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HIV Treatment Programs
By Mary Rose

HIV Treatment Programs
Treatment programs have to overcome many obstacles, ranging from patient recruitment to procuring drugs. The following are some of the most significant issues.
HIV counseling and testing is particularly important as a starting point for access to other HIV/AIDS-related services. If a person does not know they are infected, they cannot get any treatment or care. In too many cases people are diagnosed positive when they are already seriously ill. At this point, there are fewer opportunities for cost-effective interventions.
 HIV counseling and testing is important to encourage people to use these services. Raising awareness of the benefits of treatment provides people with an incentive to learn their status, and so should help to increase demand. To help overcome this problem, many countries are moving towards offering every person for test as a routine part of health care, regardless of symptoms.
Patient selection criteria are used to determine who is most likely to benefit from antiretroviral treatment. Usually the patient must demonstrate that they are able to attend the treatment centre regularly and to adhere to daily medication. It may be necessary, for example, to arrange transport to help people meet these requirements. Also, the treatment program may need to help people to find the support they need to cope with the demands of treatment, whether it be from friends, family or support groups. Those who have alcohol or other drug addictions, or depression, need to be helped to overcome their problems before they start treatment.
In the absence of treatment, someone who has is likely to remain healthy for longer if they have an ample and nutritious diet. The need for good nutrition also applies to those who are receiving treatment, especially because some of the drugs should be taken on a full stomach, and little is known about the effects of antiretroviral on malnourished people. One study in Singapore found that malnourished people were less likely than others to benefit from the medication.6 Researchers in Malawi found that severely malnourished patients were six times more likely to die in the first three months of treatment than those with a normal nutritional status.
Furthermore, if someone lacks an adequate food supply then they are less likely to be able to adhere to a daily treatment regimen. Hunger is a much more immediate problem than the threat of AIDS, and desperate people may even resort to selling their drugs to feed themselves and their families.
Antiretroviral drugs can stop working if they are not taken every single day. It is therefore essential to maintain an uninterrupted supply of medication, from the factories where the drugs are made all the way down to the rural villages where they are needed. This presents difficulties because in many countries the distribution systems for all kinds of medicines are chronically weak and unreliable. Transport and communication networks are often in very poor condition.
In September 2005, PEPFAR awarded a contract for supply chain management to a consortium led by John Snow International and Management Sciences for Health. Their system is intended to handle a wide range of HIV/AIDS related products, including drugs and laboratory equipment, for US-funded projects around the world. Several members of the PEPFAR supply chain consortium also participate in the AMDS.
The parts of the world worst affected by AIDS have a dire shortage of health workers. In particular Africa, which is home to 14% of the world’s population, and carries 25% of the global disease burden, has only 1.3% of global health workers. This shortage is one of the most serious problems facing antiretroviral treatment programs.
One reason for the paucity of health workers in poor countries is the international poaching of doctors and nurses by Europe and North America. Skilled professionals are lured abroad by better working conditions and much better pay. This migration satisfies the needs of the rich countries, but drains resources from nations that can ill afford to lose

HDL, the good cholesterol, may not be so good after all
A new genetic study suggests that high-density lipoprotein, the so-called good cholesterol commonly known as HDL, may not actually be as good for us as physicians previously thought. A study of more than 100,000 people found that those with genes that promote production of higher-than-normal levels of HDL do not have a lower risk of having a heart attack, a finding that has surprised researchers immensely. The results could have major implications for pharmaceutical manufacturers, who have been attempting to develop drugs that will raise HDL in the hopes of preventing heart attacks in people at higher risk.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f7c480e/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=HDL%2C+the+good+cholesterol%2C+may+not+be+so+good+after+all&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-hdl-good-cholesterol-20120518%2C0%2C3105553.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=HDL%2C+the+good+cholesterol%2C+may+not+be+so+good+after+all&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-hdl-good-cholesterol-20120518%2C0%2C3105553.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204390613/u/49/f/622900/c/34253/s/1f7c480e/a2.htm"><img src="http://da.feedsportal.com/r/134204390613/u/49/f/622900/c/34253/s/1f7c480e/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204390613/u/49/f/622900/c/34253/s/1f7c480e/a2t.img" border="0"/>
Fructose makes rats dumber. What sugars should we avoid?
