Cambodian health care strikes again! (HIV Doctor Charged)

LTO · Post by **LTO** » Wed Dec 17, 2014 6:19 pm

Sir_Quality_U_Feel wrote:
LTO wrote:As has been mentioned elsewhere, there is something very strange about this level of infection. The HIV infection rate for a single needle stick with HIV positive blood is less than a half of one percent (0.35%-0.45%). Somewhat higher for deep injury or visibly bloody needles. But the infection rate in this village is somewhere between 15%-20%. Something is really wrong here.
Source?

The ‘less than a half of one percent’ is a fairly oft quoted number based on a number of studies.
http://www.aidsmap.com/Risk-of-infection/page/1324549/
http://www.ccohs.ca/oshanswers/diseases ... uries.html
http://www.patient.co.uk/doctor/needlestick-injury

The 15%-20% number was just a quick calculation from the local population and infection figures given in the CD article.

taabarang · Post by **taabarang** » Thu Dec 18, 2014 3:53 pm

Now add to this fiasco the mystery of police enforcement and voila-a entirely unique Cambodian scenario. Go to:
http://www.phnompenhpost.com/national/f ... -256725149

wackyjacky · Post by **wackyjacky** » Thu Dec 18, 2014 4:12 pm

Well according to the article, it's crystal clear that the alleged doctor Cheourm is HIV + or not and injections caused the outbreak or not.

Digg3r · Post by **Digg3r** » Thu Dec 18, 2014 6:23 pm

my tinfoil hat is telling me this is the outcome of an unsuccessful WHO trial of an HIV vaccine.

Cowshed Cowboy · Post by **Cowshed Cowboy** » Thu Dec 18, 2014 7:09 pm

Terrible situation but I'm really interested to see how the investigation plays out and what the facts of the case turn out to be. I would have thought a few reassuring informative general words along the lines of "it's no longer a death sentence with adequate post infection care " from the the Head of UNAIDS might have been in order rather than no comment. An ideal opportunity to spread the message given the limelight and potential stigma attributed to the villagers now. I am of course assuming that adequate treatment is available through the govt and relevant NGO set up.

Secret Squirrel · Post by **Secret Squirrel** » Thu Dec 18, 2014 7:42 pm

Cowshed Cowboy wrote:Terrible situation but I'm really interested to see how the investigation plays out and what the facts of the case turn out to be. I would have thought a few reassuring informative general words along the lines of "it's no longer a death sentence with adequate post infection care " from the the Head of UNAIDS might have been in order rather than no comment. An ideal opportunity to spread the message given the limelight and potential stigma attributed to the villagers now. I am of course assuming that adequate treatment is available through the govt and relevant NGO set up.

Whilst I generally agree I think many of those involved in the management and education NGO's/govt might choose to play down the huge advances in treatment and that most infected folks with access to treatment will live a more or less normal life now. Telling them it's not a death sentence and not to worry would have adverse effects in increasing unprotected sex thus increasing infection rates and expense of treatment. Population would increase and the prevalence of other STD's would increase. The use of a little fear is of greater benefit to them.

Cowshed Cowboy · Post by **Cowshed Cowboy** » Thu Dec 18, 2014 8:28 pm

^ Interesting point, I can see an angle in that and it becomes a delicate balancing act. The fear,stigma and prejudice issue is a bummer if you are in the infected bracket in a poorly educated country. I'll be shocked if this doctor was actually knowingly spreading the virus, I'd imagine it could become an international story if it isn't already.

LTO · Post by **LTO** » Thu Dec 18, 2014 9:54 pm

Interesting comments from HE on TV this evening. I didn't get it all but he seemed to be saying that there is something very strange about this situation and that more investigation is necessary before we can know what's really going on. I think he said that they are not even sure if the reported test results are accurate and experts have been sent to investigate and retest everybody. And that people need to stop speculating and spinning larger tales until the investigation is done. Further that the accused doctor is under police protection because they can't even be sure if this doctor treated/saw all the people involved, that to say that he did at this point in the investigation is just rumor mongering.

OrangeDragon · Post by **OrangeDragon** » Thu Dec 18, 2014 9:58 pm

LTO wrote:Interesting comments from HE on TV this evening. I didn't get it all but he seemed to be saying that there is something very strange about this situation and that more investigation is necessary before we can know what's really going on. I think he said that they are not even sure if the reported test results are accurate and experts have been sent to investigate and retest everybody. And that people need to stop speculating and spinning larger tales until the investigation is done. Further that the accused doctor is under police protection because they can't even be sure if this doctor treated/saw all the people involved, that to say that he did at this point in the investigation is just rumor mongering.

http://www.phnompenhpost.com/national/p ... tbreak-hiv

“Right now, 99 per cent, I don’t believe it’s AIDS,” he said, referring to the disease which develops from HIV infection.

“They might have a virus, but it’s not AIDS . . . Can an 80-year-old person get AIDS? And can young people who do not know anything get AIDS?”

Clearly it's all wrong because those people are outside of the acceptable age bracket for HIV infection...

[Reason #5464789 to not let a highschool dropout run a country.]

StroppyChops · Post by **StroppyChops** » Thu Dec 18, 2014 10:01 pm

OrangeDragon wrote:[Reason #5464789 to not let a highschool dropout run a country.]

That list is coming along nicely now...

Cambodian health care strikes again! (HIV Doctor Charged)

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