Phyllis J. Kanki - Böcker

In the face of a grave lack of resources to fight the AIDS epidemic in Africa, practical medical education must play a critical role in curtailing the number of new cases and improving quality of care for those already infected with HIV in 2002. Although there are many AIDS experts in Africa and a substantial body of knowledge about the epidemic, networking is often compromised due to limited infrastructure and technology. Existing definitive clinical reference books on AIDS focus on the syndrome as it is understood and treated in countries with highly developed health care systems and policies, excellent medical training, and easy access to breakthrough treatments; much of the information contained in such textbooks is unfortunately irrelevant in the context of AIDS in Africa.This second edition of "Aids in Africa" includes an extensive update of the magnitude and nature of the epidemic, as well as regionally specific information on pathogenesis, diagnosis, epidemiology, treatment, pediatric infection, vaccine development, socioeconomic impact, and ethical considerations and include vital topics such as: prevention methods, from chemoprophylaxis to behavioral modification and education; the supportive responsibilities of industrialized countries; and the successful mobilization of local infrastructure and community leaders to implement regionally appropriate AIDS care programs. A review of Africa's experience should be valuable to health care providers, researchers, and policy planners not only in Africa but throughout the world, since Africa has had higher rates of HIV infection and more experience with AIDS than other regions. The prevalence of the virus in sub-Saharan Africa and its rapid spread suggest its greater potential for causing larger epidemics than any other HIV virus the world has experienced before.

Every minute a Nigerian man, woman, or child becomes infected with HIV. Soon Nigeria will be home to more people living with HIV than any other country in Africa. With 5 percent of its inhabitants already infected, Nigeria has reached the critical threshold that can catapult rates to nearly 40 percent of a country's population. The full magnitude of Nigeria's epidemic will be determined by its response now.AIDS in Nigeria helps guide that response. Written by dozens of the country's leading HIV experts, the book explores the dynamics of the epidemic, analyzes prevention efforts, identifies crucial gaps, and formulates effective strategies for controlling the epidemic. Complementing the experts' words are the dramatic portraits of people whose lives have been forever transformed by AIDS. Their stories reveal the human costs of the epidemic--and the courage required to overcome it.

In the nearly three decades since the AIDS epidemic was first recognized, scientists have made tremendous strides in devising treatments for people living with HIV/AIDS. Yet in Africa, where more than 60 percent of HIV-infected people live, treatments remain out of reach for most. A Line Drawn in the Sand captures the determination of several African nations in tackling the challenge of providing lifesaving antiretroviral therapies to their citizens: Botswana, which has some of the highest HIV infection rates worldwide; Nigeria, whose epidemic threatens to become one of the world’s largest; Senegal, often touted as one of the few countries with a model response to the HIV/AIDS epidemic; and Tanzania, whose extreme poverty threatens efforts to stem its epidemic. By emphasizing the dramatic results that investments in AIDS treatments in Africa can bring, the book provides lessons to nations about scaling up their own treatment responses, hope to individuals and communities confronted with the often devastating impact of AIDS, and inspiration to the international HIV/AIDS community.