
家家趴在桌上写作业。在“关爱之家”,他的上学、就医问题得到保障
结石、乙肝、艾滋、手足口病,每一波重症疾病的危机里,几乎每个家长都犹如惊弓之鸟,而其中一些宝宝成为无辜的承当者。健康环境问题的不断曝光,使危机宝宝成为了这个年度其中一个最惹人注目的新社会命题,在他们身上集中了医学、经济、社会、卫生政策、行政管理等各方矛盾,同时也投射出这个社会的包容度。
2008年12月1日是世界艾滋病日20周年纪念日,在之前举行的世界艾滋病大会上,救助艾滋宝宝成为焦点。12岁的家家在台湾,9岁的美丽在河南,他们都是“关爱之家”救助者,却面临着不同的处境。在他们的身后,有着9000多名中国艾滋宝宝。
台湾高雄,入夜。
只有家家(化名)的哭声,回荡在他居住的小区里。上一次被揍,是在爸爸行窃时“望风”失败;这次挨打,是因祖父酗酒被扯破耳朵。瘦弱的家家,总是无法抵御肢残父亲与酒瘾祖父的拳脚伺候,左邻右舍耳语流传着,家家是“惯窃”家族的孩子,父母经常泡在毒品中不省人事。
终于有一天,家家发烧了,父亲拽着他的耳朵举起来就往墙上摔,扯掉了耳廓旁的一块肉,送医急救后,2005年夏天,医师诊断出家家艾滋病发。
河南郑州,深秋。
9岁的美丽(化名),依偎在妈妈身边。2001年,他们一家三口相继被筛检出感染艾滋病,卖过血的母亲因为艾滋病发丧失视力,而同样卖过血的父亲早在2002年就已过世。镜头前,漂亮的美丽,双眼无神,她已不懂得笑了。
美丽的妈妈陈氏,这个纯朴的河南妇女,没想到自己会卖血感染艾滋病,还把这个病传给了女儿。母婴传播是艾滋病三种传播途径之一。台大医院小儿部感染科医师吕俊毅表示,在不进行干预的情况下,HIV(人类免疫缺陷病毒)母婴传播发生率通常在30%至40%之间波动。
一个数据显示,全球每年有240万感染HIV的妇女生育孩子,造成每年约80万个新生儿感染HIV,HIV感染使得全球新生儿死亡率增加75%。去年全球约有37万名儿童被诊断为艾滋病毒感染者,而在中国,约有9000名15岁以下的艾滋病儿童。
最新的研究结果表明,中国艾滋病感染者中女性所占的比例从7.1%上升为35%,10年间翻了5倍,其中近九成为育龄女性。在台湾,1988年,台湾首度发现母子垂直感染的艾滋宝宝个案,到了2005年,注射毒品者感染艾滋病的人数呈现爆炸性增长,开始涌现母婴垂直感染的疑似艾滋宝宝的婴儿潮。台湾“卫生署”统计显示,到2008年10月底,台湾9岁以下的艾滋宝宝累积人数已达39人。
重生
耳朵缺少了一小块肉,身体里多了艾滋病毒之后,家家终于被台湾“社会局”看见了。他被带离南台湾的家乡,开始过新生活。
碍于法令,育幼院无法收容艾滋病儿童,家家被“社会局”转送到专门收容艾滋病感染者的台湾“关爱之家”协会,他开始喊“关爱之家”创办人杨捷为“咪咪”。
20年前,杨捷安置了台湾第一个遭排挤无法返家的艾滋病患田启元(已病逝)之后,于2003年成立台湾“关爱之家”协会,接收艾滋病孕妇生下的弃婴,3年来共安置了53个疑似艾滋宝宝。
一下子拥有太多关心,从小被打到大的家家,突然在爱中迷路了。
“我没想到当艾滋宝宝这么好,这么多人爱我。”家家服用抗病毒药物治疗,病况日趋稳定后,开始故态复萌,偷拿“咪咪”和护士的钱,跑到网吧打游戏。“我是艾滋宝宝。”家家还天真地告诉同学,以为别人会给他更多“爱”,没想到恐慌却开始蔓延。
2005年年底,家家因感冒引发肺部感染,被医院列为“疑似肺结核”病例通报,事后证明家家并未罹患肺结核,“家家是艾滋宝宝”的消息却曝光了。
