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Interreligious & International
    Federation for World Peace
       Healthy Lifestyle Series

Living AIDS Free:
A Zero-Transmission Lifestyle
Magic Johnson
appeared to be in great
physical shape. So, his
announcement that he
was HIV infected was
a complete surprise for
many people.



   Why?
Because he did not
look at all sick.
MSNBC
What is AIDS? HIV?
                     Acquired
                     Immuno-
                     Deficiency
Hhuman               Syndrome
I immunodeficiency
V virus
              © 2001 C enter Milan Nermut, M.D., Ph.D.*
              National Institute for Biological Standards and Control
1. HIV enters blood
                                                  stream through a mucus
                                                  membrane or a wound.
                                             2. The virus inserts itself into a
                                             white blood cell nucleus (left),
                                             incapacitates the cell and
                                             reproduces itself, then buds out
                                             into the blood stream (below).
 3. After months or
years, the number of
HIV increases and the
white blood cell count
decreases. The
immune system is
weakened.
   Te tbok o A I D S Patho gy ( F e 20) ,
     x o f                 lo        b. 02
   T he I nter P athology L abor y
              net               ator
National AIDS and STDs
  Control Programme
HIV - The Master of Disguise
                                                           AIDS
                         No
 Wellness - Illness




                                                       Opportunistic
                      Symptoms Symptoms                    Diseases
                                   •Fatigue            •Cancer
                                   •Diarrhea           •Malaria
                       Invisible   •Weight Loss        •Typhoid
                        Hidden     •Persistent Fever
                                   •Night Sweats
                                                       •Pneumonia
                                                       •Tuberculosis
                                   •Itchy Skin Rash    •Dementia
                                   •Swollen Lymph      •Rashes & Thrush
                                      Nodes            •Meningitis
   1-10 years or more 1 or more years 1 or more years
White Blood Cell (CD4 Lymphocytes) Count (per microliter)
         > 500           200 – 500        < 200 Death
Tip of the
Full-Blown AIDS       Iceberg Opportunistic Diseases
                        AIDS
                                Reportable AIDS

                                           T4 cell counts < 200

  Visible                Symptoms                    T4 cell count
  Hidden                  appear                  between 200 & 500



                       No Symptoms,
                       but Infectious
                  Can Infect Others Unknowingly



                        HIV Infection
Why?




       National AIDS and STDs
         Control Programme
Opportunistic Diseases
                                      •Cancer
                                      •Malaria
                                      •Typhoid
                                    •Pneumonia
                                   •Tuberculosis
                                     •Dementia
                                 •Rashes & Thrush
                                    •Meningitis

Adam’s Healthcare Encyclopedia
AIDS related Cancer            Vitiligo
                                  A skin
   Strikes 1 in 5                disease
  Kaposi’s Sarcoma




                      © 2001, Johns Hopkins University School
                                of Medicine dermatlas
Alarming Increase in HIV
       Infection Worldwide
                                            45 Million
                                            Estimated
HIV
Infections
Worldwide


   Millions



             1980                                   2002
                    World Health Organization
Global HIV/AIDS Epidemic, End 2001
Living with HIV/AIDS               40 million
Newly infected in 2001             5 million
AIDS deaths in 2001                3 million
AIDS deaths                        24.8 million
   from beginning of epidemic
Orphans                            14 million
Daily Infections                   14 thousand
                       UNDP 2002
Deaths from HIV/AIDS during 2001

                                         Western Europe Eastern Europe &
                                             8 000 Central Asia
                                         North Africa
                                                           23 000
                  North America                                  East Asia & Pacific
                                           & Middle East
                    15 000                  30 000           South     35 000
                         Caribbean                           & South-East Asia
                           40 000            Sub-Saharan        400 000
                                                Africa
                                                2.2
                         Latin America                                Australia
                            60 000             million                & New
                                                                      Zealand
                                                                           <100


                            Total: 3 million
The World Health Report 2001, WHO
Leading Causes of Death in Africa, 2000

      25.0 22.6
      20.0
% of 15.0                  10.1 9.1
Total 10.0                                     6.7 5.5
                                                       4.3 3.6 3.1 2.9      Maternal
       5.0                                                             2.3
                                                                           conditions
       0.0
                HIV/ Malaria Perinatal Tuber Cerebrovascular
                AIDS                         conditions culosis disease
          Lower                    Diarrhoeal Measles
      respiratory                       disease
                                                          Ischaemic
       infections
                                                             Heart
        Source: The World Health Report 2001, WHO
         01 Ju ly 2 002 s lid e n u m b e r S S A-38
                                                            disease
HIV in Sub-Saharan Africa, End 2001

                                                2001

   20 – 39%
   10 – 20%
    5 – 10%
    1 – 5%
    0 – 1%
   trend data unavailable
   outside region



   01 Ju ly 2 002 s lid e n u m b e r S S A-4
HIV Prevalence in
   Military Personnel in Africa

Nigeria: 11% among peacekeepers returning
from Sierra Leone and Liberia vs 5.8% in adult
population
South Africa: 60-70% in military vs 20% in
adult population


 Nigeria AIDS bulletin No 15, May 20, 2000;
 The Mail & Guardian,8 Pretoria, March 31, 2000;
  01 Ju ly 2 002 s lid e n u m b e r S S A-1
 UNAIDS/WHO 1999 estimate
Africa’s Infection Rate
  50x - 100x Higher. Why?
   Weakened                Stigma►HIV
    Immune                 Testing Rare
     System
 Infectious              Social
                                                    Poverty
  Climate




                                       Economic
                          HIV                      Impure
              Medical
Widesprea                                           Water
 d STDs
                        Rampant                      Work
                                                   Migration
   Poor
 Medi-cal                 Why?                    Migration to
  Care                                               Cities
Malnutritio             Custom
                                                  Multiple Sex
     n                                             Partners
    Sugar                  Genital
  Daddies                 Mutilation              Polygamy
SOCIAL AND PSYCHOLOGICAL IMPACT