Rats fed fructose-laced drinking water for six weeks performed more slowly in a maze-navigating task, UCLA researchers have found. (Read this L.A. Times opinion article .) They think the effect is due to changes in the way the brain responds to insulin as a result of exposure to fructose.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f752eea/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Fructose+makes+rats+dumber.+What+sugars+should+we+avoid%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-fructose-makes-rats-stupid-brain-20120517%2C0%2C280660.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Fructose+makes+rats+dumber.+What+sugars+should+we+avoid%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-fructose-makes-rats-stupid-brain-20120517%2C0%2C280660.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204624474/u/49/f/622900/c/34253/s/1f752eea/kg/326-327/a2.htm"><img src="http://da.feedsportal.com/r/134204624474/u/49/f/622900/c/34253/s/1f752eea/kg/326-327/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204624474/u/49/f/622900/c/34253/s/1f752eea/kg/326-327/a2t.img" border="0"/>
Donna Summer: Lung cancer leading cause of cancer death
Disco legend Donna Summer, 63, died Wednesday night, reportedly of lung cancer. As of press time, her family hadn&rsquo;t released details about her illness, so it was unknown what type of lung cancer she had, and how long she may have been ailing.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f7503ab/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Donna+Summer%3A+Lung+cancer+leading+cause+of+cancer+death&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-donna-summer-lung-cancer-20120517%2C0%2C455356.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Donna+Summer%3A+Lung+cancer+leading+cause+of+cancer+death&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-donna-summer-lung-cancer-20120517%2C0%2C455356.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204354402/u/49/f/622900/c/34253/s/1f7503ab/a2.htm"><img src="http://da.feedsportal.com/r/134204354402/u/49/f/622900/c/34253/s/1f7503ab/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204354402/u/49/f/622900/c/34253/s/1f7503ab/a2t.img" border="0"/>
Supermarket intervention prompted shoppers to buy more produce
We&rsquo;re fat, in case you hadn&rsquo;t heard. And as we learned last week, 42% of American adults will be obese by 2030, according to researchers at the Weight of the Nation conference sponsored by the Centers for Disease Control and Prevention.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f71fc37/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Supermarket+intervention+prompted+shoppers+to+buy+more+produce&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-supermarket-intervention-20120517%2C0%2C2349121.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Supermarket+intervention+prompted+shoppers+to+buy+more+produce&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-supermarket-intervention-20120517%2C0%2C2349121.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204582916/u/49/f/622900/c/34253/s/1f71fc37/a2.htm"><img src="http://da.feedsportal.com/r/134204582916/u/49/f/622900/c/34253/s/1f71fc37/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204582916/u/49/f/622900/c/34253/s/1f71fc37/a2t.img" border="0"/>
Chain restaurants don't meet U.S. nutrition guidelines, study says
Plenty of restaurants have been advertising their efforts to offer healthful choices, and it&rsquo;s possible to eat carefully just about anywhere. But researchers say nearly all the entrees they reviewed at 245 U.S. chains fail to meet federal guidelines.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f6db1ce/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Chain+restaurants+don%27t+meet+U.S.+nutrition+guidelines%2C+study+says&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-chain-restaurants-20120516%2C0%2C6040896.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Chain+restaurants+don%27t+meet+U.S.+nutrition+guidelines%2C+study+says&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-chain-restaurants-20120516%2C0%2C6040896.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204558228/u/49/f/622900/c/34253/s/1f6db1ce/kg/326-327/a2.htm"><img src="http://da.feedsportal.com/r/134204558228/u/49/f/622900/c/34253/s/1f6db1ce/kg/326-327/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204558228/u/49/f/622900/c/34253/s/1f6db1ce/kg/326-327/a2t.img" border="0"/>
Healthy food doesn't have to be expensive, USDA insists
Healthy food, we&rsquo;ve often heard, is pricey food. Fruits and vegetables -- they&rsquo;re expensive! We can&rsquo;t afford to eat that way! That&rsquo;s why we don&rsquo;t do it!<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f6d425a/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Healthy+food+doesn%27t+have+to+be+expensive%2C+USDA+insists&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-healthy-cheap-food-usda-20120516%2C0%2C1008350.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Healthy+food+doesn%27t+have+to+be+expensive%2C+USDA+insists&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-healthy-cheap-food-usda-20120516%2C0%2C1008350.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204556288/u/49/f/622900/c/34253/s/1f6d425a/a2.htm"><img src="http://da.feedsportal.com/r/134204556288/u/49/f/622900/c/34253/s/1f6d425a/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204556288/u/49/f/622900/c/34253/s/1f6d425a/a2t.img" border="0"/>
