hiv/aids : ethical problems and solutions (hiv infection and aids) (hiv infection and aids) the role...
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HIV/AIDSHIV/AIDS : Ethical problems and solutions : Ethical problems and solutions (HIV infection and AIDS) (HIV infection and AIDS)
• The role of the law• The role of religion• - HIV Infected pregnant women & abortion• HIV transmission in hospital setting• How can we support the HIV/AIDS people?• Conclusion
OutlineOutline
1
AIDS
AIDS
AIDS
AIDS
AIDSAIDS
HUMAN RIGHTS HUMAN RIGHTS
Discrimination
Normal -HIV Infection AIDSNormal
HIV
HIV
HIV
HIV
HIV
HIV
?
How to protect HIV/AIDS people from discrimination?
Ethicalproblems
2
DiscriminationDiscrimination
“ Any form of distinction, exclusion or restriction affecting a person usually by virtue of an inherent personal characteristic.”
• Deny to associate with a person with HIV/AIDS• Provide different benefits or services• - Pre employment inquiries about health status• Questions about sexual behavior• Discrimination because of having friends with AIDS• Vi ol ati ngthe confi denti al i ty of AI DSpeopl e
Common forms of discrimination Common forms of discrimination
3
Ways to protect HIV/AIDS people include;
• The role of the law• The role of the religion
Protect the rights of HIV/AIDS people
• Protective Role of law
• Law and discrimination Halt many kinds of illegal treatment
The role of the law & HIV/AIDS The role of the law & HIV/AIDS
• Problem How to enforce the laws?
4
The role of religion in HIV/AIDS The role of religion in HIV/AIDS
• Counselors against AIDS• Humanistic support
• -Prolong life span• End their life with peace
SUPPORT, UNITE, INSPIRE, ASSIST
5
HIV-Infected pregnant woman
“Decision Decision makingmaking”
Let the baby be born
Let the baby die
Rate of mother-to-child transmissionDeveloped countries : 15 - 20 %Developing countries : 25 - 35 %
- HIV Infected pregnant woman & abortion- HIV Infected pregnant woman & abortion
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• Economic status• Education• Data of physician• Status of disease• Age of pregnancy• Husband’s perception
Factors influencing the decision of abortion in HIV-infected pregnant woman
- HIV Infected pregnant woman & abortion- HIV Infected pregnant woman & abortion
Ethical Ethical problemsproblems- Religion- Human rights
-Less social Less social problemsproblems- decrease orphan child- decrease economical support
+
Decision to TERMINATE Decision to TERMINATE pregnancypregnancy ((18-50% in Thailand)
- HIV Infected pregnant woman & abortion- HIV Infected pregnant woman & abortion
“Respect her decision & support her instead of judge her RIGHT or WRONG”
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Prevention mother-to-child transmission• Anti-retroviral drugs• Cesarean section• No breast-feeding
Decision to CONTINUE Decision to CONTINUE pregnancy pregnancy
- HIV Infected pregnant woman & abortion- HIV Infected pregnant woman & abortion
Problems;• HIV-Infected child: economic, illness• Uninfected child : orphan
9
HIV transmission in hospital setting HIV transmission in hospital setting
• - - Patient to health care professional transmission• - - Health care professional to patient transmission
- - Patient to health care professional transmission- - Patient to health care professional transmission• - 0 .3 0 .5 % of HIV transmission• nnnnnn-nnnnn nnnnnnn nnn n nnnn nnnn
Problems:• Right to know?• Insurance?• Work practice?
10
HIV Transmission in hospital setting HIV Transmission in hospital setting
- - Health care professional to patient transmission - - Health care professional to patient transmission
Problems:• Work practice?
• Restriction• Termination
• Right to tell?
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1992 360 1200 5000CDC ( ): surgeons, , dentists, , -physicians were HIV seropositive ()
How can we support people with HIV/AIDS? How can we support people with HIV/AIDS?
• Medical treatment
• Social support• Government/Private banks• Organization• Donation
• Depression• Resources: family, religion, health care providers• Goals: reduce stigma and their negative feeling
• Psychological support
12
ConclusionConclusion
ReligionReligion
LawLaw Physical & medical
support
Socialsupport
Psychological support HIV
AIDS
13
• Professor. John Essigmann (MIT)• Associate Professor Ram Sasisekharan (MIT)• Dr. Ganesh Venkataraman (MIT)• Dr. Maria Kartalou (MIT)• Dr. Suvit Loprasert (CRI)• Dr. Poolsak Sahakittichan (CRI)• Dr. Praphan Phanuphak (Thai Red Cross & Chulalongkorn University)• -Mr. Pornchai Sornsathapornkul (TAVEG SIRIRAJ)• CRI’s staff• All of the audiences
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