HomeMy WebLinkAboutThe Goderich Signal-Star, 1985-12-11, Page 9AIDS is a major health issue
The person at greatest risk is the AIDS victim
by SHARON DIETZ
AIDS is quickly becoming a major
public health issue in this province, ac-
cording to Ontario's health minister,
Murray Elston.
While there is considerable public con-
cern about acquired immune deficiency
syndrome (AIDS) thee is no reason to
isolate or avoid AIDS patients, said the
minister in an interview recently.
'The person at greatist risk in the com-
munity is the person with AIDS,' said
Elston. Because of the nature of the
disease, the person with AIDS is
vulnerable to a wide range oflife-
threatening diseases and a variety of
unusual infections.
Compassion
Elston said it is important to provide
quality care and compassionate support
to people with AIDS, just as care is pro-
vided for victims of other diseases.
Elston said he is satisfied the reporting
mechanism is in place. It is compulsory
for physicians, other health professionals
and'laboratories report incidences of the
disease to their local medical officers of
health.
'I'm satisfied that it is in place and that
in a case where a personal physician has
made a daignosis of AIDS, it is reported
as required.'
A total of 147 AIDS cases have been
reported in Ontario since 1982 and 75 of
those patients have died. All but one of
the 147 cases involved men and nobody
under 20 years of age in this province has
had the disease. This year, 84 new cases
have been reported.
Elston saiu he has confidence in the
professional medical assessment that
AIDS patients pose no threat to the com-
FEATURE REPORT
munity. The disease is principally
transmitted through sexual contact, with
homosexual and bisexual men particular-
ly at risk. AIDS can also be transmitted
through intimate contact with blood or
blood products.
In the case of a Toronto teacher
suspected of dying of AIDS in September,
Elston said he is confident the teacher
posed no threat to his students. A profes-
sional assessment determined there was
no danger in the teacher returning to the
classroom.
Elston said he looked into the matter
and was satisfied the Toronto health
department had handled it properly.
Phil Shaw of tt1IIDS Committee of
Toronto said there was no reason
anybody other than the doctor and pa-
tient should be informed.
Quality care
'It's nobody else's business' he said.
The disease posed no public health
threat. Elston agreed that a patient with
•AIDS need inform no one but his doctor.
Dr. William MacPherson, acting
medical officer of health for Bruce Coun-
ty, said there is a greater risk of contac-
ting rabies than AIDS, if you live in
Huron and Bruce Counties. The two coun-
ties lead the province in the number of
reported cases of rabies. He said he is
more concerned about rabies than AIDS.
There have been no reported cases of
AIDS in eithtr county and the public
health units are not receiving inquiries
about the disease, said MacPherson.
He is surprised that people are afraid
to give blood at blood donor clinis
because they they will contact AIDS.
People are more at risk receiving blood
whcih has not been rpoperly screened,
but mandatory testing of blood dontlors
AIDS began November 1, he said.
Fatal illness
According to the medical officer of
health for Huron County, Dr. Harry
Cieslar. there have been no reported cases
of AIDS in the county. Dr. Cieslar said it
could be expected that people in the high
risk groups, who originally came from the
county, might return here to die.
Cieslar agreed with Dr. MacPherson
that the chances of being exposed to rabies
are higher than contacting AIDS.
MacPherson said AIDS is a hetersexual
disease as well as a disease which can be
transmitted by homosexuals. AIDS is not
a gay disease, he said.
While there is evidence the AIDS virus
is present in saliva and tears, as is the
case with tuberculosis, MacPherson said
AIDS is spread through intimate contact.
'Like venereal disease, if someone is
not promiscuous, they are not at risk,' he
said.
The concern for people with AIDS is
not their threat to the community, said
MacPherson. The concern is the same as
for anyone with a fatal illness.
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GODERICH SIGNAL -STAR, WEDNESDAY, DEC MBER 11,19 5 --PAGE 9
Women and children open
to the risk of AIDS
The first case of AIDS in Goderich
could well be a wife or child of a
homosexual who has not declared his
homosexuality, says the leader of a
Goderich support group for parents of
homosexuals.
According to Anne Rutledge there are
many closet gays who cannot take the.
risk of telling their wife that they are
homosexual. They could transmit the
disease to their wife who would then
transmit it to an unborn child she is car-
rying.
While a man would not necessarily put
his wife at risk, he could transmit the
disease before he knows he has it. Many
gay men cannot tell their wives of their
homosexuality because means they will
lose their wife and family. How do they
explain why they suddenly want to use a
condom during sexual relations with their
wife, asks Rutledge, unless they admit
their bisexualty.
Many homosexuals from this area go to
Kitchener and ,� ':on for their casual
sex with other °" ' thinking they will not
come in contact with AIDS because it is
only prevalent in the Toronto gay com-
munity, she says.
The loneliest person in the world is a
man who is dying of AIDS but cannot
reveal the true nature of his illness to his
family, says Rutledge. ft's a "double
wammie". Just when parents of sons who
are homosexual are coming to terms with
their child's sexual orientation, they
sover he is dying of AIDS.
Rutledge says men with suppotive
lovers, family and friends who have
AIDS are living longer. Those who are re-
jected by everybody because of their il-
ess wither up. Those without the sup-
port system, shrivel up and die.
Parental support could make a dif-
ference in the outcome of their child's il-
lness, says Rutledge.
The parent of a homosexual son,
Rutledge points out that society cannot
expect to lock away the people in the
high risk groups, because they can be
most dangerous to society when they are
not even aware they have the disease.
The person really at risk, she says, is
the person with AIDS who is suseptible to
infection in the world around him.
Women who are wives of gay or bisexual
men and drug users are also in a high
risk groups as well as those who are ex-
posed to blood tranfusions and blood pro-
ducts which have not been screened for
AIDS.
Money available for research
The ministry has made more than
$700,000 available for AIDS research. A
comprehensive epidemiological study is
now under way at the University of
Toronto and smaller research projects
have been funded at the Hospital for Sick
Children in Toronto and University of
Western Ontario in London.
The Ontario government has also
established a public education advisory
panel to support and counsel people who
have the disease. The panel will produce
information materials, including pam-
phlets and videotapes for distribution to
health professionals and public groups
and will make speakers knowledgeable
about the disease available to groups
such as school boards and parent -teacher
associations.
The Ontario govenment has also
directed funds to the AIDS Committee of
Toronto for support and counselling of
people with AIDS. The money will go to
the cost of maintaining a community
education officer and two volunteer pro -
grain coordinators.
AIDS was made a reportable disease in
Ontario in August, 1983. The Ministry of
Health established a provincial advisory
committee on AIDS to monitor patients,
provide advice to health professionals
and advise the ministry on research
priorities.
Reportable diseases are designated as
such under the Public Health Act.
Physicians, other than health profes-
sionals and laboratories are obliged
under the act to report incidence of the
disease to their local medical officers of
health.
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