Podcast
Questions and Answers
Which of the following factors contributed to the early spread of HIV?
Which of the following factors contributed to the early spread of HIV?
- Decline in commercial sex work
- International travel (correct)
- Strict regulation of drug use
- Increased knowledge about risk factors
The stigma surrounding HIV was mainly due to the perception of it as a disease affecting only homosexual individuals.
The stigma surrounding HIV was mainly due to the perception of it as a disease affecting only homosexual individuals.
True (A)
What year was the first laboratory test to detect HIV developed?
What year was the first laboratory test to detect HIV developed?
1985
The term used to refer to HIV in its early days, which highlighted its association with gay individuals, was __________.
The term used to refer to HIV in its early days, which highlighted its association with gay individuals, was __________.
Match the following groups with their association to HIV risks:
Match the following groups with their association to HIV risks:
Which of the following was NOT a factor in the early spread of HIV?
Which of the following was NOT a factor in the early spread of HIV?
The misconception about HIV's limitation to certain social groups helped reduce its stigma.
The misconception about HIV's limitation to certain social groups helped reduce its stigma.
Name one demographic group that was heavily stigmatized in relation to HIV during the early pandemic.
Name one demographic group that was heavily stigmatized in relation to HIV during the early pandemic.
Who made the first official report related to AIDS?
Who made the first official report related to AIDS?
The first case of AIDS was reported in the United States in 1981.
The first case of AIDS was reported in the United States in 1981.
What type of pneumonia was associated with the first cases of AIDS reported by Dr. Gottlieb?
What type of pneumonia was associated with the first cases of AIDS reported by Dr. Gottlieb?
Dr. Michael Gottlieb reported his findings to the ________ for further investigation.
Dr. Michael Gottlieb reported his findings to the ________ for further investigation.
What microorganism caused the pneumonia in the first reported AIDS cases?
What microorganism caused the pneumonia in the first reported AIDS cases?
The CDC developed a case definition for AIDS in 1981.
The CDC developed a case definition for AIDS in 1981.
What contributed to the stigma towards individuals infected with HIV?
What contributed to the stigma towards individuals infected with HIV?
Match the following years with their relevant events regarding HIV/AIDS:
Match the following years with their relevant events regarding HIV/AIDS:
What significant development occurred in 1987 regarding HIV treatment?
What significant development occurred in 1987 regarding HIV treatment?
Michael Gottlieb was the first to identify HIV as the cause of AIDS.
Michael Gottlieb was the first to identify HIV as the cause of AIDS.
What type of pneumonia first alerted Michael Gottlieb to an unknown medical condition?
What type of pneumonia first alerted Michael Gottlieb to an unknown medical condition?
The work of _______ and _______ was instrumental to the identification of the HIV virus.
The work of _______ and _______ was instrumental to the identification of the HIV virus.
Match the following individuals to their contributions related to HIV/AIDS:
Match the following individuals to their contributions related to HIV/AIDS:
Which of the following statements about the stigma surrounding HIV/AIDS is true?
Which of the following statements about the stigma surrounding HIV/AIDS is true?
Zidovudine, introduced in 1987, is no longer in use today.
Zidovudine, introduced in 1987, is no longer in use today.
What was the original name of the virus before it was officially named HIV?
What was the original name of the virus before it was officially named HIV?
In which regions did the first wave of HIV transmission primarily occur?
In which regions did the first wave of HIV transmission primarily occur?
Name one of the first widely recognized figures related to the early response to the AIDS Pandemic.
Name one of the first widely recognized figures related to the early response to the AIDS Pandemic.
The second wave of the HIV pandemic saw a significant increase in heterosexual transmission.
The second wave of the HIV pandemic saw a significant increase in heterosexual transmission.
What was identified as a significant mode of transmission of HIV in babies?
What was identified as a significant mode of transmission of HIV in babies?
The World Health Organization (WHO) officially adopted the name HIV in the year __________.
The World Health Organization (WHO) officially adopted the name HIV in the year __________.
Match the following categories with their descriptions:
Match the following categories with their descriptions:
By what year had an estimated 62 million people become infected with the HIV virus?
By what year had an estimated 62 million people become infected with the HIV virus?
