Straight Talk With Vijay Narayan - Dr Jason Mitchell скачать в хорошем качестве

Straight Talk With Vijay Narayan - Dr Jason Mitchell

The Chairman of Fiji National HIV Outbreak Cluster Response Taskforce, Doctor Jason Mitchell speaks with Vijay Narayan on Fiji now having the world’s fastest growing HIV epidemic ------------------------------ 0:00 Introduction and HIV Crisis in Fiji 1:20 Defining Generalized vs. Concentrated Epidemics 4:10 Fiji’s Rapid Shift Toward a Generalized HIV Epidemic 6:35 Spread Beyond High-Risk Groups to General Population 8:22 HIV in Babies and Alarming Mother-to-Child Transmission Rates 10:18 HIV Among Adolescents and Drug-Related Infections 12:30 Ground-Level Reality: Hospital and Clinic Overwhelm 14:52 TB-HIV Co-Infections and Psychiatric Hospital Cases 16:18 Doubling of New Cases and Future Projections 18:12 Projection: 25,000 Infected by 2028 Without Intervention 19:45 High Infection Rates in the I-Taukei Population 22:05 Importance of Targeted Messaging Over General Awareness 23:50 Three Key HIV Transmission Routes in Fiji 26:15 Rise of Injectable Drug Use and Sexual Risk Intersections 27:55 Human Impact: Stigma, Isolation, and Lack of Support 30:12 Limited Treatment Centers and Role of Family Support 32:30 Stigma Tied to Drug Use and Need to Separate Narratives 34:18 Modern HIV Treatment: Manageable, Not a Death Sentence 36:04 Avoidable Deaths and Global HIV Elimination Goals 37:18 Drug and Test Kit Supply Chain: Now Outsourced to UN System 39:33 Concerns About Testing Capacity and Equipment Shortages 41:50 Planning Ahead: Testing, Treatment, and Prevention Supplies 44:00 Prevention Plans: Needle Programs, PrEP and PEP Rollout 46:25 How HIV Weakens the Immune System and Invites Other Diseases 48:20 Treating HIV as Prevention: Viral Load Suppression 49:37 Co-Infections: TB and HIV in Adults and Children Rising 51:20 Gaps in Psychosocial Support and Counseling Services 52:42 Plan for Peer Counselors and HIV Advocates in Clinics 54:38 Reflection on Past Awareness Campaigns in the 1990s 56:00 Behavior Change vs. Awareness: What Actually Works? 57:28 Urgent Need for Harm Reduction Programs 59:18 Condom Use in Fiji: Cultural and Practical Barriers 1:01:44 Gender-Based Violence and Condom Negotiation Challenges 1:03:40 Chemsex and High-Risk Drug-Sex Behavior 1:06:15 Real-Life Family Impact from One-Time Risky Behavior 1:08:15 The Need for Culturally Appropriate Interventions 1:09:52 48% of New Cases Linked to Injectable Drug Use 1:10:33 Plans to Launch Needle and Syringe Program in 2026 1:12:48 Role of Police and Government Support for Harm Reduction 1:14:27 Role of Faith-Based Orgs, Schools, and Community Leaders 1:16:44 Creating Compassionate and Safe Spaces in Schools 1:18:00 We Will All Know Someone with HIV – Time for Unity 1:19:15 Can Fiji Still Turn the Epidemic Around? Dr. Mitchell’s Answer 1:21:14 Final Message to Fijians: Everyone Has a Role to Play 1:22:38 Closing Remarks and Future Focus