1. What do these people have in common?
Magic Johnson, point guard for the L.A. Lakers in the 90s, one of the greatest players in NBA history; (2) Rock Hudson, American film actor of the 60s; (3) Nkosi Johnson, South African boy
What do they all have in common?… They were all infected with HIV, and they all developed AIDS.
[Rock Hudson was one of the first major Hollywood celebrities to die from AIDS-related illness; Nkosi Johnson was born with HIV/AIDS, died at the age of 12 (second picture)]
What do these people have in common?

2. HIV/AIDS AWARENESS AND PREVENTION: Empowerment through Education
UCI Flying Samaritans
HIV/AIDS AWARENESS AND PREVENTION: Empowerment through Education
Who are we, what are we doing here, and why?
UCI Flying Samaritans: student-run organization dedicated to providing free health care to the rural residents of El Testerazo in Mexico; run monthly clinic trips with physicians, dentists, and student volunteers like ourselves (introduce presenters, year and major)
In addition to serving our patients down in El Testerazo, we as an organization are dedicated to serving our community here through an initiative called “Empowerment through Education” with presentations like the one you’ll see today. The goal is a simple one: empower the youth (you guys!) with the knowledge and the awareness to make smart decisions and stay healthy. Our presentation today is going to focus specifically on HIV/AIDS.

3. HIV/AIDS Awareness and Prevention
What is HIV/AIDS?
Is HIV/AIDS a serious problem?
How is HIV transmitted?
What are the risk factors?
How can you prevent HIV/AIDS?

4. H I V What is HIV/AIDS? Human Immunodeficiency Virus
Human – only affects and lives in humans
Cannot live on toilet, bed sheets, towel, spoon, etc.
Immunodeficiency – disables body’s immune system
Attacks white blood cells; weakens resistance to infection
Virus – germ/microorganism that causes disease
Ask students if they know the acronym before going through each word and its meaning.

5. A I D S What is HIV/AIDS? Acquired Immune Deficiency Syndrome
Acquired – get/develop disease over period of time
Not hereditary; develops after birth from contact with virus
Immune – related to body’s defense against infection
Deficiency – weakened or disabled immune system
Syndrome – collection of signs and symptoms that indicate or characterize a disease
Ask students if they know the acronym before going through each word and its meaning.

6. AIDS is the disease caused by HIV
What is HIV/AIDS?
AIDS is the disease caused by HIV
progressively reduces the effectiveness of the human immune system
leaves individuals susceptible to opportunistic infections and tumors

7. What is HIV/AIDS?
Opportunistic infection – caused by pathogens that usually do not cause disease in healthy individuals
A compromised immune system presents an “opportunity” for the pathogen to infect
*Pathogen: a microorganism that causes disease
“HIV positive” – individual is infected; virus is present in the body
Flu symptoms a few weeks after infection
If left untreated, can develop into AIDS

8. IS HIV/AIDS A SERIOUS PROBLEM…
…for an individual? YES
High mortality rate for infected individuals
Costly drugs; no cure
…for society at large? YES
Long asymptomatic period (2 to 15+ years)

9. IS HIV/AIDS a Serious Problem? Worldwide
Number of people living with HIV:
33.3 million total
2.5 million children under 15 years of age
People newly infected with HIV in 2009:
2.6 million
AIDS deaths in 2009:
1.8 million
According to the WHO and UNAIDS

10. IS HIV/AIDS a Serious Problem? Worldwide
The number of people living with HIV rose from around 8 million in 1990 to 33 million by the end of 2009.
Since the beginning of the epidemic, nearly 30 million people have died from AIDS-related causes.

11. IS HIV/AIDS a Serious Problem? Worldwide
Over 7,000 new HIV infections a day in 2009
About 97% are in low and middle income countries
About 1,000 are in children under 15 years of age
Of the 6,000 in adults above 15 years of age…
…almost 51% are women
…about 41% are youth (15-24 yrs. old)
According to the WHO and UNAIDS

12. IS HIV/AIDS a Serious Problem? In the U.S.
It is estimated that more than one million people are living with HIV in the U.S. and that more than half a million have died after developing AIDS.
And the numbers are growing…

13. Candy Activity! 1) Exchange Candy
2) Write the names of the people you exchanged candy with on the cards
Directions:
We’re going to have an activity, and here are the directions
Each of you has a brown paper bag. Inside your paper bag you also have a blank index card and candies
Each of you will trade your candies with 5 other people in the classroom—make sure to write down the name of the person you trade with on the index card
Once you have traded candies with 5 people, you may take a seat again
BUT…some of you have special instructions already written on your index card—if you have a special instruction…follow that and not what we just told the class
Any questions? NO? Okay, Stand and mingle with your classmates! [=

