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Monday, May 6, 2019

HIV and AIDs Epidemic by Daniel Pomes


HIV and Aids affects millions of people, and the scariest thing about it is that most people that have it do not even know it.  HIV/AIDs took the world by storm in the 1980s.  36 million people are living with HIV/Aids across the globe, and unfortunately the number is rising daily (Global Statistics 1). Aids is a disease where there is severe loss in the body’s cellular immunity, greatly lowering the resistance to infection and malignancy (Merriam-Webster 1).  In order to get HIV, the virus has to enter your blood cells through bodily fluids.  The worst part about AIDS is that it cannot be cured, it will either last for several years or could even last for a normal lifetime (What are HIV and AIDs? 1).  Although this disease can’t be cured, there are ways to help prolong life and slow down the diseases progress.     
            The origin of the HIV and AIDs virus is much different than most people might expect.  The first ever cases of HIV came as early as 1920 ("Origin of HIV & AIDS" 1).  There has been much debate over how this virus came into existence, but years of research has led scientists to a possible conclusion (1).  Although the first case of HIV was recorded in 1980, there had already been several cases of a similar disease that had not been identified yet, but research in 1999 found a strain of SIV in chimpanzees, which is nearly the exact same as HIV in humans (1).  Since then, the researcher concluded that the SIV virus simply crossed species at some point, which is how the virus spread to humans. The only way to contract the HIV virus by encountering an infected person’s bodily fluids (1).  This may leave you wondering how chimpanzees spread this virus to humans.  Well, it’s quite simple, humans had been hunting chimpanzees in the jungle, and an infected chimps’ blood had come in contact with humans who had open cuts or wounds.  Conclusive evidence and years of research has led scientists to believe that HIV originated in Africa.  The research shows that the first transmission of SIV to HIV happened in 1920 in the Democratic Republic of Congo (1).  This same region is recognized for having the most genetic diversity in HIV strands.  Eventually, HIV made its way around the continent of Africa (1).  Its next stop was Kinshasa and it did not stop there.  At the time it was spreading through the area, the country was growing, which meant transport in and around the country was heavy, and the possibility of the virus spreading was very likely.  As time passed, the disease continued to spread and grow, eventually going global.  By 1960, HIV had spread to Haiti, and the reasoning for it spreading to just Haiti is because at that time, there were several Haitians working in the Democratic Republic of Congo, where the virus originated (1). 
            The United States had not discovered any cases of HIV until the 1980s, but the virus realistically had been in the United States a few years prior to that ("History of HIV and AIDS Overview" 1).  Several cases of a rare disease were being reported in 1981, specifically by homosexual men.  For many years, the disease was being related to the word “gay” only, until the same disease was found in heroin users and hemophiliacs (1).  At the time of the first AIDs cases were being reported, there had not been much research done yet.  During that time, the general public new that there were four ways to get AIDs, and those four things were known as the Four-H-Club.  The four H’s were homosexual, hemophiliacs, heroin addicts, and Haitians (1).  In 1983, it was discovered that HIV could pass through heterosexual intercourse, and the stigmatism that it was only from homosexual interactions was not valid anymore.  In June of 1983, the first child cases of AIDs had been discovered, causing people to believe that anyone can contract the disease through any type of contact.  Later it was concluded that the syndrome was passed to the child at birth if the mother had already had the disease.  The Center for Disease Control, or the CDC, had put out a statement saying that you could not get the disease from casual contact, food, water, or air.  This epidemic continued to grow, and by 1990, the number of people infected was around 10 million, and since then it has continued to rise ("HIV Treatment Overview").  Overtime, the FDA began approving several different medicines, the most affective one being Antiretroviral therapy (1).  Antiretroviral therapy, or ART, cannot cure HIV, but can help prolong life and make anyone who has been diagnosed with HIV much healthier (1).  The drug has been used since the mid 1990s and is the reason the virus has not been taking as many lives (1).  The treatment is very important because if the drug is not used, then people that live with HIV will soon develop AIDs, which is what will lead to death.
           