“让家家上学是前所未有的危机。”学校家长群起抗议造成校方的强大压力,2005年12月,家家被迫辍学,在“关爱之家”等了好几个月,“教育局”答应派来为他“在家教育”的老师,始终不曾出现。
眼泪
2006年2月,艾滋宝宝家家辍学的消息经媒体报道,引起一位国小校长的关注。家家好不容易又背起书包和课本,回到学校上课。
下午放学后,家家把书包扔在计算机桌上开始做作业,计算机桌后方有六张病床。晚上6点半,家家需要和着白开水吞下一把抗病毒药物。“你再不乖,妈妈在天上都会难过得流泪”,工作人员教育着刚犯错的家家。上周六,家家离家两天,没吃药,因免疫力下降,嘴角出现了好几处溃疡,被送到急诊室就医。
家家很爱妈妈,他打开小皮包,安静地望着妈妈的照片,眼泪“咕噜咕噜”地滑过脸颊。去年家家两度返回高雄老家,一次是参加曾祖父的丧礼,另一次则是为病逝的母亲奔丧,这是他生平首度深刻感受到生离死别的伤痛,只有上网打游戏时,才会偶尔微笑着。“你再不吃药,就没有药可以换了”,医生提醒着正在服用二线抗病毒药物的家家,但正值叛逆期的他丝毫不在意。
家家没有同龄的玩伴,“关爱之家”除了大人之外,就是疑似艾滋宝宝的小小孩。“我大便”,已确认感染艾滋病的两岁半小女孩湾湾(化名)正在牙牙学语,她拿起一片尿布,忙着找大人帮她更换。湾湾的父母因注射毒品感染艾滋病后不知去向,她被安置到“关爱之家”。
台湾的药瘾艾滋病孕妇大多使用安非他命、海洛因等毒品,宝宝一出生就必须忍受打喷嚏、打呵欠、流泪、躁动不安、过度哭泣、抽搐等“新生儿药物戒断症候群”,有些宝宝成了心脏瓣膜闭锁不全、语言学习缓慢等发展迟缓的“慢飞天使”。三个月时被确诊感染艾滋后,抗病毒药物和奶瓶就成了湾湾的生命食粮。
2005年到2008年,3年间共有53个毒瘾艾滋病孕妇生下的疑似艾滋宝宝,如同不发芽的种子涌入“关爱之家”。与此同时,台湾另一个爱慈基金会设立的宝宝中心,近3年来也安置了25名疑似艾滋宝宝,经确诊未感染艾滋却又无法返回原生家庭的孩子们,又面临了找人领养或转送至育幼院的难题。
除了家家之外,令杨捷挂念的,还有从2003年就资助的河南驻马店市9岁女孩美丽。“台湾的艾滋宝宝可享有免费医疗,但是大陆的艾滋宝宝人数更多、范围更广,他们陷入失亲、失学、疾病与贫困的艰难环境,也缺乏基础的医疗与药物治疗。”杨捷说,中国大陆的艾滋宝宝,更需要各界的关心与援助。
告别
当死亡变得如呼吸般平常,而空气中却闻不到一点儿人情味的时候,河南驻马店的9岁女孩美丽与失明的母亲,告别了家乡,来到郑州开始新生活。
1990年初,正当中原大地的农民们纷纷挽起衣袖,跳进“想要奔小康,就去卖血浆”的献血大潮时,艾滋病毒也找到了一条康庄大道。老杨(化名)和妻子陈氏(化名)在河南农村种地,为了还债,夫妻俩在1993年一起卖血。“我一天卖一次,或三四天卖一次,1994年查出有丙肝,就不让卖了。”1999年,陈氏生下美丽;2001年,政府大普查,老杨、陈氏和美丽都确诊感染了艾滋病,次年,老杨发病去世。
2003年,台湾“关爱之家”创办人杨捷,将照护艾滋宝宝的触角扩及中国大陆河南、云南、广州等地,美丽是当年接受资助的第一批艾滋病遗孤,每月有130元人民币的补助款。
疾病最大的副作用是贫穷;活着就是一种抗争。
美丽居住在驻马店市一个小村庄,那里原本有50多人,1990年初迄今,农田里多出了20多个小土堆,还有30多人活着,等着和死神握手。
整整5年,母女俩就靠补助款生活。3年前,升上小学二年级的美丽开始发烧、咽不下东西,发病后在家休养了两年。
新问题
今年年初,中国经历了数十年来最严重的一场雪灾,美丽和妈妈在老家的日子过得像一只破了口的麻布袋,装不满希望。3月底,9岁的美丽和母亲被接到了位于郑州的“关爱之家”,回到小学上二年级。
