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Pakistan in a state of AIDS denial: UN official

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Pakistan in a state of AIDS denial: UN official

ISLAMABAD: November 30, 2006: Pakistan is in a state of denial about the extent of its HIV/AIDS problem, and political leaders need to understand the reality or it will be very difficult to contain the epidemic, a UN AIDS official said.

The government has reported about 3,500 cases of people with HIV, of whom 367 have developed AIDS. But the true number of HIV cases could be as many as 210,000, said Aldo Landi, the country coordinator of the UNAIDS agency in Pakistan.

"There is still a state of denial for many reasons, but it's not only in Pakistan," Landi told Reuters on Thursday.

"Unfortunately in many countries, it's a major problem. It's the reason we are not successful in containing HIV. Political will is the first thing. If there is no real strong political will, it is very difficult to contain the epidemic," Landi said.

Pakistan has a major heroin problem and studies have found that about a third of injecting drug users in Pakistan's biggest city, Karachi, are HIV positive, he said.

The virus is also being spread through sex, he said.

"We know that 30 percent are positive," he said, referring to Karachi's drug users.

"They are young, jobless, 40 percent are married," which means they infect their wives, he said.

"Your political leaders have to understand what is going on," he said.

No one knows the true extent of the spread of HIV as surveillance for the virus is only beginning in Pakistan but the figure is not the issue, he said.

"The problem is not the number, the problem you have already in the country is that there is an epidemic," he said.

Aldo was speaking on the sidelines of a news conference to announce the setting up of a network of groups to help people with HIV, to mark World AIDS Day on Friday.

Nazir Masih, an HIV-positive Pakistani, told the news conference attitudes are slowly changing in the country.

"People did not go to doctors for fear of stigma but now things are changing," said Masih, who runs a charity helping people with HIV.
 
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In India or Pakistan it is those truck drivers. On the road for majority of the year, sleeping god knows in how many brothels. Then going back to their villages and spreading it in their families.
 
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Yeap truck drivers resting areas are breeding grounds for prostitutes...

Dunno why Pak would want to deny having aids cases in this day n age.

But at least on the non-governmental level the work is superb against Aids. Salman Ahmed, Pakistan's very own UN Aids / Goodwill Ambassador is hosting an Aids related event where I'm guessing he'd be quite candidly sharing his findings about Aids in Pakistan.

He composed a song around Aids, called Al Vida. Based on Begum Shukria, whose husband died of aids and was castrated from society. Today Shukria has become one of Pakistan's leading female activist against Aids. Hence the repeated usage of the word Shukria in that song.

http://www.sangeetradio.com/music/Pakistani/Pop/Salman Ahmed/Infiniti/02. Al Vida.wma

Here's a statement from Salman:

Having trained as a doctor before I came into music, I know that a small infection in any part of the human body if not treated with care and urgency can easily threaten the whole body. In an inter-connected world we no longer have the luxury to ignore HIV and AIDS. The world that we live in is like the human body, if one region is affected by HIV & AIDS it poses a danger to all of humanity, regardless of gender, religion, national or ethnic identity.

Everybody has a role to play and as an artist and UNAIDS Special Representative I promise that I will make sure that through my music and words I will try to shine a light on the heroic lives of People living with HIV. Music and video can help humanize the face of HIV, as I tried to do in Al-Vida, a music video which is about HIV & AIDS as much as it’s about women’s empowerment in South Asia.

We have to remind ourselves to see with the heart and to think beyond borders because it is only compassion and knowledge which can fight the stigma and discrimination associated with HIV & AIDS.

Was going to use this in an article before. No link he sent it in an email.
 
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Launch of the

Association of People Living with HIV & AIDS in Pakistan

Every year 1st December marks the World AIDS Day (WAD). This is a time when support is provided to all those people who have been infected and affected by HIV and AIDS. In Pakistan, WAD focuses on the awareness about HIV and AIDS among all ages of people through a series of events. The UN system is fully mobilized in supporting Pakistan’s National Response on HIV and AIDS and is engaged in commemorating World AIDS Day all over the country.

