If universal treatment is to be achieved, some 30 million people worldwide will have to be kept on ARV treatment for three or four decades. If new infections continue to outpace AIDS-related deaths by 35 percent, as they did in 2009, this number will inevitably increase.īecause ARV therapy needs to be provided over a lifetime, treating HIV/AIDS patients is a serious long-term commitment. But UNAIDS, the Joint United Nations Program on HIV/AIDS, estimates that that year nearly ten million people needed treatment. By 2009, over four million were receiving treatment, with PEPFAR providing it for two million of them, according to the Kaiser Family Foundation. In 1998, only a few hundred thousand people with the virus received ARV treatment. There are currently just over 33 million people infected with HIV, more than 22 million of whom are in sub-Saharan Africa. This commitment will become staggeringly large. The program also kick-started a sharp increase in AIDS-related assistance worldwide and laid the foundation for the G-8's announcement, in 2005, that it would provide all those infected with HIV with access to life-saving antiretroviral (ARV) treatment. PEPFAR, which was originally expected to disburse some $15 billion over its first five years, actually spent $25 billion between 20. One-time debt forgiveness and emergency humanitarian assistance contributed to this increase, but it was primarily driven by the President's Emergency Plan for AIDS Relief (PEPFAR), the United States' single largest continuing commitment to Africa. assistance to Africa almost sixfold, from $1.3 billion in fiscal year 2001 to $7.3 billion in fiscal year 2009. Bush administration increased annual U.S.
NO GOODDEED GOESUNPUNISHED HOW TO
at least until my daughter learns how to read.The George W. So far, I know I need a lot of patience and a lot of prayer. The trick is figuring out how to raise strong individuals without getting stomped in the process. We live and we learn, then we hopefully get to keep on living. I'm just going to stay vigilant and make sure that the next time isn't my own fault. This certainly isn't the last time my position in the pack will be challenged. Our children get smarter every day, and we either get sharp or we get devoured. This is how we, as a species, keep our edge.
NO GOODDEED GOESUNPUNISHED TRIAL
Unfortunately, that wisdom was gained through trial and error instead of some divine bestowing. I've been a mom of two for such a short time, yet I'm already wiser. Am I too laid back to be a good mom? Did I inadvertently set myself up for more challenges by being a little too understanding? I can see clearly now that my grave mistake was softening the boundaries for a strong-willed two-year-old. Truthfully, I'm afraid that I send the wrong messages all the time. Just thought I'd pop in and remind you that I make the rules and I'm still in charge, okay? All I need to do is remember the words of my grandmother-in-law: "Don't show your fear." I carried you and birthed you and have kept you fed and loved ever since.
We all make mistakes as parents, even in the early years, but now I've got to do a bit of damage control. In fact, I don't think she's grateful for it at all. This toddler of mine has yet to thank me for my anticipatory understanding of her situation. Isn't that every parent's dream? The people for whom you sacrifice your life to keep happy and healthy are the very people who just can't trust that you aren't trying to ruin their life by not letting them throw their toys or clip their own nails or go naked. She's a little too young to reason with-not that she wants to be reasoned with, by any means-but she doesn't need to see reason. Before I knew it, I was struggling to keep my cool when she flat-out ignored and disobeyed me seemingly constantly. The thing about kids is that they're like bloodhounds when it comes to sniffing out your weaknesses. I may as well have told her that I'd be too tired for a battle of wills and just given her the keys to the house in advance. I now know that all I did was serve up my vulnerability on a silver platter and invite my strong-willed firstborn to feast. While I didn't plan to suddenly let her run the show, I wanted to avoid becoming too negative, as my patience would undoubtedly wear thin as we all adjusted to our new family dynamic. I made a decision before my son's birth that I'd cut her some slack in the early weeks. She would need attention and quality time with me to let her know that she wasn't being replaced and that she is still loved. When my son was born, I knew my two-year-old daughter would need time to transition.
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