The Police Power And HIV/STDs In The Elderly
Edward P. Richards, III Professor University of Missouri – Kansas City School of Law 5100 Rockhill Road Kansas City, MO 64110 (816)235-2370/******@
1
Overview
HIV/STDs As A Special Case
HIV - Especially Dangerous To The Elderly
General Problem municable Diseases
Driven By Changing Demographics
Demands A Public Health Approach
Police Powers To Protect munity
Personal Health Services for Individuals
2
Risk Factors For HIV/STDs
Drug Use
Sharing Needles
Trading Sex For Drugs
Sexual Activity
Frequency
Number Of Partners
Practices
Core Group Dynamics
3
Why Are The Elderly At Risk?
Elderly Have Always Been At Risk
Small Numbers
Social Stigma Hides Cases
Changes munity Demographics
Increasing The Risks
Increasing The Numbers
4
Traditional Health Status
Death Came Earlier
Less Time Retired
Less Time Widowed
Smaller Population Of Elderly
Not As Healthy
Underestimated By Life Expectancy
General Health
Sexual Dysfunction
5
Current Health Trends
Longer Life Span
Longer Retirement
Longer Widowed
Larger Elderly Population
Better Health
Masked By Static Life Expectancy
Improvements In General Health
Improvements In Sexual Function
6
Traditional Demographics
No Distinct munity
Poor
Smaller Numbers
anized
Dispersed Through munity
Integrated With Extended Family
Better Social works
7
Contemporary Demographics
Elderly munities
Sun City - the Affluent
Supervised Living
Elderly Ghettos
Benefits of munities
Critical Mass for Special Services
Crime and Violence are for the Young
No Stigmatization
Self-Quarantine
8
Risks of munities
Better Niche municable Diseases
Concentration of Hosts
More Susceptible Population
Increases Social Interaction Spreads Disease
Ignorance of Larger World Problems
The Elderly Do Not See STDs As Their Problem
Physicians Do Not Look for STDs in the Elderly
9
Why Do Doctors Miss HIV/STDs In The Elderly?
Mistaken Social Perceptions
Elderly Do Not Have Sex
Elderly Do Not Have STDs Eve
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