1. HIV and TB; Media for Change Natasha Rybak, MD Brown Ukraine Collaboration May 21, 2012

2. “Today, 8,000 people will lose their lives to HIV/AIDS and another 14,000—10 people every single minute—will become newly infected.” -UNAIDS “Global situation and trends: Since the beginning of the epidemic, more than 60 million people have been infected with the HIV virus and approximately 30 million people have died of AIDS. In 2010, there were an estimated 34 million people living with HIV.” - WHO Statistics HIV

3. TB Key facts Tuberculosis (TB) is second only to HIV/AIDS as the greatest killer worldwide due to a single infectious agent. In 2010, 8.8 million people fell ill with TB and 1.4 million died from TB. In 2009, there were about 10 million orphan children as a result of TB deaths among parents. TB is a leading killer of people living with HIV causing one quarter of all deaths. Multi-drug resistant TB (MDR-TB) is present in virtually all countries surveyed. WHO, http://www.who.int/mediacentre/factsheets/fs104/en/

4. From Stigma to Hope by Staffan Hildebrand http://vimeo.com/32704313

5. Why is Media Important? “The triangle of denial, stigma and discrimination” - UNAIDS

6. What the Media Can Do Talking about it Creating a supportive and enabling environment Challenging stigma and discrimination Promoting HIV/AIDS and TB services Educating and entertaining Mainstreaming Putting HIV/AIDS and TB on the news agenda and encouraging leaders to take action Sharing Resources, pooling material Capacity Building Adapted from the Global Media AIDS Initiative, UNAIDS

7. HIV and TB as a community These diseases can affect anyone either directly or indirectly TB sees no boundaries and all are at risk Building a community response is essential Supportive environment

8. Fighting Stigma Fear and Misunderstanding, a quote from a UNICEF Report in Ukraine: “Sex workers and drug users are perverted elements of society...HIV/AIDS is a disease of the depraved”.

9. HIV and TB in Ukraine Current estimates are that around 360,000 individuals living in Ukraine are infected with HIV. Among HIV infected individuals, there are an estimated 6,903 cases of active TB. There are around 38,000 active TB cases total in Ukraine. Each of these cases of active TB can spread infection to any of those around them. On average each spreads TB to 10-15 other people.

10. HIV in Ukraine Ukraine has the fastest growing HIV epidemic in Europe Text 1.4% of the population, many of them young

11. TB in Ukraine 102 new cases of TB per 100,000 people (32 per 100,000 in 1991) 26% of these cases are multi-drug resistant, some XDR Vertical health care system A crippled health care system has limited effective diagnosis and treatment

13. HIV news in the US This week: “Double whammy of setbacks cripple war on AIDS” -MSNBC “FDA panel backs first rapid, take home HIV test” -US News Health Report “Michigan man may have intentionally infected hundreds with HIV” -US News

15. Media Change over time in US AIDS at 21, Media Coverage of the HIV Epidemic 1981-2001. Brodie et al.

16. Increase in coverage from the International AIDS Conference- 3% total HIV coverage Global Coverage of HIV new trend Recent US Media Trends

17. Discussion Divide into 3 discussion groups

18. Discussion Questions List 3 things that are good about the article List 3 things that can be improved on in the article Does the article make you understand how a patient with HIV and/or TB feels? If you had HIV or TB infection, how would you feel reading this article?

19. Discussion Questions Did you learn something new about HIV and/or TB from this article? Are there ways to prevent HIV or TB? Do you have more questions after reading the article?

20. Do the articles educate on transmission, prevention, testing and treatment? Is there a balance between optismism and pessimism?

21. Social Media Blogs Facebook Twitter Other forms of social media?

22. Cell phone technology Access to people who don’t have stable homes SMS messaging, less invasive low-cost

23. Visual Media http://vimeo.com/28848503 The work of Maxim Dondyuk

24. Thank you! Thank you also to the ANTIAIDS Foundation for their generous support!