Hello, and welcome to Health For a Lifetime. 00:00:47.10\00:00:48.93 I am your host Don Mackintosh, we're glad you are 00:00:48.96\00:00:51.29 with us today and we are glad that Dr. Alan Handysides is 00:00:51.32\00:00:54.67 with us today. Welcome! Thank you very much! 00:00:54.71\00:00:56.92 I think I said that right, Dr. Alan Handysides, right? 00:00:56.96\00:00:59.41 That's right! And your specialty through the years has been 00:00:59.45\00:01:03.21 dealing with mothers, and with kids, and maternal health, 00:01:03.25\00:01:06.17 Obstetrics, Gynecology, and Pediatrics, isn't that right? 00:01:06.20\00:01:10.14 That's right! But now you are more involved 00:01:10.17\00:01:12.12 in a global health ministry, you are working in 00:01:12.15\00:01:14.21 many countries around the world. 00:01:14.24\00:01:16.60 I'm very privileged actually to be General Conference 00:01:16.63\00:01:20.07 Health Ministries Director for the Seventh Day Adventist 00:01:20.10\00:01:22.63 Church Worldwide, yes. 00:01:22.66\00:01:24.03 Alright, now one of the concerns, 00:01:24.06\00:01:25.62 many times on Health For a Lifetime we have dealt with 00:01:25.65\00:01:28.21 I guess we would call them the diseases of affluence, 00:01:28.24\00:01:31.40 Western society, that type of thing where we have 00:01:31.43\00:01:35.22 stores, we have things around us that we can easily access. 00:01:35.25\00:01:39.08 But one of the huge things we want to talk about today is 00:01:39.12\00:01:42.17 AIDS, and what exactly does AIDS stand for, 00:01:42.20\00:01:46.15 what does it mean, and when did it start? 00:01:46.18\00:01:47.80 Well, AIDS stands for Acquired Immuno Deficiency Syndrome. 00:01:47.83\00:01:54.96 Which means is simple language that you don't have the ability 00:01:54.99\00:01:59.78 to fight infections. 00:01:59.81\00:02:01.92 You've lost your defense system and it's caused by a virus 00:02:01.95\00:02:08.12 called the Human Immuno Virus, HIV, of which there are 00:02:08.16\00:02:13.26 two types, One and Type 2. 00:02:13.29\00:02:15.37 Type 1 is far more prevalent than Type 2. 00:02:15.40\00:02:19.87 Now how long has this been around? 00:02:19.90\00:02:21.58 When I was growing up I didn't hear much about this, 00:02:21.61\00:02:24.71 how long have we known about this? 00:02:24.74\00:02:26.11 Well, neither did I hear much about it, 00:02:26.14\00:02:27.51 but of course I'm older than you so it was actually on 00:02:27.54\00:02:30.10 June 5, 1981 that it was first reported in the 00:02:30.13\00:02:36.00 Center of Disease Control Bulletin 00:02:36.03\00:02:38.08 which they put out every week. 00:02:38.11\00:02:40.13 Five cases of Pneumocystis Carinii infections which are 00:02:40.16\00:02:44.63 very rare pneumonia, or was a very rare pneumonia 00:02:44.66\00:02:47.73 in five young homosexual young men. 00:02:47.76\00:02:51.19 The writer had also identified that they had lost their 00:02:51.22\00:02:55.31 usual immunity, so this was not something that they 00:02:55.34\00:02:58.42 were born with. So when was this again? 00:02:58.45\00:03:00.34 In 1981, so this is the 20th anniversary of the recognition 00:03:00.37\00:03:05.99 of AIDS. Ok, so about 20 years ago 00:03:06.02\00:03:08.87 this happened. Twenty years ago. 00:03:08.90\00:03:10.27 Where was this, was this in this country? 00:03:10.30\00:03:12.84 In San Francisco! Okay! 00:03:12.87\00:03:14.99 In this country, North America. 00:03:15.02\00:03:16.39 So AIDS was not around before 1981? 00:03:16.42\00:03:19.17 Oh, it was around, but it was not recognized. 00:03:19.20\00:03:21.48 Okay! In fact it was very interesting 00:03:21.51\00:03:24.27 it took about 3 or 4 years before they 00:03:24.30\00:03:27.67 identified the virus. I remember them talking about 00:03:28.96\00:03:30.33 whether it was caused by Cytomegalovirus or 00:03:30.36\00:03:33.31 all kinds of strange and wonderful theories as to how it 00:03:33.34\00:03:37.81 was coming about, but then finally the organism was 00:03:37.84\00:03:40.88 identified and then antibody tests were developed 00:03:40.91\00:03:46.23 against that virus that showed that there 00:03:46.26\00:03:49.13 was a response against it. 00:03:49.16\00:03:50.53 Then by looking at stored serum samples 00:03:50.56\00:03:54.11 they were able to identify as far back as 1959. 