The global challenge of HIV/AIDS remains one of the most pressing public health issues today. According to the latest data from UNAIDS, around 38.4 million people worldwide are living with HIV/AIDS, underlining the need for not only medical intervention but also comprehensive awareness, education, and social change. Despite the significant strides made in treatment and prevention, the confusion surrounding the relationship between HIV and AIDS still persists.

Young people have become influential advocates in the fight against HIV/AIDS. Research from UNICEF shows that youth-led initiatives can lower HIV transmission rates by as much as 45% in targeted communities. These young activists utilize digital platforms and peer-to-peer education to dispel myths, promote safe practices, and foster supportive environments for those affected by HIV/AIDS.

Dr Gowri Kulkarni, an expert in Internal Medicine, explains that while the terms HIV and AIDS are often used interchangeably, they are distinctly different. "HIV (Human Immunodeficiency Virus) is a virus that attacks the immune system, whereas AIDS (Acquired Immunodeficiency Syndrome) is a condition that occurs when HIV severely damages the immune system," she clarifies. To understand the implications of these differences, it's important to explore the fundamental distinctions between the two.

1. HIV is a Virus; AIDS is a Syndrome

HIV is the virus responsible for attacking the body’s immune system, specifically targeting CD4 cells, which are crucial for the body’s defense against infections. As HIV progresses, it destroys these cells, weakening the immune system over time. If left untreated, this continuous damage can lead to AIDS.

AIDS, on the other hand, is a syndrome, not a virus. Dr Kulkarni further elaborates that AIDS is a collection of symptoms and illnesses that emerge when the immune system is severely compromised due to prolonged HIV infection. It represents the most advanced stage of HIV, and is characterized by very low CD4 counts or the onset of opportunistic infections like tuberculosis, pneumonia, or certain cancers.

2. Not Everyone with HIV Develops AIDS

A key distinction to remember is that not everyone with HIV will progress to AIDS. Thanks to advancements in medicine, particularly antiretroviral therapy (ART), individuals living with HIV can manage the virus and maintain a healthy immune system for many years, or even decades, without ever developing AIDS. ART works by suppressing the virus to undetectable levels, effectively preventing the damage HIV would otherwise cause to the immune system.

Without treatment, however, HIV progresses through three stages:

- Acute HIV Infection: This stage occurs shortly after transmission and may include symptoms like fever, fatigue, and swollen lymph nodes.

- Chronic HIV Infection: Often asymptomatic or mildly symptomatic, the virus continues to damage the immune system but at a slower rate.

- AIDS: This is the final stage, marked by severe immune damage and the presence of infections that take advantage of the compromised immune defenses.

3. HIV is Transmissible; AIDS is Not

Another key distinction between HIV and AIDS is the way in which they are transmitted. HIV is highly contagious and can be transmitted through the exchange of bodily fluids such as blood, semen, vaginal fluids, and breast milk. It is primarily spread through unprotected sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding.

AIDS, however, is not transmissible. It is not a disease that can be passed from one person to another. Rather, AIDS is the result of untreated, advanced HIV infection and is a direct consequence of the virus’s damage to the immune system.

4. Diagnosis Methods Differ

HIV and AIDS are diagnosed through different methods. HIV is diagnosed through blood tests or oral swabs that detect the presence of the virus or antibodies produced by the immune system in response to the virus. Early detection of HIV is crucial, as it allows for timely intervention and treatment, which can prevent the virus from progressing to AIDS.

AIDS, on the other hand, is diagnosed using more specific criteria. Dr Kulkarni notes that the diagnosis of AIDS is made when the individual’s CD4 cell count falls below 200 cells/mm³, or when opportunistic infections or certain cancers (such as Kaposi's sarcoma or lymphoma) are detected. Diagnosing AIDS involves a more thorough assessment of the individual’s immune function and overall health, as opposed to just the detection of HIV.

5. Treatment Goals Are Different

The treatment goals for HIV and AIDS differ significantly, although both involve antiretroviral therapy (ART). For HIV, the primary treatment goal is to suppress the virus to undetectable levels, thus maintaining a strong immune system and preventing further transmission of the virus. People living with HIV can often live long, healthy lives if they adhere to ART.

For individuals diagnosed with AIDS, the treatment plan becomes more complex. While ART remains an essential part of managing the virus, treatment for AIDS also focuses on addressing the opportunistic infections and secondary health complications associated with severe immune suppression. The goal of treatment for AIDS is not only to manage the HIV virus but also to improve the quality of life and extend survival by treating these secondary health issues.

Role of Community Engagement in Combatting HIV/AIDS

While the medical community has made great strides in managing HIV, the battle to curb its transmission is also a social and cultural issue. Dr Daman Ahuja, a public health expert, highlights that HIV/AIDS awareness and education are vital to reducing transmission rates and supporting those affected by the virus. "Young people, especially, have become key advocates in the fight against HIV/AIDS," says Dr Ahuja. "Research from UNICEF shows that youth-led initiatives can lower HIV transmission rates by as much as 45% in targeted communities."

Additionally, grassroots activism plays a significant role in raising awareness and addressing stigma. As the World Health Organization reports, community-based interventions have been proven to increase HIV testing rates and improve treatment adherence, which are crucial in the fight against the pandemic.

