AIDS:UN DECLARATION ZERO HIV / ZERO DISCRIMINATION BY 2015

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There are 22 priority countries; they have the highest number of pregnant women living with HIV, as recognised in the ‘Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive’.Global plan was formulated by 110 countries of World in UN HQ by formulating 10 TARGETS ,THE GOAL TO BE COMPLETED BY 2015 WITH YEARLY SURVEILLANCE AND MONITORING OF PROGRAMME AND ITS SUCCESS AND HINDRANCE to combat hiv/aids spread,contamination and new cases to promote zero tolernce for hiv/aids,no new cases or ZERO HIV NEW INFECTION AND DEATH DUE TO AIDS by good funding of screening every person for HIV/AIDS and providing primary and secondary treatment for every infected person in countries like india,and other sian countries and countries of AFRICA AND LATIN AMERICA and to extend insurance sector to HIV /AIDS IN USA BY PRESIDENT PROFAR PROGRAMME,ZERO DISCRIMINATION OR STIGMA for HIV LIKE A BILL IN UPPER HOUSE IN INDIA to punish those who discriminate HIV /AIDS.
These 22 countries are: Angola, Botswana, Burundi, Cameroon, Chad, Côte d’Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, India, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Uganda, United Republic of Tanzania, Zambia, and Zimbabwe. India is the only country not in Africa.
10 TARGETS SETS UNIVERSALLY TO COMBAT HIV/AIDS WITH SPECIAL FOCUS ON ABOVE 22 COUNTRIES ARE AS FOLLOWS:-----.

1.Reduce sexual transmission of HIV by 50% by 2015
2.Halve the transmission of HIV among people who inject drugs by 2015
3.Eliminate HIV infections among children and reduce maternal deaths
4.Reach 15 million people living with HIV with lifesaving antiretroviral treatment by 2015
5.Halve tuberculosis deaths among people living with HIV by 2015
6.Close the global AIDS resource gap
7.Eliminate gender inequalities and gender-based abuse and violence and increase the capacity of women and girls to protect themselves from HIV
8.Eliminate HIV-related stigma, discrimination, punitive laws and practices
9..Eliminate HIV-related restrictions on entry, stay and residence
10.Strengthen HIV integration — with Sikkim Aids Empl Assocn and 15 others. (4 photos)

HIV /AIDS: ARV MEDICINES : SOME TRUTHS & MYTHS OF TREATMENT FOR HIV /AIDS PATIENTS FOR BETTER ADHERANCE & CURE

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Antiretroviral therapy -- or ART -- A COMBINATION OF 3-4 DRUGS COMPRISING OF EITHER NRIT OR NNRITS WITH PROTESE INHIBITOR WITH FUSION OR INTEGRASE INHIBITOR OR RECEPTOR BLOCKE revolutionized HIV treatment in the past few decades. And newer improvements, like one-pill-a-day drugs,or injections once a quarter as i wrote in my last article,are making life with HIV easier and safer.
Like chronic disease as hypertension,Diabetes,thyroid or Kidney or cancer we have to take this medicines regularly without any fail and if we do so we shall get Viral load or quantity of virus in our body decreses and our defense cell cd4 population rises and we live a normal life and no opputunistic infections like tb,diarrhoea,skin rashes,ulcers or mouth lesion or fungal infection attacks us.decision to which drug to be used is a complcated one and only an experienced doctor keeping details of type of patients,exposures and presence of infections and general condition of patients and personal history of pt and economical conditions all gives input to DOCTOR TO SELECT DRUG ON EXPERIENCE and DOCTORCHANGES IT IF RESPONSE IS NOT COMING OR ADD SOME MORE IF OPPUTUNISTIC OR OTHER SYMPTOS DEVELOP.
SO SELF MEDICATION OR MEDICATION ONSIMPLE NET OR TELEPHONIC ADVICE ARE DANGEROUS AND SHOULD BE NEVER TAKEN.TILL NOW ALTERNATIVE HERBAL MEDICINES EFFICACY IS NOT PROOVED SO NEVER TRUST THEM AND AVOID THEM EXCEPT SOME VITMINS,FOOD SUPPLEMENTS AND EXCERCISES.

