Friday 20 July 2012

Transmission Of Hiv-Male Circumcision-HIV

Get Circumcised or Get Labeled

My first big shock when I started to follow HIV related issues in East Africa was that it was assumed almost all Transmission was sexual in Africa (though nowhere else). Then, to 'work out' how this could possibly generate such massive epidemics, there was also the tendency to go from the number infected, or said to be infected, to the absurdly high levels of unsafe sexual behavior that would be needed to explain high levels of heterosexual transmission of HIV. There has never been any evidence that unsafe heterosexual sex alone could explain Africa's worst HIV epidemics. But all the 'work' to prevent infection appeared to concentrate on sexual transmission.
If not all HIV is transmitted sexually, many interventions that target sexual behavior, whether levels are real or assumed, will fail. Abstinence and other associated campaigns didn't even sound plausible before they were implemented, but enormous amounts of money was ploughed into them. Some equally dubious interventions were dreamed up and most probably also had little positive effect; as for any negative effects, these are unlikely to have been measured, let alone alluded to in the copious self-congratulatory literature that has emerged from what became the extremely lucrative HIV industry.
When circumcision was mooted as a possible intervention, it seemed to suffer from the above problem; it would, at best, protect against heterosexual transmission; it would not protect men who have sex with men, infants who are infected by their mothers or intravenous drug users. Indeed, it turned out that it wouldn't protect women either, and probably increases transmission from men to women. It will not reduce non-sexual transmission of any kind, including that through unsafe healthcare or cosmetic practices. Worse, in the sub-standard health facilities that ordinary Africans are forced to use, mass male circumcision programs might add to the problem, with men being infected in the health facility where the operation is carried out.
But those receiving circumcision related funding continue to insist on the effectiveness of such programs, shouting down any opposition, churning out figures which could be interpreted to show that male circumcision reduce transmission from women to men, but never actually engaging with the opposition. There are now so many problems with male circumcision as a strategy that the whole exercise to circumcise between 22 and 38 million African men should be suspended. There is so much disinformation and consequent misunderstanding that the campaign is unlikely to do any good and is in serious danger of doing a lot of harm. At best, it is just another neo-colonial excess of the kind that probably ensured that HIV would become the pandemic that it now is.
Kenya's Nairobi Star is currently doing a great job adding to the obfuscation that seems to pass for scientific journalism. The article 'Study Claiming Cut Does Not Inhibit HIV Rejected' makes a shaky start by incorrectly suggesting the study was not published or that its findings were refuted, or were even addressed by those promoting circumcision. The cited claims from the study are, in fact, correct, but they are only the tip of the iceberg. Interviewing those who would have a lot to lose if the circumcision program was suspended and asking their opinion is easy enough. But is it adequate journalism? Does the public really need more of the selective use of factoids to justify spending hundreds of millions of dollars on a campaign that is likely to be of so little benefit (at best)?
Other countries have less to say about the latest paper, one of several that has managed to get through the HIV industry's censorship process (peer review). Uganda's press has commented on circumcision from time to time, but only to beat the orthodox drum. It is claimed that 600,000 men have already been circumcised under the program since 2009, but it is unclear where this figure comes from. Natu read more..

Saturday 14 July 2012

The Falls Lake Mountains-Falls Lake Trail Section-Bayleaf Church-Trail Reviews

Trail Review: Falls Lake - Section 4

Falls Lake Trail: Section 4 (Possum Track Rd. to Bayleaf Church Rd.)

