WhatisAIDS? .'.r/t'. Deutsche AIDS-Hilfe e.V. AIDS AIDS isisthe the term term for for a disease disease complex complex which which develops develops as äs aa result of an resultof an acquired acquired disfunction disfunction of the body's body's immune immun e bee aa system. System. The The crucial crucial factor factor causing causing AIDS AIDS isisthought thought to to b vi rus ca lied HI\/, Th is vi rus wea kens the abi lity of the body to viruscalledHIV. Thisvirusweakenstheabilityofthebodyto protect infections.. protect itself against against other other infections After After a latency latency period period lasting lastin g months and and often often years year s an an immune deficiency immune def iciency can candevelop develop leading leading to to aa number number of of infections raree forms infections and and illnesses, illnesses, for for example exampl e pneumonia, pneumonia, rar forms of of cancer canceretc. etc. HIV HIVcan can sometimes sometimescause cause changes changes within within the the central central nervous nervoussystem, System, but but only only seldom seldomwith with serious serious effects. ef fects. HIV HIV infection infection does does not not always always lead lead to to AIDS. AIDS. ItIt isisimportant important to to note: note : Many Many of of the the symptoms Symptomswhich which appear appear with with AIDS AIDSare arethe the same same ones ones associated associated with with many many other other illnesses, illnesses, for for example examplethe the flu. flu. Only Only an an experienced experienced doctor whetherr or doctor isiscapable capable of of determining determining whethe or not such such symptoms AIDS.. Symptoms are are aa sign sign of of AIDS spread? How How is HIV HIV not not spread? HIVis HIV isaavery very vulnerable vulnerablevirus. virus.ItIt dies dies quickly quicklyafter after exposure exposureto to air; air, and and normal normal home hom e or or hospital hospital hygiene hygiene measures measures are are renderr itit harmless. sufficient suff icient to rende harmless. Although Although HIV HIVcan can also also be be found found iinn urine, urine, excrement, excrement, saliva, saliva, sweat, sweat, and and tears, tears,the the amounts low amounts present present there there are aretoo too Io w to to cause causeinfection infection in in others. HIVV infection have others. To Todate date no no cases cases of HI infection are are known known tto o have taken placee through taken plac through these these body body fluids. fluids. ItIt follows follows that that there there is i sno no danger danger of of infection infection by by shaking shaking hands, hands, hugging, hugging, caressing, caressing, or or kissing, kissing, by by being being coughed or or sneezed sneezed on on,, by by using usingthe the same same plates, plates, cups, cups, glasses, glasses, or or knives knives and and forks, forks, by by sharing sharing toilets, toilets, swimming swimming pools, pools, or or saunas, saunas, by by working working and and living living with with or or caring caring for for people peopl e with with HIV HIVand and people people with with AIDS. AIDS. How transmitted? How iiss HIV HIVtransmitted? Infection Infection iissonly only possible possible when when blood blood or or semen semen from from aa person.. person person with with HIV HIVenters enters the the bloodstream of of another person These highh levels These body body fluids fluids can can contain contain hig levels of of HI\/, HI V Sexual Sexual therefore the intercourse intercou rsewithout withoutaacondom condomisistherefore themost mostfrequent f requent path path of of infection. The The lining lining of of the the colon colon isisespecially especially susceptible; susceptible; thus, thus, anal anal intercourse intercourse without without aa condom condom isisthe the sexual to cause ofthevirus. sexual practice practice most most likely likelyto causetransmission transmissionof the virus. HIV transmitted through vaginal HIV can can also also be betransmittedthrough vaginal intercourse, intercourse,and and there there isisincreased increased risk risk of of infection during duringthe the menstrual menstrual cycle cycle ifif a condom usedd during intercourse.. Another riskk condom isisnot not use during intercourse Another ris needless are behavior behavior isisintravenous intravenous use useof of drugs drugs if needle are shared shared among itted from among users. In In addition, addition, the the virus virus can can be be transm transmitted from mother mother to child child during during pregnancy pregnanc yand and birth birth.. Danger Danger of of infection infection through through blood blood transfusions transfusionsand and blood blood products products (for (for example, example, during during treatment treatment for for haemohaemo impossibleeinin West philia) philia) has hasbecome becomevirtually virtually impossibl West Germany: Germany: since HIVV antibodies. since 1985 1985 all all donated donated blood blood isistested tested for for HI antibodies. IsIs there there a treatment? treatment? To acquiredd immune To date date there there is