5 Things to Know About HIV Medications;--
There are lots of myths and stale, outdated information about HIV treatment. Here are five things you should know about ART.
It's easier to take than it used to be. A lot of people with HIV just take one pill once a day. That's it. That one combination pill -- Atripla, Complera, or Stribild -- packs in all the different active ingredients you need. Most people don't need the "cocktails" with complicated dosing schedules anymore.
You have lots of options. Some people need drug combinations. There are six classes of antiretroviral drugs for HIV and more than 30 drugs. If one doesn't work or causes side effects, the doctor has many other choices.
Medications work for a long time. People used to worry that their drugs would stop working after a while and that they'd have to keep switching to new ones. That's not really a risk now. "As long as you keep taking your medications, the same treatment can work for decades," Hare says.
Drugs have fewer side effects. While specific side effects depend on the drug, HIV treatment is much safer and easier to tolerate than it used to be. For most people, side effects -- like upset stomach and diarrhea -- are minor and often go away. Long-term risks include cholesterol problems and weakened bones. But even so, the risks of treatment are much lower than the risks of not getting it, Hare says.
You may start taking medication as soon as you're diagnosed. Many experts believe that the sooner you start treatment, the better. However, some doctors prefer to wait until your CD4 count, a measure of some immune cells, drops to a certain point before starting treatment. See what your doctor recommends.

HIV /AIDS :CAUSTIONS BEFORE AND AFTER TREATMENT

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HIV /AIDS only methos to control it is by medicines ARV ,mostly a combination of recently investigated and discovered 3-4 medicines WHICH CURES VIRUS BUT PRODUCE MANY SIDE EFFECTS,SO SHOULD BE TAKEN AFTER PRECRIBED BY A GOOD EXPERT DOCTOR,self or over the table or counter medicines may produce many lethal side effects and complications.
doctors write thesr medicines specifically needed for one person or individually as his way of exposure,duration of symptos,presence of any oopurtunistic infections,his blood tests like CD$,Viral Load,CBC,LFT,KFT, LIPIDPROFILE, HBSag,HCV,VDRL,urine R/E,urine C/S,Stool for R/E ,CXR,ECG,USG of Abdomen etc are main tests needed to be done before starting therapy as presence of ny TB,STDs,Pneumonia,Diarrhoea or skin rash may produce unlike effects and complications and so medicines will change from one person to other considering his /her food habit,any addiction history,physical built,personal history of excercise and mental status and attitude.
Short-Term Side Effects of HIV Treatment:
HIV treatment can cause side effects for a brief period while it is controlling the virus in your body. Common short-term side effects include:
Fatigue
Anemia, a problem with red blood cells that may also cause fatigue
Diarrhea, nausea, or vomiting
Dizziness or headaches
Insomnia
Pain and nerve problems
A skin rash
Injection site reactions
Dry mouth
Weight loss
Vivid dreams
Although these side effects may bother you for a while, they frequently get better with time -- often within a few weeks.If side effects do not lessen, or if they are severe or unusual, then Doctor will decide whether to continue medicines or not as Heapatitis leading to high jaundice or severy skin rashes as Stevns Jhonson syndrome or severe depression or loss of sleep or night mares,so severe anaemia or lipidostrophy may bound him to stop some medicines and start new mediicines..

