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

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

Over the previous decade, the AIDS pandemic has propagated so generally and exerted the sort of dev­ astating impression that one may possibly accurately ask the query, Why now not focus all AIDS efforts on affliction keep an eye on by myself? Why hyperlink AIDS with women's reproductive wellbeing and fitness? what's the medical foundation for this linkage? and the way may perhaps reduction~ regulate and women's health and wellbeing goals be promot­ ed at the same time? those questions represent the valuable topics addressed during this monograph. The 15 chapters during this quantity are meant to supply state of the art reports of key interac­ tions among AIDS and women's reproductive wellbeing and fitness 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 international reaction, so far, to AIDS and women's overall healthiness ;>roblems. a typical platform has didn't emerge one of the disparate expert groups operating within the parts of AIDS, STDs, and kin making plans. therefore, endeavors in those fields were remoted, and possibilities for joint motion were neglected. an incredible and, as but, unharnessed strength exists for strength­ ful interdisciplinary collaborations that can boost rules and courses opposed to those urgent illnesses of humankind.

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Health care professionals are not exempt from the fears and prejudices that others feel about people with AIDS. Although the risk of infection is low, precautions taken to prevent exposure to infected blood and body fluids present a constant reminder of the occupational hazard these substances pose. This fear of infection can affect the quality of treatment patients with AIDS receive. Treatment may even be denied altogether, as in the case of at least one hospital whose policy is to transfer to other institutions those patients found to carry the AIDS virus.

Centers for Disease Control. Update: AIDS-United States 1981-1988. MMWR 1989; 38:229-326. Piot P, Plummer FA, Mhalu FS et al. AIDS: An international perspective. Science 1988; 239:573-579. Hankins CA. ] AIDS 1990; 3:443-448. McNeil JG, Brundage JF, Wann F et al. The Walter Reed Retrovirus Research Group. Direct measurement of HIY seroconversions in a serially tested population of young adults in the United States Army, October '85 to October '87. New Eng] Med 1989; 320:1581-5. St. LR et al. Seroprevalence rates ofHlY infection at sentinel hospitals in the United States.

This fear of infection can affect the quality of treatment patients with AIDS receive. Treatment may even be denied altogether, as in the case of at least one hospital whose policy is to transfer to other institutions those patients found to carry the AIDS virus. Discrimination in this context is just as unnecessary, and just as illegal, as discrimination in other areas, while carrying the added insult of violating the medical community's moral obligation to provide care. On an intemationallevel, the World Health Organization's Global Programme on AIDS sponsored a World Summit of Ministers of Health in 1988, which concluded with a declaration that emphasized broadening the scope of AIDS education, promoting worldwide exchange of infonnation, and reinforcing the importance of nondiscriminatory policies.

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