ကိုယ္ဝန္ေဆာင္ အဝတ္အစား ေစ်းမ်ားတာ၊ မမ်ားတာထက္ ကိုယ္နဲ႔သင့္တာ ေကာင္းတယ္။ ဖက္ရွင္က်က်၊ သက္ေတာ့င့္သက္သာ၊ တတ္ႏိုင္တာဝတ္ပါ။ ကိုယ္ဝန္ရွိရင္ ၂၅ ကေန ၃၇ ေပါင္အထိ ကိုယ္အေလးခ်ိန္ တက္လာမယ္။ Supportive bra ၾကီးလာတဲ့ ရင္သား ပင့္တင္ထိန္းထားႏိုင္တဲ့ (ဘရာ) ဝတ္ပါ။ (ဆိုက္စ္) တိုးတိုး လာမယ္။ ခြါျမင့္ေတြ မစီးပါနဲ႔ေတာ့။ ေအာက္ခံထူထဲတာ၊ မျမင့္တာသံုးပါ။

အာရွမွာရွိတဲ့ အမ်ဳိးသမီးေတာ္ေတာ္မ်ားမ်ားဟာ သားအိမ္ေခါင္း ကင္ဆာေၾကာင့္ ေသဆံုးမႈႏႈန္းအမ်ားဆံုး ျဖစ္ေနၿပီး သားအိမ္ေခါင္း ကင္ဆာဟာဆုိရင္ ကင္ဆာေရာဂါေပါင္း မ်ားစြာ ထဲမွာ ဒုတိယေသဆံုးမႈႏႈန္း အမ်ားဆံုးေရာဂါျဖစ္တယ္လုိ႔လည္း သိရပါတယ္။ သားအိမ္ေခါင္း ကင္ဆာဟာ ကင္ဆာေရာဂါပိုးျဖစ္တဲ့ HIV အမ်ဳိးအစားေၾကာင့္ျဖစ္ၿပီး လိင္ဆက္ဆံျခင္းေၾကာင့္ အဓိကကူးဆက္ရတာျဖစ္သလုိ လိင္ဆက္ဆံဘက္ မ်ားတဲ့သူေတြမွာ ပုိမုိအျဖစ္မ်ားေလ့ရွိတယ္လုိ႔ သိရပါတယ္။

If you can watch YouTube, here you can see the Executive Director of the Global Fund Mark Dybul talk for sixteen minutes without using the word ‘prevention’ and, whew, without ‘the end of AIDS’. He does talk about reducing the HIV epidemic to endemic levels. A reasonable goal. bit.ly/1nfDexK Jamie

I have been looking at the UNICEF Myanmar website and have found a couple off statements that are not true: Firstly, “Myanmar women and children living with HIV doing well” https://tinyurl.com/lw3x66e I don’t think so. And secondly “HIV/AIDS is spreading at an alarming rate in Myanmar.” http://t.co/UXjS84JNFv HIV incidence and prevalence are decreasing and AIDS […]

Here is more on the newish WHO guidelines on the use of ART. Are the guidelines really that useful? I usually respect WHO guidelines and follow them. But in this case, in a rush to push unproven ‘treatment as prevention’, WHO appears to have not thought out the implications of some of its normative guidance. […]

There are several documents that are missing On 2 June  I wrote” APCOM @apcom tweeted on 20 May “22-23 May 2014 the City-Based Hidden/ Positive MSM Consultation in Yangon, Myanmar”. Is there any public information on the consultation or is it hidden, too? And an anonymous reader has asked “What about the gender review that […]

No less an organisation than the International AIDS Society has published this review of evidence for starting ART with a CD4 cell count between 350 and 500. There is not much evidence. Did WHO jump the gun by recommending earlier ART? Time, and more studies, will tell. Jamie ++++++++++++++++++ http://www.iasociety.org/Default.aspx?pageId=5&elementId=15867 Benefits of Starting ART at […]

Please look at this paper. Adherence to antiretroviral treatment is vital. It appears to be lower among people who inject drugs. How can this be changed? What is being done in Myanmar to change it? https://tinyurl.com/kk9bnkb Jamie

United Nations Secretary-General Ban Ki Moon writes: “Failure to reach key populations with evidence-informed and human rights based prevention services represents a critical gap in current efforts to reduce sexual HIV transmission.” “Little progress has been made towards the global goal of reducing new HIV infections among people who inject drugs” There. Any questions? Jamie […]

A new report to the United Nations. I was shocked to read: “The steady decline in HIV prevalence among PWID since it peaked in 2008, reflects the efficacy of programmes for harm reduction including provision of free sterile needle and syringes.” I don’t think there is any scientific evidence for this assertion. Let’s for a […]

HIV incidence or new infections must be almost negligible in Cambodia. Condom distribution is high, the number of brothels has decreased, and access to antiretroviral treatment is almost universal. Jamie ++++++++++++++++++ Cambodia estimates 50,000 people facing high risks of HIV infections: health official Shanghai Daily May 14,2014 PHNOM PENH, May 14 (Xinhua) — Approximately 50,000 […]

You can read a vanilla or milquetoast evaluation of UNODC HIV activities https://tinyurl.com/p2ep5p4 or https://www.unodc.org/unodc/en/evaluation/evaluation.html Disappointing. Jamie