直面现实,遏制艾滋病在农民工中感染

直面现实,遏制艾滋病在农民工中感染

 
 
 
 
 

直面现实,遏制艾滋病在农民工中感染

来源:羊城晚报网络版—金羊时评  发表时间: 2009-11-02 16:37:10 

作者:洪巧俊 


这是一个让“‘夜晚的文化’光明起来”的高级官员,也是《枫哥说性》的作者,他曾给省长送安全套,又笔耕不辍写性书说性解爱,还被中宣部、国家科委等评为“全国先进科普工作者”,并获得我国人口计生最高奖“中华人口奖”。这个人叫张枫,是广东省政府副秘书
长、省人口计生委主任。(2009年11月2日《广州日报》)


张枫的开放和务实,让我想起了这样一个话题,假如官员都像他这样面对现实,中国的艾滋病是不是不会像今天这样难以遏制?当今,我最揪心的是农民工会成为艾滋病高感染群体。


多年前,一家媒体对贫困乡村农民卖血染上艾滋病作了一个专题,记者问我今后农民卖血染上艾滋病会不会成为高感染群,我是这样回答的,农民卖血染上艾滋病的人只会越来越少,因为当农民知道卖血染上的艾滋病是绝症,神仙也救不了时,就是再穷也不敢卖血。而我最担心的是有可能今后农民工会成为艾滋病高感染的群体,他们不是卖血感染,而是性感染。


但是我没有想到会来得这么快。湖北省启动第二轮艾滋病综合防治示范区建设项目,咸宁崇阳县位列其中。记者随省疾控部门到当地走访。截至今年9月底,该县共发现73名艾滋病感染者,其中72人是农民,59人是外出打工期间感染。只有3例是吸毒和输血感染,余下70例全是经性途径感染。据介绍,这73例只是去年返乡受访的15000多人中发现的,那么崇阳县近6万人在外打工者,又有多少艾滋病感染者?(2009年11月1日《长江日报》)按照国家统计局统计监测调查的数字,全国有农民工2.3亿人,这2.3亿农民工中又有多少艾滋病感染者?我们不能用崇阳县的15000人就有73例来推算,那样推算怪吓人,但是感染者的数字不应是个小数字。


当初记者问我为何说农民工会成为艾滋病高感染的群体,我说他们受教育水平低,很少接触到这方面的知识,他们现在知道卖血会感染艾滋病,但很多人还不知道性生活也会感染艾滋病,所以他们不会用安全套保护自己。其实艾滋病感染最多的群体,应是那些在宾馆、美容、洗浴、按摩等场所的乡村女孩子,她们都叫“打工者”,在乡村社会,她们对自己的职业从来就是保密的,不敢坦露,是怕乡人戳着脊梁骨骂。还有一群就是老婆在乡村,自己在城里人打工的男人们,我把他们的老婆叫“体制性寡妇”,有资料载这种“体制性寡妇”有4700万,这相对应的4700万男人又有多少耐得住长期的性饥渴,而不去“找小姐”?有一项调查说四成受访民工承认找过小姐,而找小姐时不喜欢戴安全套,对艾滋病、性病认识不足,缺乏必要的防护措施。这又是一个艾滋病的高感染群体。


在乡村社会,在外面乱搞男女关系而得的“病”,都认为是见不得人的事情,上门采血样不少人并不配合,他们生怕查出了艾滋病,而丢脸没法出门见人。这种认识上的误区实质上导致了更多的人感染艾滋病,而首当其冲的是他们的妻子(或丈夫)遭难。由于全社会尚未形成艾滋病防治的社会氛围和运行机制,农民工的艰苦的生存环境及其自我保护能力的缺乏,都使这一群体面临艾滋病严重威胁时异常脆弱。而一旦感染艾滋病毒,又轻易成为艾滋病从城镇向农村传播的桥梁。艾滋病从高危人群向一般人群扩散,应是人们最担心出现的局面。


我们不能忘记不久前闹得沸沸扬扬的“艾滋女”闫德利事件,人们之所以如此关注这一事件,是因为对艾滋病感染者无良传播有一种深恶痛绝感。闫德利是假艾滋女,但谁能说乡村就没有这种真艾滋女?一些感染了艾滋病者生怕失去以前的那种工作和生活,他们就可能隐讳着,仍然和以前一样我行我素,这才是让人最可怕的。


