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HIV: Miami became the hottest place for viruses in the US



"I thought I was going to die, thought to die, and wanted to die, I could not find a future for myself."

Some years ago, Daniel (a fake concept) disappeared American dream

Having arrived in the United States from his Caribbean country, he pursued his life as much as a child and soon experienced an idea that he was preserved: HIV.

"I'm a gay guy, I'm always familiar with, and always kept me (…) a great wonder," he explained from the other side of the phone, recalling the moment he discovered the virus.

Daniel in BBC The world speaks without refusing, but if you want to remain anonymous, HIV infected, XXI-century.

Many of the people in Florida who lived in Florida for 13 years do not know his condition. That's why he asks us Hiddens Some details that can identify you.

Latino, a middle-aged man who is dedicated to aviation, confirms he is ill MiamiThe city of the south-eastern state of the country is known for its blend of beaches and cultures around the world.

Your case breaks it off Awesome picture It illuminates the hidden face of the city: its critical HIV problem.

"America is not just an epidemic of the HIV / AIDS epidemic in Miami, it's the epicenter of the earthquake," said Stevenson, a leader in research in the US. Divorce Director of the Miller School of Medicine at the University of Miami

Compared to New York and Los Angeles, there will be 42.9 cases per 100,000 people by 2017 and Miami Hospital Diagnostic and Prevention (CDC).

For example, this is greater than the highest rates of HIV infections Mexico(17.4 per 100,000 in 2016), or in Japan (13.7 per 100,000 in the same year).

In Miami, 60 percent of new cases are citizens LatinosNo wonder the structure of their society. About 70% of the population is published in Hispanics or Latin languages, according to census published last year.

"There is an assumption that HIV is under control." There is no risk, and everyone is under treatment, America is … "nothing is realistic," Dr. According to Stevenson, the Massachusetts Research virus is about researching the vaccine for Miami.

Experts do not agree with one single reason to explain this situation Conditional fungus.

On the one hand, the flow of tourists.

"Many people are not aware of the hazard of the HIV infected people, so people are vacationers, fun to have fun, are at risk, they do not protect themselves and they are likely to be infected," explains the UM specialist.

"In the case of population, we have a high point of abuse of material people and mental problems. Ethnic inequalitiesSo, the messages we are not aware of or protect ourselves, are not go well in all languages, "he summarizes.

Although HIV-infected is currently undergoing treatment, it is the anti-virus treatment to remove the virus Suspicious Stevenson says that it's about 20% of the virus in Florida is not known for those living in Florida.

In 2016, the government launched a plan to prevent infection and reduce the number of deaths of HIV / AIDS patients. Some suggestions of doctor's doctor echoed.

The Pre-Exoxide Prophylaxis (APP) that prohibits HIV infection – raises the drug notification, the Florida Department of Health states. BBC

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Going around the surrounding area Hipster There are terrible signs from Wynwood, one of the most admired places in the city.

"G GearOnoria ", In some bus stops, this can be read in uppercase letters.

Campaigning in other parts of Mommy is very common, but signs that affect HIV are difficult to find.

After one of those posters he finds out "From closet", Dress at a glance Hip Second hand, with a pharmacy inside.

Among the retro handlers and the arches, many white doors appear in the background, free condoms, and a box with computer: HIV and other sexually transmitted diseases.

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"There is something that repeats: Mystery. That is why this idea is: You're not going to a clinic, you're going to a store to buy things and you will be tested in this process, "said Oscar Madeena, a social worker who spent three years in this nonprofit chain.

"It's free, all you need to do is register on the computer, secretly, only once, and share information with the health department only, with the Department of Health, follow the bed If you're positive You are not going for medical assignments. "


Keys for HIV and AIDS

  • Aids is not like HIV: AIDS is a disease. The abbreviation HIV (Human Immunode Deficiency Virus) indicates the virus that affects it.
  • You can live with a virus, AIDS will not be affected. AIDS is the most advanced phase of HIV infection.
  • HIV Forward For the sexual relationship (vaginal, teacher, vocals) without the protection of a person living with a virus; To share the needles, syringes, surgical devices, or other sharp objects by receiving blood in the blood.
  • There is no HIV infection right now but there is a call antiretroviral treatmentLinks, The virus can be undetectable, therefore, to prevent infection.

Source: WHO, UNAIDS, Fund


There are six people who visit the BBC Mundo Store: four African Americans, an Middle School Latin and Tatiana from 22 years old Colerie.

