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AIDS (Acquired Immune Deficiency Syndrome)
AIDS Awareness Ribbon
AIDS is without doubt the single greatest health concern for the GLBT community, and probably second only to cancer as a health concern for the human race as a whole.  Though originally associated primarily with gay men (hence its original names,  "gay cancer" and gay-related immuno-deficiency syndrome, or GRIDS), this condition is now known to be most prevalent among heterosexuals, especially in Africa and other third-world regions.   In the twenty years since it was first diagnosed, AIDS has claimed over 8 million lives worldwide, with over 23 million people worldwide believed to be infected with HIV, the virus that causes AIDS.   Evidence exists that isolated cases of AIDS may have existed in the US as early as the 1950s, and perhaps even earlier.   Some unsubstantiated theories even postulated that AIDS may have been known to the ancients, particularly in Egypt.

AIDS is not really a disease but a condition of the immune system.   When HIV infects the human body, it targets the T-cells, cells which play an integral part in the function of the immune system.   The virus introduces its own DNA into that of an infected cell, altering its function from that of an immune system cell to a factory for the production of more viruses.   The T-cell's capability to support the immune system is destroyed and diseases and infections which a healthy and functioning immune system could normally fight off can infect the body.  People who are infected with HIV but still have adequately functioning immune systems and have not yet contracted any diseases as a result of an impaired immune system are called HIV-positive.   Only when they have contracted one or more diseases as a result of an impaired immune system or have a T-cell count below a specified level can they be said to have AIDS.

It is inaccurate to say that a person dies of AIDS.   Rather, people die from one or more diseases or conditions which are a result of their bodies' impaired ability to fight off infection.   Therefore, a more accurate description is that they have died from an AIDS related condition or complications of AIDS.   Pneumonia, kidney, heart and liver infections, and kaposi's sarcoma are the most common infections associated with AIDS.   A person's ability to survive various forms of cancer can also be severely impaired by AIDS.

Thanks to new developments in drugs and therapy, HIV infection is not the death sentence it once was, and even people who have contracted AIDS can expect to live for several years, even decades.  However, AIDS is still a very real threat and should be taken seriously.   Therapy for HIV and AIDS is expensive, even with insurance, and while the onset of AIDS can be delayed for up to twenty years or more, and people with AIDS are living longer, current statistics show that the condition remains ultimately fatal, and the drug therapies used do not work for everyone.   Even when they are not fatal, the various diseases and infections associated with AIDS can be very painful and unpleasant, and can recur numerous times.   Anyone who engages in behavior which is known to transmit HIV is at risk for the disease, regardless of sexuality, gender, age, race, nationality, or any other class or distinction.   Those who are already infected with one form of HIV and continue risky behavior can be infected with other strains of the virus, which can speed up the onset of AIDS and increase its severity.   For these reasons, everyone should remain aware of the means by which HIV is transmitted and take steps to prevent it.   Those who use intravenous drugs should avoid sharing needles or better yet enter rehab to stop the use of such drugs.  Those who get tattoos or piercings should insure that all equipment used is properly sterilized or better yet avoid this fad altogether.   Those who choose to be sexually active should limit the number of sex partners they have and practice safe sex.   Persons living with someone who is HIV-positive or who has AIDS should avoid sharing razors, toothbrushes, or other implements which can be contaminated with infected blood.   Expectant mothers should be especially careful to avoid these behaviors, since HIV can be transmitted from the mother to infants in the womb.    Those already infected are advised to take anit-HIV drugs, choose caeserean births, and to not breast feed their babies.  The odds for both HIV infection and the onset of AIDS can also be reduced through proper diet and nutrition, regular exercise, and a positive attitude.   Above all, the greatest weapon against AIDS is education.

Links:

Centers for Disease Control

The Body - AIDS and HIV Information Resource

AIDS - HIV - AEGIS

AIDS Resource List

AIDS Research Information Center

HIV/AIDS Center

World Health Organization: HIV/AIDS Surveillance

Center for AIDS Prevention Studies

NOVA Online - Surviving AIDS

American Foundation for AIDS Research

Journal of the American Medical Association - HIV/AIDS

HIV InfoWeb Library

Gay Men's Health Crisis

20 Years of AIDS