《新闻会客厅》:面对艾滋病已成人类共同的战争


《新闻会客厅》:面对艾滋病已成人类共同的战争
http://www.sina.com.cn  2008年12月01日23:33   央视《新闻会客厅》

演播室全景

 

主持人李小萌

 

主持人张羽

  张羽:观众朋友晚上好,欢迎您收看《新闻会客厅》特别节目《共同的战争》,今天是12月1号,世界艾滋病日,这个日子的到来再一次提醒我们对艾滋病这个世纪顽症的重视,如今面对艾滋病的战争,已经变成了人类共同的战争。
  李小萌:今天已经是第21个世界艾滋病日了,这也正是我们今天节目的主题,先来看一组国际国内相关新闻。

  解说:今天是世界艾滋病日,今年的主题是遏制艾滋,履行承诺。卫生部昨天公布,截至今年9月30号,我国累计报告艾滋病病例26万多例,性传播已经成为主要的传播途径。

  据中国艾滋病防治联合评估报告估计,截至2007年底,我国现存艾滋病病毒感染者和病人约70万,其中艾滋病病人8.5万。而卫生部日前工作的统计数据显示,截至今年9月30号,我们累计报告艾滋病病毒感染者和病人264302亿。其中艾滋病病人77753例,报告死亡34864亿。

  为了迎接世界艾滋病日的到来,在印度西孟家拉瓦首府加尔各答11月30号举行了一场名为红丝带马拉松的长跑活动,旨在提高人们对艾滋病感染者成低龄化趋势的重视。

  据统计,全球3320万感染者当中,15岁至24岁年龄段的就有一千万,15岁以下的有250万。同一天,在西班牙首都马德里,人们将印满人相的巨副红丝带悬挂在市中心的阿尔卡拉板上,以此为世界艾滋病做宣传。

  今年世界卫生组织多次发表报告指出,全球艾滋病防治出现了重大变化,新增艾滋病病毒感染人数和死亡人数都有所下降,在疫情严重的非洲地区,艾滋病防治有了突出的表现。在南非政府采取各种措施,促使艾滋病治疗药物的价格大幅下降,并公布贫困地区的艾滋病患者接受治疗。

  在乌干达,一场名为乌干达关怀的行动日前也在全国范围内展开,对人们免费检查是否感染爱滋病毒。不过世卫组织也提醒说,全球艾滋病疫情蔓延的趋势尚未出现,防治艾滋病行动仍是一项长期而又艰巨的任务。

  【演播室访谈】

  李小萌:1981年12月1号在美国确诊了全球第一个艾滋病病例,到1988年12月1号成为第一个世界艾滋病日,在这27年当中,艾滋病跟人类如影随形,也夺走了上千万人的生命。但同样在这27年当中,人类跟艾滋病抗争的步伐没有停止过。

  张羽:我们不能否认的是,到今天为止,艾滋病仍然是一个绝症,我们没有办法去解决它。在接下来的时间里,我们将通过一些历史的影像来回顾一下中国面对艾滋病的一个进程。我们会通过对一些大家陌生或者熟悉的面孔背后的故事的探究和展示,来探究在中国面对艾滋病变化的进程当中,也许与我们每个人不无关联的一些变化。

  李小萌:我们下面看的这组影像应该说是来自于1997年,那也是我们可以找到的比较早的记录。当时针对艾滋病的医疗环境,以及当时的患者面对什么样的境遇,一起来看一下。

  【1997年播出节目片段】

  徐莲芝:昨天晚上怎么样老张?怎么样,老张?

  老张:这两天我也是感觉有一点好转,但是就是这个星期,在下午三点老是要恶心。

  徐莲芝:我看一看,我想这样,明天早上我请儿研所的同志来,他会给你介绍这个药,这也是偶然的发现,本来是在小儿腹泻的。是因为我那天开会,他腹泻我没办法,我就跟人讲,我说你有什么好办法帮帮我,他跟我讲,他说那你试试这个,但是这是一个新的,意外的发现,我前一个病例就非常遗憾。

  老张:染上了这种鬼病,气死掉。治这个病没用,现在后悔莫及了。

  徐莲芝:我可以问一下一个问题,当时您是怎么得的这个病。

  老张:我当时几个老板一起去的家属都在家里头,到泰国那个性开放的世界,肯定要到外面去玩,也不知道什么时候,得了这种病。

  徐莲芝:喂,你好,对,你有问题讲吧。我跟你讲,尽管你皮肤破了一点,或者真的有什么倒刺,这样的小口,那你想,那个艾滋病毒怎么就那么巧,它就一定要到那里面去呢,不是说你说外国人多,来个老外我就都怀疑他,他的衣服我也不敢碰,他的手也不敢握,我看没有必要,不到这种程度,好吗,那就这样,再见。

  徐莲芝:老张把这药吃了吧,这是下午的药,

  老张:太多了,这么多大黄是什么东西,多是没事,钱多了没事,药多了没事,就是病不好才糟糕。

  徐莲芝:着急,是吧?

  老张:着急。有点着急了。

  徐莲芝:今天15号。不要着急老张,终是得慢慢地来。

  老张:太慢。

  患者:肯定是没干好事,肯定是在外头乱搞了,干好事能得这病吗?当这个现实降临以后,接受不了,怎么接受啊,不可能是我,会不会搞错啊。几个月了,那时候两三个月了,反复要求再查,实际上大家也在反复查,但确确实实是接受不了,以前没有病的时候,也想办法摆脱过这种生活,人不人鬼不鬼的生活方式,那时候的那种生活,就想到了有一天肯定会得艾滋病,只是一种想象,但是又一想,这种病肯定离我还遥远,其实一点也不远,这不就感染上了。人这一辈子就那么回事,生生死死,怕死也得死,就是死的方式不同,我这种死法太悲哀了。

  徐莲芝:就把这当家吧。

  患者:不是当家了。也没办法。

  徐莲芝:要么哭,要么发泄,人有的时候就这样,不管怎么样都要发泄一下,因为苦啊,压抑啊。

  【演播室访谈】

  李小萌:看当时的这些影像肯定有很多感慨。因为那个时候人们刚刚开始了解艾滋病,模模糊糊的有些概念,比方说开始的时候,艾滋病的这个艾字,不是现在的这个草字头,而是这个爱情的爱,就是说把它解释为,凡是艾滋病,都是和不洁的性爱有关的,但是现在多数人都知道它有三个传播途径,血液传播、性爱传播、母婴传播,有很多人是无辜和被动的。

  张羽:确实,我们看到11年的光影,虽然记录得很平实,但是完全可以感受到,当时的病人和医生对艾滋病那种陌生、恐惧和挣扎,确实其实1997年是中国艾滋病防治一个非常关键的点,因为从那年开始艾滋病在中国呈现出一种蔓延的势头。我们看到的不仅是影片当中的这种病人和医生这种陌生和恐惧,实际反映出的是在这个事件完全到来的时候,我们整个社会准备不足,甚至有些惊慌失措。

  李小萌:是,在那个时候,刚刚人们知道有艾滋病,接触它。即便是现在非常有名的抗艾专家,接触病人的时候,都要全副武装起来,戴上手套,回家之前把全部衣服脱掉,要洗个澡。到了现在,经过20多年过去以后,在艾滋病第一村,那的医生已经知道,当跟病人常规接触的时候,不用什么太严重的防护措施,只有进行治疗了才需要戴上手套,这也是这些年不断地进行宣传,发生了巨大的一个改变。

  张羽:而且我想细心的观众一定会发现,收留艾滋病感染者的治疗点条件非常简陋,确实经过这么多年,我们来看,刚才小萌讲到是,大家的意识软件,我们现在也看到这些年硬件的变化,首先从医护人员,我们从当初1998年的5000多,现在到了23000,全国合格的检查实验室达到六千多个,确切的时间是170多个,近80%的县以上的机构具有了艾滋病病毒的检测能力,检测点已经达到了4300多个,全国推广安全套覆盖项目已经增加到1900多个,门诊达到了五百多个。这是十年来的进步和变化,但是应该说面对现在艾滋病发展的势头,显然这些硬件和覆盖的程度还是远远不够的。

  李小萌:而硬件这种是一个方面,其实社会的软环境对艾滋病人什么样的态度,什么样的包容度也更重要,有人说一个人如果得了艾滋病是不幸,如果不能被社会接纳和得到应有的救治,就是一个悲剧。咱们来看看在2000年的时候有一个短片,记录了那个时候即便是给疑似为爱滋病患者都会遭遇到什么样的境遇。

  【2000播出节目片段】

  解说:余梅芳,浙江省宁海市张家镇人,2000年2月,她因患椎间盘突出,在山西省忻州市地区医院做手术。

  余梅芳:到2号早上,大概有十几点了,主治大夫过来,他说今天给你换个病房,他说你在这个地方休息不好,从2号窗户上面趴着好多人看,这个门就关不住,人就冲进来,一看,就是她,就是她。到4号中午,我的主刀大夫翟主任来了,我说你坐吧,他也不敢坐。他说我们医院给你看的是,说得好听一点,你50%得了艾滋病了。我当时就想一下子爬起来,我想拉住他,我说我不可能的,他赶紧往后退,他说你一定要相信科学,我倒是希望你别得艾滋病,但是科学是明摆着,你就是得了艾滋病,他说你看着办吧,你要是不出院,从今天开始也不输液了,也没人来管你了。

  解说:从那天开始,医务人员就再也没有来过病房。心有余力的余梅芳先后来到忻州地区性病与艾滋病检测中心,山西省艾滋病抗体检测确认实验室做了三次HIV抗体筛查,结果都是阴性。

  记者:您是怎么知道忻州市出了个怀疑有艾滋病的这个事的?

  群众:我也是听他们传过的。

  记者:听谁传过的?

  群众:是这个社会上小道消息传过来的。

  记者:余梅芳认识吧?

  群众:最初我也认不得她,只知道是来买瓜子的,后来人们都指指划划告诉我就是她,得了艾滋病了。

  记者:你知道传说她得了这个病以后,你还愿意把瓜子卖给她吗?