这个被称为 “新世纪人类健康头号杀手”的绝症,在中国已经夺去了多少人的生命,又有多少HIV携带者正与疾病艰难搏斗?毫无疑义,目前中国正面临艾滋病的挑战。根据卫生部、联合国艾滋病规划署和世界卫生组织的评估,中国现有艾滋病病毒感染者约65万。根据国际劳工组织的猜测,如不采取综合防治策略,到2015年中国将因此累计失去500万劳动力。


如今,这可怕的艾滋病却在农民工中暗流涌动。然而他们又是最缺乏保护措施的群体。数量庞大、流动性强的农民工群体,处于生育和性活跃时期,把他们作为艾滋病防控的重点人群,是很有必要的。如果还不采取措施,进行综合防治,任其发展,今后就更加难以控防。但是,就目前来说,似乎防控措施并不得力,本来对那些在宾馆、美容、洗浴、按摩等场所的服务人员,不仅仅要检查他们是否有性病,而更重要的是采血样进行检查是否感染艾滋病,如果感染艾滋病仍然从事这种职业,岂不是继续在传播害人?


有人曾说,剥离掉强加在性爱上面的道德束缚,那么性工作者制度就不存在什么原罪,那么也就应该解除法律的束缚(法律就是强制的道德)。性工作者也应该生活在阳光蓝天下,也应该有自己的人格和尊严。这个观点,不仅是我赞同,许多专家学者也是赞同这个观点。在这方面,官员不妨多向张枫靠齐,学习他的开放和务实,应该面对现实,不要再自欺欺人,犹抱琵琶半遮面了,既然这些场所是艾滋病的高感染场所,政府就应要求她们定时体检,必须采取安全措施,必须复合卫生条件。另一方面,对农民工应做一次全面采血样检查,综合防治,这样才可以大大遏制艾滋病的蔓延。
 

Facing reality, curb AIDS infection among migrant workers

Source: Yangcheng Evening News Online - Jin Yang Commentary on time: 2009-11-02 16:37:10

Author: Hong Qiao Jun


This is one for " 'night, the culture of' light up" the senior official, also "Maple said Brother" of the author that he gave the governor to send condoms, but also his pen never stopped writing the book, said Xing Xie sexual love, was also in the Xuanbu, the National Science and Technology Commission and so on as "National Advanced Worker science", and received the highest award of China's Population and Family Planning, "China Population Award." This man called Zhang Feng, Deputy Secretary of Guangdong Provincial Government
Long, Provincial Population and Family Planning Commission director. (November 2, 2009, "Guangzhou Daily")


Zhang Feng's open and pragmatic, reminds me of a topic, if the officials are like him to face the reality of AIDS in China is not as difficult to contain today? Today, I am most worried is that the farmers unions into groups with high HIV infection.


Many years ago, a media poor rural farmers to sell blood infected with AIDS, made a topic, the reporter asked me in the future the farmers sold their blood infected with AIDS will become the high infection group, I was the kind of answer, farmers sold their blood infected with AIDS, will be fewer and fewer people, because when farmers know that selling blood infected with AIDS is a death sentence, even a god could not save is that when they Zaiqiong did not dare to sell blood. I am most worried about is the possibility for future farmers unions into groups with high HIV infection, they are not selling blood infection, but infection.


But I never thought would come so quickly. Hubei Province to start the second round of AIDS comprehensive prevention and treatment demonstration area construction projects, Xianning Chongyang County start-ups. Reporter with the provincial disease control departments to local visits. As of the end of September, the county's total of 73 HIV-infected, of whom 72 were farmers, 59 people are infected during work outside the home. Only three cases are infected with drug use and blood transfusions, and the remaining 70 cases are all infected through sexual means. According to sources, the 73 cases to return home only last year found more than 15,000 respondents, then Chongyang County, nearly 6 million people in working out who and how many people living with HIV? (November 1, 2009, "the Yangtze River Daily") in accordance with National Bureau of Statistics to monitor the number of surveys, there are 230 million migrant workers, and this 230 million migrant workers in how many people living with HIV? We can not use Chongyang County, 15,000 people have 73 cases of a forecast based on projections, as strange scary, but the number of infected persons should not be a small sum.


