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HIV and Its TransmissionResearch has revealed a great deal of valuable medical, scientific

HIV and Its Transmission

Research has revealed a great deal of valuable medical, scientific, and public health information about the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). The ways in which HIV can be transmitted have been clearly identified. Unfortunately, false information or statements that are not supported by scientific findings continue to be shared widely through the Internet or popular press. Therefore, the Centers for Disease Control and Prevention (CDC) has prepared this fact sheet to correct a few misperceptions about HIV.

How HIV Is Transmitted

HIV is spread by sexual contact with an infected person, by sharing needles (primarily for drug injection) with someone who is infected, or, less commonly, through transfusions of infected blood or blood clotting factors (凝血因子). Babies born to HIV-infected women may become infected before or during birth or through breast-feeding after birth.

Some people fear that HIV might be transmitted in other ways; however, no scientific evidence supporting any of these fears has been found. If HIV were being transmitted through other routes (such as through air, water, or insects), the pattern of reported AIDS cases would be much different from what has been observed. For example, if mosquitoes could transmit HIV infection, many more young children and preadolescents would have been diagnosed with AIDS.

All reported cases suggesting new or potentially unknown routes of transmission are thoroughly investigated by state and local health departments with the assistance, guidance, and laboratory support from CDC. No additional routes of transmission have been recorded, despite a national sentinel (监测) system designed to detect just such an occurrence.

The following paragraphs specifically address some of the common misperceptions about HIV transmission.

HIV in the Environment

Scientists and medical authorities agree that HIV does not survive well in the environment, making the possibility of environmental transmission remote. HIV is found in varying concentrations or amounts in blood, semen (精液), vaginal (阴道的) fluid, breast milk, saliva (唾液), and tears. To obtain data on the survival of HIV, laboratory studies have required the use of artificially high concentrations of laboratory-grown virus. Since the HIV concentrations used in laboratory studies are much higher than those actually found in blood or other specimens, drying of HIV-infected human blood or other body fluids reduces the theoretical risk of environmental transmission to that which has been observed—essentially zero. Incorrect interpretation of conclusions drawn from laboratory studies has unnecessarily alarmed some people.

Results from laboratory studies should not be used to assess specific personal risk of infection because: (1) The amount of virus studied is not found in human specimens or elsewhere in nature, and (2) no one has been identified as infected with HIV due to contact with an environmental surface. Additionally, HIV is unable to reproduce outside its living host except under laboratory conditions. Therefore, it does not spread or maintain infectiousness outside its host.

Households

Although HIV has been transmitted between family members in a household setting, this type of transmission is very rare. These transmissions are believed to have resulted from contact between skin or mucous membranes (黏膜) and infected blood. To prevent even such rare occurrences, precautions should be taken in all settings "including the home" to prevent exposure to the blood of persons who are HIV infected, at risk for HIV infection, or whose infection and risk status are unknown, For example.

Gloves should be worn during contact with blood or other body fluids that could possibly contain vis

A.Y

B.N

C.NG

提问人:网友gdsdmsj 发布时间:2022-01-07
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第1题
Research conducted by the World Bank shows the more gender relationships are in a country, the higher its HIV prevalence rate is. (equal)
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第2题
Research conducted by the World Bank shows the more gender relationships are in a country, the higher its HIV prevalence rate is. (equal;请用所给单词的合适形式填空。 )
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第3题
Text A I. Choose the best answer to each of the following questions according to what is stated or implied in the text. Which of the following statements is NOT true concerning Levi Strauss & Co?

A、It was the pioneering company to address HIV/ AIDS education and work-place policies.

B、It was the first apparel company to set high standards for suppliers

C、It has been consistently contributing to CSR programs for decades.

D、Though it has been enjoying a high popularity, its profits are on the decline.

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第4题
听力原文: On the 20th anniversary of the first official report on AIDS, the head of the U
nited Nations AIDS Program warns the deadly disease may only be at its early stages in many parts of the world. Dr. Peal said the disease has already reached staggering proportions since first being identified in 1981. 58,000,000 people worldwide have contracted HIV virus which causes AIDS, while 22,000,000 have died from related illnesses. The UN estimates the world HIV positive population at 36,000,000, including 25,000,000 in sub-Sahara in Africa. International officials warn the disease would have disastrous political, social and economical consequences in many developing countries.

