This is actually for last week because we’re on week 5.
Week 4 was about biomedical prevention meaning preventing HIV transmission and infection using medicine.
There were 3 lectures looking at different parts of biomedical intervention. The instructor Kimberley look at decreasing Mother to Child tranimssion, Mark Mulligan looked at Microbicides and Pre-Exposure Prophylaxis (PrEP) and Carlos del Rio spoke about treatment as prevention (TasP) and male circumcision (MC).
These lectures were very helpful in understanding that although HIV is incurable there are many ways that we have figured out to stop the spread of HIV and to keep those with HIV healthier and less likely to transmit.
3 Things I Learned This Week (Hagen)
- How to stop mother to child transmission (using biomedical treatments such as AZT)
- The importance of early detection and treatment for women, especially those who want children or are having children
- A C-section can reduce transmission to 1%
3 Things I Learned This Week (Mulligan)
- Adherence to medication greatly reduces transmission
- Don’t take PrEP if HIV+ because you can build a resistance which would make the virus able to infect someone HIV- and using PrEP
- PrEP doesn’t make people engage in risky behaviours just because they know they are more protected from transmission
3 Things I Learned This Week (del Rio)
- MC mostly benefits men who sleep with men (MSM)
- MC is most effective in countries where HIV rates are high and MC rates are low
- MC can prevent men from becoming infected with HIV
A recent comment in one of the discussion forums in my AIDS course has me fuming! Here is the thread.
Lee: I am a very paranoid person when it comes to STD’s and am always very careful and use prevention. I have to say though that at times you just want to live in the moment and not worry about reaching for the condom box and. I think that what Dr Curran said was very true. I think that a lot of the times women are sort of pressured to not use a condom cause ‘it kills the moment’ or ‘the love’
Kristen (Me): It’s very unfortunate that men and women feel that condoms wreck sex. They are what keeps sex safe and too me, nothing says “I care about you” more then being safe!
I have heard many women (and sometimes from my own experience) tell me that men have said “I don’t have sex with a woman who is not on birth control.” This clearly places all the pressure on women to be in charge on contraception. Some women, such as myself, cannot be on hormonal contraceptives because of horrible side effects so condoms are all we have.
This is a great example of where sexual education, female empowerment and the breaking down of patriarchal beliefs and systems can greatly improve everyone’s physical and mental health!
Hui: Well, condoms do wreck sex. It’s a too obvious fact of life.
The question is whether it’s worth enduring a wrecked sex life and for how long. I personally don’t.
Kristen (Me): I personally feel it is that thought that Lee and Dr. Curran were talking about as being why many individuals end up contracting HIV/AIDS because of the negative beliefs (and even experiences) that people have about condoms and pleasure.
What, to me, is a fact, scientifically proven over and over is the effectiveness of condoms to prevent HIV/AIDS and other STI’s. I feel that is the obvious fact of life.
What I actually wanted to say:
What the fuck is wrong with you?!?!?! You need to change your fucking attitude and get your generalizations under control! HOW DARE YOU PARTICIPATE IN CREATING NEGATIVE INFORMATION THAT, AS WE’RE LEARNING, CAN KILL PEOPLE!!!!!!! You just have a shitty attitude about sex overall if some penis balloon wrecks your sex life! You shouldn’t even be here in this course!!!!
…….I am no longer a part of this discussion due to my rage about it.
Thought: While going in and out of sleep this morning I kept thinking back to the CAMH ad’s I posted about yesterday. Cate commented on the post and used a great word “minimize”. I was saying “simple” but minimize is exactly the word I was looking for! With the new generation of youth I feel like, and becoming worried that, mental health is becoming minimalized. It is becoming so casual that any person who is sad could have depression, anyone stressed out could have anxiety etc. It seems like kids are being whisked off to the doctor’s office as soon as they shed a tear and don’t sit still because we want to catch mental illness before it goes to far! In the process of wanting prevention and ending stigma we are making it seem like there is an easy way to solve the problem (a hospital stay for example). Everyone will say that it’s not easy, and it shouldn’t be, but when we’re entering a time when denial of a mental health issue is turning into everyone possibly having one I think we’re stuck in stigma, we still have a problem.
Sorry, I don’t know if any of this made sense. I’m finding this really hard to explain.
(Bolding added by me to highlight what the strategy would include)
National Mental Health Strategy: First Of Its Kind Report May Pressure Harper To Act
CP | By Heather Scoffield, The Canadian Press Posted: 05/06/2012 12:17 pm Updated: 05/06/2012 5:37 pm
OTTAWA – Canada is about to get its first-ever national mental health strategy — a massive report that may persuade Prime Minister Stephen Harper that his government must return Ottawa to a lead role on health care.
