Management, Control and Preventative Measures of Pleural Mesothelioma

What is Mesothelioma

You must have heard about Pleural Mesothelioma, you may have not heard about it, but you must have heard about the chest pains. It could be Mesothelioma or something associated with it, Mesothelioma has not been talked about intensively but it is in existence and has caused death in various parts of the world.

Tentatively, you may have had an opportunity to get in contact with Asbestos, you may have used it too, and it is the major cause of Pleural Mesothelioma. In this article, you will get more information regarding this rarely talked about condition, more importantly, what to do when you have similar symptoms, control and management.

Mesothelioma may sound new but a common ailment; it is a type of an infrequent cancer that affects the layers of the interior body organs. To be precise, it is commonly known to be found in the thin layers of lungs and biologically referred to as the pleural thus, medically described as “Pleural Mesothelioma”. Its name is derived from the parts that it mostly affects the thin lining of the lungs known as the “Mesothelium” hence pleural Mesothelioma.

Mesothelioma

It does not only affect the lungs, the other parts that are known to be prone to be affected by Mesothelioma include Peritoneum and Pericardium. There is a misconception about Mesothelioma, in most cases is confused with other abdominal diseases because they do share common symptoms and rarely does a doctor and health professionals discover it, this leads to victims or patients of Pleural Mesothelioma going for wrong prescriptions due to the confusion and unsuspecting medical and cancer professionals.

Causes of Mesothelioma

The major causative agent of the disease or the condition is Asbestos. It is estimated that more than 90% of the disease is caused by extreme exposure to Asbestos. What asbestos is before getting into details of the ailment? Asbestos is a combination of about six naturally occurring minerals in the form of fiber. They have one characteristic that is unique from other minerals, the ability to resist fire; it means it cannot be burnt down easily.

 

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For those people who work with asbestos, who live with people working in asbestos mining, washing clothes of someone working in an asbestos industry, exposure to products manufactured from Asbestos and working or leaving in premises containing Asbestos; should be able to go for medical checkups frequently to be sure that they are fine with their body organs.

It does not mean that Mesothelioma cannot occur in other parts of the body, it will occur but in rare circumstances. Some of the parts that one can be affected by the ailment include the lining of the abdomen, sac surrounding the heart and sac surrounding the testis. The occurrence of the disease has been gradually increasing since 1950s due to the fact that the usage of asbestos has been in the increase over the years.

Global Statistical Analysis and Fatalities

It is also estimated that in the year 2017, approximately 65,000 people had Pleural Mesothelioma and a half of them died of the disease. In 2013, the people who had been exposed to Asbestos were 130 million in total. Mesothelioma was first discovered in the year 1785, just after a few years when people started using Asbestos for building and the mining of the mineral.

According to the available medical literature, the disease or rather the condition is an exceptional type of cancer and dates back to the days when it had not been discovered. The person behind its discovery is known as Joseph Lieutaud, and he noted that the disease occurs as a formation of unwanted or dead cells in the Pleural.

The pleural is the lining of the cells, and as mentioned earlier, it can occur in the Peritoneum which is the lining of the abdomen, and the Pericardium which is the lining of the heart. In essence, the illness has been one of the diseases that have been so uncommon to the point where its diagnosis and research has not been done well simply because of the fact that its causative agent has been a rare mineral to many countries.

In this regard, it has been concluded that it is one of the rarest types of cancer, but fatal. Therefore doctors and medical professionals have so far found the causative agents of the illness; they have determined those who are at risk, Preventative measures, diagnosis and prognosis of the disease. However, it is critical to mention that the disease can be controlled, and reversing can be possible if it is earlier detected.

Types of Pleural Mesothelioma

The classification of Pleural Mesothelioma is based on the location that the tumor is likely to grow, this means that it will be found in specific areas that have a potential habitat for the tumor to grow. The linings of some of the organs in the human body are containing “Mesothelium”.

Every part of the body that has the Mesothelium lining is a potential place for the tumor to develop. As discussed below, the parts or the organs of the body contain the same lining. For instance, Pleural Mesothelioma affects the lungs because the Pleural is a tissue lining found in the lungs, Pericardial Mesothelioma for the heart and Peritoneal Mesothelioma of the abdomen, the following are some of the known types of Pleural Mesothelioma;

1. Peritoneal Mesothelioma

It is also known as the Abdominal Mesothelioma, this is because it affects the abdomen in most case thus the name. The most common symptoms of this type of Cancer are Pain in the Abdomen, pain in the other organs found in the Abdomen like the spleen and the Liver.

