Editorial Team
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Written By: Editorial Team | Updated : June 4, 2014 6:34 PM IST
December 1 is World AIDS Day.
More than 2 million adolescents between the ages of 10 and 19 years are living with HIV, and many do not receive the care and support that they need to stay in good health and prevent transmission. In addition, millions more adolescents are at risk of infection. The failure to support effective and acceptable HIV services for adolescents has resulted in a 50% increase in reported AIDS-related deaths in this group compared with the 30% decline seen in the general population from 2005 to 2012.
'Adolescents face difficult and often confusing emotional and social pressures as they grow from children into adults,' says Dr Gottfried Hirnschall, Director of WHO HIV/AIDS Department. 'Adolescents need health services and support, tailored to their needs. They are less likely than adults to be tested for HIV and often need more support than adults to help them maintain care and to stick to treatment.' (Read: World AIDS Day 2013: Watch out for HIV-tainted blood, needles)
'Adolescents need health services and support, tailored to their needs. They are less likely than adults to be tested for HIV and often need more support than adults to help them maintain care and to stick to treatment.'
Across sub-Saharan Africa, many who were infected at birth are becoming adolescents. In addition to the many changes associated with adolescence, they also face the challenges of living with a chronic infection: disclosing the news to friends and family and preventing transmission to sexual partners.
'Adolescent girls, young men who have sex with men, those who inject drugs or are subject to sexual coercion and abuse are at highest risk. They face many barriers, including harsh laws, inequalities, stigma and discrimination which prevent them from accessing services that could test, prevent, and treat HIV,' says Craig McClure, Chief of HIV programmes for UNICEF. 'About one-seventh of all new HIV infections occur during adolescence. Unless the barriers are removed, the dream of an AIDS-free generation will never be realized.'
Furthermore, many young people do not know their HIV status. For example, in sub-Saharan Africa, it is estimated that only 10% of young men and 15% of young women (15-24 years) know their HIV status and, in other regions, although data is scarce, access to HIV testing and counseling by vulnerable adolescents is consistently reported as being very low.
WHO recommends governments review their laws to make it easier for adolescents to obtain HIV testing without needing consent from their parents. The guidelines also suggest ways that health services can improve the quality of care and social support for adolescents. And they highlight the value of involving this age group to create an adolescent-centered approach to the services that work for people of their age. (Read: Breast milk, bee venom and bone marrow transplants the different things that could cure HIV/AIDS!)
Better equipping adolescents
'Young people need to be better equipped to manage their HIV infection and take ownership of their health care,' says Dr Elizabeth Mason, Director of WHO Maternal, Newborn, Child and Adolescent Health Department. 'We have seen for example in Zimbabwe that, by developing adolescent friendly services, it is possible to achieve good treatment outcomes among adolescents. We urge others to be inspired by these examples.'
What is HIV?
The human immunodeficiency virus (HIV) is a retrovirus that destroys or impairs the function of the body's immune system making the person more susceptible to infections. Unless treated, it develops into full-blown acquired immunodeficiency syndrome (AIDS). The virus infects humans when it comes in contact with tissues lining the vagina, anal area, mouth and eyes, or through a break in the skin. There are two main types HIV-1 and HIV-2. HIV-2 is typically found in Africa and parts of Asia. HIV-2 is typically found in Africa and parts of Asia. Asia can thus no longer be considered free of HIV-2, and testing for HIV-2 appears mandatory, at least in India. Worldwide, when people refer to HIV they are usually referring to HIV-1.
Read more about causes, symptoms, diagnosis and treatment of hiv/aids.
What is AIDS?
Acquired immune deficiency syndrome (AIDS) isn't a disease in itself. It is a condition in caused by HIV in which the body's immune system fails to battle foreign microorganisms. This leads to various opportunistic infections and/or certain cancers. It is the most advanced stage of HIV infection. (Read more: HIV/AIDS causes, symptoms and complications)
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