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tv   The Stream 2018 Ep 201  Al Jazeera  December 18, 2018 11:32am-12:01pm +03

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i'll use of the country altering questions in congress came he says president donald trump's constant criticism of the f.b.i. is harmful to the rule of law and the president of the united states is lying about the f.b.i. attacking the f.b.i. and attacking the rule of law in this country. how does it make any sense that. at some point someone has to stand up in the face of fear of fox news fear their base fear of being tweets stand up for the values of this country and not slink away into retirement but stand up and speak the truth. britain's main opposition leader has submitted a motion of no confidence in prime minister to resume a. crucial vote on bret's that the government is dismissing jeremy colvin school as game playing today those are the latest headlines the stream is the next. stories generated. to. separate the street from.
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the listening. ok here in the stream today the stigma of hiv aids in the middle east and north africa how misconceptions of the disease in back to the spread of a child. and what are added to towards hiv aids like where you live share your comments with us through our live chat or via twitter. when doctors are. in the street. in the middle east and north africa the topic of hiv aids is still considered to boof for many people because there are also many misconceptions and difficult
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social issues associated with the disease building awareness of rape driving treatment i am prevention is no easy task in the region there are about two hundred twenty thousand people living with hiv aids that represents less than point one percent of the population so although prevalence is low in the mena region knew a tribe the infections are going up as always related deaths that's contrary to global trends which are actually going down so today we hear from people working to address aids in the mena region and joining us to discuss this in beirut mr green that is an assistant professor at the american university of beirut medical center in cairo simone salim regional director for u.n. aid to the middle east and north africa and in beirut. he is director of m. coalition the only regional advocacy network specifically devoted to the needs of people in the mena region he's also help. consultant with the w.h.o. and un aids welcome to the stream everyone so dr. hello it's good to have you
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also where you very well thank you so doctor when you talk to patients need you with patients needing you having to deal with medical issues but when you're treating talking about hiv and aids there's a whole different level of where they fit in society and culture that you have to do with as well which you might even say some of the of that. it's true being a chevy physician. is a very special because hiv physicians and people living the needs of people living with hiv especially in the mena region are different and more. are different than others so i find myself providing not only medical care and medical advice to my patients but i realize. that the social support is very important
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a lot of times i am the only person who is aware of the hiv status of a person. people trust you know or trust the physician so they come to us for treatment and we find ourselves. doing a little bit of social social support management a little psychiatric support at times. a lot of love. is in that relationship and all of this. effort to overcome the stigma and isolation that people live in people living with hiv suffer from and have to deal with on a day to day on a day to day basis in the middle east and and north africa it's true for everybody living with hiv anywhere in the world but i think the plight is different and have a year possibly more of the world unfortunately. so keeping that in mind i want to
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bring up this week from now who writes into the stream saying that the success of any age hiv treatment program depends on identifying as many people who are hiv positive in the society and i feel that the health system in the media region the middle east north africa is not doing enough to ensure that our brain health facility is able to provide the testing if you want to give this one to you because i want to delve into what it is like to do is this person on twitter says in identifying those who need care with care keeping in mind that there are stigmas attach to living with the disease. well i think he has a point that when people living with hiv take control of. of the prevention and of the care that is provided for them more is happening and better things happen we have a saying that we say nothing for us without us so if you want to do some people or people who can reach out be as a person was in that it would be taboo for eleven years you need to involve the
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people who are really involved and see what they have to say and the problem is not really just around a bit ability of hiv testing but it's around the stigma that goes around because hiv is transmitted mostly by. sharing of sharp sharp needles or sharp objects by unprotected sex so it's often stigmatized with this these taboos of injecting drugs of a sax or upsetting sex which makes it harder for people who want to come forth for each hiv test worrying that the result is going to out them out of their sort of practices which most of the time are camilla's this is why we created something called senator or it's the website that's how people find each of the testing sensors and near them and it also tells them how friendly they are and how for and it's ultimately when they come to the city services any future money being a little passel have a survey pass no conversation when you tell people the pasta for having status how do they react. well at first when this first started happening it used to make me
