The catching an illness rate improves and guides paying close attention to Equal benefit guarantee of preventing and curing appealing for of rural worker's AIDS

The catching an illness rate improves and guides paying close attention to Equal benefit guarantee of preventing and curing appealing for of rural worker's AIDS
Leaderette
On November 24, plans to announce in Shanghai " the report will prevail in AIDS of 2009 " in the administration in AIDS of the United Nations. The report claims, AIDS prevails so far, probably already 60 million people have been infected with HIV in the whole world, 25 million people die of the relevant disease of AIDS.
Minister of Chinese Ministry of Public Health Chen Zhu reveals here, by October 31 this year, our country reports to 319877 persons living with HIV/AIDS and patients totally. Chen Zhu says, Ministry of Public Health determines to strengthen AIDS preventing and controlling of key area, key crowd, have already considered that will strengthen and prevent and cure efforts to key colonies such as the rural worker,etc. next year.
Because various factors enable rightly, the rural worker has already become the weak crowd in the city, no exception in the field of AIDS preventing and controlling. In recent years, the growth of the trend as the rural worker flows, rural worker's AIDS infection rate is improving progressively too. The insider thinks, besides strengthening the existing AIDS preventing and controlling, the question basic way is to want to offer the rural worker equal medical guarantee that the rural worker defends ending. So, could jump out only " treat the head when the head aches foot ache and cure the foot " Old mode.
The view point pays close attention to
Up to today, go to the capital, work personnel king that (assumed names) while being 28 -year-old Accept that has intervened the service for full 3 months in AIDS.
The king, in order to come to Beijing to make a living in 1998, 2002 because the chance of a chance contaminated, and then infected HIV again, until the fact that will it be August this year does not find, become one the intersection of AIDS and serivce object of interfering from event, it is HIV-positive and is made a definite diagnosis of.
According to the king in order to say, because has caught the drug addiction, he can help and obtain the clean needle and have exchanging and corresponding services through the project, having controlled the continuation that has through the not clean needle to spread, but because oneself is the floating population, there are certain obstacles in obtaining and treating and showing loving care for resources.
"The rural worker comes to the city from the countryside, the increase suddenly of the pressure of enormous change and surviving of the external environment condition, it is very apt to make this colony touch behaviors extremely apts to be infected with AIDS such as taking drug, not clean sexual behavior,etc.. " Reputable Wan, worker of AIDS preventing and controlling, prolong sea say to reporter.
In recent years, the spread of AIDS in rural worker's colony has already caused the extensive concerns of the various circles of society.
The expert points out, in the countryside, large-scale floating population becomes the main carriers that AIDS propagated. AIDS spreads via people's humoral exchange, the scale that certainly will flow with population has forward relations.
But, flow itself the dangerous factor that AIDS propagates, environment and dangerous behavior that might possess that live in it increases AIDS to be easy to be perceptual and dangerous during people flow or move.
Rural worker's normal sex-health right is unable to be satisfied, in addition their understanding of AIDS is insufficient, make they even if face danger that disease propagate, stop dangerous behavioral production while being difficult
A pair of rural workers couple are in charge of the needle and throw away aside conveniently after using the needle to be in charge of injecting the drugs. They teenage children pick up and put and play in hands conveniently.
In being seen scene this under AIDS preventing and controlling, make Wan prolong sea can forget so far.
The national social sciences fund project " AIDS defends the life ethics difficult problem in accusing of and public research in policy " Participation personnel Ren Jie last investigation where oneself make to point out in peasant bodies careful and neat schooling is getting lower relatively, mostly engaged in strenuous manual labor and service industries, even there is no fixed source of revenue in a part.
Because life compels, they are often apt to ignore one's own health, have no time to take one's own hygiene state and environmental state into account. In addition, their prevention consciousness and self-precaution consciousness are worse, lack basic understanding to some diseases especially, AIDS is one of them.
Ren Jie still tells reporters, most people in the rural worker are 15 years old to 49 -year-old young people, the ining active age bracket of one, normal physiological demand and dangerous behavior in but propagates as AIDS in rural worker's colonying of behavior.
In the investigation that Ren Jie does, though 60% of the people express willingness to use the sheath, but 31.4% people have never used the sheath.
"Rural worker's normal sex-health right is unable to be satisfied, in addition their understanding of AIDS is insufficient, make they even if face danger that disease propagate, stop dangerous behavioral production while being difficult. " Ren Jie says.
Staff member Liu ZhenHong of Yanqing District Center for Disease Control and Prevention of Beijing once made investigation to rural worker's AIDS situation in the construction site too. She says, in sexual behavior, the outside rural worker does not have safety factor on the behavior. In Liu ZhenHong's investigation, only 7.1% of the rural workers have done HIV antibody test in this year.
"Can't conclude the rural worker because high to endanger after the sexual behavior seeking, finding by HIV in view of the above, but can reflect from the side, it is too high to really have quite a few of rural workers and endanger the sexual behavior at least. " Liu ZhenHong says, are " influenced by a great deal of respects with development and increase of floating population of the city, pornography, prostitution, whoring, homosexuality,etc. are growing on and on. Because rural worker is far away from the hometown, lack the restraint of family and the society, it is very great that the high possibility to endanger sexual behavior takes place. "
Under the current situation that the relevant social security lacks, general disease may all make the rural worker cause due to illness poorly or return to the poor phenomenon, it takes disease treated for a long time to say and meet AIDS like this
It has this colony's own factor that the rural worker is infected with AIDS, but the one that can't ignore is, its back has deeper reason.
