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Summary

HIV/AIDS has become a major developmental problem, affecting every country world-wide and the Caribbean region in particular, where the epidemic is second in magnitude only to that in sub-Saharan Africa. It should, however, be noted that there are substantial differences in the extent and intensity of the epidemic in individual countries in the Caribbean.



Unit 1 Exercises



Warm-up

review


Take a few minutes now to look back at your answers to the warm-up questions at the beginning of the unit. Make any changes you want to.
Small group

discussion

Get into small groups by country, region or district to discuss these questions.


  1. Which regions or districts are most affected by the HIV/AIDS epidemic in your country?




  1. What might be the factors contributing to the high rate of HIV in these provinces or districts?

Apply what

you’ve learned/

case study

Try this case study. We’ll discuss the answers in class.
Cariba is a Caribbean nation that had its earliest cases of AIDS recognised in 1982. Data below are based on estimates of HIV prevalence by parish.
HIV prevalence (%) by parish, Cariba, 1995-2002.


Parish

1995

1998

2000

2002

St. Mary

.2

0.5

1.0

1.1

Kingstown

0.5

0.7

0.9

1.0

Arima

1.0

2.0

2.7

2.9

St. James

1.1

5.6

2.0

2.8

Yotown

0.4

0.9

1.3

1.2



    1. What parish has historically had the greatest proportion of its population infected with HIV?



    1. What are prominent recent trends?



    1. In 2002, which parish had the highest prevalence? Is the epidemic increasing or decreasing in this parish?



Unit 2

Biology, Transmission, Natural History, Prevention and Treatment of HIV Infection and AIDS


Overview



What this unit

is about


Extensive research has shown that HIV is the virus that causes AIDS. This unit discusses HIV types and the prevention and treatment of HIV infection and AIDS.
Warm-up

questions



  1. Which body cells does HIV infect?

    1. respiratory cells

    2. skin cells

    3. red blood cells

    4. white blood cells



  1. How many major strains of HIV exist?



  1. Which of the following is not a method of HIV transmission?

    1. sexual intercourse

    2. casual physical contact

    3. blood exchange

    4. mother to foetus transmission



  1. What type of infectious agent is HIV?

    1. bacterium

    2. virus

    3. prion

    4. none of the above



  1. True or false? HIV infection and the onset of AIDS occur simultaneously.

True False



  1. Which region of the world has the greatest diversity of HIV sub-types, making the development of one unique treatment or vaccine difficult?

Warm-up questions, continued


  1. Which of the following is associated with increased risk of sexual transmission of HIV?

    1. failure to use a male or female condom

    2. a greater number of sexual partners

    3. a high viral load in an infected partner

    4. all of the above



  1. True or false? The presence of existing sexually transmitted infections (STIs) increases the risk of acquiring HIV during sexual intercourse.

True False





  1. List the three main types of antiretroviral drugs used to treat HIV infection.





b.
c.





  1. Which of the following fatal opportunistic infections commonly occur(s) in AIDS patients?

    1. herpes zoster

    2. fungal infections

    3. tuberculosis (TB)

    4. all of the above



  1. True or false? A vaccine for the prevention of HIV infection is currently available.

True False



  1. True or false? Some STIs, such as chlamydia, are biologically more easily acquired by young women, making them more susceptible to HIV infection.

True False


  1. _____________ is the term used to describe the treatment to prevent or suppress infection.





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