00:03:54.14\00:03:58.48 So stored blood samples you mean by that. 00:03:58.51\00:04:00.08 Stored blood samples from mysterious diseases, 00:04:00.11\00:04:02.17 deaths from unknown causes. 00:04:02.20\00:04:04.80 All the way back to 1959. 00:04:04.83\00:04:07.07 Amazing, so where exactly did this get introduced to the 00:04:07.10\00:04:12.70 human system? Well the geneticists who have 00:04:12.73\00:04:15.98 looked at this now using DNA techniques and so forth. 00:04:16.01\00:04:20.63 The geneticists have said that it probably was somewhere 00:04:20.66\00:04:25.04 in the fifty to seventy year spectrum, so maybe going back 00:04:25.07\00:04:29.56 to the 1920's, 1930's when it first came among humans. 00:04:29.59\00:04:34.73 But the thought that this is a mutation of a virus from 00:04:34.76\00:04:38.76 Chimpanzees that gained access to the humans. 00:04:38.79\00:04:41.80 So some people ate some Chimpanzees or what have they, 00:04:41.83\00:04:44.72 got bitten by a Chimpanzee? Maybe bitten by a Chimpanzee 00:04:44.75\00:04:47.62 or... and the virus that particular virus 00:04:47.65\00:04:52.30 happened to have this ability to exist in humans. 00:04:52.33\00:04:56.72 What is here in the United States, what are we 00:04:56.75\00:05:01.65 dealing with here in the United States than maybe 00:05:01.68\00:05:03.55 around the world, but what's the new case infection rate here 00:05:03.58\00:05:07.00 in the United States? 00:05:07.04\00:05:08.41 Well, actually it that's falling which is good, 00:05:08.44\00:05:11.05 the new cases are falling in the United States. 00:05:11.08\00:05:13.84 The virus is the same, the mode of transmission varies 00:05:13.87\00:05:17.74 from place to place. About 47% of AIDS or 00:05:17.77\00:05:23.40 new HIV cases in North America are homosexually transmitted, 00:05:23.43\00:05:27.73 that's men having sex with men. 00:05:27.76\00:05:29.78 Only 47%, that's a large percentage but some people 00:05:29.81\00:05:34.18 think 100% from that. Not at all. 00:05:34.21\00:05:35.90 Probably 28%, 29% is transmitted by the sharing of needles among 00:05:35.93\00:05:42.86 by the drug culture. Okay. 00:05:42.89\00:05:45.05 Probably 12% is transmitted by heterosexual activity, 00:05:45.08\00:05:50.99 and the remainder is from blood products, 00:05:51.02\00:05:55.55 contaminated instruments, needles, and so forth. 00:05:55.58\00:06:00.10 That's different from Africa, in Africa it's about 00:06:00.13\00:06:04.22 95% heterosexual transmission. 00:06:04.25\00:06:06.79 Ninety five percent heterosexual, 00:06:06.82\00:06:09.71 in other words a man and a woman. 00:06:09.74\00:06:12.84 Okay, many times people will attach a lifestyle or a certain 00:06:12.87\00:06:19.53 stigma because... They say well if they have AIDS, 00:06:19.56\00:06:22.55 they must be doing this or that, but what you are telling me 00:06:22.58\00:06:25.12 is not necessarily. 00:06:25.15\00:06:26.52 No, not necessarily at all. In fact heterosexual transmission 00:06:26.55\00:06:31.72 in Africa...you know one could acquire it from a 00:06:31.75\00:06:38.35 blood transfusion and transmit it in a marital situation 00:06:38.38\00:06:41.52 without understanding that it is even being there without 00:06:41.55\00:06:45.00 any marital infidelity, without any of these usual 00:06:45.03\00:06:49.53 "stigma" that we try to place on people. 00:06:49.56\00:06:54.29 Then what about children that, you know... 00:06:54.32\00:06:56.69 Vertical transmission you know, a mother who has HIV 00:06:56.72\00:07:01.58 when she comes to deliver her baby 00:07:01.61\00:07:03.35 she had about untreated 24%, 25% chance of transmitting that 00:07:03.38\00:07:10.24 to her baby. With new medications that can be reduced 00:07:10.27\00:07:15.00 to probably less than 7%. But of course there is 00:07:15.03\00:07:19.56 medication not available in Africa. 