For much of the world, anti-viral drugs mean that HIV is no longer a death sentence. But for those in Papua New Guinea, the virus is mutating and becoming resistant to medication.
Guinea is a country in West Africa, bordered on the west by the Atlantic Ocean. Formerly known as French Guinea (French: Guinée française), the modern country is sometimes referred to as Guinea-Conakry to distinguish it from other countries with “Guinea” in the name.
It’s known for the Mount Nimba Strict Nature Reserve, in the southeast. The reserve protects a forested mountain range rich in native plants and animals, including chimpanzees and the viviparous toad. On the coast, the capital city, Conakry, is home to the modern Grand Mosque and the National Museum.
The human immunodeficiency viruses (HIV) are two species of Lentivirus (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune system allows life-threatening opportunistic infections and cancers to thrive.
Without treatment, average survival time after infection with HIV is estimated to be 9 to 11 years, depending on the HIV subtype. In most cases, HIV is a sexually transmitted infection and occurs by contact with or transfer of blood, pre-ejaculate, semen, and vaginal fluids. Research has shown (for both same-sex and opposite-sex couples) that HIV is untransmittable through condomless sexual intercourse if the HIV-positive partner has a consistently undetectable viral load.
Non-sexual transmission can occur from an infected mother to her infant during pregnancy, during childbirth by exposure to her blood or vaginal fluid, and through breast milk. Within these bodily fluids, HIV is present as both free virus particles and virus within infected immune cells.
Papua New Guinea, in the southwestern Pacific, encompasses the eastern half of New Guinea and its offshore islands. A country of immense cultural and biological diversity, it’s known for its beaches and coral reefs. Inland are active volcanoes, granite Mt. Wilhelm, dense rainforest and hiking routes like the Kokoda Trail. There are also traditional tribal villages, many with their own languages.