World AIDS Day 2011(1st December)

Dr. Vinod JainMS, FACS, FICS, FAIS, FIMSA, FLCS, FMAS, MAMS

Consultant Urologist & Minimal Access SurgeonAssociate Professor

Department of Surgery King Georg’s Medical University, UP, Lucknow, India

,M~l fnol D;ksa\\\,M~l fnol D;ksa\\\

,M~l ds y{k.k ds izfr tkx:drk ,M~l ds dkj.kksa ds izfr tkx:drk ,M~l ls cpko ds izfr tkx:drk ,M~l ds jksfx;ksa ds izfr tkx:drk ,M~l ds jksfx;ksa ds izfr leqfpr O;ogkj

ds fy;s tkx:drk

(First world AIDS day was held in 1988)

World AIDS Day 2011 theme

'Getting to Zero'

After 30 years of the global fight against HIV/AIDS,

this year the global community has committed to

focusing on achieving 3 targets.

Achieving 3 targets

• Zero new HIV infections.

• Zero discrimination.

• Zero AIDS-related deaths

World AIDS Day 2011 provides an opportunity for –

• Individuals

• Communities

• Political leaders

to take on the challenge of getting to zero

What can I do? -

Wear a red ribbon and raise awareness

What is Red Ribbon

• Created in 1991 by Artists of New York

• It stands for

- Care and concern about HIV & AIDS

- Hope for search of effective treatment

- Solidarity and support for people living with HIV

• The red ribbon started as a grass root effort

• There is no official AIDS ribbon manufacturer

• People make their own

It's easily done –

just use

some ordinary red ribbon and a safety pin!

AIDS

Full form AIDS:-

A - Acquired – tkss tUe ds ckn tkss tUe ds ckn izkIr izkIr fd;k fd;k I - immune – 'kjhj dh izfrjks/kd 'kjhj dh izfrjks/kd

{kerk {kerk D - deficiency – dehdehS - syndrome – lay{k.kksa dk lay{k.kksa dk lewglewg

AIDS is a disease of the human

immune system caused by the

Human immuno deficiency virus

HIV

HIVFull form HIV:-

H - Human – ekuo ekuo I - immuno deficiency – tks tks izfrjks/kd izfrjks/kd {kerk dks de djsa {kerk dks de djsa V - Virus – fo"kk.kqfo"kk.kq

Certain fact about HIV/AIDS

• 34 millions (rhu djksM+ pkyhl yk[k) were living with HIV at the end of 2010

• About 3 millions new cases each year • More than 2 millions (chl yk[k) die per year • Window period is 3-6 months • HIV to AIDS development takes

5-15 years• Death after AIDS takes 2-3 years

Disposal of Dead bodies

• Cremation is best

• Mutilation to be avoided

• If burial – body wrapped by cloth soaked in bleaching powder and then polythene sheet

• Dispose at earliest

• Unwrapping not allowed

HIV+HIV+ dk eryc dk eryc

;g oks fo"kk.kqfo"kk.kq gS tks 'kjhj dh izfrjks/kd

{kerk dks de djrk gSA

HIV dh tkap esa vxj vkids [kwu

esa ,saVhckWMht ik;k tkrk gS] rks vki

jksxh gSa &

HIV+

HIV+HIV+ ds fo"kk.kq ds fo"kk.kq

HIV ds fo"kk.kq ik;s tkrs gSa laØfer

O;fDr ds &

[kwu esa

oh;Z esa

;ksfu ds ikuh esa

ek¡ ds nw/k esa

HIV HIV dSls QSyrk gS\dSls QSyrk gS\

laØfer O;fDr ls vlqjf{kr ;kSu laca/klaØfer O;fDr ls vlqjf{kr ;kSu laca/k

¼;ksfu] xqnk vFkok eq[k½¼;ksfu] xqnk vFkok eq[k½ laØfer jDr laØfer jDr laØfer lqbZ] lhfjat vFkok /kkjnkj vkStkjlaØfer lqbZ] lhfjat vFkok /kkjnkj vkStkj ek¡ ls cPps esaek¡ ls cPps esa

& xHkZ ds le;& xHkZ ds le;

& tUe ds le;& tUe ds le;

& Lruiku ds le;& Lruiku ds le;

Causes

,M~l buls ugha QSyrk,M~l buls ugha QSyrk gkFk feykus ls gkFk feykus ls 'kkSpky; ds iz;ksx ls'kkSpky; ds iz;ksx ls ,M~l jksfx;ksa ds lkFk mlh crZu esa ,M~l jksfx;ksa ds lkFk mlh crZu esa

[kkus vFkok ihus ls [kkus vFkok ihus ls vkfyaxu ;k lkekU; pqEcu ls vkfyaxu ;k lkekU; pqEcu ls jDrnku ls jDrnku ls ,M~l jksfx;ksa ds lkFk dke djus ls ,M~l jksfx;ksa ds lkFk dke djus ls ePNj ds dkVus lsePNj ds dkVus ls ,d gh rj.k&rky esa ugkus ls ,d gh rj.k&rky esa ugkus ls ,M~l jksfx;ksa ds lkFk jgus ls,M~l jksfx;ksa ds lkFk jgus ls

AIDS ds y{k.k

Major criteria –

• Unexplained weight loss in recent by more than 10%

• Chronic Diarrhoea for more than one month

• Prolonged fever for more than one month despite regular treatment

AIDS ds y{k.k

Minor criteria –

• Persistent cough more than one month

• Dermatitis pruritus in genitalia

• Recurrent herpes zoster

• Oral candidiasis (fungal infection)

• Chronic progressive dementia

• Generalized lymphadenopathy

HIV HIV ls cpko ls cpko (5 - ‘S’)(5 - ‘S’)

Safe sex (Safe sex (lqjf{kr ;kSu laca/klqjf{kr ;kSu laca/k)) Safe blood (Safe blood (lqjf{krlqjf{kr jDrjDr)) Safe syringes & needles (Safe syringes & needles (lqjf{kr lhfjat ,ao lqjf{kr lhfjat ,ao

lqbZlqbZ)) STD treatment (STD treatment (;kSu tfur jksxksa dk bykt;kSu tfur jksxksa dk bykt)) Stop drug abuse (Stop drug abuse (u'khyh nokb;ksa ij fu"ks/ku'khyh nokb;ksa ij fu"ks/k))

Supportive Measures

• Prevent opportunistic infection• Antioxidants • Immuno stimulants • Phospholipids- egg proteins • Nutritional care• Symptomatic relief • Social protection and legal advice• Sense of security to P.L.H.A.

Our attitude towards AIDS patients

GATHER

G – Greet the patient

A – Ask the problem

T – Teach for specific problem

H – Help in making decision

E – Explain misconception and myths

R – Return for fellowship

What we can do?

Join Hands to

• Save ourselves

• Save HIV affected person

• Save our society

• Save our nation

• Save the world

And

Bring the HIV infection to

ZeroZero

By 2015

Thank You