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CAN DISEASE BE MITIGATED - Coggle Diagram

- - - - by January 2011 the disease had spread to the Dominican Republic because of migrtation
        
        never fully eradicated, 2014 still 2300 cases per week
    - - more people died from the outbreak than the hurricane flooding spread infected water and destroyed infrastructure, people forced to use contaminated water.
- - - - Goals; 1b more people with health coverage, addressing social barriers, improve data.
    - - WHO delivered emergency services like medical units and medicine when health facilities were damaged
      - 7.8 richter 18k injured
    - - WHO worked with UNICEF to support Liberia
- - - - 30% had HIV in the 1990s
        
        ABC strategy A- abstinence B- be faithful (partner reduction) C- condoms
        
        By 2001 it fell to 5% seroprevalence (level of pathogen in a population)
        
        Broad applicability, specific and locally targeting rather than a unilateral approach for the whole population i.e addressed high risk groups like sex workers
    - - Offered voluntary male circumcising (1,059,970 circumcised between 2009-2017)
        
        Education in congregational areas; schools, street performances, sporting events
        
        Families matter programme- open discussions around safe sex, positive parenting, evidence based intervention, working with ages 9-14 in Kenya, Tanzania, Côte d’Ivoire, South Africa, Zambia, Zimbabwe and Mozambique.
        
        Helped confidence talking about sexual health and encourages girls to share their sexual abuse stories allowing families to offer support
    - - CDC South Africa offering safe medical injections, adult male circumcision, removing stigma
        
        National blood service provided disease free blood (no blood transmitted HIV in 2008)
        
        Traditional healers trained in record keeping and preventative messaging
        
        Youth prevention- incidence in women 15-24 is 4x higher than men and infection rate in 8x higher in women in general, strengthening the role of families
        
        Testing and counselling- national department of health expanded counselling and testing to reach different populations (mobile, home based and in workplaces) in 2012 66% of the population had been tested in the past 12 months
        
        Future 95-95-95m target to have 95% (92% 2020) know their HIV status, 95% (72% 2020) are on treatment and 95% (66% 2020)have suppressed viral loads
        
        1 more item...
  - - - Prevented and treated through PEP and PrE, STD testing, abstinence, condoms and ARVT
        
        Risk factors include uncircumcision, existing stds, a high viral load, and a lack of lubrication causing abrasions
        
        1.5 million new infections in 2020 and 37.7 million with it, 680,000 AIDS related deaths