00:07:19.59\00:07:21.58 Talk to me a little bit more about Africa, 00:07:21.61\00:07:23.94 I mean I want to get a sense of the global perspective here 00:07:23.97\00:07:26.77 and you know we have to keep in mind that there are folks 00:07:26.80\00:07:30.11 in all of these countries that may be watching this program. 00:07:30.14\00:07:33.40 So when you visit those countries, what are you seeing 00:07:33.43\00:07:38.06 there, what is your impression of the situation there? 00:07:38.09\00:07:41.30 Well, I'll tell you, it is not a pretty picture. 00:07:41.33\00:07:44.62 The continent of Africa is probably the place that 00:07:44.65\00:07:50.08 you see the most devastation. 00:07:50.11\00:07:51.77 We are losing 5,500 people A DAY. -A DAY! 00:07:51.80\00:07:59.31 Just imagine that 5,500... funerals EVERY DAY, 00:07:59.34\00:08:04.28 Day in! Week in, week out, month in, month out, 00:08:04.31\00:08:08.89 that's been going on... All from AIDS! 00:08:08.92\00:08:10.29 All from AIDS! So when we have a plane go down, 00:08:10.32\00:08:12.65 we have a big accident here say in the western countries 00:08:12.68\00:08:17.80 sometimes back at Gettysburg, talking about the history of 00:08:17.83\00:08:23.34 America, you lost about 7,000 folks, you have a huge monument 00:08:23.37\00:08:28.00 and all kinds of things, people wrote songs about it. 00:08:28.03\00:08:30.32 But every day... -Every day. You loose that many people. 00:08:30.35\00:08:33.39 You know I was at the hospital, one of our 00:08:33.42\00:08:35.84 Adventist Mission Hospitals in the country of Zambia 00:08:35.87\00:08:38.39 to the east side of Chipata and there they have 150 beds 00:08:38.42\00:08:43.51 I asked them how many of the patients here have HIV or 00:08:43.54\00:08:47.88 are HIV positive or have AIDS? Seventy five percent! 00:08:47.91\00:08:51.02 That day they tested every blood sample that came 00:08:51.05\00:08:54.65 to the lab and it was 100%. - One hundred percent! 00:08:54.68\00:08:59.08 One hundred percent positive! Just devastating! 00:08:59.11\00:09:02.23 It's unbelievable. Is there any hope? 00:09:02.26\00:09:04.95 Are they developing any vaccines, 00:09:04.98\00:09:07.79 are they developing any medications to give some hope? 00:09:07.82\00:09:12.51 Well there is hope and there is a tremendous amount of resources 00:09:12.54\00:09:16.66 have been deployed to look at this, 00:09:16.69\00:09:19.45 and I would think of single conditions. 00:09:19.48\00:09:21.83 Probably there isn't a single condition that's ever had 00:09:21.86\00:09:24.92 as much tension as has HIV and AIDS. 00:09:24.95\00:09:27.77 It's not been available yet that there is a cure 00:09:27.80\00:09:32.54 vaccines just recently have been used on monkeys 00:09:32.57\00:09:37.85 and they have had some positive reports, some good reports. 00:09:37.88\00:09:40.86 Actually just in the New England Journal of Medicine 00:09:40.89\00:09:45.49 they reported that infection with hepatitis virus may 00:09:45.52\00:09:51.83 confer a degree of protection against HIV, 00:09:51.86\00:09:55.44 so there is interesting new work that is coming together. 00:09:55.47\00:09:58.26 So you get hepatitis and have some protection. 00:09:58.29\00:10:00.32 If it is the right type of hepatitis, so that sort of 00:10:00.35\00:10:03.66 work is coming to light. 00:10:03.69\00:10:05.45 The biggest step forward I would say has been in 00:10:05.48\00:10:09.39 highly active anti-retroviral therapy which has been able 00:10:09.42\00:10:14.23 to reduce the number of virus particles in the blood 00:10:14.26\00:10:17.51 and prolong life, probably up to four or five years 00:10:17.54\00:10:21.38 for the HIV infected person. 