IN D IV ID U A       HOUS EHOL               C O M M U N IT
        L                D                          Y
• L o w s e lf -     • Im p o v e r is h     • P o ve rty
   im a g e          me nt                   • In f r a s t r u c t u
• S u ic id e        • F a m ily c r is is      re
• Ang e r,           • C a re                   d e t e r io r a t
   v io le n c e     e xpe ns e s               es
• D e p r e s s io   • S in g le             • D e a th ra te
   n                 pa re nt                   up
• A lie n a t io n   • C h ild r e n ,       • L a b o r c r is is
• G u ilt ,          e ld e r ly             • H o m e le s s n
   s ha me           Head of                    ess,
• W it h d r a w a   H o u s e h o ld           s tre e t
   l                 • W id o w s ,             c h ild r e n
• S t ig m a         orpha ns                • C h ild la b o r ,
How Do You Get AIDS?

                                         Non-
                                        Sexual
                                         15%


85% or more               15% or less


                                                             Sexual
                                                              85%



                                        Prof. Olikoye RansomeKuti,
Also, barbing & shaving, manicure,
ear piercing, tattoos, circumcision                Former Nigerian
Adam’s Healthcare Encyclopedia                    Minister of Health
Sex with an Infected Partner




                                     PHOTO: Alain N.-Sygma
                                     Funk & Wagnalls New
                                     Encyclopedia 1976 Yearbook.



• Prostitution is a major route of HIV transmission
• Studies show high rates of HIV infection
From Mother to Child                                            P4/5




•   15% to 45% of babies born to HIV mothers become infected
•   1500 babies are born with HIV infection each day
•   1200 babies die of AIDS each day
•   Testing of mother & early treatment can reduce infections by two thirds
                UNAIDS 2002
Your Risk Increases if You:
• Have sex outside a committed relationship
• Have sex with partner who has not had an
  HIV test.
• Have sex with multiple partners. The more
  partners, the higher the risk.
• Have sex with a partner who has had multiple
  relationships (even if you don’t know that).
• Increase sexual activity because of a false
  sense of security using condoms, especially if
  used incorrectly.
You Don’t Get AIDS by:
→ Sneezing, coughing
→ Simple kiss or embracing
→ Insect bites
→ Sharing cups, plates, utensils
→ Shaking hands or embracing
→ Working or playing together
→ Normal social contact
→ Crowded buses, public baths
→ Using telephones
Our Attitude Toward People with HIV
  •   Casual social contact OK
  •   Acceptance at work; need income
  •   Need love & concern, not rejection
  •   When sick, need care
  •   Family needs community support

  BUT
  • Be informed for best support, care
  • Avoid contact with body fluids
Explosive Growth of STDs
• In 1960s only 2 common STDs, both curable:
  Gonorrhea and Syphilis
• Now, 2 dozen STDs, some deadly, some incurable
• Condoms: limited or no protection
• 16-to-24-year-olds most infected group
   Salmonellosis                  Molluscum
Chlamydia          Genital Herpes Contagiosum
                   Hepatitis A & B     Shigellosis
    Chancroid Human Papilloma Lymphogranu-
 Ureaplasmal       Virus     Syphilis Venereum
                                  loma
    Infections Human Immuno-            Amebiasis
                      deficiency     Gonorrhea
 Granuloma                           Giardiasis
                         Virus
    Inguinal Campylobacter        Cytomegalovirus
AIDS Also Kills Dreams
                  Afro-beat king, Fela Anikulapo-Kuti,
                  became infected and then died from
                  complications of AIDS. His many fans still
                  miss him. Newswatch, 1997
Kay Brown, 19, an honour student hoping to enter the
military, was infected by and then abandoned by her
boyfriend. “My career plans were destroyed,” she said.
                                           Newsweek 1992

               Cornelius Monaheng, infected when he was 24,
               has dedicated his life to educating young people
               about the dangers of sex, drugs and alcohol

Krista Blake was infected at age 16 by someone who
did not tell her that he was infected. At age 20, she
dropped out of college and broke off her engagement.
She died at age 22.                          Newsweek 1992
Protection Against HIV:
   What are Your Choices?

Abstinence...Zero Transmission
Be Faithful...Zero Transmission
Condoms......Less Transmission
Get an HIV Test
If infected:       If not infected:
• Get help         • Change habits
• Protect others   • Prepare for
                     true love
Safer Sex?


                                                P hoto credit:
                                               W H O/ U B
                                                       G
                                                     B
The o ne o a po lar bar distribu
    wr f      pu                ting co m
                                      ndo s.

How much protection do latex
condoms provide in actual use?
Do Condoms Work?
•“There is no scientific evidence that condoms prevent the
transmission of most sexually transmitted diseases.”
•Studies show that condoms reduce the risk of transmission
of HIV and gonorrhea in men.
•Studies are inconclusive about whether condoms reduce
the risk of transmission of gonorrhea in women, chlamy-
dia, trichomoniasis, genital herpes, syphilis, &
chancroid
•Studies say there is no evidence condoms reduce the risk
of transmission of Human Papillomavirus (HPV)
•More than 100 studies fail to prove that condoms prevent
or even reduce the transmission of most STDs.
How Effective are Condoms?
•“Overall effectiveness for reducing sexual transmission
of HIV through consistent use of condoms is
approximately 80%.”
•“Condoms appear to be marginally less effective for
reducing HIV transmission than for preventing
pregnancy.”
Source: Global Health Council, 2002, http://www.globalhealth.org/assets/publications/condoms.pdf
•In use by teenagers, condom failure is around 14% (i.e.
one in seven).
Fu H, Darroch L et al Contraceptive failure rates: New Estimates from the National Survey of Family
Growth Fam Plann Persp1999 31 56-63
•Therefore, “safe sex” with a condom is not safe.
Abstinence and committed marriage are the only true
forms of “safe sex.”
Gene Rudd, MD, Associate Executive Director, Christian Medical and Dental Associations, Bristol, TN
Sex Educators Don’t Trust
      Condoms. Should You?