According to the report, how many people are HIV-positive?

A.22 million.

B.36 million.

C.25 million.

D.58 million.

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第5题
According to the passage, which of the following statements is true?A.In India, the infect

According to the passage, which of the following statements is true?

A.In India, the infection rate almost reaches 12 percent of its population.

B.In China, about 50 000 people are infected with HIV.

C.AIDS epidemic had caused 15 000 000 deaths in the whole world by January 2000.

D.In the United States, HIV infection will go on to attack about 5% of the whole population.

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第6题
听力原文:After years of failing to take the disease seriously, Beijing has become a late c

听力原文: After years of failing to take the disease seriously, Beijing has become a late convert to the cause of HIV/Aids education, prevention and treatment.

In recent months health authorities have stepped up plans to distribute free condoms, promote needle exchanges, provide free antiretroviral drugs to patients and boost Aids awareness through education campaigns. Yet, Beijing had better be ready for an epic battle if it is to prevent a full-scale crisis. Already, more than 200,000 people have died of Aids in China and a further 840,000 axe living with HIV/Aids. The UN warns that, unchecked, the disease could claim 10 million victims by 2010.

The world's first HIV case was discovered in America in 1981. Four years later, China discovered its first HIV case. However, long after that, ignorance about how the disease is transmitted remains widespread. Disseminating knowledge of how HIV is transmitted and finding ways to cheaply distribute antiretroviral drugs for infected patients are among tasks facing health authorities, who are now applied to preventing an oncoming disaster.

Although China is coming late to the Aids war, it can benefit from the experience of other countries and it can also benefit from the increased global funding and willingness to share expertise that is available today. Therefore, we have a good reason to believe that China will eventually succeed in its effort to restrain the spread of Aids.

(33)

A.It's bound to end in failure.

B.It's arduous, yet promising.

C.It's hard to predict the final outcome.

D.It will go smoothly.

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第7题
Once-daily Pill Could Simplify HIV TreatmentBristol-Myers Squibb and Gilead Sciences have

Once-daily Pill Could Simplify HIV Treatment

Bristol-Myers Squibb and Gilead Sciences have combined many HIV drugs into a single pill. Sometimes the best medicine is more than one kind of medicine. Malaria, tuberculosis and HIV/ AIDS, for example, are all treated with (51) of drugs. But that can mean a lot of pills to take. It would be (52) if drug companies combined all the medicines into a single pill, taken just once a day.

Now, two companies say they have done that for people just (53) treatment for HIV, the virus, that causes AIDS. The companies are Bristol-Myers Squibb and Gilead Sciences. They have (54) a single pill that combines three drugs currently on the market. Bristol-Myes Squibb sells one of them (55) the name of Sustiva. Gilead combined the (56) , Emtriva and Viread, into a single pill in two thousand four.

Combining drugs involves more than (57) issues. It also involves issues of competition (58) the drugs are made by different companies. The new once-daily pill is the result of (59) is described as the first joint venture agreement of its kind in the treatment of HIV.

In January the New England Journal of Medicine published a study of the new pill. Researchers compared its (60) to that of the widely used combination of Sustiva and Combivir. Combivir (61) two drugs, AZT and 3TC. The researchers say that after one year of treatment, the new pill suppressed HIV levels in more patients and with (62) side effects. Gilead paid for the study. Professor Joel Gallant at the Johns Hopkins School of Medicine in Baltimore, Maryland, led the research.

Glaxo Smith Kine reacted (63) the findings by saying that a single study is of limited value. It says the effectiveness of Combivir has been shown in each of more than fifty studies.

The price of the new once-daily pill has not been announced. But Gilead and Bristol-Myers Squibb say they will provide it at reduced cost to developing countries. They plan in the next few months to ask the United States Food and Drug Administration to (64) the new pill.

There are limits to who could take it because of the different drugs it contains. For example, (65) women are told not to take Sustiva because of the risk of birth disorders. Experts say more that forty million people around the world are living with HIV.