On World AIDS Day, December 1st 2006 UNAIDS Pakistan and its United Nations Co-Sponsor Agencies are proud to announce the launch of the Association of People Living with HIV and AIDS. The launching ceremony will be attended by federal and provincial government officials, diplomats and representatives from NGOs, People living with HIV (PLHIV), Mr. Salman Ahmed, UNAIDS Special Representative and the UN family. While the honourable Federal Minister for Health has kindly consented to be the Chief Guest at this launching ceremony.

The overall objective of the Association is to build capacity and empower People living with HIV in Pakistan. Stigma and Discrimination remain burning issues for PLHIV, which needs to be tackled on a priority basis. Currently most of the NGOs working on HIV and AIDS are concentrating on prevention. There are only a few NGOs supporting People living with HIV and AIDS some of which are being courageously run by PLHIV themselves. Overall, splintered efforts are being made which lack coordination or sometimes even basic knowledge about the epidemiology of the virus and its impact on communities. The Government is presently providing treatment services out of eight treatment and care centres in the country through public private partnerships.

Besides organizing the launching ceremony of the Association, a Photo Exhibition will also be arranged by UNAIDS, the same day in collaboration with UNICEF and Getty Images at Marriott Hotel Islamabad. The organizing committee constituted by UNAIDS will also hold a Fundraising Event involving Mr. Salman Ahmed, UNAIDS Special Representative and in collaboration with a group of volunteers comprising of some wives of Ambassadors and some influential Pakistani women headed by the wife of the Spanish Ambassador

UNESCO, in collaboration with UNAIDS, UNICEF, and National AIDS Control Programme (NACP- Ministry of Health) is organizing a seminar on AIDS Prevention Education for Youth in Marriot Hotel Islamabad at 10.00 am – 12.30 pm on 1st December.

UNHCR is also commemorating World AIDS Day by conducting activities in the Refugee Camps in N.W.F.P, Balochistan and Punjab .The activities include aawareness raising sessions, workshops, distribution of IEC materials, speeches by prominent community leaders, walks by school children and community, debates in schools, sports competitions drama and role plays along with radio Talk shows.

UNICEF is commemorating World AIDS Day also in the provinces, in collaboration with the Provincial AIDS Control Programmes and their other partners. Activities include community walks, advocacy with stakeholders, poster and essay competitions for young people, television and radio advocacy with National Ambassadors Strings and other celebrities, and an exhibition with affected children.

For more information please contact Dr. Samia Hashim mobile: 0300-852-6675 samia.hashim@un.org.pk or Mr. Fawad Haider, mobile: 0300-5012315 fawad.haider@un.org.pk

Gotta save some Pakistanis.

Btw, I don't think this report of 3500 cases is true.

Reported cases are like 85,000.

http://english.people.com.cn/200612/01/eng20061201_327163.html
The Joint United Nations Program on HIV/AIDS (UNAIDS) Thursday said it will announce on World AIDS Day, Dec. 1, 2006, the launch of the Association of People Living with HIV and AIDS (PLWHA) in Pakistan, the first such kind focusing on HIV infectees in the South Asian country.

"More than 40 million people were infected by Human Immunodeficiency Virus (HIV) in the world and over 3 million people died of the diseases related to HIV and Acquired Immune Deficiency Syndrome (AIDS)," Dr. Aldo Landi, Director of UNAIDS in Pakistan, told newsmen here, "The major issue is related to stigma and discrimination associated to HIV."

The objective of PLWHA is to build capacity and empower these people to take care of themselves, said the UNAIDS chief in Pakistan.

In a press release distributed after the news briefing, UNAIDS notes that currently most of the NGOs working on HIV and AIDS are concentrating on prevention and there are only a few NGOs supporting people living with HIV and AIDS some of which are being courageously run by HIV infectees themselves.

The number of people living with HIV was estimated to be around 85,000 and deaths due to AIDS were estimated to be 3,000 in 2005 in Pakistan having a population of some 157 million, according to the 2006 UNAIDS Report on the Global AIDS Epidemic released months ago.

