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(单词翻译:双击或拖选)
Twenty-five thousand people are expected to gather in Vienna July 18 to 23 for the World AIDS Conference. Global health experts will focus on a lethal1 line-up - HIV/AIDs and tuberculosis2. TB is a leading cause of HIV-related deaths worldwide. The World Health Organization says 40 percent of people with TB in South Africa also have HIV. The co-infection rate is highest in the township of Kayelitsha. And, there is a growing threat from multi-drug resistant3 TB, an aggressive strain that is much more difficult to treat.
Caregiver Mercy Nongongo runs a small soup kitchen from a tiny shack4. She buys the ingredients with her own money and makes sure that TB patients have something to eat before taking their medicine.
"They know that the work I'm doing is going to help them," said Mercy Nongongo. "They believe in me."
TB has a firm grip on the township of Khayelitsha on the outskirts5 of Cape6 Town. Patientsat the community clinic say despite being sick, they are hopeful. The clinic has seen an increase in the number of people with multi-drug-resistant tuberculosis or MDR TB. It's a virulent7 strain that occurs when a person with TB fails to complete the six to nine-month course of medication or catches TB from another person who is ill with a drug resistant-strain. The problem? It often takes more than two months to diagnose MDR-TB.
Dr. Sweetness Siwendu treats TB patients at Site C Clinic:
"It would be really great if we could have a vaccine8 - and if not, then at least be able to diagnose TB as soon as possible - preferably within the same day," said Dr. Siwendu.
On the other side of town, scientists are working on a genetic9 test they hope will cut the time it takes to diagnose MDR-TB from 70 days to two days. Their work dovetails with research at the South African Tuberculosis Vaccine Initiative where Dr. Sizulu Moyo and other researchers are trying to develop vaccines10 to prevent TB.
"I think the prospects11 are good," said Dr. Moyo. "There are a lot of players that have come in - and there's a lot of support from organizations such as the WHO… I think that creates a good environment where people can work and make progress in getting together a new vaccine."
While researchers continue to work on vaccines, the key is to raise awareness12 around treating TB.
The World Health Organization aims to reduce by half the number of people who die from tuberculosis by the year 2015. Communities like Kayelitsha are key. Here, care at home and in a clinic helps people follow through on their treatment.
"No one today need die of TB," said Dr. Marcos Espinal. "No child should see the life of a mother or father destroyed by a disease that is completely curable. We need to challenge governments, decision-makers and community leaders to stand together to fight TB and eventually wipe out this devastating13 disease."
And it's people like Gladys Jaxa, says Dr. Marcos Espinal of the Stop TB Partnership14, who would benefit. She has MDR-TB and now is dependent on Mercy Nongongo for medicine. It's vital that she completes the course of up to two years of pills and injections. If she lapses15, she could infect 10 to 15 people a year, one or two of whom may develop full blown TB or MDR-TB. But while the medication can be unpleasant, Jaxa is already noticing the difference it makes.
"Before the treatment, I couldn't even walk….I was hopeless," said Gladys Jaxa. "Now after treatment, I can even go to the toilet, I can go to the shop, I can do little things."
It's the little things that Mercy Nongono and her helpers do best for their patients. But those little things make a big difference.
1 lethal | |
adj.致死的;毁灭性的 | |
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2 tuberculosis | |
n.结核病,肺结核 | |
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3 resistant | |
adj.(to)抵抗的,有抵抗力的 | |
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4 shack | |
adj.简陋的小屋,窝棚 | |
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5 outskirts | |
n.郊外,郊区 | |
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6 cape | |
n.海角,岬;披肩,短披风 | |
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7 virulent | |
adj.有毒的,有恶意的,充满敌意的 | |
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8 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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9 genetic | |
adj.遗传的,遗传学的 | |
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10 vaccines | |
疫苗,痘苗( vaccine的名词复数 ) | |
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11 prospects | |
n.希望,前途(恒为复数) | |
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12 awareness | |
n.意识,觉悟,懂事,明智 | |
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13 devastating | |
adj.毁灭性的,令人震惊的,强有力的 | |
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14 partnership | |
n.合作关系,伙伴关系 | |
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15 lapses | |
n.失误,过失( lapse的名词复数 );小毛病;行为失检;偏离正道v.退步( lapse的第三人称单数 );陷入;倒退;丧失 | |
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