Feature HIV/AIDS

Mass economic migration: the greatest threat to HIV control in India

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f474 (Published 29 January 2013) Cite this as: BMJ 2013;346:f474

Re: Mass economic migration: the greatest threat to HIV control in India

This sad revelation yet again points to the potent aetiological intersection of poverty and poor education driving communicable diseases, particularly in third world countries, of which India is one foot in, one foot out.

- I do not foresee any micro-solutions being effective here.

- Macro-solutions that target the larger issue of paramountcy of family cohesion might go a long way reducing the epidemics.

- Govts must bring jobs closer to its citizens such that temporal and spatial separations between family members are reduced or eliminated.

- or employers must encourage a remuneration and service pattern that makes allowance for intramural presence of spouses if migration is deemed inevitable.

- education of course must seek to unseat unhelpful habits and poor morals but as we know, biology always trumps everything else, including religion, when all is said and done.

- the micro-solutions of condoms dotting the migration corridors is a 'half loaf' attempt unlikely to secure tangible control in an epidemic so tied into such banal desires as 'sex on the run' amidst sex-starved over-laboured underpaid migrants, male or female.

- work environments should also create engaging pastime activities that can allow migrants who are away from their familiar home niches occupy their free time with less/non sexual exploits;

- the only recreation affordable by the poor is often sex, mostly indecent too and now poisoned as well.

- so we are back full circle to addressing socioeconomic factors that cause migration in the first instance (in the majority of these cases) and subsequently expose migrants, family and community to hazards;

- in the end, a burden on national GDP/GNP;

- how much better if that burden is prevented in the first instance by governments facing the safer/easier burden upstream; one of jobs for the boys/girls 'within the blocks' rather than out in the dangerous far away field.

Competing interests: No competing interests

31 January 2013
BASIL B FADIPE
surgeon
justin fadipe centre
mero heights. commonwealth of dominca
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