Accordingly, the idea of launching the association is to combine the relief efforts of international organizations and civil society in helping people living with HIV and AIDS.

"Where we need your help is to make people understand they are people like us, no difference," Landi said, "But they are suffering more than us." He stressed that the "social implications " of the HIV spread need to be considered.

Pakistan's superstar singer Mr. Salman Ahmed, UNAIDS Special Representative, who is working to shine a light on the lives of people living with HIV through his music and words, said that everybody has a role to play in the fight against HIV.

"We have to remind ourselves to see with the heart and to think beyond borders," the musician said, "Because it is only compassion and knowledge which can fight the stigma and discrimination associated with HIV and AIDS."

Accordingly, a photo showbiz on Pakistanis living with HIV and a fundraising function will be held in Islamabad to raise public awareness about HIV and AIDS and help those infectees.

I think reuters did some serious misquoting. There are 3000 deaths due to aids per annum in Pak not just 3000 reported cases.
 
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One major reason are those people who are workign abroad mostly in Gulf States and other areas they come to villages with HIV infection and unfortuantely cause of its spred. Once last year we had covred one such story where on poor guy from a very conservative Pathan family proves HIV positive and the poor man was suffering cuz he was injected HIV infected blood at a hospital when he was being operated after an accident. He never knew what was his fault.
 
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well...good to see the NGO's perfmorning. AIDS alone can destroy Indian and Pakistani economies, if steps are not taken now.
 
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Once last year we had covred one such story where on poor guy from a very conservative Pathan family proves HIV positive and the poor man was suffering cuz he was injected HIV infected blood at a hospital when he was being operated after an accident. He never knew what was his fault.


there is work to be done in hospitals..blood banks....usualy when the blood is not tested for HIV ...we have to do a serious work.

in society like pakistan most of infection is spreadig by blood and by injected drugs
 
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Yeap truck drivers resting areas are breeding grounds for prostitutes...
Yep, we've seen the trend in Africa already. Now that trade is going to expand between India and Pakistan we'll have more drivers on the way falling for these sick prositutes.
Unless approperiate actions are taken by the government, we're looking into a time bomb.

Dunno why Pak would want to deny having aids cases in this day n age.
Government's only access is registered cases, nobody actually knows how many real cases there are.
Social and cultural pressure from the society prevents patients to come forward with the desease regardless how they got it in the first place.

But at least on the non-governmental level the work is superb against Aids. Salman Ahmed, Pakistan's very own UN Aids / Goodwill Ambassador is hosting an Aids related event where I'm guessing he'd be quite candidly sharing his findings about Aids in Pakistan.

He composed a song around Aids, called Al Vida. Based on Begum Shukria, whose husband died of aids and was castrated from society. Today Shukria has become one of Pakistan's leading female activist against Aids. Hence the repeated usage of the word Shukria in that song.
Thank god for these UN and private insitutes for their good work.
 
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HIV/AIDS Where do we stand?

By Husna Ali

KARACHI: For the last part of The News’ World Aids Day series, Dr Sharaf Ali Shah, the ex-chairman of Sindh Aids Control Programme, Pakistan, discloses some disturbing ground realities regarding AIDS in Pakistan in an interview with the paper in Karachi

TN: How successful has the Sindh Aids Control Programme (SACP) been in controlling the spread of HIV/AIDS in Sindh? SAS: The programme has been a failure because it has only been able to reach 10-20 percent of one of the infected groups — primarily the IDUs — while the other high risk population, including female sex workers, male homosexuals, prisoners and eunuchs, remain largely neglected. Unless the programme reaches 80 percent of the population in a group, it cannot be called successful and unless it reaches all the high-risk population it cannot be effective.

TN: what are the causes of failure of this programme?

