Privilege speech I delivered yesterday, 2 December 2013, at the House of Representatives.
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Mr. Speaker, I rise today to speak before this House, to both commemorate and call to action.
Yesterday, December 1, marked the 25th year of the observance of World AIDS Day.
I know many of our colleagues may wonder, why talk about HIV/AIDS now, when so many other concerns, some perhaps more urgent or compelling, face our nation and this Congress? In the face of issues concerning PDAF – or the absence thereof, post-Yolanda reconstruction, climate change policy, and the continuing campaign against poverty, it is tempting to brush aside the issue of HIV/AIDS and to consider it as “not a priority.”
But it is precisely this attitude of relative indifference that has brought us to the alarming juncture where we are today, where 25 years after the global community has declared an all-out campaign to combat HIV/AIDS and 15 years after we enacted our own AIDS prevention law, the increase in reported cases of HIV/AIDS has hit terrifying figures – 4,072 new cases since January of this year, 491 cases in October alone, out of the 15,774 total cases reported since 1984. That means 25.8% of all HIV/AIDS cases in the last three decades were reported in the first ten months of this year.
I therefore rise this afternoon not only to join the rest of the world in commemorating World AIDS Day but also to talk about some of the urgent issues related to HIV/AIDS that I believe we must take up.
This time presents us with the opportunity to examine our substantial progress in the battle against the HIV and AIDS pandemic and to reaffirm our commitment to achieving an HIV/AIDS-free society. We also remember those we have lost, encourage those who continue to suffer, and lend support to their family and friends who, in many cases unfortunately, continue to bear the unfair and misguided discrimination of society.
The year 1998 marked the beginning of our country’s declaration of war against the disease with the passage of RA 8504, also known as, The Philippine AIDS Prevention and Control Act of 1998, a national comprehensive plan of preventing the spread of the disease within the populace. It outlined the necessary tools and strategy needed by the government to prevent the occurrence of new infections, control its transmissions, make available the necessary care and treatment to the victims and protect the rights of the HIV/AIDS victims and key populations at higher risk to the infection. A coordinated national response against the disease was also established through the creation of the Philippine National AIDS Council (PNAC).
In the 15 years since the enactment of the AIDS law, government worked to elevate the nation’s awareness of the disease, supported studies that aimed to reduce its transmission, and built ties with various NGOs, community groups, and international agencies to help curb the increasing trend of infections. The 1998 AIDS Law intended to curb and stabilize the spread of HIV and AIDS in the country was, in fact, hailed as “best practice” by the international community.
In addition, as signatory to the United Nations Millennium Development Goals (UNMDG), we made a commitment to halt the spread of HIV infection and to begin reducing its incidence in the country by 2015.
In the global arena, UNAIDS reports show that 95% out of 186 countries are on track with their MDG on HIV/AIDS. This marked a pivotal juncture in the worldwide effort of curbing and halting the spread of the disease. There has been a downward global trend in new cases of HIV/AIDS victims at the turn of the millennium, as 77 countries had either stabilized or reduced HIV infections within their territories—an indicator that the world may soon make the zero-infections, zero-deaths and zero-discrimination UN political declaration on HIV/AIDS an achievable reality.
These positive developments in the global arena, unfortunately, are not reflective of the current state of affairs in our country. Despite the 1998 law, and the efforts undertaken in pursuit of its goals, a triumph against HIV/AIDS is not yet within sight, as number of new HIV infections continue to expand rapidly. When the AIDS bill was enacted in 1998, HIV/AIDS victims were numbered at 189. This figure was more than doubled by 2008 as recorded cases reached a total of 528. By 2012, HIV/AIDS reached a staggering total of 3,338 cases.
Prior to 2008, HIV prevalence in the Philippines was considered “low and slow”, with only one new HIV infection being reported per day. Five years after, the tide has completely turned. HIV prevalence has now become “fast and furious”. In August of this year, reported new HIV cases increased to 16 per day, or 1 new case per 1.5 hour. This means that by the time this assemblage is adjourned at 7PM, there will be 13 new reported cases of HIV infection, with 2 new cases being reported as we conduct this session.
The radical upward surge on the HIV/AIDS situation in the country, thus, requires that we bring this issue to the forefront of the Congressional agenda.
Accomplishing the goal of an AIDS-free society requires us to reconfigure our knowledge and understanding of the subject, scrutinize the emerging trends and developing dynamics within the population afflicted with HIV/AIDS and craft an up-to-date effective prevention and control response which takes into account the experiences of the last 15 years.
As I mentioned earlier, within this year alone, a total of 4,072 HIV/AIDS cases were already recorded. This is 40% higher compared to last year’s figure of the same period and a thousandfold increase since the enactment of the AIDS law. Health experts have explained that the massive jump of infections is due to low use of condoms, multiple sexual partnerships among key populations at higher risk to infections, and unregulated sharing of needles among people with injecting drugs (PWID). Unprotected sex, in particular, doubles a person’s likelihood of contracting HIV and unregulated needle-sharing has become a major cause of transmission for the disease.
