Professor Peter FigueroaBy Sharmain CornetteAbout 20,000 new HIV cases were recorded in the Caribbean last year and approximately 12,000 persons aged 15 – 44 have since died, according to Professor Peter Figueroa.These sobering figures were included in his feature lecture at the opening of the 56th Annual Caribbean Health Research Council (CHRC) Scientific Meeting.The forum which was held in the auditorium of the Princess Hotel, East Bank Demerara, saw Figueroa, a Professor of Public Health, Epidemiology and HIV/AIDS at the University of the West Indies in Jamaica, presenting his lecture entitled ‘The challenges of HIV Prevention in the Caribbean’ to a gathering of mainly medical professionals.“We estimate that there are about a quarter million people living with HIV in the Caribbean and perhaps about a half of those are living in Haiti, and then nearly 60,000 are living in the Dominican Republic and 32,000 living in Jamaica…As you can see, between those three countries we have over 210,000 persons living with HIV of a total of a quarter of a million persons,” Professor Figueroa stated.He emphasised that it is up to each country to have its own national response programme to address the challenges of HIV/AIDS, and this is complemented by the Pan-Caribbean partnership against AIDS.In this regard,Jerseys NBA China, he noted that all the countries have introduced treatment programmes with antiretroviral therapy, which is very effective in improving the quality of life of persons living with HIV and has significantly reduced mortality from HIV.“We have throughout the Caribbean, programmes to prevent the transmission of HIV from pregnant women to their unborn children, and in many of our countries now, over 90 to 95 percent of pregnant women who are HIV-infected are getting this therapy.”The aim of such a programme, Professor Figueroa said, is to reduce transmission to less than five percent of babies born to women who are HIV-positive.However, there remains a challenge,Cheap NFL Jerseys Store, whereby although the population is aware of HIV/AIDS and is knowledgeable about prevention methods, there has not been consistent condom use. This problem, he noted, is compounded by the fact that in the Caribbean there are many persons who have multiple sexual partners.“So it is with our prevention efforts that we need to do more, and especially among those who are most at risk, like Men who have Sex with Men.”According to the professor, the rates of HIV infections among sex workers are far too high, thus the need for more effective programmes to reach more persons and empower them to take preventive action.And while it is important to have the outreach days of HIV testing, such as the week of testing that Guyana offers annually, Professor Figueroa is of the belief that it is even more important to integrate HIV testing into the health services fully.This, he said, is not only intended to have pregnant women have the HIV test, but also persons who develop another sexually transmitted infection and are being treated at a Sexually Transmitted Infection Clinic or are being attended to by a private practitioner.“I would propose that, especially in urban centres, those persons who are coming to the accident and emergency department or who are being admitted as adults to hospitals need to be tested.When adults are having their annual medical checkup and are doing an executive profile, we should offer an HIV test to these individuals, because nearly all of them are sexually active and could be at risk for HIV infection.”He pointed out that many persons who are today living with HIV are in fact unaware that they are actually infected.According to him, once HIV testing is introduced in the hospital setting, the approach is usually offered on an “opt-out” basis, whereby it is routinely offered to each person who is admitted,Wholesale China Jerseys, but they are not obligated to take the test.He cautioned that patients must be aware of this service, adding that they should be able to ask any necessary questions, to an extent where counseling is also offered.He nonetheless lamented that the reality is that sometimes it is very difficult for the health staff to do as much counseling as is required.“As long as everyone is aware that when you are admitted to hospital or if you have come to the accident and emergency it is a routine opt-out test (being offered); if you really do not want to be tested…then you need to say I do not need the test.”Education ProgrammeA section of the gathering at Princess Hotel yesterdayProfessor Figueroa said that in light of the continuing scourge of HIV/AIDS, Caricom has been promoting a Health and Family Life Education Programme curriculum in the school system. He explained that many Caribbean countries have adopted this curriculum, which attem