VOA标准英语2014--终结艾滋病的策略

 

Ending AIDS Requires Strategy, Funding 终结艾滋病的策略

December 1st, is World AIDS Day. In the 35-years of the epidemic¹, about 80-million people have become infected with HIV and nearly 40-million have died. But great progress has been made in recent years in preventing and treating the disease. UNAIDS – the Joint² United Nations Program on HIV/AIDS – has set a goal of ending the epidemic by 2030. An advocacy group says a strategic plan and much funding are needed to achieve that goal.

In a video taped message for World AIDS Day, UNAIDS Executive Director Michel Sidibe asked people to reflect on the lives lost to Ebola.

He said, “Ebola reminds us what we were going through at the beginning of the fighting against HIV. People were hiding themselves. They were scared. Stigma³, discrimination. We were not having any hope.”

Sidibe said that “thanks to global solidarity⁴, social mobilization and civil society activism, tragedy has been turned into opportunity.” He said that the lives of millions of people infected with HIV have been saved due to greater access to antiretroviral drugs.

UNAIDS has – what it calls -- a Fast-Track strategy to end the epidemic by 2030. The first phase sets targets for the year 2020 known as 90-90-90.

Mitchell Warren, executive director of the HIV advocacy group AVAC, said, “Coming out of the AIDS conference this year in Melbourne, Australia, UNAIDS talked about this goal of getting 90 percent of people, who are infected with HIV, to know their status – 90 percent of them to get on treatment – and 90 percent of those on treatment to be – what we call – virologically suppressed. That the antiretroviral drugs would suppress the virus.”

Research shows the more HIV is suppressed in the body, the less likely a person is to infect someone else.

“That’s really great news, but if you do the math – going from 90, 90, 90 – it works out to about 73 percent of people, who are infected, would need to be virologically suppressed. But keep in mind that even in the United States right now less than 30 percent of people who are infected are virologically suppressed. So, there’s a huge amount of effort to translate this kind of rhetoric⁵ – this good idea of 90, 90, 90 – into practice,” he said.

Warren warned that treatment alone won’t be enough to make 90-90-90 a reality.

“One of the points that AVAC brings up in our AVAC report is called HIV Prevention on the Line. Because to get us truly to zero new infections in the long term, which is the ultimate goal, is going to require prevention. So to get on that line to zero we need HIV prevention. But that title also carries a double meaning. Because right now given all of this focus on 90,90,90, we believe that HIV prevention is actually in jeopardy⁶.”

The AVAC leader said prevention should be given greater emphasis in the UNAIDS strategy.

“We need to be sure that we have very clear targets and resources and programs that keep prevention high on the priority along with treatment so that we actually can think about ending this epidemic,” he said.

Warren added that ambitious plans like 90, 90, 90 can cost a lot of money.

“Unfortunately, the funding is not there. And I think that’s probably the most important reality check here at World AIDS Day. So, we are at real risk of setting targets that aren’t resourced and therefore those targets could be unmet simply by the incredible resource gap at the global level. So, we have these amazing opportunities to have impact on the epidemic, but it doesn’t come for free.”

He said knowledge gained during the HIV/AIDS epidemic can be applied⁷ to West Africa’s Ebola crisis. Both diseases have bred fear and discrimination.

“Having a clear human rights based response is just as important as having a good public health response. And that’s lesson number one. Lesson number two is that while we do all the important work of caring and treating for people, having a research agenda is critical. And the third important lesson I think that draws a connection between HIV and Ebola is that strong public health systems are critical for any infectious disease,” he said.

Nigerian health officials said that a big reason it quickly ended its Ebola outbreak was the health infrastructure⁸ that had been set-up to deal with polio and HIV.

1 epidemic   

n.流行病；盛行；adj.流行性的，流传极广的

参考例句：

• That kind of epidemic disease has long been stamped out.那种传染病早已绝迹。
• The authorities tried to localise the epidemic.当局试图把流行病限制在局部范围。

2 joint   

adj.联合的，共同的；n.关节，接合处；v.连接，贴合

参考例句：

• I had a bad fall,which put my shoulder out of joint.我重重地摔了一跤，肩膀脫臼了。
• We wrote a letter in joint names.我们联名写了封信。

3 stigma   

n.耻辱，污名；(花的)柱头

参考例句：

• Being an unmarried mother used to carry a social stigma.做未婚母亲在社会上曾是不光彩的事。
• The stigma of losing weighed heavily on the team.失败的耻辱让整个队伍压力沉重。

4 solidarity   

n.团结；休戚相关

参考例句：

• They must preserve their solidarity.他们必须维护他们的团结。
• The solidarity among China's various nationalities is as firm as a rock.中国各族人民之间的团结坚如磐石。

5 rhetoric   

n.修辞学，浮夸之言语

参考例句：

• Do you know something about rhetoric?你懂点修辞学吗？
• Behind all the rhetoric,his relations with the army are dangerously poised.在冠冕堂皇的言辞背后，他和军队的关系岌岌可危。

6 jeopardy   

n.危险；危难

参考例句：

• His foolish behaviour may put his whole future in jeopardy.他愚蠢的行为可能毁了他一生的前程。
• It is precisely at this juncture that the boss finds himself in double jeopardy.恰恰在这个关键时刻，上司发现自己处于进退两难的境地。

7 applied   

adj.应用的；v.应用，适用

参考例句：

• She plans to take a course in applied linguistics.她打算学习应用语言学课程。
• This cream is best applied to the face at night.这种乳霜最好晚上擦脸用。

8 infrastructure   

n.下部构造，下部组织，基础结构，基础设施

参考例句：

• We should step up the development of infrastructure for research.加强科学基础设施建设。
• We should strengthen cultural infrastructure and boost various types of popular culture.加强文化基础设施建设，发展各类群众文化。