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. lags in suppressing viral loads Dr. R. Frieden Suppressing HIV viral loads in people with the virus has been proven to be an effective means in stopping HIV transmissions. Yet the majority of HIV-positive people in the. continue to have viral levels that put their sexual partners at risk for contracting HIV. Nearly out of Americans living with HIV do not have their infection under control, according to a Vital Signs report released Tuesday, November 29 by the Centers for Disease Control and Prevention ahead of the annual World AIDS Day observance Thursday, December 1. The authors contend that the low percentage is because one in people with HIV do not realize they are infected and, of those who are aware, only 51 percent receive ongoing medical care and treatment. Of the nearly million people living with HIV in the United States, only an estimated 28 percent have a suppressed viral load (defined as viral load less than copies of the blood-borne virus per milliliter of blood) – meaning that the virus is under control and at a level that helps keep them and reduces the risk of transmitting the virus to others. "What this is telling us, at the end of the day in my mind, is that the degree of viral suppression we have is, quite frankly, woefully inadequate. A lot more needs to happen," said Dr. Rio, a board member of the HIV Medicine Association and the chair and professor of global health at. The CDC's figures mirror similar findings in a review Rio co-authored earlier this year that reported only 19 percent of all HIV-infected persons are virally suppressed. The CDC explained in its report this week that the discrepancy is due to more recent data and different methods it used. Nonetheless, Rio said the difference in the two figures is negligible. Both are clear indicators that not enough people living with HIV are accessing care. "It shows the challenges we still have for high quality HIV care," said Rio in a phone interview with the Bay Area Reporter. FULL STORY: lady sex StuttgartI agree with you that a client fantasizing about a therapist isn't a horrible thing. It's when those fantasies get in the way of performing the work for which the therapist is tasked to performed that it crosses from the gray into the black. In the case of massage therapists, there's a physical intimacy that can lead itself into sexual inappropriateness. From my perspective, it would likely be helpful to let an MT know that you tend to have intense, erotic reactions to being massaged if that's truly the case. If the MT consents to providing treatment or services after knowing such things, then it seems OK in my book, especially given the training provided about potential sexual responses to massage. I've not had a response to massage of the same quality as the one the OP describes, so I'm not clear what it would entail. However, I also think it's silly to assume that clients of professionals don't fantasize about those professionals, just as it's silly to assume that any person's thoughts of us are pure and chaste. Who knows when we be wank fodder for someone? As as the wank fodder doesn't inhibit the professional conduct of a relationship, I don't an ultimate problem with it, as that would require the exercise of self-control. On the other extreme are psychotherapists, who delve deeply into their clients' psyches. Often times, the emotional intimacy that's created can lead to sexual fantasies. In that case, however, there's not direct manipulation of the body, so having sexual responses during the session isn't expected or appropriate. Nevertheless, therapists are often fodder for clients' masturbatory fantasies. In and of itself, is that wrong? No. Could it be problematic? Absolutely, especially if the fantasies become more important than the therapeutic work that's to be done. At that point, such intense fantasies would have to be discussed and worked through, with the client accepting a transfer to another therapist if there can't be any resolution of the fantasies. Wants a relationship
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