Swaziland has been estimated to have the highest infection rate of HIV in the world. The demographics from the Swaziland Homeopathy project database indicate the following: at April !" from a sample of !! patients "# $ tested HIV positive %!$ tested HIV negative %$ are &ntested '&t of " #( patients who have been tested ("$ have tested HIV positive. Homeopathy as a treatment for HIV and Aids in Swaziland )hat is HIV*AI+s , The debate is ongoing-. )hat we see are people with compromised imm&nity and they are dying from familiar .diseases/ and infections. The symptom pict&res are varied and s&ited to a homeopathic approach and we can assist the HIV*AI+S patient both prior to standard Anti 0etro Viral Treatment 1A0T2 and alongside the A0T once it is initiated. The majority of o&r HIV*AI+S patients are women as we wor3 in conj&nction with r&ral handcraft projects. The cases which follow have been chosen to ill&strate some of the pathology we see in Swaziland. 'rphans4 patients str&ggling with their Anti 0etroviral Treatment4 people with m<iple dr&g resistant t&berc&losis4 se5&ally transmitted diseases and other opport&nistic infections. Homeopathy as a treatment for HIV and Aids in Swaziland Homeopathy as a treatment for HIV and Aids in Swaziland All o&r patients give &s an overall health score 1based on the 6arnofs3y score2 This is o&t of "! with "! representing f&ll health. Symptoms are also scored by practitioners. 1VAS2 17 8 worst case scenario ! 8 symptom cleared 2 )eight loss is also monitored and treated. 9+% co&nts are recorded if available4 b&t these can be &nreliable as a meas&re of health4 and many of o&r patients do not have reg&lar tests. Homeopathy as a treatment for HIV and Aids in Swaziland The standard Anti 0etroviral treatment for HIV*AI+S in Swaziland is generally initiated if the 9+% co&nt is below (7!. The c&rrent lines of free A0T are : :idov&dine*Azidothymidine 1A:T24 Stav&dine 1+%T24 ;amiv&dine 1(T924 1<evirapine2 <V=4 >favirenz and Tenofovir disopro5il. The A0T is dispensed in vario&s combinations and is also given to HIV? pregnant women prior to delivery to prevent mother to child transmission. Homeopathy as a treatment for HIV and Aids in Swaziland A n&mber of people are &nable to tolerate the A0T and despite changes in the dr&g regime these patients die from progressive liver and 3idney damage and general organ fail&re. '&r e5perience is that if homeopathic remedies are given at the start of the A0T regime patients are more able to deal with the side effects and to adhere more easily and stay for longer periods on the initial treatment combination. Case 1 ART (tested + 2006) A0T since @ay !"!4 few symptoms at start of A0T4 b&t 9+% was 7!. Ay Ban !" it had dropped to #. =atient first seen 'ct !" Home visit Symptoms : 0enal fail&re4 )ea3ness4 anaemia. Score *"! 0emedies4 =hCAc4 9a&stic&m4 6ali D c @arch !" he passed away. +ate )eight 9+% 13g2 7*!"! #( 7 "!*!"! #" "#E "!*!"" FG G! "*!"" (*!" 7" # Homeopathy as a treatment for HIV and Aids in Swaziland Hrom o&r database it appears that the predominant opport&nistic infection of the HIV*AI+S patients that we treat is T&berc&losis. This conc&rs with the assessment made by @edicins sans Hrontiere from their T&berc&losis program in Swaziland. @any patients here have acI&ired @<iple +r&g 0esistant T&berc&losis and have gone thro&gh many repeated regimes of debilitating antibiotic treatment with little s&ccess. Homeopathy as a treatment for HIV and Aids in Swaziland Case 2 Age 57 MDR TB/ART At first cons< in !!E 1TA meds only2 9+% !7 1'ct !!#2 A0T Initiated Heb !"! Symptoms: 9hronic TA infection4 chronic co&gh4 candida4 wea3ness4 emaciation4 s3in rash4 intermittent diarrhea. Remedies Staphysagria4 =hosphor&s4 T&berc&lin&m 6ali carbonic&m +ate )eight Score 13g2 *!!E %7.% *"! %*!!E 7*"! G*!!E (*"! E*!!E 7!.7 7*"! *!"! F*"! %*!"! G*"! E*!"! G*"! ""*!"! #*"! "*!"" E*"! F*!"" E*"! E*!"" F7.% E*"! "!*!"" E*"! "*!" FE.E E*"! Homeopathy as a treatment for HIV and Aids in Swaziland @any people are &ntested in Swaziland and often &nwilling to do so. As the A0T is only &s&ally initiated when the 9+% is below (7! many of the patients seen are not on A0T and as a res< they receive Homeopathy as the predominant treatment for their presenting symptoms. These are some of the most s&ccessf&l casesJ Homeopathy as a treatment for HIV and Aids in Swaziland +ate )eight Score 13g2 ""*!!# (#." *"! *!!E %!.! (*"! 7*!!E %%. 7*"! F*!!E 7% %*"! 1herpes2 #*!!E F! 7*"! E*!!E FE G*"! "*!!E F#." #*"! F*!"! F(." G*"! "!*!"! FF.F #*"! ""*!"! F%.F F*"! 1tooth abscess2 E*!"" FG.7 #*"! *!" F#.( #*"! Case ! Age "0 #omeopat$y %&'y Hirst cons< patient very ill b&t not tested. =atient tested ? in Heb !"! 9+% D abo&t (!!. <o A0T Symptoms: An5iety +iarrhoea4 weight loss4 appetite loss4 herpes4 s3in rash. Remedies Arsenic&m alb&m A&r&m metallic&m 0h&s to5icodenron Homeopathy as a treatment for HIV and Aids in Swaziland The other common infections incl&de other se5&ally transmitted infections s&ch as gonorrhea and syphilis. These are &s&ally treated with m<iple antibiotic regimes and in HIV*AI+S patients often with little long term s&ccess as the infections 3eep rec&rring. Homeopathic remedies can assist these patients. Homeopathy as a treatment for HIV and Aids in Swaziland +ate Score "*!"" C 7 *"! *!"" D F*"! (*!"" D E*"! %*!"" D E*"! *!" D E*"! (*!" D E*"! Case " Age 56 STD (A&ti(ioti)s &o ART) Hirst 9ons< "*!"" 9+ % 1&n3nown2 Symptoms @<iple ST infections4 penile chancres4 e5tensive er&ptions e5ternal genitalia4 perine&m4 an&s4 s3in rash4 weight loss4 appetite loss4 .needle pains everywhere/ Remedies Silicea4 <itric Acidic&m4 Syphilin&m4 @edorrhin&m Homeopathy as a treatment for HIV and Aids in Swaziland Bryoni a Natrum muri ati cum Arseni cum Al bum Thuja Lachesi s Pul sati l l a Cal careum carb Rhus toxi codendron Sul phur Si l i cae Sepi a Phosphorus Tubercul i num Li ver drai nage edhorri num Carci nosi n Causti cum This chart shows the efficacy of the Remedies used in the treatment of the HIV positive sub group. Liver drainage is a combination of Cardus Marianus, Chelidonium and Hydrastis canadiensis Homeopathy as a treatment for HIV and Aids in Swaziland To s&mmarize : Treating HIV and Aids is still abo&t treating the totality of symptoms that the individ&al presents.