scholarly journals The impact of armed conflict on the prevalence and transmission dynamics of HIV Infection in Libya.

Author(s):  
Mohamed Ali DAW ◽  
Abdallah Hussean El-Bouzedi ◽  
Mohamed Omar Ahmed

Abstract The interrelationships between HIV/AIDS and armed conflict are a complex phenomenon and studies are rarely devoted to this area of research. Libya is the second-largest country in Africa that has been evoked with war since NATO intervention in 2011. The country has also experienced one of the largest HIV outbreaks associated with the Bulgarian Nurses saga. The effect of the armed conflict on the dynamic spread of HIV is not well known. The objectives of this study were to determine the impact of armed conflict on the epidemiological situation of HIV infection in Libya and analyze the transmission dynamics of HIV strains during the conflict. We investigated the movement of HIV-infected people during the Libyan armed conflict and analyzed the HIV subtypes reported from 2011 to 2020 and followed up the infected cases all over the country. The patterns of HIV spread within the Libyan regions were traced and risk factors were determined during the conflict period. A total of 4539 HIV/AIDS patients were studied from the four regions during the Libyan conflict. Our data analysis indicated that Benghazi the biggest city in the Eastern region was the significant exporter of the virus to the rest of the country. Viral dissemination changes were observed within the country particularly after 2015. A major virus- flow from the Eastern region during the armed conflict associated with internally displaced people. This resulted in a dissemination of new HIV strains and accumulations of HIV cases in Western and Meddle regions. Although, there were no significant changes in the national prevalence of HIV/AIDS. Our data highlights the factors that complicated the spread and dissemination of HIV during the armed conflict which provides a better understanding of the interaction between them. This could be used to plan for effective preventive measures in tackling the spread of HIV in conflict and post-conflict settings.

2021 ◽  
Author(s):  
Mohamed A Daw ◽  
Abdallah HU El-Bouzedi ◽  
Mohamed O Ahmed

ABSTRACT The interrelationships between HIV/AIDS and armed conflict are a complex phenomenon and studies are rarely devoted to this area of research. Libya is the second-largest country in Africa that has been evoked with war since NATO intervention in 2011. The country has also experienced one of the largest HIV outbreaks associated with the Bulgarian Nurses saga. The effect of the armed conflict on the dynamic spread of HIV is not well known. The objectives of this study were to determine the impact of armed conflict on the epidemiological situation of HIV infection in Libya and analyze the transmission dynamics of HIV strains during the conflict. We investigated the movement of HIV-infected people during the Libyan armed conflict and analyzed the HIV subtypes reported from 2011 to 2020 and followed up the infected cases all over the country. The patterns of HIV spread within the Libyan regions were traced and risk factors were determined during the conflict period. A total of 4539 HIV/AIDS patients were studied from the four regions during the Libyan conflict. Our data analysis indicated that Benghazi the biggest city in the Eastern region was the significant exporter of the virus to the rest of the country. Viral dissemination changes were observed within the country particularly after 2015. A major virus- flow from the Eastern region during the armed conflict associated with internally displaced people. This resulted in a dissemination of new HIV strains and accumulations of HIV cases in Western and Meddle regions. Although, there were no significant changes in the national prevalence of HIV/AIDS. Our data highlights the factors that complicated the spread and dissemination of HIV during the armed conflict which provides a better understanding of the interaction between them. This could be used to plan for effective preventive measures in tackling the spread of HIV in conflict and post-conflict settings.


