正文 第32章 附錄(17)(1 / 3)

ThedangerofinvokingtheHIV/AIDSepidemictopromotemeasurestoprotectsexualminorities(especiallygay,bisexualandtranssexualpersons)isobvious.Linkingalreadystigmatizedminoritiestoanepidemicthatisthesourceofignoranceandfear,mayonlyaddtotheburdenofstigma.Nevertheless,theexistenceofthiscohortofpeopleatriskdemandsinitiativesspecificallyaddressedtotheirrisk.Suchinitiativeswill,totheextentthatitisrelevantandpossibleinChina,drawupontheexperienceofothercountries.Itwillrequirelegalinitiatives,affordinglegalprotectionsthataccepttheHIV/AIDSparadox.

Inthecountrieswhereinitiativeshavebeensuccessful,theyhaverelevantlymobilisedgayrepresentativegroupstospreadknowledgeaboutHIVandthemodesofitstransmission;providedinformationcampaignstargetedatsuchgroups;educatedpoliceandotherofficialssoastoreducetheharassmentandalienationofthiscohort;promotedandadoptedlawsandpoliciesaffordingprotectionandredressagainstdiscrimination,inequalityoftreatmentandviolence;andacceptedstrategiestoencourageamorerationalandinformedpublicawarenessoftheexistenceofsexualminoritiesandanunderstandingoftheirhumanneeds,whicharesubstantiallythesameasthoseofothercitizens.

Mixedmessages:DespitethedangersofmixingthemessagesofsexualequalityandHIVpreventionandcare,theadventofHIVdoesrequireofallsocietiesintheworldamorerationalandinformedapproachtowardstherealworldofhumansexualdiversity.

Thismaybeuncomfortablefortraditionalists.Itwillbeopposedbysomereligionists,inthenameofdivinerevelation.However,certainlyinthecurrentstateofvaccineandtherapeuticdevelopmentsandavailability,nootherstrategyislikelyinpracticetoreducethespreadofHIVandlessentheenormousburdenoftheepidemic.Thatburdenisindividualandsocial.Itiseconomicandthreatenstorobmanydevelopingcountriesofthefruitsofhard-earnedeconomicprogress.Importantchoiceshavetobemadebypoliticalleaders.Somuchiscoldreality.Itistheroleofuniversitiestoprovidethoseleaderswithscientificdataontheextentoftheepidemic;onitspotentialcosts;andonthecrucialdecisionsthathavetobemadetocontainitandreduceitsimpact:personal,social,nationalandglobal.