(51)

A.conservation

B.cooperation

C.combinations

D.considerations

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第8题
Since USAID began its first HIV/AIDS prevention efforts eight years ago, the epidemic has
changed dramatically. HIV has spread to every region of the world. Millions of people infected with HIV during the first decade of the epidemic are developing opportunistic infections and other AIDS-related illnesses, and many are dying. Women and children are among those most vulnerable to HIV infection. As HIV prevalence and AIDS mortality soar, millions of children will lose their parents.

HIV/AIDS is having a devastating impact on the health and well-being of families, communities and nations worldwide. The epidemic's effects on the structure of societies and the productivity of their members undermine efforts to promote sustainable development around the globe. USAID's approach to slowing the spread of HIV/AIDS relies on strategies tested and refined over the past eight years. At the same time, the Agency is moving forward to address new challenges posed by the evolving epidemic.

One of the important lessons learned during the past decade is that an effective response to HIV/ AIDS requires the full participation of people and communities affected by the virus. Although people living with HIV/AIDS are among the most successful advocates and communicators for prevention, too often their voices are not heard or heeded. Greater involvement of people living with HIV/AIDS is essential to creating the supportive political, legal and social environments needed to control the epidemic.

In December 1994 at the Paris AIDS Summit, representatives of 42 governments adopted a resolution pledging greater support for networks of people living with HIV/AIDS. Before and during the summit, members of these networks worked with government and multilateral organizations, including USAID, to develop a plan for translating the words of the resolution into concrete action. The Agency is committed to ensuring that people living with HIV/AIDS are accepted in full partnership with governments, international organizations and the private sector in developing, implementing and evaluating HIV/AIDS policies and programs.

People living with HIV/AIDS and community-based organizations have been at the forefront of efforts to draw attention to the connection between compassionate AIDS care and effective HIV prevention. In the absence of a vaccine or cure, USAID continues to emphasize HIV/AIDS prevention. But as the number of people suffering from AIDS-related illness begins to increase dramatically, the Agency is also exploring ways to reduce the social impact of AIDS and enhance prevention efforts by integrating prevention and care.

The Agency will also continue to pioneer regional approaches to an epidemic that does not recognize national boundaries. Cross-border interventions throughout the world will target mobile populations, including migrant workers, tourists, traders, transport workers and people displaced by war and social disruption.

Since USAID began its first HIV/AIDS prevention efforts eight years ago, the epidemic has changed dramatically this statement______.

A.proves that the epidemic has been spreading very fast over the past eight years

B.implies that the USAID was not very successful in the past eight years

C.shows that the epidemic has spread too fast to be controlled over the past eight years

D.explains that the epidemic has been controlled

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第9题
Part ADirections: Read the following four texts. Answer the questions below each text by c

Part A

Directions: Read the following four texts. Answer the questions below each text by choosing A, B, C or D. (40 points)

Could HIV, the virus that causes AIDS, be weakening? The results of a study conducted in Belgium, at the Institute of Tropical Medicine in Antwerp, seem to suggest that in one corner of the world it might be. The report, published in the latest issue of AIDS, a specialist journal, concludes that HIV's ability to replicate (known technically as its virulence) may have decreased since the start of the pandemic. Kevin Aden, the lead author of the paper, stresses that the study is based on a small set of samples and does not prove that HIV's virulence is attenuating around the world. However, it does offer new insights into the evolution of the disease.

Dr. Arien looked at 24 blood samples collected from untreated patients attending an HIV/ AIDS clinic in Antwerp. A dozen of these samples were taken between 1986 and 1989; the other 12 were collected between 2002 and 2003. First, he analyzed the samples to find their viral load (the number of virus particles per cubic centimeter) and the subtype of virus involved. In Europe and North America, the predominant subtype is B; in sub-Saharan Africa, where the epidemic is at its worst, the predominant subtype is C. Most of Dr. Arien's samples were of subtype B. Having done this analysis, he paired the samples off for a series of replicative "duels". Each sample from the earlier series was matched with the most similar one from the later series, and they were placed in identical cell cultures to see which would multiply the most. The result was that 75% of the viruses from 2002-03 were less virulent than apparently similar counterparts from 1986-89—a statistically significant observation.

