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HIV i AIDS na �wiecie

Og�lno�wiatowa pandemia wywo�ana wirusem HIV, a w nast�pstwie AIDS zbiera �miertelne �niwa na ca�ym �wiecie. Jak donosi UNAIDS w ubieg�ym – 2008 roku 2,5mln os�b zarazi�o si� wirusem HIV. Jest to praktycznie taka sama ilo�� jak w 2007 roku, w kt�rym zmar�o ponad 2,1 mln os�b.

Szacunkowo na �wiecie �yje ponad 40mln ludzi seropozytywnych i chorych na AIDS, z czego prawie 60% stanowi� m�czy�ni. Nie mniej jednak nale�y mie� na uwadze, i� zdecydowana wi�kszo�� zaka�onych zamieszkuje czarny l�d – Afryk�. Oczywi�cie nie ka�de pa�stwo Afryka�skie ma ogromn� mas� nosicieli, aczkolwiek gdzieniegdzie liczba os�b seropozytywnych wynosi a� 1/3 kraju!!! Pa�stwami takimi s� Botswana i Lesotho.

Wed�ug UNAIDS drugim regionem, co do ilo�ci os�b zaka�onych wirusem HIV s� malownicze Karaiby, gdzie szacunkowe dane podaj�, i� AIDS jest jedn� z najcz�stszych przyczyn zgon�w w�r�d os�b do 45 roku �ycia. Pocieszaj�cy jest fakt, �e ta tragiczna sytuacja na Karaibach powoli ulega zmianie, aczkolwiek nie z powodu znacznego spadku ilo�ci zaka�e�, a poddawania si� zaka�onych terapii antyretrowirusowej.

Charakteryzuj�c wyst�powanie HIV/AIDS na pozosta�ych kontynentach, warto zaznajomi� si� z sytuacj� Ameryki Po�udniowej, gdzie �yje blisko 1,8mln nosicieli wirusa i chorych na AIDS. Osoby te �yj� na ca�ym kontynencie, niemniej najwi�ksza umieralno�� wyst�puje w Ameryce �rodkowej – tam te� jest najbardziej ograniczony zas�b lek�w „aretro”. Kiedy sytuacja obu Ameryk jest mo�na rzec zadowalaj�ca (tendencja spadkowa lub wyr�wnana w ilo�ci zaka�e� wirusem HIV), w nied�ugim czasie do tragedii mo�e doj�� na kontynencie azjatyckim. Ot� r�wno od 2004 roku liczba zaka�onych wzrasta rokrocznie a� o 15%, a pa�stwa gdzie skoncentrowana jest najwi�ksza liczba nosicieli to m.in. Chiny, Indie, Tajlandia, Wietnam, Nepal i Kambod�a. �r�d�a podaj�, �e g��wnym czynnikiem szerzenia si� HIV/AIDS jest rosn�ca prostytucja, a w mniejszym stopniu narkomania.

Im bli�ej Polski, tym sytuacja robi si� niezbyt ciekawa, poniewa� w drastyczny spos�b ro�nie liczna zaka�e� na Ukrainie i w Rosji – na chwil� obecn� osoby „pozytywne” stanowi� ponad 2% populacji tych pa�stw, z czego szacuje si�, �e 30% zarazi�o si� w wyniku korzystania z p�atnych us�ug seksualnych, a reszta w wyniku przyjmowania drog� do�yln� narkotyk�w. Najsmutniejszy jest fakt, i� w�r�d tych os�b wysoki odsetek stanowi� ludzie, kt�rzy zostali zaka�eni w spos�b nie�wiadomy, czyli w wyniku zdrad partnerskich, a tak�e uprawiania seksu z osob� zaka�on�, kt�ra nie ma poj�cia o swoim nosicielstwie. Z kolei Europa jest jednym z „bezpieczniejszych” kontynent�w, chocia� w ostatnim roku zanotowano ponad 30 tysi�cy zaka�e�. Europejskie pa�stwa s� bardzo dobrze wyposa�one w leki „aretro”, a ci�g�e u�wiadamianie ludno�ci sk�ania ich do wykonywania test�w przesiewowych, kt�re nawet w przypadku wyniku „+” mobilizuj� nosicieli do podj�cia leczenia.

Epidemia HIV w Europie ma znacznie zr�nicowane oblicze – tereny Skandynawii s� obszarem o niskiej dynamice rozwoju HIV/AIDS z kolei kraje nadba�tyckie jak Litwa, �otwa, a w szczeg�lno�ci Estonia posiadaj� niebagatelnie wysok� dynamik� wzrostu zaka�e�. Podobna sytuacja zaczyna si� dzia� w Wielkiej Brytanii, gdzie zaczyna by� notowanych coraz wi�cej przypadk�w os�b seropozytywnych.

Niestety dop�ki nikt nie wymy�li skutecznego remedium na wyniszczaj�cy ludzki organizm HIV/AIDS, a tak�e skutecznej szczepionki, liczba zachorowa� b�dzie stale ros�a. Pocieszaj�cy jest fakt, i� dost�pne s� coraz skuteczniejsze leki, kt�re – wed�ug przeprowadzonych ostatnich bada�, mog� wyd�u�y� �ycie osobie chorej, a� o 36 lat. Mo�emy przypuszcza�, �e z roku na rok liczba zgon�w b�dzie mala�a, aczkolwiek zaka�e� w dalszym ci�gu ros�a.
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