i sno no medical medical cure eure for for acquire immun e deficiency, prevent HIV def iciency, nor nor is isthere there aavaccine vaccine to to prevent HIVinfection infection.. Nonetheless, Nonetheless, medicine medicine has has made made progress progress in in treatment. treatment. It is is now now possible possibleto to successfully successfull ytreat treatand andcontrol control many man yinfecinfections tions which which appear appear as äs aa result result of of AIDS. When When isis protection protection adVisable? advisable? At present present,, there HIVV infection there iissno no cure eure for for HI infection and and AIDS, AIDS, only only prevention. prevention. The The groups groups which which have have been been most affected affected by by HIV HIV infection infection are are homosexual homosexualand and bisexual bisexual men men and and intravenous intravenous drug drug users. users.Thus, Thus, people people from from these these groups can can easily easily find find themselves infection.. themselves in in situations situations where where there is i srisk risk of infection Men havee sex Men who who hav sexwith withother othermen mencan canbest bestprotect protec t through safer themselves themselvesthrough safer sex sexpractices practicesand andby byusing usingcondoms condoms during during anal anal intercourse. intercourse. useeonly For For i.v. i.v. dr.ug dr.ug users, users, itit is i sparamount paramount to us only one's one's own own needles needles and and syringes, syringes,and and not not share share them them with with other other users. In In Europe Europeand and North North America Americathe thenumber numberof ofpeople peoplewith with HIVoutside ofthe HIV outsideof the above above mentioned mentioned groups isis still still very very small. small. Although the riskk for heterosexual heterosexualssisis low, is Although th e ris Iow, infection infectio n is nonetheless nonetheless possible possiblethrough through both both vaginal vaginal and and anal anal interintercourse course without without aa condom. condom. In In general, general, on on the the subjects subjectsof of sex sex with with more more than than one on e partner; partner, sex sexwith with persons personsfrom from the the groups andd prostitution, the groups most most affected, affected, an Prostitution, th e use useof of condoms condoms isis aa good againstt HIV regardlesss of good protection protection agains HIV infection, infection, regardles of whether sexuall contact whether the the sexua contact is ishomosexual homosexual or or heterosexual. heterosexual. What test"" tell What does does the the "test teil us? us? The Thetests teststhat that presently presently exist exist are areused usedto to determine whether whethe r HIVvirus . Ratherthan HIV virusisispresent presentininthe theblood blood. Rather thanmeasuring measuringthe the presence presence ofthe of the virus virusitself, itself, such such tests tests indicate indicate the the presence presence of of antibodies whichh the antibodies whic the body bod y produces produces in in response responseto to HIV HIV infection. infection. Unlike Unlike antibodies antibodies produced produced against against other infecrenderr the tions, tions, HIV HIVantibodies antibodies are are not not able able to to rende the virus virus harmless. harmless. IfIf HIV bee present, HIVantibodies antibodies are are shown shown to to b present, the the test result result isistermed"positive"; termed "positive"; ififno no antibodies found, the antibodies are arefound, the result result isis "negative". infection with "negative". After After infection with HIV HIVitit may may take take several several months, months, in in some some cases cases even even years, years, before before antibodies antibodies will will show resultt of show up up in in test test results. results.Thus, Thus,aa"negative" "negative" resul of a test test given given too too soon soonafter after infection means means very very little. little. On Onthe the other other hand, hand, if a test test result result isis "positive", "positive",aafollow-up follow-up test test must must be be given confirm the mistakes. given in in orderto ordertoconfirm the results results and and eliminate eliminatemistakes. A confirmed "positive" Aconfirmed "positive" test tes t result result does does not not mean mean that that the the person ill ever person tested tested has hasor orwwill everget getAIDS. AIDS.Not Notall allpeople peoplewith with HIV HIV develop develop diseases diseases connected connected with with AIDS. AIDS. Important: Important: Proper counseling counseling should should be be aa part part of of any any decision to take an H IV test. you decide to take decisiontotakean HIV test.IfIfyoudecideto takethe thetest testyou you should should also also make make sure sure that that your your results resultswill will not be b e given given to to you you without without qualified qualif ied counseling. counseling. ItItis is also that you r test be anonymous, without alsoimportant importantthatyourtestbeanonymous, without record record of of your name name and and