AIDS awareness

Hectares of agricultural and pasture land reclaimed per targeted district Number of irrigation and water harvesting schemes developed per district Amount of land cultivated by small-scale irrigation Number of households receiving HIV/AIDS awareness training... 

In 1983 the move to develop red cell substitutes intensified when it was recognized that the acquired immune deficiency syndrome (AIDS) could be transmitted by the blood-bome human immunodeficiency vims (HIV). Concern for the nation s blood supply followed. Since that time other retrovimses have been identified, efforts to screen blood not only for these agents but also for vimses that cause hepatitis have intensified, the indications for transfusion have been reevaluated, and the use of blood products has become much more efficient. More carehil screening of donors, testing of all donated units, and a general awareness in the donor population have all contributed to a decreased risk from transfusion-contracted AIDS. 

Staff should make themselves familiar with the first-aid procedures in the event of an accident and know the location of the nearest first aid officers and the first-aid room (if there is one on the premises). They should also be aware of all first-aid/medical notices and procedures and the telephone number to call for assistance during and outside normal hours. (These are likely to differ unless the works or premises operate 24 hours a day.)... 

Claims for acute hydrogen sulfide exposure that occurred over a 5-year period (1969-1973) in Alberta, Canada, primarily among petrochemical workers, were reviewed by Burnett et al. (1977). Acute effects noted included coma, disequilibrium, and respiratory insufficiency with pulmonary edema. Of 221 cases, there were 14 deaths. A follow-up study of 250 workers claims for hydrogen sulfide exposure from 1979 to 1983 in Alberta, Canada, found 7 fatalities that usually involved the central nervous and respiratory systems hepatic congestion and cardiac petechiae were also noted (Arnold et al. 1985). The difference in fatality rate (6% down to 2.8%) was attributed to improved first aid training and an increased awareness of the dangers of hydrogen sulfide. 

Make other staff aware of potential problems. Arrange specialist first-aid requirements before starting the work. Where certain hazards are involved, supervision may be necessary. 

Finally, one of the most difficult types of crises to address is the death of a client. People with drug problems often lead very risky lives, and the threat of death may be ever present with such clients. People who use drugs are at risk from infectious diseases such as hepatitis and AIDS, from suicide and homicide, and from accidents. The saddest events in my professional career have been associated with losing a client. Such losses burden professionals, who may assume some level of responsibility for the death or may feel a sense of loss in not being able to meet with the client any more. Be aware that caregivers sometimes need care themselves, and this is one particular situation in which that may be true. Do not be shy about seeking help if you feel that the death of a client has adversely affected your professional or personal life. 

Drug problems take a great toll on the human body, so therapists and counselors need to be aware of how the physical effects of drug use can be treated. As recommended in Chapter 4, clients with drug problems should receive physical examinations by a physician as part of the routine care of treatment, if possible. Since drug use can adversely affect a client s diet, it also may be important to refer the client to a nutritionist who can determine whether there are any dietary deficits and perhaps develop meal plans to aid the client in restoring her or his health. 

Field First Aid Remove victim(s) to an area of safety (away from the Hot Zone). Remember patients may contaminate you and/or other emergency responders if you fail to don proper personal protective equipment. Provide victims with emergency medical care as soon as possible. Unless otherwise recommended, remove victim(s) clothing, shoes, and personnel belongings for later return. If the victim was obviously in contact with infectious substance(s), flush skin and eyes for fifteen to twenty minutes. Route victim(s) to hospital for a physician s professional opinion. Ensure that hospital staff is fully aware of the medical situation and the poison or infectious substance that may be involved. An enzyme-linked immunosorbent assay test (ELISA) is now approved for anthrax use in hospital laboratories. 

The various effects of the Toxic Substances Control Act (TSCA) on the metalworking fluids Industry is presented, with emphasis placed on nitrosamine contamination of the fluids. A review of the literature on the effects of various metalworking fluid additives on nitrosamine formation is also presented to aid the industry in dealing with the nuisance of nitrosamine contamination. It is concluded that with increased awareness of nitrosamine contamination as a result of the implementation of TSCA and careful consideration of the factors described in this paper, it may be possible to design and control a nitrosamine-free metalworking fluid. 

An important aspect of the Gao-Marcus model is that it provides a theoretical structure for the understanding of quantum state density isotope effects in general, and is not specifically confined to the formation of ozone itself. This feature is important because as discussed above we are now aware that MIF s occur widely in nature. The theory aids in prediction of where MIF s will be likely found, and once found, in rationalizing how they were chemically produced. 

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