HIV is an epidemic that still currently has no cure, however knowledge of the disease is much more extensive than what was known thirty years ago. Today there is much more knowledge with regard to prevention, diagnosis, and medical management. Nearly 50000 cases are newly diagnose every year, and this number has been stable for the past decade. In 1986 a study was conducted on 375 gay men in San Francisco by Dr. Sol Silverman and the clinical findings were recorded. Due to the wealth of knowledge about the disease that was not known back then there are a number of difference in the epidemiology of the disease. The proportion of gay men and women represent a far smaller number than they did when the study was initially conducted. However, the disease still disproportionately attacks nonwhites and Hispanics, who represent 62% of men and 82% of women. A key reason for the high transmission of HIV is due to the fact that most people do not know they are carrying the disease. In fact, nearly half of HIV transmission are due to these people (Abel et al, 2013).
Furthermore, HIV research has led to the acquisition of a wealth of knowledge in regards to treatment of the disease. In the mid-1980s, there was no known treatment whereas today there are over 30 agents. The most effective of them is combination therapy, which is far superior to individual therapy in “achieving complete suppression of HIV replication, durability of treatment response, prevention of development of HIV drug resistance, and reduced HIV and non-HIV-associated morbidity and mortality” (Abel et al, 2013). The therapy has had such positive results that recent data has shown that people with an HIV infection who have an undetectable viral load on therapy and achieve and...
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...DS, which accounted for one third of all blanket policies to refuse treatment. Furthermore, 90% of dentists who had discriminatory responses graduated before 1988. There were only two dentists who graduated later this date who said they would refuse treatment to HIV patients.
Dentists have a legal and moral obligation to accept HIV/AIDS patients into their practice. Not only can dentists help to first identify signs of HIV infection because more signs of the disease appear as oral lesions, but it is unlawful to refuse treatment to these patients. Only if treating the patient provides a direct threat to the provider or other patients can treatment be refused. Such is not the case for HIV/AIDS patients. The ADA has regulations in place to protect such patient in the Principles of Ethics and Code of Professional conduct, and dentists need to adhere to these standards.
In the early 1980’s, reports were appearing in California and New York of a small number of men who appeared to have rare forms of cancer and pneumonia (Blumberg). The men were young and in very good health (Blumberg). These men were alike because they were homosexual (Blumberg). They had a disease known as AIDS, which is caused by HIV (Blumberg). The virus slowly attacks the immune system which makes the human body more prone to infections (Blumberg). They did not know what the disease was for a while (Blumberg). It was believed to be “gay-related” because homosexuals were many of the first reported cases (Blumberg). That belief was abolished when scientist found out that heterosexuals could be infected too (Blumberg).
Carl Zimmer the guest speaker of this broadcast states that in 1981 doctors described for the first time a new disease, a new syndrome which affected mostly homosexual men. The young men in Los Angeles were dying and the number of cases was growing faster and faster. The number of deaths was increasing from eighty to six hundred and twenty five in just the first few months. After the first few cases in LA, AIDS was declared to be one of the deadliest pandemics the world had ever seen after the plague in the Middle Ages.
Different people define success in many different ways. What is considered success by one person may be viewed as failure by another person. Randy Shilts, a homosexual newspaper reporter / author, attempts to make fundamental changes in America’s opinion on AIDS. In Randy Shilts’s essay, "Talking AIDS to Death," he speaks of his experiences as an "AIDS celebrity." At the core of Shilts’s essay is the statement, "Never before have I succeeded so well; never before have I failed so miserably"(221). Shilts can see his accomplishments from two points of view- as a success and as a failure. Despite instant fame, Shilts is not satisfied with the effects his writings has on the general public. Shilts’s "success" and reasons for failure can both be considered when one decides whether or not his efforts were performed in vain.
11-Shetti. A, Gupta. I, et al. Oral Candidiasis: Aiding in the Diagnosis of HIV—A Case Report. Case Reports in Dentistry Journal (2011), Article ID 929616, 4 pages
HIV has many psychological aspects which can impact on the way a patient behaves. Stigma and non-adherence are just two aspects associated with the disease. Many individuals have negative attitudes towards people with HIV and this can result in HIV patients suffering from discrimination. Bad quality healthcare and patients being fearful of seeking treatment are just two of the outcomes of stigma (Mandal, 2013). It has been known for healthcare professionals to withhold treatment, breach confidentiality and isolate HIV patients when not necessary (Engenderhealth, 2004a). Homosexual men have always been at the forefront of HIV stigma and in 1985 Dougal et al conducted a study about homophobia on 128 nurses and physicians. The results showed that ten per cent felt that homosexual men were responsibl...
