In response to this :< If you knew how HIV/AIDS is contracted by most of it's victims you would not ask such a question. It's not the Goa government that is engaging in risky behavior.
Unfortunately, they are left to react >

Marie D'Souza <[EMAIL PROTECTED]> noted:

< "yes the Goa Govt. as well as the other state govts. and the Central Govt are all responsible because

1.- they are not doing enough to check that in their hospitals the same syringe and needle is not used on mulitple poor patients without proper sterilisation.

2. they are not doing enough to check whether thier own as well as privately run blood banks, hospitals, clinics, laboratories, dental clinics, barber shops, tattooists are following proper prescribed procedures so that the virus is not spread from customer to customer.

Else how can you explain the disease in persons - children whose parents are negative; non-promiscuous women whose husbands are negative; men who have never had sex with anyone but their wife and she is negative.>


jc rsponse:

Marie makes a compelling argument.

1. Governments MUST check their own yard and ensure that all protocols are followed.

2. Waste and Swiping of funds is contributory to the short cuts; So is the Political Interference. Once the average health (or any other) worker believes that "Some are ABOVE the LAW", there is little incentive to follow protocols.

3. Even so, I seriously doubt that there are ANY Govt Hospitals in Goa which do not sterilize equipment before re-use. Cannot see that happening.

Overload, Filth, Dirty Sheets, Uncollected human excreta, Dogs, Cats, Mosquitos, Rats ..YES ;

but NOT the business of not sterlising. Not at Goa Hospitals. Not yet, atleast.

4. That, doctors, nurses, porters, etc remain at serious risk from accidentaly contracting serious disease while just doing their job. And Yet ...NOT a soul would say a word about having "Canteen Services" for them.

5. The question of diseases slipping through existing Blood and Blood product screens, remains a possibility.

6. The possibility of "short cuts" in the private clinics, remains a possibility. Do not see How the Govt can prevent this from happening; all forms of checks having been noted.

7. The "barber" and Tatoo transmission is a possibility; I would venture to say that the risk of Hepatitis B transmission is significantly higher via this route than (say) HIV.

Wonder how much saliva (from previous patrons) and fingerprints (of the faddawalla waiters) is wiped out from those glasses and cups in those alleged restaurants. Wonder what brilliant bacteria are being transmitted through those routes.

Whatever the causes, we may wish to seriously consider the following

8. Just because someone contracts HIV does not mean that the person is less human. We should treat ALL with the same compassion. They have rights too, you know.

9. We should ALL resolve to be cognisant of the realities of HIV and Hepatitis B. We MUST realise that certain professions carry a higher incidence promiscuity: Truck Drivers, Sailors, Travelling Salesmen, Politicians, Prison Officers, Police and Army chaps, Pilots and Air travel workers, the wealthy who don't know what to do with their money, Film producers, gangsters etc.

Good to stay far away from these folks...... Far Away !

10. We should work towards Prevention. Don't know how much protection 'those' condoms afford, especially without the appropriate education on their use.


good post Marie!

jc

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