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A lot of fear thanks to medical progress and doctors like me a lot has changed and improved some Call Building the city of positives on the one hand there are a lot of people tested hiv positive and on the other hand they treat it with the highest medical standards and thats very positive but how can one lead to normal life with a potentially deadly virus and how can we protect ourselves from being infected and will we be able to defeat the virus one day and talking about this today with hiv research for hendrix trick were meeting at the famous German Museum of technology in berlin. And you brought great news to bill and with you because it seems that there might be an examination against hiv well its a little bit too early to say you probably are going to have a vaccine but there are currently 2 studies running to the seabed. A potential big scene might work all of them have been tested in humans that they are safe and and using immune responses and this is looks like really good data at the same time they have been tested in the monkeys and in particular one of them shows in monkeys that really high. Which suggests or gives the hope that this might actually also work in humans but we will only know in 2021 or 2022 those results and then we will know if youre going to have a vaccine on it and if there will be a vixen will it be affective and safe well. For clinical studies that we normally 1st test and that has been done for that vaccine the 1st test whether its going to be safe so these studies have been performed and all of those studies have shown that these scenes that are currently on the development of totally safe there are minor complications sometimes like for any back seen or any action like for example some rash at the site of injections but this is totally normal so right now the its not like seen but there is something called print which is the pre exposure prophylaxis which can prevent hiv infection so could you please explain the difference between those 2 well so the preexposure prophylaxis a pretty new development of preventing hiv infection and its really good and efficacious tool that we have so if its taking daily and correctly we have to be at preventing age of the infection in over 95 percent so this is a medication its a chemo profile axis that has to be taking every day if its seen its basically an injection that trains the immune system like a soccer team to combat the virus and comes in so its basically training on the one inside the immune system on the other hand youre giving a medication to prevent infection thanks for now well continue to talk in just a moment and ill be back. Unfortunately we have to wait a little longer for an explanation against hiv and until then we have to protect ourselves against infection in other ways in 1903 and educational pamphlet was published in the us its titled how to have sex in an epidemic or use the word sex on international t. V. In this publication the term safer sex was used for the 1st time or say for sex this was the year of 1983 i was 12 years old back graeme until today there are 3 problems reservations ignorance misinformation activists are fighting for Sex Education by various means. Be holding his majesty the king of condoms. We join him in his kingdom. In the kenya africas largest appen slauson. Is my kingdom does my territory it is my harvest i can mia every day and use what you call the. First. Item is to engage the community to have a little ship with them. And i teach them on the whole to use expanding the stages from the i do the most ritual. Gotten. From the most literal everybody will be depending to the need people want and need me the people want one thing that. A the king of condoms started advocating for safe sex and the importance of using condoms after high school after losing a close friend to a change stanley decided that honest and open conversations about hiv with as many people as possible to draw peoples attention here is this i catch a royal out feet. This is very attractive and its also make me feel proud that im the king and im able to interact with people you know very good level at a low level the high level coming from the slums its very attractive to them. In the last 2 decades hiv infections in kenya have decreased by heart organizations like l v c t health who supply the king of condoms with well condoms have helped steer these efforts however 5. 6 percent of the population still carries the virus and recently and new worrying trend has emerged. To have noticed that now among the new infections theres an increased number among the young people generally so here were talking about age about 15 to 24 years who are at highest risk of infection in poor settlements like kibera infections among young people particularly on the right. Ive come to realize that these are charting long bargaining because the same goals when you ask them why why what happened theyll tell me i was i ds money he bought for me beans he started paying me then to his daughter when does a process man we stop him from. Thinking of condoms and his project supply girls with green farming full of legitimacy so that they can sell the crops even the small income helps young girls become independent and less likely to try to get in and see if say this 18 year old lucky from idea is part of the project and part of her living with a farming pad. They dont have to be a parent to those my new. Smoko since sexual. Activity so that you can get money to buy. Your food have their confidence their courage to say no i cant support myself taking of condoms moves on to continue he stay. Mission to protect his dome keep air i can tell you to. Use an african i was aiming to put a sample of people living. Here in africa the power on that simple thing called the times. Military victory i believe somebody who could now mark where he told me to be maybe when closed. In the 1980 s. In a chevy infection was basically a death sentence especially terrible for children who were infected by their mothers during birth today things are different the virus can be kept in check with specific medication and the once deadly disease aids cannot break out those who are treated with those drugs in time. Have practically a normal Life Expectancy many people have been living with a virus for years some of them since birth. The fact that she had been bald now as even walking along here today is not something she takes for granted shes coming up for her 35th birthday and no one neither her family nor her doctors thought that she would live this long. And there for so much im going way beyond the Life Expectancy they predicted for me were told that i would only live to the age of 4 and a half so every year is one more year that i not only survived but also experienced so i want to really. Shoot in is thought to be the person whos lived with the longest