00:10:21.41\00:10:24.56 Let me unpack that a little bit for maybe some folks that 00:10:24.59\00:10:27.03 are not so medical. We talked about two different 00:10:27.06\00:10:29.41 things you mentioned, one was a vaccine, what is a vaccine 00:10:29.44\00:10:32.20 in just layman's terms, and then the next big words 00:10:32.23\00:10:36.18 you used on... for us? Ok, well if we were to look at 00:10:36.21\00:10:38.32 a vaccine, a vaccine would be... you say this virus causes the 00:10:38.35\00:10:46.63 body to develop a response against it because it's wearing 00:10:46.66\00:10:50.30 a blue coat. So let's take the blue coat and inject the 00:10:50.33\00:10:54.67 blue coat into the individual and they will start making 00:10:54.70\00:10:57.97 protection against the blue coat which it turn will kill 00:10:58.00\00:11:01.52 the virus, so that's the vaccine. Okay. 00:11:01.55\00:11:03.26 Infection with another virus, obviously that virus is 00:11:03.29\00:11:09.86 somehow competing with the HIV and in that way is slowing down 00:11:09.89\00:11:15.35 the HIV, so you've got a war- fare going on, a competition 00:11:15.38\00:11:20.14 between two viruses and so that is how the one virus is 00:11:20.17\00:11:24.31 working against the other. 00:11:24.34\00:11:25.71 So then the medication type thing slows down 00:11:25.74\00:11:29.35 the process from another angle. 00:11:29.38\00:11:30.87 Yes, you see the HIV is what we call and RNA, 00:11:30.90\00:11:36.77 that's Ribonucleic Acid Virus as opposed to a 00:11:36.80\00:11:42.48 Deoxyribonucleic. That Ribonucleic Acid virus 00:11:42.51\00:11:46.22 is a retrovirus in that it has to be converted back to DNA. 00:11:46.25\00:11:51.93 RNA and DNA are kind of mirror images of each other and so 00:11:51.97\00:11:56.82 the reflection into the DNA is made by an enzyme 00:11:56.85\00:12:00.42 reverse transcriptase. It goes into the nucleus 00:12:00.45\00:12:03.42 the nucleus then starts forming more RNA, it produces rolls 00:12:03.45\00:12:08.82 if you want to think of large toilet rolls of RNA. 00:12:08.85\00:12:12.63 Then in order for the virus particles to be broken 00:12:12.66\00:12:15.86 off the roll, like we take a slice of toilet paper, 00:12:15.89\00:12:19.46 there has to be an enzyme called a Protease enzyme 00:12:19.49\00:12:22.43 so if two enzymes are key, reverse transcriptase 00:12:22.46\00:12:26.78 - that gets it back into DNA, and the Protease is chopping 00:12:26.81\00:12:31.34 it off and the biochemist and the researchers in these 00:12:31.37\00:12:35.50 big companies have produced inhibitors, 00:12:35.53\00:12:39.45 Reverse Transcriptase Inhibitors and Protease 00:12:39.48\00:12:43.11 Inhibitors and they have slowed the process down. 00:12:43.14\00:12:46.24 - Ok! But they haven't been able to stop it. 00:12:46.27\00:12:48.68 So what they have done, HIV just very simply comes 00:12:48.72\00:12:52.42 into the body from whatever way and then tries to get 00:12:52.45\00:12:55.06 inside your cell, is that what you are saying? 00:12:55.09\00:12:57.39 - Yeah, what it does... Then it slows that process down 00:12:57.42\00:12:59.44 then it slows the process coming out of the cell and being 00:12:59.47\00:13:03.27 spread out like seeds if you will. -That's right. 00:13:03.30\00:13:05.41 So the virus comes along and attaches to specific cells 00:13:05.44\00:13:09.69 CD4 cells, it then pops inside the cell, its reverted back 00:13:09.72\00:13:16.98 to the DNA, switches the cell machinery, the DNA starts 00:13:17.01\00:13:20.40 pouring that, and as it comes out it got this chop, chop, chop 00:13:20.43\00:13:23.43 chop, a chop, a chop, little pieces coming out then it 00:13:23.46\00:13:26.26 goes down the sides. Do you know one virus particle 00:13:26.29\00:13:28.68 in four hours can replicate itself two thousand times, 00:13:28.71\00:13:33.93 do the arithmetic on that. 00:13:33.96\00:13:35.33 So that's exponential after. Oh, 36 hours you've got billions 00:13:35.36\00:13:40.25 upon billions of these virus particles 00:13:40.28\00:13:42.07 in an individual's body. 00:13:42.11\00:13:43.62 But at this point what we are saying is the only thing we have 00:13:43.66\00:13:45.88 mathematically is to slow this process down and to slow 00:13:45.91\00:13:49.80 this process of coming out and getting chopped up... 00:13:49.83\00:13:52.21 There's no real ultimate treatment but we've been 00:13:52.24\00:13:55.63 able to slow it down, in a sense. 