“I asked [800 sex educators] if they
 knew that a person carried the [HIV]
 virus, would they have sex, depending
 on a condom for protection? No one
 raised their hand.”

 Source: Dr. Theresa Crenshaw, past president of the American Society of
 Sex Educators and Therapists, and member of the Presidential AIDS
 Commission
Condoms Offer False Sense of Security

     They remove your natural
   reservations about premarital
                sex


  Fear of             Fear of                 Worry about
 AIDS and            Pregnancy                 Parents’
   STDs                                       Disapproval
       Source: Louis Harris, American Teens Speak, 1986
Percentage of Sexually Experienced Girls
        in South Africa Who Say …
“I have been forced to                                              “I am afraid of saying
have sex.”                                                          no to sex.”
                                                                                        Agree
    39%No
   Yes                                                                                    33%Disagree
      61%                                              55% Disagree                      7% 60%
                                                     Agree 39%
                                                          6%
“There are times I don't want to have sex, but I do
  because my boyfriend Insists on having sex.”
      Source: Kaiser Family Foundation/KLA (2000) South African National Youth Survey
      01 Ju ly 2 002 s lid e n u m b e r S S A-5 1
You Don’t Need to Say “Yes” to Sex
• Abstinence is doing without something.
• You can abstain from lots of things, such as
  certain foods, alcohol and other drugs, and sex.
• You can abstain from sex for lots of different
  reasons, such as to protect your health, to stick to
  your religious or moral values or to take control
  of your own life.



              NYC Dept of Health STD Control Program
You Might Decide NOT to
      Have Sex Because:
•You want to wait until you're married
•It would upset your parents if they found out
•You just don't feel ready to have sex
•You've already had sex, but decided it was a
 mistake
Remember: It's never too late to abstain from
 sex! You can stop right now.
          NYC Dept of Health STD Control Program
Who has
 the best sex?

• Swinging Singles?
• Cohabiters?
• Married?
• Married & Faithful?
Saying "NO" to Sex Has Many Advantages!

 • Avoid Sexually Transmitted Diseases (STDs)
   like HIV/AIDS.
 • Avoid Pregnancy.
 • Keep Religious or Moral Values.
 • Boost Your Self-Esteem.
 • Abstinence isn't Forever.
 • Keep your most precious gift for your future
   spouse.

             NYC Dept of Health STD Control Program
Tips for saying “No!”
Deciding to say "NO" is easy – but actually saying
  "NO" may not be. Practice your responses with a
  friend or parent today.
                   Tips for Success
• Be assertive, learn to speak up for yourself.
• Set your limits before you get into a challenging
  situation.
• Practice saying "NO" as if you really mean it.
• Talk about your feelings, don't make the person
  guess how far you'll go.
• Don't use alcohol and other drugs.
              NYC Dept of Health STD Control Program
Learn How to Say “No!”
“If you really loved me,           “If you really loved me, you
you'd have sex with me.”           wouldn't pressure me.”
“Everybody's doing it.”            “That's not true. I'm not doing
                                   it and I'm somebody.”
“If you won't do it, I'll find “If that's all I mean to you, then
someone who will.”             maybe you should find
                               someone else!”
“Don't you trust me?”          “It has nothing to do with trust.
                               I just don't feel right about
                               having sex.”
“It's the only way to prove “I didn't think I had to prove
you're a man (or woman)!” anything to you.”
                NYC Dept of Health STD Control Program
Friendship ≠ Sex
“We might not get another “Right now, I'm willing to take
chance.”                  that chance.”
“I thought you loved me!” “I do, but I thought you
                          respected me!”
“What's wrong with you?” “There's nothing wrong with
                         choosing to wait.”
“I think you owe it to me.” “I don't think I owe you
                            anything.”
“If I don't relieve this           “That's a myth. Besides, if I
tension, I'll be in physical       have sex before I'm ready, I
pain.”                             could be emotionally hurt.”
                NYC Dept of Health STD Control Program
You’re in Charge!
• It's your body;
• Don't be pressured into having sex.
• Stay in control - don't use alcohol or other
  drugs.
• Make the smart choice, say "NO" to sex -
  for now!


           NYC Dept of Health STD Control Program
Sexual Organs

               sin g!
      re sp as
N o T               y
             o  fM
    o pe rty        se
 Pr          Sp  ou
       tu re
    Fu
Media’s Sexualized Messages
              In today’s culture
              advertisers enhance the
              appeal of their products
              by associating them with
              sex.

              If you don’t value your
              own life, no-one else will
              either - certainly not
              Hollywood, nor the
              Media!
Too late to
change his past...
But not too late to
change your future!