            Over the years, several important figures in our society have been diagnosed with HIV and AIDs.  Most are very open about their condition and do everything they can to try and help others who are facing similar experiences.  For example, Hall of Fame basketball player Magic Johnson, who is now the General Manager of the Los Angeles Lakers, has had Aids for the last twenty years ("How Has Magic Johnson Survived 20 Years with HIV?" 1).  Back in 1991, Magic held a press conference where he announced to the world that he had contracted the HIV virus, and to many at the time, he had just pronounced his own death (1).  People who had heard his announcement believed he was going to die because at the time, the world did not know near as much about the virus as we do now, and the perception of the disease was that once diagnosed, the future was eminent, and death was inevitable (1).  Yet, here we are today, and Magic Johnson is living a healthy life and is still just as successful as ever.  The reason he is as healthy as he is, is because he has been taking the antiretroviral drug, which as I mentioned earlier, helps prolong the life of people living with HIV and AIDs (1).  The most effective way to try and keep people from dying from AIDs is to stop it before the HIV can turn into AIDs, because after it gets to that point, the odds of living are not near as probable.
One of the hardest parts about having the virus, is revealing it to the world.  Partially because it is a statement that will change your life, but also because of how the everyone else will perceive you once you expose yourself to the world.  Charlie Sheen is a perfect example of someone who has gone through a hard part of his life since being diagnosed with the deadly virus (“Jason Hanna, Doug Criss and Sandee LaMotte, CNN” 1).  Since then, the emotional and physical toll on him has been anything but easy.  When Sheen told the people, he thought he was closest to about his diagnosis, he was shocked and hurt when they demanded money to keep his secret, and since then he has paid millions of dollars to protect himself (1).  Luckily for Charlie Sheen, his HIV has not yet become AIDs, and until it does, the medicine should protect him and allow him to live a mostly normal life (1). 
            Unfortunately, these drugs and resources still are not available to most of the people living with the disease in Africa and other third-world countries around the world.  Although it is relatively easy to prevent the spread of HIV in America, but the same cannot be said for less fortunate countries around the world.  The reason being is that those countries simply are not as medically or hygienically advanced as the United States is.  For example, the economies in those countries are not sustainable enough to afford the expensive antiretroviral drugs that save so many lives.  Those countries are also not near as “clean” as America.  One of the major ways that the virus spreads is through reused needles or syringes, and those countries do not have enough money to be able to have enough of those resources, which lead to the virus infecting millions of the people living in those unfortunate conditions.
            The virus does more than just physically harm you, the physiological affect is just as dangerous.  People who are diagnosed with the disease often become depressed because of that the road ahead looks like for them ("Associated Factors of Suicidal Thoughts in HIV-Positive Individuals" 1).  The constant thought in your head that your life will eventually be cut short by the terminal disease is a hard pill to swallow, and for many it is not something they can just put to the side and try and forget about.  Becoming infected with this disease is scary, and roughly thirty percent of the people living with HIV an AIDs are depressed, and roughly two percent of those people attempt suicide (1).
A lot of people do not understand the difference between HIV and AIDs, and its often confusing because they are talked about together as one whenever they are discussed.  Everyone starts off by getting HIV, which is most commonly received from bodily fluids such as blood, semen, rectal fluid, and breast milk.  HIV is a disease that targets the immune system, and specifically the CD4 T-cells ("HIV/AIDS - Diagnosis and Treatment.").  CD4 T-cells are the white blood cells that kill viruses and bacteria that get into the body, but when they are killed the body is left with nothing to defend itself with, which is why the virus is so deadly (1).  The HIV virus transitions AIDs when the CD4 T-cell count drops to below 200(1).  Once the T-cell count is below 200, the white blood cells do not have enough numbers to fight some viruses (3). Those viruses take over the body and are what ends up killing the person carrying the disease. 
The HIV virus is very serious, as it takes the lives of millions each and every year.  Scientists are constantly doing research and trying to find the cure to this life changing disease, but unfortunately this virus has no cure.  Although the virus is not curable yet, there are medicines and treatments out there that can help those who are suffering live a longer and happier life.  One of the only consistent treatment methods used today is called anti-retroviral treatment (“HIV Treatment Overview”).  Antiretroviral drugs cannot kill the virus completely, but it can stop the growth and progression of the disease from killing you (2).  This process usually takes around two weeks to begin working and has proven to be a very effective way to slow down HIV (2).  Only around 58 percent of all those who suffer from HIV, have access to the antiretroviral treatment ("Global HIV & AIDS Statistics? 2018 Fact Sheet.").  Roughly fifteen million people are living with HIV, and in the next year, around two million more people will contract the HIV virus (3).  By 2020, another million people will have died due to an AIDs related disease.  This specific treatment is taken in the form of a pill and is taken daily (2).  Like any drug, there are side effects that come with this drug.  Those side effects include nausea, vomiting, diarrhea, difficulty sleeping, dry mouth, headaches, rashes, dizziness, fatigue and pain ("Is There a Cure for HIV and AIDS?").  These different drugs work in different ways, but all do a similar thing.  Most of the drugs disable proteins produced by the body that the virus needs to grow, so when these proteins are not being given to the virus, it stalls out and is not able to hurt the body (4). 
            Although it is possible to contain HIV with drugs, there is another more effective way to stop the virus.  The way to stop it is to prevent it from ever starting.  In the United States, HIV is mainly spread through sex and the sharing of needles.  Around the world, and especially in The United States, safe sex is not something that is taught to teenagers. Therefore, the youth of America is vulnerable to several things that could change their lives forever.  Some ways to prevent the spreading of HIV is by using condoms, getting tested for STDs regularly, and jut not having any sex at all.  HIV can be spread through oral and vaginal sex, so it is important to know who you are with and if they are safe ("Safer Sex.").  HIV can be spread through heterosexual sex, but it is more commonly spread within the homosexual and bi community.  Specifically, gay and bisexual men are the population that are infected by the virus more than any other group (5).  Blood is one of the bodily fluids that HIV is spread through, and the sharing of needles and syringes is the second most common way that the virus has been spread in America over the last forty years ("U.S. Statistics.").  It is not legal for doctors to re-use needles after an injection has been given, however, illegal injections and injections given by someone who does not work for a hospital is a dangerous and risky way to possibly contract the virus.  Making smart decisions is not always easy, but it should always be top priority because your life literally depends on it. 
            The philosophy known today as absurdity, which was created by the late Albert Camus, is a much different way of thinking ("Camus, Albert.").  It is not the usual, modern positive outlook on life, the happy, optimistic mood that society promotes so much in today’s world (6).  The absurd is the idea that although humans desire happiness, and we like to put hope into things, and have faith that everything will work out, but that is not how it works, and having hope in something is meaningless (6).  For example, humans always hope for certain outcomes, like fate, or one’s “destiny”, but the philosophy of absurdity says that the universe does not determine the outcome of your life, nor does any super natural power.  Absurdity and AIDs may not seem to have much relation to each other, but if you look at how AIDs can affect one’s mental state, then you can see how the two go together.  When a person receives the news that they have been diagnosed with AIDs, it often can leave them very deflated, and lost.  But like any normal human, we tend to put faith and hope into life changing events, but like the philosophy of absurdity states, when one gets AIDs, there is no road to recovery at this point in time, and all one can hope to do is slow it down enough to be able to enjoy the rest of the life they have to live.  Although this seems like a very negative outlook, it can help to set people straight, to offer them some reality on their current condition.  False hope can be very disheartening, and often lead to high expectations, that end up letting you down in the end. 
            HIV and AIDs is, as of right now, is a serious issue, that unfortunately we cannot do much about, besides educate the youth on how to prevent it and try and get everyone suffering from the virus on the proper medication.  Being diagnosed with this deadly virus is not only dangerous for your health, but it is also something that is not easy for those who have been diagnosed with to talk about, the embarrassment and judgment that those who come out with this virus receive is just another addition to the emotional stress that HIV and AIDs gives you.  Sadly, there is no cue to this virus, but if the world can work towards educating people in safe sex and pushing that all those with the virus get treatment to try and save as many lives as possible.  Hopefully, in the years ahead of us, scientist and doctors will be able to find a cure to this virus, nut until then, all we can do is work with what we have.





