"I have had HIV-infected trials every six months, This is normal. They talk about it as they were flu, "BBC reports Mundo 15 minutes after he refused the test.

Tatiana claims that a close relative with the virus will be more alert.

Oscar Mardina believes Marilyn Monroe's beautiful, well-crafted photosynthesis made her light on the sex life, and it is still a great unacceptable for the victims of the HIV infection in Latin and Haiti. "Taboo"

"Latino's house does not talk much about sex; The Haitians are very low. "

According to the CDC data, the majority of HIV infections occur in men who have sex with men.

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At another point in the city, in another low lying area, another group offers a similar service: but there are four wheels in the appropriate places.

It is a child Van Some parts of the city will travel to conduct such tests and exchanges New syringes Others who use it.

This type of immunization program has been implemented since the 80s in other major cities of the country and around the world. But in Miami began work two years ago.

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Before that it was not legal.

"I came from Boston, Massachusetts, where they were, when I came here, when I came here, I tried drugs, I tried to look for something like this … I did not see, what did I think, going to hell? It's crazy," in Brazil It is reminiscent of Meghana Machud.

Bicycling and Macau talking to BBC Mind, leaving doctor's office Hans Toux, first promoter The Syringe Exchange Project in Florida ("IDEA Exchange"), after a virus infected in Miami, treat you with a "dirty" syringe.

"People always ask why there is the HIV ratio in the country in Miami We do not use proven methods to prevent us HIV positive, says specialist from the United States in Miami University.

"That is unacceptable."

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In the list of patients, there are many homeless people. The married couple are married to the most limited environment in the city.

The program is part of the UM's health system, and the Department of Health (Florida) coordinates and helps people in need of care.

Now that action is relatively easy: the same day you find it, you can see a specialist and consult with the 30-day medicine.

But they started doing it.

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Another resistance has changed Priority This allows the authorities to have primary health care, daily wear, virus protection and approved food and drug administration in 2012.

Prevention is made by the 305 Organization of Venezuelan Marko Torlob Latinos for propagation. "Central Streets": Using applications like grinder.

"I do not know when I know from the Latin language, who is who's who Wants to have sex all the timeThat's not true. It's in a completely different angle: you want to know about your health, "he answers in conversation with BBC Mundo.

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Christmastics states that PREP preparations are due to the use of sexually transmitted infections and other sexually transmitted diseases. Because they are sexually abused, the fear of HIV affects will end.

Torebaba makes it suspicious.

"In my case I'm taking preliminary measures, using a condom." I'm not in primary health Insomnia What can I do to get the HIV? I continue to protect myself with embarrassment, because I know what's the cost of placement, because a disease that is sexually transmitted is a painful one. "

Prepaid is not expensive in Florida's plans for this year.

"Here is a problem with the health department: No one knows This one. Anyone knows who questions. There is no public propaganda, "says Alejandro Akesta, a Puretan Rikan who studies HIV and connects with the Equality Florida Association..

Acosta, who is infected with HIV, seeks to become a model for others and criticizes the authorities and believes that they will fail.

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"In one of the AIDS patients, none of the AIDS patients are attacked, but ask anyone in the stratosphere to see if a HIV infected does not spread, no, he does not know."

They sent a statement regarding their plans from the Florida Department of Health, BBC. Battle of HIV / RadiationsWent awayപുതിയ അണുബാധകളെ ഇല്ലാതാക്കുന്നതിനും അവരുടെ എച്ച്ഐവി അല്ലെങ്കിൽ എയ്ഡ്സ് ബാധിതരുടെ സംരക്ഷണത്തിനും അവർ ഉറപ്പുനൽകുന്നു. എന്നാൽ ഈ മാധ്യമത്തിന് ഒരു അഭിമുഖം നൽകാൻ അവർ വിസമ്മതിച്ചു.

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ആരോഗ്യ വകുപ്പാണ് ബിബിസി വേൾഡ് അയച്ച കണക്കുകൾ പ്രകാരം 2017 ൽ മിയാമി-ഡേഡ് കൗണ്ടിയിൽ 5.4 ശതമാനം രോഗികൾ എച്ച് ഐ വി ബാധിതരുടെ എണ്ണം കുറയുന്നുണ്ടെങ്കിലും, "യുദ്ധ" പോകാൻ ഇനിയും ഏറെയുണ്ട്.

