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,因為 _____。
[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)計上的增加,而不是實際數(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,因為隨著全世界醫(yī)療水平的提高,艾滋病的死亡率下降了。這個上升的數(shù)據(jù)對應(yīng)的是死亡人數(shù)的減少,因此,選項A符合題意。選項B顯然是錯誤的,因為染病的人數(shù)還在增加,而下降的是增加的比率。選項C是對第一段“但這個數(shù)量的減少卻不是真正的減少,而是因為估測該傳染病規(guī)模的方法發(fā)生了改變”的誤解。選項D是對第二段Yet even that is not necessarily bad news in the paradoxical world of AIDS的曲解,選項的表述過于絕對,而原文的語氣沒有這么肯定。
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,下列哪個選項是錯誤的?
[A] 任何傳染病都會很自然地發(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。
[D] 由于大規(guī)模地實施了各種治療方案,因此死亡率得到了極大的控制。
答案:B 難度系數(shù):☆☆☆
分析:細節(jié)題。選項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有這種自然的起伏。選項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)計方法,因此B是錯誤的。選項C,第四段提到了這一點。選項D,第二段提到,隨著全世界治療方案的大量出現(xiàn),死亡率開始有所下降,因此D是正確的。那么,選項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、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,財政需求將會 _____。
[A] 比先前估計的增加10%
[B] 是先前估計的10%
[C] 比先前估計的減少10%
[D] 比先前估計的減少15%
答案:C 難度系數(shù):☆☆
分析:細節(jié)題。第六段指出,到2010年,財政需求可能要比先前估計的少 5%,而到2015年,這個數(shù)字將增加到10%。那么也就是說,到了2015年,財政需求要比先前估計的少10%。因此,選項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。對于這次修改,作者在全文中多次用了贊揚的語氣,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)合國艾滋病規(guī)劃署報告的本年度有關(guān)艾滋病的最新數(shù)據(jù)表明,在短短一年的時間內(nèi),感染HIV(引發(fā)艾滋病的病毒)的人數(shù)從3,950萬人減少到3,320萬人,表面上來看這確實令人欣喜。實際上也確實如此,因為這意味著需要治療的人和傳播疾病的人比原來估計的要少。但這個數(shù)量的減少卻不是真正的減少,而是因為估測該傳染病規(guī)模的方法發(fā)生了改變。
如果將這種改變考慮進來,那么被感染的人數(shù)實際上比去年增加了50萬。但是即便如此,這對于是非顛倒的艾滋病世界來說也不一定是壞消息。隨著全世界治療方案的大量出現(xiàn),死亡率開始有所下降。根據(jù)修改后的統(tǒng)計數(shù)據(jù),死亡高峰出現(xiàn)在2005年,這一年有220萬人死亡?,F(xiàn)在這個數(shù)字為210萬。因為受感染的患者要想真正退出統(tǒng)計數(shù)字(而不是通過在數(shù)據(jù)統(tǒng)計辦法上做手腳),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——感染人數(shù)的最高點已經(jīng)過去。1998年,新增感染者的總?cè)藬?shù)為340萬人,是最高值,現(xiàn)在降到250萬人。
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家的公共衛(wèi)生工作者的艱苦努力,他們成功地說服了成百上千萬的人們改變或者放棄危險的行為,如沒有任何保護措施的性行為,他們還建立了醫(yī)療基礎(chǔ)措施來發(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)主要是因為采用了更好的數(shù)據(jù)收集方法,特別是在印度(該數(shù)據(jù)的下降有一半是因為印度數(shù)據(jù)的改變)和五個非洲國家(另有1/5的數(shù)據(jù)下降是因為這些國家)。印度建立了更多的取樣點,而所有國家都采用了更好的調(diào)查方法,主要依靠上門調(diào)查而不是在診所詢問問題,這樣收集到了更具代表性的病例數(shù)據(jù)。
持懷疑態(tài)度的人會因為數(shù)據(jù)修改而證實了他們先前的懷疑。他們曾懷疑過去的調(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),因為這樣就可以使許多潛在的捐贈人動心。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目標(biāo)實現(xiàn)起來會更簡單、更廉價。世界衛(wèi)生組織和聯(lián)合國艾滋病規(guī)劃署目前計劃在明年年初發(fā)布一個相關(guān)的報告,但是聯(lián)合國艾滋病規(guī)劃署取證、監(jiān)測和政策主任Paul De Lay稱,2010年的財政需求可能要比先前預(yù)計的少約5%,到2015年,該數(shù)字將達到10%。這對于那時的每個人,不管是捐獻者還是患者來說都是好消息。