Doctor examines that CD$ rises and Viral load decreases if not then he suspects Viral Resistant with medicines so if affordable drug sensitivity test or otherwise randomly he stars new medicine out of one group.During this one has to take medicines regularly without any fail,good diet,excecise,and no addiction of alcohol,nicotine,drugs and good sexual habit with safe sex and no contamination with infected blood or semen.
Coping With Long-Term Side Effects of HIV Treatment:
Some of the most common long-term side effects and coping strategies include:
Fat redistribution. Known as lipodystrophy, this can occur when the body changes the way it produces, uses, and stores fat. You might lose fat in your face and legs and gain fat in your abdomen and back of your neck. Switching medications may keep symptoms from getting worse. But there are few other options for treating this long-term side effect.
Increases in cholesterol or triglycerides. This can increase the risk for problems such as heart disease. Diet and other lifestyle changes are a first step. Medications such as statins and fibrates may also be recommended by your doctor.
Elevated blood sugar levels. Exercise, weight management, and other lifestyle changes may help. Your doctor may also recommend other medications to control blood sugar levels.
Decreases in bone density. This can increase the risk of bone fractures, especially as you get older. Try weight-bearing exercises like walking or weight lifting. Your doctor may recommend calcium and vitamin D supplements, or medications to treat or prevent osteoporosis.
A buildup of a cellular waste product. Known as lactic acidosis, this uncommon issue can cause a wide range of problems, from muscle aches to liver failure. You may need to switch drugs.kidney stones can also occur so one has to take more water intake,side by side if any oppurtunistic infection then Cotraimaxazole for Pneumonia,Dirrhoea,toxoplasma ,cytomegal onfection,anti fungal for fungal infection and treatment for TB etc has to be taken.During start of such treatment "IRIS" or a special reaction may develop but subsides with steroid and regular treatment .

HIV /AIDS : RARE PERSONS WHO NEVER SHOWS AIDS SYMPTOMS-LONG TIME NON RESPODERS(LNTPs) HAVING VIRUS & CONTACT WITH POSITIVE-THE REASON-WHY?

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Since,the earliest days of the HIV epidemic, scientists have regularly observed HIV-infected individuals who did not progress to AIDS and were able to maintain stable CD4 counts and low-to-undetectable viral loads without treatment,often for decades and even regular contact with hiv partners.These are about one in 500 and these are called LONG TERM NON RESPONDERS OR LNTPs,theirs study of Gene has given chance to produce a medicine called CCR5 inhibitor-class drug, Selzentry (maraviroc).
Stephen Crohn, "The Man Who Can't Catch AIDS"

Stephen Crohn, who was dubbed "The man who can't catch AIDS" by the U.K's Independent newspaper, was found to have had an anomaly called a "delta 32" mutation on CCR5 receptors of his CD4 cells, the mutation of which effectively prevents HIV from entering target immune cells. Crohn first came to the attention of Dr. Bill Paxton of the Aaron Diamond AIDS Research Center in 1996 after tests revealed no signs of infection despite having had multiple sexual partners, all of who died of AIDS. The mutation has since been identified in less than 1% of the population.
These can maintain high CD4/CD8 T cell counts for more than 15 to 20 years without the use of antiretroviral drugs. Within this group is a rarer subset called "elite controllers" who are able to sustain viral loads of less than 50 copies/mL throughout the course of infection. It is estimated that there are 1,500 elite controllers in the U.S.

In studying these groups since the mid-1990s, we have begun identify some of the mechanisms by which viremic control is achieved. Among the discoveries is a genetic mutation in the FUT2 gene, which has been found to occur in 10-20% of Europeans and is believed to confer a protective association against heterosexual HIV infection. The anomaly was first noted in 2000 among a group of female Senegalese sex workers who appeared to have an innate resistance to HIV.
A number of other genetic characteristics have since been identified in LTNPs, including one associated with the production of certain classes of human leukocyte antigens (HLAs), known to exert control over HIV INFECTION.
CCR5-delta-32 mutation :
Timothy Ray Brown, also known as "the Berlin Patient," is the first person believed to have been "functionally cured" of HIV.Born in the U.S., Brown was given a bone marrow transplant in 2009 to treat his acute leukemia. Doctors at Charité Hospital in Berlin, Germany selected a stem cell donor with two copies of the CCR5-delta-32 mutation, known to confer to HIV resistance. Routine tests performed soon after the transplant revealed that the HIV antibodies had decreased to such as to suggest the complete eradication of the virus from his system.
While Brown continues to show no signs of HIV, two subsequent stem cell transplants conducted by doctors at Brigham and Women's Hospital failed to achieve similar results, with both patients experiencing viral rebound after 10 and 13 months of undetectable tests. These patients were not transplanted with the Delta 32 mutation, however.
Donor 45:
In 2010, a gay African American man known simply as "Donor 45" was found to possess a powerful HIV neutralizing antibody called VRC01 by researchers at the Vaccine Research Center of the National Institute of Allergy and Infectious Diseases (NIAID).Subsequent research in 2011 identified two HIV-infected Africans with similar VRC01 antibodies.What was particularly compelling about the discovery was the fact that VRC01 is able to bind to 90% of all global strains of HIV, effectively blocking infection even as the virus mutates. Due the high genetic diversity of HIV, most defensive antibodies are unable to achieve this level of action.
The discovery helped broaden research into the stimulation of broadly neutralizing antibodies, which may one day prevent or slow disease progression without the use of antiretroviral drugs.