E ven if you’ve made mistakes, they
ar in your past. You can de
  e                         cide
right no to begin a new futur
        w                      e.
A.C. Gr e e n , NBA
 S t a r is saving sex for
         marriage




                                   C opyr 1 994, USA We e d.
                                         ight         ekn



P hotography by L ar y N ichols.
                    r
                                    How about you?
Become a Person of Character
         like A.C. Green
By actively developing such virtues as honesty,
integrity, endurance, respect for others, becoming
more responsible, and living for the sake of others,
you’ll have what it takes to:
   – Save sex for later by creating boundaries,
   – Accomplish your short & long term goals, and
   – Prepare to create a happy marriage and family
   – Learn about love, relationships, and marriage
Problem of Modern Education
The problem of contemporary education,
  minimum level of focus on character
  development:

3. Education for mastery
4. Education in norms
5. Cultivation of the heart
Balanced Education
Character education balances the moral,
   emotional, social and academic levels of
   education

3. Education for mastery
4. Education in norms
1. Cultivation of the heart
Moral Goals of Education


1.   Mature Character
2.   Loving relationships and family
3.   Contribution to society
Cultivation of the Heart

 Experiences of love
 Moral examples
 Practice of caring
Moral Goal-Mature Character
 Loving and caring heart
 Self control
 Lives for the sake of others
 Words and deeds are closely related
First Dimension of Education
 Cultivation of the heart
 Development of mature character
 Foundation for other levels of education
Education in Norms
 Training in proper behavior
 Rules and responsibilities
 For respect and harmony
Education for Character-
      Balances Love and Rules
 Ethics need to facilitate loving relationships
  and social harmony
 The family is the crucible of character
 Teachers need to support the efforts of
  parents in developing character
 Rules need to be implemented in a loving
  and caring fashion
Moral Goal: Loving
     Relationships and Family
 Strong marriages
 Effective parenting
 Ethical practice
 Altruism
Second Dimension of Education
 Education in norms
 Loving relationships and family
 Moral and ethical education-basis of
  technical education
Education for Mastery

   Academic education

   Technical education

    Education in the arts
Moral Goal-Contribution to
           Society

 Technical achievement

 Community service

 Sustainable environment
Third Dimension of Education

Education for mastery

Contribution to society

Concern for the environment
Character Education
    Based on Universal Values

 Traditional and contemporary values

 Spiritual and material

 Eastern and western
Universal Values Criteria

 Reversible

 Generalizable

 Compelling to the conscience
Universal Values Criteria

Objective benefits

Transcend cultures

Embodied as virtues
Virtues list
These virtues are voted for and used more
 consistently in character education
 initiatives in the US:

 RESPECT
 RESPONSIBILITY
 HONESTY
 CARING
Consensus Model for Character
      Education Initiative
 Representatives from the school, home and
  community need to be a part of and support
  the CE initiative
 Administrators, teachers, cafeteria workers,
  bus drivers, student representatives, parents,
  social workers, business leaders and
  government representatives need to meet
  and vote on which virtues will comprise the
  CE initiative
The Virtue of Respect
• Treat others with respect; follow the
  Golden Rule
• Dictionary definition “To have regard
  for or appreciation of a person’s worth;
  to honor, to esteem, to be courteous
  and considerate to”
• Be tolerant of differences
How Do We Become a
        Respectful Person?
 Show courtesy and be considerate of the
  feelings of others
 Don’t threaten, hit or hurt anyone
 Deal peacefully with anger, insults and
  disagreements
Self Respect
 Before you can respect others, you need to
  respect yourself
 Acceptance of positive and negative character
                        traits
 Realistic goals to improve problems
 An “honoring” of ourselves, involves holding
  ourselves in a positive light, regardless of our
  mistakes, weaknesses, and problems
Proactive or Reactive
Read the following statements aloud and
   decide which are proactive and which are
   reactive. Write a P or R in the blank area.
2. I have to do it right away           _____
3. I prefer to be more responsible      _____
4. There’s nothing I can do about it _____
5. I control my thoughts and feelings _____
Proactive and Reactive
Write a P or R in the blank space:
2. My friend made me do it            _____
3. I’m not responsible for my actions _____
4. It’s out of my hands               _____
5. I choose to wait a few minutes      _____
6. My life is out of control          _____
7. I will carry out my plan           _____
You’re in Charge
Write 5 proactive statements and 5 reactive
   statements not already mentioned. Label
   each statement with a P and R.
2. __________________________________
3. __________________________________
4. __________________________________
5. __________________________________
6. __________________________________
Character Traits of TV
           Celebrities
Choose three TV programs that you
  frequently watch and analyze an
  actor/actress on each of these programs
Name of character________Program_______
Deceitful 1 2 3 4 5 6 7 8 9 10 Truthful
Sarcastic 1 2 3 4 5 6 7 8 9 10 Sense of
  humor
Corrupt 1 2 3 4 5 6 7 8 9 10 Good
Character Traits of TV Stars
Disloyal 1 2 3 4 5 6 7 8 9 10 Loyal
Impure     1 2 3 4 5 6 7 8 9 10 Chaste
Selfish    1 2 3 4 5 6 7 8 9 10 Generous
Lazy       1 2 3 4 5 6 7 8 9 10 Ambitious
Indifferent 1 2 3 4 5 6 7 8 9 10 Sympathetic
Mean        1 2 3 4 5 6 7 8 9 10 Kind
Arrogant 1 2 3 4 5 6 7 8 9 10 Humble
Create Families of True Love
                  God/
                  Allah


                   True
   Husband                            Wife
                   Love

                  Children

                   --- Clan ---
              --- Community ---
           --------- Nation ----------
        ------------ World -------------
Living aids free
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Living aids free

