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Showing posts with label Bahamas National AIDS Programme. Show all posts
Showing posts with label Bahamas National AIDS Programme. Show all posts

Wednesday, October 7, 2009

Bahamas: Successful HIV/AIDS treatment makes disease rate appear higher

By ALISON LOWE:

Tribune Staff Reporter -

alowe@tribunemedia.net:

IN AN ironic twist in the fight against HIV/AIDS, success in treating people living with the virus has seen the Bahamas appear to have a higher HIV/AIDS rate than resource-poor countries like Haiti.

According to Perry Gomez, director of the National Aids Programme, the fact that there are now fewer people dying from AIDS in the Bahamas thanks to wider access to medication and awareness has meant there are more people alive to be recorded in the statistics which are shared internationally.

Currently, the Bahamas is documented by the Joint United Nations AIDS Programme (UNAIDS) as having an HIV/AIDS rate among people aged 15 to 49 of three per cent. The same grouping in Haiti has a rate of 2.2 per cent, Cuba, a 0.1 per cent rate, Jamaica, 1.6, Trinidad and Tobago, 1.5, and Barbados, 1.2.

"The fact is we have done such a good job of keeping people alive has added to the figures. The fewer people who die, the more you have with AIDS alive. And so when one looks at country data, and this is important for us. You might wonder why our prevalence remains being reported relatively high, higher than some countries that might surprise you."

Dr Gomez said it is "important to understand the nuances of statistics."

"As someone once said, 'There are lies, damn lies and statistics'," joked the official.

Over the last three years the number of cases where HIV progressed to AIDS has diminished significantly.

By the end of 2008, 185 new cases of AIDS - the final stage of HIV infection, which sees the body's immune system weakened to the point that it has serious difficulty fighting infections - had been recorded in the Bahamas, compared with 221 in 2007 and 329 in 2006.

The highest ever number of cases in one year of HIV progressing to AIDS - a progression which is more rapid if HIV positive individuals do not take anti-retroviral drugs - was 382 in 1997, and the rate has decreased year on year ever since.

Of the 185 AIDS cases in 2008, 65 people died and 120 remained alive at the end of the year.

Dr Gomez noted that this ensured that there were fewer people who died of AIDS last year than who lost their lives as victims of murder.

This success in keeping sufferers alive is in contrast to struggling countries like Haiti, where fewer people who contract the virus seek or receive treatment and therefore often die, removing them from data that is documented by international organisations which monitor the pandemic.

On top of the impact of this success on the rate, Dr Gomez claimed to "totally believe" that international organisations have exaggerated the Bahamas' rate, pegged at around three per cent.

The rate would also be increased by the success of a Know Your Status Campaign which continues to encourage people to get tested for HIV/AIDS.

Mr Gomez revealed that last year the National AIDS programme had been able to get "significant testing done" in the "men who have sex with men" community (MSM) in the Bahamas, a group which is known to be more likely than most not to seek testing or treatment for fear of discrimination.

The introduction of a new "rapid testing" technique, now available at all public clinics in New Providence and about to be launched across Grand Bahama, is expected to make a further impact in this regard, adding to the numbers of people who know their status by making the experience less time consuming.

The testing technique, which is as accurate as traditional methods, enables people to get tested and receive their results in less than half an hour - much quicker than the days in which people would have to wait to get blood test results back from a laboratory.

October 07, 2009

tribune242.com

Bahamas: New HIV cases set to increase

By ALISON LOWE:

Tribune Staff Reporter -

alowe@tribunemedia.net:


THE number of new HIV cases in The Bahamas is set to increase, health experts have revealed.

If trends recorded in the early part of this year hold until its end, this year will see a worrying rise, said Dr Perry Gomez, director of the National AIDS Programme.

From January to April 2009 Mr Gomez said 57 more people -- 29 men and 28 women -- were added to the list of people infected with the virus in The Bahamas.