Another common symptom associated with it is abdominal effusion, fluid buildup in the abdomen which leads to uneasiness. The results of the prognosis will depend on individual patients, however, of late; the methodology used for its diagnosis has been improved this is due to the introduction of Hyperthermic Intraperitoneal Chemotherapy.

2. Pericardial Mesothelioma

As the name suggests, it mainly affects the pericardium, Pericardium, is the heart lining. Pericardial Mesothelioma symptoms are similar to those of a cardiac arrest, basically, difficulty in the breath, shortness in breathing and pain in the chest are the most common types of symptoms for this type of Mesothelioma.

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Pericardial Mesothelioma is also another rare type and according to diagnostic statistics, for every 10 cases of Mesothelioma, 1 to 2 cases are found to be Pericardial Mesothelioma. As it goes on, Pericardial Mesothelioma makes the heart not to perform its functions optimally and this makes it almost impossible for the heart to supply oxygen to all the other parts of the body as required hence lead to other health complications.

3. Testicular Mesothelioma

Testicular Pleural Mesothelioma is a rare type of Mesothelioma, it accounts for 2% of all the incidences of the disease meaning that it is not commonly known to the doctors and cancer professionals. In this concept, little has been done about the disease and much is yet to be done. Therefore there is no exact information on the cause and the preventative measures of the disease as of now.

Mesothelioma can also be categorized by the type of tumor

Mesothelioma can also be categorized by the type of tumor, this can sound technical but it can only be understood by the cancer professionals who have had a vast knowledge of tumors. The distinguishing factor under this category of classification of Mesothelioma under tumor types is base on the findings whether the tumor is malignant or not malignant. A malignant tumor is that which has been proven to fatal and if left it can be dangerous to the victim hence the name Malignant Mesothelioma.

The other one which is the opposite of the latter is not harmful but demands for it control so that it does not grow or develop to unmanageable or to the level of transforming to malignant tumor. It mainly affects the lining of the lungs, the Pleural hence the name Pleural Mesothelioma. It is common in the lungs because that is the organ in the body that links the external environment and external environment in terms of the quality of oxygen taken in by an individual.

It is also one of the worst in diagnosis because the symptoms of the disease are always soft in their initial stages but become severe they get elevated to other stages, this is the time when patients seek help and treatment become complicated. It is also a fact that Mesothelioma develops, and by the time it is discovered it is already malignant, the malignancy process is gradually developed if not diagnosed in time. In this case, this is not leeway to lose hope, there is still hope and the treatment can be done.

Advancements in the Treatment of Mesothelioma

Chemotherapy progressions

Chemotherapy is one of the methods that doctors apply in the control of cancer in general, and as mentioned earlier, in the past, research was being conducted to make it possible to understand the disease, improvements have been made to understand better ways of treatment and diagnosis. Chemotherapy has since then be improved to make survival of Mesothelioma patients longer and also improve the quality of their lives.

On the other hand, the doctors are also improving their confidence in the control of the disease as they add more effective drugs along with chemotherapy. Combination Chemotherapy is the latest advancement where it introduces the combination of Cisplatin to chemotherapy hence increasing the chances of remission in patients with Testicular Mesothelioma and also prolongs survival periods up to 96%.

Thirty years ago, 94% of Testicular Mesothelioma patients died within a year, but after the introduction of the new combination Chemotherapy on board, it has proven to be effective and has raised the long-term survival in Testicular Mesothelioma patients to 78%.

Multimodal Therapy

The multimodal therapy combines Surgical, Chemotherapy and Radiation which has made it possible for Mesothelioma victims to survive for a long time to more than 6 years. This is one of the latest methods of treating and controlling Mesothelioma. There are different types of patients in this regard, in the past, patients with Mesothelioma were treated according to their cases, for instance, there were patients who were considered fit for chemotherapy and others for radiation, Patients who have confirmed not to be fit for a surgery to remove the Mesothelioma tumor are considered to be fit for other methods of treatment and most preferably best for Multimodal Therapy.