00:13:55.66\00:13:58.65 There is a treatment you know. PREVENTION! 00:13:58.68\00:14:01.80 Right, but once you have it. Okay, let me talk about this 00:14:01.83\00:14:05.10 a little bit because lots of people are very frightened 00:14:05.13\00:14:07.58 when they hear that someone has AIDS or is HIV positive. 00:14:07.61\00:14:12.71 How is it transmitted practically and what should we 00:14:12.74\00:14:18.03 be watching for just before we go to our break? 00:14:18.06\00:14:21.50 The virus HIV is a very fragile virus, very fragile. 00:14:21.53\00:14:29.63 In fact bacteria or germs or anything that is sexually 00:14:29.66\00:14:33.00 transmitted are usually fragile, you put them on a dry surface 00:14:33.03\00:14:35.50 they die, they're done for. 00:14:35.53\00:14:36.98 They require the intimacy, the moisture, the warmth, 00:14:37.01\00:14:40.53 of the sexual encounter to transmit it, because they only 00:14:40.56\00:14:44.47 live in human body fluids. OK! 00:14:44.50\00:14:47.79 So the transfer is of human body fluids, if we take whole 00:14:47.82\00:14:51.89 human body fluids as a blood transfusion, or serum, 00:14:51.92\00:14:55.37 or plasma, where that... What about saliva? 00:14:56.36\00:14:58.17 It's possible through saliva but it hasn't been documented, 00:14:58.20\00:15:03.16 perhaps one case has been there where they think 00:15:03.19\00:15:05.48 it might be from saliva. 00:15:05.51\00:15:06.88 Then you need a broken surface so that it can get across 00:15:06.91\00:15:11.38 and that is why abhorrent sexual practices sometimes 00:15:11.41\00:15:14.85 help it to come across. So like a bleeding or something, 00:15:14.88\00:15:17.59 bleeding, or cuts. That's where healthcare workers 00:15:17.62\00:15:19.98 who have cuts should wear gloves so that there is no 00:15:20.01\00:15:22.37 broken hangnails or it can get in through the skin 00:15:22.40\00:15:26.29 and that is how it is transmitted. 00:15:26.32\00:15:28.28 As I said earlier it's 95% it's heterosexual transmission 00:15:28.31\00:15:33.55 intercourse in Africa, here of course it depends because 00:15:33.58\00:15:38.34 of the relative proportions being different, but it is still 00:15:38.37\00:15:42.29 transmitted sexually by in large for the most part. 00:15:42.32\00:15:46.03 We're talking with Dr. Alan Handysides, he is the actually 00:15:46.06\00:15:50.00 Medical Director, Health and Temperance Director for the 00:15:50.03\00:15:52.31 Seventh-day Adventist Church, we're talking about AIDS 00:15:52.34\00:15:56.99 and when we come back we are going to look at some 00:15:57.02\00:15:58.46 pictures and we are going to talk about some hope 00:15:58.49\00:16:00.97 at the end of our program. 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It's absolutely free of charge 00:17:02.34\00:17:06.42 so call or write today. 00:17:06.45\00:17:09.86 Welcome back, we have been talking with Dr. Alan Handysides 00:17:11.90\00:17:14.86 from the General Conference of Seventh-day Adventists. 00:17:14.89\00:17:16.67 We've been talking about AIDS, A World Wide Epidemic 00:17:16.70\00:17:19.76 we learned about first as to what it was here in America 00:17:19.79\00:17:22.57 but you have shared some hope with us that the process of 00:17:22.60\00:17:26.52 AIDS can be slowed down but the bad news is once you have it 00:17:26.55\00:17:29.98 there is actually really no known cure and as we were 00:17:30.01\00:17:33.33 talking last you said look there are certain ways 00:17:33.36\00:17:36.28 that it is transmitted that would lend us to really want 00:17:36.31\00:17:39.25 to listen when there is a message that says prevent 00:17:39.28\00:17:41.96 this rather than catch it. 00:17:41.99\00:17:43.95 We have a couple of pictures that come to us courtesy of the 00:17:43.98\00:17:47.18 Adventist Development Relief Agency, ADRA, and 00:17:47.21\00:17:51.00 we want to look at those right now and maybe we can 00:17:51.03\00:17:53.35 talk about them a bit. The first one here is a picture of 00:17:53.38\00:17:59.24 actually a person that has AIDS, what do we see in that picture 00:17:59.27\00:18:03.82 They are a little emaciated, they look like they have 00:18:03.85\00:18:08.61 thinned down, is this the typical look for someone 00:18:08.64\00:18:10.52 that this particular situation? 