Expatriates in Gulf are more vulnerable to HIV/AIDS: expert

Minister says society is shy of exposing disease

By Ghafar Ali
July 24, 2005

Peshawar - The provincial AIDS control programme in collaboration with the World Health Organization (WHO) is aimed at creating awareness in the province and its adjacent tribal areas about HIV/AIDS, a Health Department official told Daily Times on Tuesday.

Cases of HIV and AIDS have been reported among sex workers, drug addicts, jail imamates and oversees Pakistanis since mid 1990s. People of the North West Frontier Province and tribal areas, who got jobs in Gulf countries, reportedly contracted HIV during their stay there. Having returned home, they transmitted the infection to their sex partners and others, the official said. The disease was being called the "Dubai Syndrome", he said.

He said transport workers and migrant labourers were a source of the spread of the infection across the country.

According to the National Aids Control Programme, majority of the HIV cases were reported from those who were careless with their sexual life. The second major source of the spread of the infection, it said, was the transmission of infected blood.

The rest of the cases were caused by using infected injections, sexual intercourse, and inheritance of the disease from mother to child. A report said that origin of the infection in 35 percent cases was unknown but it was assumed that unsafe sex was the cause behind these cases.

Inayatullah Khan, the NWFP health minister, said the government was working to create awareness among masses against the disease. "HIV/AIDS could turn alarming if proper preventive steps were not initiated," he said.

He said there was a need to end the trend of stigmatising discussions on the disease. "We have to find out the real causes of the infection in our society so that we could put in place preventive measures against the disease", he said.

He said society had not yet accepted the disease as a problem, adding that care was the only cure for the disease.

Dr Muhammad Zaffar, the provincial AIDS control programme manager, said a total of 2309 HIV cases had been registered in the country - 2053 HIV positive and 256 full blown AIDS cases. He said the government had estimated that 70,000 to 80,000 people might have been infected by HIV.

"Sexual contact is considered the main reason of the spread of the disease while infected surgical instruments, transfusion of unscreened blood and reuse of syringes were also a source of the spread of the disease," he said.

Dr Zafar said 450 cases of HIV/AIDS had been registered in NWFP and tribal areas, 57 of them were full blown AIDS cases while the rest were HIV positive. "The estimated number of HIV/AIDS patients in the province may be between 10,000 to 15,000," he said. He said 60 to 70 percent patients belonged to tribal areas.

He said the "enhanced HIV/AIDS control programme" had focused on reducing HIV vulnerability in the society.

He said people were shy of exposing themselves as HIV patients because they assumed that it was exclusively a sex-borne ailment, which was not the case, adding that there had to be awareness about the disease in the society to control it.

Dr Rajwal Khan, the provincial HIV/AIDS control programme officer, said a doctor and a nurse had been trained in India to work in the Anti-Retroviral Therapy Unit in the Hayatabad Medical Complex. He said the number of HIV cases was low in the country because the disease was in its earliest stages and it was also under-reported, adding that there was ignorance about the disease in the society.


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