Trail Location:
Falls Lake State Recreation Area | Wake Forest, NC Trail Distance:
5.6 miles (out & back) Trail Difficulty:
Easy to Moderate Awesome interactive map
See the Falls Lake Recreation Area map page Introduction This review of Falls Lake Trail Section 4 is my second installment in the Falls Lake Mountains to Sea Trail review series. Have a look at this page to see other trail reviews on this site. At the time of this post, Section Four currently serves as the starting point for the marvelous Mountains to Sea Trail 12-Mile Challenge, which you should run if you haven't done so already. Running the Trail As you cross over the threshold from pavement to trail at the Bayleaf Church Rd. trail head, Section Four starts you off with a moderate incline, the kind with erosion barriers. So, the trail is a tad on the wide side here, as far as single-track trails go. But, don't worry, it gets narrow fairly quickly. Over the hill and leveling out, you'll navigate a slightly (slightly) root-ridden portion of the trail through the typical tall trees surrounding Falls Lake. It's nice here and suitable for warming up. As you descend a bit and run along a small stream, you'll notice that it's time to cross that stream and follow the trail up a rather steep hill with some conspicuous technical features challenging your footing. The trail becomes more technical for a little while after this. You'll eventually cross a clearing that looks like it once served as a service road. (Maybe it still does). And, before you know it, you're running under some very light tree cover. The trail is very easy at this point. The sparse tree cover and low-level vegetation gradually becomes overtaken by some uniformly sized and aligned young pine trees. It'll be sort of like running through a tunnel of small pines, which is pleasant if you're not the first person out there cutting through the spiderwebs with your face. (Not an issue in the winter)
More technical trail running awaits as the young pines seem to evolve into old pines with every step you take. Pay attention, because a particularly low level area of the trail becomes somewhat difficult to find as it weaves through what's probably a mini overflow area for another one of the creeks. (Sorry. I should have provided a picture of this critical juncture in the Section Four trail).
The dense forest will give way to another strangely clear, albeit heavily overgrown area of easy footing. And, you'll suddenly arrive at the Possum Track Rd. guard rail. Go left along the rail if you intend to continue along the Falls Lake MST to Section 3. My Favorite Features of Falls Lake Trail Section 4:
  • Ferns. There are lots of them along the Section 4 trail. And, I love ferns, especially in the early summer after a rain. They're so vibrant and friendly looking.
  • Fun contrast between challenging technical stuff and super easy, flat stuff.
  • Some moderate hillage to work those hill-running leg muscles.
  • Shade is nice in the summer.
Features I Dislike:
  • Parking can be iffy. Even though signs state that the gate will be open on Bayleaf Church Rd. at certain times, it's not necessarily open. Parking outside the gate is easily done, though.
  • Spider webs and deer flies are plentiful in the warmer months.
Getting ThereAs is the case with Section Five, the best option for parking to access Section Four is at the Bayleaf Church Rd. boat ramp access area. Some sort of administrative office is located adjacent to the Section Five trail head, which is across the street from the Section Four trail head. The building has a parking lot. But, if the gate is closed, you won't be able to access it. Besides, you might not be allowed to park there, anyway. But, you can just park on the side read more..

Monday 9 July 2012

Ferroelectric Materials-Advanced Electronics-Atomic Structure

New advanced electronics? Unprecedented subatomic details of exotic ferroelectric nanomaterials

Scientists have described a technique revealing unprecedented details about the atomic structure and behavior of exotic ferroelectric materials, which are uniquely equipped to store digital information. This research could usher in a new generation of advanced electronics. read more..

Innate Immune System-Synthetic Protein-Illnesses-The Flu

Patients trust doctors but consult the Internet

Patients look up their Illnesses online to become better informed and prepared to play an active role in their care -- not because they mistrust their Doctors, a new study suggests. The study surveyed more than 500 people who were members of online support groups and had scheduled appointments with a physician. read more..


Keeping the flu away: Synthetic protein activates immune system within two hours

Researchers may have found the secret to helping the Immune System fight off the flu before it gets you sick. A new study finds that EP67, a powerful synthetic protein, is able to activate the Innate Immune System within just two hours of being administered. read more..

Rakai, Uganda-Circumcision-Implications

Wait and wipe, don’t cut

Last week, while looking for something else, I ran across a report that has big Implications for HIV/AIDS prevention in Africa: Almost five years ago, a trial of Circumcision to protect men in Rakai, Uganda, reported that intact (uncircumcised) men who waited at least 10 minutes after sex before cleaning their penis were at less risk [...] read more..