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L-R: Rob Lake (AFAO Executive
director) and Michael Hurley
(PSF facillitator) |
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Michael Hurley (Adjunct Assoc. Professor, ARCSHS) who facilitated the Positive Services Forum concluded the forum proceedings by providing his reflections on some of the overriding themes that emerged across the two days.
He challenged us to consider how HIV is perceived within the context of public health. With the rapid decline in mortality directly related to HIV, the development of co-morbidities, and the increasing life-expectancy, he said that the story of HIV in Australia is “not a straight-forward story to tell”.
Michael observed that there were a number of dualities in the current response to HIV. For example: the existence of ‘old epidemics’ and ‘new epidemics’ in Australia generates tensions for service providers and require new approaches; the cultural versus the biomedical (eg. safe sex practices versus treatment as prevention); the public health and the counter-public health approach (public health versus criminalisation).