Breast cancer study reveals 'substantial genetic diversity'
A new study of the protein-coding genes in 100 breast cancer tumors revealed vast differences among the cancers and highlights how complicated the disease really is, researchers said Wednesday. <img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f6d4258/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Breast+cancer+study+reveals+%27substantial+genetic+diversity%27&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-breast-cancer-genome-diversity-20120516%2C0%2C4082915.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Breast+cancer+study+reveals+%27substantial+genetic+diversity%27&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-breast-cancer-genome-diversity-20120516%2C0%2C4082915.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204556287/u/49/f/622900/c/34253/s/1f6d4258/a2.htm"><img src="http://da.feedsportal.com/r/134204556287/u/49/f/622900/c/34253/s/1f6d4258/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204556287/u/49/f/622900/c/34253/s/1f6d4258/a2t.img" border="0"/>
Two paralyzed people successfully use robot arm
After years of work with primates and able-bodied humans, researchers have successfully demonstrated in paralyzed humans that an implanted electrode in the brain can successfully control the movement of a robot arm, allowing the patients to drink and perform other functions for the first time since they were disabled.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f6cd3bc/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Two+paralyzed+people+successfully+use+robot+arm&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-robot-arm-20120516%2C0%2C6057946.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Two+paralyzed+people+successfully+use+robot+arm&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-robot-arm-20120516%2C0%2C6057946.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204554522/u/49/f/622900/c/34253/s/1f6cd3bc/a2.htm"><img src="http://da.feedsportal.com/r/134204554522/u/49/f/622900/c/34253/s/1f6cd3bc/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204554522/u/49/f/622900/c/34253/s/1f6cd3bc/a2t.img" border="0"/>
National strategy on Alzheimer's disease aims to halt it by 2025
Asserting "we are at an exceptional moment" in the hunt for an Alzheimer'sdiseasetreatment, National Institutes of Health director Dr. Francis Collins on Tuesday promised a raft of new research aimed at stopping and reversing the memory-robbing disorder by the year 2025. In unveiling a first-ever "national strategy" on Alzheimer's disease, Collins launched several new projects and clinical trials--including a whole-genome sequencing effort to identify genes that confer vulnerability to--or protection against-- Alzheimer's, and a trial to explore whether an inhaled form of insulin will slow progression of the disease.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f63d777/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=National+strategy+on+Alzheimer%27s+disease+aims+to+halt+it+by+2025&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-alzheimers-national-strategy-20120515%2C0%2C4694611.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=National+strategy+on+Alzheimer%27s+disease+aims+to+halt+it+by+2025&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-alzheimers-national-strategy-20120515%2C0%2C4694611.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204266514/u/49/f/622900/c/34253/s/1f63d777/a2.htm"><img src="http://da.feedsportal.com/r/134204266514/u/49/f/622900/c/34253/s/1f63d777/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204266514/u/49/f/622900/c/34253/s/1f63d777/a2t.img" border="0"/>
Parkinson's disease may be diagnosed by studying colon, reports say
Parkinson's disease is a disorder of the brain, but it may be possible to diagnose it at an early stage by examining the bowel, researchers said Tuesday. As new drugs to treatParkinson's are developed, they noted, earlier diagnosis should make it possible to intervene at an earlier stage when the disorder is more susceptible to drugs, thereby prolonging quality of life and lifespan.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f6306a0/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Parkinson%27s+disease+may+be+diagnosed+by+studying+colon%2C+reports+say&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-parkinsons-colon-20120515%2C0%2C4151878.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Parkinson%27s+disease+may+be+diagnosed+by+studying+colon%2C+reports+say&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-parkinsons-colon-20120515%2C0%2C4151878.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204535043/u/49/f/622900/c/34253/s/1f6306a0/a2.htm"><img src="http://da.feedsportal.com/r/134204535043/u/49/f/622900/c/34253/s/1f6306a0/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204535043/u/49/f/622900/c/34253/s/1f6306a0/a2t.img" border="0"/>
U.S. asthma rates at all-time high, CDC says
