东欧的艾滋病鸵鸟政策

发自加利福尼亚的加地夫——目前整个中东欧地区大概有150万艾滋病感染者,其中90%分布在俄罗斯和乌克兰两国。在我最近对这两地的走访当中,尽管多次联系,没有一位当地政治家或者卫生官员愿意出面会见我,我回国后又尝试用电话,传真或者电子邮件等方式联系他们,但得到的依旧是沉默的回应。

这两个国家的艾滋病传播主要存在于注射吸毒者之间,而他们共享针头和注射器的行为是最容易传播艾滋病病毒的,但目前已经开发出有效的方式来减缓艾滋病在这类群体中的蔓延。

对于那些使用海洛因或者相关鸦片提取物的注射吸毒者(这是东欧面临的主要问题),服用美沙酮和丁丙诺啡 (buprenorphine)这类鸦片类物质替代物可以极大地减少艾滋病病毒的传播。此外这类抗感染项目的成功实施还有赖于在某些合适的地点建立针头/注射器更换点,一方面向吸毒者提供干净的用具,另一方面也方便将他们纳入到医疗卫生体系当中。为了更好地巩固这些措施,还需为吸毒者提供心理咨询服务。

To continue reading, please log in or enter your email address.

Registration is quick and easy and requires only your email address. If you already have an account with us, please log in. Or subscribe now for unlimited access.

required

Log in

http://prosyn.org/QI64pMX/zh;
  1. Sean Gallup/Getty Images

    Angela Merkel’s Endgame?

    The collapse of coalition negotiations has left German Chancellor Angela Merkel facing a stark choice between forming a minority government or calling for a new election. But would a minority government necessarily be as bad as Germans have traditionally thought?

  2. Trump Trade speech Bill Pugliano/Getty Images .

    Preparing for the Trump Trade Wars

    In the first 11 months of his presidency, Donald Trump has failed to back up his words – or tweets – with action on a variety of fronts. But the rest of the world's governments, and particularly those in Asia and Europe, would be mistaken to assume that he won't follow through on his promised "America First" trade agenda.

  3. A GrabBike rider uses his mobile phone Bay Ismoyo/Getty Images

    The Platform Economy

    While developed countries in Europe, North America, and Asia are rapidly aging, emerging economies are predominantly youthful. Nigerian, Indonesian, and Vietnamese young people will shape global work trends at an increasingly rapid pace, bringing to bear their experience in dynamic informal markets on a tech-enabled gig economy.

  4. Trump Mario Tama/Getty Images

    Profiles in Discouragement

    One day, the United States will turn the page on Donald Trump. But, as Americans prepare to observe their Thanksgiving holiday, they should reflect that their country's culture and global standing will never recover fully from the wounds that his presidency is inflicting on them.

  5. Mugabe kisses Grace JEKESAI NJIKIZANA/AFP/Getty Images

    How Women Shape Coups

    In Zimbabwe, as in all coups, much behind-the-scenes plotting continues to take place in the aftermath of the military's overthrow of President Robert Mugabe. But who the eventual winners and losers are may depend, among other things, on the gender of the plotters.

  6. Oil barrels Ahmad Al-Rubaye/Getty Images

    The Abnormality of Oil

    At the 2017 Abu Dhabi Petroleum Exhibition and Conference, the consensus among industry executives was that oil prices will still be around $60 per barrel in November 2018. But there is evidence to suggest that the uptick in global growth and developments in Saudi Arabia will push the price as high as $80 in the meantime.

  7. Israeli soldier Menahem Kahana/Getty Images

    The Saudi Prince’s Dangerous War Games

    Saudi Arabia’s Crown Prince Mohammed bin Salman is working hard to consolidate power and establish his country as the Middle East’s only hegemon. But his efforts – which include an attempt to trigger a war between Israel and Hezbollah in Lebanon – increasingly look like the work of an immature gambler.