And now for something serious ...

On the first of December, World AIDS Day is celebrated. This day is an opportunity for people to unite in the fight against HIV/AIDS, to remember those who have died of the disease and to celebrate accomplishments, such as increased access to treatment and prevention services.

Today, despite advances in HIV treatment and in laws designed to protect those living with HIV; many people do not know the facts about how to protect themselves and others from HIV or about the stigma and discrimination that remain a reality for many people living with HIV. World AIDS Day is an important reminder to individuals and governments that HIV has not gone away – there is still a vital need to raise money, increase awareness, fight prejudice and improve education.

The theme for World AIDS Day 2011 is "Getting to Zero." After 30 years of the global fight against HIV/AIDS, this year the focus is on achieving 3 targets: Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths.

It is estimated that 33.3 million people have HIV worldwide, with 1.2 million persons who are living with HIV in the United States, according to the Center of Disease Control (CDC) estimates. This number is expected to continue to increase over time, as advances in treatments prolong the lives of those who are infected and more people become infected with HIV each year. Despite increases in the total number of people in the U.S. living with HIV infection in recent years, the annual number of new HIV infections has remained relatively stable. However, new infections continue at far too high of a level, with approximately 50,000 Americans becoming infected with HIV each year. Worldwide, the rate of new infections, or incidence, has decreased. In 33 countries, the incidence has decreased more than 25 percent since 2001, including countries in the hardest hit areas of sub-Saharan Africa.

The CDC estimates that one in five people living with HIV in the U.S. are unaware of their infection. This highlights the importance of reaching all infected individuals with HIV testing and prevention services. HIV can be transmitted in three main ways: sexual transmission; transmission through blood; and mother-to-child transmission. These three routes of transmission work in tandem to affect segments of the population. The number of infections resulting from each route will vary greatly between countries and population groups. HIV counseling and testing are fundamental for HIV prevention, as is access to essential commodities such as condoms or sterile injecting equipment.

According to UN Secretary-General Ban Ki Moon, "Stigma remains the single most important barrier to public action. It is a main reason why too many people are afraid to see a doctor to determine whether they have the disease, or to seek treatment if so. It helps make AIDS the silent killer, because people fear the social disgrace of speaking about it, or taking easily available precautions. Stigma is a chief reason why the AIDS epidemic continues to devastate societies around the world."

Discrimination against those infected with HIV/AIDS includes both the fear of getting the disease and also negative assumptions about people who are infected. AIDS-related stigma has had a profound effect on the epidemic’s course. The World Health Organization cites fear of stigma and discrimination as the main reason why people are reluctant to be tested, to disclose their HIV status or to take antiretroviral drugs.

"We can fight stigma. Enlightened laws and policies are key. But it begins with openness, the courage to speak out. Schools should teach respect and understanding. Religious leaders should preach tolerance. The media should condemn prejudice and use its influence to advance social change, from securing legal protections to ensuring access to health care." Ban Ki-moon, Secretary-General of the United Nations.

I know people who have been living with HIV for many years, and I know people who died because of AIDS. My hope is that no one who reads my blog is at high risk for contracting any sexually transmitted disease. It is my greater hope that everyone make sure that they and their loved ones are at zero risk. Do what you need to do, please.