Saturday November 23, 2019

HIV Outbreak In Southern and Eastern Africa

An estimated 800,000 people in eastern and southern Africa acquired HIV in 2017, and an estimated 380,000 people died of AIDS-related illness, the report indicated.

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HIV, Drugs
More than half of the people surveyed who inject drugs said they avoided health-care services, citing discrimination or fear of law enforcement authorities.VOA

A report by UNAIDS, “Miles to go—closing gaps, breaking barriers, righting injustices”, warns that the global response to HIV is at a critical point. Eastern and southern Africa remain the regions most affected by the HIV epidemic, accounting for 45 percent of the world’s HIV infections and 53 percent of people with HIV globally.

An estimated 800,000 people in eastern and southern Africa acquired HIV in 2017, and an estimated 380,000 people died of AIDS-related illness, the report indicated.

Mozambique, South Africa and Tanzania accounted for more than half of the new HIV infections and deaths from AIDS-related illness in the region last year.

The survey also indicated that there was discrimination against HIV positive persons in healthcare settings, especially towards key populations.

Key populations include men who have sex with men, drugs users, transgender persons and sex workers, considered to be most at risk at contracting HIV.

There are nearly 1 million sex workers estimated to need services in the region.

“For us it is important in fact we do have within NASCOP, a key population program, mainly targeting the key populations, the female sex workers, men who have sex with men and injecting drug users,” said Dr. Kigen Barmasai, the director at Kenya’s National Aids and STI Control Program, NASCOP “One, we know that this contributes to 33 percent of new infections in Kenya, from this key populations, of course the prevalence varies, we have prevalence from 29 percent in female sex workers to 18 percent among the injected drug users. So as a program we are working on this and we are spearheading the HIV prevention, treatment and care efforts to reverse the epidemic. For the last ten years we have been working on that.”

More than half of the people surveyed who inject drugs said they avoided health-care services, citing discrimination or fear of law enforcement authorities.

HIV
The survey also indicated that there was discrimination against HIV positive persons in healthcare settings, especially towards key populations..VOA

In Kenya homosexuality is illegal and being found guilty can lead to a sentence of up to 14 years in prison. Sex work is also illegal in Kenya.

“The criminal nature of Key populations, and the acts of Key populations that make people shy away from accessing health care and even organizing, coming together so that they can organize,” said Grace Kamau, chairperson of the Key population consortium in Kenya. “The main thing is the criminal nature. People fear to be arrested”

The report said about two-thirds of all people living with HIV in the region were accessing antiretroviral therapy in 2017.

Kamau attributes the successes in reaching large numbers of Key populations in Kenya to availability of HIV resources made possible by donor funding, but she says more people are yet to be reached.

“One of the things we have in Kenya is private clinics that are donor funded,” said Kamau. “That is where the sex workers feel comfortable and that is where they access their services. And that is what has made the number to go high.”

The report indicates that there were 19.6 million people living with HIV in eastern and southern Africa at the end of 2017.

Out of this number 81% were aware of their HIV status, an increase from 77% in 2016.

West and central Africa continues to lag behind as statistics indicated AIDS-related deaths have fallen by only 24% in western and central Africa, compared to a 42% decline in eastern and southern Africa.

Also Read-UNAIDS : World Is At A “Defining Moment” In A Battle Against HIV/AIDS

Nigeria has more than half of the HIV burden in the region and there has been little progress in reducing new HIV infections there in recent years. (VOA)

Next Story

Kenya Vows to Cut Emissions as Cooking with Traditional Fuels Kills More than 21,500 Each Year

The health risks were greatest in rural areas, where 90% of households use wood stoves, compared to 70% nationwide, Kenya's first household survey

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Kenya, Emissions, Fuels
A trailer drives along the main Nairobi/Mombasa highway past sacks of charcoal, used for domestic cooking in many Kenyan homes, in Kibwezi. June 20, 2014. VOA

More than 21,500 Kenyans die each year from cooking with traditional fuels like charcoal and firewood, new government data showed on Tuesday, as authorities pledged to meet a global goal of universal access to clean cooking energy by 2030. Kenya.

The health risks were greatest in rural areas, where 90% of households use wood stoves, compared to 70% nationwide, Kenya’s first household survey on energy usage in cooking by the energy ministry and the Clean Cooking Association of Kenya found.

It also found that 80% of households relied solely on either charcoal or firewood as their primary cooking fuel, with 68 billion shillings ($660 million) of charcoal consumed each year.

Kenya’s energy minister Charles Keter said the situation was “grave” and called for more focus on providing clean energy options, such as gas and electricity, to the poor.

Kenya, Emissions, Fuels
FILE -Women walk out of the forest carrying wood to use for cooking, in Tsavo East, in Kenya, June 20, 2014. VOA

“This data underlines the great exposure to harmful pollutants which account for about over 21,560 deaths annually,” he said, launching the survey at a conference on clean cooking.

The World Health Organization (WHO) says 3 billion people globally cook with solid fuels such as charcoal and coal on open fires or traditional stoves, producing high levels of carbon monoxide, which kills about four million people a year.

Countries have committed to ensure universal access to clean, modern energy for cooking by the year 2030 as part of 17 global development goals, but low levels of investment in the clean cooking sector are hindering progress.

The widespread use of dirty fuels also contributes to climate change and deforestation, according to energy experts.

Also Read- How Automation Can Help Scale Continuous Testing in Agile?

Government officials said Kenya has committed to reduce its greenhouse gas emissions by 30% — where clean cooking will account for about 14% — under the Paris agreement on climate change, and it hopes to meet this target by 2028. (VOA)