Author(s):  
Irina Litvinenko ◽  
Yulia Tseplo

The article examines the impact of military action in the east of the country on the trends of future specialists in the field of psychology with younger scholars. This problem is quite relevant today, as a large number of parents with children have been forced to leave the eastern regions of the country. However, there are now areas of work that are currently being mastered by student psychologists. Also, the article presents areas for improving professional skills given the geopolitical situation within the country. Ways to improve the professional training of students are offered. It is no secret that Ukrainian society is experiencing a period of crisis, which is associated with many factors. One of the most important factors is the armed conflict in the east of our country. It is bitter that this action has divided not only society and politicians, but also families. With statistics from the UN, we can say that there are now about 1.198 million migrants from the eastern region of the country. Of these, about 253 thousand children, and how many are left there? How many children do not have the opportunity to see their relatives, play with peers or even go to school? And how many of them know what war is. It is safe to say that they have had a terrible childhood, because the hybrid war has left them no chance for happy years in safety and peace. About 250 children have died in the east since the beginning of 2014. We should not forget that the districts of Donetsk and Luhansk oblasts are one of the busiest in terms of the number of explosives and mines in the world. The children who stayed there, and there are more than 220,000 of them, do not even have the opportunity to play quietly on the playgrounds, because they are mined. This is only according to the UN. We can only focus on these figures, not state with confidence. In addition to these data, during the anti-terrorist operation and environmental protection, human rights activists recorded at least a dozen cases when military facilities and facilities of armed groups were located within 500 meters from kindergartens and schools, or directly on their territory. Such circumstances are not psychologically favorable for children, so we wonder how a modern practical psychologist can positively influence and help them achieve a normal life.


2018 ◽  
Vol 17 (1) ◽  
pp. 40-47
Author(s):  
V. Ya. Rosenberg ◽  
Yu. K. Plotnikova ◽  
E. E. Voronin

RelevanceThe HIV epidemic, registered worldwide since the early 1980s, is currently continuing its development in most countries, and, according to the Joint United Nations Program on HIV/AIDS (UNAIDS, 2016), covers more than 36 million people (including 1.8 million children) AIDS mortality is a key indicator of the effectiveness of the response to the HIV epidemic. On the example of the Irkutsk region as a region with high lesion, an analysis of the main indicators and causes of death of patients with HIV infection was carried out.Goal– analysis of the mortality of HIV / AIDS patients by the example of a region with a high degree of defeat in order to determine the key criteria for evaluating activities to reduce the mortality from HIV/AIDS.Materials and methods An analysis was made of the causes of mortality of patients with HIV infection in the Irkutsk region in 2014– 2016, using comparative data of modern domestic and foreign literature (including total mortality), as well as accounting and reporting documentation of the Irkutsk Regional Center for prevention and control of AIDS and infectious diseases.Results 1.There is an increase in the death rate of HIV-infected people, including those caused by HIV. 2. The increase in mortality practically does not lead to an increase in mortality due to a parallel increase in the number of people living with HIV. 3. The main causes of death from HIV infection (AIDS) are pathologies with primary respiratory system damage: tuberculosis and pneumonia, which requires special attention in developing approaches to diagnosis, recording, treatment and prevention of these diseases, as well as assessing the impact of vaccination of patients with HIV infection against pneumococcus on mortality from pneumonia. 4. The increase in ART coverage of all patient populations contributes to the stabilization of mortality from HIV/AIDS.Conclusions:the most important for assessing the impact of ongoing efforts of the health system to reduce mortality among HIVinfected patients is the correct registration and diagnosis (including posthumous) of AIDS-indicative diseases, certainly associated with the progression of HIV infection. 


2019 ◽  
Vol 15 (4) ◽  
pp. 106-116
Author(s):  
Aleksandr Kuklin ◽  
Andrey Tsvetkov ◽  
Dar’ya Ypaneshnikova ◽  
I . KOROBKOV