  • 1. Interreligious & International Federation for World Peace Healthy Lifestyle Series Living AIDS Free: A Zero-Transmission Lifestyle
  • 2. Magic Johnson appeared to be in great physical shape. So, his announcement that he was HIV infected was a complete surprise for many people. Why? Because he did not look at all sick.
  • 4. What is AIDS? HIV? Acquired Immuno- Deficiency Hhuman Syndrome I immunodeficiency V virus © 2001 C enter Milan Nermut, M.D., Ph.D.* National Institute for Biological Standards and Control
  • 5. 1. HIV enters blood stream through a mucus membrane or a wound. 2. The virus inserts itself into a white blood cell nucleus (left), incapacitates the cell and reproduces itself, then buds out into the blood stream (below). 3. After months or years, the number of HIV increases and the white blood cell count decreases. The immune system is weakened. Te tbok o A I D S Patho gy ( F e 20) , x o f lo b. 02 T he I nter P athology L abor y net ator
  • 6. National AIDS and STDs Control Programme
  • 7. HIV - The Master of Disguise AIDS No Wellness - Illness Opportunistic Symptoms Symptoms Diseases •Fatigue •Cancer •Diarrhea •Malaria Invisible •Weight Loss •Typhoid Hidden •Persistent Fever •Night Sweats •Pneumonia •Tuberculosis •Itchy Skin Rash •Dementia •Swollen Lymph •Rashes & Thrush Nodes •Meningitis 1-10 years or more 1 or more years 1 or more years White Blood Cell (CD4 Lymphocytes) Count (per microliter) > 500 200 – 500 < 200 Death
  • 8. Tip of the Full-Blown AIDS Iceberg Opportunistic Diseases AIDS Reportable AIDS T4 cell counts < 200 Visible Symptoms T4 cell count Hidden appear between 200 & 500 No Symptoms, but Infectious Can Infect Others Unknowingly HIV Infection
  • 9. Why? National AIDS and STDs Control Programme
  • 10. Opportunistic Diseases •Cancer •Malaria •Typhoid •Pneumonia •Tuberculosis •Dementia •Rashes & Thrush •Meningitis Adam’s Healthcare Encyclopedia
  • 11. AIDS related Cancer Vitiligo A skin Strikes 1 in 5 disease Kaposi’s Sarcoma © 2001, Johns Hopkins University School of Medicine dermatlas
  • 12. Alarming Increase in HIV Infection Worldwide 45 Million Estimated HIV Infections Worldwide Millions 1980 2002 World Health Organization
  • 13. Global HIV/AIDS Epidemic, End 2001 Living with HIV/AIDS 40 million Newly infected in 2001 5 million AIDS deaths in 2001 3 million AIDS deaths 24.8 million from beginning of epidemic Orphans 14 million Daily Infections 14 thousand UNDP 2002
  • 14.
  • 15. Deaths from HIV/AIDS during 2001 Western Europe Eastern Europe & 8 000 Central Asia North Africa 23 000 North America East Asia & Pacific & Middle East 15 000 30 000 South 35 000 Caribbean & South-East Asia 40 000 Sub-Saharan 400 000 Africa 2.2 Latin America Australia 60 000 million & New Zealand <100 Total: 3 million The World Health Report 2001, WHO
  • 16. Leading Causes of Death in Africa, 2000 25.0 22.6 20.0 % of 15.0 10.1 9.1 Total 10.0 6.7 5.5 4.3 3.6 3.1 2.9 Maternal 5.0 2.3 conditions 0.0 HIV/ Malaria Perinatal Tuber Cerebrovascular AIDS conditions culosis disease Lower Diarrhoeal Measles respiratory disease Ischaemic infections Heart Source: The World Health Report 2001, WHO 01 Ju ly 2 002 s lid e n u m b e r S S A-38 disease
  • 17. HIV in Sub-Saharan Africa, End 2001 2001 20 – 39% 10 – 20% 5 – 10% 1 – 5% 0 – 1% trend data unavailable outside region 01 Ju ly 2 002 s lid e n u m b e r S S A-4
  • 18. HIV Prevalence in Military Personnel in Africa Nigeria: 11% among peacekeepers returning from Sierra Leone and Liberia vs 5.8% in adult population South Africa: 60-70% in military vs 20% in adult population Nigeria AIDS bulletin No 15, May 20, 2000; The Mail & Guardian,8 Pretoria, March 31, 2000; 01 Ju ly 2 002 s lid e n u m b e r S S A-1 UNAIDS/WHO 1999 estimate
  • 19. Africa’s Infection Rate 50x - 100x Higher. Why? Weakened Stigma►HIV Immune Testing Rare System Infectious Social Poverty Climate Economic HIV Impure Medical Widesprea Water d STDs Rampant Work Migration Poor Medi-cal Why? Migration to Care Cities Malnutritio Custom Multiple Sex n Partners Sugar Genital Daddies Mutilation Polygamy
  • 20. SOCIAL AND PSYCHOLOGICAL IMPACT IN D IV ID U A HOUS EHOL C O M M U N IT L D Y • L o w s e lf - • Im p o v e r is h • P o ve rty im a g e me nt • In f r a s t r u c t u • S u ic id e • F a m ily c r is is re • Ang e r, • C a re d e t e r io r a t v io le n c e e xpe ns e s es • D e p r e s s io • S in g le • D e a th ra te n pa re nt up • A lie n a t io n • C h ild r e n , • L a b o r c r is is • G u ilt , e ld e r ly • H o m e le s s n s ha me Head of ess, • W it h d r a w a H o u s e h o ld s tre e t l • W id o w s , c h ild r e n • S t ig m a orpha ns • C h ild la b o r ,
  • 21. How Do You Get AIDS? Non- Sexual 15% 85% or more 15% or less Sexual 85% Prof. Olikoye RansomeKuti, Also, barbing & shaving, manicure, ear piercing, tattoos, circumcision Former Nigerian Adam’s Healthcare Encyclopedia Minister of Health
  • 22. Sex with an Infected Partner PHOTO: Alain N.-Sygma Funk & Wagnalls New Encyclopedia 1976 Yearbook. • Prostitution is a major route of HIV transmission • Studies show high rates of HIV infection
  • 23. From Mother to Child P4/5 • 15% to 45% of babies born to HIV mothers become infected • 1500 babies are born with HIV infection each day • 1200 babies die of AIDS each day • Testing of mother & early treatment can reduce infections by two thirds UNAIDS 2002
  • 24. Your Risk Increases if You: • Have sex outside a committed relationship • Have sex with partner who has not had an HIV test. • Have sex with multiple partners. The more partners, the higher the risk. • Have sex with a partner who has had multiple relationships (even if you don’t know that). • Increase sexual activity because of a false sense of security using condoms, especially if used incorrectly.
  • 25. You Don’t Get AIDS by: → Sneezing, coughing → Simple kiss or embracing → Insect bites → Sharing cups, plates, utensils → Shaking hands or embracing → Working or playing together → Normal social contact → Crowded buses, public baths → Using telephones
  • 26. Our Attitude Toward People with HIV • Casual social contact OK • Acceptance at work; need income • Need love & concern, not rejection • When sick, need care • Family needs community support BUT • Be informed for best support, care • Avoid contact with body fluids