ഏറ്റവും വലിയ തടസ്സങ്ങളിലൊന്ന് മിയാമിയിൽ വസിക്കുന്നതുപോലെ ഒരു സമൂഹത്തിനുവേണ്ടി ഏറ്റവും മികച്ച സന്ദേശങ്ങൾ കണ്ടെത്തുന്നു.

എല്ലാ സംഭാഷണങ്ങളുടെയും പ്രധാന ആശങ്കയാണ് ഇത്. നഗരത്തിന്റെ പൊതു റഫറൻസ് ഹോസ്പിറ്റലായ ജാക്സൺ മെമ്മോറിയലിന്റെ എച്ച്ഐവി ക്ലിനിക്കിലും ഇത് ആവർത്തിക്കപ്പെടുന്നു.

"ഞങ്ങൾക്ക് വളരെ വ്യത്യസ്തമായ ഒരു ന്യൂനപക്ഷ ഗ്രൂപ്പാണ് ഉള്ളത് വെല്ലുവിളി"ഈ കേന്ദ്രത്തിന്റെ ഡയറക്ടർ മൈക്കൽ കോൽബർ തിരിച്ചറിയുന്നു, ഇത് രോഗികൾക്ക് എല്ലാ തരത്തിലുള്ള പരിചരണവും നൽകുന്നു: മാനസിക വിദ്യാഭ്യാസം മുതൽ മെഡിക്കൽ ഇൻഷുറൻസ് സംബന്ധിച്ച വിവരങ്ങൾ.

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ബഡ്ജറ്റ് വെട്ടിക്കുറച്ച വർഷങ്ങളോ അല്ലെങ്കിൽ മെഡിമൈഡിലുള്ള ഫ്ളോറിഡയിൽ വികസനം ഇല്ലെന്നോ, മുൻ പ്രസിഡന്റ് ബരാക് ഒബാമ പ്രോത്സാഹിപ്പിക്കുന്ന കുറച്ചുപേർക്ക് ആരോഗ്യ പരിരക്ഷാ പരിപാടി ബുദ്ധിമുട്ടുണ്ടാക്കുന്നതാണ്.

"യാഥാർഥ്യം നമുക്ക് ചെയ്യാൻ കഴിയുന്ന ധാരാളം കാര്യങ്ങളുണ്ട്, പക്ഷേ എവിടെ നിന്നാണ് നിങ്ങൾക്ക് വിഭവങ്ങൾ ലഭിക്കുന്നത്? ഇതാണ് ചോദ്യം. കാരണം മറ്റൊന്നുമില്ല, "ഡോക്ടർ പറയുന്നു.

എന്നിരുന്നാലും, കഴിഞ്ഞ രണ്ട് വർഷമായി ഈ പ്രവർത്തനങ്ങൾ ആരംഭിച്ചത്, ഉദാഹരണമായി, സിരിഗിസുകളുടെ വിനിമയം എന്ന നിലയിൽ കോൾബർ, ശുഭാപ്തിവിശ്വാസമാണ്.

"അത് ആരംഭിച്ച വസ്തുത വളരെ നല്ല കാര്യം ആണെന്ന് ഞാൻ കരുതുന്നു, അവർ എത്രമാത്രം പതുക്കെ ആയിരുന്നുവെന്ന് എനിക്ക് ചിന്തിക്കാൻ കഴിയില്ല, എന്താണ് പ്രയോജനകരമായത്, എന്താണ് സംഭവിച്ചത് എന്ന് ചിന്തിക്കുക, മഹത്തായ വിജയം"

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അദ്ദേഹത്തിന്റെ അഭിപ്രായത്തിൽ, "ശ്രദ്ധിക്കപ്പെടാത്ത ജനങ്ങളെ എങ്ങനെ സമീപിക്കണം എന്ന് മനസ്സിലാക്കാനും പഠിക്കാനുമാണ്" എന്ന് അടിയന്തിര കടമ നിർവഹിക്കുകയാണ്.

"ഞങ്ങൾ അവരെ സമീപിച്ചാൽ, നമുക്ക് അവയെ പരീക്ഷിച്ച് നോക്കാം."

കരീബിയൻ മനുഷ്യനായ ഡാനിയൽ തന്റെ സ്വപ്നത്തിനു വേണ്ടി അമേരിക്കയിൽ എത്തിയപ്പോൾ, "അത് നിങ്ങൾക്ക് സംഭവിച്ചേയ്ക്കാം" എന്ന സന്ദേശവും വ്യക്തമാണ്.


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