  群众:不愿意打这个交道,但也难免要接触。

  记者:你卖给她,他给你钱你敢要吗。

  群众:那一次不敢要。

  记者:那次怎么回事?

  群众:那次买了一块钱大豆。给我一块钱,我不敢要,我害怕。

  余梅芳:同行是冤家,我这个生意卖的比较好,她卖不了,她就骂我,一直说我作风不好,骚货,这个意思你们懂吗,骚货,我站起来问她,我说你说什么,她说你没事人家怎么说你得了艾滋病,我一句没法说,我一句话没说,要是以前人家那么说我,我肯定跟她没完。

  记者:你心里委屈吗?

  余梅芳:心里委屈你有什么办法,我这个人很要强,你白天看我那个,我只有夜里躺在床上掉眼泪。躺在床上哭,我自己要是熬不下去,反正能活多久活多久,也就无所谓。不管到什么程度我无所谓,但是我还有两个儿子,所以说当时冒着瘫痪的危险我还是东奔西跑,必须要把自己洗清。

  解说:就在手术后的两个月,余梅芳正式向山西省忻州市医院提出民事诉讼,诉忻州市地区医院和防疫站侵害其名誉权,索赔名誉及精神损失41万元。

  【演播室访谈】

  张羽:这是2000年发生的故事,其实可以说即使到今天,这样的故事还在重复的发生着。确实应该说,防治艾滋病最大的障碍并不是说我们的治疗手段,而是人们的恐惧与歧视。

  李小萌:看这段影像的时候我们都在想,像她肉体上的痛苦,精神上的痛苦,希望到了今天,精神上的痛苦至少能够缓解,特别在翻阅历史资料的时候我看到,在新千年新春的时候,有一位艾滋病患者写给病友的一封信,他说我们是一个特殊的群体,我们得了一个特殊的病,但我们跟常人一样有爱,有自己对人生的梦想,他说我们发誓,不再让其他人感染艾滋病,让子弹在我的胸膛爆炸,不要再射向我其他的亲爱的同胞。

  张羽:应该说对艾滋病这样一个事情,一方面现在我们还没有良药可以根治它,大家恐惧陌生。另一方面,大家不了解这个疾病的时候,容易把它蒙上道德审判的色彩,所以这反而使我们得了艾滋病的病人,或者感染者,他不敢公开去接受治疗。这样反而导致这样一个在群体在隐藏,而这种隐藏带来的威胁是非常巨大的。

  李小萌:首先他们是受害者,让我们进一下广告,马上回来。

  【广告】

  李小萌:欢迎回来,继续收看我们的节目,现在在这个世界范围内,防治艾滋病无非就是药物的治疗、疫苗,还有行为干预,而当药物不能够让这个病彻底被治愈,疫苗还在研制当中的时候,行为干预就显得越发重要,来看一个短片。

  【2004年播出节目片段】

  冉元林:当时县里面通知我们开会,开始去的时候,我们还不晓得怎么回事。

  解说:这位警察叫冉元林。从事湖南澧县公安局治安大队的大队长,在这个会议上,澧县政府宣布,要在全县推广一个叫娱乐场所百分之百使用安全套的项目。

  冉元林:我们感觉是不是打击卖淫嫖娼,是不是与我们平时的治安环境,是不是有些矛盾的地方。

  解说:这个娱乐场所百分之百使用安全套项目,是卫生部和世界卫生组织合作开展的项目,目的就是为了防治艾滋病和性病的春播。

  黄道海:社会有阻力也有压力。而且很多人有想法,卫生组织的防治艾滋病百分之百使用安全套,会不会认为,涉黄的事件多了,艾滋病人多了,会影响经济投资环境。

  冉元林:一方面要求你使用安全套,一方面我要打击你,那绝对是矛盾的。这个矛盾怎样说呢,谁也说不清楚,我说不清楚。

  解说:这是联合国使用的艾滋病流行的一般规律示意图,图中列举了不同的人群,这张图表明,预示艾滋病由高危人群向一般家庭妇女和儿童转移的最主要的途径。而这个娱乐场所100%使用安全套项目,就是为了堵住这条传播途径。在召开了一系列的动员会议以后,各个部门统一了意见,最终由治安大队大队长冉元林召开了全县各家娱乐场所的老板、经理、领班开始实施这个项目,会议的内容是动员他们配合这个工作。

  冉元林:我觉得这个社会丑恶现象根治了,也就不存在性病,不存在艾滋病的传播,我觉得非常有道理,我们公安机关的打击是有限度的。在打击伏击这种现象同样存在的情况下,他们的防病是正确的,我是这样认为的,提倡防病是正确的。

  解说:在娱乐场所,推广100%使用安全套,绝对不意味着政府不再打击卖淫嫖娼的违法行为,但在预防艾滋病的严峻形式面前,生命安全被放在了首位。

  吴医生:那些小姐,第一次去都是冷冰冰的坐在那打牌,我跟她们讲话,她反正看也不看一眼,就这样,我们很受气的你不知道。然后就这样讲话,你找她们讲,那些小姐整个文化曾经比较低,她们就是完全不懂,跟她们讲,就是没听说过,艾滋病,什么啊,艾滋病没听说过,就这样,安全套没见过。

  解说:这一天,吴医生去了一家娱乐场所,为从业人员体检。

  吴医生:第一次发不要,谁都不要,不要,问你们干什么啊,我说我们不干什么的啊,不要,就是这样。但是只要有一个人开头,拿了两盒,然后其他的马上跑过来拿,我觉得他们实在是太少了,因为她们对这方面的知识了解太少了,那些小姐只要没接触过我们宣传的,根本不懂得安全套什么的,保护,不懂。

  解说:根据最新统计,如果没有有效的防护措施。到2010年,我国的艾滋病感染人数可能达到1000万,防治艾滋病已经成为各级政府的重要工作。

行为干预是防止艾滋病的一个主要手段
http://www.sina.com.cn  2008年12月01日23:33   央视《新闻会客厅》
  【演播室访谈】

  张羽:行为干预是防止艾滋病的一个主要手段,我们可以借鉴其它国家的一些做法,比如说泰国,自从推广、发放安全套之后,艾滋病的概率就大幅度下降。但是我们可以看到,其实要进行深入广泛的战斗行为干预,首先是在于管理者,包括干预者理念的变化。如果说我们带着一些歧视的眼光,或者道德批判的色彩的眼光来看,很难进行真正的有效的干预行为。

  李小萌:对,我们也可以从现在这个题板上来看,这些干预措施从刚刚开始实施到现在社会舆论的一种变化,一共有三种比较常用的干预措施。一个是在公共场所推广、发放安全套,就是百分之百安全套。另外是给注射吸毒人员提供美沙酮的维持治疗,另外是提供洁净的针具交换,这个就是给吸毒者提供洁净针具。像在公共场所发放安全套也好,好像是提供吸毒者的洁净针具也好,当时都有很大的争议,是不是在鼓励不洁性行为,是不是在鼓励吸毒,而到现在,社会的接触度在增加,人们也看到了政府在防治艾滋病方面采取的措施越来越务实了。

  张羽:确实应该说政府行为干预这种观念的转变,包括这些实效的措施,可以看出我们政府面对艾滋病这样一个世界绝症的时候,以一种更加科学理性的态度去面对,应该说在这样一个过程当中,也有很多民间人士用超级的思维,真知灼见来推动了政府这样一个进程。

  【2005年播出节目片段】

  大玮:我叫大玮,我是一个同性恋,我也是一个艾滋病感染者,大夫把报告单拿给我的时候,他说你是呈HIV的阴性,当时眼泪就下来了。

  解说:1981年,世界上发现的第一个艾滋病的人,是一个男性同性恋者。1989年,中国发现的本土第一例因性接触感染艾滋病的病人,也与多个同性有过性接触。目前,我国的男同性恋人群的艾滋感染率仅次于吸毒人群。

  张北川:通过性行为被感染艾滋病的人,一共占中国所有的感染者接近30%。这其中就有三分之一是男性接触者。

  解说:那么导致男同性恋群体容易感染艾滋的原因到底是什么呢,记者来到男同性恋聚集较多的酒吧,与同性恋者交谈,希望寻求答案,许多朋友告诉我们,同性恋群体,相对频繁更换伴侣的原因,是因为很难找到真正的爱人。

  记者:这个群体当中,遇到真正的所爱的人比例高吗?为什么?

  同性恋者:因为我们不可能像正常的人那样,我们认识新的同志机会真的很少。

  张北川:我们在这个现实生活中,不断提到同性恋,而同性恋多了以后,他就不愿意产生感情,以后产生感情就是受伤害,谁愿意受伤害,于是就发生性关系,对于同性恋者来说,有巨大的好处,这个好处就是安全。

  记者:安全?

  张北川:对,你也不认识我,我也不认识你,两个人完了关系,大家互相都不认识。

  记者:但这是不安全的?

  张北川:但是他在那方面可以非常安全。

  解说:而另一个让同性恋人群艾滋高感染的重要原因是无保护的性行为,由于男同性恋间的插入性行为,非常容易造成直肠黏膜的充血损伤,精液中的艾滋病毒可能通过破损黏膜进入血液循环或者淋巴系统。

  记者:在你跟他有性接触的时候,你并不清楚这个人身体是否健康。

  大玮:对。

  记者:你是不是觉得如果你这个爱情为前提,就很难启齿去询问对方的生理情况,或者很难提出要求,做性爱前的措施,是这样吗?

  大玮:我是有这样的想法。

  解说:另外,中国传统文化对于性的敏感和羞涩,也使得无保护的性行为更容易发生。

  记者:那时候知道安全套吗?

  大玮:知道,这个知道,要是去哪个店里去买,我觉得可能会很不好意思。

  崔子恩:在我知道的范围里面,有一些人还是懂得安全的性的知识的,还是懂得的,但是他操作起来不方便。他不能随身带着一个安全套,带上之后可能人家就会有歧视,会认为你在这个方面是一个放纵者。

  记者:担心什么歧视呢?

  崔子恩:担心发现的人,因为中国人差不多每个人都是检察官,都会知道,你柴静的包里带个什么,什么口红,大家都用透视的眼睛。

  记者:安全套在大多数的眼睛中意味着什么呢?