  • 27. Explosive Growth of STDs • In 1960s only 2 common STDs, both curable: Gonorrhea and Syphilis • Now, 2 dozen STDs, some deadly, some incurable • Condoms: limited or no protection • 16-to-24-year-olds most infected group Salmonellosis Molluscum Chlamydia Genital Herpes Contagiosum Hepatitis A & B Shigellosis Chancroid Human Papilloma Lymphogranu- Ureaplasmal Virus Syphilis Venereum loma Infections Human Immuno- Amebiasis deficiency Gonorrhea Granuloma Giardiasis Virus Inguinal Campylobacter Cytomegalovirus
  • 28. AIDS Also Kills Dreams Afro-beat king, Fela Anikulapo-Kuti, became infected and then died from complications of AIDS. His many fans still miss him. Newswatch, 1997 Kay Brown, 19, an honour student hoping to enter the military, was infected by and then abandoned by her boyfriend. “My career plans were destroyed,” she said. Newsweek 1992 Cornelius Monaheng, infected when he was 24, has dedicated his life to educating young people about the dangers of sex, drugs and alcohol Krista Blake was infected at age 16 by someone who did not tell her that he was infected. At age 20, she dropped out of college and broke off her engagement. She died at age 22. Newsweek 1992
  • 29. Protection Against HIV: What are Your Choices? Abstinence...Zero Transmission Be Faithful...Zero Transmission Condoms......Less Transmission
  • 30. Get an HIV Test If infected: If not infected: • Get help • Change habits • Protect others • Prepare for true love
  • 31. Safer Sex? P hoto credit: W H O/ U B G B The o ne o a po lar bar distribu wr f pu ting co m ndo s. How much protection do latex condoms provide in actual use?
  • 32. Do Condoms Work? •“There is no scientific evidence that condoms prevent the transmission of most sexually transmitted diseases.” •Studies show that condoms reduce the risk of transmission of HIV and gonorrhea in men. •Studies are inconclusive about whether condoms reduce the risk of transmission of gonorrhea in women, chlamy- dia, trichomoniasis, genital herpes, syphilis, & chancroid •Studies say there is no evidence condoms reduce the risk of transmission of Human Papillomavirus (HPV) •More than 100 studies fail to prove that condoms prevent or even reduce the transmission of most STDs.
  • 33. How Effective are Condoms? •“Overall effectiveness for reducing sexual transmission of HIV through consistent use of condoms is approximately 80%.” •“Condoms appear to be marginally less effective for reducing HIV transmission than for preventing pregnancy.” Source: Global Health Council, 2002, http://www.globalhealth.org/assets/publications/condoms.pdf •In use by teenagers, condom failure is around 14% (i.e. one in seven). Fu H, Darroch L et al Contraceptive failure rates: New Estimates from the National Survey of Family Growth Fam Plann Persp1999 31 56-63 •Therefore, “safe sex” with a condom is not safe. Abstinence and committed marriage are the only true forms of “safe sex.” Gene Rudd, MD, Associate Executive Director, Christian Medical and Dental Associations, Bristol, TN
  • 34. Sex Educators Don’t Trust Condoms. Should You? “I asked [800 sex educators] if they knew that a person carried the [HIV] virus, would they have sex, depending on a condom for protection? No one raised their hand.” Source: Dr. Theresa Crenshaw, past president of the American Society of Sex Educators and Therapists, and member of the Presidential AIDS Commission
  • 35. Condoms Offer False Sense of Security They remove your natural reservations about premarital sex Fear of Fear of Worry about AIDS and Pregnancy Parents’ STDs Disapproval Source: Louis Harris, American Teens Speak, 1986
  • 36. Percentage of Sexually Experienced Girls in South Africa Who Say … “I have been forced to “I am afraid of saying have sex.” no to sex.” Agree 39%No Yes 33%Disagree 61% 55% Disagree 7% 60% Agree 39% 6% “There are times I don't want to have sex, but I do because my boyfriend Insists on having sex.” Source: Kaiser Family Foundation/KLA (2000) South African National Youth Survey 01 Ju ly 2 002 s lid e n u m b e r S S A-5 1
  • 37. You Don’t Need to Say “Yes” to Sex • Abstinence is doing without something. • You can abstain from lots of things, such as certain foods, alcohol and other drugs, and sex. • You can abstain from sex for lots of different reasons, such as to protect your health, to stick to your religious or moral values or to take control of your own life. NYC Dept of Health STD Control Program
  • 38. You Might Decide NOT to Have Sex Because: •You want to wait until you're married •It would upset your parents if they found out •You just don't feel ready to have sex •You've already had sex, but decided it was a mistake Remember: It's never too late to abstain from sex! You can stop right now. NYC Dept of Health STD Control Program
  • 39. Who has the best sex? • Swinging Singles? • Cohabiters? • Married? • Married & Faithful?
  • 40. Saying "NO" to Sex Has Many Advantages! • Avoid Sexually Transmitted Diseases (STDs) like HIV/AIDS. • Avoid Pregnancy. • Keep Religious or Moral Values. • Boost Your Self-Esteem. • Abstinence isn't Forever. • Keep your most precious gift for your future spouse. NYC Dept of Health STD Control Program
  • 41. Tips for saying “No!” Deciding to say "NO" is easy – but actually saying "NO" may not be. Practice your responses with a friend or parent today. Tips for Success • Be assertive, learn to speak up for yourself. • Set your limits before you get into a challenging situation. • Practice saying "NO" as if you really mean it. • Talk about your feelings, don't make the person guess how far you'll go. • Don't use alcohol and other drugs. NYC Dept of Health STD Control Program
  • 42. Learn How to Say “No!” “If you really loved me, “If you really loved me, you you'd have sex with me.” wouldn't pressure me.” “Everybody's doing it.” “That's not true. I'm not doing it and I'm somebody.” “If you won't do it, I'll find “If that's all I mean to you, then someone who will.” maybe you should find someone else!” “Don't you trust me?” “It has nothing to do with trust. I just don't feel right about having sex.” “It's the only way to prove “I didn't think I had to prove you're a man (or woman)!” anything to you.” NYC Dept of Health STD Control Program
  • 43. Friendship ≠ Sex “We might not get another “Right now, I'm willing to take chance.” that chance.” “I thought you loved me!” “I do, but I thought you respected me!” “What's wrong with you?” “There's nothing wrong with choosing to wait.” “I think you owe it to me.” “I don't think I owe you anything.” “If I don't relieve this “That's a myth. Besides, if I tension, I'll be in physical have sex before I'm ready, I pain.” could be emotionally hurt.” NYC Dept of Health STD Control Program
