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新视野大学英语读写教程第一册unit5-c International Joint Efforts Against AIDS

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Section C

International Joint Efforts Against AIDS

The uniting of the world around the AIDS epidemic is without prior example. As the number of AIDS cases around the world rapidly increases, nations are showing great focus in battling this common enemy — attacking rich and poor countries the same.
By 1989, almost every nation on earth had established a program educating its people about AIDS, according to Jonathan Mann, director of the World Health Organization's (WHO) International Program on AIDS. At that time, 143 countries had reported one or more AIDS cases.
In addition to national AIDS programs, working together internationally has begun. Through open exchanges of scientific facts as well as support of international organizations such as the World Health Organization, all nations can join efforts to fight against this life-threatening disease. According to WHO, this international effort has produced two critical developments: first, there is an amazing level of world-wide focus, using world scientists and international sharing of human and economic resources to fight AIDS. Second, the work of governments, organizations, and businesses has been followed by the very high activity of people — as singles, families, and communities.
The Influence of AIDS
The rise of Acquired immune deficiency syndrome (AIDS) around the earth has represented a major challenge to medical progress both in developed and in less-developed countries. The past forty years saw great success in the control of spreading diseases and great strides toward achieving "health for all by the year 2000" (a major WHO goal) through improved basic health care, food, cleanliness, and immunization(免疫)programs.
Yet, because of its sudden start and rapid spread, AIDS could soon wipe out this progress. By the end of 1988, more than 130,000 cases of AIDS were reported, but, because of underreporting, there may actually be more than 350,000 cases. Also, at least five million persons likely have the human Immunodeficiency Virus (HIV)(艾滋病病毒), which causes AIDS. That means as many as 400,000 new cases of AIDS could occur in the next few years — more than doubling the present total. Caring for AIDS patients could seriously stress economic resources even in richer countries.
Preventing one case of AIDS means preventing many future cases, while preventing a case of measles(麻疹)or malaria(疟疾)in Africa would have little effect on its spreading, since those diseases are already common in many countries. Resources devoted to AIDS testing, care, and education could also be used to battle other, more-known diseases in developing countries.
Stopping the Spread
AIDS spreads only in limited ways and can be prevented through informed and mature behavior. Encouraging such behavior depends on understanding the different ways AIDS is spread around the world. AIDS spreads in three basic ways: first, through sexual intercourse(性交); second, through contact with diseased blood; and third from an HIV mother to her baby. The actual patterns of spreading of the AIDS virus change from culture to culture.
Spreading of AIDS in North America, Western Europe, Australia, New Zealand and parts of Latin America occurs most often among homosexual(同性恋)or bisexual(双性恋)men and intravenous (IV) (静脉内注射的)drug users(吸毒者), most often in city areas. Heterosexual(异性之间的)spreading is low, but there is danger that the spread of AIDS from male(男性) IV-drug users to their female(女性)partners could increase the appearance of AIDS in the heterosexual population.
In sub-Saharan Africa and Latin America, particularly the Caribbean, most cases occur among heterosexuals, and spreading from mother-to-child is common. Spreading through homosexual contact and IV-drug use almost does not exist.
In Eastern Europe, Northern Africa, the eastern Mediterranean, Asia, and most of the Pacific, fewer cases of AIDS, usually among drug users, have been reported thus far. The WHO estimates that Bangkok, Thailand IV-drug users having the AIDS virus increased from less than 1 percent in August 1987 to 30 percent one year later.
Reaching Out
The WHO believes that, as AIDS becomes more common, the disease promises to unite the world to a degree never seen before. In just two years, the international plan against AIDS has grown from ideas to practice, from speeches to action. The WHO is certain that, together, we will triumph over AIDS rather than allow the disease and the fears, worries, and prejudices(偏见)which go with it to overpower us.