The Object of the Study. The territory of the Ural Federal Okrug with HIV infection spread.The Subject of the Study. The socioeconomic relations between the executive and the health system at all levels that arises about the fixation, diagnosis, prevention of HIV infection The Purpose of the Study is critical diagnosing the state of the territory to predict the number of able-bodied population of the region, taking into account socially significant medical factors (incidence of HIV infection).The Main Provisions of the Article. Fertility decline, population aging, mortality have a directly impact on the demographic situation in the Urals Federal Okrug. Population projections are taking into account different socio-economic trends should precede the development of demographic policies. Currently, in most subjects of the Ural Federal Okrug, the number of elderly people is increasing, the number of people of working age is decreasing and, accordingly, the demographic load on the working population is increasing. In the framework of this study, the calculation of demographic security of the Ural Federal Okrug and a model of the influence of various socio-economic factors on it is proposed. It is shown that the level of demographic security for a number of regions included in the Ural Federal Okrug began to decline in 2015 and strive to get out of the normal state. On the basis of the offered model one of the factors influencing demographic safety – HIV infection and AIDS is chosen. The calculation of the medical and demographic forecast of the able-bodied population, are taking into account the impact of HIV infection. Sverdlovsk and Chelyabinsk Regions are among the leaders in the number of HIV-infected people, in some regions we are talking about an epidemic. This disease is characterized by a long latent period, the defeat, mainly young people of working age, the high cost of treatment, the lack of reliable methods of treatment and vaccination. The mathematical model allowing to consider influence of HIV infection on change of population of working age is constructed, calculations for Sverdlovsk, Chelyabinsk and Kurgan Regions have been carried out. Comparison of forecast values with and without adjustment for HIV/AIDS factors shows a significant impact of the disease on the demographic picture of the Sverdlovsk and Chelyabinsk Regions.


2021 ◽  
Vol 70 (7) ◽  
pp. 112-116
Author(s):  
Ahmed Ali Abdirahman

Ongoing armed conflict, insecurity, lack of state protection, and recurring humanitarian crises exposed Somali civilians to serious abuse. There are an estimated 2.6 million internally displaced people (IDPs), many living unassisted and vulnerable to abuse. Somalia's history of conflict reveals an intriguing paradox--namely, many of the factors that drive armed conflict have also played a role in managing, ending, or preventing war.


2021 ◽  
Vol 1 (1) ◽  
pp. 17-36
Author(s):  
Agbo Friday Ojonugwa

Internally displaced persons (IDPs) are usually forced to flee or leave their homes, particularly in situations of armed conflict. They are displaced within their national territories and are generally subject to heightened suffering and vulnerability in many cases. It is also essential to state that the issue of internal displacement has become prominent because of the realisation that peace and reconstruction in conflict-ridden societies depend on the effective settlement and reintegration of displaced persons. Nigeria is a country that has a history of conflicts and displaced people. There has been a challenge in finding lasting peace through the employment of conflict resolution techniques and also the challenge of catering for the welfare of internally displaced persons in the country. However, peace and development without taking into account the settlement, return, and reintegration of IDPs. These desirous objectives are proving quite difficult in Nigeria as many challenges confront the government, policymakers, and humanitarian NGOs in providing the IDPs with their rights and needs. Some of the challenges can easily be overcome while some are more tasking requiring concerted efforts and massive resources to overcome. The aim of this article is to highlights the significant challenges confronting IDPs and provides some solutions to these challenges. In adopting the doctrinal method in discussions, the article finds that enormous challenges abound that confront IDPs in Nigeria, and it finds that there is the need for the government to find urgent solutions to the challenges of IDPs for the wellbeing of IDPs  


2009 ◽  
Vol 17 (04) ◽  
pp. 685-712 ◽  
Author(s):  
G. THOMAS ◽  
E. M. LUNGU

The Sub-Sahara African region is inhabited by only 11% of the global population, but is home to 67% of the total HIV infected people and accounts for more than 70% of global AIDS deaths. In this study, we construct a mathematical model to investigate the effect of heavy alcohol consumption on the transmission and progression of HIV/AIDS, and to assess the impact of heavy drinkers on HIV/AIDS related social and health problems such as TB case load and number of orphans. Using demographic data for Botswana, we have shown that if more HIV/AIDS individuals had been de-addicted from heavy alcohol consumption, the severity of the HIV/AIDS epidemic and the impact of HIV/AIDS on the number of TB cases and orphans would have been significantly less than is the case currently. The study points to the vital need for counseling and education about the evils of heavy alcohol consumption and for alcohol de-addiction programmes.


