1. MS FRCS MCh(Urology) Member of Parliament

2. Role of Parliamentarian Legislator Budget Allotment Prevention Drugs Treatment Centers / Facilities Rehabilitation Awareness

3. Natural History Acute Infection 2 to 3 weeks Recovery + Serovonversion 2 to 4 weeks Asymptomatic Chronic Infection Average 8 years Symptomatic Infection AIDS Death

4. HIV HIV Antigen 2 to 6 weeks Window Period HIV Antibody After 6 weeks

5. Tests TestSpecificitySensitivityCost Tridot96 Rs. 150 ELISA99% Rs. 250 Western Blot 100%Rs. 1500

6. TestSpecificitySensitivityCost RTA – PCR 100% Rs. 4500 Tests

7. Why AIDS is Unique? Plague Small Pox Tuberculosis Malaria Syphilis

8. Asymptomatic Stage Average 8 years Range 3 to 15 years HIV + ve but not AIDS Patient

9. Cultural Change / Challenge Homosexuality Promiscuity Premarital Sex Casual Sex

10. Legislation Mandatory Premarital Testing? Mandatory Testing before employment? Compulsory Testing of Antenatal Mothers? Punish Doctors refusing treatment of HIV / AIDS patients? Guidelines for safe medical practice – safety of Medical and Paramedical personnel

11. Questions? Condom vending machines in educational institutions? Condom vending machines in Army barracks? Making it Compulsory to put hoardings on safe practice of sex and warning against AIDS in all Public / Private industries

13. Disease Spread Air Coughing Sneezing

14. Urine Faeces Disease Spread

15. Transmission Food Water

16. Sweat Saliva Tears Disease Spread

17. Semen Vaginal Fluid Disease Spread

18. Sexual Intercourse Vaginal sexual intercourse Man to Women Women to Man Disease Spread

19. Anal Sex M with M M with W Disease Spread

20. Oral Sex Disease Spread

21. Use of Condoms When Properly Used Disease Spread

22. Tissue Transplantation Disease Spread

23. Blood and Blood Products Blood Transfusion Intravenous Drug Users Health care workers Disease Spread

24. Doctor to Patient Infected Physician Dental Procedures Patient to Doctor Disease Spread

25. Inanimate Objects Cloths Towel Tooth brush Shaving Blade Disease Spread

26. Vectors Mosquitoes Bed Bugs Disease Spread

27. Using Public Toilet Disease Spread

28. Ear, Nose Piercing Disease Spread

29. Tattooing Disease Spread

31. Mother to Foetus During Pregnancy At the time of Birth Breast Feeding

33. Prevention Abstinence Before Marriage Faithfulness after Marriage

34. Life is a pain. And enjoyment of love is an Anaesthetic Cesare Pevese

35. Safe Sexual Practice Use of Condoms When Properly Used

36. Washing of Genitalia after sexual intercourse Disease Spread

37. Masturbation Circumcision Disease Spread

38. Postexposure Prophylaxis After Sexual Intercourse AZT After Solid Needle Prick AZT After Large Bore Needle Prick AZT + LPV/r

39. Sexually Transmitted Diseases Syphilis Chancroid Gonorrhoea HPV Herpes LGV Fungal Infections

40. Vaccines Research level