  崔子恩:意味着性,而不是安全。

  解说:七年过去了,张北川一如既往,在他的努力下,越来越多的同行者加入了进来。周生建,重庆榆中区计生办主任,他是最早介入同性恋群体艾滋专业的官方人员之一。

  周生键:绝大多数同性爱都已经结婚,或者准备结婚,平均一个同性恋或和双性恋,和五个异性恋男性有性接触,他们的疾病在他们当中蔓延的疾病也可以通过异性和他们的妻子向这种普通人群蔓延开来。

  【演播室访谈】

  张羽:尤其是男同性恋人群,是艾滋病的一个高危人群。现在对于男男同性这样一个性行为的人群的规模,包括流行的趋势和他们发生特点的调查,现在还缺乏很多的数字、依据。其实这需要我们在艾滋病的干预过程当中,给大家一个更加宽容,更加关爱的环境,这样才是我们采取任何干预性的基础。

  李小萌:对性的取向,我们不加评判,但是在有安全防护措施的情况下,进行性行为,是每个人可以做到的,所以像确立世界艾滋病日的目的,包括有告诉全世界人在世界范围内控制和预防艾滋病可以做到,包括要去理解这些艾滋病患者或者功能携带者,其中还有很重要的一条就是我们每个人要对自己的行为负责。

  张羽:我想在今天节目快结束的时候,我还想再次强调,我们应该对艾滋病人群的一个特殊的关爱和宽容。因为可能我们会有一个误区,把这样一个人群固定在他们的区域当中,我们就是安全的,其实他们越隐蔽,越孤立,反而我们是越危险的,因为他们就生活在我们的生活,尤其现在性传播渠道已经成了艾滋病传播的一个主要渠道,这样更容易蔓延到我们普通人。

  李小萌:是的,随着现在对艾滋病这个妨碍常识的推广,人们对艾滋病的理解在有很大的变化,但是我们也看到一组比较新的数据,来看看,就是联合国艾滋病规划署跟中国相关机构联合进行一个最新的调查数据,在中国的六个城市,我们来看一下,有47.8的被访者不愿意与艾滋病感染患者一起用餐,有64.9%的人不愿意与艾滋病感染者或者患者一起居住,63.4%不愿意一起接受理发的服务,41.3%不愿意一起工作,30%的被访者认为应该不允许感染艾滋病的学生和健康学生一起在学校里面学习。这里面我觉得看得出,一个是歧视的意识依然存在,还有一个就是对艾滋病常识的普及还是需要更广泛的进行。

  张羽:其实刚才小萌已经讲到了艾滋病传播的主要的三种渠道,刚才实际我们所列的所有的前提下,都不会感染到艾滋病。

  李小萌:是的,所以我们这个社会对艾艾滋病的这种宽容度,像我们刚才说的,从狭隘的角度讲,如果我们没有这个宽容度,艾滋病不管是携带者还是病人,不公开自己的身份,不去接受检测,不去接受治疗,对于他,对于我们,都是放在一个非常危险的情况下。

  张羽:这才是真正的定时炸弹。

  李小萌:是的。

  张羽:确实刚才小萌刚才讲了,其实迄今为止,从我们最早发现艾滋病,到现在已经有两千多万人被艾滋病夺去了生命,中国现在调查,大概全国有70多万艾滋病患者和感染者,还有30多万人口,他并不知情自己感染了艾滋病,如果我们真正能给他一个宽容关爱的环境,让他们可以自己主动去检测,主动去干预,实际才真正给我们社会带来一种安定。

  李小萌:而且能不能及时接受治疗,跟艾滋病患者的这种存活期有密切的关系,如果是在晚期,发展一段时间以后才接受治疗,可能平均寿命是50岁多一些,如果是早期就发现并治疗,生命可以到70多岁,这个概念是完全不一样的,而他能不能及时去检测,及时去接受治疗,确实跟这个社会的宽容度、理解程度有很大的关系。

全省累计报告HIV感染者和艾滋病病人920例
http://www.sina.com.cn  2008年12月02日09:20  城市晚报
  ■记者 李晓静/报道

  本报讯昨天是第21个“世界艾滋病日”,今年艾滋病宣传日的主题是“遏制艾滋,履行承诺”,省及长春市在人民广场举办了大型宣传活动,省委常委、副省长马俊清来到活动现场参加宣传活动,并前往长春市传染病医院,代表省委、省政府慰问一线医护人员,看望艾滋病患者,考察艾滋病防治工作。他强调,各级政府和有关部门要认真履行职责,进一步动员全社会参与艾滋病防治,关爱艾滋病人群体,推动国家有关政策和艾滋病防治措施深入落实,坚决遏制艾滋病的流行和蔓延。

  在长春市传染病医院,马俊清看望了在那里接受治疗的艾滋病患者,仔细询问他们的病情以及目前身体状况。患者老白由于卖血感染了艾滋病,并传染给了妻子老杨,现在妻子在医院接受治疗。马俊清详细地询问了他们的病情以及目前的生活状况,临走时紧紧握住他们的手鼓励他们说,一定要坚定信心,战胜病魔。

  在听取了长春市、省卫生厅和传染病医院的工作汇报后,马俊清强调,防治艾滋病,各级政府要切实负起责任。政府和有关部门要充分认识当前艾滋病疫情的严峻性和防治工作的艰巨性、复杂性,统筹协调各方面力量,认真落实各项政策和措施,更加努力、更加扎实地做好防治工作。要进一步落实国家“四免一关怀”政策,对艾滋病病人给予更有力的救治,对贫困艾滋病患者家庭给予更有力的救助。要加强重点地区和重点人群的防治工作,突出抓好防止性传播、非法采血,打击贩毒吸毒等重点环节,重点搞好青少年、妇女、农工民、大学生等重点人群和高危行为人群的教育预防。加大疫情监测和检测力度,扩大监测覆盖面,做到及时发现、及时报告、及时救治。进一步加大政府投入,完善以政府投入为主,分级承担,多渠道筹资的经费投入长效机制,确保公共卫生医疗机构有充足的经费保障,切实解决防治艾滋病设备和经费问题,切实提高艾滋病防控能力。

  马俊清指出,艾滋病既是公共卫生问题,也是重大的社会问题。有效防治艾滋病,需要全社会共同努力。要加强宣传教育,普及防治知识,增强全民防治意识,形成群防群治的社会氛围。要把集中宣传与日常宣传结合起来,实现宣传教育经常化,提高全社会艾滋病知识知晓率。平等就是最大的关爱。要切实保护艾滋病感染者和病人的合法权益,在全社会形成关心和帮助艾滋病病人的良好社会风尚。

  据了解,从1993年我省报告首例艾滋病病例以来,截至2008年10月底,全省累计报告艾滋病病毒感染者和艾滋病病人920例,其中艾滋病病人384例,死亡219例。全省累计为238名艾滋病病人提供了抗病毒治疗。从2004年至今,全省对高危人群和重点人群加大了检测和筛查工作力度,共筛查重点人群80余万人。

  省卫生厅疾控处处长范明介绍说,我省的艾滋病疫情一直有效控制在低流行态势,属全国低流行省份。但随着性传播成为我省艾滋病传播的主要途径,表明艾滋病疫情正从高危人群向一般人群扩散,艾滋病防治形势依然严峻。

  这11处门诊可免费咨询检测HIV

  ■记者 李晓静/报道

  本报讯昨天,长春市公布了艾滋病免费咨询检测门诊的地址和咨询电话。省卫生厅疾控处处长范明说,由于社会上存在着对HIV感染者和艾滋病病人的歧视与偏见,受检者经常会担心检测的负面影响,如失业、离婚等,也有的是不愿或无力支付检测费用。因此,自愿咨询检测强调的是“自愿检测”和“保密”,不会泄露检测者的任何情况。

  何为艾滋病?

  艾滋病又称获得性免疫缺陷综合征,它是由于感染了人类免疫缺陷病毒(又称艾滋病病毒)后引起的一种传染病。艾滋病病毒侵入人体后,会在体内不断复制,逐渐破坏人体免疫功能,使人体抵御疾病的能力降低,易发生多种感染和肿瘤,最终导致死亡。

  传播途径

  艾滋病的传播途径有三种:性传播、血液传播、母婴传播。

  关爱、尊重和理解

  让他们重拾生活信心

  ■记者 李晓静/报道

  “我现在是村里抢手的帮工,在哪儿干活就在哪儿吃饭,没人嫌弃我”,家住九台市土门岭镇李家村的老白说。这是记者日前跟随长春市防治艾滋病协会的工作人员来到艾滋病患者家里慰问时采访的对象,如果不是事先听了工作人员的介绍,记者怎么都不会想到,眼前这个乐观、健壮的男人身患艾滋病,而且曾经生命垂危、骨瘦如柴。

  曾经:

  邻居看见都绕着走

  “我从1984年起开始卖血,1998年查出得了艾滋病,很长时间我都不敢说。”老白回忆说,当年由于生活贫困,他和妻子杨大姐四处卖血贴补家用,长春市卫生局的工作人员到他们村去免费检测时,他和妻子都被检测出感染了艾滋病,这如同一个晴天霹雳击倒了全家人。“那个时候真是太难了,我们尽量不与人接触,可是邻居看见我们还是会远远地走开……”

  2000年,老白首度病发,住进了医院,整个人被疾病折磨得只剩下骨头。由于家里的主要劳动力病倒了,一家人的日子过得更难了。2004年,老白再次病发,这时杨大姐也一病不起。严峻的现实让夫妇二人对生活完全失去了信心,老白买来农药,准备跟老伴一起喝下去了结生命,不再拖累子女。就在这时,长春市卫生局、市疾病预防控制中心和九台市卫生局的工作人员,把老白夫妇送上了救护车,拉到长春市传染病医院进行免费救治。经过一段时间的精心治疗,夫妇二人的身体渐渐康复。

  考虑到老白夫妇住的破草房破烂不堪,2005年,在长春市卫生局和九台市卫生局的协调下,九台市政府为老白一家盖起了新瓦房,同时又安排了一名村医,定期到老白家里为老白夫妇检查身体,并送去用于控制艾滋病病毒的免费药物,现在,他们二人的身体恢复得越来越好。