00:18:10.55\00:18:13.03 Yes, I think that this is a rather good illustration 00:18:13.06\00:18:17.58 actually, it is a woman who is probably about 32 years old, 00:18:17.61\00:18:21.79 she is in the prime of life she has children, her husband 00:18:21.82\00:18:27.48 will have died, she will be HIV positive, we can surmise 00:18:27.51\00:18:33.27 she caught it from her husband or she may have given it to him, 00:18:33.30\00:18:35.86 that's really irrelevant to the discussion. 00:18:35.89\00:18:38.91 She probably is going to die and leave her children as 00:18:38.94\00:18:43.14 orphans. Will they have HIV? 00:18:43.17\00:18:46.45 Depending on when she acquired it some of them may, 00:18:46.48\00:18:50.03 she may have lost some children from HIV because 25% 00:18:50.06\00:18:54.96 of the babies born to HIV infected mothers, 00:18:54.99\00:18:59.20 I'm using that as a ball park figure will be positive for 00:18:59.23\00:19:03.05 HIV themselves. Now does that come as a result 00:19:03.08\00:19:06.25 of them having breast milk from the mother? 00:19:06.28\00:19:09.10 Well about 22% of them will acquire it in the birth process, 00:19:09.13\00:19:16.17 that's why medication is really required to be given to 00:19:16.20\00:19:20.75 pregnant women during pregnancy and during childbirth. 00:19:20.78\00:19:24.66 If we could do this, we could lower this 22% down to about 00:19:24.69\00:19:28.30 seven or eight percent. 00:19:28.33\00:19:29.70 Now when you say medication that's the same kind of 00:19:29.73\00:19:31.47 medication they use to treat it. 00:19:31.50\00:19:32.87 That is the same sort of medications that they use 00:19:32.90\00:19:35.69 to treat it although not for as long a period of time 00:19:35.72\00:19:38.96 usually not in such combinations as heart therapy, highly active 00:19:38.99\00:19:44.56 therapy and there are very reasonable medications available 00:19:44.59\00:19:49.90 to do that, so that is something that needs to be looked at 00:19:49.93\00:19:56.37 very closely. Then the breast feeding is the other 00:19:56.40\00:19:59.55 tragedy. Years ago a woman who did not breast feed her baby 00:19:59.58\00:20:05.28 had a one in five chance that her child would survive 00:20:05.31\00:20:08.90 the first two years of life. 00:20:08.93\00:20:10.44 Now if you take that backdrop and then you say what 00:20:10.47\00:20:14.96 percentage of these mothers are going to have their babies 00:20:14.99\00:20:17.39 infected and it is going to be somewhat of the magnitude 00:20:17.42\00:20:20.75 of maybe 25 again, 30% of them will be infected if they 00:20:20.78\00:20:25.12 continue breast feeding. It's an awful dilemma. 00:20:25.15\00:20:28.07 Because they don't really have any other way probably 00:20:28.10\00:20:29.69 in these countries to feed the child. 00:20:29.72\00:20:31.41 To feed the children, so here we're... this is one of the 00:20:31.44\00:20:34.50 real tragedies, how do we feed the children, how do we avoid 00:20:34.53\00:20:40.80 them getting AIDS, it's just a dreadful, dreadful scenario. 00:20:40.83\00:20:46.05 We want to look at another picture here as well 00:20:46.08\00:20:49.78 what exactly is it that we are looking at here? 00:20:49.81\00:20:52.48 We're looking at a field hospital set-up, a health worker 00:20:52.51\00:20:57.91 is trying to take care of the dead and the dying. 00:20:57.94\00:21:04.18 Comfort the dying. Comfort the dying. 00:21:04.21\00:21:05.64 Which is always a terminal illness ultimately. 00:21:05.67\00:21:09.28 Once they get to late stages it is terminal. 