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Behavioural changes, such as reducing the number of sexual partners, and reducing the age difference between partners, could greatly reduce the rate of transmission. 1997), although it can be much higher if other sexually transmitted diseases (STD) are present, or in the early days post-infection when viral titres in the ejaculate are at their highest ( Pilcher et al. The probability of transmission per act of heterosexual intercourse between otherwise healthy individuals may be as low as 1 in 1000 ( Royce et al. For the infection to spread, R 0 must be greater than one each infected individual must infect more than one other person on average. Over 80% of infections occur during heterosexual intercourse, but the relative reproductive rate, R 0, is only slightly in excess of 1 in most populations ( May et al. The virus is a fragile one, with low infectivity. There is no doubt that the pandemic is still in its exponential growth phase, and that the situation will inevitably get much worse.īut in spite of these grim statistics, there is reason for hope relatively simple interventions could bring the infection under control, even though we may never be able to eradicate the disease completely. Next comes South and South-East Asia, with 6.5 million current infections. Sub-Saharan Africa is the epicentre of the pandemic, with 25 million currently infected and 3 million new infections annually. Currently, there are 35–42 million adults and children living with the infection, with around 5 million new infections and 3 million deaths a year ( UNAIDS 2004). Controlling HIV/AIDS is also listed as one of the United Nations’ Millennium Development Goals ( Sachs 2005). A recent consensus conference of the world's leading economists, including three Nobel laureates, concluded that HIV/AIDS was the greatest problem facing the world ( Lomborg 2004). The global AIDS pandemic gives increasing cause for concern. Asking schoolchildren in developing countries to photograph their impressions of HIV/AIDS is a powerful way of getting them to discuss the subject openly, and develop their own preventative strategies. Wiping the penis immediately after intercourse with lime or lemon juice or vinegar should kill the virus before it has had a chance to infect.
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Removal of the inner foreskin removes the main site of HIV entry into the penis, resulting in a sevenfold reduction in susceptibility to infection. If women take the oral contraceptive pill vaginally it retains its contraceptive efficacy, and the oestrogen it contains should thicken the vagina and protect against HIV infection. Monkeys can be protected from Simian immunodeficiency virus (SIV) infection by keratinizing the vagina with topical oestrogen. The juice can also kill HIV in the laboratory, but clinical trials are needed to see if vaginal application is acceptable, safe and effective. Intravaginal lime or lemon juice has been used for centuries as a traditional contraceptive. It continues to spread unchecked among the poor in the developing world because we have failed to design simple preventative methods that are available and affordable to those living on under $2 a day. HIV infection is the greatest health crisis in human history.