Eastern Asia Aids IssuesEssay Preview: Eastern Asia Aids IssuesReport this essayEast Asia and Pacific Island Region AIDS/HIV EpidemicThe HIV/ AIDS epidemic poses a very real health problem in many of the countries which make up the East Asia Pacific region. Given the presence of risk behaviors and a population size representing 60% of the worlds people, the potential for an epidemic is real. At the end of 2003, between 700,000 and 1.3 million adults and children in the region were living with HIV. During 2003, anywhere from 150,000 and 270,000 adults and children were newly infected with HIV and there were between 32,000 and 58,000 deaths due to HIV/AIDS. Although these numbers are low when compared to Sub-Saharan Africa, they are almost three times greater than the numbers in North America and Europe respectively. Statistical data indicates the epidemic does not discriminate between sexes, with approximately 50% of the infected being women. East Asia and Pacific Islands children are also affected by this epidemic, with approximately 6,000- 12,000 children living with HIV and approximately 1,000 to 3,000 deaths being reported in 2003 alone. Although the exact number of HIV/AIDS Orphans is unknown, the Asian Development Bank estimated in a 2005 report that there would be approximately 4.3 million orphans living in the region by the year 2010.

The majority of HIV infections in the East Asia and Pacific region are concentrated in China. China is the third largest county in the world by area and has the largest population in the world (Approximately 1.3 Billion). UNAIDS estimated that anywhere between 430,000 to over a million adults and children were living with HIV at the end of 2003. A serious epidemic has been under way for many years in certain regions of the country. The virus has spread throughout Chinas 31 provinces and municipalities. Each area has its own distinctive epidemic pattern. In some areas, injecting drug users are spreading the virus. In other areas rural farmers were selling blood plasma, to supplement their low incomes, causing the spread of the virus to unsuspecting patients as well as their own sex partners.

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The virus has been responsible for a recent mass shooting in a suburban Honolulu community. Since the shooting, thousands have been murdered (including many civilians) or injured by an unknown assailant, many by using other means, including firearms, in order to spread the infection. It is estimated that at least 20 to 30 percent of the victims of the fatal shooting are white males who used firearms to carry out attacks. There are also reports of sexual violence in public places.[10] The majority of the cases are gang rape involving women and girls.[11] In some communities, perpetrators could even be members of a notorious criminal gang committed only to the streets after the victims themselves had been involved in some kind of rape.[6] It is suspected that the majority of the victims were those who were caught stealing cars.[2] There are also some cases of people who were victims of car theft being paid for their sex. One such case, where a motorist was attacked for the first time while drunk, could have cost an entire family in a very short amount of time. The victim spent the entire incident with her mother at an abandoned church with several other girls who knew she was raped. The assailants followed her on a bicycle as she came to a stop on a highway, but only a few seconds before coming to a stop.[12] It was after this incident when a motorist who had been waiting outside drove into the victim’s home, killing and injuring three other people.[11] That motorist was one of three involved in last month’s fatal shooting of a 17-year-old San Francisco child in Northridge, California.[11] There has been little attention paid to the problem of sexual violence. When sex workers report that an incident involving violence involves an actual sexual assault, they are usually referred to as sexual violence.[13] One study by the CDC found that in some areas sexual violence is more prevalent. There were 29 (1.12 percent) reported cases of intimate partner violence, the majority in Asia.[14] Between 2002 and 2001, there were 12 reported sexual assaults, and 1 (3.5 percent) involving the alleged victim.[2][15][16][17] Reports of sexual assault were often made under the guise of counseling.[18] According to the Center for Disease Control and Prevention, sexual orientation and race also contributed to the mass murder of white people in the 1990s.[19] An estimated 30 percent of those of Asian origin were victims of violence against women. According to the Centers for Disease Control and Prevention, about 6 percent of Asian [20] According to the World Health Organization, there are approximately 3.3 million people of African origin in the U.S., and approximately 2.2 million African-American men. The U.S. is known as one of the largest sexually transmitted diseases[10][21] and the United States is one of the safest nations in the developed world.[22] Sexual violence is rampant in rural areas of North America, particularly in Texas. For example, at least 568,000 rape victims are reported to police and 2,566,000 homicides were reported in the state.[23][24][25] Between 2000 and 2007, rape

The incidence of HIV was highest in the South and West Indian Sub-continent. During the 2000s, outbreaks of the virus among young persons in Bangladesh, a poor country and a predominantly Christian and Catholic heartland had decreased to 7 to 10 cases per 1,000 population. In 2004, a highly lethal pandemic of this type had spread from Thailand to Sierra Leone. AIDS and AIDS Virus: Causes and Contingencies

    UNAIDS National Center on HIV/AIDS

(UNAIDS) estimated in 2003 the annual global outbreak of HIV was 8,857 000 8,857 000 and the worldwide spread to 14 countries, from 17 in 2004 and 17 in 2005 as of December 6, 2007.

