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Geneva, Switzerland, WHO, 1989 Apr 11. 46 p. (A42/11)Global AIDS surveillance data indicate that, of the 141,894 cases reported to the World Health Organization (WHO) as of March 1, 1989, 21,322 were in Africa, 99,752 were contained in the Americas, 338 were in Asia, 19,196 were in Europe, and 1286 were in Oceania. There remain only 3 documented modes of transmission of AIDS: heterosexual or homosexual sexual intercourse; exposure to blood, blood products or donated organs, and semen; and perinatal transmission from an infected mother. By late 1988, all countries had become aware of the extensive social, political, economic, and cultural implications of AIDS and most had established national AIDS committees to control disease transmission. There has also emerged greater awareness of the need to integrate AIDS activities into health and social welfare services and for program coordination. WHO's Global Program on AIDS has collaborated with countries to support and strengthen development, resource mobilization, implementation, monitoring and evaluation of national programs. WHO is further collaborating with the United Nations Fund for Population Activities in a project to develop strategies to optimize interactions between AIDS programs, maternal-child health and family planning programs, and programs for the control of sexually transmitted diseases. To reduce the sexual transmission of the AIDS virus, WHO is promoting the inclusion of condom and virucide services in national AIDS programs. Also supported are measures to reduce disease risks in the behavior of self-injecting drug users. At present, the Global Program on AIDS is working to concretize policies to ensure that the dignity and human rights of AIDS victims are respected.
In: Workshop on the Integration of AIDS Related Curricula into Family Planning Training Programs, Quality Hotel, Arlington, Virginia, May 10-11, 1988. Documents, distributed by The Family Planning Management Training Project [FPMT] of Management Sciences for Health [MSI] Boston, Massachusetts, Management Sciences for Health, The Family Planning Management Training Project, 1988 May.  p..Current objectives in the fight against AIDS are focused on reducing transmission. International cooperation must be guided by principles including allowing the World Health Organization and participating governments, not donors, to determine policy; work done in developing countries must achieve the same standards as in the US; relationships between health and population programs, donor agencies and governments must be characterized by cooperation, not competition; and flexibility is necessary to respond to new information. Sensitivity is essential, as the control of AIDS involves personal issues, and the diagnosis of AIDS has profound implications. Surveillance is essential to detect and control infection and to guide public policy. As few infections currently result from medical injection, interventions have focused on the difficult problem of modifying sexual behavior, with little success. Social research is essential to determine means of behavior modification and to evaluate their efficacy. A brief history of the AIDS epidemic, as well as a summary of its epidemiology are provided. Efforts to control the spread of AIDS and to care for victims are draining the resources of basic health care programs, interfering with the delivery of primary health care. The extra demands that will be placed on family planning programs, including the shift in emphasis to barrier methods will strain these programs. WHO is currently undertaking a global effort to reduce morbidity and mortality from HIV infections and prevent transmission. Its strategies focus on preventing sexual, blood borne and perinatal transmission, therapeutic drugs against HIV, vaccine development, and helping infected people, and society, deal with the illness. Other agencies which have developed programs are USAID, the DHHS and the Centers for Disease control in the US.