Works Cited
"Associated Factors of Suicidal Thoughts in HIV-Positive Individuals." PubMed Central (PMC), www.ncbi.nlm.nih.gov/pmc/articles/PMC4749688/.
Centers for Disease Control and Prevention, 25 Mar. 2019, www.cdc.gov/.
"Camus, Albert." Internet Encyclopedia of Philosophy | An Encyclopedia of Philosophy Articles Written by Professional Philosophers, www.iep.utm.edu/camus/#SH5a.
"Global HIV & AIDS Statistics ? 2018 Fact Sheet." UNAIDS, www.unaids.org/en/resources/fact-sheet.
"HIV Treatment Overview." HIV.gov, 2 Apr. 2019, www.hiv.gov/hiv-basics/staying-in-hiv-care/hiv-treatment/hiv-treatment-overview.
"HIV/AIDS - Diagnosis and Treatment." Mayo Clinic - Mayo Clinic, 19 Jan. 2018, www.mayoclinic.org/diseases-conditions/hiv-aids/diagnosis-treatment/drc-20373531.
"History of HIV and AIDS Overview." AVERT, 26 Nov. 2018, www.avert.org/professionals/history-hiv-aids/overview.
"HIV Treatment Overview." HIV.gov, 13 Nov. 2018, www.hiv.gov/hiv-basics/staying-in-hiv-care/hiv-treatment/hiv-treatment-overview.
"How Has Magic Johnson Survived 20 Years with HIV?" Live Science, 7 Nov. 2011, www.livescience.com/16909-magic-johnson-hiv-aids-anniversary.html.
Jason Hanna, Doug Criss and Sandee LaMotte, CNN. "Charlie Sheen Says He is HIV-positive." CNN, 1 Aug. 2017, www.cnn.com/2015/11/17/health/charlie-sheen-health/index.html.
"Origin of HIV & AIDS." AVERT, 19 Oct. 2018, www.avert.org/professionals/history-hiv-aids/origin.
"Safer Sex." Planned Parenthood | Official Site, www.plannedparenthood.org/learn/stds-hiv-safer-sex/safer-sex.
"U.S. Statistics." HIV.gov, 13 Mar. 2019, www.hiv.gov/hiv-basics/overview/data-and-trends/statistics.



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