Infecting clients by Commercial Sex Workers was the primary mode of transmission in the first wave.
Infecting clients by Commercial Sex Workers was the primary mode of transmission in the first wave.
What was the first laboratory method introduced to test for the HIV virus?
What was the first laboratory method introduced to test for the HIV virus?
Opportunistic diseases can occur in individuals with a healthy immune system.
Opportunistic diseases can occur in individuals with a healthy immune system.
What was the first antiretroviral medication introduced for HIV treatment?
What was the first antiretroviral medication introduced for HIV treatment?
The combination of antiretroviral medicines known as ______ became the preferred treatment option in the 1990s.
The combination of antiretroviral medicines known as ______ became the preferred treatment option in the 1990s.
Match the following terms with their definitions:
Match the following terms with their definitions:
What was a significant limitation of the use of Zidovudine (AZT)?
What was a significant limitation of the use of Zidovudine (AZT)?
HAART can cure HIV infection.
HAART can cure HIV infection.
What is the average life expectancy of a patient with advanced HIV without treatment?
What is the average life expectancy of a patient with advanced HIV without treatment?
Which publication focuses on the fundamentals of HIV/AIDS education?
Which publication focuses on the fundamentals of HIV/AIDS education?
The glossary is considered an optional tool for learning.
The glossary is considered an optional tool for learning.
Name one key reference that discusses ART comprehensive HIV/AIDS care.
Name one key reference that discusses ART comprehensive HIV/AIDS care.
The publication by Maranga et al. in 2008 is titled 'Fundamentals of __________ Education.'
The publication by Maranga et al. in 2008 is titled 'Fundamentals of __________ Education.'
Match the following references with their publication focus:
Match the following references with their publication focus:
Flashcards
When was the first official report of AIDS?
When was the first official report of AIDS?
The first officially documented cases of AIDS were reported in 1981 by Dr. Michael Gottlieb, a physician practicing in San Francisco.
What type of infection were the first AIDS patients suffering from?
What type of infection were the first AIDS patients suffering from?
These men were suffering from a type of lung infection caused by a microorganism called Pneumocystis Carinii (later renamed Pneumocystis Jirovecii).
What did the presence of PCP indicate about the early AIDS patients?
What did the presence of PCP indicate about the early AIDS patients?
The presence of Pneumocystis Carinii Pneumonia (PCP) suggested that the patients had a severely compromised immune system, which was unusual for healthy individuals.
Who were the initial patients diagnosed with AIDS?
Who were the initial patients diagnosed with AIDS?
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Who published the first official report on AIDS?
Who published the first official report on AIDS?
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What tool was developed in 1982 to standardize the diagnosis of AIDS?
What tool was developed in 1982 to standardize the diagnosis of AIDS?
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What was the unknown factor causing the immune deficiency in the first AIDS patients?
What was the unknown factor causing the immune deficiency in the first AIDS patients?
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Why did HIV/AIDS become a defining infectious disease of the late 20th century?
Why did HIV/AIDS become a defining infectious disease of the late 20th century?
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AIDS
AIDS
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HIV
HIV
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Lymphadenopathy
Lymphadenopathy
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Retroviruses
Retroviruses
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First Wave of HIV Spread
First Wave of HIV Spread
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Second Wave of HIV Spread
Second Wave of HIV Spread
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Mother-to-Child Transmission (MTCT)
Mother-to-Child Transmission (MTCT)
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Commercial Sex Workers
Commercial Sex Workers
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Intravenous Drug Use and HIV Transmission
Intravenous Drug Use and HIV Transmission
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Stigma and HIV in Early Days
Stigma and HIV in Early Days
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First HIV Lab Test
First HIV Lab Test
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International Travel and HIV Spread
International Travel and HIV Spread
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First AIDS Report
First AIDS Report
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Early AIDS Symptoms
Early AIDS Symptoms
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AIDS Case Definition
AIDS Case Definition
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HIV/AIDS significance
HIV/AIDS significance
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AIDS Cause
AIDS Cause
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ELISA
ELISA
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Opportunistic Diseases
Opportunistic Diseases
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Zidovudine (AZT)
Zidovudine (AZT)
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Viral Resistance
Viral Resistance
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HAART (Highly Active Antiretroviral Therapy)
HAART (Highly Active Antiretroviral Therapy)
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HAART's Impact on Life Expectancy
HAART's Impact on Life Expectancy
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HIV Incurability
HIV Incurability
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Prevention is Key for HIV Control
Prevention is Key for HIV Control
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What was the first sign of the medical condition that would become known as HIV/AIDS?