2017 ◽  
Vol 2 (2) ◽  
pp. 133-152 ◽  
Author(s):  
Richard Caplan ◽  
Anke Hoeffler

AbstractThis article is concerned with explaining why peace endures in countries that have experienced a civil armed conflict. We use a mixed methods approach by evaluating six case studies (Burundi, East Timor, El Salvador, Liberia, Nepal, Sierra Leone) and survival analysis that allows us to consider 205 peace episodes since 1990. We find that it is difficult to explain why peace endures using statistical analysis but there is some indication that conflict termination is important in post-conflict stabilisation: negotiated settlements are more likely to break down than military victories. We also consider the impact of UN peacekeeping operations on the duration of peace but find little evidence of their contribution. However, in situations where UN peacekeeping operations are deployed in support of negotiated settlements they do seem to contribute to peace stabilisation.


2019 ◽  
Vol 7 (20) ◽  
pp. 3459-3463
Author(s):  
Elmeida Effendy ◽  
Mustafa M. Amin ◽  
Lidya De Vega ◽  
Nurul Utami

BACKGROUND: The lives of individuals diagnosed with HIV and the subsequent illness, AIDS, were often chaotic because these individuals deal with the physical, emotional, and interpersonal sequelae of this illness. Depressive symptoms and stress were common and impact on functioning, quality of life, and health status, highlighting the importance of diagnosis and treatment of patients with HIV infection. Psychiatric clinical practice and rating scales have come to play an ever-increasing role both in determining specific symptoms and diagnosing an individual condition. Descriptive reports of psychiatric morbidity among those with HIV infection, that relied primarily on self-report rating scales, described high rates of symptomatic depression and stress. AIM: This study aimed to determine the proportion of depression among people living with HIV/AIDS using the BDI-II and PSS to determine a relationship between symptoms of depression and stress with CD4 counts. METHODS: This study was a numerical correlative analytic study with a cross-sectional study approach that assessed the correlation between stress, depression and CD4 level in people with HIV/AIDS that were receiving ARV therapy in the Voluntary Counselling Test (VCT) Polyclinic of General Hospital Haji Medan by recruiting 46 subjects. CD4 level was examined in the Pramita Medan laboratory. RESULTS: When analysis of BDI-II level and CD4 scores were done, a significant correlation was found (P < 0.05). The strength of the relationship between the BDI score and the CD4 score was 0.548 revealing a positive correlation with moderate correlation strength CONCLUSION: We have shown a significant relationship between depression, stress and CD4 level among people with HIV/AIDS in Medan, Indonesia. Psychological distress may affect the immunity in infected people, leading to the disease progressivity.


Medicina ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 40-47
Author(s):  
M. A. Asmanova ◽  
◽  
N. V. Lukyanenko ◽  

Introduction: The article presents an analysis of the state of the immune system of HIV-infected patients with tuberculosis, the rate of recurrence of tuberculosis in HIV-infected people against the background of insufficient preventive therapy against HIV-infection and tuberculosis. Aim: To assess the effect of clinical aspects of the course of combined pathology (HIV infection and tuberculosis) on the spread of isolation of bacteria of tuberculosis mycobacteria as one of the main risk factors for infection in foci. Materials and methods: comparative analysis of isolation of bacteria of tuberculosis mycobacteria among patients with combined pathology (tuberculosis and HIV) was carried out (main group): determination of CD4 lymphocyte cell number and isolation of tuberculosis mycobacteria (n = 100). The number of TB recurrences in the main group (100 patients) and comparison group (TB patients) – 100 patients were studied. Data processing was carried out using the calculation of intensive and extensive indicators, the calculation of the standard error of the average (m). Statistical analysis was performed using Microsoft Excel. The results testified: the impact of the clinical course in tuberculosis patients with HIV infection characterized by an immunodeficiency condition, the presence of stages of 4B and 4V HIV infection (65,0 (95% RI:55;74)) and the recurrent course of tuberculosis in 25% (95 RI:17,5;34) is 1.4 times higher than in tuberculosis and is one of the main risk factors for infection in foci.


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