A closer look on the epidemic situation in the country reveals shifting trends and changing dynamics in the demographics of people affected by the disease. Out of the recorded four thousand plus HIV/AIDS cases this year, a hugely disproportionate distribution was apparent, in terms of geographic, gender and age. A huge concentration of the victims now are the young generation, belonging to the 20-29 year age bracket, predominantly male (95% of the total cases) and they are found mostly in NCR, Region 7 and 4A (Manila, Davao and Angeles, Pampanga). HIV prevalence within these regions are pegged at 5% or higher—surpassing the HIV prevalence within the general population. They are now flagged as priority areas that are in dire need of focused intervention on prevention, treatment, care and protection. Manila, for one, is of particular concern as it accounts for more than 50% of the total number of new HIV cases recorded this year.
Although sexual contact remains the dominant mode of virus-transmission, its main drivers have now changed faces. Prior to the turn of the millennium, females were considered the main drivers of the disease: specifically, those engaged in sex trade. Recent studies made by the Department of Health and various other international agencies reveal, however, that males having sex with other males (MSMs) now predominate. They comprise 80% of the total number of HIV cases in the country.
According to government epidemiologists, if nothing is done to address and reverse the existing conditions, HIV cases are projected at an all-time high of 45,000 by 2015. This bleak prediction should urge us to step up our game and meet the demands of the developing dynamics and changing conditions that continue to encourage the spread of the disease.
The fact that the disease afflicts less than one percent (<1%) of the general population should not deter us. We should not let the number fool us into treating this issue with a great degree of political comfort and complacency. Instead, this should challenge us to take firm actions to prevent the disease from becoming a full blown pandemic, as has happened in many countries. Prevention is better than cure, but for diseases such as HIV and AIDS that has irreversible infections and with no discovered cure, prevention is the cure.
The government has made progresses in areas such as: providing wider access to anti-retroviral treatment (ART), a treatment used to slow down the progress of HIV in the body to victims and the highly at-risk population; investments were placed on research aimed at reducing the spread of the disease; and, leveling up of the peoples’ knowledge of the disease were undertaken. The manner of discourse, however, is largely saddled by our country’s traditional values and culture. These considerations continue to prevent an open debate and discussion of the issue in the public arena, thus, limiting peoples’ understanding of the issue.
The continuing stigma and discrimination against HIV/AIDS victims and their family has also greatly hampered the achievement of a future that is AIDS-free. The shame, guilt, fear of alienation, discrimination and other perverse repercussions that come along with being identified with the disease pushes victims to hide their conditions, not seek treatment or disclose their status to their partners—thereby, increasing the likelihood of the spread of the disease.
I remember reading a news report back in 2010 about Rolly (not his real name), a person living with HIV, who worked as a dancer in a bar. In the article, he recounted the painful ordeal he encountered due to his condition. He related how, at his workplace, people living with HIV/AIDS like him were locked inside a room and those who served them food would kick it under the door. They were treated like outcasts. For people like them, discrimination and stigma is a harsh reality they have to live on every day. Another report published in 2008 told of the horrific experience by a family in Olongapo, who, after it was discovered that one of their family members was HIV positive, woke up to find a their house on fire. It was later found out that their neighbors, afraid of possibly catching the virus carried by their family member, colluded to torch their tiny hut.
Faced with an impending death, a hostile and discriminating society, it seems the story of ‘Rolly’ aptly describes the experience of living with AIDS—that the discrimination from the society against HIV/AIDS victims can be much more painful and fatal more than the virus itself.
We have made significant progress in other areas of our development goals. This time, let us channel this nation’s creativity in the serious fight against HIV/AIDS making good of our commitment in eliminating HIV/AIDS in our society. Let us ensure that no infections occur due to lack of information, or worse, misinformation, no death due to lack of treatment and no discrimination due to lack of understanding and compassion.
The nation must be equipped with the necessary information that will guide them to stay healthy and avoid the infection. Enough funding should be made available to aid the health sector provide the necessary quality and accessible prevention, treatment, care and support services to people living with HIV/AIDS and to those who are highly at-risk of contracting the virus.
It is time to open the debate and discussion of the issue in the public arena. There is a need to break the myths and misconceptions that surround the disease, which, consequently, breed stigma and discrimination from the society.
That is why, earlier today, I, with two other members of this distinguished House, the Honorable Teddy Brawner Baguilat of the Lone District of Ifugao, and the Honorable Lani Mercado-Revilla of the 2nd District of Cavite, did our small part in attempting to lift the stigma attached to HIV/AIDS by undergoing voluntary HIV testing at the free clinic currently set up at the House of Representatives medical building. The clinic will be open for three days, and I urge all of you, my esteemed colleagues, to take the test, if only to show to our constituents and fellow Filipinos that there is nothing to fear, or to be ashamed of, insofar as these crucial preventive practices relating to HIV/AIDS are concerned.
The issue of HIV and AIDS is one that is not, and will never be, an exclusive topic that is reserved for the victims, their families and their friends. It is our issue too, as a nation and as a country striving for inclusive economic growth and development. It is our moral obligation and common mission to ensure that, in our journey toward progress, no one is left behind — not the poor, not the sick, not the old, not the weak. We should not let anyone fall between the gaps and inadequacies that characterize several of our laws and institutions. And to be willing and ready to lend a hand those who do.
I hope, my dear colleagues, that we will take up this challenge.
Thank you, Mr. Speaker, and good afternoon.