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Risk of Bangladesh to HIV/AIDS December 1, 2008

Posted by bdoza in BANGLADESH, HEALTH.
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I usually walk through a market on my way to my part-time job in the evening. On the way, I see some girls (sex workers) waiting there, not officially permitted, for their clients with their agents overlooking from the shadow.

This simple picture exposes the weakness of our society. Our society is not well regulated. Rules are more in books than in practice.The law enforcers encourage the wrongdoers for their own benefit.

Bangladesh is vulnerable to HIV/AIDS for its poor regulation, poverty, lack of adequate health support, illiteracy, lack of health education, lack of awareness about HIV/AIDS etc.

One of the important causes to me is the presence of large number of migrant workers in the middle east and other countries. Though this temporary immigration increases our remittances, at the same time it increases the risk of HIV/AIDS in our society. Garment workers are also at risk because of their age, ignorance and isolation from the family. Easy travel to & from India & other neighboring countries (where there is high prevalence of AIDS) for leisure, business and health also makes the country vulnerable.

The last official figure of HIV/AIDS infected is 1495, number of AIDS patient is 476 and died of AIDS is 165.The unofficial figure in some multiple of this.

So far Bangladesh is in better statistics than its neighbors because of
cultural attitudes and religious restrictions. But with the inflow of modern trends,the cultural practice is gradually changing in the young and affluents of the society.

Bangladesh will need special steps to aware the public covering the lower economic class, impose laws and regulations irrespective of class, practice its own culture &religion,practice safe sex, meticulous screening of the blood donors & blood products, rehabilitate the drug addicts & sex workers, identify the HIV infected patients and ensure access to necessary treatment for these patients etc.

The ordinary citizen also thinks that HIV status in the visa should be a must for travel in between countries.

An ordinary citizen

HIV is creeping up-check it now December 2, 2007

Posted by bdoza in BANGLADESH, HEALTH.
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[Personal thoughts] The number of HIV cases  in Bangladesh is increasing. The official figure in 1989 was only 1, in 2006 it was 874; in 2007 it is over 1000; the unofficial number that is estimated by the WHO agencies was more than 13000 in 2006.

Bangladesh is in risk for HIV because of lack of knowledge of HIV among the common people, poor perception of risk of HIV among the vulnerable group, gradually increasing in number of the vulnerable group- sex workers, drug addicts, homosexuals, transfusion dependent patients etc, lack of universal screening of HIV of the donors before transfusion, unsafe sexual practice, high prevalence of HIV in our surrounding states and easy migration of people across the border.

As HIV is a dangerous disease and the treatment is costly and beyond the reach of even the middle class people, the maximum effort should be directed to the prevention of the infection.

We are spreading need of awareness among all ages of people but our effort should be more targeted in some areas. All the people should be aware of the infection and special awareness program should be targeted to the vulnerable group and these special groups should be covered 100% within a short time. The perception of risk should be clear to all specially the vulnerable group.

To ensure the safe blood transfusion, the donor blood at each time should be screened for HIV each time. This screening service should be provided free at the level of all laboratories by the government with the help of international donors/agencies.

The workers who are going abroad for jobs they should be screened for HIV at their departure and on their returning back to the country for short or long stay.

HIV screening should not only be made regularly among the sex and other reachable groups such as track drivers but a sort of HIV-free certificates should be made mandatory for the sex workers.

Drug addicts should be identified and rehabilitated and awareness should be developed regarding relation between HIV and drug addiction. Homosexuality and unsafe sex practice should be discouraged and our religious leaders should take more active part in campaign against HIV.

We should be more cautious and halt the spread of HIV before it goes beyond our control and we have to adjust the international prescription according to our culture, religion and reality.

An ordinary citizen

Links:

1) HIV/AIDS: Bangladesh at high risk

2) HIV awareness building imperative

3) Slum dwellers also come in aid of Sidr victims