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It can be considered that the world is facing and encountering a lot of problems, specifically in line with attaining optimum health.   There are various healthcare providers in the global context to fght for different problems and issues. There are some healthcare issues which should be given enough attention, specifically those known as the killer diseases and this include HIV/AIDS.

Due to the immense effect of such chronic disease, specifically with the growing numbers of individuals affected by it, the United States of America along with other international organisations have supported different projetcs that aims on fighting and combating such killer diserases as well as improving access to significant medicines that would alleviate pain and sufferings of the people affected by it.

The main goal of this paper is toi consider a US_wide health challenges and issues while identifying its effect among people (Shanahan, 2006). For this paper, the health issue that will be given emphasis is HIV/AIDS.

Criteria for choosing the health problem

Consequently, the devastating consequence of the infection human immunodeficiency (HIV), which is commonly known as the killer virus which causes Acquired Immune Deficiency Syndrome (AIDS) have been unavoidable.

This virus can destroy the human immune system by assimilating its genetic material into certain immune system cells, in which it damages the cells designed to secure and protect humans from other disease. It is a term that has been used to refer to the spectrum of infection with HIV, from the initial viral- infection throughout the development of full-blown AIDS.

Because of its effect on human race and since evidence of HIV infection has been estabished in more than 150 countries worldwide, this health problem has been chosen.

The criteria for considering and choosing this disease are because of its enormous impact among Americans. One of these criteria is the prevalence of the disease in the community. Accordingly, prevalence is the number of individuals living with the HIV virus in a particular year. As of 2006, it has been estimated that there are more than 1.1 million individuals in the United States with the HIV infection and 21% of them are still undiagnosed (CDC, 2006).

In addition, another criteria used is the incidence of the disease which is the number of cases of HIV infections that existend during a given year and in year 2006, CDC have estimated that there are approximately 56,300 individulas who were newly infected with the virus (Hall et al, 2008) and over 53% of such new cases happened in bisexual and gays.

 The research also noted that afro-american men and women were also robusly affected by the HIV infection and were estimated to have an incidence rate that was 7 times higher than that of the white Americans (Hall et al, 2008).

Lastly, the criteria to be considered are motality rates and in year 2007, the estimated value of deaths of individuals with AIDS in the US as well as depedent regions was 14.

561 which happened in the 50 states as well as the district of Columbia including 14,105 adolescents and adults, and 5 children under age of 13 years. In line with cumulative estamated number of deaths of individuals in the US with AIDS, as of 2007, there were 583,298 cases in the 50 states as well as District of Columbia, in which 557, 902 of them are adolescents and adults and 4,891 children under age of 13 years old which is very alarming (CDC, 2008).

Group affected by the Issue

It is said that the devastating and damaging effects of HIV has been very alarming, specifically the moratality rates in the US alone.  HIV was first described in the US by doctors who were treating gay men in New York, Los Angeles as well as San Francisco in 1981 (Bing et al, 1990). Although there are different researches which has been conducted to determine its treatment, there are still now developed vaccine or cure for this kind of virus (Kumar et al, 2006).

Based on researches, groups who have been affected by this kind of virus are usually gay and bisexual men.  In additiom, information also shows that in the US, there are six racial as well as ethnic groups who were affected by this virus.  The following table shows the racial and ethnicity of the groups affected by HIV/AIDS.

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