  如今:

  老白成了“抢手”帮工

  由于村医和各级卫生局、疾控中心以及艾滋病防治协会工作人员的努力,村里人渐渐接纳了老白一家。“现在几乎每天我都到邻居家去帮工,走到哪吃到哪,和以前一样,没有人嫌弃我。”老白说。“现在我经常串门,邻居看见我也不躲了。以前很多亲戚都不走动了,现在又开始联系了,我们全家又恢复到以前的状态了,没感觉自己和别人有什么不一样。”杨大姐说。

  江城鸡尾酒抗病毒取得理想疗效

  ■记者 李静/报道

  本报吉林市讯 12月1日,记者从吉林市疾病预防控制中心了解到,鸡尾酒抗病毒取得了理想的治疗效果。很多感染者已超过10年潜伏期,正在服用抗病毒药物治疗的感染者,没有出现抗药现象。

  吉林市船营区关爱医院院长臧立权表示,当感染者的CD4检测指标下降到一定程度时,就必须要服用鸡尾酒抗病毒治疗药物。根据目前的情况来看,鸡尾酒抗病毒治疗取得了非常理想的治疗效果,很多HIV感染者服用后免疫力有所提高,目前很多感染者已经超过了8至10年的潜伏期,个别患者已超过15年,医学上称之为长期不进展者。两名因母婴传播的小HIV感染者,潜伏期也已超过10年,其中一名儿童身体状况良好,另外一名正在向国家申报服用鸡尾酒抗病毒药物治疗。

  今年江城超千人进行自愿检测

  ■记者 李静/报道

  本报吉林市讯 “今年已经有超过1000人进行了艾滋病自愿检测。”吉林市疾病预防控制中心主任唐竹村说,自愿检测的人数虽然有所增加,但是相对全市200多万的人口而言,自愿检测的比例还不算高,自愿参与检测的意识还有待掘进。

  为方便群众参与免费检测,吉林市疾病预防控制中心与114查询系统联手,只要拨打114查询电话,表示想检测或咨询艾滋病,就可以获知各检测站点的联系电话及具体地点。

  四平200余人走上街头宣传防艾

  ■记者 高鸿/报道

  本报四平讯 12月1日是世界艾滋病日,为营造全社会参与艾滋病防治工作氛围,四平市疾病预防控制中心、市直医疗卫生单位、中心血站及市防艾委员会成员部门等30余家单位的200余人走上街头,通过拉条幅、办板报、散发宣传单、解答咨询、赠送安全套和环保纪念品等多种形式广泛宣传艾滋病防治科普知识。

  记者了解到,四平市(含所属外市、县)累计发现并登记艾滋病患者59例,其中今年截至目前已经死亡9例。

  通化艾滋病感染者逐年上升

  性接触成主要传播渠道

  ■记者 王耀辉/报道

  本报通化讯昨日记者从通化市疾控中心了解到,通化市从1995年发现首例艾滋病感染者以来,新发现的艾滋病病毒感染者逐年上升,性传播途径成为主要传播渠道。目前,通化市7个县市区均有艾滋病感染者,且外来人口占一定比例。

  据介绍,通化市共建立了4个监测哨点,对市民开展保密、免费的艾滋病检测工作,同时对高危人群进行了基线调查。调查结果显示,通过性接触传播比例不断升高,特定人群(如:男男性接触者)出现上升趋势。

今年新增453艾滋病感染者
http://www.sina.com.cn  2008年12月02日09:11  南方日报
  本地居民感染有上升趋势,感染者以20—40岁青壮年男性为主

 
 

在佛山市第三人民医院的社区药物维持治疗点,医务人员正按照配方给窗外的吸毒成瘾者斟量美沙酮(如上图)。佛山设立了3个美沙酮维持治疗点,为吸毒成瘾者提供维持的药物治疗,防止他们因注射吸毒而感染和传染艾滋病。本报记者张由琼摄

  本报讯(记者/尹辅华)“根据今年艾滋病发展状况来看,全市艾滋病早期感染个案现已进入发病高峰期,全市艾滋病防控工作仍很艰巨。”佛山市副市长麦洁华昨日在2008年全市艾滋病防治工作会议上提出,艾滋病的防控工作需要政府部门、社会各界相互配合,才能取得成效。

  性传播已成病毒传播重要途径

  今年佛山全市新增艾滋病感染者453人,其中43人已确诊患有艾滋病。截至2008年10月,全市累计报告艾滋病感染者共3898例,其中艾滋病病人459例,累计死亡253例。其中禅城1272例,南海358例,顺德296例、高明95例、三水1877例,属于监管场所报告的有2547例,占总报告数65.34%。而现居住在佛山市的艾滋病感染者有1266例,其中艾滋病病人104例;监管场所内有680例,占53.71%。

  市卫生局局长戚耀方表示,目前佛山市艾滋病疫情呈低流行态势,每年报告的艾滋病感染者增加速度减缓,但艾滋病病人的发病数呈缓慢上升趋势,提示早期感染的个案进入了发病高峰期,疫情地区分布广,波及五区,大部分病例集中在监管场所。令人担心的是,本地居民感染有上升的趋势,感染者中仍以20—40岁的青壮年男性为主,占80.27%。

  在传播途径方面,共用注射器吸毒仍然是传播的主要途径,占57.87%;性传播途径感染的比例也有所上升,占22.0%。数据提示,性传播已经成为佛山市目前艾滋病病毒传播的另一重要途径。而且近两年艾滋病疫情有由高危人群向一般人群扩散的迹象,孕产妇感染率有所上升,2006年以来全市共发现感染艾滋病的孕产妇27例。

  安全套使用率上升超过7%

  据了解,2006年佛山市成立了首个专门从事艾滋病防治和关爱活动的非政府组织,即佛山红丝带关爱中心,而今年该中心向中国全球基金成功申请了“佛山市男男性接触人群行为干预项目”和“佛山市低档和流动暗娼行为干预项目”,填补了佛山在以上两个高危人群中开展行为干预工作的空白。

  在两个项目成功获得资助后,佛山疾控部门通过细致的调查摸底,初步掌握本地性传播高危险人群的分布情况及规模。今年全市疾控人员累计对娱乐城、休闲中心、夜总会、桑拿场所、发廊等场所的女性性工作者1315名实施了干预,给她们发放宣传资料和安全套。与此同时,对男男性接触人群行为干预工作也取得较大突破,今年累计干预男男性接触人群256人,有效转介自愿咨询检测75人,发现艾滋病感染者4例。

  “我们最近对一次性行为安全套使用率进行了调查,它的使用率从86.82%上升到94.2%,而在最新一期的调查问卷中显示,干预的目标人群对艾滋病防治知识的知晓率从58.33%提高到76.45%。”戚耀方表示,不能小看安全套使用率只上升了7个多百分点,因为统计数据是从成千上万个数据里得出,就意味着在这些高危人群中,有很大一部分都已摒弃了无套性行为的危险做法。

  流动人口被纳入防治重点人群

  两年来,佛山先后在顺德区伍仲珮纪念医院、佛山市第三人民医院和南海区大沥医院设立了3个美沙酮维持治疗点,为吸毒成瘾者提供维持的药物治疗,防止他们因静脉吸毒而感染和传播艾滋病。截至2008年10月,三个治疗点累计收治吸毒成瘾者1010人,目前在治疗的有560人,其中艾滋病感染者20人。受治人员的身体健康状况明显好转,个人生活质量和家庭关系得到改善,社会功能也逐步恢复。目前市相关部门正筹备在三水、高明两区设立同类的美沙酮维持治疗点,以满足当地需要。

  在推进艾滋病感染者和病人管理方面,全市设立了6个艾滋病定点收治医院(市第一人民医院和五个区级医院),截至2008年10月在定点医院接受艾滋病免费抗病毒治疗和减免治疗费用的共有44人,接受抗病毒治疗12个月后存活的病人比例为80.0%。

  此外,今年佛山卫生部门还促成三水区4个省级劳教场所率先在全国司法系统监管场所实施艾滋病疫情网络直报,应用信息化手段对场所内艾滋病感染者实施管理。

  目前,流动人口已被纳入艾滋病防治的重点人群。佛山市政府已经开始探索对长期居住在佛山的流动人口中艾滋病感染者和病人管理、治疗、救助的有效措施,以进一步实现公共服务均等化。

  相关

  南海建立首个

  政企合作“防艾”基地

  本报讯(记者/黄文钰)外来务工人员群体已经成为南海区艾滋病健康教育的重点施教人群。昨日上午,南海区疾病预防控制中心与广东志高空调有限公司合作的“艾滋病宣传教育与健康促进合作项目”正式签约授牌。据悉,这是南海区首次以政企合作的方式建立艾滋病宣传教育基地。

  “一开始我们进来做宣传,员工的热情很一般。现在参与的人数越来越多了。”区疾控中心负责人介绍。据悉,在此次正式签约之前,区疾控中心已经多次在志高空调进行各种形式的“防艾”宣传教育。按照协议内容,宣教基地建立之后,疾控中心将定期举办主题健康讲座、播放宣传片、派发安全套以及开展行为干预工作,内容除了艾滋病防治之外,还有一般的性病防治健康知识。而志高方面则需要保证有70%的员工参加培训。最终目标是使接受培训人员对艾滋病防治知识的知晓率达到80%以上。

  “选择跟志高合作,是因为这是一家有18000名员工的大型公司。我们希望可以借此探索出在外来人群中进行‘防艾’教育的有效途径。”南海区卫生局副局长邵小筠表示,此次合作标志着南海区走上了一条政企合作开展企业员工预防艾滋病宣传教育的新路子。“以往我们实施‘防艾’宣传教育的重点对象是娱乐场所,现在还要重点关注外来人群和学校。接下来将会有更多的企业加入到这样的合作项目中来。”

  记者了解到,此前南海区疾控中心已经在全区范围内开展了对群众“防艾”知识的普查,知晓率在50%以下。疾控中心负责人表示,由于年龄、教育程度和生活特点等原因,知晓率在外来人口中还要更低。

  据悉,在今年的“艾滋病日”宣传期间,南海区还将举办“飘动的红丝带”宣传活动,由区防艾委协同区内的公交车、出租车利用现有的宣传平台进行“防艾”知识宣传,比如在车内播放短片、悬挂宣传条幅等等。此外,大沥医院的社区美沙酮维持治疗点也将开展以“社区禁毒与艾滋病预防”为主题的宣传活动。

"News Room": In the face of AIDS has become the common humanity of war
12 years http://www.sina.com.cn 2008 on 23:33 on 01 CCTV "News Room"

Panorama studio



Moderator Li Xiaomeng



Moderator Zhang Yu

Zhang Yu: Good evening, dear, you are welcome to watch the "news room will be" special "a common war," Today is December 1, World AIDS Day, the date the arrival of once again reminded us of this century, AIDS, chronic attention Today the face of the AIDS war, has become a war of mankind.
Li Xiaomeng: Today is the first of 21 World AIDS Day, and this is what we have today, the theme of the show, the first look at a group of international and domestic news.

