Lorms Health and Diseases

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LORMS 2016: ‘The main challenge in controlling the spread of HIV/ AIDS is one of

cost.’ Do you consider this statement to be true? Explain.

I consider this statement to be true to a small extent. HIV refers to Human Immunodeficiency

Virus, while AIDS refers to Acquired Immune Deficiency Syndrome, and is the final stage of

HIV, usually developed after 9-10 years. The virus attacks the white blood cells of the body,

weakening one’s immune system. As it has no cure, its spread can only be controlled.

However, there are many challenges in controlling the spread of HIV, which are mostly

socio-economic challenges.

One such challenge includes difficulty in detection of the virus. This is a major factor to the

spread of the virus, as since there are no visible symptoms of the disease, infected people

who are unaware of their HIV status continue with their normal routines, potentially

infecting others. In a survey conducted among African communities, it was discovered not

knowing one’s HIV status was a major cause of the spread of the virus, with 65% of female

participants carrying the virus being unaware of their HIV status.

Another challenge is the social stigma surrounding HIV/AIDS. Having HIV is met with

disapproval in many communities and countries, with patients often being subjected to

discrimination such as being refused healthcare by medical professionals, being refused

housing, or lower employment opportunities as some people do not wish to work with

infected individuals. In a survey conducted in 2008, 27% of Americans expressed that they

prefer not to work closely with a HIV-infected individual. As a result of this, some

HIV-positive people stay silent about their condition, causing them to potentially infect their

partners. They may also stay away from being tested for HIV despite having suspicions of
having the virus, in order to avoid being subjected to the rampant discrimination that comes

with having the disease and carry on with their normal lives.

Yet another social challenge hinders controlling the spread of the disease is the many lifestyle

choices of people. This includes being sexually active at a young age, having multiple sexual

partners, or some cultural beliefs and practices. In some Kenyan and Zambian tribes,

polygamy, the practice of having multiple wives, is still practiced. Testing for HIV before

marriage is not customary in these tribes, which may exacerbate the spread of the virus.

Additionally, in other countries, sexuality awareness education in not taught in school,

causing children to be unaware of how to protect themselves against the disease. In Nigeria,

girls are not taught sexuality awareness in school as people refrain from speaking about

sexuality and sexual practices before marriage, which leaves them more susceptible to the

disease due to being unaware of how to avoid transmission of HIV.

In contrast to the multiple social challenges listed, there is only one main economic challenge

in managing the disease’s spread, which is the high cost of antiretroviral therapy.

Antiretroviral therapy refers to a treatment that controls the disease, reduces the risk of

transmission, and improves the patient’s quality of life. However, treatment is very costly. In

Singapore, the monthly cost for the treatment ranges from USD$160- USD$1200, which may

be unaffordable to many people, causing them to go untreated and increase the risk of

transmission to others.

In conclusion, while economic challenges in controlling the spread of HIV is a major

problem, the majority of challenges are social or simply due to difficulty in detection of the

disease, which are harder to overcome as they are typically deeply-rooted mindsets or beliefs,
or practices carried out for many years. Thus, it is harder to convince so many people across

the world to change their habits or beliefs that have been ingrained into them for decades than

it is to overcome the economic roadblock in controlling the spread of HIV/AIDS.

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