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The HIV epidemic in Bolivia has received little attention on a global scale in light of the country's low HIV prevalence rate. However, by profiling the largest city in this land-locked Latin American country, Carina Heckert shows how global health-funded HIV care programs at times clash with local realities, which can have catastrophic effects for people living with HIV who must rely on global health resources to survive. These ethnographic insights, as a result, can be applied to AIDS programs across the globe. In Fault Lines of Care, Heckert provides a detailed examination of the effects of global health and governmental policy decisions on the everyday lives of people living with HIV in Santa Cruz. She focuses on the gendered dynamics that play a role in the development and implementation of HIV care programs and shows how decisions made from above impact what happens on the ground.

This book compares the policy approaches taken by China and India in dealing with HIV/AIDS, illuminating the challenges they face as they grapple with this intractable disease and identifying best practices for dealing with HIV/AIDS in the developing world and beyond.

Given rapid research progress and advance of the techniques in studying HIV interactions with host cells and factors, there is a critical need for a book on HIV interactions with DCs. The proposed book will aim for a broad readership to facilitate HIV/AIDS research and provide a practical tool for HIV researchers to continuously address novel questions. Specifically, the editors will summarize the literature in this field and provide critical analysis and future directions. International researchers will be invited as contributors of the book, highlighting authors who have contributed significantly to the field from different angles and aspects of virology, cell biology and immunology, etc.

The Deep South has seen a 36 percent increase in AIDS cases while the rest of the nation has seen a 2 percent decline. Many of the underlying reasons for the disease's continued spread in the region—ignorance about HIV, reluctance to get tested, non-adherence to treatment protocols, resistance to behavioral changes—remain unaddressed by policymakers. In this extensively revised second edition, Kathryn Whetten and Brian Wells Pence present a rich discussion of twenty-five ethnographic life stories of people living with HIV in the South. Most importantly, they incorporate research from their recent quantitative study, “Coping with HIV/AIDS in the Southeast” (CHASE), which includes 611 HIV-positive patients from North Carolina, South Carolina, Georgia, Alabama, and Louisiana. This new edition continues to bring the participants'voices to life while highlighting how the CHASE study confirmed many of the themes that originally emerged from the life histories. This is the first cohesive compilation of up-to-date evidence on the unique and difficult aspects of living with HIV in the Deep South.

Much has happened since the first appearance of AIDS in 1981: it has been identified, studied, and occasionally denied. The virus has shifted host populations and spread globally. Medicine, the social sciences, and world governments have joined forces to combat and prevent the disease. And South Africa has emerged as ground zero for the pandemic.The editors of HIV/AIDS in South Africa 25 Years On present the South African crisis as a template for addressing the myriad issues surrounding the epidemic worldwide, as the book brings together a widely scattered body of literature, analyzes psychosocial and sexual aspects contributing to HIV transmission and prevention, and delves into complex intersections of race, gender, class, and politics. Including largely overlooked populations and issues (e.g., prisoners, persons with disabilities, stigma), as well as challenges shaping future research and policy, the contributors approach their topics with rare depth, meticulous research, carefully drawn conclusions, and profound compassion. Among the topics covered: The relationship between HIV and poverty, starting from the question,'Which is the determinant and which is the consequence?'Epidemiology of HIV among women and men: concepts of femininity and masculinity, and gender inequities as they affect HIV risk; gender-specific prevention and intervention strategies. The impact of AIDS on infants and young children: risk and protective factors; care of children by HIV-positive mothers; HIV-infected children.Current prevention and treatment projects, including local-level responses, community-based work, and VCT (voluntary counseling and testing) programs.New directions: promoting circumcision, vaccine trials,'positive prevention.'South Africa's history of AIDS denialism.The urgent lessons in this book apply bothglobally and locally, making HIV/AIDS in South Africa 25 Years On uniquely instructive and useful for professionals working in HIV/AIDS and global public health.