NACO ,HEALTH MINISTRY & STAFF OF SACS,NACO,NRHM,RNCTC

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In this such developed nation list where our government spent crores the Plight of Contractual Employees of Health Sector of India , who are working on Meager Salaries , from the last 5-25 Years , in NACO, NRHM, RNTCP etc government giant welfare government health programmes is well known.
Surprisingly,It is a matter of great Pity that Health sector Employees of India are still working on Contract basis at the Grass Level throughout India on Various Positions , on meager salaries , from the Last 5-25 Years ,without having any Medical Facilities/Benefits, D.A ,HRA & Other Allowances like Health & Risk allowances & Govt. of India has totally failed in considering their long pending demands of Regularization of their Jobs. This is all because Govt. of India , Health Ministry,Central Govt. at the Centre & the Corrupt & Selfish Bureaucrats in the concerned Health Ministry , lacks the necessary Will & Willpower ,to regularize these Contractual Employees Permanently , although there is no Deficit of any Revenue & Necessary Budgetary allocations to Health sector of Govt., Of India.Central Govt. is totally Anti-People & Anti- Employee & all its Ministers & Selfish Bureaucrats are very adamant & reluctant to accept the genuine demands of Contractual Employees of Health Sector of India till today. The Formula of Equal Work & Equal Pay must have been implemented for Contractual Employees in Health Sector of India ,But the Present Gov.has adopted divisive ,Discriminatory & Stigmatic policy towards Contractual Health Sector Employees.They donot consider equality at all and see these employee as second class and treat them below the other staff in Health sector and senior officers.