14. The HIV Transmission Game
Purpose:
Demonstrate and raise awareness about how quickly HIV can be spread and how the spread of the virus can be stopped
Decrease stereotypes of HIV+ people
Peer Pressure
Risks of HIV transmission
Importance of safe sex practices
Be informed and take action
You cannot tell who has HIV/AIDS just by looking at them, and your risk of infection is related to the choices you make.
Possible Questions to ask:
Do you think HIV can spread quickly?
Most of you traded with people, and some of you traded with someone who was HIV+ in the game but you didn’t know…Do you think in real life you can truly distinguish between people who are HIV+ and not HIV+ just by looking at them?
What about the people that had special instructions? Where’s the married couple? How did you feel during this activity? Left out? Was it hard to not participate with others?
What about the one practicing abstinence? How did it feel? Do you guys think people really feel this pressure to trade hugs and kisses with others?
Abstinence is key—that’s one way to not get HIV. However, if you do not practice abstinence, then make sure you are making informed and safe choices.

15. HIV Transmission HIV is transmitted through bodily fluids...
1)Sexual Contact
Majority of HIV transmissions occur by unprotected sex
Via genital, oral, or rectal mucous membranes
2)Blood Exposure
Infected blood comes in contact with open wound
Ex: intravenous drug use, tattoos, piercings

16. HIV Transmission 3) Perinatal 4) Occupational
Mother-to-child transmission
during pregnancy, childbirth, or breastfeeding
4) Occupational
Healthcare/laboratory workers

17. HIV Risk Factors Having unprotected sex
Sex without using a latex condom
Risk increases if you have multiple sexual partners
Having another STD (sexually transmitted disease)
Many STDs produce open sores on your genitals, which provide doorways for HIV to enter body
Using intravenous drugs
Sharing needles can expose you to infected blood

18. 35 Reasons
Background: A couple adopted boys. One boy, Charles DePrince, was a hemophiliac. To help treat his medical condition, he had to get blood transfusions. This was during the 80’s when they did not yet screen blood for virus/diseases like HIV. During a blood transfusion, he became HIV+. His mom wrote a book and she included his list of reasons why you should never have HIV. His goal was to write 100 reasons why not to have HIV, but he passed away before he was able to finish. In the end, he had written 64 reasons. Today, we will go over 35 of the reasons why you do not want to have HIV.

19. 1
You have to take so many pills that your stomach feels filled up with pills and you don’t feel like eating your dinner.

20. 2
Some of the pills make you feel like you have to throw up, so you carry a vomit bucket all around with you.

21. 3
You get oral thrush in your mouth and down your throat and the pain is so bad that every time you swallow it feels like you swallowed a rusty Brillo.

22. Your taste buds don’t work right, so your food tastes weird.4
Your taste buds don’t work right, so your food tastes weird.

23. 5
You get shingles. They are blisters that go around your body in a circle. They make your back hurt so much that you have to be hunched over, and when you get covered with a sheet, it feels like someone is stabbing you.

24. 6
You get scared because you can’t breathe and you feel like you are suffocating.

25. 7
Your hair falls out.

26. 8
Your eyes get infected and swollen shut and yucky white stuff oozes out and then your eyes get glued shut.

27. You get an ugly fungus under your fingernails.9
You get an ugly fungus under your fingernails.

28. 10
The fungus itches and hurts because it pushes your nails, so you bite your nails to make them feel better.

29. Your medicines make your teeth turn black.11
Your medicines make your teeth turn black.

30. 12
You don’t grow.

31. You get diarrhea most of the time.13
You get diarrhea most of the time.

32. 14
Your brain shrinks and you sometimes forget what you are talking about, and suddenly you forget how to write cursive.

33. 15
Your bone marrow stops working and you have to get Neupogen injections every other day.

34. 16
You get infections in your bloodstream and have to get IV antibiotics every day.

35. 17
Some of the IV antibiotics give you bad rashes all over your body and when you go outside, all of the fruit flies follow you around so you can’t even enjoy a picnic.

36. 18
You have to gargle with some stuff that numbs your herpes sores and it also numbs your throat, so your saliva goes down the wrong tube and you choke.

37. You get heart failure and your face and stomach swell up.19
You get heart failure and your face and stomach swell up.

38. You get tumors in your liver.20
You get tumors in your liver.

39. Your liver gets so big that you look like you swallowed a watermelon.21
Your liver gets so big that you look like you swallowed a watermelon.

