Health expert warns AIDS epicentre moving to Asia

By Nick Moncrieff-Hill
May 16, 2007

Australia is facing an inevitable increase in HIV/AIDS infection rates as the disease continues to spread from Africa to Asia, home to more than half the world's population, a University of NSW academic has said.

"It's just not stoppable," Dr Alex Wodak, UNSW academic and director of the Alcohol and Drug Service at St Vincent's Hospital, said.

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Speaking at a recent seminar held at the university, Dr Wodak praised Australia's efforts to date at controlling the spread in Asia and emphasised the continued importance of harm reduction, including needle syringe programs and methadone maintenance treatment.

"Strong Australian support for harm reduction in Asia can be justified on both altruistic grounds as well as self- interest. Harm reduction is one of the most effective interventions in the entire HIV/AIDS prevention and treatment repertoire," Dr Wodak said.

"But in most countries in Asia, entrenched opposition from supporters of global drug prohibition has meant too little and too late implementation of harm-reduction measures."

Dr Wodak stressed that nobody should be complacent about the risk of AIDS in 2007 and said the Asian sex trade was a danger for overseas travellers. "There are 20 Asian countries where the proportion of injecting drug users makes up the majority of infected people [60 to 80 per cent in many countries] and in many of these countries there is a significant crossover between injecting drug users and sex workers," he said.

Dr Wodak also referred to the possibility of the disease spreading in the Asian gay community, pointing to the community's lack of visibility and organisation, "often due to a fear of being bashed or ostracised", as a barrier to treatment.

When asked his opinion of the Prime Minister, John Howard's recent comments regarding immigration bans for HIV-positive people, Dr Wodak said it was important to realise that there were already restrictions in place, and that "there are not millions of HIV-positive people around the world descending on Australia".

"Sometimes it is very reasonable for Australians to accept people that are secure and will contribute," Dr Wodak said.

"To not allow these people would be inhumane.

"It is important for us to play our role as part of the international community by accepting some of these people."

'In many of these countries there is a significant crossover between injecting drug users and sex workers.'

Southern Courier


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