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Continued from page 47 – Tanzania: Aids at 30 - What Does<br />

the Future Hold for Us<br />

to uninterrupted access to lifesaving medicines and<br />

supportive care, a HIV positive pregnant woman lives<br />

long enough to see her newborn live to adulthood and<br />

Aids orphans grow up to be<strong>com</strong>e responsible members of<br />

the society, the fight against Aids in Africa remains a<br />

matter of life and death.<br />

The future of Africa may depend on the bold moves it<br />

makes today to wage a fight to the finish against Aids.<br />

The fight against Aids in Africa will be won one family,<br />

one neighbourhood and one <strong>com</strong>munity at a time, led by<br />

dedicated teams of <strong>African</strong>s refusing to back down<br />

against tremendous odds and difficulties.<br />

The author is the former chairman of the Technical Advisory<br />

Board of the Africa Center for Health and Human Security at<br />

the George Washington University, Washington, DC.<br />

http://allafrica.<strong>com</strong>/stories/201107110335.html<br />

☻☻☻☻☻☻<br />

Nigeria: HIV/Aids - If You're<br />

Not Infected, You're Affected<br />

By Sola Ogundipe and Chioma Obinna<br />

4 December 2010<br />

Analysis<br />

If mankind was asked to name the most troubling viral<br />

disorder of all time, the acronym "HIV & AIDS" is most<br />

likely to be repeatedly mentioned. HIV (Human<br />

Immunodeficiency Virus) is the name of the virus that<br />

results in AIDS (Acquired Immune Deficiency<br />

Syndrome) which describes the collection of symptoms<br />

caused by HIV after it destroys a person's immune<br />

system.<br />

The HIV & AIDS epidemic was once described as man's<br />

nemesis because of its long "dormant" period that allows<br />

hosts to infect others with the virus without being<br />

immediately detected by either person. This factor alone<br />

makes this disorder nearly impossible to control.<br />

HIV is spread through sexual contact and blood. As a<br />

result, people can pass on HIV long before they notice<br />

symptoms, which is why AIDS remains a pervasive<br />

disease around the world.<br />

AIDS may not be the most deadly of disorders man has<br />

encountered, however, the level of decimation,<br />

deprivation and despair that <strong>com</strong>es with the disorder is<br />

almost beyond measure. Although preventable, AIDS is<br />

incurable.<br />

No one is safe from its onslaught. If one is not infected,<br />

-48- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> October 2011<br />

one could be affected. A person can be infected with<br />

HIV, but not have AIDS. The virus typically takes around<br />

10 years to destroy the immune system. Afterwards,<br />

people die from AIDS, usually a mild infection that turns<br />

deadly.<br />

Unfortunately, the virus load (the amount of infectious<br />

HIV active in the system) is highest early on, when the<br />

patient is symptom free.<br />

To make matters worse, conspiracy theories claiming the<br />

virus is an engineered attempt to inflict genocide upon<br />

<strong>African</strong>s, has led some leaders on the continent to claim<br />

AIDS as myth. As a result, the general population<br />

distrusts western healthcare providers and avoids<br />

medications that could slow its spread. In the end,<br />

widespread ignorance and fear can prescribe all kinds of<br />

bizarre treatments and lead to the continued spread of<br />

HIV.<br />

Unfortunately for Nigeria and most of Africa, virgin<br />

cures and other misconceptions (like the "not me"<br />

syndrome) contribute to the newly diagnosed cases of<br />

HIV infection reported each day.<br />

When first identified as a disease, it was known as GRID<br />

(Gay-Related Immune Deficiency). This term described<br />

the mysterious cluster of symptoms first identified in gay<br />

men in 1981. Today in Nigeria, many people still believe<br />

that if HIV doesn't kill them, then HIV-related<br />

<strong>com</strong>plications will. But this is not true. Managing<br />

<strong>com</strong>plications from HIV is a far cry from what it was in<br />

the past.<br />

However, scientists say the immune system may never<br />

fully recover from damage after HIV infection. This<br />

be<strong>com</strong>es more apparent as people with HIV reach their<br />

50s. Severe weakening of the immune system can also<br />

lead to opportunistic infections.<br />

HIV - a retrovirus<br />

HIV belongs to a class of viruses called retroviruses .<br />

Retroviruses are RNA (ribonucleic acid) viruses, and in<br />

order to replicate (duplicate). they must make a DNA<br />

(deoxyribonucleic acid) copy of their RNA. It is the DNA<br />

genes that allow the virus to replicate. Like all viruses,<br />

HIV can replicate only inside cells, <strong>com</strong>mandeering the<br />

cell's machinery to reproduce.<br />

Only HIV and other retroviruses, however, once inside a<br />

cell, use an enzyme called reverse transcriptase to convert<br />

their RNA into DNA, which can be incorporated into the<br />

host cell's genes.<br />

HIV belongs to a subgroup of retroviruses known as<br />

lentiviruses, or "slow" viruses. The course of infection<br />

with these viruses is characterised by a long interval<br />

Continued on page 49

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