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published in(发表于) 2016/12/1 4:11:17
HIV through drug investigation: selling free medicines

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中文

HIV drugs investigation: | | people living with HIV/AIDS _ was resold free medicine news

> Data: College students posing as "AIDS" seek hugs to publicize AIDS knowledge. Cao Zhengping photography

CNS, Beijing, December 1 (reporter Tang Qi)-to strengthen AIDS prevention and control in 2003, the State put forward the "four frees and one care" policy, 13 years, people living with AIDS in China generally taking antiviral medications are available in hospitals and centers for disease control free.


However, with the increase of infected people, forget drugs, drug shortage of small probability events becoming more common, one day be off drugs for people living with HIV how to deal with? In addition to take medicine in addition to what they'll survive confused?


  Take medicine free medicine from which students can "profit ”?


"This situation prevails. "Shaanxi love supporting people living with HIV organizations between Wu Yong, head of AIDS-infected people take drugs is not new. Antiretroviral therapy more than 10 years experience of Wu Yong told reporters that "some patients may travel luggage lost or forgot to take the medicine, or booking travel for two or three days, and longer, resulting in running out of medicine. ”


Wu Yong is responsible for public service organizations, take drugs is common. "Our party a few days ago, some patients with do not develop drug habits, we eat until 10 o'clock that day, some 9:30 pills, what should we do? Can only ask who ate the same drug combination, they borrow each other. ”


In recent years, with the increase in the number of HIV infections, forget drugs, drug shortage of small probability events becoming more common, some people saw "opportunities".


Once started, "AIDS apartments", initiatives to eliminate discrimination of Cheng Shuaishuai is one of them, according to media reports, he set up "drug transfer platform" and accept "deposits" drug lent, also charged with "purchase cost" way to help people living with HIV back to import drugs from abroad, in HIV circles controversial.


Beijing people tut on this, "said his medicine is patient gifts or a low bid, will be provided by the State free of prescription drugs for resale to others, and profit from, the property is resold. ”


Shanghai infected Ai Jie also questioned, he said, "the purchasing channels of drugs could not be confirmed, continuingly, drugs unknown if you only live, eat there may be life-threatening, this purchasing method is reasonable? ”



>

Information: Sichuan Southwest College staff and students "act toward zero, HIV and AIDS" mass oath, signature activity. Mao Chengshan photography


  Once you start medication, one cannot stop


Take medicine arose because of the phenomenon of AIDS medication in the treatment process is extremely rigorous, infections once you start medication, could not stop a day. The teenager said, "drugs by the amount of time to eat, try to be punctual, drug make-up, mix a lot. ”


"CDC is not that professional. "Wu Yong said, because they are not therapeutic institutions, some even say stop for two or three days are okay. "But patients know that this cannot be stopped by day, doctors do not recommend withdrawal. "He said.


Beijing Youan Hospital infectious diseases Department attending physician Li Tong said in Beijing, Xinhua said in an interview that "withdrawal can lead to people living with HIV viral load increases, the immune cells are destroyed, causing immunodeficiency, even the appearance of drug resistance, also need dressing, but cannot stop taking the pill. ”


Would go to the disease control centers and hospitals free tonic? Li Tong had admitted that "difficult", he asked, "How do you prove that they are lost, not to cheat drug? ”


Leshan, Sichuan Center for disease control, HIV/AIDS prevention and control project leader Chen Xiaoyu said, there are people living with HIV after they lost to the CDC for help, "the process is too much trouble to go, for example, you take medicine for two days, the formalities well handled, General or let mutual borrow between people living with HIV. ”


New Chen Xinhua photo "src ="/2016/1130/20161130183932.jpg "style=" border:PX solid #000000 "title =" information: the medical staff in the "positive" work. New Chen Xinhua photo "/> information: the medical staff in the" positive "work. New Chen Xinhua photo


  Different threshold for lead drug, drug habits


According to Chen Xiaoyu introduced, now on the management of people living with HIV/AIDS have been implemented throughout the community, a strong sense of territoriality, it is difficult to achieve a zero threshold for off-site lead drug, which can cause infections cannot be timely tonic in the field of travel medicine forgotten.


"In addition, it may be due to migration, cities brought drugs of the people living with HIV need to be replaced, if transfer procedures not done in time, people living with new lead drug has not received information, also can lead to bring drugs, can do is ask patients for help, take medicine for two days myself. "Ai Jie said.