Gene Therapy

This is another breakthrough where doctors have recorded trials that have proved to be of benefit in eradicating the issue of Mesothelioma in the globe. It is a promising method of dealing with Mesothelioma; having located the position of Mesothelioma Tumor, the doctor can deliver genes in the Pleural lining hence make it possible and easier to monitor the tumor and the treatment.

By the use of Suicidal Gene Therapy Technique, doctors will be able to concentrate on Mesothelioma cells rather than the rapidly growing cells in the entire body this is considered to work best on Peritoneal. Generally, the basis of this technique is the instruction of a virus that activates Ganciclovir that in the long run causes the infected cell to die; the virus released is associated with an enzyme.

Support for Victims of Mesothelioma

There is much that involves when you are diagnosed with Mesothelioma. If you happen to be either a victim of Mesothelioma or a caregiver for Mesothelioma victims, it is imperative to note that, once you have started involving in any of the mentioned activities life may take another direction altogether.

This should not be a worry; this statement basically means that as a caregiver you will realize that there is much to be done away from the day to day life activities. For the victims, life activities will revolve around trying to find out means to initiate remission.

As a victim of Mesothelioma, you have to know that the first thing that will come to your mind is the fact that you will want to learn more about the disease, the second thing that you will find yourself concentrating upon is the fact that you will try to get information from doctors on how to manage and live so as to improve your life quality and reduce the effects of the disease in your life.

The stress is an accelerator of death associated with Mesothelioma. In other words, stress among other factors there leads a Mesothelioma patient to seek and join support groups or organizations. Some of the reasons have been mentioned, but the precise reason for joining the support groups is to let the patient get more information regarding treatment, control, prevention and management.

Benefits of Joining a Mesothelioma Support Organization

There are several benefits for joining a Mesothelioma support organization, when a patient gets to mingle with the people that have a common problem or a problem that is similar to each other, they are in the best position to get ideas on the ways to deal and manage the problem. Common benefits of joining a Mesothelioma support group include the following;

  • You will get bits of advice on how to manage your life and live a satisfying life with Mesothelioma hence the stress that is associated with the disease can easily be controlled.
  • The aspect of interacting with Mesothelioma survivors will give you hope and lead to remission since you will be able to be encouraged by them and also eliminate the stigma associated with Mesothelioma.
  • Once in the groups you will get encouragement, and get hope that everything is going to be fine, in essence, you will have your hope renewed.
  • From the patient’s experience, you will be able to get information on the side effects of the Mesothelioma treatments like surgery, radiation, and chemotherapy, all their procedure do have their own side effects and when in the support group you will get all this information from the specialists and you will be prepared mentally and psychologically for the side effects if any will come your way. It is imperative to note also that, the side effects from the treatments do vary from one victim to another; the side effect that you will experience may not necessarily be the same as those being experienced by the other patients.
  • Advice on the methodology on how to deal with emotional changes linked to Mesothelioma Cancer.

Frequently asked Questions about Mesothelioma

Why does Mesothelioma cause pleural effusion?

From a medical point of view, effusion basically means the aspect of fluid escaping from the blood vessels the tissue or cavities. Other words that can be used in place of effusion are exudation and transudation. In respect to Mesothelioma, effusion occurs when the lungs are infected by the tumor growth in the pleural lining.

What does Mesothelioma do to the body?

When one is exposed to asbestos, they pile in the lungs and later on cause malignancy in cells hence make it possible for tumors to grow along the linings of the Abdomen, lungs, and heart, this basically will lead to difficulty in breathing and which is the first symptom of Pleural Mesothelioma. Once the Asbestos is in the body they start damaging the DNA and make cells to cancerous, and the Cancerous cells replicate so fast forming the tumor. The tumor grows to the point of covering some of the most important parts of the important organs of the abdomen hence causing discomfort and pain.

Can Mesothelioma be caused by smoking?

Smoking does not cause Pleural Mesothelioma but exposure to Asbestos does. Asbestos can cause Lung Cancer and Pleural Mesothelioma, but smoking can only cause Lung Cancer. In general, smoking does not cause Mesothelioma but can increase the risk of getting Lung Cancer. Additionally, the combination of the two (Asbestos and Smoking) increase the chances of getting or developing Lung Cancer.