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     国际合作与艾滋病的斗争
                     
     全世界因艾滋病这一流行性疾病而联合了起来,这是前所未有的。 随着全球艾滋病患者数量的迅速增加,各国都极为关注同这一共同敌人的斗争--因为它同样袭扰着富国和穷国。
     据世界卫生组织国际艾滋病项目主任乔纳森·曼说,到1989年几乎每个国家都制订了对公民进行艾滋病教育的计划。 当时有143个国家发现了一例或更多的艾滋病病例。
     除了每个国家的艾滋病防治计划外,国际合作也已经开始。 通过公开交流科学资料和支持诸如世界卫生组织这样的国际性组织,各国就能携手与这危及人类生命的疾病作斗争。 世界卫生组织认为,这种国际努力已经产生了两个重要成果:第一,由于动员了全球的科学家以及动用了各国的人力和财力与艾滋病作斗争,全球对艾滋病的关注达到了惊人的程度。 第二,除政府、组织和企业的努力之外,普通人民也积极参与其中--从个人、家庭到社区。 
     艾滋病的影响 
     全球艾滋病的蔓延无论在发达国家还是在欠发达国家都是对医学进步的重大挑战。 在过去的40年中,通过改善基本医疗保健、食品、卫生和免疫等项目,人类在控制流行病方面取得了巨大的进步,并且朝着实现"2000年人人享受健康"(世界卫生组织的一项主要目标)迈出了一大步。
     然而,由于艾滋病的突然降临和迅速蔓延,有可能使得这一进步化为乌有。 到1988年底,共报道了13万多例艾滋病,但由于报道不全,实际数量可能超过35万例。 此外,至少有500万人可能携带导致艾滋病发作的艾滋病病毒。 这就意味着在之后几年里会有多达40万个新的艾滋病病例--这是目前艾滋病病例的两倍多。 照顾艾滋病病人会给经济资源带来沉重的压力,即使在富国也是如此。
     预防一例艾滋病意味着为以后减少许多例艾滋病。而在非洲,预防一例麻疹或疟疾病对于防止疾病的蔓延起不了多大作用,因为这些疾病在许多国家已经是常见病。 用于艾滋病检验、护理和教育的资源在发展中国家同时也可用来防治其他较常见的疾病。 
     抑制艾滋病蔓延 
     艾滋病传播方式有限,可以通过已知的理性行为加以防范。 而提倡这类已知的理性行为取决于对艾滋病在全球范围内不同传播方式的了解。 艾滋病的传播有三种基本方式:第一,通过性交;第二,通过接触艾滋病患者的血液;第三,经由携带艾滋病毒的母亲传给婴儿。 艾滋病的实际传播方式又因文化的差异而有所不同。
     在北美洲、西欧、澳大利亚、新西兰和部分拉丁美洲地区,艾滋病常常在同性恋或双性恋男子之间,或采用静脉内注射的吸毒者之间传播,并且往往在城市传播。 异性之间传播可能性不大,但艾滋病从男性静脉注射吸毒者传播到他们的女性伴侣,则有可能提高异性恋者艾滋病的发病率。
     在靠近撒哈拉沙漠的非洲地区、拉丁美洲,尤其是在加勒比海地区,大多数病例都发生在异性恋者之间,而且往往是母子之间传播。 通过同性恋者的接触和静脉注射吸毒等方式的传播几乎不存在。
     迄今为止,在东欧、北非、地中海东部地区、亚洲和太平洋大部分地区,很少有有关艾滋病的报道,这些地区的艾滋病通常发生在吸毒者群体中。 世界卫生组织估计泰国曼谷携带艾滋病毒的静脉注射吸毒者从1987年8月的不到1%一年之后增加到了30%。 
     再接再厉 
     世界卫生组织认为随着艾滋病越来越常见,它有可能使整个世界以前所未有的程度联合起来。 仅仅在两年之内,国际防治艾滋病项目便已从设想变为实践,从言词变为行动。 世界卫生组织相信,只要联合起来,我们就会战胜艾滋病,而不会让艾滋病,以及随之而来的恐惧、忧虑和偏见把我们压倒。

 

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