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Igor believes there isn't much
he can do to safeguard himself from contracting HIV. In any case, he said,
there are no guarantees in life.
"Of course, everyone should use
a condom," he said. But he couldn't quite put his finger on why. "You're
just supposed to. I don't really know what for."
Igor is far from alone in his
apparent ignorance about HIV, as an informal poll on Pushkin Square indicated
Thursday. Several recent national surveys also conclude that many Russians
lack adequate information about HIV and AIDS.
As HIV/AIDS activists and government
officials prepare to commemorate World AIDS Memorial Day on Sunday, they
are stressing that Russia has a serious education problem that is contributing
to a national AIDS epidemic.
"Our society is not ready, it
doesn't understand what it's dealing with," said Vadim Pokrovsky, the top
government AIDS official, at the Federal AIDS Center. "We spend $1 million
per year on awareness programs. We should be spending $70 million," he
said at a news conference Thursday.
Widespread misconceptions about
how HIV is transmitted are a big reason behind the country's ballooning
infection rate, now one of the highest in the world, Pokrovsky said.
On Pushkin Square, just a few
meters away from Igor, a young woman smoking a cigarette said she did not
know whether a condom prevents HIV infection.
Nevertheless, she said, she always
uses one. But, like Igor, she could not say exactly why. "Some boys don't
want to," she said, adding with a sheepish grin, "I know how to deal with
that."
Viktor Safin, a 25-year-old clothing
store manager, was more sure of himself. "Of course you use a condom to
protect against AIDS," he said. "And you should go to your doctor for tests."
Surveys indicate Safin is in the
majority, but not by much. While three-fourths of Russians think that HIV/AIDS
can be prevented, only 59 percent believe regular condom use reduces the
chance of infection, according to the Russian Longitudinal
Monitoring Survey, a Russia-wide poll of 6,115 people led by the
University of North Carolina.
"There is an urgent need in Russia
to educate people, especially young people, about the dangers of HIV transmission
through unsafe sexual practices and about the need to take preventive measures,"
said the report, which was released last month.
Sex education is all but absent
in schools, and parents were raised in an era when safe sex wasn't discussed.
That leaves young people with little choice but to learn about HIV and
AIDS from their friends and the media.
A lack of understanding not only
fuels the spread of HIV and AIDS, but it also leads to discrimination against
those who are infected, said Rian Van de Braak, head of AIDS Foundation
East-West, an NGO.
"This is an epidemic that started
around drug users, sex workers and prisoners, and these groups are
often treated as scapegoats for the disease," she said.
But in Russia, the illness is
spreading quickly beyond these groups. In 2001, about 5 percent of new
infections were from heterosexual sex, but the number soared to 20 percent
last year, Pokrovsky said.
A recent Focus-Media poll indicates
that fewer than 25 percent of Moscow residents think an HIV-positive teacher
should be allowed to continue teaching, while only 10 percent would continue
shopping at a grocery store whose owner was infected with HIV. Almost half
of respondents said people with HIV should be isolated from the rest of
society.
Poll findings also indicate that
more than half of Moscow residents believe HIV can be contracted by sharing
a glass of water with an infected person or dining at a restaurant with
an HIV-positive server.
Focus-Media polled 1,200 Moscow
residents. No margin of error was given.
On Sunday, HIV/AIDS groups are
planning a "memory bridge," a series of demonstrations in 30 Russian cities,
including Moscow and St. Petersburg. Organizers expect a crowd of about
500 people to turn up for the Moscow rally on Bolotnaya Ploshchad, across
the Moscow River from the Kremlin. It starts at 2:00 p.m.
Worldwide, more than 25 million
people have died from AIDS, including 4,357
in Russia. There are about 280,000 registered cases of HIV and AIDS in
Russia, but Pokrovsky said the real number
is closer to 1 million.
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