Palliative Care: for all Ages and all Diseases

Twelve-year-old Godfrey was lonely, angry and depressed when he was admitted to hospital with heart failure and tuberculosis. Godfrey had been living with HIV since birth. His parents died long ago.

 

But at the Sunflower Children’s Hospice in South Africa, health and palliative care providers gave Godfrey the support he needed to improve his quality of life and preserve his dignity up until his tragically early death.

 

“When Godfrey arrived at the Sunflower Children’s Hospice, he was on oxygen most of the day, emaciated, depressed and angry,” recalls Dr Joan Marston, Chief Executive for the International Children’s Palliative Care Network, which is closely linked to the hospice. “But the hospice ensured his symptoms were well managed. He was able to express his feelings, attend school, draw pictures of his favourite things, and receive spiritual and emotional support.”

 

“Palliative care,” adds Dr Marston, “enabled Godfrey to no longer be fearful of death and to die peacefully and with dignity.”

 

40 million need palliative care

Each year an estimated 40 million people worldwide require palliative care, including 2.1 million children like Godfrey. Various conditions can warrant palliative care including HIV/AIDS, cardiovascular diseases, cancer, and dementia. According to WHO, less than 14% of those needing palliative care at the end of life currently receive it.

 

WHO is working with governments to expand the palliative care services they provide. The World Health Assembly has recognized that palliative care is a core component of integrated, people-centred health services, not an optional extra, and called on countries to strengthen services and ensure the availability of essential medicines, especially opioid analgesics to relieve pain and respiratory distress.

 

“Palliative care must be available to all people, of all ages, with all diseases,” says Dr Belinda Loring, from WHO’s Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention.

 

There are real health gains for health systems – and especially patients – through ensuring the delivery of appropriate palliative care.

Palliative care makes sense for health systems

 

“Evidence shows that early access to palliative care reduces costs for health systems, by avoiding unnecessary emergency department visits, and hospitalizations,” says Dr Marie-Charlotte Bouesseau, from WHO’s Department of Service Delivery and Safety.

 

The challenges of life-threatening illnesses go beyond patients, extending to their families and support networks. WHO acknowledges that families are an important part of the network providing care, and also require services such as social support and bereavement counseling.

 

One such example is 60-year-old Maria, from Mangaung in South Africa, and her niece Lerato, 24, who was born with HIV and developed kidney failure at the age of 19 years. Today, Lerato (not her real name) receives the medical care she needs, including dialysis 3 times a week. And, importantly, the social and spiritual support required ensures Lerato lives her life with the dignity she deserves, and her aunt is backed by a strong network of carers.

 

“I don’t know how we would have cared for Lerato for all these years without palliative care,” Maria says.

Policy action needed

Despite the cases of Godfrey and Lerato, many people with incurable illnesses fail to receive the health care they need, and this is often because of a lack of government policies and laws to address the issue of palliative care, according to Dr Emmanuel Luyirika, the Executive Director of the African Palliative Care Association.

 

“But still, many countries lack policy frameworks that integrate palliative care services into existing health systems,” he adds. “Such implementation is essential to minimize suffering worldwide.”

 

WHO’s work to strengthen palliative care also includes promoting increased access, addressing ethical issues, encouraging resources for programmes and research in low-resource countries, and highlighting effective models of palliative care in low-income and middle-income settings.

Source: WHO SA link

Cervical Cancer: Africa’s Silent Epidemic

Human papillomavirus (HPV) causes cervical cancer and is the fifth-leading cause of cancer death among females worldwide with over 200,000 deaths annually. According to WHO AFRO, about 70,000 cases of cervical cancer are reported each year in Africa. According to WHO, Africa experiences the highest number of new cases of, and deaths from, cervical cancer in a year. In sub-Saharan Africa cervical cancer affects mostly women in the 20-40 year age group. Risk factors for cervical cancer can broadly be categorized as follows:

Social-cultural factors.

The greater the number of sexual partners a woman has, the higher the risk of HPV infection. Therefore, women who limit their number of male sexual partners have a lower risk of cervical cancer. In Africa, HPV is endemic and poses a very high risk for cervical cancer. Early marriages, especially of young girls to much older men, increase the likelihood of a girl catching HPV at first intercourse,

Biological factors.

