On the face of things, a fall in the number of people infected with HIV (the virus that causes AIDS) from 39.5m to 33.2m over the course of a single year, as reported in this year's AIDS epidemic update from the World Health Organisation (WHO) and UNAIDS, should be cause for rejoicing. Indeed, it is, for it means there are fewer people to treat, and fewer to pass the infection on, than was previously thought. But the fall is not a real fall. Rather, it is due to a change in the way the size of the epidemic is estimated.
If you factor in that change, the number of infected individuals has actually risen since last year, by 500,000. Yet even that is not necessarily bad news in the paradoxical world of AIDS. As treatment programmes are rolled out around the world, death rates are falling. According to the revised figures, the lethal peak, of 2.2m a year, was in 2005. Now the figure is 2.1m. Since the only way for an infected person to drop out of the statistics in reality (as opposed to by sleight of statistical hand) is for him to die, such increased survivorship inevitably pushes up the total size of the epidemic.
The best news of all, however, is that the new figures confirm what had previously been suspected—that the epidemic has peaked. The highest annual number of new infections around the world was 3.4m in 1998. That figure has now fallen to 2.5m.
Both the change in the death rate and the change in the infection rate are partly a consequence of the natural flow and ebb of any epidemic infection. But they are also a reflection of the hard graft of public-health workers in many countries, who have persuaded millions of people to modify or abandon risky behaviour, such as having unprotected sex, as they have also created the medical infrastructure needed to distribute anti-retroviral drugs that can keep symptoms at bay in those who do become infected.
The revision of the figures is mainly a result of better data-collection methods, particularly in India (which accounts for half the downward revision) and five African countries (which account for another fifth). In India many more sampling points have been established, and in all countries better survey methods, relying on surveyors knocking on doors rather than asking questions at clinics, have gathered data from more representative samples.
Sceptics will feel vindicated by the revision. They have suspected for a while that the older survey methods were biased, and that the inflation thus produced was tolerated because it helped twang the heart-strings of potential donors. However, the structures for collecting and distributing money to combat AIDS are now well established, and accurate data are crucial if that money is not to be misdirected. The new information also means that the goal of treatment for all who need it will be easier and cheaper to achieve. The WHO and UNAIDS are planning to publish a report on the matter early next year, but Paul De Lay, UNAIDS's director of evidence, monitoring and policy, says that the financial requirements for 2010 will probably be about 5% less than previously estimated, and that by 2015 that figure will have risen to 10%. Good news for everyone, then, donors and sufferers alike.
1. Though the number of infected individuals has risen, it is still worth rejoicing because _____.
[A] the number of people who are dying from AIDS has decreased
[B] the total size of the epidemic is shrinking in a significant extent
[C] it is only a rise in the sense of statistics, instead of a real number
[D] in the paradoxical world of AIDS bad news can turn out to be good news
2. About the changes in the death rate and the infection rate of HIV, which one of the following statements is NOT true?
[A] Any epidemic will naturally have such changes.
[B] They are mainly aroused by the new statistic methods.
[C] They clearly mirror of the essential achievements of public-health workers.
[D] The death rate has been greatly suppressed due to massive implementation of treatment programmes.
3. The word “vindicated” (Line 1, Paragraph 6) most probably means _____.
[A] confused
[B] clarified
[C] doubting
[D] annoyed
4. By 2015, the financial requirements will _____.
[A] have risen by 10% more than what have been previously estimated
[B] be 10% of what have been previously estimated
[C] be 10% less than previously estimated
[D] be 15% less than previously estimated
5. Towards the revision, the author's attitude can be said to be _____.
[A] negative
[B] positive
[C] indifferent
[D] neutral
1. Though the number of infected individuals has risen, it is still worth rejoicing because _____.
[A] the number of people who are dying from AIDS has decreased
[B] the total size of the epidemic is shrinking in a significant extent
[C] it is only a rise in the sense of statistics, instead of a real number
[D] in the paradoxical world of AIDS bad news can turn out to be good news
1. 盡管感染艾滋病的人數(shù)增加了,但是還是值得高興,因?yàn)?_____。
[A] 死于艾滋病的人數(shù)減少了
[B] 這種傳染病整體的規(guī)模大幅度下降了
[C] 這只是統(tǒng)計(jì)上的增加,而不是實(shí)際數(shù)目的增加
[D] 在是非顛倒的艾滋病世界中,壞消息也能變成好消息
答案:A 難度系數(shù):☆☆☆☆
分析:推理題。本題針對(duì)的是文章的第一段和第二段。文章第二段提到,雖然感染的人數(shù)增加了,但并不是壞消息,因?yàn)殡S著全世界醫(yī)療水平的提高,艾滋病的死亡率下降了。這個(gè)上升的數(shù)據(jù)對(duì)應(yīng)的是死亡人數(shù)的減少,因此,選項(xiàng)A符合題意。選項(xiàng)B顯然是錯(cuò)誤的,因?yàn)槿静〉娜藬?shù)還在增加,而下降的是增加的比率。選項(xiàng)C是對(duì)第一段“但這個(gè)數(shù)量的減少卻不是真正的減少,而是因?yàn)楣罍y(cè)該傳染病規(guī)模的方法發(fā)生了改變”的誤解。選項(xiàng)D是對(duì)第二段Yet even that is not necessarily bad news in the paradoxical world of AIDS的曲解,選項(xiàng)的表述過(guò)于絕對(duì),而原文的語(yǔ)氣沒(méi)有這么肯定。