He also told Beijing, reporter, "some patients have drug habits, first time delay for half a month, a month before starting to take medicine for a rainy day, so as to avoid off drugs. ”


In 2011, Wu Yong is responsible for public welfare organizations began to collect some patients for drug resistance and died while the rest of the drugs, he says, "according to the specifications of pharmaceutical administration, which sent medicine and open medicine can't be recovered, only when medical waste treatment, the medication we take them as working capital, lent to needy patients. ”


"If a patient lost medication, or to carry insufficient drugs, take medicine each other through Twitter, or take drugs to local public organizations. "Thoth says this method is" secure "," but individual people or worry about privacy leaks, take pills and didn't return it will bring trouble to people who borrowed drugs. ”



>

Information: Sichuan Southwest College 10 flight attendants and less empty "AIDS" status, to passing pedestrians ask for hugs, to be "AIDS prevention" campaign. Mao Chengshan photography


  Doctor limited space, tolerance is more important to understand


From 2003 States "four frees and one care" policy, 13 years, expanding the scope of AIDS antiretroviral therapy for free. Chen Xiaoyu said, according to the current national policy once, as long as people living with HIV, have free treatment.


However, infections brought the drug's limited time and channel, antiviral drugs are not as popular imagination everywhere you can buy, and get. King Tut told Xinhua Beijing, reporter, "people living with HIV can go to designated hospitals or centers for disease control to carry drugs, and even some local regulations, only half a day a week can get the drug. ”


In addition, put in front of people living with HIV and other disease treatment inconvenience. Day after day the medication will lead to liver and kidney function loss, people living with other diseases, if you go to a non-designated hospital, fearing rejection cases.


In this regard, has 14 years experience of AIDS prevention and control work Chen Xiaoyu hoped that people living with HIV and doctors understand each other, he admitted that "some patients had poor immunity, if he had the surgery, wound healing is very long, and instead is likely to delay the disease, once associated with other complications, the doctor is like helping a disservice. ”


"Why our drug cannot be delegated to other hospitals? "TUT and asked a lot of battles and confused, Wu Yong believes that" AIDS drugs if access to more hospital libraries, patients can go to the hospital pharmacy, were not confined to hospitals, treatment of other diseases will be more widespread. ”


Chen Xiaoyu hope that society could not "mere mention of AI", he said, "a lot of people understand AIDS is a chronic disease, hearing aids, is deemed contagious, caused by mistaken for moral corruption, misconduct. ”


"Tolerance and understanding, more important than treatment. "Chen Xiaoyu said. (Respondents required, some characters in the text for a pseudonym) (concluded)




>: Tang Xiang Changming SN123





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People living with HIV/AIDS

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艾滋感染者购药调查:有人倒卖国家免费药|感染者|艾滋病_新闻资讯
>资料图:大学生扮“艾滋病患者”求拥抱,宣传防艾知识。曹正平摄

  中新网北京12月1日电(汤琪)为切实加强艾滋病防治,2003年,国家提出了“四免一关怀”政策,13年来,中国艾滋病感染者普遍服用的抗病毒药物均可在定点医院和疾控中心免费领取。


  然而,随着感染人群的增多,小概率忘药、缺药事件越来越普遍,一日不可断药的感染者该如何应对?除了相互借药之外,他们还会面临哪些生存困惑?


  相互借药,免费药物也能从中“获利”?


  “这种情况普遍存在。”陕西爱之家HIV感染者支持组织负责人吴勇对艾滋病感染者之间的借药现象并不陌生。有10年多抗病毒治疗经历的吴勇告诉记者,“有的病友可能出差时把行李丢了,有的忘记带药,或者预定出差两三天,结果时间更长,导致药不够了。”


  在吴勇负责的公益组织里,借药现象很常见。“我们前几天聚会,有的病友没有养成随身带药的习惯,那天我们吃饭吃到晚上10点,有的人9点半就要吃药,那怎么办?只能问谁吃一样的药物组合,就相互借一下。”


  近年来,随着艾滋病感染者的数量增多,小概率忘药、缺药事件变得越来越常见,一些人从中看到了“商机”。


  曾经创办过“艾滋公寓”、倡议消除歧视的程帅帅就是其中一员,据媒体报道,他在网上建起“药品转让平台”,收取“押金”进行药物转借,还以收取“代购费”的方式,帮助感染者从国外带回进口药物,在艾滋病感染者圈内引起争议。


  北京的感染者图特对此表示,“他的药物来源是病友赠送或者低价收购的,将国家免费提供的处方药转售给他人,从中牟利,这性质就是倒卖。”


  上海的感染者艾洁也提出质疑,他说,“代购药物由于渠道无从考证,真假难辨,如果你唯一活下去的药物来路不明,吃了还有可能危及生命,这样的代购方式合理吗?”