  • 44. You’re in Charge! • It's your body; • Don't be pressured into having sex. • Stay in control - don't use alcohol or other drugs. • Make the smart choice, say "NO" to sex - for now! NYC Dept of Health STD Control Program
  • 45. Sexual Organs sin g! re sp as N o T y o fM o pe rty se Pr Sp ou tu re Fu
  • 46. Media’s Sexualized Messages In today’s culture advertisers enhance the appeal of their products by associating them with sex. If you don’t value your own life, no-one else will either - certainly not Hollywood, nor the Media!
  • 47. Too late to change his past... But not too late to change your future! E ven if you’ve made mistakes, they ar in your past. You can de e cide right no to begin a new futur w e.
  • 48. A.C. Gr e e n , NBA S t a r is saving sex for marriage C opyr 1 994, USA We e d. ight ekn P hotography by L ar y N ichols. r How about you?
  • 49. Become a Person of Character like A.C. Green By actively developing such virtues as honesty, integrity, endurance, respect for others, becoming more responsible, and living for the sake of others, you’ll have what it takes to: – Save sex for later by creating boundaries, – Accomplish your short & long term goals, and – Prepare to create a happy marriage and family – Learn about love, relationships, and marriage
  • 50. Problem of Modern Education The problem of contemporary education, minimum level of focus on character development: 3. Education for mastery 4. Education in norms 5. Cultivation of the heart
  • 51. Balanced Education Character education balances the moral, emotional, social and academic levels of education 3. Education for mastery 4. Education in norms 1. Cultivation of the heart
  • 52. Moral Goals of Education 1. Mature Character 2. Loving relationships and family 3. Contribution to society
  • 53. Cultivation of the Heart  Experiences of love  Moral examples  Practice of caring
  • 54. Moral Goal-Mature Character  Loving and caring heart  Self control  Lives for the sake of others  Words and deeds are closely related
  • 55. First Dimension of Education  Cultivation of the heart  Development of mature character  Foundation for other levels of education
  • 56. Education in Norms  Training in proper behavior  Rules and responsibilities  For respect and harmony
  • 57. Education for Character- Balances Love and Rules  Ethics need to facilitate loving relationships and social harmony  The family is the crucible of character  Teachers need to support the efforts of parents in developing character  Rules need to be implemented in a loving and caring fashion
  • 58. Moral Goal: Loving Relationships and Family  Strong marriages  Effective parenting  Ethical practice  Altruism
  • 59. Second Dimension of Education  Education in norms  Loving relationships and family  Moral and ethical education-basis of technical education
  • 60. Education for Mastery  Academic education  Technical education  Education in the arts
  • 61. Moral Goal-Contribution to Society  Technical achievement  Community service  Sustainable environment
  • 62. Third Dimension of Education Education for mastery Contribution to society Concern for the environment
  • 63. Character Education Based on Universal Values  Traditional and contemporary values  Spiritual and material  Eastern and western
  • 64. Universal Values Criteria  Reversible  Generalizable  Compelling to the conscience
  • 65. Universal Values Criteria Objective benefits Transcend cultures Embodied as virtues
  • 66. Virtues list These virtues are voted for and used more consistently in character education initiatives in the US:  RESPECT  RESPONSIBILITY  HONESTY  CARING
  • 67. Consensus Model for Character Education Initiative  Representatives from the school, home and community need to be a part of and support the CE initiative  Administrators, teachers, cafeteria workers, bus drivers, student representatives, parents, social workers, business leaders and government representatives need to meet and vote on which virtues will comprise the CE initiative
  • 68. The Virtue of Respect • Treat others with respect; follow the Golden Rule • Dictionary definition “To have regard for or appreciation of a person’s worth; to honor, to esteem, to be courteous and considerate to” • Be tolerant of differences
  • 69. How Do We Become a Respectful Person?  Show courtesy and be considerate of the feelings of others  Don’t threaten, hit or hurt anyone  Deal peacefully with anger, insults and disagreements
  • 70. Self Respect  Before you can respect others, you need to respect yourself  Acceptance of positive and negative character traits  Realistic goals to improve problems  An “honoring” of ourselves, involves holding ourselves in a positive light, regardless of our mistakes, weaknesses, and problems
  • 71. Proactive or Reactive Read the following statements aloud and decide which are proactive and which are reactive. Write a P or R in the blank area. 2. I have to do it right away _____ 3. I prefer to be more responsible _____ 4. There’s nothing I can do about it _____ 5. I control my thoughts and feelings _____
  • 72. Proactive and Reactive Write a P or R in the blank space: 2. My friend made me do it _____ 3. I’m not responsible for my actions _____ 4. It’s out of my hands _____ 5. I choose to wait a few minutes _____ 6. My life is out of control _____ 7. I will carry out my plan _____
  • 73. You’re in Charge Write 5 proactive statements and 5 reactive statements not already mentioned. Label each statement with a P and R. 2. __________________________________ 3. __________________________________ 4. __________________________________ 5. __________________________________ 6. __________________________________
  • 74. Character Traits of TV Celebrities Choose three TV programs that you frequently watch and analyze an actor/actress on each of these programs Name of character________Program_______ Deceitful 1 2 3 4 5 6 7 8 9 10 Truthful Sarcastic 1 2 3 4 5 6 7 8 9 10 Sense of humor Corrupt 1 2 3 4 5 6 7 8 9 10 Good
  • 75. Character Traits of TV Stars Disloyal 1 2 3 4 5 6 7 8 9 10 Loyal Impure 1 2 3 4 5 6 7 8 9 10 Chaste Selfish 1 2 3 4 5 6 7 8 9 10 Generous Lazy 1 2 3 4 5 6 7 8 9 10 Ambitious Indifferent 1 2 3 4 5 6 7 8 9 10 Sympathetic Mean 1 2 3 4 5 6 7 8 9 10 Kind Arrogant 1 2 3 4 5 6 7 8 9 10 Humble
  • 76. Create Families of True Love God/ Allah True Husband Wife Love Children --- Clan --- --- Community --- --------- Nation ---------- ------------ World -------------

