Course 4
Problems
Personal
Cultural
Economic
Political
Economic Problems
 性傳播疾病的預防:行為的改變  STD Prevention: Behavior Change
 安全性行為-推行安全性行為所面臨的問題
經濟方面的問題
國際勞工組織(International Labor Oganization,ILO
估計2004年全球有超過3千6百萬產業工人感染了HIV。這就意味著,在不久的將來,有數百萬工人由於過於虛弱對經濟不再有所貢獻,受到打擊最大的國家也會是那些最貧窮的國家。不僅如此:當越來越多的人退出勞動大軍,AIDS的流行將導致在許多重要行業裏知識技能和經驗的喪失,尤其在職業教育和健康照護領域喪失得更加嚴重。而且,在許多感染高發的國家,由於性別不平等已成頑疾,女性將比男性更多地繼續受到感染。與此同時,扮演傳統社會角色的婦女,將愈加必須去照料其病弱的家庭成員,並由此失去從前的工作能力。如果家庭的病弱者得不到治療,這種景況將尤其如此。當他們逐漸虛弱直至死亡時,千百萬艾滋遺孤只好自謀生路。

所以,AIDS也是一個工廠車間必須面臨的問題。即使從純經濟的角度看,AIDS感染者應該盡可能地維持工作。什麼地方仍然存在著如上所述的景況和性別歧視,那麼就必須要有人去阻止。國際勞工組織已經制定了一個預防實施規則(Code of Practice),如果遵照執行,或許會減輕上述所估計的一些危機。無論如何,在許多貧窮國家,AIDS正迅速成為一個經濟的負面因素,而且忽略這種不斷增大的威脅,將是窮途末路。國際勞工組織甚至已經估算了忽視AIDS流行的直接和間接代價,結論是它大大高於治療AIDS的代價

幸運的是,在許多貧窮國家,治療AIDS已經變得較便宜了,在那裏,一般醫藥生產廠家現在也能夠提供比過去低廉得多的抗AIDS藥品。在這一發展趨勢的鼓舞下,聯合國已經為自己制定了到2005年至少為3百萬病人提供低廉藥品的目標。

 

“35目標”:“到2005年治療3百萬病人目標”
由於全球許多貧窮地區AIDS的數量不斷上升,世界衛生組織和聯合國愛滋病防治規劃暑已經啟動了一個叫“35目標”的主動介入AIDS專案。到2005年底,該項目將要為3百萬HIV/AIDS感染者和病人提供抗逆轉錄病毒治療。

“3 by 5”: "Treat 3 million by 2005" 
In view of the rising number of AIDS cases in many poor regions of the globe, the World Health Organization and UNAIDS have started an initiative called “3 by 5”. The goal is to provide antiretroviral therapy to 3 million people with HIV/AIDS in developing countries by the end of 2005.

 Safer Sex - Problems of Safer Sex Promotion

Economic Problems
The International Labor Oganization (ILO) has estimated that, in 2004, over 36 million productively working persons world-wide were infected with HIV. This means that, in the not too distant future, there will be millions of workers too sick to contribute to the economy, and the countries hit hardest will also be among the poorest. Not only that: As more and more people drop out of the workforce, the AIDS epidemic will lead to a loss of knowledge and experience in many important areas, especially in education and health care. Moreover, as a result of persistent gender inequality in many of the affected countries, more women than men will continue to be infected. At the same time, these women, expected to play their traditional roles, will increasingly have to care for sick family members and thus will be less able to do other work. This is especially true if they have no access to treatment. As they themselves grow weaker and die, millions of AIDS orphans will be left to fend for themselves.

AIDS is therefore also a workplace issue. Even for purely economic reasons, the people living with AIDS should be kept working as long as possible. Where stigmatization and discrimination still exist, they must end. The ILO has drafted a Code of Practice which, if followed, could mitigate some of the expected problems. In any case, AIDS is fast becoming a negative economic factor in many poor countries, and ignoring the growing threat will not help. Indeed, the ILO has concluded that the direct and indirect costs of inaction are far greater than the costs of treatment.

Fortunately, treating AIDS has become much cheaper in many poor countries, where generic drug manufacturers are now able to provide medication at a fraction of its former cost. Encouraged by this development, the United Nations have set themselves the goal of getting the cheaper drugs to at least 5 million patients by 2005.

 

[Course 4] [Description] [How to use it] [Introduction] [Curable STDs] [Incurable STDs] [STD Prevention] [Abstinence] [Safer Sex] [Additional Reading] [Examination]