Dr. Arien's caution is sensible, at least until someone replicates the work elsewhere. But his conclusion is not necessarily surprising. Such viral attenuation, as it is known, is one way that vaccines are produced.

What causes attenuation in wild viruses, though, is a matter of speculation. Dr Arien believes that in this case the attenuation could be the result of what he calls "serial genetic bottlenecks" during transmission from host to host. These act to reduce the genetic diversity (and thus the replicative fitness) of the virus. Genetic diversity is known to be an important component of HIV's virulence. But what might cause the bottlenecks is still unclear.

A second reason for caution besides the small size of the study is, as Geoffrey Garnett, a professor of microparasite epidemiology at Imperial College, London, points out, that the ability of a virus to infect cells in a test-tube is not the same as its ability to cause disease and death in a human host. Nevertheless, Dr Aden's result is intriguing, and surely worth following up in a larger piece of research.

The word "attenuating"(Paragraph 1) most probably means

A.weakening.

B.accentuating.

C.accelerating.

D.increasing.

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第10题
Since the US Agency for International Development (USAID) began its first HIV/AIDS prevent

Since the US Agency for International Development (USAID) began its first HIV/AIDS prevention efforts eight years ago, the epidemic has changed dramatically. HIV has spread to every region of the world. Millions of people infected with HIV during the first decade of the epidemic are developing opportunistic infections and other AIDS-related illnesses, and many are dying. Women and children are among those most vulnerable to HIV infection. As HIV prevalence and AIDS mortality soar, millions of children will lose their parents.

HIV/AIDS is having a devastating impact on the health and well-being of families, communities and nations worldwide. The epidemic's effects on the structure of societies and the productivity of their members undermine efforts to promote sustainable development around the globe.

USAID's approach to slowing the spread of HIV/AIDS relies on strategies tested and refined over the past eight years. At the same time, the Agency is moving forward to address new challenges posed by the evolving epidemic.

One of the important lessons learned during the past decade is that an effective response to HIV/ AIDS requires the full participation of people and communities affected by the virus. Although people living with HIV/AIDS are among the most successful advocates and communicators for prevention, too often their voices are not heard or heeded. Greater involvement of people living with HIV/AIDS is essential to creat the supportive political, legal and social environments needed to control the epidemic.

In December 1994 at the Paris AIDS Summit, representatives of 42 governments adopted resolution pledging greater support for networks of people living with HIV/AIDS. Before and during the summit, members of these networks worked with government and multilateral organizations, including USAID, to develop a plan for translating the words of the resolution into concrete action. The Agency is committed to ensuring that people living with HIV/AIDS are accepted in full partnership with governments, international organizations and the private sector in developing, implementing and evaluating HIV/AIDS policies and programs.

People living with HIV/AIDS and community-based organizations have been at the forefront of efforts to draw attention to the connection between compassionate AIDS care and effective HIV prevention. In the absence of a vaccine or cure, USAID continues to emphasize HIV/AIDS prevention. But as the number of people suffering from AIDS-related illness begins to increase dramatically, the Agency is also exploring ways to reduce the social impact of AIDS and enhance prevention efforts by integrating prevention and care.

The Agency will also continue to pioneer regional approaches to an epidemic that does not recognize national boundaries. Crossborder interventions throughout the world will target mobile populations, including migrant workers, tourists, traders, transport workers and people displaced by war, and social disruption.

Results from USAID-supported research on preventing HIV/AIDS in women, from microbiocide development to behavioral research on communication between men and women, will play a key role in slowing the rapid spread of the epidemic in the future. The Agency will continue to support research designed to strengthen programs for women and will move quickly to incorporate promising prevention methods into field activities. USAID will also work to reduce women's vulnerability to HIV prevention by promoting multisectoral efforts to improve their economic and social status.

Recognizing the growing threat HIV/AIDS poses to child survival, the Agency will support efforts to identify and test methods of preventing transmission from mother to child, such as Vitamin A supplements and other promising interventions. In addition, USAID will expand efforts to reduce HIV/ AIDS am

A.Y

B.N

C.NG

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