Commentary: Today is World AIDS Day, this year's theme is Stop AIDS, and honor its words. Ministry of Health yesterday announced that as of September 30 this year, the cumulative AIDS cases report more than 260,000 cases of sexually transmitted has become a major route of transmission.

According to the China AIDS prevention and treatment of the Joint Assessment Report estimates that as of the end of 2007, China's existing HIV and AIDS patients, about 700,000, of which 85,000 AIDS patients. The work of a few days ago the Ministry of Health statistics show that as of September 30 this year, we report a total of HIV-infected patients and 26,430,200,000,000. Of which 77,753 cases of AIDS patients, the report of the death of 3,486,400,000,000.

In order to meet the coming of World AIDS Day, in India, Calcutta, the capital of lava Ximeng home on November 30 held a Red Ribbon run the marathon to raise awareness of AIDS into the trend of the attention of a younger age.

According to statistics, the world's infected 33,200,000, 15-year-old to 24-year-old age group there are ten million, under the age of 15 are 2,500,000. On the same day, in the Spanish capital of Madrid, there will be full of people with India's deputy giant red ribbon in the hoisting of Alcala town board, as World AIDS publicity.

The World Health Organization issued a report this year on many occasions pointed out that the global AIDS prevention the significant changes in the number of new HIV infections and deaths have declined, a serious epidemic in Africa, AIDS has been highlighted. In the South African government to adopt various measures to promote the treatment of AIDS drug prices dropped, and published in poverty-stricken areas of AIDS treatment.

In Uganda, a Ugandan called the other day care operations are carried out across the country, free of charge to check on people infected with HIV. But the WHO has warned that the global AIDS epidemic has not spread, AIDS prevention and treatment remains a long-term and arduous task.

【Studio interview】

Li Xiaomeng: December 1, 1981 in the United States confirmed the world's first AIDS cases, to December 1, 1988 became the first World AIDS Day, these 27 years, the human hand in hand with AIDS, also took on tens of millions of people Life. However, in this same 27 years, mankind's struggle with AIDS pace never stopped.

Zhang Yu: We can not deny that, up to now, AIDS remains a fatal disease, we have no way to solve it. In the following years, we will be a number of historical images to look at the face of AIDS in China as a process. We will of the people some of the unfamiliar or familiar faces behind the story into the show and to explore China in the face of AIDS changes in the process, and may each of us is not associated with a number of changes.

Li Xiaomeng: We look at the following should be said that this group of images from 1997, and that we can find the earlier record. At that time, the medical environment for AIDS, as well as at the time of the patients in the face of what kind of situation, take a look together.

【1997 broadcast footage】

XU Lian-zhi: Last night, like how Mr. Chang? How kind, Mr. Chang?

Mr. Chang: In the past two days I was feeling a little better, but this week is, in 15:00 to keep nausea.

XU Lian-zhi: I take a look at, I would like to do tomorrow morning, I call on the child's Institute comrades, he will introduce you to this drug, which is found by accident, was in the children's diarrhea. Because the day I met him I could not diarrhea, I tell people, I say you have any good way to help me, he told me, he said that you try this, but this is a new and unexpected The discovery of a case before I would be very regrettable.

Mr. Chang: infected with this disease ghosts, dead air. This rule is useless disease, now a regret.

XU Lian-zhi: Can I ask a question, then is how you get this disease.

Mr. Chang: I was a few bosses to go along with the families at home are inside, Thailand to the opening of the World, to be sure to play outside, do not know when, had the disease.

XU Lian-zhi: Hello, hello, right, you say it. I tell you, though you break the skin, or what really Spinibarbus such a small mouth, you think, on how the HIV virus so skillfully, it must go inside there, not to say that you say Foreigners, to a foreigner, I would have suspected him of his clothes and I dare not touch, he did not dare shake hands, I do not need to see this, please, so be it, goodbye.

XU Lian-zhi: Mr. Chang Yao Chi this all right, this is the afternoon of the drug,

Mr. Chang: too much, so much yellow is what is nothing more, nothing has been more money, more medicine all right, the disease is not only bad.

XU Lian-zhi: anxious, right?

Mr. Chang: anxious. A bit of a hurry.

XU Lian-zhi: 15. Do not worry Mr. Chang, the end is too slow to come.

Mr. Chang: too slow.

Patients: certainly not Ganhao Shi, certainly outside the Luangao, Gan Haoshi you can get this disease? When the reality comes, can not be accepted, how to accept ah, I could not, would not be wrong ah. A few months, then two or three months, and then repeated requests to the investigation, in fact we have also repeatedly check, but indeed it is not accepted, the disease did not have the time, and find a way out of this kind of life, people Not a ghost who is not a ghost's way of life, then the kind of life, the thought that one day will certainly get AIDS, only a thought, but would like another, the disease I am sure from the remote, and that was also near This is not on the infected. This person then on his life story, Life down, have to die to be afraid of death, manner of death is different, that I would die of sadness too.

XU Lian-zhi: they charge you this.

Patients: It is not a charge. There is no way.

XU Lian-zhi: either cry or vent, sometimes people on the way, no matter what you have to vent, because Kua, ah suppressed.

【Studio interview】

Li Xiaomeng: look at these images then there are certainly a lot of emotion. Because at that time was just beginning to understand AIDS, some of the vague concept, for example, the beginning of the AIDS Ai this word, this is not the first Caozi, but the love of love, that it be interpreted as any AIDS, are dirty and sex-related, but now most people know it, there are three routes of transmission, blood transmission, sexual transmission, mother to child transmission, many of them are innocent and passive.

Zhang Yu: It is true that we have seen the light of 11 years, although the record is modest, but can be felt at the time of AIDS patients and doctors of the kind of strange, fear and struggle, in fact did in 1997 is China's AIDS prevention and treatment of a A very crucial point, since the beginning of the year from AIDS in China has shown a momentum of the spread. We have seen the film not only among patients and doctors that this strange and fear, reflecting the reality is that in this event comes complete, the community is ill-prepared, and even some panic.

Li Xiaomeng: Yes, at that time, just know that people with AIDS, access to it. Even now very well-known anti-AI Expert, contact with a patient, must be fully armed, wearing gloves, to go home before all the clothes off, it is necessary to take a bath. By now, after 20 years in the past, in the first AIDS village, and that the doctor has to know that when patients with conventional contact, do not have anything too serious protective measures, the treatment only need to wear gloves, which are also In constant publicity, there have been a huge change.

Zhang Yu: I think the audience will be carefully, to accept AIDS treatment at a very primitive conditions, and indeed after all these years, we have, Xiao Meng talked about just now is that everyone's sense of software, we now see Over the years the changes in hardware, starting with the medical staff, we have had from 1998 to 5000, to 23,000, the country qualified to reach more than 6000 laboratory examination, the exact time is more than 170, nearly 80% of the county more than The agency has the ability to detect the AIDS virus, has reached a point of testing more than 4300, the national project to promote condom coverage has increased over 1900, reaching more than 500 out-patient. This is the decade of progress and change, but it should be said that the face of AIDS is now the momentum of development, it is clear that these hardware and the extent of coverage is still far from sufficient.

Li Xiaomeng: hardware and this is a matter of fact, when the soft environment for the community AIDS what kind of attitude, what kind of tolerant and more important, it is said that if a person had AIDS is unfortunate, if not accepted by society and should be The treatment is a tragedy. Let's take a look at in 2000 when a video, recorded at that time, even if it is suspected to AIDS patients will be met with what kind of situation.

【2000 broadcast footage】

Commentary: Yu Meifang, Ninghai City, Zhejiang Province, Zhang Zhen, in February 2000, due to her disc, Xinzhou City, Shanxi Province in the district hospital surgery.

Yu Meifang: 2 in the morning, about ten points, from doctors, he said to you today from another ward, he said that you rest in this place is not good, 2 from the windows above Pazhe many people, the door Guan Buzhu on, come on into the one, she is, she is. Noon to 4, my doctor performed Di Zhuren come, I say you take it, he did not dare to sit. He said the hospital we have to look at you, put it nicely, you got 50 percent of AIDS. At that time, all of a sudden I wanted to get up, I would like to pull him, I can not say that I am, and he Ganjin Wang back, he said that you must have faith in science, but I hope you do not get AIDS, but the science is clear, you are Had AIDS, he said that you Kanzhe Ban it, if you do not discharged from today is not a transfusion, no one to control you.

Commentary: From the beginning of the day, medical personnel have not been to the wards. Force Yu Meifang Xinyou Yu has come Xinzhou area of sexually transmitted diseases and AIDS testing centers in Shanxi Province AIDS antibody testing laboratory to confirm the three HIV antibody screening, the results are negative.

Reporter: Do you know how it is out of Xinzhou City, a suspected AIDS in this matter?

The masses: I listen to them-off.

Reporter: Who is listening-off?

The masses: This is a society gossip from the mass.

Reporter: Yu Meifang know, right?

The masses: the first, I also feel that she must not only know to buy the seeds, then people are classified designated point she told me that, had the AIDS.

Reporter: Do you know the legend that she had the disease, you are willing to sell the seeds to her?

The masses: the dealings do not want to fight, but it is inevitable to contact.

