AIDS epidemic shifts, Vietnam makes policy change

By Grant McCool
Monday, December 25, 2006; 2:06 AM

HANOI (Reuters) - A stocky woman in blue jeans with spiky, gelled black hair dances on stage at one of Vietnam's rural rehabilitation centers, leading a hip-hop style chant.

"Hold hands together, we'll stop AIDS together," shouted the former heroin addict patient who returned to the rehabilitation center to encourage over a thousand recovering drug users and prostitute inmates, a third of whom have HIV or


People face stigma and discrimination when they leave the minimum security centers, especially if they are infected with HIV or have AIDS. HIV-infected people are often refused employment and their children denied schooling.

"Everybody should unite in combating this disease," said Danh Thu Hanh, 36, a former addict who spent two years as an inmate.

Hanh works as a supporter of a self-help group called Cactus Blossom, one of about 30 that have emerged in recent years in Vietnam to represent people living with HIV and AIDS.

Vietnam's epidemic is less advanced than its Southeast Asian neighbors Cambodia and Thailand, but the United Nations estimates there are at least 280,000 HIV infections in a population of 84 million.

Health authorities report that the number of new cases is rising rapidly at 100 new infections per day. There were an estimated 14,000 AIDS-related deaths in Vietnam in 2005.

More infections are now caused by sexual transmission than by injecting heroin with unsterile needles and syringes, a worrying change in the course of the epidemic as the Communist-run country works to prevent it spreading into the general population.

In the southern commercial hub of Ho Chi Minh City and in northeastern Haiphong city and Quang Ninh province on the border with China, the epidemic is becoming generalized, experts say.


On January 1, a new law comes into effect that experts say is a broad policy framework for HIV/AIDS prevention and treatment in underdeveloped Vietnam.

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