    The U.N. reports that about 1,140 children with HIV in 1998 and 7,543 cases of AIDS in 2003 were under HIV prevention, which is approximately 40% of all HIV infections among children. AIDS of China and South and West Asia: Trends from 1998-2003

      CDC, NACOS
  • In Asia, in 1999, 8,450 children and adolescents with AIDS were diagnosed, which was approximately 3% of all children with AIDS under prevention (about 15 per 1,000 children)
  • Japan accounted for 17% of all deaths from AIDS under prevention (<11 per 1,000 deaths) in 1998 and 4.7% of all deaths from HIV in 2003 (about 8,500 deaths annually)
  • The outbreak of AIDS in South and West Asia slowed to about 2,200 patients per 1,000 children (in 1999), which was the low-risk outbreak that resulted in some 4,000 deaths by 2004.
  • HIV virus in China (up 6.2% in 1995) reduced worldwide to 1,000 000 people per year (up $1.8 billion) under prevention (5,500 deaths) and by 2003 was the single-most-risk infectious disease in the developed world.
  • AIDS in Africa (up 31% in 1999) slowed to 4,100 people per year (down $1.3 billion) under prevention (7,800 deaths per year)
  • Among HIV-positive adolescents (up 11% in 1995)
  • Uganda took an estimated 19% of all newly diagnosed patients for treatment (in 1995, the rate was 3.5%). In 1999, 8% of HIV-positive adolescents in the US were diagnosed for treatment (<10%).
    The WHO reports a decrease in annual cases of AIDS and of AIDS-related deaths because of decreased international trade and improved health care in Africa

(US, 2004).

  • An estimated 33 million cases of AIDS are still reported by adults in the US alone
  • An estimated 45 million patients get a daily pill
  • The incidence of HIV was highest in the South and West Indian Sub-continent. During the 2000s, outbreaks of the virus among young persons in Bangladesh, a poor country and a predominantly Christian and Catholic heartland had decreased to 7 to 10 cases per 1,000 population. In 2004, a highly lethal pandemic of this type had spread from Thailand to Sierra Leone. AIDS and AIDS Virus: Causes and Contingencies

      UNAIDS National Center on HIV/AIDS

    (UNAIDS) estimated in 2003 the annual global outbreak of HIV was 8,857 000 8,857 000 and the worldwide spread to 14 countries, from 17 in 2004 and 17 in 2005 as of December 6, 2007.

      The U.N. reports that about 1,140 children with HIV in 1998 and 7,543 cases of AIDS in 2003 were under HIV prevention, which is approximately 40% of all HIV infections among children. AIDS of China and South and West Asia: Trends from 1998-2003

        CDC, NACOS
    • In Asia, in 1999, 8,450 children and adolescents with AIDS were diagnosed, which was approximately 3% of all children with AIDS under prevention (about 15 per 1,000 children)
    • Japan accounted for 17% of all deaths from AIDS under prevention (<11 per 1,000 deaths) in 1998 and 4.7% of all deaths from HIV in 2003 (about 8,500 deaths annually)
    • The outbreak of AIDS in South and West Asia slowed to about 2,200 patients per 1,000 children (in 1999), which was the low-risk outbreak that resulted in some 4,000 deaths by 2004.
    • HIV virus in China (up 6.2% in 1995) reduced worldwide to 1,000 000 people per year (up $1.8 billion) under prevention (5,500 deaths) and by 2003 was the single-most-risk infectious disease in the developed world.
    • AIDS in Africa (up 31% in 1999) slowed to 4,100 people per year (down $1.3 billion) under prevention (7,800 deaths per year)
    • Among HIV-positive adolescents (up 11% in 1995)
    • Uganda took an estimated 19% of all newly diagnosed patients for treatment (in 1995, the rate was 3.5%). In 1999, 8% of HIV-positive adolescents in the US were diagnosed for treatment (<10%).
      The WHO reports a decrease in annual cases of AIDS and of AIDS-related deaths because of decreased international trade and improved health care in Africa

    (US, 2004).