...easures. In 1990 HIV-infected people were included in the Americans with Disabilities Act, making discrimination against people with AIDS for jobs, housing, and other social benefits illegal. Additionally, the Ryan White Comprehensive AIDS Resources Emergency Act established a community-funding program designed to assist in the daily lives of people living with AIDS. This congressional act was named in memory of a young man who contracted HIV through blood products and became a public figure for his courage in fighting the disease and community prejudice. The act is still in place, although continued funding for such social programs is threatened by opposition in the U.S. Congress.
The stigmatization and discrimination that goes hand and hand with a positive diagnosis of HIV/AIDS is overwhelming. FreeDictonary.com defines discrimination as the “treatment or consideration based on class or category rather than individual merit; partiality or prejudice.” In essence, discrimination is about actions and stigma relates to beliefs and attitudes. Both however are built up on negative views of a person just because they are apart of a specific group. All over the world, there are well-documented cases of people living with HIV that are being denied the right to health- care, work, education, and freedom of movement, among others. (UNAIDS 2005) This stigma and discrimination exist globally, although it appears differently...
In conclusion, it is important for the dental staff to treat all patients as if they are infected. A patient may or may not choose to disclose any information pertaining to their disease or they may not be aware of it. It is also important for the dental staff to have immunizations done at regular intervals. The hygienist needs to make sure he or she protects him or herself as well as the patient during treatment. Discrimination against someone with a disease is illegal. With that in mind it is the clinician’s duty to be aware of diseases he or she may come into contact with and how to treat the patient.
AIDS discrimination is a bit more complex than that against patients with other diseases. Although years of education has decreased the discrimination in the clinical care setting toward patients with AIDS, prejudice stills occurs. Twenty-six percent of patients with AI...
Healthcare is a necessity to sustain society. Dentistry is an area of healthcare that I feel extremely passionate about because access to proper dental care is limited, especially in the underserved communities. As an African American, I want to become a dentist and healthcare provider in the hopes of helping patients and adding to the diversification of the field. With a growing minority population in the United States, it has become apparent that there is a shortage of black dentists. This is problematic because underrepresented minorities are in great need of access to culturally connected dentists who understand their clinical needs as much as their lives and their challenges. I believe that when the profession includes a range of ethnicities
In the Dental Hygiene field, many challenges come about every day and during different situations. Every day there are new challenges and unusual situations that occur in the dental field, but one challenge that continues to come about and has been a big dispute over the years is the ability to provide beneficial information about oral health care for the underprivileged. For the individuals that are not fortunate enough to pay to have services done in the dental office, lack the knowledge of how important good oral health care is. They do not receive the one on one conversations explaining the significance of taking care of your teeth and gums that the patients who can afford to make appointments and receive essential services do. That
Acquired Immunodeficiency Syndrome (AIDS) first came to light in 1981. There has been a long and arduous global effort on the prevention of HIV/AIDS. HIV is a virus that is spread through body fluids that affect the specific T-cells of the immune system. Without treatment HIV infection leads to AIDS and there is no cure for AIDS. HIV infection can be controlled and the importance of primary pre...
Gupta, G. R. (2000). Gender, sexuality, and HIV/AIDS: The what, the why, and the how. Can HIV AIDS Policy Law Rev, 5(4), 86-93.
When HIV (Human immunodeficiency virus) was first discovered as a disease in 1980, the affected individuals were stigmatized to the extreme. HIV/AIDS (acquired immune deficiency syndrome) was first reported with homosexuals and IV drug users, which led the Center for Disease Control (CDC) to label the disease as Gay-related Immune Deficiency, as “gay” individuals were synonymous “drug users” due to their similar activities in the 1980’s (Stine 22). However, it soon became clear that female population were just as susceptible to contracting HIV as males.
This paper discusses various arguments by the proponents and opponents of mandatory HIV testing in two scenarios.