Awareness, the only panacea for HIV/AIDS

[email protected] (CD Network)
December 1, 2011

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The history of the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) dates back to 1981, when homosexual men with symptoms of a disease that now are considered typical of AIDS were first described in Los Angeles and New York.

Ever since, the world has suffered with this dreaded disease. Lives have been lost, destiny’s changed and the catastrophe long lived. However the herculean effort from all the frontiers of medical science to have ever existed, has brought us to the day, where at least life can be prolonged and a life of dignity and respect and be enjoyed.

The stigma and mental blocks that go with the disease needs to be removed. We have moved on since 1981. The prevalence of AIDS in Dakshina Kannda district has come down to 0.25 per cent in 2011 from the 0.75 per cent as recorded in 2008, thanks to the efforts of the District AIDS and Prevention Control Unit, which is striving hard to spread awareness and support people with HIV.

On occasion of the world AIDS Day, it is worth to recall and remember the ways in which HIV spreads.

HIV is present to variable degrees in the blood and genital secretions of virtually all individuals infected with HIV, regardless of whether or not they have symptoms. The spread of HIV can occur when these secretions come in contact with tissues such as those lining the vagina, anal area, mouth, eyes or with a break in the skin, such as from a cut or puncture by a needle. The most common ways in which HIV is spreading throughout the world include sexual contact, sharing needles, and by transmission from infected mothers to their newborns during pregnancy, labor (the delivery process), or breastfeeding.

Sexual transmission of HIV has been described from men to men, men to women, women to men, and women to women through vaginal, anal, and oral sex. The best way to avoid sexual transmission is abstinence from sex until it is certain that both partners in a monogamous relationship are not HIV-infected. If abstinence is out of the question, the next best method is the use of latex barriers. This involves placing a condom on the penis as soon as an erection is achieved in order to avoid exposure to pre-ejaculatory and ejaculatory fluids that contain infectious HIV. For oral sex, condoms should be used for fellatio (oral contact with the penis) and latex barriers (dental dams) for cunnilingus (oral contact with the vaginal area).

The spread of HIV by exposure to infected blood usually results from sharing needles, as in those used for illicit drugs. HIV also can be spread by sharing needles for anabolic steroids to increase muscle, tattooing, and body piercing. To prevent the spread of HIV, as well as other diseases including hepatitis, needles should never be shared.

There is little evidence that HIV can be transferred by casual exposure, as might occur in a household setting. For example, unless there are open sores or blood in the mouth, kissing is generally considered not to be a risk factor for transmitting HIV. This is because saliva, in contrast to genital secretions, has been shown to contain very little HIV. Still, theoretical risks are associated with the sharing of toothbrushes and shaving razors because they can cause bleeding, and blood can contain large amounts of HIV. Consequently, these items should not be shared with infected people. Similarly, without sexual exposure or direct contact with blood, there is little if any risk of HIV contagion in the workplace or classroom.

The symptoms of hiv and AIDS differ, depending on the stage of the infection. Initially with HIV, there may be no symptoms at all, although one of the most common symptoms is mild fever 3–6 weeks after getting infected.

Sometimes symptoms can show up after 8 or 9 years or more. Some of the symptoms of hiv infection are fever, sore throat, headache, swollen lymph glands, rash, cough, diarrhoea and weight loss.

Trends continue toward simplifying drug regimens to improve adherence and decrease side effects. In addition, the availability of multiple new drugs in new classes has made it possible to suppress viral load to undetectable levels even in many of the most treatment-experienced patients. With such great success in treatment, the field has increasingly considered strategies that may someday allow patients to control viral replication without the use of antiretrovirals. This could be in the form of a true cure with complete eradication of HIV. Human efforts in various formats should yield a breakthrough, sooner or later. Till then, stay safe and stay careful.

The writer is a freelance journalist and a medical student. He can be reached at : [email protected]

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Ram Puniyani
January 26,2020

During last couple of decades we have been witnessing the coming up of various statues in different parts of the country. There is diverse political logic and different set of political tendencies for erecting these statues. When Mayawati was UP CM, she got multiple of her own statues made, in addition to many statues of major dalit icons, irrespective of the criticism against that act. As per her strategy it was a symbol of identity of dalit assertion. The biggest statue to come up was that of Sardar Vallabh Bhai Patel, a lifelong Congressman, whom RSS combine is trying to appropriate. This statue of Unity was ‘Made in China’. The clever trick was that the same forces were behind this statue, which was banned by Patel in the aftermath of Gandhi murder. Interestingly while currently BJP is blaming Congress for Partition of India, ironically it was Sardar Patel who was in the committee which gave final stamp of approval for the partition of India.