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uncomfortable it's used to meet up with situations you order to make friends or find. certain jobs but with time once i started owning it and using it as a tool to help others to overcome the signal to really get over the discrimination and become more comfortable about seeking treatment or the seeking help here it's helps people around me feel stronger voice that you know someone is actually asking for what they are thinking of and this makes me a certain stronger and hopeful that people will actually take control of the treatments and work in and with their governments and with the civil society in order to progress in treatment and some i want to bring you into the conversation i'm going to play a little bit of a video it's an educational video it's a dramatization of a family any jet who are subject to some of the issues that might make the
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infection happen that ostracise festival and then there embraced let's start with how did they get that festival i'm going to play a little bit and then we can chat. and that tells a story in just a couple of seconds a child the infection as a family and then as a baby so much more goes on in that story how effective do you find videos like this. i in helping educate the population let's say in egypt where your base for instance. and i think media is what you what you gave is a very excellent wanted because we believe right now to really try to break the
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barriers that was around the best thing is really to get people to relate to what every they see and they see media when they see videos like this the understand it's a really problem it's not just one person it's a whole it's a whole family of a mother of a father of children and that and this really plays on the emotions of people so they know christe of all it's not away from them it's not for it's not something that they think it happens to other people it doesn't happen to me no it's close and it can't really happen to anybody corey so i think media and this is really what we try to do now more and more is to try and get champions like these people in the movie ahmed malik and i'm happy to we have also used our goodwill ambassador we tried to get these people who. didn't relate to to to really bring a message across that hiv is a disease like any other it's an infection that can come to you it's treatable you
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can you can live a long life you can just get treatment it can be as it's a chronic illness like if you have. it looks like someone's collection just dropped but i want to pick up on the the point that she was raising there but it is a chronic illness but it is something that is treatable of course only if you know you have it so look at this we hear from nestle hon who sent into the stream a young women of childbearing age may suffer the most when it comes to risks involved with being infected by each i.v. especially when they fall pregnant not even knowing that they have hiv in this arena talk to us about this those in communities where it is not as as as easy to admit or to get tested to see if you might be impacted. so it's it's true that there's thing is is very stigma in this
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part of the world that does not mean that or in every and in our the countries in the strange and in in the instance for example of for pregnant women. a lot of times and as you started by saying it is a chronic is a chronic disease today this is a this is an infection that one can acquire early in life or several years and have no symptoms and go on to live a normal life and have no symptoms for several several years five eight ten years sometimes and during this period of time obviously hiv is doing its job as destroying maybe the immune system slowly giving no symptoms and the only way to noice to get that that's the one and if someone test during this period before they have the signs of an advanced infection there's a lot i mean there's a lot we can do anyway at any point of infection with each i.v. it's a very treatable disease today but it's just want to emphasize that it's really optimal
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if we buy those everyone early so that treatment the started early and treatment is prevention that's what the mutual is always has always been stressing on so you treat your best we treat and this way we prevent the immune dysfunction and the personally prevent transmission to others around them whether they're sexual contacts or whether there are children in the case of pregnant women and women of varying age so it might be costly to treat hiv infection and. it's true but we're lucky that in a lot of countries those medications the lifesaving medications are available for everyone who's positive and there's always a way to get to get someone who is positive on treatment so this is the easiest part. i think what we suffer from especially in the mena region is the stigma around testing and that that that big wall that people do not want to do that thus
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people do not want to listen about the chevy because of the ask the questions maybe or they go by the theft or go buy condoms they might be looked at as if they were the bad guy or the bad girl in a certain social context is still it's more than that it's not just the back of people who are thought to be dirty right. as takes a little bit more because it's not it's not the reason that i live in and i want i want to put words in your mouth ellie help me out here. well the thing is that because hiv is often related to certain. certain things that people see as taboo so when someone has a chevy the first thing that people say is that you're either gay or you're either selling sex to your eyes or using drugs which is a huge misconception the bigger problem i think than just stigma is actually education i region stopped learning about each of you back in the ninety's at first