The reporter knows, as far back as 2005, " the national rural worker prevented project of AIDS propagation and education " Have already started.
"Rural worker's propaganda and education project has already entered the fourth year, tired pile, symptom relaxed have appeared in the work, some departments have not defended Ai Xuan the rural worker to teach the work include in the lasting focal point of work, the propagation and education of some places activity is still limited to particular periods such as the World AIDS Day,etc., the rural worker prevents the long-efficiency mechanism of propagating educational work of AIDS and remains to be sound. " Sponsored by Ministry of Public Health and Tsing-Hua University " The fourth China propagates the conference healthily " Have, committee member of consultative committee of expert of AIDS preventing and controlling of Ministry of Public Health, AIDS, venereal disease of China, prevent and cotrol the intersection of venereal disease and AIDS, Deputy Secretary-general of association and CDC of China, prevent KangMai Liu, researcher of control centre, say to reporter.
KangMai Liu think project start so far since, though every member unit launch rural worker prevent Xuan Ai from teach, work still, but it is very uneven that every department work is developed. The information communication of AIDS preventing and controlling between the departments is not smooth, coordinate, cooperate and wait to be complete. Some responsibility of place implement, uncompletely, set up supervising and guiding and assessing mechanisming effective.
In addition, a great deal of insiders think, while rural worker's AIDS preventing and controlling launched, the question that rural worker's relevant social security lacked has been already more and more obvious.
Keep treating as the example with the methadone, Wan prolong sea tell reporter whether methadone keep, it treats to be a generally acknowledged one, practice prove most effective the intersection of prevention and AIDS in intervening measure that travel under addicts in the world, can lighten drug addict's reliance on heroin,etc., reduce the intravenous injection and chance to share syringe, contain AIDS in the addicts' spread effectively. "But in the rural worker, the personnel infected with AIDS because of taking drug can accept for a long time the proportion of this treatment is on the low side. " Wan YanHai says.
Though as far back as 2003, country make and issue to the intersection of HIV and the infeted and " four exempt first care " of HIV-positive person Policy, but because of the limitations of all sorts of, policy still difficult to benefit rural worker floating crowd.
An insider insisting on anonymity cites some examples of ground to the reporter: Though HIV-positive and patient of the non- local household register are in organizations such as local Center for Disease Prevention and Control at all levels,etc., get free consultation and HIV antibody to sift and measure for the first time, but they can not go to the local infectious hospital or general hospital to take the free antiviral medicine, can't get the antiviral treatment; Have already been infected with the pregnant woman of HIV, can not get the mother and baby that the hospital offers free and block medicine and baby and measure reagent; HIV-positive persons and their relatives of financial difficulties, fail to include in the local government and subsidize the range, can't get the subsistence allowance according to the regulation about relieving the policy in the society.
Ren Jie thinks, the rural worker of our country has been already unable to enjoy the rural new cooperation medical treatment system effectively at present, also unable to get the satisfactory guarantee in the medical insurance system of the cities and towns. Under such a state, general disease may all make the rural worker cause due to illness poorly or return to the poor phenomenon, it takes disease treated for a long time to say and meet AIDS like this.
Create the condition that rural worker and family live together, ensure their sex-health right, and then solve the rural worker's health care ensuring and social welfare problem, solving the rural worker defends ending in the problem basic way
Reporter know in recent years, rural worker infect with situation of AIDS already for being top to pay attention to interview.
KangMai Liu tell reporter whether until " whether China prevent and control the intersection of AIDS and medium-term and long-term plans " and in the " the the intersection of AIDS preventing and controlling and regulations ", a goal prevented from intervening to floating population is required.
It is introduced separately, in November of 2008, prevent and cure committee's plenary session of working of AIDS to have in the State Council, the Vice Minister of Ministry of Public Health, country end and go through director Ma XiaoWei to especially propose in the report:
"Floating population is a focal point of AIDS preventing and controlling, it is the difficult point too. Wait for floating population to flow into according to the rural worker and flow out the characteristic of the ground, fully utilize existing platform and resource, continue launching ' project of rural worker's propagation and education ', improve knowing rate of preventive treatment knowledge of AIDS of key crowds such as floating population,etc., change the dangerous behavior, prevent AIDS from spreading. "
Liu KangMai thinks, AIDS preventing and controlling should pay close attention to the special colony in floating population, such as homosexual crowd, women crowd and children,etc.. In addition, concentrate on intervening the large project, rural worker in the construction site, will get up to the result of getting twice the result with half the effort.
Liu KangMai says, in rural worker's AIDS preventing and controlling in the future, several questions are worth canvassing thoroughly. For example, which link rural worker should catch to defend work of ending especially, intervene flowing into, intervene flowing out, or intervene in the course of flowing?
"Should have package solution with the intersection of rural worker and healthy relevant problem, answer ' treat the head when the head aches, foot ache and cure the foot '. " Liu KangMai says.
Ren Jie thinks too, should jump out the simple thinking frame of solving the AIDS problem, regard it as to set up equal medical security system and improve rural worker's rights and interests basic measure, ensure the fair treatment of rural worker and even peasant.
"We have already needed to carry on propagation and education with pertinence to him according to the characteristics of rural worker, also need to improve the living condition of the rural worker, create the condition that they and family live a together life through the system reform, ensure their sex-health right, and then solve the health care of the rural worker and ensure the problem, improve the social welfare of the rural worker. " Ren Jie says, " this's solve the rural worker to defend ending in the problem basic way. " (Du Xiao Ren Xue)
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