address. If If you you are are aa citizen citizen of of a none-EC-country, none-EC-country, this this is isespecially especiallyimportant: important: aa "positive "positive"" test bee deported. Yourr local test result could could cause cause you you to to b deported. You local you the "AIDS-Hilfe" "AIDS-Hilfe" can cangive giveyou the names names and and addresses addresses of of places places where where anonymous anonymous HIV HIVtests tests are are given. given. Independent Independent of of whether whether or or not the test test isistaken, taken,or or whether testt results positive" or ""negative", negative", in whether tes results are are ""positive" in risk risk situations situations protection protection iissadvisable. advisable. AIDS and Society AIDS fatal illnesses produce fear: fear of of All serious, serious, potentially fatal decay, dying, dying, death. death. But But there there are are aanumber number of other bodily decay, fearsespeciallyassociatedwithAIDS. HlVismainlyspreadin fears especially associated with AIDS. HIV is mainly spread in connection with with behavior which is not openly discussed discussed in in connection is not society and and which, which, although by many our society although unaccepte unacceptedd by people, iiss nonetheless nonetheless widespread: widespread: for for example sex bebeexample,, sex casual sex sexoutside of longstanding relationships, tween men, men, casual outside of relationships, drugs. This This fact fact has hasmade made it difficult for both the us usee of drugs. both and society society as äs aawhole whole to to approach approach AIDS AIDS objectiobjectiindividuals and vely. vely. The fact fact is is:: HIV HIV infection infection and AIDS have not spread spreadamong among The population" to the degree degree once oncefeared. feared. Most the "general "general population" S have been among among homosexual homosexual men and user cases of AID AIDS userss Most ofthose ofthose affected af fected acquired acquired the infection years of drugs. Most years at aatime time when when only only little little was was known known about about both both paths paths ago, at methods of protection protection.. of infection an andd methods In order order to minimize the ris all In riskk of infection amon amongg all sectionsof the population population education education isisnowasimportantas sections ofthe now as important as The success success of of any education education on AIDS depends depends upon upon the th e ever. The open recognition o of homosexual behavior, open off the existence existence of homosexual behavior, take drugs, drugs, and and that that people pay or of the fact that people take payor take money for sex Only people who ar accepted as äs they take sex. .Only aree accepted can be be adequately adequately informed. informed. Informatio n on paths paths of of Information are can infection and and means of protection protection wil be able able to to reac infection willl not be reachh people people who mus mustt fear rejection, punishment, an andd people be afraid afraid of avoidance because of HI V infection. infection. who mus mustt be avoidance because HIV We must also also recognize recognize that that there there are people with with HIV are people We and with with AIDS AIDS among us: us: fellow fellow students, students, workers, workers, neighneighand bours, relatives, relatives,and and friends. friends. They They have have aarightto rightto education, education, bours, employment, housing, housing, material security, security,and and proper proper medical employment, medical care, as äs well well äs to specia care by by people they trust. The The care, as to speciall care these rights is an important important factor factor iinn preventrealization of these is an and the miser affected by by HIV. HIV.IfIf isolationn and miseryy of those affected ing the Isolatio succeed in in reducing unfounded fears fears of infectio n an in we succeed infection andd in overcoming prejudices prejudices against against minorities, minorities, ou society will will ourr society overcoming divided bbyy AIDS. not bbee divided What is AIDS? WhatisAIDS? ^.*u AIDS-Hilfee.v., e.V., Nestorstr. Nestorstr.8-9, 8-9, D-1000 Berlin 31, 31, Deutsche AIDS-Hilfe 0 -1000 Berlin Apotheker- und .A.rzte-Bank, Ärzte-Bank, Berlin, Berlin, Deutsche Apotheker0 35 35 00 500 500 (BLZ (BLZ10090603); 100 906 03); Konto 00 000 Berlin West, West, Konto Konto 17 9 00-105 (BLZ (BLZ100 100100 100 Postgiroamt Berlin 17900-105 Deutsche AIDS-Hilfe AIDS-Hilfee.v., e.V,Berlin, Berlin,6. 6.Auflage Auflage 12189 12/89 © Deutsche Detlev Pusch Gestaltung Pusch Gestaltung .... .....It .. There are "AIDS-Hilfen" (AIDS assistance organizations) in many many cities eitles in in West West Germany Germanyas äswell wellas äsininWest WestBerlin. Berlin. in offer telephone teiephone advice and and personal personal counseling counseling and and They offer support. support. .c u .!!! 01 Cl c LLJ w - ··.·i:"..;'::.!.~'·« :~~:f ~ , Deutsche '. " r'.. AIDS-Hilfe e.V. .IIIIIAIDs-Hilfe e.v. r-p^ .,' I;;
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