A reporter asked me why I originally said, the farmers unions into groups with high HIV infection, I would say that they are affected by low level of education, little access to this knowledge, they now know that selling blood will be infected with AIDS, but many people do not know that sexual life will be infected with HIV, so they would not use condoms to protect themselves. In fact, the largest group of HIV infection should be those in hotels, beauty, bath, massage and other places of rural girls, they all call "migrant workers" in the rural society, their own career has always been confidential, not candidly reveal, they are afraid scolded local people poked spine. There is a group of wives in the countryside, its people working in the city, the men, my wife called them "institutional widow" who has any information contained in this kind of "institutional widow" has 47 million, which corresponds to 47 million How many men able to endure a long-term nature of hunger and thirst, not to "look for Miss"? There is a survey which found that four workers surveyed admitted looked into Miss, but when you find Miss did not like wearing condoms, AIDS, sexually transmitted diseases, lack of knowledge, lack of the necessary protective measures. This is another group of high HIV infection.


In the rural community outside乱搞男女关系derived from the "disease" are regarded as shameful thing, a lot of people do not come with the blood sample, they identified for fear of AIDS, and shame can not go out, see people. Misunderstanding on this understanding has led to more people actually infected with AIDS, and bear the brunt of their wife (or husband) in distress. Because society as a whole has not yet formed a social atmosphere AIDS prevention and control and operational mechanism of migrant workers and their difficult living environment lack of capacity of self-protection, have to make this group when faced with a serious threat of AIDS very vulnerable. Once infected with HIV, but also easy to become AIDS transmission from urban to rural bridges. AIDS in the general population from high-risk groups to the spread appears to be that people are most worried about the situation.


We can not forget that not long ago created a hubbub of "AIDS woman" Yan Deli case, there was so concerned about this incident, is due to unscrupulous people living with HIV transmission have a sense of abhorrence. Yan Deli is false HIV-women, but who can say there is no such real HIV villages for a girl? Some of those who are infected with HIV for fear of losing the former kind of work and life, they may cover up the remains, as before, its own way, this is the most horrible people.


This is called "the new century, the number one killer of human health," a terminally ill in China, has claimed the lives of many people, how many HIV carriers are struggling with the disease difficult? There is no doubt, China is facing the challenge of AIDS. According to the Ministry of Health, UNAIDS and the World Health Organization assessment that China's current HIV-infected persons is about 650,000. According to the ILO's guess if they do not take an integrated control strategy, by 2015 China will therefore have lost five million total labor force.


Today, this terrible AIDS in the migrant workers are in the simmering. However, they are the most lack of protection measures for groups. The large number of migrant workers and highly mobile groups, at birth, and sexually active period, making them the focus of AIDS prevention and control groups, is very necessary. If not, take measures to carry out a comprehensive prevention and control, left unchecked, the future is even more difficult to control defense. However, at present, it seems that the prevention and control measures are not effective, for those who have been in hotels, beauty, bath, massage and other places of service personnel, not only to check whether they have sexually transmitted diseases, but more importantly, blood samples check whether infected with HIV, if HIV infection is still engaged in this occupation, would not continue in the dissemination of harm?


It has been said, stripping off the top to impose moral restraints on sex, sex workers, the system does not exist then what is original sin, then it should be removed from the shackles of the law (the law is mandatory ethics). Sex workers should also live in the sunshine under the blue sky, it should have its own personality and dignity. This view, not only I agree, many experts and scholars also agree with this view. In this regard, officials may rely on multi-Zhang Feng Qi, learn from his open and pragmatic, we should face reality and stop deceiving itself and others, still holds partly concealed, and since these places of high HIV infection sites, the Government should be asked them to regular medical examinations, security measures must be taken to be complex health conditions. The other hand, migrant workers should be doing a full blood sample examination, comprehensive prevention and treatment, so that it can greatly curb the spread of AIDS.
 
 
 
 
 
 

[ 作者:佚名    转贴自:本站原创    点击数:198    更新时间:2009-11-6    文章录入:nnb ]

 

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