The proportion of Americans with asthma increased from 7.3% in 2001 to 8.4% in 2010, marking the highest level ever, the U.S. Centers for Disease Control and Prevention said Tuesday. In 2010, an estimated 18.7 million adults and 7 million children had the disease -- one in every 12 Americans. Overall, about 29.1 million adults have been diagnosed with asthma at some point in their lives, but many of those were misdiagnosed or have apparently recovered, leading to the current figure of 18.7 million.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f62bd7b/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=U.S.+asthma+rates+at+all-time+high%2C+CDC+says&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-asthma-prevalence-20120515%2C0%2C1500539.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=U.S.+asthma+rates+at+all-time+high%2C+CDC+says&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-asthma-prevalence-20120515%2C0%2C1500539.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204501752/u/49/f/622900/c/34253/s/1f62bd7b/a2.htm"><img src="http://da.feedsportal.com/r/134204501752/u/49/f/622900/c/34253/s/1f62bd7b/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204501752/u/49/f/622900/c/34253/s/1f62bd7b/a2t.img" border="0"/>
Smoking pot for multiple sclerosis? Study finds it helps
Smoking marijuana to relieve the symptoms of multiple sclerosis is a practice with a fair number of adherents, though it has not been subject to rigorous testing. A new study finds that puffing weed does have a rapid and measurable effect on MS patients' muscle spasticity and on their perception of pain. But subjects who smoked pot were not able to walk any faster and -- surprise! -- they felt higher than members of the control group who smoked marijuana stripped of THC.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f5a458b/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Smoking+pot+for+multiple+sclerosis%3F+Study+finds+it+helps&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-marijuana-multiple-sclerosis-20120514%2C0%2C308297.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Smoking+pot+for+multiple+sclerosis%3F+Study+finds+it+helps&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-marijuana-multiple-sclerosis-20120514%2C0%2C308297.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204221522/u/49/f/622900/c/34253/s/1f5a458b/a2.htm"><img src="http://da.feedsportal.com/r/134204221522/u/49/f/622900/c/34253/s/1f5a458b/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204221522/u/49/f/622900/c/34253/s/1f5a458b/a2t.img" border="0"/>
Could patients with COPD breathe easier with acupuncture?
A new study offers some promising evidence that acupuncture may improve quality of life for patients with chronic obstructive pulmonary disease.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f5a458c/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Could+patients+with+COPD+breathe+easier+with+acupuncture%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-acupuncture-copd-breathing-20120514%2C0%2C3314857.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Could+patients+with+COPD+breathe+easier+with+acupuncture%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-acupuncture-copd-breathing-20120514%2C0%2C3314857.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204221521/u/49/f/622900/c/34253/s/1f5a458c/a2.htm"><img src="http://da.feedsportal.com/r/134204221521/u/49/f/622900/c/34253/s/1f5a458c/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204221521/u/49/f/622900/c/34253/s/1f5a458c/a2t.img" border="0"/>
Laxative-free colonoscopy may soon be possible
This post has been corrected. See note at the bottom for details.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f5a0f87/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Laxative-free+colonoscopy+may+soon+be+possible&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-laxative-free-colonoscopy-20120514%2C0%2C6650327.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Laxative-free+colonoscopy+may+soon+be+possible&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-laxative-free-colonoscopy-20120514%2C0%2C6650327.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204456279/u/49/f/622900/c/34253/s/1f5a0f87/a2.htm"><img src="http://da.feedsportal.com/r/134204456279/u/49/f/622900/c/34253/s/1f5a0f87/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204456279/u/49/f/622900/c/34253/s/1f5a0f87/a2t.img" border="0"/>
Sleepwalking: More common than you might think
Ever sleep-walked? I have. At the age of 12, I woke up to find myself in a bedroom where a visiting kid was staying over, my head gently resting on the foot of the bed. I got up, snuck back to my bedroom and kept it to myself. It was weird and a little embarrassing.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f59bd59/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Sleepwalking%3A+More+common+than+you+might+think&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-sleepwalking-is-common-stanford-study-20120514%2C0%2C3214745.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Sleepwalking%3A+More+common+than+you+might+think&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-sleepwalking-is-common-stanford-study-20120514%2C0%2C3214745.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204219046/u/49/f/622900/c/34253/s/1f59bd59/a2.htm"><img src="http://da.feedsportal.com/r/134204219046/u/49/f/622900/c/34253/s/1f59bd59/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204219046/u/49/f/622900/c/34253/s/1f59bd59/a2t.img" border="0"/>
Kids' ER visits resulting from battery exposure have doubled in two decades
