venerdì 3 febbraio 2012

Malawi: la circoncisione non ferma l'Hiv

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Malawi ‘no’ to circumcision as tool to stop HIV/AIDs

Il governo del Malawi ha respinto gli appelli a promuovere la circoncisione maschile come una profilassi contro l'HIV / AIDS.

In uno studio del Malawi del 2010 - HIV & AIDS Research e Best Conference Practices - il presidente del paese, la Commissione Nazionale AIDS, l'arcivescovo Bernard MALANGO hanno detto che in base a un confronto tra i tassi di infezione nei quartieri musulmani, dove la maggior parte degli uomini sono circoncisi, e nelle aree cristiane del Malawi, dove la circoncisione non è praticata, non ha mostrato alcuna differenza nel tasso di infezioni da HIV/AIDS.

"Non abbiamo alcuna prova scientifica che la circoncisione è un modo sicuro per rallentare la diffusione dell'AIDS," aggiunge il Dr. Maria Shaba, the government’s chief HIV/AIDS officer.

The UNAIDS agency estimates that approximately 930,000 people, or 12 per cent of Malawi’s population, are living with HIV of whom 840,000 are adults aged 15 and above.

However, the archbishop said the 12 per cent prevalence rate of HIV/AIDS does not accurately reflect the incidences of the disease in the country,

In Malawi, il tasso di HIV è del 13,2% tra gli uomini circoncisi, ma solo il 9,5% tra gli uomini intatti. (Aids Society -MDH 2010)

Archbishop Malango said that most overseas NGOs look at the overall rate of infection, or the prevalence of the disease, within the population when devising prevention and treatment strategies. However in Malawi, the rate of new infections has been decreasing, while people with HIV/AIDS were living longer, thus keeping the prevalence rate at 12 per cent.

“With the continued scale up of the treatment programme, we will have more and more people alive and therefore considerably contributing to the high prevalence of HIV,” Archbishop Malango said.

“The number of those who were already infected is being maintained and by 2015, we should minimize the new infections by educating people,” the archbishop said.

Dr. Shaba told the conference the number of new cases was estimated to be 90,000 per year. “The difference between incidence and prevalence is that incidence is number of infections that are taking place now while prevalence is the number of people who are considered positive at that time.”

“The prevalence has been 12 per cent for a long time but we need to look at how many infections are taking place. If we are going to move from prevalence from 12 per cent to almost zero, it means the incidences are the ones which have to be zero,” she said.


FONTE: http://geoconger.wordpress.com/2010/10/03/...oct-1-2010-p-8/