There is also a talk in UP, where the Ram temple campaign yielded rich electoral dividends for BJP, to have tallest statue of Lord Ram in Ayodhya. In a state where children are dying in hospitals due to lack of Oxygen cylinders, a huge budgetary allocation will be required for such project. While on statues one should also remember that in Maharashtra a tall statue of Chatrapati Shivaji Maharaj is underway in Arabian Sea, near Mumbai. Only few voices of protest against it came up, e.g. that of renowned journalist, now, MP, Kumar Ketkar, whose house was vandalised for his opposing the move on the grounds that same massive amount can be utilized for welfare-development activities in the state.

On the back of this comes a comparatively low budget 114 feet tall statue of Jesus Christ in Karnataka, in Kappala hills Harobele village, where Christian pilgrims have been thronging from last several centuries. The land for this has been donated by Congress leader Shivaprasad and his brother, a Congress MP. It is planned to be carved out from a single rock. The plan of this statue is being opposed by those who have been behind most of the statue projects so far. Hindu Jagran Vedike, VHP, RSS are up in arms saying that they will not let this come up. There are various arguments cited for this opposition. It is being said that this was a place of worship of Lord Munnieshwara (a form of Lord Shiva).

More than this it is being argued that Shivakumar is trying to please his Italian boss in the party. Also that this will bring back the period of slavery of foreign rule, the colonial rule of British. As such this opposition is more in tune with the ideology of RSS combine, which has been for a statue here and a statue there. Their politics regards Christianity as a ‘foreign religion’! It is true that in Citizenship Amendment Act, they have not excluded Christianity while other religion, which they regard as ‘Foreign’ i.e. Islam. Here they are using a different logic, that the countries from where persecuted minorities are coming, are Muslim countries, Pakistan, Afghanistan and Bangla Desh.

In India the major targeting by RSS combine has been against Muslims, but Christians are also not spared. Starting in the decade of 1980, an intense propaganda has been going on that Christian Missionaries are converting. As RSS affiliate Vanvasi Kalyan Ashram became active in Adivasi areas, the likes of Swami Aseemanand, Swami Laxmanand and followers of Aasaram bapu spread out in Tribal areas. They started their programs to popularise Shabri and Hanuman, with congregations like Shabri Kumbh being regularly organized in these areas. The aim was to Hinduize the people in those areas.

The first major anti Christian violence came up in the ghastly form of burning alive of Pastor Graham Steward Stains along with his two minor sons Timothy and Philip. RSS affiliate Bajrang Dal's Dara Siingh aka Rajendra Pal was behind this and he is serving the life term for that. At the same time Wadhva Commission was appointed to investigate this crime which shook the country and President K.R. Narayan termed it as the one belonging to the inventory of the black deeds of human history.

The Wadhva commission report pointed out that there was no statistical significant change in the region where the pastor was working. Similarly the national figures tell us that the Christian population, if at all, has marginally declined in last five decades as per the census figures. They stand like this, percentage of Christians in population, 1971-2.60, 1981- 2.44, 1991-2.34, 2001-2.30 and 2011-2.30. There are arguments that some people are converting to Christianity but are not revealing their religion. This may be true in case of miniscule percentage of dalits, who may not reveal there conversion, as they stand to loose reservation provisions if they convert.

The anti Christian violence is scattered and is below the radar most of the places. There was massive valence in Kandhamal, Orissa, when on the pretext that Christians have murdered Swami Laxmananand, a massive violence was unleashed in 2008. On regular basis prayer meetings of Christians are attacked on the pretext that these are attempts at conversion. While there is a huge demand for the schools and colleges run by Christian groups, in Adivasis areas and remote areas the work of Swamis is on.

Now the trend is to dump Christian traditions. Since Ramnath Kovind became President, the usual practice of Carol Singers visiting Rashtrapati Bhavan has been stopped. In the army retreat so far ‘Abide with me’ by Scottish poet, Henri Francis Lyte, a Christian song, a favourite of Gandhi, has been dropped. The Christian minorities have perceived the threat in various forms. Currently they are as much part of the protests against CAA, NPR and NRIC as any other community.

While statues and identity issues cannot have primacy over the social development issues, it cannot be selective. To oppose Jesus Christ statue while spending fortunes for other statues is a part of the agenda of RSS combine, which is unfolding itself in various forms. opposition to Jesus Christ statue being yet another step in the direction.

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Ram Puniyani
March 14,2020

In the wake of Citizenship Amendment Act (CAA) UN High Commissioner, Michele Bachelet, has filed an intervention in the Supreme Court petition challenging the constitutionality of the Citizenship Amendment Act, as she is critical of CAA. Responding to her, India’s Foreign Minister S. Jai Shanker strongly rebutted her criticism, saying that the body (UNHCR) has been wrong and is blind to the problem of cross border terrorism. The issue on hand is the possibility of scores of people, mainly Muslims, being declared as stateless. The problem at hand is the massive exercise of going through the responses/documents from over 120 crore of Indian population and screening documents, which as seen in Assam, yield result which are far from truthful or necessary.

