The AIDS risk hasn't gone away

Advances in treatment and management of HIV have improved quality of life for many patients in our state and nation in recent years. Lives are being extended as the virus that leads to AIDS is slowed or even sidetracked for longer periods. Researchers are closer to developing an effective vaccine.

We are thankful for such progress.

But Tuesday's annual World AIDS Day observance also should remind everyone that the deadly threat remains. No cure for AIDS exists. It's still the world's leading epidemic killer. Education and prevention must be stressed as much as ever.

In Iowa, the number of HIV diagnoses hit a record 128 in 2007, then dipped to 108 in 2008. That drop is good to see but we shouldn't conclude that HIV infections will steadily decrease in the near future.

The rate of sexually transmitted diseases (STDs) has been on the rise in recent years, both nationwide and in Iowa. Given that HIV also is a sexually transmitted and its symptoms often take longer to present than other STDs, the big picture is troubling.

About half of the STD diagnoses are in people ages 15 to 24. Iowa's overall STD rate for that age group is 34 cases for every 1,000 young people. However, don't assume such behavior is limited to the young.

According to the federal Centers for Disease Control and Prevention, about 19 percent of all Americans with HIV/AIDS are age 50 and older. The percentage could be higher because older people often don't get tested regularly. Many are reluctant to talk about sex with doctors or other professionals at a time when there are more seniors than ever leading active sexual lives.

They also must understand that getting or transmitting an STD is just as possible for them if they engage in risky sexual behavior.

Parents and guardians should not be squeamish about discussing sexually transmitted diseases and prevention with their youngsters. Adults first should be sure to be informed. Check your public library, ask your doctor, visit credible online sites or contact your county public health departments.

Not understanding the threat of HIV/AIDS and all STDs is the biggest danger of all.