Meanwhile, during the same period, 42 people with HIV saw their disease progress to the critical AIDS stage of the illness, resulting in 22 deaths during those four months.

"If we multiply 57 times four, we get 228. That would be more than we had last year. We'll have to see how things pan out," said Dr Gomez.

This potential rise in new HIV cases comes even as the National AIDS Programme has had impressive success in minimising the number of cases which are progressing to the critical AIDS stage of the disease, suggesting that while access to treatment and education in this regard has had an impact, people are still not getting the message about HIV prevention.

Dr Gomez disclosed the latest figures as he, with President of the AIDS Foundation Camille Barnett, and organisers of this year's Red Ribbon Ball appealed to the public to continue to support the annual fundraising gala despite hard economic times.

Tickets are $200 each for the November 21 event, which has over the past 16 years raised $700,000 for the AIDS Foundation -- a non-governmental organisation that assists in providing education, counselling, housing, medication and other basic necessities to people "infected and affected" by the virus.

Sandra Knowles, a director at major sponsor Colina Imperial Insurance Ltd and co-chair of the organising committee for the ball, reminded the public that "need knows no season" and now is not the time to give up on supporting the HIV/AIDS fight.

"We are hoping to raise at least $50,000...but if we could maintain what we got last year, that would be a miracle and God's blessing," said Mrs Knowles.

Mrs Barnett noted that within the next couple of months the AIDS foundation is embarking on a new outreach initiative which will cost a significant amount of money.

The programme, aimed at providing support to adolescents suffering from HIV/AIDS, is expected to see trained professionals connect with the young people, who often struggled to cope with their healthcare regimes, on a weekly basis.

"The foundations wants to assist these young people to achieve their right to health and right to life. We would like to empower these youths to truly believe they are accepted, safe and well," said Mrs Barnett.

In this regard, Dr Gomez commented on the case of a 20-year-old man born with HIV as a result of his mother being infected who died in the last six weeks, "in short, because of neglect."

"He had no support, he lived alone, aged 20, parents deceased, no help," said Dr Gomez.

Despite advances made by the National AIDS programme and the AIDS foundation, the NAP director said the fight against HIV/AIDS still has a long way to go in The Bahamas and therefore still needs the support of members of the public and corporate donors.

Highlighting this, he noted that although The Bahamas has been described as a model of best practice for reducing mother-to-child HIV transmission, last year saw four babies born with HIV to HIV positive mothers.

"Stigma and discrimination remains a huge problem that keeps people away from care. In the mother-to-child programme we went for a few years with almost no transmission at all from mother to child in people who came for care.

"We normally have one or two (babies born with HIV each year). Last year we had four women who had no ante-natal care, so we had four children born with HIV last year.

"That's the most we've had in ages and so there's still a lot to do with maintaining the programme of awareness and care and making sure that people get in for care," said Dr Gomez, who also noted that The Bahamas' standout reputation for good ante-natal care for HIV/AIDS infected mothers has seen numerous women travel here in recent years from across the region seeking care in the country's public clinics.

Providing a cumulative overview of the impact of HIV/AIDS in the Bahamas since it was first detected in this country, Dr Gomez said that up to the end of 2008 a total of 6,103 people in The Bahamas have contracted AIDS -- 3,626 men and 2,477 women. Of these, "4,000 plus" have died already, or 66 per cent, while 2,078 are "alive and living well with AIDS."

Meanwhile, up to the end of 2008 there was also a cumulative total of 5,387 people infected with HIV, 2,678 men and 2,726 women.

That means that there are around 7,400 people living in The Bahamas at the moment who are known to be infected with HIV/AIDS, with a current "one to one" male to female ratio -- a change from the historically greater prevalence of HIV/AIDS in men than women.

Dr Gomez noted that there are also "certainly people who have HIV/AIDS and do not know because they have never been tested", meaning that the actual rate may be much higher.

October 07, 2009

tribune242