Poor nutritional status and infections such as HIV and Tuberculosis (TB) have compromised the immune systems of many individuals. Subsequently, this makes them more susceptible to diseases. Furthermore, HIV-positive women tend to have the advanced stage disease, resistance to therapy and shortened survival

Health system factors

Poor health services are another serious concern for the increased risk of cervical cancer. A lack of an effective screening program aimed at detecting and treating pre-cancerous conditions is a key reason for the much higher cervical cancer incidence in developing countries. Screening programs for cervical cancer in Africa are often undeveloped or non‐existent, thereby affecting the survival rate of women. A vast majority of women who suffer from cervical cancer in SSA present with the disease advanced far beyond the capacity of surgery or other treatment options to offer cure.

Cervical cancer is one of the most preventable of all cancers. Unlike most other cancers it is cost-effective to screen for precursor (pre-cancerous) lesions and then treat them before they develop into cancer. Primary intervention entails prevention of HPV infection. This includes abstinence, mutual monogamy, condom use and use of vaccines. HPV vaccines need to be given prior to contact with the virus that is before sexual debut. HPV vaccines should be targeted towards adolescents aged 10 to 13 years.

Secondary intervention entails screening of the cervix using a Pap smear test. Women found with abnormal smears are referred for a colposcopy and once diagnosis is confirmed, treatment is advised.

Diet and Nutrition for Cancer

Cancer is the second leading cause of morbidity and mortality due to noncommunicable diseases in Africa. As in treatment of different diseases, nutrition is a vital part in cancer treatment. Feeding on right variety of foods help a person feel better and stronger, before, during and after treatment. The diet and nutrition information for cancer in this article is not meant to replace the advice of a medical practitioner specialized in cancer therapy.

Good nutrition is especially important if you are a cancer patient because both the illness and its treatments can change the way you eat. Cancer and its treatments can also affect the way your body performs different metabolic activities like digestion of foods and utilization of nutrients. The nutrients needs of people with cancer differ from one another. Your cancer care team can help you identify your nutrition goals and plan ways to help you meet them.

Feeding on the right foods as directed, when you are in cancer treatment might help you feel better, keep up your strength and energy, maintain your weight and your body’s store of nutrients, tolerate treatment-related side effects like fatigue & anaemia, lower your risk of infection, heal and recover faster. Good diet and nutrition for cancer means eating a variety of foods to get the nutrients your body needs to fight cancer. These nutrients include proteins, carbohydrates, fats, water, vitamins and minerals.

Choose high-protein and high-calorie foods to increase energy and help wounds heal

We need protein for growth, to repair body tissues and to keep our immune systems healthy. Good sources of protein include fish, poultry, lean red meat, eggs, low-fat dairy products, nuts and butters, dried beans, peas and lentils and soy foods. When your body lacks enough proteins, it might break down muscle to quench its thirst. This slows the speed of recovery from illnesses and lowers body’s immunity. People with cancer often need more protein than usual because cancer treatment might involve surgery, chemotherapy or radiation therapy, normally extra protein is highly needed to heal tissues and help fight infection.

Carbohydrates are the body’s major source of energy. They also supply needed vitamins and minerals, fiber and phytonutrients to the body cells. For physical and proper organ function the body obtains its fuel from carbohydrates. The best sources of carbohydrates are fruits, vegetables, potatoes, rice and whole grains.

Fats and oils are made of fatty acids and serve as a rich source of energy for the body. Fats are usually broken down and utilized to store energy, insulate body tissues and transport some types of vitamins through the blood.

Drink lots of fluids

All body cells need water to function. If you don’t drink enough water or of you lose fluids through vomiting or diarrhoea you can be dehydrated. If this happens the fluids and minerals that help keep your body working can become dangerously out of balance. Dry mouth is often caused by radiation therapy to the head and neck and by certain medicines. It may cause altered speech, taste, and the ability to swallow or to use dentures. There is also an increased
risk of dental decay (cavities) and gum disease. A person should drink about 8-ounce glasses of liquid each day to be sure that the body cells get the fluid they need. Keep in mind that all liquids like soups, milk, ice cream and gelatin count toward your fluid goals.