What was the first sign of the medical condition that would become known as HIV/AIDS?
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Who discovered the HIV virus as the cause of AIDS?
Who discovered the HIV virus as the cause of AIDS?
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How did early perceptions of HIV/AIDS contribute to stigma?
How did early perceptions of HIV/AIDS contribute to stigma?
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What was the first effective antiretroviral drug for HIV/AIDS?
What was the first effective antiretroviral drug for HIV/AIDS?
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When was the first official report on AIDS published?
When was the first official report on AIDS published?
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What tool was developed to standardize AIDS diagnosis?
What tool was developed to standardize AIDS diagnosis?
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Who corroborated the findings of Montaigner and Barre-Sinoussi on HIV as the cause of AIDS?
Who corroborated the findings of Montaigner and Barre-Sinoussi on HIV as the cause of AIDS?
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Study Notes
Introduction and Overview of the HIV Pandemic
- This lecture offers a historical perspective on HIV/AIDS, starting with the first official report of a previously unknown disease.
- The pandemic evolved to become a major infectious disease in the latter part of the 20th century.
Unit Objectives
- Students should be able to describe the circumstances surrounding the first official report marking the emergence of the AIDS pandemic.
- Students should be able to explain factors contributing to stigma towards those with HIV.
- Students should be able to identify factors leading to widespread HIV transmission.
The Beginning - First Official Report
- American physician Michael Gottlieb made the first official AIDS-related reports in 1981.
- Gottlieb observed five homosexual men with a rare type of pneumonia (Pneumocystis carinii pneumonia).
- This pneumonia typically occurs in people with weakened immune systems.
- Gottlieb reported his findings to the Centers for Disease Control (CDC) in June 1981.
Case Definition for AIDS
- In 1982, the CDC developed a case definition for AIDS to assist in research and diagnosis.
- This definition included clinical and laboratory characteristics.
Naming of the HIV Virus
- Early names included Lymphadenopathy-Associated Virus (LAV).
- AIDS-Associated Retrovirus (ARV).
- Human T-cell Lymphotropic Virus (HTLV).
- World Health Organization (WHO) adopted the name Human Immunodeficiency Virus (HIV) in 1986.
Spread of HIV Globally
- Initial assumptions focused on specific groups (homosexuals), but the pandemic rapidly became worldwide.
- Pratt (2003) described two waves of infection:
- Wave 1: Predominantly affected homosexual/bisexual men, intravenous drug users, and some blood recipients in North America, Western Europe, and Australasia.
- Wave 2: Involved heterosexual transmission primarily in Sub-Saharan Africa, Latin America, and the Caribbean.
- The 1990s saw accelerated spread in areas not previously affected, like Asia, Eastern Europe, and parts of Africa.
Early Perceptions and Stigma
- Initial reports in homosexual men fostered the perception that HIV/AIDS was a specific lifestyle issue.
- Terms like "Gay-Related Immunodeficiency Disease" (GRID) were used.
- Other affected groups included intravenous drug users, Haitians, and hemophiliacs.
- Stigma also impacted commercial sex workers.
Other Important Milestones: First Laboratory Tests
- Development of the ELISA (Enzyme-Linked Immunosorbent Assay) test in 1985 enabled widespread HIV testing.
- This allowed for early detection and monitoring of HIV, allowing for better management of the infection and spread.
Highly Active Antiretroviral Therapy (HAART)
- HAART, a combination of antiretroviral drugs, emerged in the 1990s, significantly improving the lives of people living with HIV.
Summary
- The lecture highlighted the circumstances of the first official report on HIV/AIDS in 1981.
- It examined how the pandemic's spread and the initial stigma shifted over time.
- Key figures and events like the identification of HIV through initial testing and the development of HAART were discussed.
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