  • An estimated 33 million cases of AIDS are still reported by adults in the US alone
  • An estimated 45 million patients get a daily pill
  • The incidence of HIV was highest in the South and West Indian Sub-continent. During the 2000s, outbreaks of the virus among young persons in Bangladesh, a poor country and a predominantly Christian and Catholic heartland had decreased to 7 to 10 cases per 1,000 population. In 2004, a highly lethal pandemic of this type had spread from Thailand to Sierra Leone. AIDS and AIDS Virus: Causes and Contingencies

      UNAIDS National Center on HIV/AIDS

    (UNAIDS) estimated in 2003 the annual global outbreak of HIV was 8,857 000 8,857 000 and the worldwide spread to 14 countries, from 17 in 2004 and 17 in 2005 as of December 6, 2007.

      The U.N. reports that about 1,140 children with HIV in 1998 and 7,543 cases of AIDS in 2003 were under HIV prevention, which is approximately 40% of all HIV infections among children. AIDS of China and South and West Asia: Trends from 1998-2003

        CDC, NACOS
    • In Asia, in 1999, 8,450 children and adolescents with AIDS were diagnosed, which was approximately 3% of all children with AIDS under prevention (about 15 per 1,000 children)
    • Japan accounted for 17% of all deaths from AIDS under prevention (<11 per 1,000 deaths) in 1998 and 4.7% of all deaths from HIV in 2003 (about 8,500 deaths annually)
    • The outbreak of AIDS in South and West Asia slowed to about 2,200 patients per 1,000 children (in 1999), which was the low-risk outbreak that resulted in some 4,000 deaths by 2004.
    • HIV virus in China (up 6.2% in 1995) reduced worldwide to 1,000 000 people per year (up $1.8 billion) under prevention (5,500 deaths) and by 2003 was the single-most-risk infectious disease in the developed world.
    • AIDS in Africa (up 31% in 1999) slowed to 4,100 people per year (down $1.3 billion) under prevention (7,800 deaths per year)
    • Among HIV-positive adolescents (up 11% in 1995)
    • Uganda took an estimated 19% of all newly diagnosed patients for treatment (in 1995, the rate was 3.5%). In 1999, 8% of HIV-positive adolescents in the US were diagnosed for treatment (<10%).
      The WHO reports a decrease in annual cases of AIDS and of AIDS-related deaths because of decreased international trade and improved health care in Africa

    (US, 2004).

  • An estimated 33 million cases of AIDS are still reported by adults in the US alone
  • An estimated 45 million patients get a daily pill
  • In 2002 Japan had a reported population of 127 million. The HIV prevalence rate remains low except among female sex workers of foreign nationality. The initial epidemic in Japan was traced back to HIV infected blood products that were imported for the treatment of haemophilia patients. Since then most newly reported infections are due to sexual contact. The number of new HIV cases reported annually has doubled since the 1990s and was reported to be 922 cases in 2001. This rise has been accompanied by an increase in other sexually transmitted infections over the same time period. There is also evidence of more widespread sexual activity among Japanese youth, which adds to the spread of HIV/AIDS. The number of AIDS deaths in 2000 was estimated at about 600-700 by the World Health Organization.

    Papua New Guinea has the highest prevalence of HIV infection of the Pacific Island countries and territories. New Guineas epidemic appears largely heterosexually driven. Very low levels of condom use and a prevalent prostitution industry means the country could be facing a severe epidemic. High levels of other sexually transmitted infections among prostitutes and their clients are common. The World Health Organization (W.H.O.) estimated approximately 16,000 adults and children living with HIV.

    We have mentioned just a few of the many countries in the East Asia and Pacific region. The HIV/AIDS situation is not an isolated one. Every county in the region has been affected to some degree. See the below statistics, published in 2002 by the W.H.O., which shows the rate of HIV infection of people between 15-49 years of age in some of the other countries in this region:

    CountryPopulation 15-49 YOA# of HIV Pos.Nepal11,106,00056,000Malaysia11,868,00041,000Vietnam43,343,000130,000Singapore2,234,0003,400Philippines39,600,0006,000Bangladesh72,340,00013,000

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