00:21:09.31\00:21:12.48 It's absolutely devastating to watch these people die, 00:21:12.51\00:21:19.15 I remember seeing a 22 year old with cryptococcal meningitis 00:21:19.18\00:21:23.79 and I actually went to give spiritual care, 00:21:23.82\00:21:27.36 I wanted to pray with the person and I found that 00:21:27.40\00:21:30.44 she was beyond prayer because she was just so mentally 00:21:30.47\00:21:35.52 confused and disabled, unable to do that, 00:21:35.55\00:21:40.02 which to me is a very important lesson, we need to show our 00:21:40.05\00:21:44.77 compassion and caring while these people are 00:21:44.80\00:21:47.41 still able to receive it. 00:21:47.45\00:21:49.77 Because once again what you were saying if I understand it 00:21:49.80\00:21:52.71 correctly is that ok many times we will stigmatize people 00:21:52.74\00:21:57.19 because we think that, well if they have that disease 00:21:57.22\00:21:59.63 they must have been involved in this or that behavior 00:21:59.66\00:22:02.07 but especially when we are talking about these countries. 00:22:02.10\00:22:05.04 What was it 95% contracted this through normal sexual activity 00:22:05.07\00:22:12.38 that was not abhorrent or something like that, 00:22:12.41\00:22:14.81 so they really can't be held accountable to that 00:22:14.84\00:22:19.04 particular standard or that particular 00:22:19.07\00:22:21.60 way of looking at things. 00:22:21.64\00:22:23.27 Yes. I think we have to be like Jesus, when that woman 00:22:23.30\00:22:28.74 came to Jesus, they said this woman caught in adultery 00:22:28.77\00:22:31.81 you know, all the finger pointing clerics, 00:22:31.84\00:22:34.13 and Jesus said... there was no question about the guilt or 00:22:36.39\00:22:40.39 otherwise, but there was the compassion. 00:22:40.42\00:22:42.41 Woman, where are thine accusers, neither do I condemn thee 00:22:42.44\00:22:46.65 go and sin no more. I think we have to relate 00:22:46.68\00:22:49.24 to people where they are, the past is not our business. 00:22:49.27\00:22:53.50 We're people of the future, of hope, and we need to take it 00:22:53.53\00:22:58.02 wherever we find people and to work with them and 00:22:58.05\00:23:00.83 bring them the promise of salvation from that point on. 00:23:00.86\00:23:03.65 Speaking of that, I mean we are thankful today for these 00:23:03.68\00:23:06.00 pictures from ADRA which is part of churches response 00:23:06.03\00:23:09.50 of this but what is the church, the Seventh-day Adventist Church 00:23:09.53\00:23:12.27 doing to address this global concern? 00:23:12.30\00:23:15.25 Well if we were to talk of ADRA, ADRA of course is 00:23:15.28\00:23:18.66 an arm of the church and has been involved in many many 00:23:18.69\00:23:22.24 projects in Africa and South East Asia, in Eastern Europe, 00:23:22.27\00:23:27.56 to the tune of millions of dollars worth of projects. 00:23:27.59\00:23:31.05 But this is sometimes not recognized as being the church 00:23:31.08\00:23:35.34 and as a church we have recently recognized there is a great need 00:23:35.37\00:23:41.50 for us to become cohesive in our approach and I'm glad 00:23:41.53\00:23:46.91 to say that the church is starting to rally itself 00:23:46.94\00:23:52.07 around this particular problem and identify it. 00:23:52.10\00:23:57.01 In fact there are three issues that the church identifies, 00:23:57.04\00:24:00.50 or three focal points that the church has identified. 00:24:00.53\00:24:04.17 The first is we believe that we really need to work with our 00:24:04.20\00:24:07.56 pastors and congregations to educate, educate, educate, 00:24:07.59\00:24:11.88 so that we understand the nature of this disease. 00:24:11.91\00:24:15.89 Secondly we want to focus on our education system. 00:24:15.92\00:24:21.56 We have a large network through out the world where we have 00:24:21.59\00:24:25.88 students in our own schools, and we know from studies 00:24:25.91\00:24:30.03 that are being carried out that our students in our own 00:24:30.06\00:24:33.02 schools are at risk by reason of their sexual behavior, 00:24:33.05\00:24:35.84 of their drug activities, we know this, they are better than 00:24:35.87\00:24:39.25 in the non Christian schools but they are not as good as 00:24:39.28\00:24:43.32 we would like to see. We need to put a tremendous 00:24:43.35\00:24:45.91 focus through our teachers, through our education