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when it first broke out in the eighty's in the ninety's our governments but in systems they were educating the people because they were very scared of it as something that was going to kill masses of people and then when treatment started to progress and science start to rest our our community stuck talking about it so for a lot of the people they're still stuck in the idea that hiv is aids which are totally different things and that something is going to kill you hiv is the virus that leads eventually to aids i was in a radio show two weeks ago and a lot of people were talking it was a religious family show and i was sharing my story they were like live people calling and someone called and said you know right now i just parked my car and i'm very scared i don't know what you're talking about but i want to know more and then another mother called and she said you know i'm really very far from knowing anything about h.l.v. but i appreciate your honesty because you're helping me know more select and educate my children so it's not really just about treatment or about prevention or
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about testing or about stigma or a ticket it's about everything together it's actually a full cascade of different elements have to be put together in order to proceed and to progress at the end and i'm it's interesting is that that we just got this comment on you tube from lee who says you have to start with education and that comes after this exchange here that i want to share brian on you tube writes and i heard that black seed and honey cares hiv can you guys look at the studies that have been done on this and someone else writes and also on you tube alex says no you need drugs to control it i wish it was that easy simone talk to us about some of the misconceptions that you hear and help break those myths for us right here. well first of all i think i'm so happy you brought these two examples about treatment because people think you know if you eat well if you just take you know some kind of the immune immunity medication you would be ok you don't need to take the treatment and this is really really very. harmful for the for the messages we
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are trying to pass to the to the people you need to take your medication and it's easy and it's doable and it's there's no problem in doing that and the other misconception is that people believe that for example. some people will go they don't very well. you know each id is transmitted they sometimes forget they say no it's ok i know this person this relationship he seems ok i mean i can trust this guy or i can trust this person i think we need to be careful and and education starts that you need to understand that you have you don't know you don't know where to come nobody is immune. you know risky behavior is risky behavior everywhere. also some misconceptions people think ok you can get hiv by hugging by kissing by sharing you know. it with brush i hate this when people tell me are we can get it by sharing it with pressure you can get it
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out when someone says that to you what do you tell them. i tell them this is ridiculous you know you know you have only three ways of getting the transmission you know we have also sometimes and i'm so happy we're having this conversation sometimes you have on the on the facebook and you tube you know people drank blood that was contaminated by only someone wants to contaminate others into. you know a brand name of a pepsi or coke you know these kind of things go around and it really is ridiculous you only get infection of each id if you are exchanging a needle through a drug most probably it's the drug our blood transfusion is screen so basically you don't it's very difficult in even in this region to really have a through. you know normal blood transfusion because it's really yeah it's really very well screened in most of the countries of the region the other is mother to
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try transmission i'm so how sorry to say that most of the cases we know right now we know them through the children the babies they come to the hospital we don't know what's wrong with them they do the screening the area lies they are h.r.t. positive then they bring the mother she's it's very positive they bring the father and here you have a whole family that's hiv positive so this is once a man how does how does that happen because any said again that there was there was some he was listening to the radio show he was on and there was fia there was fia. just listening because not understanding so how does an entire family in that instance for for example or end up a toughie positive. it it's happening because first of all there might be one person in it who has been subjected to any of these things i've been saying for example it might be have had sex unprotected sex and then of course he came home and he had sex with his wife and then she got pregnant and this is why we say if
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you feel that you have had any one of these behaviors that would get you you know to be possibly infected with hiv you need to do the test and definitely what we do you say is we don't want to need a stigmatized people just like in other regions of the word it should be a normalizing it we are very close coming to self-deceit just testing in this region which change a lot of foods that we have because people will be able to do their own tests that's all the stigma would be like would be less there would be so many work done with the community to try and get them support to get the trees and because end of the day really it's a very simple the is a very simple disease you have more disease a people should be afraid of you should be afraid of cancer more than you would be afraid of a check simone i want to jump in there because i want to share two anecdotes from our community one highlighting some of the barriers to getting tested you're saying
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testing is so important one of our community members talks about why that is so difficult this is one man who is a researcher ronni and researcher in vancouver and here's what he said a cheery data will ability and interact with the or poor in mena this is mainly due to the lack of political will because of the socio cultural sensitivities around the age of users persistence of violent conflict with russia the region cygnus ization and criminalization of key populations it's just that they should be including people who inject drugs men who have sex with men and female sex workers as well as several countries struggle with financing each of us or. so i promise you that on the one side is some of the barriers to treatment here are some positives carol tweets success stories in controlling hiv and aids come mostly from north african countries that includes we're all go egypt libya algeria and somalia talk to us disagreeing about some of those success stories and what's bringing you