Ces dix dernières années, l'utilisation des trithérapies antirétrovirales a permis une réduction spectaculaire de la mortalité et de la morbidité de l'infection à VIH. Le patient séropositif peut vivre de longues années avec la maladie en suivant un traitement au long cours mais nécessite toutefois une attention particulière de la part de son médecin. Afin d'aider le médecin traitant à mieux suivre son patient et soigner ses pathologies courantes, cet ouvrage, véritable guide pratique, s'applique à : • spécifier l'importance du dépistage, ses modalités et les stratégies de prévention, • exposer les principes et la gestion des traitements antirétroviraux, leurs interactions médicamenteuses et leur toxicité, • détailler le suivi médical d'un patient séropositif, • fournir aux praticiens les moyens d'aider leurs patients à mieux vivre leur quotidien: désir de grossesse, vie sexuelle et VIH, enfant infecté par le VIH.Afin d'aider le médecin traitant à mieux suivre son patient infecté par le VIH et soigner ses pathologies courantes, cet ouvrage, véritable guide pratique, s'applique à : spécifier l'importance du dépistage, exposer les principes et la gestion des traitements antirétroviraux, détailler le suivi médical d'un patient séropositif, fournir aux praticiens les moyens d'aider leurs patients à mieux vivre leur quotidien.

Forty years ago, the age-old battle against infectious diseases as a major threat to human health was believed close to being won. However, by the late twentieth century, the increase of emerging and reemerging infectious diseases was evident in both low and high income countries. About 30 new infectious diseases have been identified in the last 20 years. Among the'new'diseases, and most importantly, the Human Immunodeficiency Virus (HIV) epidemic, with 40 million persons infected and 25 million deaths since its first description, presents one of the most significant health, societal and security challenges facing the global community. The interaction of HIV/AIDS with tuberculosis, malaria and bacterial infections have increased HIV-related morbidity and mortality, and in turn, the HIV pandemic has brought about devastating increases in tuberculosis. Understanding the population impact and the dynamics of infection diseases in the most affected region is critical to efforts to reduce the morbidity and mortality of such infections, and for decisions on where to use limited resources in the fight against infections. This book aims to contribute to these efforts by offering a demographic and epidemiological perspective on emerging and reemerging infections in sub-Saharan Africa.

Learn the latest social service interventions to promote HIV medication adherenceHighly Active Antiretroviral Therapy (HAART) can significantly improve the health outcomes of people living with HIV. Still, benefits rely on the steady adherence to the medication regimen as prescribed. Social Work and HIV: Challenges to Treatment Adherence is a practice-friendly resource with the latest HIV medication client adherence strategies and guidelines. This valuable book provides the tools for assessment of client adherence, and includes approaches and helpful guidelines to develop specialized counseling, social services, and provider training programs. Treatment plans for HIV can be complicated and client adherence can hinge on several diverse factors. Social Work and HIV: Challenges to Treatment Adherence explains in detail how professionals can help individuals with HIV to stick to the prescribed medication plan. This book focuses on the daunting psychosocial, spiritual, and biomedical challenges that social workers, social service professionals, and healthcare providers often encounter and provides strategies to effectively address these issues. Innovations in adherence counseling and provider training programs are explored. Practitioners will learn psychosocial interventions that are empirically based, with predictors of adherence closely examined on how they may vary by gender, socioeconomic, and ethnocultural diversity. Co-occurring health and behavioral conditions, such as substance use, are considered in detail. Chapters are extensively referenced and several have tables and figures to clearly present data.Topics in Social Work and HIV: Challenges to Treatment Adherence include: key themes within current treatment adherence research from the 2006 NIMH/IAPAC International Conference on HIV Treatment Adherence reviews of studies of psychosocial predictors of HAART among HIV positive clients research on the impact of support from partners, family, and health care providers has on medication adherence factors that predict medication adherence among HIV positive adults research on the differential effects of social and religious support and background variables on treatment adherence interventions to improve HAART adherence in methadone clinics specialized adherence counselors and their impact on adherence training to increase counselor knowledge of HIV medications, adherence strategies, and improved counseling skills studies on the prevalence of continued drug use and everyday adherence decision making Social Work and HIV: Challenges to Treatment Adherence is a valuable resource for social workers; substance abuse counselors; social service and other health care providers; researchers; educators; and policy advocates. The book is also a relevant supplemental text for graduate courses in counseling; multi-systems interventions; community health; social development practice; research methods; and program evaluation as offered through departments of social work, public health, nursing, health psychology, community medicine, and interdisciplinary health professional training programs.

