG Li A strong point to be honest, soon after the marriage he was working in the county, and his wife separated, went to bath to find the "Street Girls" may therefore infected with HIV.

      A strong and Jiang, LJ, sick news for both the parents and siblings, two people are attracted to "shy away." JIANG Li lived in the county from a "humble" life, kept secret the disease, go see a doctor to be "sneaky." The winter of 2009, Jiang, LJ one to Nanning, rented a house in the villages, living by day laborers. For two years, JIANG Li said she did not a friend, the biggest wish is that his son grow up.

      Reporters in the Autonomous Region Center for Disease Control AIDS outpatient department interviewed Guilin Lingui Dragon English. The 41-year-old alone in Nanning city cleaners rental in the village, her husband died of AIDS two years ago, 16-year-old daughter living at home.

      Long years ago the husband working outside Britain, the couple separated two long, philandering husband out HIV infection, go home and spread to his wife.

      Long Ying said that in 2003 her husband was diagnosed with AIDS in Nanning, she also was diagnosed in 2004. In order to prevent social exclusion daughter, both of them all around to conceal the disease, long-term treatment to work as laborers in Nanning.

      In March 2009, the British Lung husband died. Until now, people still unaware of their home. Long under too much pressure because the British have become depressed, do not want to go home to face their loved ones, and others never contacts in Nanning.

  Prevention and control of the situation

      Social inclusion of people with AIDS has never been reduced, the government offers some free drugs, but also committed to the "Red Ribbon" and to promote AIDS care. However, some people with AIDS, mental health is bleak, there are healthy people to the risk of virus transmission.

       Reporters interviewed the 23-year-old HIV-blue girl, she was infected with HIV has been 5 years. In 2005, Xincheng County, Guangxi Laibin blue peasant girl to Nanning to work after graduating from junior high school, two months later know her to her year-old businessman, surnamed Li, the two began living together exchanges.

      Blue said two years she worked her boyfriend abortion three times, once in the villages of the small clinic. As the age gap, the Lee family did not receive the blue, businessman, surnamed Li, with others soon married, but maintained a sexual relationship, and blue. Blue said, in May 2008, she plans to travel to Thailand, but in the overseas examination was detected HIV positive.

      Blue has been on family and friends to conceal the truth, she once tried to commit suicide. "I am a little worried about me he was infected, he infected his wife."

      Today, the blue side of the business to maintain and Mr Lee, the relationship between the side of the active circle of friends at a local AIDS to find suitable marriage partners, and sometimes contact with the community.

      Autonomous Region CDC a doctor told reporters that he thought these young people with AIDS, self-willed, the hospital several times for their moral education, worried they do not to do things in the community spread of the disease.

      "Blue is a very strong-minded girl, because she said he was addicted to the black abortion clinic was not clean medical devices have AIDS, but we speculate that there are multiple sexual partners because she is leading." The doctor said.

  Reduce infection

      Some experts believe that there is publicity about AIDS has infected people how to do that, but the prevention of new infections are to contain point, to increase the anti-AIDS publicity, so that healthy people self-discipline.

      Reporters learned from the health sector in Guangxi, the first quarter of this year, Guangxi, with the rate of new HIV infections last year, an increase of more than 20%, the mortality rate rose.

      Experts believe that China's AIDS prevention and control should be achieved a few changes: First, the drug users from needle exchange, methadone treatment, Miss intervention as the focus shifted to focus on intervention in the general population; the second is a sympathetic publicity from the patient, transfer to promote AIDS life-threatening, endangering the family and society, national security; third is from the prevention and treatment organizations, regardless of changes to the combined prevention and treatment with separate institutions, the treatment of HIV disease control departments should transfer responsibility to the hospital, try to do prevention .

      Guangxi Academy of Social Sciences Institute of Sociology of Fu Huiming long-term focus on AIDS, and in 2008-2010 in Baise highway construction workers to AIDS prevention Longlin experimental research projects. She said that Guangxi by the proportion of sexually transmitted HIV has reached more than 70%, the focus should be shifted to government intervention in healthy people the body.

      She said that currently China's rural condom promotion has been slow. Some remote areas in Guangxi, a lot of work outside the home after graduating from middle school students. Fu Huiming suggested that the Education sector in the junior high school students to promote the proper use of condoms and education to enhance their self-protection. She said: "to strengthen prevention and control of population health interventions to reduce new HIV infections." (End)

   

  

  [ 作者:佚名    转贴自:本站原创    点击数:196    更新时间:2011-7-28    文章录入:nnb ]

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