< Viewpoints < 2006
HIV infected persons should be supported, not discriminated against
[01/12/06] Further action is needed against the HIV/Aids pandemic
in Europe. The international focus has been on the apocalyptic situation in
some African and Asian countries, but the infection is also spreading fast
in certain European states, notably in the Russian Federation, Ukraine,
Estonia and Moldova. The disease has generated a severe public health crisis
as well as urgent human rights problems.
UNAIDS, the agency co-ordinating the United Nations programmes against the
pandemic, has estimated that 940 000 persons are living with the infection
in Russia and 410 000 in Ukraine. In western Europe, the highest rates have
been recorded in Spain, Italy, France, Switzerland and Portugal.
HIV/Aids is changing the demographics in all affected countries. Given that
the hardest-hit section of society is the 15 to 30-year age group, HIV/Aids
has a deep impact on birth rates, while for instance in Russia and Ukraine
the disease is likely to become an obstacle to economic growth.
Many of those affected have had their human rights undermined. Ignorance
about how the disease spreads has bred prejudices which, in turn, has
stigmatised or marginalised those who carry the virus.
Such discrimination must be combated and governments should seek
co-operation with non-governmental support groups, not least with those that
have been organised by HIV carriers themselves and their relatives.
A large section of the infected population does not receive the necessary
anti-retroviral treatment or psychological support. Also, carriers often
become victims of discrimination in areas of medical assistance, education,
as well as labour market opportunities.
Particularly vulnerable are the growing number of children born to HIV
positive mothers. Some of them may be infected themselves, some risk
becoming orphans – they all have the right to special support.
Prevention is certainly a key priority. Research aiming at an effective
vaccine may not produce results for many years. However, governments which
have invested in available methods have had encouraging results.
First, and most important of all, governments must openly recognise the full
scale of the problem. Until recently, HIV/Aids was not high on the
government agenda, and in Russia and Ukraine, for instance, funds allocated
to both prevention and treatment were meagre. Attitudes are now changing and
in Russia the authorities have admitted that the actual infection rate might
be four times as high as the official figures.
Systematic information campaigns about safe sex combined with making condoms
available have had a positive impact where tried. Unfortunately, religious
leaders have not in all cases been supportive of these important endeavours.
Part of the strategy has to be directed towards the particular risk groups:
• Drug injection remains a key factor in the growth of the pandemic in both
Russia and Ukraine, as well as in Estonia and Moldova. In Ukraine more than
45% of the new infections reported this year related to injecting drug users
and in Moldova as many as 84% of the registered injecting drug users had
contracted the virus.
• Prostitution – often combined with drug abuse – is clearly dangerous. In
Kiev, 8% of the females drawn into prostitution were found to have
contracted HIV in 2005.
• Prisoners also tend to have a higher infection rate. In Russia, HIV
prevalence is estimated to be four times higher inside prisons than with
It is estimated that a majority of those who live with the virus today are
unaware of this fact and may not therefore take care to avoid infecting
others. More has to be done to promote blood testing and to give support to
newly discovered carriers of infection.
Comprehensive prevention strategies can stop the disease from spreading
further. There is a need for effective national action plans – programmes
which are underpinned by broad-based awareness-raising and strong
educational components. It is absolutely essential that governments take
strong action against the illicit drug trade and trafficking of human
This is a heavy agenda. Although Russia, Ukraine, Estonia and Moldova have a
serious HIV crisis, other European countries are affected as well.
As the virus, by its nature, spreads across borders, the pandemic must be a
concern for all citizens of the world, including us Europeans.
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