2. About the changes in the death rate and the infection rate of HIV, which one of the following statements is NOT true?
[A] Any epidemic will naturally have such changes.
[B] They are mainly aroused by the new statistic methods.
[C] They clearly mirror of the essential achievements of public-health workers.
[D] The death rate has been greatly suppressed due to massive implementation of treatment programmes.
2. 關(guān)于HIV死亡率和感染率的變化,下列哪個(gè)選項(xiàng)是錯(cuò)誤的?
[A] 任何傳染病都會(huì)很自然地發(fā)生這樣的變化。
[B] 這些變化主要是由新的統(tǒng)計(jì)方法造成的。
[C] 這些變化清楚地反映了公共衛(wèi)生工作者的重要成績(jī)。
[D] 由于大規(guī)模地實(shí)施了各種治療方案,因此死亡率得到了極大的控制。
答案:B 難度系數(shù):☆☆☆
分析:細(xì)節(jié)題。選項(xiàng)A,第四段提到,死亡率和感染率發(fā)生變化的部分原因在于每種傳染病都會(huì)有這種自然的起伏。選項(xiàng)B,第五段提到,數(shù)據(jù)的變化主要是由于采用了更好的數(shù)據(jù)收集方法,而不是統(tǒng)計(jì)方法,因此B是錯(cuò)誤的。選項(xiàng)C,第四段提到了這一點(diǎn)。選項(xiàng)D,第二段提到,隨著全世界治療方案的大量出現(xiàn),死亡率開(kāi)始有所下降,因此D是正確的。那么,選項(xiàng)B是正確答案。
3. The word “vindicated” (Line 1, Paragraph 6) most probably means _____.
[A] confused
[B] clarified
[C] doubting
[D] annoyed
3. vindicated這個(gè)詞(第六段第一行)最有可能的意思是 _____。
[A] 迷惑的
[B] 澄清的
[C] 懷疑的
[D] 懊惱的
答案:B 難度系數(shù):☆☆☆
分析:猜詞題。在第六段中,根據(jù)上下文,持懷疑態(tài)度者最開(kāi)始懷疑舊的調(diào)查方法有偏頗,但是現(xiàn)在新的數(shù)據(jù)收集方法比較先進(jìn)、科學(xué),與之前的數(shù)據(jù)有所出入,因此他們的疑慮就應(yīng)該打消了。因此,選項(xiàng)B最為符合題意。
4. By 2015, the financial requirements will _____.
[A] have risen by 10% more than what have been previously estimated
[B] be 10% of what have been previously estimated
[C] be 10% less than previously estimated
[D] be 15% less than previously estimated
4. 到2015年,財(cái)政需求將會(huì) _____。
[A] 比先前估計(jì)的增加10%
[B] 是先前估計(jì)的10%
[C] 比先前估計(jì)的減少10%
[D] 比先前估計(jì)的減少15%
答案:C 難度系數(shù):☆☆
分析:細(xì)節(jié)題。第六段指出,到2010年,財(cái)政需求可能要比先前估計(jì)的少 5%,而到2015年,這個(gè)數(shù)字將增加到10%。那么也就是說(shuō),到了2015年,財(cái)政需求要比先前估計(jì)的少10%。因此,選項(xiàng)C為正確答案。