Heal well

For the body to function properly it needs small amounts of vitamins and minerals. They help the body to utilize energy (calories) found in foods. Most of them are found naturally in foods though they are also supplements in pill and liquid form. A person who eats a balanced diet with enough carbohydrates and proteins usually gets plenty of vitamins and minerals. But for cancer patients your doctor or dietitian may suggest daily multivitamin and mineral supplements. If you are thinking of taking a vitamin or supplement, be sure to discuss this with your doctor first.

Nowadays, herbs have been so famous though they have been used to treat disease for hundreds of years, with mixed results. Today, herbs are found in many products, like pills, liquid extracts, teas, and ointments. Many of these products are harmless and safe to use, but others can cause harmful side effects. Some may even interfere with proven cancer treatments, including chemotherapy, radiation therapy, and recovery from surgery. If you’re interested in using products containing herbs, talk about it with your health worker first.

The Burden of HIV Among Adolescents in Africa: An Emerging Crisis

Despite impressive progress towards achieving global targets aimed at halting and reversing the spread of HIV; it still remains a pressing public health challenge in Africa. Across the world, unprecedented investments into the HIV response have resulted in increased access to antiretroviral therapy, increased coverage of risk reduction programs and considerable success in prevention of mother to child transmission of HIV to the extent that ending the HIV epidemic by 2030 is a vision well within reach of global resources and efforts.

Africa has come a long way in the HIV response and has been both a trailblazer and host for various innovations aimed at controlling the HIV epidemic. For example, over the past 15 years, services for prevention of mother to child transmission of HIV expanded so rapidly across Africa that 85% of the 1.4 million children prevented from becoming infected with HIV were in Africa alone (WHO 2015). By 2014 however, Africa (which comprises only 11% of the world’s population) was home to 70% (25.8 million) of people living with HIV. A lot more therefore needs remains to be done before Africa can begin to realize the full benefits of HIV control measures within the continent’s unique context of rapid cultural, economic, political and population shifts.

A key emerging concern is the growing burden of HIV among adolescents aged 10 – 19 years. AIDS is now the leading cause of death among adolescents in Africa and the second most common cause of death among adolescents globally (WHO, 2014). According to UNAIDS, in 2013, an adolescent between the ages of 15 and 19 was newly infected with HIV every two minutes. Every year, 380,000 adolescent girls and young women are infected with HIV—that is 7,300 every week, over 1,000 every day. It should be noted that while this is by no means an African problem alone, the challenges of inadequate coverage and quality of HIV prevention and treatment services on the continent affects specific population groups like adolescents who traditionally have not been sufficiently targeted and / or reached by existing health systems. In addition in 2013, nearly half of all adolescents living with HIV globally were in six countries alone of which five are in Africa.

The drivers of this emerging crisis are varied and complex. Children who have acquired HIV from their mothers often present for treatment initially as adolescents; while on the other hand, adolescents are also acquiring HIV during unprotected sex or by using contaminated drug-injecting equipment. High mortality rates among adolescents living with HIV indicate challenges with access and adherence to treatment. In this region moreover, adolescent girls are disproportionately at high risk of acquiring HIV. Girls and young women account for 71 percent of new HIV infections among adolescents in sub Saharan Africa. 50% of these new infections are occurring in only 10 countries namely Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe. Adolescent girls are more vulnerable due to gender inequalities and gender violence. According to a UNICEF report released in 2015, adolescent girls are more likely to be married or in union by age 19 than their male counterparts, and less likely than boys to have comprehensive knowledge of HIV (UNICEF, State of the World’s Children report 2015).

The magnitude and importance of this emerging crisis has grabbed the attention of governments, NGOs and communities across Africa and the world. There is general consensus that ambitious and aggressive programs targeting adolescents need to be established. There are structural or non-health sector drivers of new HIV infections among adolescents such as social acceptance of child marriage, culturally-sanctioned gender violence, declining retention rates of girls in school and persistent stigma and discrimination. These structural drivers call for multisectoral approaches to reduce new infections among adolescents. In addition HIV services must be deliberately designed as youth friendly, meeting both confidentiality and quality expectations to ensure increased access to information, prevention and treatment for adolescents. The psychosocial support and counseling services needed by adolescents living with or at risk of acquiring HIV are obviously unique to an age group that is transitioning from childhood to adulthood. This calls for innovative approaches that include assuring adolescent participation in the design, management and evaluation of HIV programs and services. At all levels: individual, community and system; Africa and her partners must take action to engage, equip and empower adolescents as part of a dynamic and sustained HIV response movement across the continent.

