Climate change events worsen HIV epidemic for vulnerable African women
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A recent study in Lesotho showed that climate change events such as severe drought have been linked to increased rates of HIV in women. This raises concerns of environmental justice, as vulnerable populations who are not the top contributors to climate change are being affected first and affected the worst. Further, these populations lack the resources to counter the effects of climate change. Women are disproportionately affected as most already occupy positions of vulnerability related to education, poverty, and social status.

The study also reinforces the scope of the effects of climate change and the still unknown full range of its effects on human behavior. This further highlights the inseparability of bioethics and environmental ethics and the need for climate change policies to address increases in disease that are the result of climate events.

Using data collected as part of the Lesotho Population-Based HIV Impact Assessment (LePHIA), a national HIV survey of 12,887 people conducted in 2016 and 2017, the researchers also found that young women aged 15 to 24 in areas affected by drought were more likely to have earlier first-time sex, transactional sex and were less likely to stay in school. 

Previous research had estimated an 11% higher HIV incidence after periods of rain shortfall had negatively affected income generation across the region resulting in changes to human behaviour. More specifically, women may be less worried about protecting themselves from HIV in times of food insecurity, as they may instead choose to focus on getting food on the table.

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There are other concerns around food insecurity as they relate to antiretroviral adherence, or even drug absorption in the body in times of malnutrition, which can, in turn, lead to increases in community viral load, drug resistance and onward transmission of HIV.

Despite these concerns, climate change policies do not often include any measures to intensify HIV treatment and prevention programmes.

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