In this book, France's leading medical anthropologist takes on one of the most tragic stories of the global AIDS crisis—the failure of the ANC government to stem the tide of the AIDS epidemic in South Africa. Didier Fassin traces the deep roots of the AIDS crisis to apartheid and, before that, to the colonial period. One person in ten is infected with HIV in South Africa, and President Thabo Mbeki has initiated a global controversy by funding questionable medical research, casting doubt on the benefits of preventing mother-to-child transmission, and embracing dissidents who challenge the viral theory of AIDS. Fassin contextualizes Mbeki's position by sensitively exploring issues of race and genocide that surround this controversy. Basing his discussion on vivid ethnographical data collected in the townships of Johannesburg, he passionately demonstrates that the unprecedented epidemiological crisis in South Africa is a demographic catastrophe as well as a human tragedy, one that cannot be understood without reference to the social history of the country, in particular to institutionalized racial inequality as the fundamental principle of government during the past century.

In an effort to go beyond immune-based therapies, researchers are now considering the implications of apoptosis dysregulation during HIV-induced immunodeficiency. This work provides the first comprehensive compendium of the progress made in understanding the process of cell death related to HIV and the potential breakthroughs in treatment that offer much promise. Combining the work of more than two-dozen top researchers, this seminal volume provides clinicians and researchers with an excellent reference, while also serving as an incubator to stimulate future research. It explains the fundamental biology involved with apoptosis, explains its clinical impact in HIV, and examines the newest therapeutic approaches.

Get a detailed overview of the social services provided for HIV-infected midlife and older adults, and find out where social work practice with this growing population is headed!As more potent medications are being developed to treat HIV, people who have contracted the virus are living longer lives than previously expected. Survival means new side effects and increasingly complex issues, now compounded by the diseases of aging. All this presents unprecedented challenges to social service and benefit systems. Midlife and Older Adults and HIV: Implications for Social Service Research, Practice and Policy introduces policymakers and policy analysts, practitioners in the helping professions, and the public to available social services for aging adults who are living with HIV/AIDS. It also addresses midlife and older adults at risk of HIV infection as well as aging persons whose lives are affected by relatives and friends living with HIV. Midlife and Older Adults and HIV provides a comprehensive examination of this emerging field of practice. Specific chapters examine prevention, family care, vulnerability, inclusion, and the disease process itself. It lays out the broad terrain of future social work practice with HIV-infected elders and elders affected by HIV. The book concludes with reflections on survivorship during the past two decades from six older community leaders living with HIV/AIDS. It also provides current research findings, innovative conceptual models, an invaluable compendium of resource information from the National Association of HIV Over Fifty, and program ideas to address the HIV epidemic within the aging population. The issues addressed in Midlife and Older Adults and HIV include: HIV prevention initiatives coordination and integration of local service networks the health, social, and financial risks facing women with HIV the health consequences of HIV/AIDS and its interactions with normal aging the use of behavioral reinforcement methods as interventions perceptions of vulnerability to HIV among older African-American women and the role of intimate partners and much more! Midlife and Older Adults and HIV is a comprehensive resource on social services for aging adults who are living with HIV/AIDS. It serves as a record of what is known and what is presently being learned about practice in this constantly evolving field. The book is a call to action for social workers and other human service professionals to anticipate and plan for the emerging needs of persons with HIV/AIDS who are rapidly growing older. The array of topics covered in this volume also makes it ideal as a supplemental textbook in courses on HIV and aging.

This authoritative reference presents the latest research on the role of chemokines, chemokine receptors, and genetic variability in the susceptibility, prevention, and treatment of HIV-1-exploring new therapeutic strategies for improved treatment of HIV-1 infected patients by blocking chemokine receptor expression.With contributions from s