Engage, Equip and Empower!


“AIDS is the leading cause of death among adolescents in Africa. Globally, two-thirds of all new infections among adolescents were among adolescent girls. This is a moral injustice. I am calling on young people to lead the All In movement, alongside the United Nations, public and private partners, and countries themselves, to end the adolescent AIDS epidemic.”

Michel Sidibé, Executive Director, UNAIDS

 

References

  1. Health for the world’s adolescents: a second chance in the second decade.2014 www.who.int/adolescent/second-decade

  2. Global health sector response to HIV, 2000-2015: focus on innovations in Africa: progress report. WHO 2015

  3. The State of the World’s Children 2015: Reimagine the Future: Innovation for Every Child http://sowc2015.unicef.org

  4. UNAIDS All In: #EndAdolescentAIDS, 2015. http://allintoendadolescentaids.org

 

Useful links

All In! to #EndAdolescentAIDS http://www.unaids.org/sites/default/files/media_asset/20150217_ALL_IN_brochure.pdf

HIV Mother to Child Negative Transmission, Any Ray of Success?

Ray of Hope

There are some successful stories which bring ray of hope, that one day world together will eradicate this genocidal disease, and we will be victories against this merciless killer.

Pricilla Success Story

Ms Priscilla, from Nairobi, Kenya, first found out that she is HIV positive in 2007, when she was pregnant with her first child, at 29 weeks into her pregnancy, she was provided with Nevirapine, a drug, to reduce the risk of transmission to her unborn child, after birth of her baby was give Nevirapine for 7 days and she continued to Septrin, a drug, for 7 days and she continued on Septrin to reduce the risk of opportunistic infections, her son is now 8 years old, healthy and HIV negative, it’s a great news and hope. Priscilla, was treated in Komarock, in Nairobi, Kenya, which is run by CDC (Center for Diseases Control and Prevention), partnered with Easter Deanery AIDS Relief Program (EDARP).

South Africa Mother to Child HIV Transmission Decline

South Africa has announced very promising news recently, a significant decline in mother to child HIV transmission for the second consecutive year, according to the new announced data by South African government reveals that just 2.7 percent of babies born to HIV-positive mums contracted the virus by six weeks of age, compared to 8 percent in 2008.

 

Exclusive Breastfeeding in South Africa

Furthermore, for the reduction of mother to child transmission danger, South Africa embarked on promoting exclusive breastfeeding in April 2012, it is ensured that all eligible HIV positive mothers are on antiretroviral therapy for the duration of breastfeeding, so that there is no HIV transmission, after six weeks of age, government of South Africa also implementing the measure to make sure it is really vital,  that infants born HIV negative remain HIV negative, which is true success of this new policy.

This policy was enacted, because of mix feeding, in which mothers combined breast milk and solids, was found to increase the risk of infants contracting HIV through their mother’s milk.

Mbono Success Story

Ms. Mbono, from South Africa, Cape Town is another success story, in year 2002, she found out that she has the HIV virus, she found out about this disease, when she was pregnant and her HIV test was administered at the start of her ante natal care program, tests revealed she was HIV positive.

With the help of UNICEF and PMTCT (Prevention of Mother to Child Transmission) not only she safely delivered the baby with HIV negative but another baby sibling after this was born HIV negative. Additionally, she was informed and educated, how to live with the virus and clearing up her condition to others, her experience also helped other pregnant women to cope with HIV virus, during pregnancy and after the pregnancy.

B+PMTCT

World Health Organization (WHO) published new guidelines on the use of antiretroviral drugs (ARVs) for treating and preventing HIV infection. World Health Organization, basically it recommends that new instructions called B+ for PMTCT, which means provision of lifelong ART to all pregnant and breastfeeding women living with HIV, it must be followed after delivery and completion of breastfeeding for life.

This auspicious development to reduce the infant mortality rates and passing on mother to child HIV virus truly is ray of success.

Written by Awais.F, (Public Health Medical Nutritionist/Fitness Expert)