medigraphic.com
ISSN 1527-3172 (Electronic)

2008, Number 4

<< Back Next >>

MEDICC Review 2008; 10 (4)

Cuba’s HIV/AIDS program: Controversy, Care and Cultural shift

Gorry C

Language: English
References: 23
Page: 10-14
PDF size: 164.14 Kb.


Text Extraction

In 1986, Cuba made public health history — and headlines, largely unfavorable[1-3] — when health authorities on the island implemented a quarantine policy for people evidencing symptoms of AIDS. The unprecedented ‘sanatoria’ policy sparked a turbulent international debate when it was initiated, but received scant attention when it was amended in 1993 and later repealed. Controversy aside, this and subsequent modifications to Cuba’s national HIV/AIDS prevention and control program have helped keep prevalence on the island to 0.1%, the lowest rate in the Americas.[4] With just 31 cases of mother-to-child HIV transmission since 1986, and infection through blood and hemoderivatives virtually eliminated,[5] the Cuban response to HIV/AIDS may provide useful strategies to other countries, especially in the Global South.


REFERENCES

  1. Pérez-Stable EJ. Cuba’s response to the HIV epidemic. AJPH. 1991;81(5):563-67.

  2. Zonana VF. Cuba’s AIDS quarantine center called ‘frightening.’ The Los Angeles Times. 1988 Nov 4; Sect. 1:1 (col. 5).

  3. Wojcik M, Martin T, Closen M, Isaacman S. An outside critique of Cuba’s AIDS program [abstract]. Int Conf AIDS. 1993;Jun 6-11; 9:924.

  4. World Health Organization. World health statistics 2008. Geneva: World Health Organization; 2008.

  5. Ministerio de Salud Pública. Informe nacional sobre los progresos realizados en la aplicación del UNGASS. La Habana (Cuba): Ministerio de Salud Pública; 2008.

  6. UNAIDS. AIDS epidemic update. Geneva: UNAIDS; 2007.

  7. UNAIDS. Caribbean: AIDS epidemic update regional summary. Geneva: UNAIDS; 2008.

  8. Ministerio de Salud Pública. Anuario Estadística de Salud 2007. Havana: Ministerio de Salud Pública;2008.

  9. Lantero MI, Waller J, Joanes J, Pérez J, Torres R, Santín M, et al. Cuba. In: Beck EJ, Mays N, Whiteside AW, Zuniga JM. The HIV Pandemic: Local and global implications. New York: Oxford University Press; 2006. p 379-92.

  10. Reed G. Cuba’s primary health care revolution: 30 years on. Bulletin of the World Health Organization. 2008;86(5).

  11. UNAIDS. “Three ones:” key principles [conference paper]. Geneva: UNAIDS; 2004:25 Apr.

  12. Ministerio de Salud Pública. Plan estratégico nacional ITS/VIH/SIDA, 2001- 2006. La Habana (Cuba): Ministerio de Salud Pública; Jan 2001.

  13. Evenson D. Cuba’s biotechnology revolution. MEDICC Review. 2007 Fall;9(1):8-10.

  14. Cancio I, Sánchez J, Reymond V, López VJ. Información básica sobre la atención integral a personas con VIH/sida: material dirigido a los equipos de atención primaria y secundaria de salud. Centro Nacional de Prevención de las ITS/VIH/SIDA. 1st ed. Havana: Ediciones Lazo Adentro; 2006.

  15. Pérez J, Pérez D, González I, Diaz Jidy M, Orta M, Aragonés C, et al. Approaches to the management of HIV/AIDS in Cuba. Geneva: World Health Organization; 2004.

  16. Álvarez A, Pérez F, Fonseca N, Chacón L, Amargós GM, Villalón M, et al. Conociendo sobre VIH: Manual para médicos de la familia y el personal de salud en Cuba. CNPITS-VIH/SIDA. Habana; 2004.

  17. López, Rigoberto (Director, Centro de Atención Integral a Personas con VIH/ SIDA). Interviewed by the author, April 9, 2008.

  18. Pérez, Jorge. Interviewed by the author, July 5, 2007.

  19. Dybul M, Fauci AS, Bartlett JG, Kaplan JE, Pau AK. Panel on Clinical Practices for the Treatment of HIV. Guidelines for using antiretroviral agents among HIVinfected adults and adolescents. Recommendations of the Panel on Clinical Practices for Treatment of HIV. MMWR Morb Mortal Wkly Rep 2002;51(RR- 7):1-55.

  20. Ramírez F. Asiste Cuba a Conferencia sobre Sida con triada de antirretrovirales. Notimex. 2008 Aug 2.

  21. Miñoso G, Valdés JR. Fuentes de apoyo y discriminación de las personas que viven con VIH/SIDA en provincias selccionadas en Cuba 2004. In: Ochoa R, Rojo N eds. Investigaciones sobre VIH en el contexto de la salud pública cubana. Habana: Centro Nacional de Prevención de las ITS-VIH/SIDA; 2006:97-104.

  22. Castro A, Khawja Y, González-Núñez I. Sexuality, reproduction, and HIV in women: the impact of antitretroviral therapy in elective pregancies in Cuba. AIDS. 2007;21(5):S49-S54.

  23. Edith D, Terrero A. Otra vuelta de rosca. Bohemia. [serial on the Internet]. 2008 Mar 24. Available from: http://www.bohemia.cu/2008/03/24/ encuba/salud.html.




2020     |     www.medigraphic.com