Emergency room visits resulting from children swallowing batteries or sticking them into other orifices doubled between 1990 and 2009, researchers said Monday. There were an estimated 5,525 ER visits caused by batteries in 2009, with the bulk of them occurring in children under the age of 5, according to a team from Nationwide Children's Hospital in Columbus, Ohio. Most of them were caused by button batteries, the small, disc-like batteries found in many games and other electronic devices.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f58932f/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Kids%27+ER+visits+resulting+from+battery+exposure+have+doubled+in+two+decades&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-batteries-children-20120514%2C0%2C7382618.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Kids%27+ER+visits+resulting+from+battery+exposure+have+doubled+in+two+decades&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-sci-sn-batteries-children-20120514%2C0%2C7382618.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204447737/u/49/f/622900/c/34253/s/1f58932f/a2.htm"><img src="http://da.feedsportal.com/r/134204447737/u/49/f/622900/c/34253/s/1f58932f/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204447737/u/49/f/622900/c/34253/s/1f58932f/a2t.img" border="0"/>
My kid's pacifier could hurt him. It's worrying -- to a point.
Some of the longest-lasting relics of my kids&rsquo; infancies and toddlerhoods have been their pacifiers and their sippy cups.  Even now, with the boys 3 and 5 years old, we devote two drawers in our kitchen to a collection of jumbled lids, valves and cups (many featuring slowly fading portraits of Lightning McQueen.)  The binkies, which my younger son uses at bedtime and on long airplane trips, live in a banged-up plastic container perched on a high cabinet shelf. <img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f574948/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=My+kid%27s+pacifier+could+hurt+him.++It%27s+worrying+--+to+a+point.&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-bottles-pacifiers-sippy-cups-injuries-20120514%2C0%2C3476896.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=My+kid%27s+pacifier+could+hurt+him.++It%27s+worrying+--+to+a+point.&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-bottles-pacifiers-sippy-cups-injuries-20120514%2C0%2C3476896.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204478968/u/49/f/622900/c/34253/s/1f574948/a2.htm"><img src="http://da.feedsportal.com/r/134204478968/u/49/f/622900/c/34253/s/1f574948/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204478968/u/49/f/622900/c/34253/s/1f574948/a2t.img" border="0"/>
Egg producers fund study confirming the health benefits of eggs
News flash: Eggs are really good for you. This message was brought to you by the American Egg Board.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f49456a/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Egg+producers+fund+study+confirming+the+health+benefits+of+eggs&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-egg-protein-breakfast-diet-20120512%2C0%2C7662035.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Egg+producers+fund+study+confirming+the+health+benefits+of+eggs&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-egg-protein-breakfast-diet-20120512%2C0%2C7662035.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204142559/u/49/f/622900/c/34253/s/1f49456a/kg/326-327/a2.htm"><img src="http://da.feedsportal.com/r/134204142559/u/49/f/622900/c/34253/s/1f49456a/kg/326-327/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204142559/u/49/f/622900/c/34253/s/1f49456a/kg/326-327/a2t.img" border="0"/>
For defibrillators to save lives, people have to use them
Chances are, if you&rsquo;re out and about, you&rsquo;ll pass by an automated external defibrillator, or AED. <img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f46be1f/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=For+defibrillators+to+save+lives%2C+people+have+to+use+them&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-defibrillators-promiximity-blacks-20120511%2C0%2C853207.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=For+defibrillators+to+save+lives%2C+people+have+to+use+them&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-defibrillators-promiximity-blacks-20120511%2C0%2C853207.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204128143/u/49/f/622900/c/34253/s/1f46be1f/a2.htm"><img src="http://da.feedsportal.com/r/134204128143/u/49/f/622900/c/34253/s/1f46be1f/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204128143/u/49/f/622900/c/34253/s/1f46be1f/a2t.img" border="0"/>
Weight-loss drug Lorcaserin: Definite maybe in 2nd run at FDA's OK
The proposed weight-loss drug Lorcaserin, rebuffed in its bid for Food and Drug Administration approval last October, on Thursday won a recommendation of approval from the agency's advisory committee, a major step toward winning the FDA's go-ahead to enter the U.S. market. If the agency follows the advice of the panel of independent experts--which is common but not routine-- Lorcaserin would become the first new prescription weight-loss drug to go on the U.S. market since Orlistat (now marketed over-the-counter as Alli) was approved in 1999.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f3e6660/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Weight-loss+drug+Lorcaserin%3A+Definite+maybe+in+2nd+run+at+FDA%27s+OK&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb--weight-loss-drug-lorcaserin-20120510%2C0%2C2735366.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Weight-loss+drug+Lorcaserin%3A+Definite+maybe+in+2nd+run+at+FDA%27s+OK&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb--weight-loss-drug-lorcaserin-20120510%2C0%2C2735366.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204361805/u/49/f/622900/c/34253/s/1f3e6660/a2.htm"><img src="http://da.feedsportal.com/r/134204361805/u/49/f/622900/c/34253/s/1f3e6660/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204361805/u/49/f/622900/c/34253/s/1f3e6660/a2t.img" border="0"/>
