Showing posts with label raymond tai. Show all posts
Showing posts with label raymond tai. Show all posts

Monday, 5 January 2015

Truth about drugs, HIV, AIDS

Truth about drugs, HIV, AIDS

Anthony SB Thanasayan

Anthony SB Thanasayan is a wheelchair user who is powered by his service dogs who help him stay on top of life. He is president of Malaysia's first and only animal-assisted therapy society called Petpositive.
 
As we get going into a brand new week of another squeaky clean new year, I thought I'd focus our attention on HIV and AIDS.
Especially, on some of the myths surrounding the disease and persons living with HIV (PLHIV) and AIDS. It's high time we got rid of them, folks!  
 
Recently, I spoke with Raymond Tai, marketing and communications director at PT Foundation. I asked him to tell me more.

HIV is commonly spread among drug users when they share contaminated needles, or by irresponsible sex. Both drugs and sex are considered bad habits and immoral in our society. So the general feeling is that PLHIV have only brought on God’s punishment on themselves.
 
"Illicit drugs are not only listed as an enemy of the state in Malaysia but drug addicts are portrayed as scum and parasites of society," Tai said.
 
"It's no different with the media when drug users or ‘drug addicts’ are viewed as an eyesore in society. They are seen as litterbugs and troublemakers in their families and neighbourhoods.
 
"They steal to support their habits and don't hesitate to rob, assault, injure or even kill to get what they want," added Tai.
 
He went on to say that while some of it were true, Tai argues that they should be seen as "symptoms of a deeper problem within society".
 
For example, how does one become a drug addict? What triggers a child or teenager to get involved in drugs? Why does drug addiction affect certain segments of society more than others?
 
Tai said even the rich are not spared. He knows of a case where the eldest in the family became addicted to drugs, contracted HIV, and eventually died. The younger siblings went on to become very successful individuals.
 
It's important to remember that “drug addicts” are essentially that – people who are dependent on drugs.
 
However, it's a complex disease. And quitting takes more than good intentions or a strong will, according to Tai.
 
In fact, because drugs change the brain in ways that foster compulsive drug abuse, quitting is difficult, even for those who are ready to do so.
 
"Drug addiction is a brain disease. Although initial drug use might be voluntary, abused drugs have been shown to alter gene expression and brain circuitry, which, in turn, affect human behaviour.
 
"Once addiction develops, these brain changes interfere with an individual’s ability to make voluntary decisions, leading to compulsive drug craving, seeking and use."
 
And it is these compulsive drug cravings which trigger erratic action, including sharing contaminated needles. It is a highly risky and infectious method in acquiring HIV and other diseases.
 
Drug users who are HIV positive need medical assistance such as methadone maintenance therapy and psycho-social counselling.
 
Family and friends' support is equally important after treatment.
 
Another common myth is it is better to let drug addicts die of AIDS because they eventually fall back to drugs.
 
"This is factually wrong," Tai vehemently argued.
 
"Many countries have had much success in treating drug dependents.
 
"The first step is recognising that while the cause of consuming illegal drugs is a social problem, drug addiction is a medical problem.
 
"In Malaysia, three decades of fighting drug addiction by criminalising it with imprisonment and mandatory cold turkey rehabilitation have failed to eliminate illicit drugs let alone reduce it."
 
On the contrary, the menace had fuelled another epidemic – at its peak, 22% of drug addicts also contracted HIV through not only infecting other drug users, but by infecting their spouses.
 
Worse, the virus was passed on from pregnant mothers to their newly born children.
 
Tai said in 2006, the Health Ministry and the National Anti-Drugs Agency embarked on the twin programmes of implementing the needle and syringe exchange programme and the national methadone maintenance therapy programme (MMT).
 
As a result, new cases of HIV infection among drug users were halved.
 
Drug addicts who voluntarily registered for the MMT no longer were addicted to harmful drugs like heroin. Many were able to get jobs and were reunited with their families and spouses.
 
Drug users, who are HIV positive and have managed to control their addiction problems, receive highly active anti-retroviral treatment which in turn keeps the HIV infection controlled to the point of becoming undetectable for HIV.
 
A softer and more compassionate approach, meanwhile, has shown strong evidence that drug addicts can become productive members of society.
 
With support from the family and the community, they are part of the solution to strengthen the family unit and the community.
The cost to treat them is also outweighed as a result.
 
"Finally, HIV does not recognise boundaries. If PLHIV are not provided effective prevention tools and treatment, they will infect their partners, spouses and possibly even their future children.
 
"We have seen how this tragedy has unfolded in many African states – leading even to national economic collapse." – January 5, 2015.
* This is the personal opinion of the writer or publication and does not necessarily represent the views of The Malaysian Insider.
- See more at: http://www.themalaysianinsider.com/opinion/anthony-sb-thanasayan/article/truth-about-drugs-hiv-aids#sthash.xUGD5B8a.dpuf

Sunday, 30 November 2014

How far fight against AIDS has come

How far fight against AIDS has come

Anthony SB Thanasayan

Anthony SB Thanasayan is a wheelchair user who is powered by his service dogs who help him stay on top of life. He is president of Malaysia's first and only animal-assisted therapy society called Petpositive.