40. 22
If your liver gets too big, then you have to sit half lying down and half sitting up. Then it’s hard to paint your model airplanes because the paint drips on your stomach.

41. 23
When your heart is failing and your liver is gigantic, it is hard to breathe because your lungs are filled with liquid and they are getting crushed all the same time, so you feel like a hippopotamus is sitting on you.

42. 24
You have to go to the hospital outpatient department and get packed red blood cells because you are too anemic and your heart beats about two hundred times a minute.

43. 25
With a watermelon belly, skinny arms and legs, black teeth, and hair that’s falling out, and being pushed around in a special reclining wheelchair, people stare at you in the mall, so you have to stick your tongue out at them when your parents aren’t looking.

44. 26
You miss your old bed that your dad made for you when you were little, because now you have to sleep in a hospital bed so that you can sit partway up to breathe.

45. 27
You feel embarrassed when you wet your bed, even though your mom says its OK, not to worry because she feels like putting some cheerful, clean sheets on the bed anyway, and you know that’s not true because a mother would be crazy to want to change sheets in the middle of the night.

46. 28
You have to make a will and decide who to leave all of your treasures to, especially your favorite teddy bear that your mom and dad bought you when you were four years old.

47. You worry about whether your dog will be OK when you die.29
You worry about whether your dog will be OK when you die.

48. 30
You think about what it would be like to grow up, but you know you won’t.

49. You wonder if it is painful when you die.31
You wonder if it is painful when you die.

50. 32
You make your mom promise to give you enough morphine when you are dying so that you don’t feel any pain.

51. 33
You do a lot of important things because you have to squeeze them into a short time like ten or eleven years instead of eighty-seven.

52. 34
You try to be extra good and cheerful because if you are extra good and cheerful when you go to heaven, you’ll get to be a guardian angel. Being a guardian angel is a better job than just being a spirit.

53. You wonder if people will still remember you after you are dead.35
You wonder if people will still remember you after you are dead.

54. Discussion Questions Which of his reasons stood out to you?
How did you feel from this activity?
Did you get a sense of what life might be like with HIV?
Are you motivated to protect yourself from contracting HIV?
How did you feel from this activity? Which of the boy’s reasons stood out to you and why?

55. Decision-Making to Avoid Risks
Educate yourselves and others
Books, pamphlets, presentations
Talk to someone you trust
Counselor, doctor, parents, teacher
Choose your friends wisely
Let the kids know that the more informed they are about the risks involved with getting HIV, the more they will be able to identify risks and make better decisions. Also, by listening to presentations like this.
By talking with someone they trust, they can present their problems/dilemmas to someone who has been through something similar and can help them through the problem in a safer way. Ex: peer pressure to have sex, use drugs, etc.
Choosing friends wisely will help them avoid the possibility of peer pressure into illegal drugs, sex before they’re not ready, unsafe sex, etc. Good friends will also provide them a positive outlet for any problems they might have that can be worked out rationally rather than through ways that might lead to greater risk of infection.

56. Safe sex and abstinence are key
Avoiding Risks
Take care of yourself
Safe sex and abstinence are key
Tell the kids to make sure they avoid using illegal drugs, sharing syringes (which brings back to the point of choosing your friends carefully)
Good personal hygiene includes them paying attention to what they’re touching (i.e. contact with other people’s blood or other bodily fluids), use clean restrooms since you never know who’s used the toilet before you.

57. Postponing Sex Until You are Ready: Possible Advantages
-Health Issues (risk of HIV, other STDS, unintended pregnancy) -The benefits of waiting until you are ready to for a mature and healthy relationship (emotional and other related ramifications) -No matter what your decision: MAKE INFORMED AND SAFE CHOICES ABOUT WHEN TO HAVE SEX

58. Advantages of not Using/Abusing Drugs and Alcohol
-Once again, HEALTH (damage to the brain and the rest of the body) -Addiction (physical, mental, and emotional damage, damage to relationships with others, and the ability to focus and work towards goals) -Not effective coping strategy for problems, fears, anxieties, depression---gives only temporary relief

59. A Vaccine for HIV/AIDS?
o/d_hiv1_dis_aids1_qt_h.html

60. Discussion: Is HIV/AIDS a serious problem? Is there a cure for AIDS?
25% of new infections are HIV that are drug resistance to multiple different drugs
Identify facts/data and scientific method.
Introduce statistics/epidemiology.

61. Contact us—we’re here to listen!
Questions, Concerns?
Contact us—we’re here to listen!
Angela Gutierrez
Armaan Rowther