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hope. what's really me hope is that times are changing and people like me are engaged in the fight. and the front up front what's keeping giving me hope when is is the. we have to have hope we just cannot let each of you win the battle it is true x. among us saying it's a very simple disease it's easy to treat them to very preventable at the core and then once a person is infected the earlier we can start treatment early on and it's becomes like any other chronic infection what i really want to continue fighting against is the stigma and the fact that a lot of people do not really consider it as another disease like any other disease i really want to you know get triggered and finish with the stigma because it's preventing so many people especially in the this region from getting tested getting
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the treatment they deserve and getting the life that they deserve a long and happy and the healthy life so i have the hope because i have everybody has faith in the new generation and the young people i have faith that you know a lot of people and like you like your program today the show today is bringing the you know shining the light on this issue that it's it's easy it's. a lot of success stories in a lot of places in the world look at african countries where there are a number of new infections is creased by fifty percent i mean who would have thought this was possible in one thousand nine hundred four in one thousand nine hundred six. and so this is what i'm looking at you know this is what i'm looking up for i'm looking i'm hoping for a vaccine i am hoping for a cure we are all working and all thriving to find a cure and finding a vaccine for hiv. and them you know even though it's
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a horrible this virus and i. i hate it very much personally i hate it very much but i think it's allowed us to look inside us and maybe like we're doing here and deal with all these issues that are not only mother quote scientific but look at the stigma look at the basis of the stigma look at the you know the president a lot of people are not knowledgeable there's a big gap in the knowledge and the education and the health knowledge and health literacy of a huge huge numbers of people especially in the middle east but i tell you how do you fix that just very briefly. by educating people and realizing and i think it's obvious that they that hiv cation and hiv prevention has to be at the core of a good health education for every for all the young generation especially in the mena region i think by doing that integrating h.l.v. prevention in each of the treatment in the middle of sex education and sexual
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health is key to providing this young population here that's growing in numbers and that is a target of each of you and other sexually transmitted infections the the weapons and the means to fight them and lead to healthy and long lives and enjoy themselves the way they're supposed to and be happy no matter who they are and. their aspirations let me just tell my and each adult i've got one minute left i just want to check back in with a live to ask him in the eleven years since he became a t.v. positive what's changed for the better. well i'm glad you asked me that because while we're talking about education science house routes and we have evidence of proof so a person living with hiv does a vital notes once a year which is to actually identify. how disseminated the virus is in the body and where you are taking your treatments and you're taking it regularly every day
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that's why i don't know the suppress and goes undetectible yeah so when the person is undetectible because they're viral suppressed they're not able to transmit the virus or pass it on so anyone else even if they had unprotected sex would relationships this is what this whole world is talking about now you know and it's ok to rush to the new under the left side of the sentence that's a bit of a rabbit out of a sentence undetectible is an transmissible if you're committed to a child the treatment you will not ask him how you feeling today wonderful. nice to hear that many cat. hair rights and for you any that the stigma will be broken when there's more people fighting for it like you i salute your courage and your cause doesn't and seeing cimatron any thank you so much for being on today's edition of the strain we hope will always be online but thanks for watching everybody at a strain on twitter. you to get you.
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to. my. everyone all together. going places together. in malaysia schooling is a luxury for children of muslim refugees. every child deserves an opportunity for faith and creativity the arms them with the skills to overcome any hurdle and seize the threat to his schools existence as
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a test of his faith. school of the viewfinder asia seems. for nine hundred forty six to nine hundred fifty eight the united states detonated dozens of atomic bombs in the marshall islands when the u.s. was ready to clean up and leave in the one nine hundred seventy s. picked the pit that had been left by one of the smaller atomic explosions and dumped a lot of cutrone and other radioactive waste into the pit the bottom of the. soil there was nowhere for it and therefore the seawater is inside the dome when this dome was built there was no factoring in sea level rises caused by climate change now every day when the tide rolls out radioactive isotopes from
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underneath the dog roll out with it. really were not just the marshall islands we're talking. sea ocean. a ceasefire takes effect in yemen small city of data with only scattered reports of fighting. hello welcome to our jazeera live from doha dennis also coming up china's president says his country will not be dictated to by anyone as the communist party celebrates forty years of free market reforms.

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