The issue of CAA has been extensively debated and despite heavy critique of the same by large number of groups and despite the biggest mass opposition ever to any move in Independent India, the Government is determined on going ahead with an exercise which is reminiscent of the dreaded regimes which are sectarian and heartless to its citizens, which have indulged in extinction of large mass of people on grounds of citizenship, race etc. The Foreign minister’s assertion is that it is a matter internal to India, where India’s sovereignty is all that matters! As far as sovereignty is concerned we should be clear that in current times any sovereign power has to consider the need to uphold the citizenship as per the principle of non-discrimination which is stipulated in Art.26 of the International Covenant on Civil and Political (ICCPR) rights.

Can such policies, which affect large number of people and are likely to affect their citizenship be purely regarded as ‘internal’? With the World turning into a global village, some global norms have been formulated during last few decades. The norms relate to Human rights and migrations have been codified. India is also signatory to many such covenants in including ICCPR, which deals with the norms for dealing with refugees from other countries. One is not talking of Chicago speech of Swami Vivekanand, which said that India’s greatness has been in giving shelter to people from different parts of the World; one is also not talking of the Tattariaya Upanishad’s ‘Atithi Devovhav’ or ‘Vasudhaiva Kutumbkam’ from Mahaupanishad today.

What are being talked about are the values and opinions of organizations which want to ensure to preserve of Human rights of all people Worldwide. In this matter India is calling United Nations body as ‘foreign party’; having no locus standi in the case as it pertains to India’s sovereignty. The truth is that since various countries are signatories to UN covenants, UN bodies have been monitoring the moves of different states and intervening at legal level as Amicus (Friend of the Court) to the courts in different countries and different global bodies. Just to mention some of these, UN and High Commissioner for Human Rights has often submitted amicus briefs in different judicial platforms. Some examples are their intervention in US Supreme Court, European Court of Human Rights, International Criminal Court, and the Inter-American Court of Human Rights. These are meant to help the Courts in areas where UN bodies have expertise.

 Expertise on this has been jointly formulated by various nations. These interventions also remind the nations as to what global norms have been evolved and what are the obligations of individual states to the values which have evolved over a period of time. Arvind Narrain draws our attention to the fact that, “commission has intervened in the European Court of Human Rights in cases involving Spain and Italy to underscore the principle of non-refoulement, which bars compulsory expulsion of illegal migrants… Similarly, the UN has intervened in the International Criminal Court in a case against the Central African Republic to explicate on the international jurisprudence on rape as a war crime.”

From time to time organizations like Amnesty International and Human Rights Watch have been monitoring the status of Human rights of different countries. This puts those countries in uncomfortable situation and is not welcome by those establishments. How should this contradiction between ‘internal matter’, ‘sovereignty’ and the norms for Human rights be resolved? This is a tough question at the time when the freedom indices and democratic ethos are sliding downwards all over the world. In India too has slid down on the scale of these norms.

In India we can look at the intervention of UN body from the angle of equality and non discrimination. Democratic spirit should encourage us to have a rethink on the matters which have been decided by the state. In the face of the greatest mass movement of Shaheen bagh, the state does need to look inwards and give a thought to international morality, the spirit of global family to state the least.

The popular perception is that when Christians were being persecuted in Kandhmal the global Christian community’s voice was not strong enough. Currently in the face of Delhi carnage many a Muslim majority countries have spoken. While Mr. Modi claims that his good relations with Muslim countries are a matter of heartburn to the parties like Congress, he needs to relook at his self gloating. Currently Iran, Malaysia, Indonesia and many Muslim majority countries have spoken against what Modi regime is unleashing in India. Bangladesh, our neighbor, has also seen various protests against the plight of Muslims in India. More than the ‘internal matter’ etc. what needs to be thought out is the moral aspect of the whole issue. We pride ourselves in treading the path of morality. What does that say in present context when while large section of local media is servile to the state, section of global media has strongly brought forward what is happening to minorities in India.   

The hope is that Indian Government wakes up to its International obligations, to the worsening of India’s image in the World due to CAA and the horrific violence witnessed in Delhi.

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Ram Puniyani
August 9,2020

Contrary to present impression that Muslims are separatists due to whom the partition of India took place, the truth is that Muslims contributed to freedom movement and upheld India’s composite culture in equal measure. The partition process, mainly due to British policy of ‘divide and rule’ well assisted by Hindu and Muslim communalists is being hidden from the popular vision in India and Muslims in general are held responsible for the same. Not only that the communal historiography introduced by British to pursue their policies has become the bedrock of communal politics and worsening of the perceptions about Muslims is in progress in India.