Legalizing gay marriage is good for public health, studies show
President Obama said Wednesday that he now supports gay marriage . In an interview with Robin Roberts of ABC News, he explained that for him, it&rsquo;s an issue of fairness : &ldquo;It's also the Golden Rule, you know, treat others the way you would want to be treated.&rdquo;<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f30d2b0/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Legalizing+gay+marriage+is+good+for+public+health%2C+studies+show&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-gay-marriage-health-studies-20120509%2C0%2C892309.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Legalizing+gay+marriage+is+good+for+public+health%2C+studies+show&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-gay-marriage-health-studies-20120509%2C0%2C892309.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204255229/u/49/f/622900/c/34253/s/1f30d2b0/a2.htm"><img src="http://da.feedsportal.com/r/134204255229/u/49/f/622900/c/34253/s/1f30d2b0/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204255229/u/49/f/622900/c/34253/s/1f30d2b0/a2t.img" border="0"/>
Drug delays progression in myeloma, but is it worth the cost?
Lenalidomide, sold under the tradename Revlimid, significantly improves progression-free survival in patients with myeloma, according to three clinical trials published Wednesday. All three trials were so successful that the results were unblinded early and, in two of the three trials, patients receiving the placebo were switched to the active drug. But researchers also found that the drug doubled the risk of a second, independent cancer occurring, and it is not yet clear whether the drug produces an increase in overall survival. Moreover, the drug is quite expensive, more than $163,000 for a year of treatment, and there was no data indicating whether quality of life improved enough to justify the cost.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f305215/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=Drug+delays+progression+in+myeloma%2C+but+is+it+worth+the+cost%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-lenalidomide-myeloma-20120509%2C0%2C2657211.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=Drug+delays+progression+in+myeloma%2C+but+is+it+worth+the+cost%3F&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-lenalidomide-myeloma-20120509%2C0%2C2657211.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/134204031879/u/49/f/622900/c/34253/s/1f305215/a2.htm"><img src="http://da.feedsportal.com/r/134204031879/u/49/f/622900/c/34253/s/1f305215/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/134204031879/u/49/f/622900/c/34253/s/1f305215/a2t.img" border="0"/>
1 of 6 cancer deaths worldwide caused by preventable infections
One in every six cancer deaths worldwide is caused by preventable infections, a total of 1.5 million deaths yearly that could be halted by widespread vaccination programs, researchers reported Wednesday. Since 1990, that number has grown by about half a million, suggesting that vaccination programs are losing ground in the battle rather than gaining it.  The vast majority of the cases are caused by three viruses and a bacterium, which are the leading causes of gastric, liver and cervical cancers. Cervical cancers account for about half of the infection-related cancers in women, while liver and gastric cancers account for about 80% of those in men.<img width='1' height='1' src='http://ChicagoTribune.feedsportal.com/c/34253/f/622900/s/1f2ebed6/mf.gif' border='0'/><div class='mf-viral'><table border='0'><tr><td valign='middle'><a href="http://share.feedsportal.com/viral/sendEmail.cfm?lang=en&title=1+of+6+cancer+deaths+worldwide+caused+by+preventable+infections&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-infections-cancer-20120509%2C0%2C6630689.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/emailthis2.gif" border="0" /></a></td><td valign='middle'><a href="http://res.feedsportal.com/viral/bookmark.cfm?title=1+of+6+cancer+deaths+worldwide+caused+by+preventable+infections&link=http%3A%2F%2Fwww.chicagotribune.com%2Fhealth%2Fla-heb-infections-cancer-20120509%2C0%2C6630689.story%3Ftrack%3Drss" target="_blank"><img src="http://res3.feedsportal.com/images/bookmark.gif" border="0" /></a></td></tr></table></div><br/><br/><a href="http://da.feedsportal.com/r/133515424980/u/49/f/622900/c/34253/s/1f2ebed6/a2.htm"><img src="http://da.feedsportal.com/r/133515424980/u/49/f/622900/c/34253/s/1f2ebed6/a2.img" border="0"/></a><img width="1" height="1" src="http://pi.feedsportal.com/r/133515424980/u/49/f/622900/c/34253/s/1f2ebed6/a2t.img" border="0"/>
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the workers they have spent so much money training. Rates of health worker migration range from 8% to as high as 60% in some African countries.