Addressing contemporary issues faced by individuals with HIV/AIDS, AIDS and Mental Health Practice: Clinical and Policy Issues provides psychologists, psychiatrists, social workers, and counselors with research and case studies that offers models for effective clinical practice at this stage of the epidemic. Each chapter is written by experts in the field and demonstrates ways to provide better services to different populations, many of whom are ignored in AIDS and mental health literature. As a result, this book will provide professionals in the field and students in training with the most current practice information about mental health practice and HIV/AIDS. AIDS and Mental Health Practice will help you understand the diverse needs of people with HIV/AIDS and organize services to assist these populations. AIDS and Mental Health Practice discusses issues that affect several different groups in order to help you understand the unique situations of your clients. You will learn how to design treatments that will be most beneficial to Latinos, intravenous drug users, orphaned children, African Americans, HIV-negative gay men, HIV nonprogressors, HIV-positive transsexuals, end-stage AIDS clients, couples of mixed HIV status, and individuals suffering from HIV-associated Cognitive Motor Disorder. This book provides you with approaches that will improve services for these populations, including: talking to patients about the positive and negative aspects of taking protease inhibitors and discussing their feelings of hope, skepticism, and fear of being disappointed by the treatment preparing clients to go back to work by exploring the meaning of work and referring them to vocational services if necessary providing support groups for people living with AIDS (PLWAs), their loved ones, their families, and individuals in bereavement as a result of an AIDS-related death organizing a HIV-negative gay men's support group that uses exercises and homework to focus on the members'ambivalent connection to the AIDS community, how they remain HIV negative, and ways to deal with separation and grief issues assessing and/or correcting underlying racism in AIDS service organizationsThe prevention and intervention strategies in Mental Health and AIDS Practice will help you address and treat mental health issues associated with HIV/AIDS and offer clients more effective and relevant services.

A comprehensive account of HIV and AIDS, the management of the disease and potential vaccines. This book is essential reading for medical students and clinicians, and of major interest to students and researchers in the life sciences.

HIV/AIDS and HIV/AIDS-Related Terminology: A Means of Organizing the Body of Knowledge offers an adaptable and extensive framework for organizing the ever-expanding number of resources on the HIV/AIDS epidemic. It lays down the groundwork upon which future blocks of information can be placed. As new information becomes available, it can be integrated into this system without rearranging the information already stored. This saves the time and money associated with revising a less flexible existing system. The book's instructions for use and taxonomic classification system make it easy to use. HIV/AIDS and HIV/AIDS-Related Terminology is designed for use in any setting where HIV/AIDS healthcare or information services are provided. It acts as a guide to available resources and illustrates how to acquire the most up-to-date information. At the same time, it moves beyond the more general focus on the clinical, legal, and medical ramifications of HIV/AIDS to the development of an interdisciplinary cataloging system that includes all issues and topics associated with the disease. This invaluable reference tool leaves no rock unturned. It addresses every conceivable facet of the epidemic, from the psychological to the religious and from the economic to the social. Any organizations or institutions concerned with the collection, creation, management, and dissemination of HIV/AIDS-related materials will find this book an essential for their libraries. Practical and comprehensive, HIV/AIDS and HIV/AIDS-Related Terminology addresses a full range of topics, including: prevention and education epidemiology and transmission treatment funding opportunities health policy HIV/AIDS and the fine artsHIV/AIDS and HIV/AIDS-Related Terminology is the first book to provide a method for grappling with the vast scope of information on the HIV/AIDS epidemic. Its organic structure is designed to accommodate new knowledge as it becomes available, while it maximizes access to existing information in a variety of formats.

Information forms the basis for education, and currently education is the only weapon available to stem the spread of HIV/AIDS and to foster empathy toward individuals already affected by the disease. HIV/AIDS and Community Information Services provides readers with insight into the information construct within the AIDS arena and how that construct affects the provision of information services to the HIV/AIDS affected population. It will serve as an irreplaceable reference as the number of individuals with AIDS increases, creating a greater demand for information and making that information increasingly difficult to provide.While directories exist to assist with practical approaches to accessing HIV/AIDS-related information, none had served as a comprehensive resource concerning the nature of that information or the provision of information services. HIV/AIDS Community Information Services fills that void. It fosters the enlightenment of the general public concerning the true nature of HIV/AIDS, guides readers in providing information services--both educational and recreational--to individuals affected by HIV/AIDS, and encourages the dissemination of instructional materials to those individuals at risk for infection. In doing so, contributors provide readers with information about: the relationship between AIDS and the body of information concerning the disease the complex nature of HIV/AIDS-related information available HIV/AIDS information services information as a means for empowerment suggestions for future programs, potential collaboration efforts, and innovative servicesAn essential guide for information professionals, librarians, health educators, counselors, members of community-based AIDS service organizations, and individuals affected by HIV/AIDS, HIV/AIDS Community Information Services foster the creation, accession, collection, organization, dissemination, and sharing of information concerning the HIV/AIDS epidemic and promotes the provision of services to individuals already affected by HIV/AIDS.