By Dr. F. M. L. G. van den Boom, Dr. J. C. Jager, D. P. Reinking, M. J. Postma, C. E. S. Albers (auth.)
In March 1983 the Secretary of nation for Welfare, wellbeing and fitness and Cultural Affairs appointed the steerage Committee on healthiness situations (STG). the duty of the STG is to recommend the Minister at the way forward for public well-being and healthiness care within the long-term within the Netherlands on the way to expanding the anticipatory means of presidency coverage. due to the fact 1983 the STG has manage a couple of committees, together with the state of affairs Committee on AIDS, for you to mapping out attainable eventualities of their specific box of curiosity. The committees file within the type of state of affairs stories, that are of relevance not only to the nationwide executive but additionally to others eager about coverage improvement and opinion formation within the box in query.
What proportions will the HIV/AIDS epidemic think and the way many new HIV infections may be prevented through HIV/AIDS prevention campaigns? How a lot care and aid will individuals with HIV and AIDS desire and what successes will be anticipated in the care region? what's going to be the social outcomes of AIDS and the way can ostracism and the social isolation of individuals with HIV and AIDS be refrained from?
those and different similar questions shape the topic of this publication, which examines the sociocultural and fiscal influence of AIDS within the Netherlands as much as the 12 months 2000. The publication provides a research conducted via the Netherlands Institute of psychological well-being (NcGv) and the nationwide Institute of Public health and wellbeing and Environmental defense (RIVM), lower than the path of the STG situation Committee on AIDS.
The researchers glance again on the epidemiological, sociocultural and monetary impression of AIDS within the Netherlands in the course of the first decade of the epidemic and, at the foundation of this, use state of affairs research to venture the effect of AIDS as much as the 12 months 2000.
the longer term projections relate either to the influence of AIDS and the maximization of efforts to strive against the affliction. as well as a state of affairs exploring the impression of AIDS if advancements proceed unchanged, replacement eventualities also are recommend. those specialize in the impression of important adjustments in such diversified fields as sexual behaviour, injecting drug use, the effectiveness and association of HIV/AIDS prevention programmes, and the call for for supply of care.
The booklet concludes that the influence of AIDS will merely turn into absolutely obvious within the moment decade of the epidemic. The authors think of the results of this end for HIV/AIDS prevention programmes, examine, care and the efforts to counter the socially bad affects of AIDS.
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Extra resources for AIDS up to the Year 2000
As compared to the old criteria one of the changes made relates to the fact that in some specific cases it is now possible to diagnose AIDS in combination with a negative laboratory HIV-test result. Beside it the criteria applied to children below 13 years of age have changed. I II III AIDS is diagnosed in case of Pneumocystis carinii in combination with a negative HIV-test result if no other causes for the immune deficiency, excluding diseases for being indicators of AlDS3, are present. g. Mycobacterium kansasii, Pneumocystis carinii pneumonia, progressive multifocalleukoencefalopathy, and toxoplasmosis of the brain affecting a patient > 1 month of age.
A distinction is drawn between two strains, HIV-1 and HIV-2. , 1990). HIV-2 is primarily encountered in West Mrican countries and is probably transmitted in the same way as HIV-1. This report only examines HIV-1. 2 Progression to AIDS Infection with HIV leads to an acute short-lived clinical syndrome, followed by a long period of asymptomatic infection. AIDS is diagnosed when the immune system is weakened to the point that resistance to a broad spectrum of disease symptoms is no longer possible.
2 Process modelling Process modelling relates to the spread of HIV within and between core groups and is used especially in relation to the behaviour scenarios in Chapter 7. In process modelling simulation techniques are used on the basis of assumptions concerning the epidemiological trend within a group. Process modelling can be effectively applied to individual groups, such as the AIDS epidemic among men who have sex with men and IDUs. Multi-group modelling provides insight into the possible spread of HIV between core groups and is an instrument for describing the effect of intervention strategies aimed at behavioural change.