>

  资料图:四川西南航空专修学院全体师生进行了“行动起来,向零艾滋迈进”的万人宣誓、签名活动。毛成山摄


  一旦开始服药,一天都不能停


  借药现象的出现是因为艾滋病治疗过程中的用药极其严格,感染者一旦开始服药,就一天都不能停。图特说,“药要按时按量吃,尽量准点,药的禁忌很多,组合也很多。”


  “有些疾控中心也没有想象的那么专业。”吴勇表示,因为不是临床治疗机构,有些工作人员甚至说停两三天都没事。“但病人都知道,这是一天都不能停的,医生也不建议停药。”他说。


  北京佑安医院感染科主治医师李侗曾在接受中新网记者采访时也表示,“停药会导致感染病毒载量升高,免疫细胞被破坏,导致免疫缺陷,即使出现耐药,也需要及时换药,但不能停药。”


  能否去疫控中心和定点医院免费补药?李侗曾坦言“很难”,他反问,“你怎么证明自己是丢失了,而不是为了骗药?”


  四川乐山疾控中心、中默艾滋病防治项目负责人陈晓宇则表示,确有感染者在丢药之后向疾控中心求助的,“要走的流程比较麻烦,比如说你借两天的药,这个手续不好办理,一般情况下还是让感染者之间相互借一下。”


  中新社记者 陈超 摄“ src=”/2016/1130/20161130183932.jpg“ style=”border:px solid #000000“ title=”资料图:医务人员在“阳性标本处理区”进行工作。中新社记者 陈超 摄“ />资料图:医务人员在“阳性标本处理区”进行工作。中新社记者 陈超 摄


  异地领药有门槛,屯药成习惯


  据陈晓宇介绍,现在对艾滋病感染者的管理已经落实到各地的社区,属地意识较强,还难以实现零门槛的异地领药,这可能造成出差忘药的感染者无法在外地及时补药。


  “另外,可能由于迁移,感染者需要更换领药的城市,如果转接手续没能及时办好,新的领药地还没有收到感染者资料,也会导致无法领药,只能暂时找病友帮忙,借两天药缓解一下。”艾洁说。


  他还告诉中新网记者,“一些病友有屯药的习惯,第一次领药时延迟半个月、一个月再开始吃药,以备不时之需,以免断药。”


  2011年,吴勇负责的公益组织开始搜集一些病友因耐药和病故而剩下的药品,他说,“按药品管理的规范,这些发出去的药和打开的药不能再收回,只能当医疗废物处理,我们就把它们作为周转的药,借给有需要的病友。”


  “如果有病友遗失药物或者随身携带药物不足,会通过微博互相借药,或者向所在地的公益组织借药。”图特表示,这个方法目前是“有保障的”,“但有个别人或担心隐私泄露,在借药之后没有归还,这会给借出药物的人带来困扰。”


>

  资料图:四川西南航空职业学院的10名准空姐、准空少以“艾滋病患者”的身份,向过往的行人索要拥抱,以此进行“防艾”宣传。毛成山 摄


  看病空间有限,包容理解更重要


  从2003年国家提出“四免一关怀”政策开始,13年来,艾滋病免费抗病毒治疗范围不断扩大。陈晓宇表示,按照现在的国家政策,一旦发现,只要感染者愿意,都可以免费治疗。


  然而,感染者领药的时间和渠道有限,抗病毒药物并不像大众想象的那样随处都可以买到、领到。图特告诉中新网记者,“感染者只能去定点医院或疾控中心领药,甚至有的地方规定,一周只有半天可以领药。”


  除此之外,摆在感染者面前的还有其他疾病治疗上的不便。日复一日的服药会带来肝、肾功能损耗,感染者碰到其他疾病时,如果去非定点医院看病,又担心遭遇拒诊。


  对此,有14年艾滋病防控工作经历的陈晓宇希望感染者和医生能相互理解,他坦言,“有的病人本来免疫力就很差,他如果做了手术,伤口愈合是很漫长的,相反还有可能延误病情,一旦引起其他并发症,医生就像是帮了倒忙。”


  “为什么我们的药物不能下放到其他医院?”图特问出了不少病友的困惑,吴勇则认为,“艾滋病药物如果能进入更多医院的药库,病人可以去各大医院看病拿药,不用局限在定点医院了,治疗其他疾病的平台也会更广。”


  陈晓宇希望,全社会不能“谈艾色变”,他说,“很多人理解不了艾滋病只是一个慢性病,一听到艾滋病,就认为是传染性的,就误认为是道德败坏、行为不端导致的。”


  “包容和理解,比治疗更重要。”陈晓宇说。(应受访者要求,文中部分人物为化名)(完)



>责任编辑:向昌明 SN123





文章关键词:
感染者 艾滋病

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