Notas del editor

  1. Incubation Period           A person does not develop AIDS as soon as he or she becomes infected with HIV. The interval between infection with HIV to onset of the disease, AIDS is between 3 and 10 years. During this incubation period the person may not have any symptoms and, therefore, may not be aware that he or she is infected. This contributes to the spread of HIV, since the person can transmit the infection to others without realizing it. For children the incubation period is much shorter because their immune systems are not fully developed. Most children who are infected at birth develop AIDS and die within five years.
  2. The chart above shows the distribution of reported AIDS cases by age and sex since 1986. Each vertical bar shows the number of reported AIDS cases in a particular five-year age group. Males are shown on the left and females on the right.   More than 75 percent of AIDS, and therefore of the resulting AIDS deaths occur to adults between the ages of 20 and 45. Since this is the most economically productive part of the population, these deaths constitute a serious economic burden. This is also the age when investments in education are just beginning to pay off. These deaths also have severe consequences for children since most people in this age group are raising young children.  Male and female cases are about equal. This is because HIV is predominantly transmitted through heterosexual contact.  The peak ages for AIDS cases are 25-29 for females and 30-34 for males.   Young women in the age groups 15-19 and 20-24 are more than twice as likely to have AIDS as males in the same age group.  About 10 percent of reported AIDS cases occur in children under five years of age. Most of these cases are due to mother-to-child transmission.  The absence of many AIDS cases in the 5-14 year old age group indicates that infection is not spread by mosquitoes or casual contact such as shaking hands.
  3. Saying &amp;quot;NO&amp;quot; to sex has many advantages! Avoid Sexually Transmitted Diseases (STDs). These diseases are spread by sexual contact. Avoid Pregnancy. Pregnancy will change your life. It can make it hard for you to finish school - and to get a good job. The only sure way to avoid pregnancy is not to have sex. Keep Religious or Moral Values. Many people feel it&apos;s important to be a virgin until marriage. Abstaining from sex is a way to be true to these values. Boost Your Self-Esteem. The best way to build your self-esteem (how you feel about yourself) is to treat yourself with respect. Don&apos;t let others pressure you to do anything you&apos;re not ready for. Abstinence Isn&apos;t Forever. If you decide to abstain, it doesn&apos;t mean you&apos;ll never have sex - it just means you&apos;ve decided to wait.
  4. Deciding to say &amp;quot;NO&amp;quot; is easy - but saying &amp;quot;NO&amp;quot; may not be. Practice your responses with a friend or parent today. Tips for Success Be assertive, learn to speak up for yourself. Use &amp;quot;I&amp;quot; statements, use positive body language, stay calm, and most of all don&apos;t give in to pressure. Set your limits before you get into a situation where you may be pressured to go even further. Practice saying &amp;quot;NO&amp;quot; as if you really mean it. Refuse to talk about the subject anymore. Talk about your feelings, don&apos;t make the person guess how far you&apos;ll go. Don&apos;t use alcohol and other drugs as they can make it hard for you to say &amp;quot;NO&amp;quot; when you want to. Reach out to others to get the facts about sex from an informed adult.
  5. The only real protection against AIDS today isn’t condoms. It’s what I call true love . It’s a married man and woman loving and serving God, loving and serving each other and loving and caring for their children with all their heart and being – and not letting anything or anyone violate that family of love. Each family member lives for the sake of others and the family lives for the sake of the community. AIDS can’t possibly enter into that kind of family. It can’t touch their children who would value and save their sexual love till marriage. If we have a world full of such families, what do you suppose would happen to AIDS and other STD’s?” Dr. Ahmed said. “I think they would disappear,” Tunde said. “You bet they would! No one would be infected by them.” True Love and living for the sake of others will cut HIV/AIDS transmission to ZERO. Learning true love is a life-long task, and constant education is needed to realize that purity is so important, and it can be lost in one thoughtless second.