About the Global AIDS Pandemic

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About the Global

AIDS Crisis The Issue HIV infects some people, AIDS affects everybody. Essentially, HIV and AIDS threaten the quality of life, economic progress, and social structure of entire communities and countries. AIDS is leaving a generation of orphans and vulnerable children whose daily lives and futures are at risk. In many parts of the world, the disease is actually reversing years of progress made on community development projects.

Women and girls carry the greatest responsibility of caring for people who are suffering from HIV and AIDS. Females are getting infected with HIV at an earlier age and are dying younger than males. AIDS is a disease that come draped in stigma and fear. It can be a difficult topic to discuss because of biases and stereotypes that surface when someone is said to be HIV-positive or to have AIDS. In many parts of the world, the means by which HIV is transmitted or treated is not always clearly understood. Afraid of being stigmatized and victimized, people may avoid testing— a key first step in dealing proactively with HIV and AIDS. Education and awareness-raising programs are integral to preventing the transmission of HIV and helping people to live with dignity and strength.

The Facts HIV anD AIDS Explained Âť AIDS represenTS the biggest crisis the world has ever seen. It is killing more people than

any war or famine in history. By 2010, AIDS in sub-Saharan Africa will orphan an estimated 15.7 million children; globally, 20.2 million children will be so orphaned. AIDS destabilizes families and entire societies, leaving children without the care and support necessary to grow up healthy and thrive.

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» Since the epidemic began, about 60 million people have contracted AIDS or HIV; a third of them have died, leaving behind millions of grieving family members. » Currently, 33 million people are living with HIV or AIDS, and an estimated2 million of these people are children. » 15 million children worldwide have lost one or both parents to AIDS; that number is expected to reach 25 million by the year 2010. » Every day nearly 7,400 people become infected with HIV and more than 5,400 people die from AIDS. » 2 million adults and children died as a result of AIDS. » In 2007, 2.5 million people were newly infected with the virus. » By 2010, more than 20 million children will be orphaned because of AIDS. H I V s ta n d s f or “ hum a n i mmuno defic iency vi rus.” AIDS stands for “acquired immune deficiency syndrome.” Someone who contracts the HIV virus is said to be “HIV-positive.” HIV is a retrovirus that attacks the immune system so that it can’t fight off illnesses and infections. As the disease progresses, a person with HIV contracts secondary infections such as tuberculosis or pneumonia, and develops full-blown AIDS. This process usually happens within eight to 10 years. However, some people become sick very rapidly and others can remain healthy for many years. The onset can vary according to a person’s age, whether they have access to proper health care, and other factors. Without treatment, a person with HIV or AIDS will suffer from infections, sometimes for months or years, before eventually dying from them.

POVERTY » H I V a n d A I DS have a profound and systemic effect on household income and sustainability. AIDS pushes people deeper into poverty, and households lose their breadwinners. Livelihoods are compromised, and savings are consumed by the cost of health care and funerals. The process of passing on knowledge and expertise—in land preparation, crop cultivation, handicrafts, cultural beliefs, and traditions—to the next generation is undermined.

PEACE » Th e Un it e d Nati ons S ecur ity Counc il has highlighted HIV and AIDS as threats to global peace and security. High infection rates create conditions in which famine, repression, or violent conflict and war occur more easily. In turn, these conditions accelerate the spread of HIV.

INSTITUTIONS » A I DS a l s o has a sign ifica nt effect on institutions such as schools, universities, and health-care services. When trained professionals die, the capacity of these institutions is disrupted and the difficulties in meeting the needs of an HIV- and AIDS-affected population are compounded.

FOOD SECURITY » F o o d s e c u ri ty is also cons ider ably a ffecte d, particularly in countries where

the majority of the population is engaged in agriculture. Because HIV and AIDS affect the most productive group of people, they threaten not only the food security of households but also the long-term capacity of communities and nations to produce food and secure their livelihood. Lack of food also decreases the resistance of men, women, and children to opportunistic infection and, therefore, accelerates the onset of the disease.

