World AIDS Day: A Global Call for Action and Solidarity

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“World AIDS Day reminds us that by working together, we can end the stigma, save lives, and create a healthier future for everyone.”
— UNAIDS Executive Director

HIV vs. AIDS

HIV (Human Immunodeficiency Virus) is a virus that attacks the body’s immune system, specifically the T cells (CD4 cells), which are crucial for fighting infections. HIV reduces the number of these cells, making the body more vulnerable to infections and certain cancers If untreated.
AIDS (Acquired Immunodeficiency Syndrome) is the most severe stage of HIV infection which occurs when the immune system is badly damaged and the body can no longer fight off opportunistic infections or illnesses effectively. AIDS is diagnosed when the T cell count drops below 200 cells/mm³ or when specific opportunistic illnesses occur in an HIV-positive individual.
HIV spreads through contact with infected bodily fluids such as blood, semen, vaginal fluids, rectal fluids and breast milk. It cannot spread through casual contact like hugging or sharing utensils.
Methods include safe sex practices (eg : condoms), regular testing, the use of PrEP (pre-exposure prophylaxis) and avoiding sharing needles.
HIV can be managed with antiretroviral therapy (ART) which suppresses the virus to undetectable levels. People with HIV who achieve an undetectable viral load cannot transmit the virus sexually which is known as U = U (Undetectable = Untransmittable).
Without treatment, HIV progresses to AIDS, but early detection and consistent ART allow most people to live long, healthy lives.

Figure 1 : HIV Progression

A Piece of The Past

World AIDS Day was established in 1988 by the World Health Organization (WHO) and the United Nations to address the global HIV/AIDS epidemic. It was the first-ever global health day and aimed to raise awareness, educate communities and honor those who had succumbed to AIDS. The choice of December 1st reflects its importance as a year-end reminder to refocus on global health goals and solidarity.

Ongoing Fight Against HIV/AIDS

World AIDS Day serves as a reminder of the ongoing fight against HIV/AIDS. It highlights the progress made while acknowledging the challenges that remain. This day encourages individuals to unite in combating stigma, advocating for those affected and ensuring universal access to testing, treatment and prevention.

Figure 2 : HIV Prevention

Beyond The Health

HIV/AIDS continues to affect over 38 million people worldwide. Despite advancements, regions like sub-Saharan Africa are disproportionately impacted. Beyond health, HIV/AIDS has broader implications including reduced workforce productivity, increased healthcare costs and challenges for orphaned children. World AIDS Day underscores the need for a sustained global response.

Themes of Reflection

Each year’s theme reflects the evolving priorities in the HIV/AIDS response. Past themes like “Equalize”, “Global Solidarity and Shared Responsibility” and “Know Your Status” have focused on key issues such as tackling healthcare inequities, encouraging testing, and fighting stigma.

Take the rights path: My health, my right!

The theme of year 2024 emphasizes that healthcare is a fundamental human right. It advocates for eliminating discrimination ensuring equal access to HIV-related services and empowering individuals to make informed health decisions. By focusing on rights-based approaches, it addresses inequalities that fuel the epidemic.

Figure 3 : HIV/AIDS Activism

We can End this Crisis

The global response has achieved significant milestones. The introduction of antiretroviral therapy (ART) transformed HIV from a fatal condition to a manageable one. Initiatives like UNAIDS 90-90-90 targets have improved testing, treatment, and viral suppression rates. Public awareness campaigns have significantly reduced new infections and AIDS-related deaths.

Still some Barriers

Many challenges persist despite progress. Stigma and discrimination discourage individuals from seeking testing or treatment. Limited healthcare access in low-income regions hinders prevention and care. Rising complacency in wealthier countries risks neglecting prevention efforts.
World AIDS Day calls for renewed global commitment to overcome these barriers.

Participation is the Contribution

Participation can take many forms such as supporting organizations working to combat HIV/AIDS as volunteers or donors, sharing educational resources to reduce stigma to raise awareness, Pushing for inclusive healthcare policies in your community to advocate for policy change etc.
These actions collectively contribute to the global fight against AIDS.

Education For Prevention

Education is vital in reducing HIV transmission. Comprehensive sex education teaches safe practices, the importance of testing, and prevention tools like condoms and PrEP (pre-exposure prophylaxis). Programs targeting youth and marginalized groups can significantly reduce stigma and promote healthier behaviors.

Figure 4 : STEPS to ZERO

The Future of Eradication

The goal to end AIDS as a public health threat by 2030 is ambitious but achievable.
There are many researches to develop vaccines and innovative treatments. Global Collaboration helps to share resources and expertise. Addressing Inequalities ensure no one is left behind in prevention and treatment efforts.
World AIDS Day reminds us of the need for sustained commitment to achieve this vision.

World AIDS Day serves as a powerful reminder of the ongoing fight against HIV/AIDS. It highlights the importance of awareness, education, and compassion in reducing stigma and supporting those affected. By coming together on this day, we renew our commitment to end the epidemic and ensure a healthier and more equitable future for all.

Written by : Janith Dinuka

References :

World Health Organization: WHO & World Health Organization: WHO. (2024, July 22). HIV and AIDS. https://www.who.int/news-room/fact-sheets/detail/hiv-aids?gad_source=1&gclid=CjwKCAiA6aW6BhBqEiwA6KzDc4HIej0H-f-EtkNJOS6wzgeUc09FxHoBWMG4Lq3SDcVnfO5cNUQ_sBoCpYMQAvD_BwE

UNAIDS. (n.d.). 2024 World AIDS Day — Take the rights path. World Health Organization: WHO. (2024, December 1). World AIDS Day. southeastasia. https://www.who.int/southeastasia/news/detail/01-12-2024-world-aids-day

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