从福利院转送到“关爱之家”的8岁艾滋孤儿小巧(化名),有了美丽做伴当姐妹,一起睡觉、吃饭、上学、做功课,陈氏则陪在美丽身旁,“现在日子过得挺好”。但对未来,这位母亲并没有设想过。
今年暑假开始,一名还在大学念书的女孩来到“关爱之家”担任家教,负责指导美丽与小巧的课业,她是香港智行基金会拨款资助就学的河南艾滋病遗孤,和美丽有着类似的成长过程。
在河南,“关爱之家”的工作人员为美丽的成绩而雀跃,“美丽每次考试都是班上前三名喔。”听到有人夸赞,美丽微笑的嘴角弯成一条倒悬的彩虹。9岁的美丽,难得过上几个月的安稳生活,但是还有更多隐而未现的“美丽”,正面临失亲、贫穷与疾病的考验,他们大多生活在贫困地区,除了承受失去父母的痛苦外,还面临生活困窘甚至辍学的困境。他们过早地体会了孤独,亲人疏离,朋友缺少,同学躲避……
家家在题为《勇于认错》的作文里第一段写着:“做错事要勇敢面对,遇到困难的事,不可以逃避。”前台湾“卫生署”署长、现任“立法委员”涂醒哲痛批,“台北市政府和校方拒绝家家入学的做法错误、离谱而且粗暴。”而同样的就学权问题存在于中国大陆。
在台湾,12岁的家家正在填写新字;在河南,9岁的美丽还在努力演算数学习题。他们是不幸的,同时也是幸运的,至少他们解决了目前就医、上学问题。根据联合国儿童基金会统计,平均每一分钟就有1名儿童因艾滋病死亡,而其中仅有少于5%的艾滋病儿童可接受医疗。
2008年8月,第17届世界艾滋病大会召开,联合国儿童基金会艾滋项目负责人吉米库克说,“这次大会第一次把儿童的问题提到了议程。”他特别提及,“第二代”艾滋病遗孤问题仍需要更多的关注,那些艾滋病毒抗体呈阳性、却不知道自己已经感染了艾滋病毒、也不知道自己正处在传播病毒的危险中的青少年,带来了一整套我们从未处理过的新问题。
图文据《南都周刊》
HIV baby: Growing Pains (map)
http://news.QQ.com 2008 on 12 years of Shanxi 04:52 on 18 News
Homework every family to lie on the table. "Home Care", his school, the issue of medical treatment are protected
Stone, hepatitis B, HIV, hand, foot and mouth disease, each wave of severe disease crisis, almost as if each of the parents are frightened, some of which provide us with the baby to be innocent. The health of the environment constantly exposed so that the crisis has become a baby this year one of the most dramatic of the new social proposition, focus on them the medical, economic, social, health policy, administration, and other parties to conflicts, as well as projected This tolerant society.
