【Introduction】
The story of HIV in China over the last three decades has been a gripping one: it is a tale first of exclusion and fear, and then, by turns, of involuntary tragedy, cautious experimentation and finally vigorous response. Above all it has been a story of learning, first by a small group of dedicated doctors and public health specialists who had the courage to face the facts and propose unorthodox solutions, and later on by a broader group of policy makers and social groups. HIV/AIDS in China: Beyond the Numbers recounts those events through the eyes of some of those who witnessed them.
【简介】
本书为“中国公共卫生系列英文版图书”中的一个分册,是国内外第一本详细描述中国艾滋病流行发生、演变、防治工作不断进展取得成效的英文专著。本书内容丰富、题材新颖、资料全面,重点突出,实用性强,对预防医学及相关管理工作者等均有重要参考价值。 共分10章,主要包括中国艾滋病流行发生与演变过程、政府承诺与领导艾滋病防治、重点人群预防干预、公共卫生策略治疗方案的制定与修订、创新艾滋病检测策略、防治措施目标管理、艾滋病防治政策、国际合作、社会组织参与艾滋病防治、艾滋病歧视,以及过去30年艾滋病防治中关键人物的亲身经历。
【About the Editor】
Zunyou Wu is the Director of the National Center for AIDS/STD Control and Prevention, China CDC and an Adjunct Professor of Epidemiology at UCLA. He is a leader in the field of HIV prevention strategies and oversees overall technical implementation of detection, prevention and treatment of HIV/AIDS in China. He has published over 400 academic papers, 204 of which in international journals, including Science, Lancet. Dr. Wu has received many honors including the 2005 International Rolleston Award for implementing harm reduction in China, “Hall of Fame” of 2006 UCLA School of Public Health’s Alumni, UNAIDS Gold Medal in 2008, and many awards from Chinese government.
Introduction
Chapter 1 AIDS Comes to China
An open window lets in fresh air, and flies
Closing the window
Domestic invasion: HIV spreads in Yunnan
Chapter 2 Selling Blood Spreads HIV
Plasma collection in China
Early warning signs of the epidemic to come: seen but not heeded
The emergence of AIDS Villages: the media as catalyst for HIV/AIDS policy changes in China
The enduring legacy: families destroyed, stigma entrenched
Cleaning up the blood supply: comprehensive action
Chapter 3 The AIDS Warriors
Making friends: the importance of local allies
Beneath the red lantern: examining the commercial sex trade
Lessons learned: listening to those you’re trying to help
Foreign money opens the door to new approaches
Research is a back door for action
A pragmatic response: the customer is always right
Research to action: developing workable models in the sex trade
First, make no enemies
Chapter 4 AIDS Policy: China’s Tipping Point
The value of international partners
Coming to terms with all the numbers
The shock of SARS
A fresh promise of care
Chapter 5 Finding Those At Risk, China’s Way
Activists inside and outside China opposed mass screening of plasma sellers
So, how big is the epidemic?
Manageable goals
Chapter 6 Fulfilling a Promise: Universal Care
HIV testing as a gateway to care
The rocky road to treatment
Preventing HIV transmission from mother to infant
Keeping drug users safe from HIV
Preventing HIV transmission between men and women during sex
Hitting the target
Chapter 7 China Takes Charge of a Changing Epidemic
A single, integrated data system
The evolving epidemic
Chapter 8 HIV-Related Stigma and Discrimination in China: A Persistent Puzzle
The “Stigma Factor”
Sowing fear, reaping stigma
Supportive families are not the norm
“Innocence”is no protection
Legislative challenges and conflicts
Stigma and discrimination in the healthcare system
Enlisting help in the battle against HIV-related stigma
Chapter 9 Building on the Past, Facing the Future
Building success over 30 years
Challenges
Adapting for the future
The journey continues