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Communicable Disease HIV Essay

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Communicable Disease - HIV Since its discovery as a wasting disease, "gay-related immune deficiency" and "slim" in the mid-1980's, HIV has posed a significant health problem for the United States and the World. Initially considered mysteriously devastating, HIV ultimately caused the deaths of hundreds of thousands, yet failed to attract sufficient funding and attention. Through the efforts of health professionals and activists, HIV was finally accorded the funding and attention it deserved. Today, HIV is addressed globally, federally and locally through multiple well-funded programs/groups and agencies.

History of HIV

According to the AIDS Healthcare Foundation, blood analysis showed that the HIV virus existed in humans as early as the 1940's and that HIV-1 -- the most common viral strain -- was transmitted from chimpanzees to humans at some point in the early to mid-20th Century (AIDS Healthcare Foundation, n.d.). In the early 1980's medical professionals noticed that a "wasting disease" was spreading in Uganda and that numbers of gay men in California and New York had rare types of cancer and pneumonia (AIDS Healthcare Foundation, n.d.). In 1984, HIV was identified as the cause of "gay-related immune deficiency" and/or "slim" (AIDS Healthcare Foundation, n.d.). By 1985, cases were reported worldwide (AIDS Healthcare Foundation, n.d.). HIV / AIDS was devastating both medically and socially, as early patients were discriminated against in housing and employment, and died with inadequate treatment (AIDS Healthcare Foundation, n.d.).

As recognition of HIV's seriousness and widespread devastation deepened, treatment progressed. The first needle exchange program was introduced in Amsterdam and the first blood test for HIV was approved in 1985 (AIDS Healthcare Foundation, n.d.). In 1986, AZT was successfully tested as a treatment and remained the only treatment for AIDS...

In 1996, medical "cocktails" including protease inhibitors were prescribed to control HIV, significantly improving the lifespan and life quality of HIV / AIDS patients. Since that time, antiretroviral therapy has continually advanced and health care professionals focused on expanding access to the included medications and on universal access to prevention through the use of condoms, testing and treatment (AIDS Healthcare Foundation, n.d.).
Global / National / State / County Statistics on HIV

Though worldwide efforts and progress are being made against HIV, the virus is still a significant health issue. Globally, approximately about 33.3 million people are now living with HIV (AIDS Healthcare Foundation, n.d.). As of the July 13, 2010 release of the National HIV / AIDS Strategy on July 13, 2010, more than 575,000 Americans died from AIDS, more than 56,000 people in the U.S. were infected with HIV yearly, and 1.1+ million people in America lived with HIV (U.S. Department of Health and Human Services, 2010). Perhaps the most accurate State and County statistics on HIV are collected by the San Francisco AIDS Foundation, which reports for the State of California: that almost 200,000 Californians have contracted HIV / AIDS and almost 90,000 have died since the early 1980's; approximately 109,000 Californians are HIV-positive, with 69,728 of that number living with AIDS; there are as many as 7,000 new HIV infections yearly in California (San Francisco Aids Foundation, 2012). The same organization reports for the County/City of San Francisco, from the beginning of the epidemic in the 1980's to December 31, 2010: 28,793 residents were diagnosed with AIDS; 19,341 died; 15,861 were living with HIV, of whom 9,452 were living with AIDS; there were 399 newly diagnosed HIV cases for 2010, down from 460 in 2009 and 492 in 2008 (San…

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The nurse's role in education about and prevention of HIV stems from his/her core value of becoming a knowledgeable, effective advocate for the highest attainable quality of patient care. This core value requires several key activities by nurses, presented here numerically but in equal order of importance. First, the nurse must become educated about HIV-related issues (Association of Nurses in AIDS Care, 2012). Secondly, the nurse must make his/her voice heard. Nurses can make their voices nationally and regionally heard by: joining professional organizations that exert greater impact on the response to HIV / AIDS issues (Association of Nurses in AIDS Care, 2012); contacting public officials (Association of Nurses in AIDS Care, 2012); calling media attention to HIV / AIDS to the epidemic and in pressuring for a more aggressive governmental response (Association of Nurses in AIDS Care, 2010, p. 4); taking a clear-cut stance on effective education and prevention (Association of Nurses in Aids Care, 2012). Nurses can make their voices locally and specifically heard by: participating in community programs, organizations and support groups dedicated to education, prevention and high quality treatment. In their professional lives, nurses can contributed to prevention by educating patients about the causes, prevention, treatment and day-to-day aspects of living with of HIV / AIDS. Some use a widespread approach, such as published materials like What nurses know…HIV and AIDS (Farnan & Enriquez, 2012); others directly address those issues with their individual patients, such as forming an alliance with the patient to enhance adherence to treatment (Association of Nurses in AIDS Care, 2010, p. 47).

Community Programs / Organizations / Support Groups

As HIV / AIDS awareness increased, the numbers of community programs, organizations and support groups also increased. Given San Francisco's large at-risk gay/bisexual male population, for example, there are several key programs, organization and support groups. There is, of course, the San
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