December 1, 2008 World AIDS Day is the anniversary of 20, before the World AIDS Conference, the baby has become the focus of AIDS relief. 12-year-old every family in Taiwan, 9-year-old beauty in Henan, they are "family-friendly" Jiuzhu Zhe, but facing a different situation. In their behind, with more than 9,000 Chinese people living with the baby.
Kaohsiung, Taiwan, and at night.
Only families (not his real name) cries, echoing in his residence in the district. The last time it was hit, in the theft when her father, "lookout" failure; beaten this is a result of alcohol grandfather was torn ear. Every family's thin, can not always resist Zhican father and grandfather fists serve alcohol, a popular neighborhood whisper, every family is "used to steal the" family of children, parents often bubbles in the unconscious of the drug.
Finally one day, every family has a fever, his father, Ye Zhao raised his ears to the wall Jiuwang throw, tear off the ear next to a piece of meat, taken to hospital after first aid, the summer of 2005, doctors diagnosed AIDS become home made.
Zhengzhou, Henan Province, late autumn.
9-year-old beauty (not his real name), leaned in close to her mother. In 2001, a family of three who have been infected with the AIDS screening, sold his mother's blood fat loss of eyesight because of AIDS, and sold the same blood as early as 2002, his father had passed away. Lens, beautiful beautiful, atheistic eyes, she did not know how to laugh.
Chen's beautiful mother, the simplicity of the women's Henan Province, did not expect to sell blood infected with AIDS, the disease also has been passed on to her daughter. Mother to child transmission of AIDS is one of the three routes of transmission. National Taiwan University Hospital in children infected with the Department of General Practitioners, said Chun-Yi Lu, not to intervene in the case, HIV (human immunodeficiency virus) the incidence of mother to child transmission is usually in the 30-40 percent between fluctuations.
A show that every year the world's 2,400,000 women infected with HIV to have children, resulting in about 800,000 infants infected with HIV, HIV infection makes the world's neonatal mortality rate increased by 75%. Last year, about 370,000 children have been diagnosed as HIV-infected people in China, about 9000, 15 children under the age of AIDS.
The latest results show that the Chinese AIDS in the proportion of women from the 7.1 percent rise to 35% over 10 years, the 5-fold, of which nearly nine women of child-bearing age has become. In Taiwan, in 1988, for the first time in Taiwan found that mother-to-child infection of HIV cases, baby, in 2005, injecting drug users infected with AIDS, the number of people showing explosive growth, the beginning of the emergence of suspected infections vertical mother-to-child HIV baby's baby boom. Taiwan's "Department of Health," Statistics show that by the end of October 2008, Taiwan under the age of 9, the number of people living with a baby accumulated over 39 people.
Rebirth
Ear missing from a small piece of meat, more than the body of HIV, every family has been Taiwan's "Social Services" has seen. He was taken away from his hometown in southern Taiwan to begin a new life.
Because of the Act, can not accept AIDS preschool children, the families were "Social Council" to accept transferred to specialized AIDS in Taiwan "care of" association, he began to call for "care homes" Yang Jie, founder of the "Mi Microphone. "
20 years ago, Yang Jie of Taiwan's first resettlement was not out of the home suffering from AIDS Kai Yuan (has died), in 2003 to set up Taiwan's "home care" associations, to receive AIDS in pregnant women gave birth to an abandoned child, 3 years, The placement of 53 suspected baby HIV.
All of a sudden have too much interest from small to be a big hit every family, all of a sudden in love lost.
"I did not expect when living with such a good baby, so many people love me." Families to take anti-viral treatment, the conditions become more stable, the beginning of relapse, Touna "Mimi" and the nurse's money went to Internet cafes to play games. "I am a living baby." Every family has also told students to be so naive as to think that other people will give him more "love", but did not expect panic began to spread.
By the end of 2005, every household as a result of a cold lead to lung infection, the hospital was listed as "suspected TB" case briefing, it is subsequently shown that every family is not suffering from tuberculosis, "every family is living with the baby," the news is the exposure.
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