SAS: Funds are not sufficient because the size of the problem is large and the resources available are too little; corruption and lack of motivation and sincerity to genuinely address this issue. Do you see advertisements on the television? The government is relying mainly on NGOs, which do not have the capacity to target more groups, so only a few selected groups are approached and that too only 20-30 percent. We need more man power. There are 60,000 drug users in the country and approximately 11,780 sex workers and to reach them we need high force. But let me clear one thing here, while we lack sufficient funds, in some cases, the available funds are not being utilised honestly — provinces like NWFP and Balochistan have not even started any media programme for awareness. It seems that the government is waiting for people to die before they will take this epidemic seriously. But if such a stage came, it’s going to be a disaster.

TN: What are some of the challenges to control HIV/AIDS in Pakistan?

SAS: Vulnerable and high-risk population are difficult to approach; illegal status of prostitution; limited education; difficultly to talk openly about sex and difficulty in allocation of resources for the prevention of HIV/AIDS while there are many other enormous health problems in the country.

TN: Which is the most at-risk province?

SAS: Sindh is a high-risk province because Karachi is the most popular city in the country for employment. The population of this city alone is more than 12 million. People from all over the country come here for employment and better diagnostic and treatment facilities.

TN: What do you suggest should be done to control the spread of this epidemic?

SAS: First of all, every member of the society will have to play a part, but the government will have to provide leadership. It is due to this lack of leadership and commitment of our politicians that we have not been able to address this issue properly. Look at Thailand and Nigeria; they are a good model for us to follow.

They have created a Ministry for AIDS, because their leadership is committed. The government will also have to mobilise and motivate the masses and some groups like the religious leaders will also have to be taken on board along with other stake-holders like print and electronic media to initiate an awareness campaign.

Look, everything will have to be done at a national level, because WHO and UNO won’t solve this problem. There is a need to change behaviour towards this disease. Let me tell you that even health care professionals have discriminatory behaviour towards HIV patients.

We have received many complaints that health care professionals refuse to attend patients. While Pakistan is a signatory of the UN Human Rights Charter, there are no laws in the country to control discrimination against AIDS patients — there is a need to lobby for such a law.

Mode of Transmission of HIV Positive Cases in Pakistan up to September 30, 2005

Mode of transmission HIV Percentage

Heterosexual 991 36.72%

Homosexual/Bisexual 69 2.52%

Blood Transfusion 318 11.60%

Injecting Drug Users 596 21.74%

Mother to Child 39 1.42%

Unknown 728 26.56%

Total 2741 100%

http://www.thenews.com.pk/daily_detail.asp?id=34195
 
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Wednesday, December 06, 2006

First association for HIV/AIDS victims in Pakistan

ISLAMABAD: Coinciding with World AIDS Day, the United Nations joint programme on HIV/AIDS (UNAIDS) has launched Pakistan’s first association of people suffering from the infection.

“Only a few individual NGOs with limited capacity were providing support to people with HIV/AIDS, but there was no association of such people in Pakistan, whereas most countries in the region have already established their associations,” Fawad Haider, a UNAIDS official, was quoted as saying by IRIN.

The overall objective of the association has been described as a platform for HIV/AIDS victims to voice their concerns in the fight against the stigma of victims.

Pakistan, where the number of HIV cases continues to rise, is currently classified to be in the ‘concentrated epidemic’ stage, by definitions of the World Health Organisation (WHO) and UNAIDS.

According to Pakistan’s National AIDS Control Programme (NACP), some 3,393 HIV/AIDS cases have been reported in the country, but according to WHO and UNAIDS, the number is as high as 85,000.

Pakistan is also considered at high risk from the spread of HIV to the general population because of an illiterate population of more than 50 million, high prevalence of sexually transmitted diseases, high number of migrant workers, high number of both male and female sex workers, limited safety in blood transfusions, increasing number of injecting drug users and a highly mobile refugee population.

In Pakistan, young people make up the major chunk of people vulnerable to HIV/AIDS.

“The newly established association would promote an improved access to treatment, especially anti retroviral therapy,” said Haider.

Pakistani health authorities have recently started providing HIV/AIDS treatment services through eight centres across the country, but the scope of coverage in the face of a concentrated HIV epidemic remains limited, according to analysts.

http://www.dailytimes.com.pk/default.asp?page=2006\12\06\story_6-12-2006_pg7_22
 
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