Monday, 6 May 2013

HIV and Drugs: Interface

By: Azilleo Kristo Mozihim



Human Immunodefiency Virus, most commonly abbreviated in daily conversations as HIV, is a phrase that strikes fear into the hearts of many. The Malaysian community is of no exception. The issue of HIV is still considered a taboo topic to be discussed but this is not the case during a HIV talk presented by Professor Altice on the 18th of January at Baylis Theatre at 5 pm.

Professor Frederick Lewis Altice is a professor from Yale University whose main research interest lies in the interface between infectious disease and substance abuse. He started the talk quite casually and did not consider it as a formal event which can be obviously seen from the way he casually dressed. He stated that HIV is a widespread infectious disease not only in Malaysia but also globally. He showed a series of graphs illustrating the prevalence of HIV based on sexual activities and demographical parameters such as race and age. He emphasised that the treatment for HIV is not reaching those who needed them the most which are the intravenous drug abusers. Also, the stigmatisation of HIV-infected people should be dispelled because it deters them from going to healthcare professional to seek prompt treatment.
          

         He paid a great deal of time talking about the treatment of drug addiction particularly relating to prisoners. He stated that prisoners who were drug abusers are treated with, ironically, drugs such as naltrexone to assist in curbing their drug addiction. Based on his research, those who were part of the drug therapy had significantly less chance of relapsing into drug addiction than those who did not undergo the treatment once released from incarceration. He also stated that prisoners are significantly more likely than the general community to contract tuberculosis and fifteen times more likely to be HIV-infected. He suggested that prisoners who are infected with tuberculosis should not be placed in closed and tight spaces with other prisoners to reduce the risk of transmission to uninfected prisoners.
        
        In a nutshell, the talk given by Professor Altice emphasised the need to dispel the stigmatisation and negative attitude surrounding HIV and substance abuse so as to not deter those involved from seeking proper medical treatment. He suggested that the healthcare system should be restructured in such a way that it prevents those needing the treatment from being unfairly judged and from being stigmatised. The talk ended around 6.30 pm with the Academic Medicine Society (AMS) committee presenting to him a souvenir of appreciation. 


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