Yet another example of this has been a series of tweets by the bureaucrat, who is close to retirement, K. Nageshwar Rao. Contrary to the service rules he has made statements, through his tweets which are appreciative of RSS-BJP and demonise the stalwarts Muslim leaders who not only contributed to the freedom movement but also later gave valuable service in laying the foundation of Independent India. As per Rao, his tweets he accuses Maulana Azad and the other Muslim Education ministers of “deracination of Hindus”. After naming “Maulana Abul Kalam Azad — 11 years (1947-58)”; “Humayun Kabir, M C Chagla & Fakruddin Ali Ahmed — 4 years (1963-67)”; and, “Nurul Hassan — 5 years (1972-77)”, he posts: “Remaining 10 years other Leftists like VKRV Rao.”

He points out that their policies were meant to “1. Deny Hindus their knowledge, 2. Vilify Hinduism as collection of superstitions, 3. Abrahamise Education, 4. Abrahamise Media & Entertainment, 5. Shame Hindus about their identity!  and 6. Bereft of the glue of Hinduism Hindu society dies.”

Then he goes on to praise RSS-BJP for bringing the glory back to Hindus. These statements of his on one hand promote the Hate and on the other tantamount to political statement, which civil servants should not by making. CPM politburo member Brinda Karat has written a letter to Home Minister Amit Shah to take suitable action against the erring bureaucrat.

Rao begins with Maulana Abul kalam Azad. Surely Azad was one of the major leaders of freedom movement, who was also the youngest President of INC, in 1923 and later between 1940 to 1945. He opposed the partition process tooth and nail till the very last. As the Congress President in 1923 he wrote a remarkable Para, symbolizing the urge for Hindu Muslim unity, “If an angel descends from heaven and offers me Swaraj in 24 hours on condition that I give up Hindu Muslim Unity, I will refuse. Swaraj we will get sooner or later; its delay will be a loss for India, but loss of Hindu Muslim unity will be a loss for human kind”. His biographer Syeda Hamid points out “He spoke without an iota of doubt about how debacle of Indian Muslims has been the result of the colossal mistakes committed by Muslim League’s misguided leadership. He exhorted Muslims to make common cause with their Hindu, Sikh, Christian fellow countrymen.” He was the one who promoted the translation of Hindu scriptures Ramayan and Mahabharat in to Persian.

Surely Mr. Rao, neither has read Azad or read about him nor knows his contributions to making of Modern India. While today, the ideological formation to which Mr. Rao seems to be pledging his commitment is critical of all that happened during Nehru era, it was during this period when as education minister Azad was shepherding the formations of IITs, Academies of Science, Lalit kala Academies. It was during this period that the efforts to promote Indian composite culture were undertaken through various steps.

The other stalwarts who are under the hammer have been outstanding scholars and giants in their own field of education. Humayun Kabir, Nurul Hasan, Dr.Zakir Husssain gave matchless ideas and practical contributions in different fields of education. One can say that contrary to the accusations, India could match up to the Computer era, software and associate things, due to creation of large manpower in these areas mainly due to these foundations which were laid down particularly in the field of education during this period.

The charge that these ‘Muslim’ education ministers white washed the bloody Islamic rule is a blind repetition of the offshoot of communal historiography introduced by British. While Kings were ruling for power and wealth, their courts had Hindus and Muslim both officers. The jaundiced vision sees this as a bloody Islamic rule but as a matter of fact the syncretic culture and traditions developed precisely this period. It was during this period that Bhakti Traidtion with Kabir, Tukaram, Namdeo, Tulsidas flourished. It was during this period that humane values of Sufi saints reached far and wide. It was during this period that poets like Rahim and Raskhan produced their classic literature n praise of Hindu Gods.

We also need to remind ourselves that large number of Muslims participated in the freedom Movement. Two scholars Shamsul Islam and Nasir Ahmad have come out with books on the myriad such freedom fighters, to recall just a few names. Khan Abdul Gaffar Khan, Zakir Hussain, Syed Mohammad Sharfuddin Kadri, Bakht Khan, Muzzafar Ahmad, Mohammad Abdir Rahman,, Abbas Ali, Asaf Ali, Yusuf Mehrali, Maulana Mazahrul Hague.

These are just a few of the names. The movement, led by Gandhi, definitely laid the foundations where composite Indian culture and respect for all religions, others’ religion was paramount and this is what created Indian fraternity, one of the values which finds its place in the preamble of Indian Constitution.

This blaming of Education ministers who were Muslims is an add-on to the process of Islamophobia in India. So for there have been many actions of Muslim kings which are selectively presented as being bloody, now the post Independent History, where glorious contributions have been made by Muslim leaders are being used to further deepen the divisive process. We need to pay respects to builders of modern India, irrespective of their religion.

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