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WOMEN » I n additi o n , gender inequality is a major driving force behind the AIDS pandemic. Women

are biologically more at risk of HIV infection than men and carry the biggest burden of caring for the sick and dying. Women have lower incomes, status, and education levels; limited legal rights; and less access to resources such as social and health-care services. Social traditions and economic factors also limit women’s ability to express their wishes regarding choice of sexual partners and safer sex practices. There is growing evidence that a large share of new HIV infections is due to gender-based violence in homes, schools, the work force, and other social institutions. AIDS has orphaned millions of children. The number of child-headed households is increasing as a result. Children orphaned by AIDS are at risk of malnutrition, illness, abuse, child labor, and sexual exploitation, and these factors, in turn, increase their vulnerability to HIV infection. They also suffer the stigma and discrimination often associated with HIV and AIDS and may be denied education, work, housing, and other basic needs as a result. Girls are particularly affected because they are more likely to drop out of school to care for parents infected with HIV, for their younger siblings, or for other family members. Orphans also leave school because of discrimination, emotional distress, inability to pay school fees, or the need to seek work to survive. Young people are the most vulnerable group because they often lack the knowledge or skills to practice safe sex. Studies from around the world have established that the vast majority of young people have no idea how HIV is transmitted, nor do they know how to protect themselves from the disease.

GEOGRAPHY » Th e a r e a in the worl d that is most affected by HIV and AIDS is also one of the poorest regions in the world—sub-Saharan Africa, where about 22 million people are infected.

HIV is also spreading rapidly in Eastern Europe and Central Asia, with about 5 million people now infected. About 4.2 million people in Asia are infected, including 1.1 million people who were infected in 2005 alone. Approximately 2 million people in Latin America and the Caribbean are infected.

TREATMENT » Th e r e a r e n o cures for AID S , but it can be treated and prevented. People with the

disease can take drugs called antiretroviral (ARVs). These slow the progression of the disease and keep people healthy for much longer. People can live up to 20 years or more with the disease if ARVs and good nutrition are available. Because HIV and AIDS cause people to get secondary infections, such as tuberculosis and skin diseases, they also need treatment for these infections. Yet 5 million to 6 million people in developing countries urgently need antiretroviral treatment. About 15 percent have access to it. Prevention and education programs together with treatment are the best approach to tackle the rapid spread of this killer disease.

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(Sources: UNICEF, August 2006; International Labor Organization, November 2006; AIDS Epidemic Update, UNAIDS, December 2006; Africa’s Orphaned and Vulnerable Generations, UNICEF, August 2006; AIDS Epidemic Update, UNAIDS, December 2007; AIDS Epidemic Update, UNAIDS, December 2006. UNAIDS Report on the Global AIDS Epidemic, 2008.)

What You Can Do » Speak out for AIDS-affected children. Urge Congress to continue and increase the U.S. contribution to the global HIV and AIDS battle and ensure that AIDS-affected children are not forgotten. » Visit the “World Vision Experience: AIDS” in a city near you. For more information go to www.worldvisionresources.com and click on “programs and events” for more information. » Sponsor a HopeChild in an AIDS-affected nation. For sponsorship information go to www.worldvisionresources.com. » With the support of World Vision, Christian college students have formed a network of chapters which seek to change hearts on campus, create awareness in communities, and advocate for those impacted by the global AIDS pandemic. For more information go to www.worldvisionresources.com and click on “programs and events” for more information. » World Vision distributes Caregiver Kits to family members and local volunteers in Africa, Asia and Latin America who are caring for those living with AIDS. These kits supply the materials needed to safely and effectively prolong lives and relieve suffering. You, your family and friends can assemble Caregiver Kits as a hands-on way of showing God’s unconditional love and encouraging these selfless, courageous volunteers. For more information go to www.worldvisionresources.com and click on “programs and events” for more information. » Come together as a family, class, youth group, or business to support those made vulnerable by AIDS. You can use World Vision’s Group Giving Kit to raise money for items from our Gift Catalog. Your gifts will help provide things like caregiver training, education, food, shelter, HIVprevention, care for widows and orphans, and more. Copyright © 2009 by World Vision Inc., Mail Stop 321, P.O. Box 9716, Federal Way, WA 98063-9716, 253815-3320, wvresources@worldvision.org. All rights reserved.

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About World Vision W o r ld Vi s i o n i s a Christian relief, development, and advocacy organization dedicated to helping children and their families break free from poverty. Our work is motivated by our faith in Jesus Christ. We see a world where each child experiences “fullness of life” as described in John 10:10. And we know this can be achieved only by addressing the problems of poverty and injustice in a holistic way. That’s how World Vision is unique: We bring 60 years of experience in three key areas needed to help children and families thrive: emergency relief, long-term development, and advocacy. And we bring all of our skills across many areas of expertise to each community we work in, enabling us to care for children’s physical, social, emotional, and spiritual well-being. W o r ld Vi s i o n Re s o u r c e s educates Christians about global poverty, inspires them to social justice, and equips them with innovative resources to make a difference in the world.

For more information about our resources, contact: World Vision Resources www.worldvision.org wvresources@worldvision.org

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