HIV is a 'Titanic peril' for China, says UN report

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China is on the verge of an AIDS epidemic “of proportions beyond belief” according to a United Nations report.

At the end of 2001, between 800,000 and 1.5 million people in China were infected with HIV, a figure which could increase to 10 million by 2010, claims the United Nations Programme on AIDS (UNAIDS). The estimates are based on the HIV testing of high-risk groups such as drug users, sex-workers, pregnant women and people with sexually transmitted infections.

The UNAIDS report is urging the Chinese government to spend more on HIV education and prevention. Many Chinese have never heard the word AIDS says the report, and many more believe that HIV can be contracted from insect bites or shaking hands. Although the Chinese government organised the country’s first AIDS conference late last year, UNAIDS highlights that many Chinese officials lack commitment to fight the spread of HIV, and despite recent media campaigns, stigma surrounding the disease makes people reluctant to come forward for testing.

Glossary

UNAIDS

The Joint United Nations Programme on HIV/AIDS (UNAIDS) brings together the resources of ten United Nations organisations in response to HIV and AIDS.

stigma

Social attitudes that suggest that having a particular illness or being in a particular situation is something to be ashamed of. Stigma can be questioned and challenged.

safer sex

Sex in which the risk of HIV and STI transmission is reduced or is minimal. Describing this as ‘safer’ rather than ‘safe’ sex reflects the fact that some safer sex practices do not completely eliminate transmission risks. In the past, ‘safer sex’ primarily referred to the use of condoms during penetrative sex, as well as being sexual in non-penetrative ways. Modern definitions should also include the use of PrEP and the HIV-positive partner having an undetectable viral load. However, some people do continue to use the term as a synonym for condom use.

In April, the Chinese state media said that 68% of HIV infections were from injecting drug use. In addition, it estimated that almost 10% of infections had been caused by illegal blood selling which is widespread in many rural areas and has led to many farmers contracting HIV from contaminated equipment. In some villages in the Henan province the greater part of the population is already infected with HIV.

Whilst national HIV prevalence is much lower than in southern Africa, high local prevalence levels mean that HIV could spread rapidly across the population, particularly as sexual transmission of HIV is becoming more widespread, among both gay men and heterosexuals. The UN is urging China’s leaders to challenge traditionally conservative attitudes towards sex by speaking publicly about safer sex. The report says that in recent years HIV awareness has only increased “minimally.”

“At the dawn of the third millennium, China is on the verge of a catastrophe that could result in unimaginable human suffering, economic loss, and social devastation,” said the UNAIDS report.