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 AIDS : Prevention is Better than Cure

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AIDS is a virus which has been defined in 1981.   It leads to destruction of the body's  immune system.  It is known that AIDS is not contagious  by contact, breath,  insects, sharing food or drink, using toilets or swimming pools.  It is contagious by sexual contact as a result of the slight minute ruptures which happen during sex and which allow the virus present in the semen or uterine secretions to be transmitted through these ruptures, to the blood.  It is also known that if either party suffers a venereal disease with ulcers, the chances of contracting AIDS increases five-fold.  The disease is also transmitted by contaminated blood transfusions, contaminated syringes and non-sterilized dialysis machines and   from mother to fetus.  Moreover, transmittal of the disease through lactation is also possible although very rare.

 

Symptoms:

 

Man may carry the virus without  manifestation of any symptom, but he is able to transmit the disease to others.  Also, 50% of the persons who contract the virus, will show symptoms within 10 years.

 

Full blown AIDS symptoms range from continuous diarrhea for several weeks accompanied by weight loss or high fever, increased night perspiration or enlargement of the lymph glands,  the appearance of discolored spots on the skin or contraction of certain types of cancers and TB or a whole set of these symptoms at the same time.

 

Prevention

 

  1. Abstain from any promiscuous sexual relationships.

  2. Use condoms (males).

  3. Refrain from using sterilized syringes more than once, after which they must be destroyed and their needle broken, to prevent others from re-using them.

  4. Abstain from taking illegal drugs since they cause disorientation and reduce the body's immunity.

  5. Avoid pregnancy if the mother is infected, to preserve her life and prevent the spread of the disease to her child.

  6. Restrict blood transfusions to urgent cases after ensuring that the blood is free of the virus.

  7. Run AIDS tests on renal failure patients before placing them on the dialysis machines.

  8. Exercise caution  when using sharp  tools such as syringe needles, scalpels in the case of  doctors  and nurses, razor blades in the case of barbers, as wells as ear piercing equipment and tattooing.  Dentists must also use up-to-date and powerful sterilization equipment.

 

The Importance of Diagnosis:

 

If there is no cure or vaccine for AIDS, so why do we stress on the importance of clinical tests to diagnose carriers of the virus?  The most important reason for this is prevention.  By this we mean acquainting the afflicted person of his disease so that he may take necessary precautions to prevent  spread of the disease to family members and friends etc.  Another important reason for the diagnosis is to provide a chance to the carrier to correct his life style and practices  and lead a healthy athletic life, abstain from drug and alcohol  to preserve the capacity of his immune system and consequently reduce the chances of its collapse and the resulting manifestations of the disease.

The most important reason for the diagnosis is to provide  the victim an opportunity to take certain medication such as AZT (or the recent cocktail of antiviral drugs) at an early stage if the specialized tests indicate that this is required.  Such measure reduces the number of cells infected with the virus and therefore delay the manifestations of the disease.

How is AIDS Diagnosed?

 

The disease is diagnosed only in the labs which have the equipment, expertise and ability to give accurate results as well as the financial capability to purchase kits necessary for the diagnosis from world famous companies so as to avoid recurrence of the tragedy which  took place in certain blood banks is France and Germany in 1993.

 

Diagnosis is made in three stages:

First: 

Measuring the AIDS virus antibody, which is a fast, inexpensive method which allows delivery of the results within 24 hours.  If the result is negative, it is advisable to follow up and re-test after 6 months, particularly if the patient suspects that he has been exposed to the virus, or if the patient belongs to a high risk group such as doctors and nurses.  If the result is positive, the test must be repeated using the same method after taking a second blood sample from the patient.

 

Second: 

Run a reconfirmatory test of the antibody such as Western Blot.

 

Third:  

Measure the amino acids of the virus itself using PCR.  This is the latest and most accurate technique currently available for diagnosis.   It is worth noting that the person who has been clinically proven to have the AIDS virus, is medically considered as a carrier (Seropositive) , unless some or all the above-mentioned symptoms appear.

 

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