Clark Peter A, O'Brien Kevin
Jesuit Community Saint Joseph's University, Philadelphia, Pennsylvania 19131, USA.
Med Sci Monit. 2003 Sep;9(9):ET28-39.
In their most recent study, the United Nations AIDS Program estimates that about 22 million people around the world have died from AIDS, and about 40 million more are currently infected with the HIV virus. About 83% of AIDS deaths and 71% of HIV infections have occurred in war-ravaged, poverty-stricken Sub-Saharan Africa. This pandemic is ripping apart the social and economic fabric of this part of the world. The only remedy for this crisis is both prevention and cure. Only through massive education can early and sustained prevention efforts prevent future infections. And only by giving those infected with HIV effective treatments will people be prevented from dying of AIDS in the future. Without a bold, concerted action, not only will millions die in Africa, but the entire world will suffer. To allow sub-Saharan Africa to become socially and economically devastated will have a major impact on the economies of every country of the world. The African Comprehensive HIV/AIDS Partnership (ACHAP) is one answer to the problem. ACHAP, is a joint initiative between the government of Botswana, the Bill and Melinda Gates Foundation and the Merck Company Foundation. This public-private partnership has provided a new sense of optimism for fighting this devastating pandemic. ACHAP offers all interested parties a multifaceted paradigm that addresses not only the need for ARV medications, but also the other social and medical facets of the HIV/AIDS problem facing sub-Saharan Africa. If a coordinated effort can be launched in the other sub-Saharan African nations, using ACHAP as a paradigm, then there is the possibility that the fight against AIDS could be won.
Clinical ethics is of necessity a two-way street, one in which ethical paradigms influence practitioners and researchers whose expertise, in turn, necessarily educates the non-clinical ethicist.
在其最新研究中，联合国艾滋病规划署估计，全球约有2200万人死于艾滋病，目前还有约4000万人感染了艾滋病毒。约83%的艾滋病死亡病例和71%的艾滋病毒感染发生在饱受战争蹂躏、贫困的撒哈拉以南非洲地区。这场大流行病正在撕裂世界这一地区的社会和经济结构。解决这场危机的唯一办法是预防和治疗。只有通过大规模教育，才能开展早期和持续的预防工作，防止未来感染。只有为艾滋病毒感染者提供有效的治疗，才能防止人们未来死于艾滋病。如果不采取大胆、协调一致的行动，不仅数百万非洲人会死亡，整个世界都会遭殃。任由撒哈拉以南非洲地区在社会和经济上遭到破坏，将对世界各国的经济产生重大影响。非洲防治艾滋病综合伙伴关系（ACHAP）就是解决这一问题的一个办法。ACHAP是博茨瓦纳政府、比尔及梅琳达·盖茨基金会和默克公司基金会的一项联合倡议。这种公私伙伴关系为抗击这一毁灭性大流行病带来了新的乐观情绪。ACHAP为所有感兴趣的各方提供了一个多方面的模式，不仅满足了对抗逆转录病毒药物的需求，还涉及撒哈拉以南非洲地区面临的艾滋病毒/艾滋病问题的其他社会和医疗方面。如果能以ACHAP为模式，在撒哈拉以南非洲其他国家发起协调一致的努力，那么就有可能赢得抗击艾滋病的斗争。
临床伦理学必然是一条双向道路，在这条道路上，伦理模式影响从业者和研究人员，而他们的专业知识反过来又必然会教育非临床伦理学家。