On Tuesday, after five years of research, consultations with thousands of people, modelling, forecasting and much agonizing, the Mental Health Commission of Canada will finally deliver the blueprint the Harper government requested.
The Canadian Press has learned that the strategy will launch a call to action targeted not just at the federal government, but also at provincial governments, health-care professionals, businesses, philanthropists and volunteers.
With more than 100 recommendations, the strategy will demand that they, and Canadians in general, set aside their preconceived notions of mental illness and face the fact that almost every family will be touched by mental health problems at some point.
Specifically, the blueprint wants federal and provincial governments to earmark nine per cent of their health spending for mental health — up from about seven per cent now. Governments should also draw two percentage points more from their social spending envelope for mental health needs.
It will call for a reconfiguration of health care services so that patients have better access to mental health professionals, community support, better funding, and appropriate medication.
It will emphasize recovery from mental illness, and urge for more prevention, especially when dealing with young people.
It will also stress the high cost of inaction. Mental health problems cost the Canadian economy at least $50 billion a year.
The report stops short of putting a dollar figure on what the federal and provincial governments should spend overall, since the fiscal squeeze at both levels of government has made any specific requests too sensitive, Ottawa insiders say.
Still, the recommendations have caught the eye of the Conservative government, numerous insiders say. And there is an acceptance at the federal level that Ottawa should be central in pushing the strategy forward — despite Harper’s recent insistence that health is better left to the provinces.
Whether the federal government will follow through with substantial financial support and national leadership, however, is another question.
“We have to have buy-in. There’s nothing that easy in health care,” said Linda Silas, president of the Canadian Federation of Nurses Unions, echoing a sentiment expressed by several stakeholder groups. “We need to see federal leadership on this.”
Gillian Mulvale is betting that the strategy will actually make a difference.
Mulvale is an Ottawa-based health policy analyst who plunged into post-partum depression two decades ago, and struggled for years to find the proper care, support and medication.
At first, she couldn’t even bring herself to call her doctor and admit something was wrong. Even after she did ask for help, she didn’t get it.
Then she miscarried, and found herself spiralling.
“I finally hit a point where I thought that everyone would be better off without me, if I were to leave,” she said in an interview at her office, where the walls are decorated with diplomas and motivational proverbs.
“And I planned, in my distorted thinking, that I would just get in the car and drive somewhere, and my husband would raise my children, and they would be much better off.”
Her husband urged her to get attention, but that only started a rocky journey of dealing with stigma, about 20 different kinds of drugs over the years, and multiple hospital stays in an effort to get access to psychiatric services.
“I would crash repeatedly. And when I crashed, it was very strong suicidal ideation.”
Mulvale persevered and has now fully recovered. She keeps herself well through yoga, inspirational reading, tai chi and hard work. But she is still wrestling with the stigma of having had a mental illness, cringing several times in the interview and wondering aloud if she was doing the right thing.
She agreed to come forward about her perilous trip in the hopes that by speaking, she will help overcome some of the stigma and bring attention to the many, many pitfalls in Canada’s mental health system.
“Stigma permeates everywhere,” she says haltingly. “It doesn’t matter what your profession is.”
Indeed, the strategy on Tuesday will speak to many of her concerns. It will tackle the lack of access to psychiatric services at the doctor’s office, sources confirm. It will also encourage peer support, community-based care and a patient-rights approach to care that balances medication and psychotherapy.
And it will urge authorities to start systematically counting and documenting how pervasive mental health issues really are, so that policy makers will eventually have to respond.
But will they respond?
Health Minister Leona Aglukkaq is expected to be present at the launch on Tuesday in Ottawa — a sign of her support. Harper has spoken out about the need to overcome stigma and improve mental health.
And federal officials are already contemplating ways to take action on — and put funding towards — suicide prevention. The strategy will lay out detailed recommendations in that area, including improving support for schools and families, screening for suicide risk at the doctor’s office, and addressing underlying risks such as poverty and vulnerable groups such as First Nations and older men.
Provincial health authorities are constantly struggling to cover health care costs, and mental health is often at the bottom of the list — the “poor cousin” of the health care system, says Mulvale.
But even though she is worried that governments will look at their tight budgets and not give the strategy much attention, she says government funding and policy is only a part of the answer.
“I think it’s far more complex than what government can do alone. I think there is much that government can do; there is much that the health care system can do; but there is much that every single one of us can as Canadians (can do), and that’s changing attitudes and being open,” she says.
“I think that people with mental health problems and illnesses, as much as I recognize how difficult it is to do, we need to talk about it.”