Reporter: Do you sell her, he gave you the money you dare to do.

The masses: the first to dare.

Reporter: how that's going on?

The masses: that money bought a piece of soybeans. Give me a piece of money, I do not want to, I fear.

Yu Meifang: peer is the enemy, I sold the business better, she can sell her scolding me, I always say style is not good, Saohuo, meaning that you understand you, Sao Huo, I asked her to stand up, I said What did you say, all right, she said other people how you said you had AIDS, I am not saying that I did not say a word, if I said it before other people, I am sure that with her Mei Wan.

Reporter: Do you feel wronged you?

Yu Meifang: What do you feel wronged, which I am the person better, you look at me that day, I only cry at night in bed. Crying in bed, if I do not boil it, in any case be able to Huoduo Jiu Huo Duojiu, it does not matter. No matter to what extent I do not care, but I still have two sons, so that the risk at that time I was a risk of paralysis around, should be cleared of their own.

Commentary: Just two months after the operation, the official Yu Meifang Xinzhou City, Shanxi Province to the hospital to file a civil v. Xinzhou City area hospitals and epidemic prevention station against their reputation, the reputation of the claim losses spirit and 410,000 yuan.

【Studio interview】

Zhang Yu: This is a story that occurred in 2000, in fact, it can be said that even to this day, this is also the story of a repeat occurrence. It should be said that indeed, AIDS is not to say that the biggest obstacle to our treatment, but people's fear and discrimination.

Li Xiaomeng: watch this video at a time when we all thought, as her physical pain, mental suffering, and hope that today, in spirit at least to ease the pain, especially in the historical data through a time when I saw the new Millennium New Year, one with AIDS patients wrote a letter, he said that we are a special group of people, we had a special disease, but we have with ordinary people, like love, has his own dream life, he said We have vowed not to let other people infected with AIDS, so that a bullet in my chest explosions and refrain from shooting at my other dear compatriots.

Zhang Yu: It should be said that such a thing on AIDS, on the one hand, now we do not have good medicine that can cure it, we fear strangers. On the other hand, we do not understand this disease, it is easy to cast a moral trial of color, so instead we got the AIDS patient or infected, he did not dare to open for treatment. Instead, this led to such a group to hide in, which brought about the hidden threat is very great.

Li Xiaomeng: First of all, they are the victims, let us look into the ads, to come back right away.

】 【Ad

Li Xiaomeng: Welcome back, we continue to watch the show, now in the world, AIDS is nothing more than drug treatment, vaccines, and behavioral intervention, and when the drug can not allow this disease to be completely cured, is also developing vaccines Among them, behavioral intervention has become all the more important that we look at a short film.

【2004 broadcast footage】

Ran Yuan Lin: County, which at the time of our meetings to inform, to start, we do not know how the case.

Commentary: The police called Ran Yuan Lin. Hunan Public Security Bureau in order to engage in Lixian leader of the group, in this meeting, the government announced Lixian, it is necessary to promote the county in a 100 percent condom use is called entertainment.

Ran Yuan Lin: We feel it is not against prostitution, it is not our normal security environment, there is not a contradiction.

Commentary: This 100 percent condom use entertainment project is the Ministry of Health and the World Health Organization in cooperation projects in order to fight AIDS and sexually transmitted diseases of the spring.

Huang Hai Road: The community is also pressure on the resistance. There are a lot of people and ideas, WHO's AIDS prevention and control 100 percent condom use will not believe that Shehuang more events, more than AIDS, the economy will affect the investment environment.

Ran Yuan Lin: on the one hand, you are requested to use condoms, on the one hand, I have to fight against you, that is absolutely contradictory. How this conflict say, no one can say is not clear, I do not know, said.

Commentary: This is used by the United Nations AIDS epidemic diagram of the general laws, chart lists the different groups of people, the map shows that this indicates that AIDS from high-risk groups to ordinary housewives and children, most of the transfer. The entertainment and 100% condom use, in order to block the route of transmission. Held in a series of meetings to mobilize after the reunification of the various departments, the final order by the brigade leader Ran Yuan Lin held various entertainment venues throughout the county boss, manager, foreman started this project, the meeting is to mobilize them in support of this工作.

Ran Yuan Lin: I think this is a radical social evils, and sexually transmitted diseases does not exist, there is no spread of AIDS, I feel very reasonable, we the public security organs against the limits. Ambush in the fight against this phenomenon also exists, the disease is correct, I think this is the case, and to promote disease prevention is correct.

Commentary: Entertainment, the promotion of condom use 100%, absolutely does not mean that the Government will not crack down on illegal prostitution, but the severe form of AIDS prevention before the safety was on the top.

Dr. Wu: Miss those for the first time are cold to sit there and play cards, I told them a speech, she Kanyebukan In any case, look at this way, we are not to be bullied, you know. Then this speech, do you find them, those who miss the whole culture was relatively low, they have no knowledge of that, with their talk is heard of AIDS, what ah, heard of AIDS, it is so, no condoms Seen.

Commentary: On this day, Dr. Wu went to an entertainment, for medical practitioners.

Dr. Wu: not made for the first time, one should not, do not ask you to do ah, I said that's what we do not, ah, do not, is the case. But as long as there are at the beginning of a person, took two boxes, and then the other immediately ran Laina, I think they are really too small, because they have the knowledge to understand a little, those who did not miss as long as we come into contact with the publicity, Do not know what a condom to protect, do not understand.

Commentary: According to the latest statistics, in the absence of an effective protective measures. By 2010, China's number of people infected with AIDS could reach 10,000,000, AIDS has become the important work of governments at all levels.

Behavior intervention to prevent AIDS is a major means of
12 years http://www.sina.com.cn 2008 on 23:33 on 01 CCTV "News Room"
【Studio interview】

Zhang Yu: behavioral intervention to prevent AIDS is a major means, we can learn from some of the practices of other countries, such as Thailand, since the promotion of condoms, AIDS on the probability of a significant decline. However, we can see that in order to carry out in-depth and extensive combat acts of intervention, first of all, is the manager, including those who interfere with the idea. If we look with some of the discrimination, or the color of the moral point of view, it is difficult to carry out a real and effective intervention.

Li Xiaomeng: Yes, we can from now on the title board, these interventions from the beginning until now to implement a change in public opinion, a total of three relatively common interventions. One is the promotion in public places, the condom is 100 percent condom. In addition to injecting drug use is to provide methadone maintenance therapy and the other is the provision of clean needle exchange, which is to provide drug users with clean needles. In public places such as condoms or the like to provide drug users with clean needles, or have a lot of controversy at the time, is not to encourage sex dirty, is not to encourage drug abuse, and to the present, community An increase in the degree of contact, it also saw the government in the fight against AIDS measures taken by the more pragmatic.

Zhang Yu: indeed it should be said that the concept of government action to interfere with such changes, including the effectiveness of these measures, we can see the face of AIDS in the world of such a terminal illness, in a more scientific and rational attitude in the face, it should be said In such a process, there are many members of the public who use the super-thinking vision of the Government to promote such a process.

【2005 broadcast footage】

Tai-Wei: My name is Tai-wei, I am a homosexual, I am also an AIDS-infected people, a single doctor to show me the report, he said you were HIV negative, then the tears down.

Commentary: in 1981, found the world's first AIDS is a gay male. In 1989, China discovered the first case of local infection as a result of sexual contact with AIDS patients, and there have been a number of same-sex sexual contact. At present, China's gay population second only to HIV infection rate among drug users.

Zhang Beichuan: to be infected with AIDS through sexual intercourse, China has accounted for all of the infected close to 30%. Among these there is one-third of the male contacts.

Commentary: In that case led to the gay groups vulnerable to HIV infection causes what in the end, reporters came to gather more gay bars, gay chat with the hope to find answers to many of the friends told us that the homosexual groups, the relatively frequent replacement partner Because it is difficult to find true love.

Reporter: This group, the true face of the high proportion of people who love it? Why?

Gay: because we can not, as normal people do, we recognize new opportunities, little comrades.

Zhang Beichuan: We have this in real life, has referred to homosexuality, and homosexuality more, he would not want to have feelings, the feelings that arise after the injury, who would be willing to hurt, so to have sex for homosexuals to That there is a huge advantage, the advantage is security.

Reporter: security?

Zhang Beichuan: Yes, you do not know me, I do not know you, the end of the relationship between two people, we are not aware of each other.

Reporter: But this is unsafe?

Zhang Beichuan: but he that can be very safe.

Commentary: Let the other gay people living with high infection of the main reasons is unprotected sex, as gay sex between the insert, very easily lead to colorectal mucosa of congestive heart damage, the semen of HIV may be damaged through the mucosa into the blood Circulation or the lymphatic system.

Reporter: You have sexual contact with him, you do not know whether the physical health of the people.

Tai-Wei: Yes.

Reporter: Do you think that if you love the premise, it would be difficult to ask questions, to tell each other's physical, it is difficult or requested to do before sex, is it true?

Tai-Wei: I have to think so.

Commentary: In addition, the Chinese traditional culture for the shy and sensitive in nature, but also makes unprotected sex more easily.

Reporter: then you know that condoms?

Tai-Wei: know, know this, if the store to buy what I think may be very sorry.

Cui TU: I know that the scope of it, some people still know how to safe sex knowledge or the know, but it is not convenient to operate. He can not carry a condom, they may bring will be discriminated against, you would think that this is an indulgence to.

Reporter: What is fear of discrimination?

Cui En: fear of discovery, because almost everyone in China who are prosecutors, will know that you Chaijing the bag with what, what lipstick, it Perspective both eyes.

Reporter: condoms in the eyes of the majority of what it means?

Cui En: mean, rather than security.

Commentary: seven years later, Zhang Beichuan, as always, in his efforts, a growing number of colleagues who joined. Zhou Jian, director of the Chongqing Yuzhong district family planning, he was one of the first groups involved in homosexual living with one of the professional officials.

Zhou Jian: the vast majority of the same sex have been married or getting married, with an average of a homosexual or bisexual, heterosexual men and five sexual contact with their disease in which they can spread the disease through heterosexual and their Wife to the general population that spread.