AIDS also contributes to the shortage of health workers. In the worst affected countries, doctors and nurses are dying of AIDS at such a fast rate that training colleges struggle to produce enough replacements. Botswana lost approximately 17% of its health-care workforce due to AIDS between 1999 and 2005.
In response, many countries are working hard to expand recruitment and training schemes. Some have also sought to ease the shortage of health workers by recruiting doctors and nurses from abroad, against the usual flow of worker migration. Difficulties can however arise if the foreign workers are unable to speak local languages, or are unused to the local way of life.
An increasingly popular alternative is to move many of the routine tasks of AIDS care from more specialized to less specialized staff. Doctors can ease their workload by transferring duties to non-physician clinicians; clinicians can shift tasks to nurses or midwives; and the less technical jobs can be handed over to counselors or community health workers. With sufficient organization, one treatment specialist can oversee thousands of doctors, who in turn can supervise tens of thousands of clinical officers, nurses, community health workers and informal assistants. This "task shifting" approach has proven successful in a number of countries including Botswana and Mozambique. However, it has been argued that 'task-shifting' should only be considered only as part of an overall strategy when attempting to address the human resources shortages.
In May 2006 the international community responded to the health worker crisis by collectively creating the Global Health Workforce Alliance (GHWA). Under the alliance, task forces and working groups were established in order to address specific issues such as technical cooperation, migration and resource mobilization. 14 One such group, the Task Force for Scaling up Education and Training for Health Workers, aims to encourage governments and donors to invest in the education and training of health workers in resource-poor countries.
In its 2008 ‘Towards Universal Access’ progress report, the World Health Organization (WHO) stressed the importance of patient retention in HIV-treatment program, which is said was "emerging as a critical issue". The agency expressed concern that the emphasis on recruiting new patients may leave healthcare workers with inadequate resources to ensure that those already on treatment are adhering to their drug regimes.
 It is relatively easy to provide treatment where there is good infrastructure and AIDS-related activities are already taking place, such as in antenatal clinics. It is much harder to move into rural areas and reach people who have little or no contact with health services or community organizations, or to reach marginalized groups such as refugees, prisoners and injecting drug users. Treatment providers need to look for innovative ways to reach the most underserved population groups as they strive for universal access. One example is the use of mobile outreach services to take drugs from treatment centers to outlying communities on a regular basis.
Another underserved population in many cases is children. It is more difficult to treat HIV-positive children because dosages depend on size and weight, so standard pills and capsules are often unsuitable. The best solution may be to provide antiretroviral syrups, but these can be awkward to procure, transport and store (some may require refrigeration). Children often have difficulty coping with swallowing large pills or unpleasant tasting syrups, as well as coping with side effects, and adult supervision may be needed to ensure adherence.


 

Keywords: HIV, AIDS, Cure, Treatment, Infection, Dating, Positive, Symptoms.


Mary Rose- is good writer on various subjects



































 

 


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