5. Towards the revision of the figures, the author's attitude can be said to be _____.
[A] negative
[B] positive
[C] indifferent
[D] neutral
5. 對(duì)于這次數(shù)據(jù)修改,作者的態(tài)度是 _____。
[A] 否定的
[B] 肯定的
[C] 不關(guān)心的
[D] 中立的
答案:B 難度系數(shù):☆
分析:態(tài)度題。對(duì)于這次修改,作者在全文中多次用了贊揚(yáng)的語(yǔ)氣,描述這樣改變的好處,因此,作者的態(tài)度是肯定的,正確答案為B。
由世界衛(wèi)生組織和聯(lián)合國(guó)艾滋病規(guī)劃署報(bào)告的本年度有關(guān)艾滋病的最新數(shù)據(jù)表明,在短短一年的時(shí)間內(nèi),感染HIV(引發(fā)艾滋病的病毒)的人數(shù)從3,950萬(wàn)人減少到3,320萬(wàn)人,表面上來(lái)看這確實(shí)令人欣喜。實(shí)際上也確實(shí)如此,因?yàn)檫@意味著需要治療的人和傳播疾病的人比原來(lái)估計(jì)的要少。但這個(gè)數(shù)量的減少卻不是真正的減少,而是因?yàn)楣罍y(cè)該傳染病規(guī)模的方法發(fā)生了改變。
如果將這種改變考慮進(jìn)來(lái),那么被感染的人數(shù)實(shí)際上比去年增加了50萬(wàn)。但是即便如此,這對(duì)于是非顛倒的艾滋病世界來(lái)說(shuō)也不一定是壞消息。隨著全世界治療方案的大量出現(xiàn),死亡率開(kāi)始有所下降。根據(jù)修改后的統(tǒng)計(jì)數(shù)據(jù),死亡高峰出現(xiàn)在2005年,這一年有220萬(wàn)人死亡。現(xiàn)在這個(gè)數(shù)字為210萬(wàn)。因?yàn)槭芨腥镜幕颊咭胝嬲顺鼋y(tǒng)計(jì)數(shù)字(而不是通過(guò)在數(shù)據(jù)統(tǒng)計(jì)辦法上做手腳),唯一的方法就是死亡,存活患者人數(shù)的增加免不了會(huì)增加感染者的總數(shù)。
但是最好的消息就是,新數(shù)據(jù)肯定了先前被懷疑的事實(shí)——感染人數(shù)的最高點(diǎn)已經(jīng)過(guò)去。1998年,新增感染者的總?cè)藬?shù)為340萬(wàn)人,是最高值,現(xiàn)在降到250萬(wàn)人。
死亡率和感染率的變化部分是由于每一種傳染病都存在的自然起落規(guī)律。但是也反映了許多國(guó)家的公共衛(wèi)生工作者的艱苦努力,他們成功地說(shuō)服了成百上千萬(wàn)的人們改變或者放棄危險(xiǎn)的行為,如沒(méi)有任何保護(hù)措施的性行為,他們還建立了醫(yī)療基礎(chǔ)措施來(lái)發(fā)放反逆轉(zhuǎn)藥物,這種藥物可以讓那些已經(jīng)被感染的患者的癥狀消失。
修改數(shù)據(jù)主要是因?yàn)椴捎昧烁玫臄?shù)據(jù)收集方法,特別是在印度(該數(shù)據(jù)的下降有一半是因?yàn)橛《葦?shù)據(jù)的改變)和五個(gè)非洲國(guó)家(另有1/5的數(shù)據(jù)下降是因?yàn)檫@些國(guó)家)。印度建立了更多的取樣點(diǎn),而所有國(guó)家都采用了更好的調(diào)查方法,主要依靠上門(mén)調(diào)查而不是在診所詢(xún)問(wèn)問(wèn)題,這樣收集到了更具代表性的病例數(shù)據(jù)。
持懷疑態(tài)度的人會(huì)因?yàn)閿?shù)據(jù)修改而證實(shí)了他們先前的懷疑。他們?cè)鴳岩蛇^(guò)去的調(diào)查方法有一定的偏頗,由此導(dǎo)致的數(shù)據(jù)增加也是在容許的范圍內(nèi),因?yàn)檫@樣就可以使許多潛在的捐贈(zèng)人動(dòng)心。但是,現(xiàn)在為抗擊艾滋病建立了收集和發(fā)放資金的結(jié)構(gòu),如果想要正確使用這些資金,那么準(zhǔn)確的數(shù)據(jù)是非常重要的。新信息也意味著治療所有患者這個(gè)目標(biāo)實(shí)現(xiàn)起來(lái)會(huì)更簡(jiǎn)單、更廉價(jià)。世界衛(wèi)生組織和聯(lián)合國(guó)艾滋病規(guī)劃署目前計(jì)劃在明年年初發(fā)布一個(gè)相關(guān)的報(bào)告,但是聯(lián)合國(guó)艾滋病規(guī)劃署取證、監(jiān)測(cè)和政策主任Paul De Lay稱(chēng),2010年的財(cái)政需求可能要比先前預(yù)計(jì)的少約5%,到2015年,該數(shù)字將達(dá)到10%。這對(duì)于那時(shí)的每個(gè)人,不管是捐獻(xiàn)者還是患者來(lái)說(shuō)都是好消息。