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1. it is volatile, a social issue, there is stigma associated with it, job loss, health care loss 2. record keeping and public health ie. CDC in 1981 (physician reports) 3. understanding disease and prevention |
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1983 -a diagnosable disease indicative of cellular immunodeficiency -cause unknown except for presence of HTLV-III/LAV |
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1987 -positive HIV test -at least one of 23 diseases associated with AIDS |
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1993 -positive HIV test -T-cell count of less than 200 per microliter -at least one of 26 diseases associated with AIDS |
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2000 -positive HIV antibody test -T-cell count of less than 200 per microliter -difference for children and adults -definitive stages from HIV infection to AIDS |
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-initial infection (Acute Primary Infection) -HIV rapidly multiplying in naive CD4 cells and macrophages -after about 2 weeks flu-like symptoms occur from immune system fighting off infection -within 2 months, body develops antibodies against HIV |
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-asymptomatic incubation period (2-15 years) -"clinical latency" - some HIV are lysogenic proviruses but some are still multiplying -about 5% of patients are non-progressors are never leave stage 2 |
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transitional phase between 2 and 5 ARC (AIDS Related Complex) symptoms: -lymphadenopathy (swollen lymph nodes) in neck, armpit, and groin -weight loss (up to 10%) -constant low-grade fever (100) -diarrhea -overwhelming fatigue -night sweats -Thrush (candida, mouth cottage cheese) |
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-overt symptoms of AIDS -loss of immune function |
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-initial infection, # of HIV increases rapidly -immune system response: CD4 cells are sent to eliminate HIV. effective, but viral load does not go completely to zero B-cells respond and produce anti-HIV antibodies (help control infection) |
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-immune system initially controls HIV and keeps viral load low (cellular warfare on a massive scale) -B-cells pump out antibodies -CD4 cells respond -100 billion new HIV every day -lose 20 million CD4 cells every day = gradual decline |
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-beginning to lose war with HIV -T-cell count <400/microliter -viral load start to gradually increase -ARC begins |
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-CD4 count <200/microliter -war is lost :( -viral load is uncontrollable -not making any more antibodies (amount levels off) -begin disease of HIV and opportunistic infections |
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