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GGRB28H3 (121)
Lecture 3

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Michelle Majeed

Lecture 3 Reading Farmer chapter 4 -Many doctors thought magic ritual provides means of transfer of blood and secretion from person to person -Women have been known to introduce menstrual blood into the food and drink of their partner to prevent them from ‘straying’ -Local interpretations of Aids often hinged on allegations of sorcery -In 1982 US public health officials inferred that Haitians qua Haitians were some way at risk of aids and suggested they would research to find the culprit -aids was leading cause of death among adults between 20-49 -Research present there left little doubt that in urban Haiti, at least a new state of immunodeficiency was striking increasing numbers of young adults, especially men - There were many Haitian and American men who had aids and the researchers were confused with causes but knew it was caused by the same organism -Port au Prince was common place for male and female prostitution -Haitian men were found to have been having sexual contact with American men tourists -Increasing number of women started to report infection -The association with a history of blood transfusion seemed be greater in Haiti than in the United States -Haitian origin of AIDS has led to wave of anti-Haitian discrimination -there was collaboration claims that HIV was not easily spread by nonsexual contact -prevalence of HIV was highest in children with parents who had AIDS, especially children less than one year old -difficult to assess HIV with other diseases because deaths due to diarrheal disease has been a long commonplace in Haiti -epidemiology only gives a small idea of how and why AIDS spread in HIV but is not a clear explanation of it. -for Haitian American individuals the common factors for HIV was not the case such as homosexuality -since heterosexual males are having homosexual experiences the heterosexual transmission is higher in Haiti compared to America -HIV for women to men are inefficiently transmitted -With the passage of time then it became increasingly clear that HIV was heterosexually transmitted, especially from men to women -During the past five years Haiti, especially Port au Prince has become popular holiday resort for Americans who are homosexual, homosexual prostitution common there -There used be a gay subculture in Haiti and tailored to many gay individuals Farmer Chapter 5 -Peligre basin region may be poorest in Haiti -Thousands of villagers were flooded out after the damn was build in 1956 - Many families rely on small agriculture to survive even after generations -started to diagnose natives of Do Kay for Aids they shared two risk factors: inequality and poverty -Most area residents shared single socioeconomic status, poverty conjugal unions with non peasants reflect women's quest for some measure of economic security - Local inequality is for truck drivers or soldiers who were with local peasants -truck drivers and soldier serve as a bridge for city to rural populations -once it is first introduced into the a population it'll start affecting people who have no connection with the city Population Pressures Haiti is tiny and therefore is a lot of crowding and many people live in Port au Prince Economic Pressures - The current economic conditions push people out of the countryside and into the city or often enough out of the country altogether -The Haitian people have long since left behind a peasant standard of living Patterns of Sexual union -Many polygamy is occurring in Haiti because true unions are expensive, however multi partners are the cause for increase in HIV transmission since people are having relationships with people from other parts that have the infection Gender inequality -Specifically women do not have equality because they have time saying no to individuals since they are poor. In addition they didn't wield enough authority to ask their partners to wear a condom Other cultural considerations -Other issues such as unregulated use of syringes by "folk" practitioners unschooled in aseptic techniques received a fair amount of attention as possible sources of HIV transmission Political disruption -Political issues and lack of policies and preventative measures were the reason why HIV was transmitted so quickly -there also a coup d’état in 1991 Concurrent Disease -other diseases may help the progression of HIV so that it kills quicker -some diseases include leprosy, yaws and syphilis Accesses to medical services are also issues to consider Reason for rural infection -Deepening poverty -Gender inequality -Political upheaval -traditional patterns of sexual union -emerging patterns of sexual union -prevalence of and lack of access to treatment for STDs
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