【Studio interview】

Zhang Yu: in particular, gay people, AIDS is a high-risk groups. Now for a male homosexual men and sex of the size of the crowd, including the popular trends and characteristics of their investigation took place, is still a lack of a host of figures based on. In fact, we need to intervene in the AIDS process, give us a more tolerant, more caring environment that is very important for us to take any intervention.

Li Xiaomeng: sexual orientation, we do not judge, but there are security measures, sex, everyone can do, so as to establish the purpose of World AIDS Day, including the world to tell people Worldwide AIDS prevention and control can do, including going to understand the function of AIDS patients or carriers, of which there is a very important thing is that each of us to be held accountable for their actions.

Zhang Yu: I would like to end this program, I would also like to stress again that we should have a special group of AIDS care and tolerance. Because we may have a misunderstanding, and such a crowd in their regional fixed, we are safe, in fact, the more they are hidden, the more isolated, but we are more dangerous because they live in our lives, especially now The spread of AIDS has become a channel for the dissemination of one of the main channel, so we are more easily spread to people.

Li Xiaomeng: Yes, now with the AIDS hinder the promotion of common sense, people's understanding of AIDS in a great many changes, but we also see a group of relatively new data to see if, that is, with UNAIDS China-related agencies to conduct a joint investigation into the latest data, in six Chinese cities, we take a look, there are 47.8 of the respondents do not want to AIDS patients in conjunction with the meal, 64.9 percent of people with AIDS-infected people do not want to Or patients to live together, 63.4 percent do not want to accept the barber's services, 41.3 percent do not want to work together, 30% of the respondents believed that HIV should not allow the health of students and students learning in schools. I think there can see, is a sense of discrimination still exists, there is a sense of the popularity of AIDS or the need to conduct more extensive.

Zhang Yu: In fact, Xiao Meng has just talked about the spread of AIDS in the three main channels, we have actually set out under the premise that all will not be infected with AIDS.

Li Xiaomeng: Yes, so we as a community on this Amat AIDS tolerance, as we have said from the narrow perspective, if we do not have the tolerance, whether carriers or AIDS patients, do not open their own identity If we do not accept the testing, not treatment, for him, for we are in a very dangerous situation.

Zhang Yu: This is a real time bomb.

Li Xiaomeng: Yes.

Zhang Yu: Xiao Meng just really just talked about, in fact, so far from our first discovered AIDS, now has more than 20,000,000 people have been claimed the lives of AIDS, China is now investigating, there are probably more than 70 million AIDS patients and Infected people, there are more than 30 million people, he did not know his own infected with AIDS, if we truly give him a tolerant environment-friendly, so that they can take the initiative to detect and take the initiative to interfere with the actual real to us with the community To a stability.

Li Xiaomeng: it can not be treated in a timely manner, with AIDS patients that survival is closely related, if it is late in the development of a period of time after treatment, the average life span might be 50-year-old is more, if it is discovered early and Treatment, life can go more than 70 years old, the concept is totally different, and that he will not be in time to detection and timely treatment to, do with the social tolerance, understanding a great extent.

Report of the province's total of HIV-infected people and AIDS patients with 920 cases
12 years http://www.sina.com.cn 2008 on 02 on the City Evening News 09:20
■ reporter Xiao-Jing Li / report

By yesterday, is the first of 21 "World AIDS Day", this year's AIDS Day is "Stop AIDS, to fulfill commitments", and the provincial People's Square in Changchun City, held a large-scale promotional activities, the Standing Committee of the Provincial Party Committee, vice governor Ma Junqing Came to the scene to participate in campaign activities, and to the Infectious Diseases Hospital in Changchun City, on behalf of the provincial party committee and government condolences to the front-line health care workers, called on people living with AIDS, AIDS prevention and treatment study. He stressed that governments at all levels and relevant departments should conscientiously perform their duties, to further mobilize the entire society to participate in AIDS prevention, AIDS care groups to promote national policies and in-depth implementation of AIDS prevention and control measures to resolutely curb the AIDS epidemic and the spread.

Infectious Diseases Hospital in Changchun City, where he met with Ma Junqing treatment of AIDS patients, asked in detail about their condition and the current physical condition. As the old patients with white blood infected with AIDS, and transmitted to the Lao Yang's wife, now his wife in the hospital for treatment. Ma Junqing inquired in detail about their condition, as well as the current living conditions, before its tightly hold their hands and encourage them to say, we must strengthen their confidence and overcome the disease.

After listening to the city of Changchun, the provincial health department and the hospital's annual report on infectious diseases, Ma Junqing stressed that the fight against AIDS, governments at all levels to shoulder their responsibilities. Government and relevant departments should fully understand the current epidemic situation of AIDS prevention and treatment of severe and difficult, complicated, and coordinated all aspects of the power to seriously implement the policies and measures, to work harder, do more down-to-earth prevention and control work. To further implement the "Four Frees and One Care" policy on AIDS patients be given stronger for medical treatment, AIDS patients in poor families stronger relief. To strengthen key areas and focus on the prevention and treatment of the crowd, focus on the prevention of sexually transmitted, illegal blood collection and the fight against drug trafficking and other key aspects of drug abuse, focusing on young people to do a good job, women, peasants and workers of the public, university students and other key groups and high-risk behavior groups of education Prevention. Increase the monitoring and detection of the disease and expand the coverage of monitoring to ensure timely detection and timely reports, timely treatment. To further increase the input in order to improve the government investment as the mainstay, the classification commitment, multi-channel fund-raising of funds into long-term mechanism to ensure that public health institutions have sufficient funds to protect and effectively address the AIDS prevention and treatment equipment and funding to effectively raise AIDS Prevention and control capacity.

Ma Junqing pointed out that AIDS is both a public health issue, but also a major social problem. Effective prevention and treatment of AIDS, the whole of society need to work together. To step up publicity and education, prevention and treatment of universal knowledge, enhance the people's sense of control to form a mass prevention and social atmosphere. We should concentrate on publicity and propaganda combined with day-to-day, the realization of regular education, raising awareness of AIDS knowledge. Equality is the greatest care. It is necessary to protect AIDS patients and the legitimate rights and interests of the whole society in the formation of AIDS patient care and help the good society.

It is understood that from the 1993 report of the province since the first case of AIDS cases as of the end of October 2008, the province's cumulative report of the HIV-infected people and AIDS patients with 920 cases, 384 cases of AIDS patients, 219 cases of death. The province's cumulative 238 AIDS patients with the anti-viral treatment. From 2004 to date, the province of high-risk groups and focus groups increased the detection and screening efforts, the focus of screening a total of more than 80 million people in the crowd.

Ministry of Health Disease Control Director Fan said the province's AIDS epidemic has been effectively controlled in a low prevalence situation, a low-prevalence provinces in the country. But with the spread of AIDS in our province become the main way that the AIDS epidemic is moving from high-risk groups to the general population spread of AIDS prevention and control situation is still grim.

This 11-patient free HIV counseling and testing

■ reporter Xiao-Jing Li / report

By yesterday, the Changchun municipal government announced free HIV counseling and testing out the address and telephone consultation. Ministry of Health Disease Control Director Fan said that because there is a community of HIV-infected people and AIDS patients of discrimination and prejudice, the subjects are often worried about the negative impact of testing, such as unemployment, divorce, and so on, are also unwilling or unable to To pay the cost of testing. As a result, voluntary counseling and testing to emphasize that "voluntary testing" and "confidential" and will not leak to any of the cases detected.

What is AIDS?

AIDS, also known as acquired immunodeficiency syndrome, which is due to infection of human immunodeficiency virus (also known as the AIDS virus), caused by an infectious disease. AIDS virus invaded the human body, the body will continue to reproduce, undermining the body's immune function, so that the human body's ability to resist disease, prone to a variety of infections and tumors, eventually leading to death.

Route of transmission

The spread of AIDS in three ways: sexually transmitted, blood-borne, mother to child transmission.

Love, respect and understanding

So that they can regain their confidence in life

■ reporter Xiao-Jing Li / report

"I am now sought-after workers in the village, where work on where to eat, no one I find it too", who lives in the city of Tumen Jiutai Zhen Li Jiacun old White said. This is a reporter the other day to follow the city of Changchun to Fight AIDS Society staff members came to AIDS patients at home when an interview with the object of sympathy, if not pre-listening to staff, reporters will not think of how, just this optimism, robust man suffering from AIDS, but also had critical condition, the bag of bones.

Once:

Is Raozhao Zou neighbors see

  “我从1984年起开始卖血,1998年查出得了艾滋病,很长时间我都不敢说。”老白回忆说,当年由于生活贫困,他和妻子杨大姐四处卖血贴补家用,长春市卫生局的工作人员到他们村去免费检测时,他和妻子都被检测出感染了艾滋病,这如同一个晴天霹雳击倒了全家人。“那个时候真是太难了,我们尽量不与人接触,可是邻居看见我们还是会远远地走开……”

  2000年,老白首度病发,住进了医院,整个人被疾病折磨得只剩下骨头。由于家里的主要劳动力病倒了,一家人的日子过得更难了。2004年,老白再次病发,这时杨大姐也一病不起。严峻的现实让夫妇二人对生活完全失去了信心,老白买来农药,准备跟老伴一起喝下去了结生命,不再拖累子女。就在这时,长春市卫生局、市疾病预防控制中心和九台市卫生局的工作人员,把老白夫妇送上了救护车,拉到长春市传染病医院进行免费救治。经过一段时间的精心治疗,夫妇二人的身体渐渐康复。

  考虑到老白夫妇住的破草房破烂不堪,2005年,在长春市卫生局和九台市卫生局的协调下,九台市政府为老白一家盖起了新瓦房,同时又安排了一名村医,定期到老白家里为老白夫妇检查身体,并送去用于控制艾滋病病毒的免费药物,现在,他们二人的身体恢复得越来越好。

  如今:

  老白成了“抢手”帮工

  由于村医和各级卫生局、疾控中心以及艾滋病防治协会工作人员的努力,村里人渐渐接纳了老白一家。“现在几乎每天我都到邻居家去帮工,走到哪吃到哪,和以前一样,没有人嫌弃我。”老白说。“现在我经常串门,邻居看见我也不躲了。以前很多亲戚都不走动了,现在又开始联系了,我们全家又恢复到以前的状态了,没感觉自己和别人有什么不一样。”杨大姐说。