in all of europe her parents were both drug addicts and hiv positive she contract to deliver her her parents both died and she was raised by her grandmother her life revolved around doctors appointments and heavy medication. In the small towns sharon grew up and she was ostracized not even accepted into kindergarten she was very lonely. My grandmother tried to compensate for all of the loneliness i felt there were a lot of experiences that i missed out on experiences you get from being in a group. Its still like that today and of course i also dont have that special friend from childhood who knows you better than anyone. Hiv is part of her daily life even so she even managed to finish school and train as a medical technical assistant. Sharon has been treated for the past 15 years by Christoph Stefan a senior physician at Frankfurt University hospital he conducts research in the field of hiv medicine and says great progress has been made. The move towards a target these days we have very many different therapies and quite a few single tablet therapies available that that means a combination therapy mixed into one pill so if a patient takes one pill. Nowadays sharon also only takes one tablets a day. In the past she had to take up to 40 over the years she had an on her doctor have developed a Good Relationship and even hold educational events together at the university aimed specifically at young people. On the show i thought it was really brave of sharing to be so vocal and open to give advice and talk about a personal experience and what its like. Me on to it was interesting hearing things from her point of view really impressive and. Even in the most difficult times she had never lost heart she continued to set yourself new goals such as participating in the berlin marathon. Here and im now 34 and im now slowly understand who i am and feel more at peace with myself and of course nowadays the illness doesnt play the same role as it used to im no longer struggling to survive each day. These days she has one main goal to simply enjoy life to its fullest. The United Nations originally wanted to get rid of aids by the year 2020 and they failed so they got a new deadline right now at 2030 so what is slowing us down in the fight against aids well the fight against aids is basically the treatment of all individuals that are on. The positive the problem with this is you need to have therapies so you need to have funding to actually treat everybody who is infected at the same time you also have to test everyone who are might be age of the infected and because of discrimination people do not like to get tested hiv so you have basically 2 problems on the one inside a lack of funding to treat everyone and the on the other hand like stigma and this coming. Nation that prevents individuals from being tested unlike in western europe or in the United States and africa. May be transmitted by hatred sex rule transmission so what must be done to reduce numbers well so this test and treat is actually a very powerful tool of what we have so because we know that individuals that are positive end up being treated the against. First of all they have an almost normal Life Expectancy then an individual with hiv negative but more importantly they cannot transmit hiv to another person this treatment as prevention or task abbreviated is really powerful and thats a message that needs to go to out there because people should get tested and treated because they have a longer Life Expectancy and they cannot transmit hiv to another person theres still a lot of misinformation in this around h o v so what are the biggest obstacles holding us back in the treatment i think one of the biggest obstacles the people are afraid of getting tested against h o b. Theres so much fear and stigma and discrimination surrounding age would be that individuals would rather like to die of aids than actually being tested but knowing that the person is not infectious that undetectable virus means that the virus cannot be transmissible undetectable equals an transmissible is so powerful this is the message that needs to get out i mean condoms a very see very effective very cheap why do we need Something Like a prick the preexposure prophylaxis anyway well condoms are just not for everyone some people do not want to take quantums as they have problems with their direction taking a condom but at the same time for example the woman may not be. They are or their partner. That he is taking a quantum so these are all factors in the individual might want to have another prevention methods and for those individuals the preexposure prophylaxis as an individual lies chemotherapy against hiv infection is a really powerful to think so much of this talk right now you continue talking just a moment unprotected sex is the most common way for the virus to be transmitted from person to person for a long time there were only 2 ways to protect it from being infected abstinence. And condoms but today there is prep the pre exposure prophylaxis dr streak just explained how it works prep is made to help reduce the virus will delight. New york for certain some of the goal of drastically reducing the number of fresh hiv infections on truvada tablets have proven to be an effective. Daman jacobs has been taking travolta every morning for 3 years to medication protects him against h i. V. Infection tablets have been available in the us as an aids prophylactic since 2012 and theyre covered by Health Insurance studies say it offers 99 percent immunity against h i be. Put away with using it when i was using condoms it always felt like my status was dependent on somebody else it is a really important part of my daily routine starting the day cleaning like im in control i have agency im not going to be hiv positive today. Truvada was originally developed to treat hiv infections if the medication is taken as a preventive measure its known as prep short for preexposure prophylaxis. Is part of new york 78 strategy its been responsible for a complete reversal in the number of new infections. How would grossman as a doctor and activist who also takes prep if everybody who is at risk of infection goes on perhaps and everybody who is a tiny positive gets treatment and access to treatment and effective treatment then in one generation this epidemic ends without a back see without a cure or without anything else and this is the 1st time that weve ever been able to say that person really has a prep user daemon jacobs us to have a blood test every 3 months the medication has no side effects for most people but those with kidney disorders or osteoporosis arent allowed to take it since prep was introduced in 2012 the number of users has risen by 500 percent and infection rates are falling damon jacobs has set up a website to publicize truvada more widely. I spoke to a friend of mine about prep and he was like i wish she would have