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Youth and HIV David Plummer Commonwealth / UNESCO Professor of Education (HIV)

Youth and HIV David Plummer Commonwealth / UNESCO Professor of Education (HIV) The University of the West Indies St Augustine. Adult HIV prevalence (15-49). 2.3% (range: 1.5 - 4.1%). HIV+ adults and children (0-49). 440 000 (range: 270,000 - 780,000). HIV+ Women (15-49). 210 000

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Youth and HIV David Plummer Commonwealth / UNESCO Professor of Education (HIV)

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  1. Youth and HIV David Plummer Commonwealth / UNESCO Professor of Education (HIV) The University of the West Indies St Augustine

  2. Adult HIV prevalence (15-49) 2.3% (range: 1.5 - 4.1%) HIV+ adults and children (0-49) 440 000(range: 270,000 - 780,000) HIV+ Women (15-49) 210 000 (range: 120,000 –380,000) Adults and children newly HIV infected in 2004 53 000 (range: 27,000-140,000) Adult and child AIDS deaths in 2004 36 000 (range: 24,000-61,000) Caribbean HIV and AIDS estimates, start 2005 Source: AIDS epidemic update 2004

  3. The Caribbean is the second most HIV-affected region in the world per head of population • In 1999, 3.38% of pregnant women were found to be HIV+ • 73% of infections are in people between 15 to 49 years of age • 74% of new infections are in females between 15 to 24 years of age • AIDS is now the leading cause of death among young adults

  4. New HIV infections in Trinidad and Tobago Source: Trinidad and Tobago National Surveillance Unit. Annual Reports

  5. Cases of AIDS in Trinidad & Tobago by Sex and Age Group Source: Trinidad and Tobago National Surveillance Unit. Annual Reports

  6. Prevention is Possible Incidence of HIV in Australia 1980 - 1993

  7. Prevention is Possible Incidence of HIV in Thailand 1985 - 2002

  8. Sticking points • Workers are reporting a significant gap between high HIV awareness and low levels of protective behaviour change • Strategies are being constantly and severely undermined by stigma • Gender is a significant factor: masculinity is a significant problem that has not been adequately addressed • There is a pre-occupation with the death toll and a collective lack of vision

  9. The FBO Dilemma • Engaging in a tug of war and sending mixed messages can only help the virus • The debate has polarized along progressive versus conservative lines and risks loosing sight of people infected and affected • Ascendancy of conservative political dogma over a traditional religious commitment to compassion and saving lives • There is a risk that the dogma might result in a de facto ‘pro-death’ stance • This is the challenge for faith based organizations, which have enormous potential

  10. Abstinence and beyond • Schools should be ‘sex free zones’. It is a paradox that the abstinence campaigns cause us to loose sight of this point • At last count, less than 1% of school students are involved in abstinence clubs in Trinidad schools • The clear and present danger for young people is outside of school • All means available should be used to keep our young free of infection • Fundamental principles of prohibition versus harm minimisation

  11. thank you * be safe * care more

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