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It has now been 25 years since the apocryphal report in the CDC Morbidity and Mortality Weekly Report dated June 5, 1981 entitled, “Pneumocystis Pneumonia - Los Angeles”, which announced what was to become HIV/AIDS. HIV has now affected virtually all countries that have looked for it and has had a devastating impact on the public health and medical care infrastructure around the world. HIV/AIDS has also disproportionately affected nations with the least capacity to confront it, especially the developing world nations in Sub-Saharan Africa, South and Southeast Asia, and the emerging republics of Eastern and Central Asia. The pandemic, unlike any other disease of our time, has had profound impacts on the practice of public health itself: bringing affected communities into decision making; demanding North-South partnerships and collaborations; and changing the basic conduct of clinical and prevention trials research. While much has been written in scholarly publications for medical, epidemiologic and disease control specialists, there is no comprehensive review of the public health impact and response to HIV/AIDS in the developing world. This edited volume seeks to systematically describe the emergence and form of the epidemics (epidemiology), the social, community and political response, and the various measures to confront and control the epidemic, with varying levels of success. Of particular importance are strategies that appear to have been useful in ameliorating the epidemic, while contrasting the situation in a neighboring country or region where contrasting prevention or care initiatives have had a deleterious outcome. Common to all responses has been the international multi-sectoral response represented by the Global Fund for HIV/AIDS, Malaria and Tuberculosis, the President's Emergency Plan for AIDS Relief, and the Gates Foundation, among others, to promote HIV pharmacologic therapy in resource-poor settings. The chapter authors will explore the political challenges in meeting HIV/AIDS prevention and care in concert with the public health realities in specific country and regional context.
Russia and a few other Eurasian countries have been home to the fastest growing epidemics of HIV in the world over the last several years. This volume offers country-specific accounts, authored by the leading players in the analysis of the situation and the fight against the virus.
Tells the story of HIV/AIDS in Europe from a broad variety of perspectives: bio-medical, social, cultural, economic and political. The authors are leading experts from across the region and include both the infected and the affected, be they doctors or former drug users, United Nations employees or gay men, public health researchers or community activits. They describe how, from the first documented cases in 1981 to the present era of antiretroviral management, controlling the human inmmunodeficiency virus in Europe has provided elusive.
The 2016 UNGASS on drug policy resulted in an Outcome Document detailing profound differences of opinion and practice between different states polarising public health and human rights themes. This book examines the different positions, the underlying problems, and the options open for the next international gathering on drugs.
Law, crime, and justice are among the most salient issues in any country. This is especially true for a transitional nation like Russia that is facing tremendous social, political, and economic changes, many of which create conditions conducive to crime. These ongoing changes have had profound effects on every major social institution in the country, and the transition from totalitarianism and a command economy toward rule of law and a free market is resulting in shifts in fundamental cultural values. In this environment, governmental agencies are often left without a clear mission, especially given their sometimes dubious roles during the Soviet era, and are rarely provided with the resources necessary to fulfill the difficult duties that are so vital to a functional democracy. This volume, with chapters by highly respected scholars in several disciplines, provides a comprehensive sourcebook of scholarly analysis of the effects of these changes on legal developments and rule of law in Russia, its changing patterns and nature of crime, and its criminal justice system. Contributions by: Adrian Beck, William E. Butler, Linda J. Cook, Galina N. Evdokushkina, Leonid A. Gavrilov, Natalia S. Gavrilova, Alla E. Ivanova, Janet Elise Johnson, Roy King, Robert W. Orttung, Letizia Paoli, Laura Piacentini, William Alex Pridemore, Annette Robertson, Daniel G. Rodeheaver, Richard Sakwa, Olga Schwartz, Victoria G. Semyonova, Louise I. Shelley, Peter H. Solomon Jr., Janine R. Wedel, and James L. Williams
Provides critical evidenced based assessements and tools with which to investigate the role of rights abrogation in the health of populations.
As we approach the 25th anniversary of the first recognition of HIV/AIDS in 1981, this book reflects on the international impact of the disease. It has persistently remained a global issue, with more than 50 million people worldwide estimated to have been infected since that date. This ambitious book, written by 165 authors from 30 countries, offers a multi-country comparative study that examines how the response to the common, global threat of HIV is shaped by the history, culture, institutions and health systems of the individual countries affected. Increasingly the shift of health systems has been from prevention only as the main containment strategy, to a strategy that includes scaling up HIV treatment, and care and prevention services, including antiretroviral therapy. Thus, all parts of the health system must be involved; policy makers, healthcare professionals and users of the services have been forced to think differently about how services are financed, how resources are allocated, how systems are structured and organized, how services are delivered to patients, and how the resulting activity is monitored and evaluated in order to improve the effectiveness, efficiency, equity and acceptability of the response. This book is unique in attempting to describe and assess a range of responses across the globe by situating them within the characteristics of each country and its health system. Most chapters combine a health policy expert with an HIV specialist, allowing both a 'top down' health system approach and a 'bottom up' HIV-specific perspective. There are thematic and analytical sections, which provide an overview and some suggestions for solutions to the most serious outstanding issues, and chapters which analyse specific country and organisational responses. There is no perfect health system, but the evidence provided here allows the sharing of knowledge, and a opportunity to assess the impact and reactions, to an epidemic that must be considered a long term issue.