It is a fact that Contractual Employees of National AIDS Control Organization under DAC( Ministry of Health & Family welfare ),Govt. of India (as NACO Programme has been implemented throughout India from the last 10 Years,NRHM,RNTCP RUNNING SINCE LAST FEW YEARS) serve to the needs of all HIV /AIDS,TB,HEPATITIS ,STDs AND OTHER SERIOUS PATIENTS WITH OPPURTUNISTIC INFECTIONS Patients in various ART Centers ,throughout the entire Length & Breadth of this Country.Apart from the ART Centers,LINKED ART CENTRES Various ICTC Centers,STDs centres,BLOOD BANKS,ANTENATAL CENTRES,NRHM,RNTCP etc. have been functioning in various Civil Hospitals ,Govt. Medical Colleges, Medical Research Institutes & Various Centre of Excellence in various states of India. But the Employees working in these ART Centers ,ICTC Centre’s, Concerned All SACS,EMPLOYEES OF NRH,RNTCP AND OTHER HEALTH PROGRAMMES OF GOVT,Employees in various States at the facility level/Grass Root level,from the last 5-10 years ,are still working on meager salaries on contract basis without any Medical Benefits/ Insurance Benefits , HRA, D.A & Other Risk Allowances ,even in a very High Risk Environment , of getting infected with HIV,IDS,HEPATITIS,STDS,TB OR OTHER SERIOUS DISEASE INFECTION just TO SERVE SUCH SERIOUS PATIENTS,even though NACP-IV has already started from the last year.But the Bureaucrats ,All Officers & Higher authorities of NACO have increased their Salaries to a very high Level,without considering the Increase of Salaries of the Senior or Junior Employees who have been working on various Positions at the Grass root level/ Facility Level in All ART Centre’s, ICTC Centers, Various SACS etc. It is morally & Ethically applicble, that the Salaries of Senior and Junior Employees at the grass root level/Facility level should have been increased to a High level as many administrative Bureaucrats and senior monitoring and Regulatory Doctors and other officials did in NACP-IV.But instead ,the Govt. of India has again adopted here divisive & Discriminatory policy for Grass-root Level Employees butr they have increased the salaries of Higher officials , who have to do nothing concrete just supervision,always sit in aircondition rooms,enjoying seminars in big hotels in India and abroad with free air journey of family members and visit to foreign countries,so many senior bureaucraats join NACO TO AVAIL SUCH FACILITIES AND REMAIN HERE ONG TO GET GOOD ENJOYMENT OF NOT ONLY OF THEM BUT THEIR WHOLE FAMILY ,enjoying with Bolywood stars in name of HIV/AIDS AWARENESS. This NACO programme is becoming successful only because of Employees working at the grass-root/facility level & not because of higher officials.Why NACO is not considering seriously to recruit Manpower at the grass –root Level/Facility level,where work load is increasing day by day,Instead they are wasting the Precious Money of the Public in increasing the posts at the supervision & Higher Levels ,who have to do nothing concrete, rather they are becoming burden for the NACO. Although Representation has already been given to the Higher NACO Authorities regarding the Genuine Long Pending Genuine Demands of contractual NACO Employees by The All India AIDS Control Employees Association many a times ,but nothing concrete decision has been taken by theHealth Minister & NACO Authorities . Rather they are just following the dilly dallying Policies. If the Govt. fails to listen to the voice & genuine Demands of the Contractual Employees , then the Employees will not have any way,rather to go in for Strike/Protest ,against the unwilling & Reluctant higher Authorities, till their Genuine demands are accepted as being observed at JANTAR MNTAR,AND AT DIFFERENT SAC'S OFFICES IN VARIOUS PART OF COUNTRY,FEW EMPLOYEES ARE SERIOUS TOO BUT OUR GOVERNMENT IS DEAF AND DUMB HARDLY CAREFUL TO LISTEN TO THEM FORCING THEM TO GHERAO GOVERNMENT OFFICES AND HOUSE OF BIG POLITICIANS IN COMING DAYS.

Un-availability of All Basic Medicines/ Clinical Medicines, Anti Cancer Medicines free of cost to the needy poor patients --- It is a great Blunder that Govt. of India is still not thinking seriously to provide All basic Medicines/ Clinical medicines/ Anti -cancer medicines free of cost to the needy poor patients in all Civil Hospitals/Civil Dispensaries/ Medical Colleges/ PGIMER etc . About 40-60% of the Income of Common man is spent on his/her health care needs here in India. How will he survive if such a large amount of their income gets wasted on keeping them healthy, for purchasing medicines ,because these medicines are not available free of cost in Govt. Hospitals. It is the Moral Duty of the Govt. of India to Provide free of cost healthcare to all Indian Citizens, especially Poor Needy patients & also as per the suggestion of W.H.O.

For All Indian Citizens & N.R.I of India---I Think , If I am not wrong , all the concerned Citizens of the India & N.R.Is , should raise their voice & support the cause of Poor patients & To put Pressure On the Central Govt. to make ensure the availability of All Basic Medicines/ Clinical Medicines/ Anti-Cancer Medicines in all Govt. Hospitals free of cost ,in the Interest of Poor & Needy Patients & Also should support whole heatedly the cause of Contractual Employees working in Health Sector in India & to Press for their Regularization in the larger interest of patients & Society at large.

Emergency Alert—If the Present Congress Govt. at the Centre failed to solve the above stated Problems till today , than that day will not be too far , when the common man of this country will not excuse them for their faults/ Non-Governance, Anti- People & Anti-Employee Policies & they will raise their voice to change the existing corrupt, Reluctant & unwilling system & will definitely find an alternative honest Political Party & Subsequently Honest & People Friendly Govt. at the Centre ,who will whole Heartedly cater to their genuine demands & needs in the Near Future & also will opt for that Govt. , Who will provide All Basic Medicines/ Anti-Cancer Medicines/ Clinical Medicines free of cost to the suffering & Poor Patients community at large.