• UNAIDS (United Nations agency that coordinates activities
to combat the epidemic) dan WHO (World Health
Organization) menghitung bahwa lebih dari 30 juta orang hidup terinfeksi dengan HIV pada akhir tahun 1997. • 2.3 juta orang meninggal karena AIDS pada tahun 1997 • Pada tahun 2000, UNAIDS memperkirakan 50 juta orang akan terinfeksi HIV/AIDS (insert fact) • Lebih dari 90% pengidap HIV/AIDS tinggal di negara berkembang • 46% korban yang meninggal adalah wanita di usia dewasa • 460.000 diantara total jumlah kematian akibat HIV/AIDS adalah anak-anak • AIDS adalah sebuah syndrome –penyakit serangkaian gejala. • AIDS menularkan virusnya melalui darah, air mani dan sekresi vagina. • AIDS menghancurkan imun tubuh untuk melawan infeksi. • Terdapat “latency period” dimana sang pengidap AIDS tidak menyadari bahwa ia terkena AIDS dikarenakan tidak adanya atau sedikitnya tanda- tanda ia terjangkit AIDS. AIDS AND HIV DISTINGUISHED • It is important to make a clear distinction between someone being HIV positive (which means that they are infected and that their blood when tested with two standard tests reacts positively) and someone being ill with AIDS (which means that they are exhibiting a number of clinical symptoms that indicate that the virus has affected the ability of their body to fight infections to which it would normally be resistant) • In some countries, HIV/AIDS will reverse the declines in infant and child mortality rates observed over recent years, will slow population growth rates, and will mean negative growth rates for some countries (particularly Botswana, Zimbabwe and Guyana); and life expectancies will decline (Stanecki and Way 1997) • In Asia and Africa, the time between onset of illness and death is anything between a few months and two years. This is a shorter survival time than that found typically in Western Europe and North AmericaIn Asia and Africa, the time between onset of illness and death is anything between a few months and two years. This is a shorter survival time than that found typically in Western Europe and North America • the World Bank has estimated that the epidemic is likely to decrease the rate at which GDP increases and the rate of growth of per capita income • the costs of nursing AIDS victims combined with disappearance of the family has led to a state of utter poverty where life is sustained at a bare minimum. • it affects those who are most likely to (1) be sexually active and (2) have many sexual partners or have sex with somebody who is likely to have sex with many sexual partners. Evidence shows that this includes people in the age range 15–50, the ‘sexually active’ age group. Another group that is likely to be exposed to infection is children born of mothers who are HIV- positive. These children contract the disease during birth. About 50 per cent of children born to HIV-positive mothers will test HIVpositive and about 50 per cent of these will progress to develop AIDS. • Poorer countries have higher rates of infection than do rich countries; poorer people within po countries have higher rates of infection than do the better off; and finally, in some cases it is true to say that poorer people in rich countries have higher rates than do wealthier people. • World Bank to conclude that: For the average developing country a $2000 increase in per capita income is associated with a reduction of about 4 percentage points in the HIV infection rate of urban adults. Reducing the index of inequality from 0.5 to 0.4, the difference in inequality between. PRESENT AND PROSPECTIVE SOCIAL AND ECONOMIC IMPACT OF THE EPIDEMIC • In considering this question, it is important to distinguish between the impact in poor and rich countries and in poor and rich communities in each of these. It is also necessary to distinguish between impact as measured by economists using conventional measures of economic output, growth and well-being, and other measures and other approaches to these questions. • Rich countries have smaller epidemics than do poor countries and are more able to deal with the consequences in terms of both the costs of medical care and the longer term economic and social costs associated with excess illness and death. supported by Table 39.1, which shows the global and regional distribution of AIDS cases. • The social sciences, including geography, can build on this knowledge and analysis to indicate the particular and specific nature of those epidemic processes. Such research can tease out the specific social, cultural, locational and economic characteristics of populations that expose them to increased riskof infection—that is the particularnature of their risk. It can also provide a second level of analysis, which further explores the specificand unique group characteristics that place a population subgroup at risk or that identifies it as having special needs.