 
Today, December 1, is World AIDS Day.
The worldwide theme this year is focusing on how to achieve an "AIDS-free generation".
 
According to a recent report on the Voice Of America (VOA) broadcast, the United Nations predicts that if prevention and treatment services are scaled up, the epidemic will no longer be a global threat in 15 years.

However, if the goals are not met, the pandemic could worsen, warns the UN. The Washington-based international radio broadcaster went on to point out that in 1984, there were no drugs targeting HIV and AIDS.
 
Today, however, more than 30 are available.
 
Speaking on VOA, Dr Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, described the progress in controlling HIV/AIDS as “extraordinary”.
 
He said if a 25-year-old man or woman, for example, was put on anti-retroviral drugs relatively early in the course of his infection – he could live an additional 50 years if he continued to use the drug.
 
The HIV/AIDS expert of more than three decades described this as "one of the most extraordinary accomplishments in biomedical research in translation", concluded the VOA report.
 
Meanwhile, while AIDS became known in the United States in the early 1980s, the first reported case in Malaysia was in 1986.
It was a year before Pink Triangle (PT) – now known as PT Foundation – started providing counselling and social support services for the gay community in the country.
 
I asked Raymond Tai, marketing and communications director of Pink Triangle Foundation, to describe what the situation was like then.
 
"The Internet was still very much in its infancy and a new thing with not a lot of data, especially on AIDS and HIV," he says.
 
"And the only way to get the right kind of information and support was to call up the counselling telephone line that was managed by the trained volunteers from PT.”
 
Tai went on to point out that although Pink Triangle was originally set up to address gender identity and sexual orientation, the onset of HIV/AIDS changed the agenda to also include providing much-needed information on the disease.
 
"Just as in America, there were a lot of paranoia and ignorance about AIDS here, too.
 
"Because it was seen initially as a gay disease, there was a lot of demonising of lesbian, gay, bisexual and transgender persons," says Tai, who has been working full time with PT Foundation since 2007 and has been volunteering there for more than 20 years.
 
"Today, things are better. People are not as ignorant about HIV/AIDS as they once were.
 
"The irrational fear from society is far less. For instance, there is no longer talk about our authorities wanting to send people with HIV or AIDS away to an island in order to isolate them.
 
"There are also more medical opportunities now to be treated for the condition where it is no longer seen as a death sentence leading to a painful death. Although there is still no cure, it is now more of a chronic illness with improved ways on how to treat it."
 
Tai says what is regrettable and negative is that there is now a state campaign to demonise LGBT, sex workers, drug users and other groups who are most vulnerable to HIV/AIDS.
 
"Many of them are vulnerable because of their lifestyles and need help because they do not have enough education on how to stay safe and not become a victim. This is the same for drug users and others who are in the high risk list in getting HIV/AIDS."
 
Because of this, this time, PT Foundation decided to take its education campaign this past weekend to more popular places such as KL Sentral and Nu Sentral in Kuala Lumpur.
 
It turned out to be a carnival mall event, which the organisers hailed as "a huge success".
 
"The public need to get tested. This is to know their status. If they have been infected, it is important to seek treatment at once so that they can have a normal life."
 
Tai cautions that for those who don't know they are positive and refuse to test themselves, it will only be a question of time before they develop AIDS.
 
And by waiting until then, it will be difficult to treat the disease.
HIV remains just as a virus inside the body. It will continue to multiply and ravage the body's immune system so that there is no way for it to protect itself from opportunistic infections that invade the body.
 
Some of these symptoms include pneumonia, tuberculosis and skin cancer.
 
The patient then becomes so sick that he or she will have to go to a hospital and only then discover that he has AIDS.
 
HIV and AIDS can vary from person to person from six months to more than 15 years – from the moment they contract the HIV virus to the time they develop full-blown AIDS.
 
Testing is important because during this time, infected persons can pass on the virus to sexual partners or through needles with partners.
 
"The PT Foundation is the only non-governmental organisation that provides community-based HIV testing and counselling. All testing are fully anonymous: no name or identity card number is required. Everything is strictly confidential and performed in a totally non-judgmental manner."
 
According to him, PT Foundation's service also provides a full follow-up service for those who test positive.
 
HIV-antigen tests, as well as syphilis tests, use rapid test kits with results produced within one hour. They are performed by volunteers and counsellors who are trained by doctors and professionals counsellors arranged by PT Foundation.
 
For information, contact Raymond Tai at:  
 
To find out what is happening for World AIDS Day, please visit here. – December 1, 2014.
 
* This is the personal opinion of the writer or publication and does not necessarily represent the views of The Malaysian Insider.
- See more at: http://www.themalaysianinsider.com/opinion/anthony-sb-thanasayan/article/how-far-fight-against-aids-has-come#sthash.zdtALxFt.dpuf