  江城鸡尾酒抗病毒取得理想疗效

  ■记者 李静/报道

  本报吉林市讯 12月1日,记者从吉林市疾病预防控制中心了解到,鸡尾酒抗病毒取得了理想的治疗效果。很多感染者已超过10年潜伏期,正在服用抗病毒药物治疗的感染者,没有出现抗药现象。

  吉林市船营区关爱医院院长臧立权表示,当感染者的CD4检测指标下降到一定程度时,就必须要服用鸡尾酒抗病毒治疗药物。根据目前的情况来看,鸡尾酒抗病毒治疗取得了非常理想的治疗效果,很多HIV感染者服用后免疫力有所提高,目前很多感染者已经超过了8至10年的潜伏期,个别患者已超过15年,医学上称之为长期不进展者。两名因母婴传播的小HIV感染者,潜伏期也已超过10年,其中一名儿童身体状况良好,另外一名正在向国家申报服用鸡尾酒抗病毒药物治疗。

  今年江城超千人进行自愿检测

  ■记者 李静/报道

  本报吉林市讯 “今年已经有超过1000人进行了艾滋病自愿检测。”吉林市疾病预防控制中心主任唐竹村说,自愿检测的人数虽然有所增加,但是相对全市200多万的人口而言,自愿检测的比例还不算高,自愿参与检测的意识还有待掘进。

  为方便群众参与免费检测,吉林市疾病预防控制中心与114查询系统联手,只要拨打114查询电话,表示想检测或咨询艾滋病,就可以获知各检测站点的联系电话及具体地点。

  四平200余人走上街头宣传防艾

  ■记者 高鸿/报道

  本报四平讯 12月1日是世界艾滋病日,为营造全社会参与艾滋病防治工作氛围,四平市疾病预防控制中心、市直医疗卫生单位、中心血站及市防艾委员会成员部门等30余家单位的200余人走上街头,通过拉条幅、办板报、散发宣传单、解答咨询、赠送安全套和环保纪念品等多种形式广泛宣传艾滋病防治科普知识。

  记者了解到,四平市(含所属外市、县)累计发现并登记艾滋病患者59例,其中今年截至目前已经死亡9例。

  通化艾滋病感染者逐年上升

  性接触成主要传播渠道

  ■记者 王耀辉/报道

  本报通化讯昨日记者从通化市疾控中心了解到,通化市从1995年发现首例艾滋病感染者以来,新发现的艾滋病病毒感染者逐年上升,性传播途径成为主要传播渠道。目前,通化市7个县市区均有艾滋病感染者,且外来人口占一定比例。

  据介绍,通化市共建立了4个监测哨点,对市民开展保密、免费的艾滋病检测工作,同时对高危人群进行了基线调查。调查结果显示,通过性接触传播比例不断升高,特定人群(如:男男性接触者)出现上升趋势。

今年新增453艾滋病感染者
http://www.sina.com.cn 2008年12月02日09:11 南方日报
  本地居民感染有上升趋势,感染者以20—40岁青壮年男性为主

 
 

在佛山市第三人民医院的社区药物维持治疗点,医务人员正按照配方给窗外的吸毒成瘾者斟量美沙酮(如上图)。佛山设立了3个美沙酮维持治疗点,为吸毒成瘾者提供维持的药物治疗,防止他们因注射吸毒而感染和传染艾滋病。本报记者张由琼摄

  本报讯(记者/尹辅华)“根据今年艾滋病发展状况来看,全市艾滋病早期感染个案现已进入发病高峰期,全市艾滋病防控工作仍很艰巨。”佛山市副市长麦洁华昨日在2008年全市艾滋病防治工作会议上提出,艾滋病的防控工作需要政府部门、社会各界相互配合,才能取得成效。

  性传播已成病毒传播重要途径

  今年佛山全市新增艾滋病感染者453人,其中43人已确诊患有艾滋病。截至2008年10月,全市累计报告艾滋病感染者共3898例,其中艾滋病病人459例,累计死亡253例。其中禅城1272例,南海358例,顺德296例、高明95例、三水1877例,属于监管场所报告的有2547例,占总报告数65.34%。而现居住在佛山市的艾滋病感染者有1266例,其中艾滋病病人104例;监管场所内有680例,占53.71%。

  市卫生局局长戚耀方表示,目前佛山市艾滋病疫情呈低流行态势,每年报告的艾滋病感染者增加速度减缓,但艾滋病病人的发病数呈缓慢上升趋势,提示早期感染的个案进入了发病高峰期,疫情地区分布广,波及五区,大部分病例集中在监管场所。令人担心的是,本地居民感染有上升的趋势,感染者中仍以20—40岁的青壮年男性为主,占80.27%。

  在传播途径方面,共用注射器吸毒仍然是传播的主要途径,占57.87%;性传播途径感染的比例也有所上升,占22.0%。数据提示,性传播已经成为佛山市目前艾滋病病毒传播的另一重要途径。而且近两年艾滋病疫情有由高危人群向一般人群扩散的迹象,孕产妇感染率有所上升,2006年以来全市共发现感染艾滋病的孕产妇27例。

  安全套使用率上升超过7%

  据了解,2006年佛山市成立了首个专门从事艾滋病防治和关爱活动的非政府组织,即佛山红丝带关爱中心,而今年该中心向中国全球基金成功申请了“佛山市男男性接触人群行为干预项目”和“佛山市低档和流动暗娼行为干预项目”,填补了佛山在以上两个高危人群中开展行为干预工作的空白。

  在两个项目成功获得资助后,佛山疾控部门通过细致的调查摸底,初步掌握本地性传播高危险人群的分布情况及规模。今年全市疾控人员累计对娱乐城、休闲中心、夜总会、桑拿场所、发廊等场所的女性性工作者1315名实施了干预,给她们发放宣传资料和安全套。与此同时,对男男性接触人群行为干预工作也取得较大突破,今年累计干预男男性接触人群256人,有效转介自愿咨询检测75人,发现艾滋病感染者4例。

  “我们最近对一次性行为安全套使用率进行了调查,它的使用率从86.82%上升到94.2%,而在最新一期的调查问卷中显示,干预的目标人群对艾滋病防治知识的知晓率从58.33%提高到76.45%。”戚耀方表示,不能小看安全套使用率只上升了7个多百分点,因为统计数据是从成千上万个数据里得出,就意味着在这些高危人群中,有很大一部分都已摒弃了无套性行为的危险做法。

  流动人口被纳入防治重点人群

  两年来,佛山先后在顺德区伍仲珮纪念医院、佛山市第三人民医院和南海区大沥医院设立了3个美沙酮维持治疗点,为吸毒成瘾者提供维持的药物治疗,防止他们因静脉吸毒而感染和传播艾滋病。截至2008年10月,三个治疗点累计收治吸毒成瘾者1010人,目前在治疗的有560人,其中艾滋病感染者20人。受治人员的身体健康状况明显好转,个人生活质量和家庭关系得到改善,社会功能也逐步恢复。目前市相关部门正筹备在三水、高明两区设立同类的美沙酮维持治疗点,以满足当地需要。

  在推进艾滋病感染者和病人管理方面,全市设立了6个艾滋病定点收治医院(市第一人民医院和五个区级医院),截至2008年10月在定点医院接受艾滋病免费抗病毒治疗和减免治疗费用的共有44人,接受抗病毒治疗12个月后存活的病人比例为80.0%。

  此外,今年佛山卫生部门还促成三水区4个省级劳教场所率先在全国司法系统监管场所实施艾滋病疫情网络直报,应用信息化手段对场所内艾滋病感染者实施管理。

  目前,流动人口已被纳入艾滋病防治的重点人群。佛山市政府已经开始探索对长期居住在佛山的流动人口中艾滋病感染者和病人管理、治疗、救助的有效措施,以进一步实现公共服务均等化。

  相关

  南海建立首个

  政企合作“防艾”基地

  本报讯(记者/黄文钰)外来务工人员群体已经成为南海区艾滋病健康教育的重点施教人群。昨日上午,南海区疾病预防控制中心与广东志高空调有限公司合作的“艾滋病宣传教育与健康促进合作项目”正式签约授牌。据悉,这是南海区首次以政企合作的方式建立艾滋病宣传教育基地。

  “一开始我们进来做宣传,员工的热情很一般。现在参与的人数越来越多了。”区疾控中心负责人介绍。据悉,在此次正式签约之前,区疾控中心已经多次在志高空调进行各种形式的“防艾”宣传教育。按照协议内容,宣教基地建立之后,疾控中心将定期举办主题健康讲座、播放宣传片、派发安全套以及开展行为干预工作,内容除了艾滋病防治之外,还有一般的性病防治健康知识。而志高方面则需要保证有70%的员工参加培训。最终目标是使接受培训人员对艾滋病防治知识的知晓率达到80%以上。

  “选择跟志高合作,是因为这是一家有18000名员工的大型公司。我们希望可以借此探索出在外来人群中进行‘防艾’教育的有效途径。”南海区卫生局副局长邵小筠表示,此次合作标志着南海区走上了一条政企合作开展企业员工预防艾滋病宣传教育的新路子。“以往我们实施‘防艾’宣传教育的重点对象是娱乐场所,现在还要重点关注外来人群和学校。接下来将会有更多的企业加入到这样的合作项目中来。”

  记者了解到,此前南海区疾控中心已经在全区范围内开展了对群众“防艾”知识的普查,知晓率在50%以下。疾控中心负责人表示,由于年龄、教育程度和生活特点等原因,知晓率在外来人口中还要更低。

  据悉,在今年的“艾滋病日”宣传期间,南海区还将举办“飘动的红丝带”宣传活动,由区防艾委协同区内的公交车、出租车利用现有的宣传平台进行“防艾”知识宣传,比如在车内播放短片、悬挂宣传条幅等等。此外,大沥医院的社区美沙酮维持治疗点也将开展以“社区禁毒与艾滋病预防”为主题的宣传活动。