systems 00:24:45.94\00:24:49.65 in our seminaries so our future generation of pastors will be 00:24:49.68\00:24:53.17 well educated in this. 00:24:53.20\00:24:54.57 And the third thing that we need to do is we need to 00:24:54.60\00:24:57.43 mount our network of hospitals, clinics, and health providing 00:24:57.46\00:25:02.75 agencies, be they self supporting, be they under the 00:25:02.78\00:25:05.95 auspices of the church. We need to unite ourselves 00:25:05.98\00:25:09.17 with a common thrust to educate, to care for, 00:25:09.20\00:25:13.55 and perhaps to select a few definite projects that we can 00:25:13.58\00:25:19.43 implement and by selecting them... because we can't... 00:25:19.46\00:25:22.81 there is no way that the church can address this problem 00:25:22.84\00:25:25.57 worldwide as though we can do it. 00:25:25.60\00:25:27.37 It's a multi-billion dollar... It's a multi-billion dollars 00:25:27.40\00:25:29.95 I mean... It was calculated that the United Nations when they 00:25:29.98\00:25:32.52 met just a couple of months... I can't remember exactly 00:25:32.55\00:25:35.54 how long ago at the United Nations though they had this big 00:25:35.57\00:25:38.86 meeting together. They estimated that it would 00:25:38.89\00:25:41.37 cost about three to four billion dollars per year to put teeth 00:25:41.40\00:25:46.63 into this. Now the United States very generously said we will 00:25:46.66\00:25:50.33 give two hundred million... Drop in the bucket. 00:25:50.36\00:25:53.15 but it's a drop in the bucket compared to the problem. 00:25:53.18\00:25:55.72 So people of faith, people of good will everywhere 00:25:55.76\00:26:00.55 we need to put our minds and our hearts together 00:26:00.58\00:26:03.72 to address this problem. 00:26:03.75\00:26:05.81 You know you are a Christian Physician and you are 00:26:05.84\00:26:09.45 a physician that helps physicians marshal physicians 00:26:09.48\00:26:12.24 and all these different things, you work as a part of a 00:26:12.27\00:26:16.14 global network to bring hope. 00:26:16.17\00:26:17.55 But you talked about that 22 year old, 00:26:17.58\00:26:20.53 you were at the bedside. What type of hope, help, and 00:26:20.56\00:26:23.70 spiritual thing do you bring to the bedside with someone 00:26:23.73\00:26:28.76 or a family that is already afflicted with this, 00:26:28.79\00:26:31.54 what can you tell us in our last minute here? 00:26:31.57\00:26:35.01 Christianity is a message of hope because we have a 00:26:35.04\00:26:40.31 Savior who's paid the price, it's all paid for, 00:26:40.34\00:26:43.94 and heaven is waiting with arms outstretched to 00:26:43.97\00:26:49.56 receive repentant sinners. 00:26:49.60\00:26:51.09 It doesn't matter how bad our sins or how lewd our actions 00:26:51.12\00:26:55.94 it doesn't matter what we have done, Jesus has paid the price 00:26:55.97\00:27:00.61 and He is willing to receive us and to take us home to Him. 00:27:00.64\00:27:04.92 If we could only catch a glimpse of that love because I believe 00:27:04.95\00:27:11.67 that whatever we do, whether we prophesy, whether we preach, 00:27:11.70\00:27:15.33 whether we make these programs. Whatever we do 00:27:15.36\00:27:18.36 the underlying thing is love, because love endures all things 00:27:18.39\00:27:23.01 and love never faileth, and the love of God is poured out 00:27:23.04\00:27:28.32 to us His erring children. 00:27:28.35\00:27:30.53 That is my hope and trust in the Risen Savior, Jesus Christ. 00:27:30.56\00:27:35.09 We've been talking with Dr. Alan Handysides 00:27:35.12\00:27:37.39 he is the head physician of The World Church 00:27:37.42\00:27:41.17 of Seventh-day Adventists. We hope that you have 00:27:41.20\00:27:43.20 enjoyed this program on AIDS and we hope that if you have 00:27:43.23\00:27:46.90 problems, know people that are suffering from this problem, 00:27:46.93\00:27:49.85 that you will contact your local church congregation and 00:27:49.88\00:27:53.30 that you will actually be involved in bringing 00:27:53.33\00:27:57.68 hope and healing. 00:27:57.71\00:27:59.08