told me that im already positive that broke my heart so that is when i started a Facebook Group devoted to prep. Theres also some drastically needed change afoot in new yorks bronx district n. H. I. The hot spot homosexuality is still a to blue subject amongst many communities Certain Health centers offer anonymous h. I. V. Tests like Nonprofit Organization boom health hiv primarily infects young people aged 13 to 21 Health Targets its message to high risk groups like Homeless People sex workers drug addicts and the partners of people with hiv its workshops teach these young people about h i v prophylaxis. I think one of the biggest stigma is about. The people how is that its marketed as a gauge but its something they can use for everyone elses identity you know sexual. Boom health young clients talk about why people dont use condoms they like going to parties having fun and those situations happen they dont we know about some people dealing through things. Or say somebody and they dont feel ok because. He doesnt want to. Do it the press opponents claim that people who dont use condoms wouldnt take the tablet consistently either for them health says thats just prejudice its people like you who continue to create stigma and the fact that people can always come out because of their Sexual Identity or come out to their families about wanting to take a medication such as prep its the fear. The latest studies do indeed show that people take prep reliably even though no more than 25 percent of young people in the us use condoms. Instead of trying to force people. Do something theyre not going to do and shame them in that process what prep allows us to do is to meet people where theyre. Us aids activists fault for a long time to get prepped licensed and marketed their commitment to save countless people from an h. I. V. Infection. In many countries the situation for the patients is very depressing theres hardly any counseling and not enough medication and those who are affected stigmatized and criminalized like in russia where the disease is has stopped and those who stand up for their rights can get into trouble the situation is especially dramatic for infected children. The day begins at 7 am at the Childrens Home in the russian city of chelyabinsk. Everyone knows what to do. The same the same dosage and the fear. 44000 girls between the ages of 4 and 17 live here the ones who are hiv positive called. The ones who were negative me go seeking. The hiv positive kids lived in a separate area. The safe is how covering white down there were no carpets. Were dishes was soaked in basements full of disinfectant though. It was very difficult to create a welcoming environment for these children. It took 6 years before almost off came to accept and respect them. Much. These days that. It is all play and live together in this unique Childrens Home. Theyre all growing up without a paddle. They know that theyre not at risk of being infected by the hiv positive kids even if one of them has an injury. The youngest always supervised by a caregiver. The older ones know that the hiv virus is fragile and immediately dies when it comes into contact with their human. My friend sleeps in my room. Hiv positive one day before i knew about it he said i have to tell you something hiv positive i thought at 1st i was scared but then he explained how you get infected since then everything has been fine i treat them just like anybody else. A 3rd of the plough seeking have hiv positive parents many of whom are alcoholics or drug addicts and no longer have custody of their children some of them arent even aware that their children are here. At the kids are well cared for and in a safe place they learn early on how to live responsibly and calmly with their infection they cope better than some adults. About the one time my little ones were to summer camp on the 1st evening while they were having a bath the come to iraq to practice had around the door hesitantly unpaired at the children as if they might have for years or 2 had. On another occasion a colleague asked me your you know what should i do they fail to support you with hiv i said lock him in the sala she was confused what do you think i said just let him play with the other group. In the evening the children follow the same familiar routine as always the same meds the same dosage day in day out. Quite a few of the kids here have learning disabilities because of their mothers Substance Abuse before or during pregnancy. That will make life even tougher for them compounding the social stigma that can still attached to those who are hiv positive. All the more important then for them to be able to grow up with people who accept them as they are and give them the care they need. Its most of the case when somebody is in fixed it there are currently drugs and keep the virus in check how effective are those drugs so those. Extremely effective so most of them do not make any side effects or individuals can have a completely normal life on top of that and youre getting treated very early in an faction and take your health regularly every day you will have a normal Life Expectancy like an individual with hiv negative so you cannot in fact another person anymore and you have a normal Life Expectancy but why scientists is researchers trying to develop a new kind of medication if the current medications working so well well one problem with the current made. Cation is that you have to take a pill every day until the end of your life so people are constantly reminded of being age should be a positive the new development is to try to have like for example an injection every 6. 00 to 8. 00 weeks that is sufficient to treat hiv infection and even in the future of your thinking about having a poll that you only have to take once a month or even half an implant in your that is sufficient to treat a shabby infection and that needs to be exchanged once a year thank you so much for this interesting talks. Thats it for today im looking forward to seeing you next week im out. From the point of strong opinions clear positions international perspectives. The corona virus threatens all health all societies around our economies so when it comes not a huge challenge Climate Change also if we look from the corona hyundai make join b. M. I. Get some time ago and show us the way. To the point. The nation 30 minutes on d w. Sound. Really camera and action. 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This is deja vu news and these are our top stories the United States has broken yet another coronavirus record 75000 new infections in just one day florida is now the epicenter of the outbreak in the country on friday the Sunshine State recorded more than 11000 new cases the. European Union Leaders are meeting at a high stakes summit in brussels to try to bridge their differences over us

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