The ultimate goal of organizations like UNAIDS is to eliminate the HIV/AIDS pandemic by 2030. Achieving this requires global collaboration, from medical treatment advancements to public health strategies, education, and advocacy. Dr Kulkarni’s insight underscores the importance of early detection, treatment adherence, and community support in the fight against HIV/AIDS.

Dr Gowri Kulkarni is Head of Medical Operations at MediBuddy and Dr Daman Ahuja, a public health expert and has been associated with Red Ribbon Express Project of NACO between 2007-12.

A stroke can be a life-changing event, not just for the patients but also for their family. As a complex neurological condition, it can affect a person’s physical abilities, communication and everyday independence, often bringing unforeseen challenges for both the patient and their loved ones.

While a stoke is often associated with paralysis, facial weakness or difficulty walking, its impact can extend far beyond body mobility. Depending on which part of the brain is affected, a stroke can change something as fundamental as the way a person eats, speaks, swallows or even breathes.

These changes can be frightening for both the patient and family. Someone who was eating normally may suddenly cough while drinking water. A person who spoke fluently may struggle to find words or produce clear speech. In more severe cases, problems with swallowing can allow food or liquid to enter the airway, creating the risk of serious respiratory complications.

Understanding these changes is an important part of stroke recovery because they are not simply inconveniences, but functions that can directly affect nutrition, communication, safety and independence.

When Eating Is No Longer Simple

Eating involves a surprisingly complex sequence of movements. The brain must coordinate the muscles of the face, tongue, throat and oesophagus to move food safely from the mouth into the stomach.

A stroke can disrupt this coordination, resulting in dysphagia, or difficulty swallowing. A person may cough or choke while eating, take much longer to finish a meal, have a wet or gurgly voice after drinking, or feel that food is getting stuck.

This is common after stroke. A 2024 systematic review and meta-analysis found that post-stroke dysphagia affected approximately 46.6% of patients overall.

What may look like a simple difficulty with eating can have serious consequences. If food or liquid enters the airway instead of the oesophagus, it can lead to aspiration and potentially pneumonia. In an Indian meta-analysis, dysphagia was reported in approximately 47.7% of stroke patients, while pneumonia occurred in around 20.4%.

This is why swallowing should be assessed after a stroke rather than assuming that a patient can safely eat and drink as before.

When Speech Becomes Difficult

Speech and language are different functions, and a stroke can affect either or both.

Some people develop aphasia, where they may know what they want to say but struggle to find the right words, understand language, read or write. Others may develop dysarthria, where the language itself may be intact but weakness or poor coordination of the speech muscles comprised of larynx, tongue, and vocal tract, make their speech incoherent.

For families, this can sometimes be misunderstood as confusion or lack of understanding. A person may appear unable to respond when they may understand everything but be unable to express themselves.

Patience becomes essential. Giving the person time to respond, speaking clearly, avoiding finishing their sentences and using gestures or writing when needed can make communication less frustrating.

Speech and language rehabilitation can also play an important role in recovery.

When Breathing Can Also Be Affected

Breathing is something we rarely think about until it becomes difficult. Yet the brain plays an important role in regulating breathing, while the muscles of the throat and chest help maintain a clear and protected airway.

A stroke can interfere with this system, particularly when it affects areas involved in swallowing, airway protection or respiratory control. Difficulty managing saliva, weak coughing and aspiration can all increase the risk of respiratory complications.

Importantly, breathing problems after stroke do not always present as obvious breathlessness. Repeated coughing during meals, changes in voice after swallowing, excessive secretions or recurrent chest infections may sometimes indicate that material is entering the airway.

Recognising these signs early can help doctors and rehabilitation teams intervene before complications become more serious.

Recovery Is More Than Regaining Movement

Stroke rehabilitation is often associated with physiotherapy and learning to walk again. While mobility is extremely important, recovery needs to look at the person as a whole.

A patient may regain strength but still struggle to eat safely or communicate effectively. This is why stroke care can involve neurologists, physiotherapists, speech and language therapists, dietitians, occupational therapists and other rehabilitation professionals, depending on the patient's needs.

Swallowing assessments, speech therapy, dietary modifications and targeted rehabilitation can help patients gradually regain function and confidence.

What Families Should Not Ignore

Families are often the first to notice subtle changes after a stroke. Coughing during meals, prolonged eating times, a change in voice after drinking, unclear speech, difficulty finding words or repeated chest infections should not simply be dismissed as part of ageing or weakness after stroke.

These signs deserve medical attention.

Recovery from stroke is not always a straight line. Some functions may improve quickly, while others require months of rehabilitation and continued support. What matters is recognising the problem early and addressing it appropriately.

Looking Beyond Paralysis

A stroke does not only affect how a person moves. It can change how they communicate, eat, swallow and protect their airway functions that are central to independence and quality of life.

For families, understanding these changes can replace fear with awareness. For patients, timely assessment and rehabilitation can help turn seemingly overwhelming challenges into manageable steps towards recovery.

The goal after a stroke is not simply to help a person walk again. It is to help them eat safely, communicate confidently, breathe comfortably and regain as much independence as possible.

(By Dr. Vaibhav Seth, Consultant - Neurology, Manipal Hospital, Kolkata)

The Times Network India Health Summit 2026 brought together policymakers, clinicians, researchers and healthcare industry leaders to discuss the future of India's healthcare system, with conversations spanning medical innovation, access to treatment, mental health, women's health and preventive care.

The third edition of the Times Network India Health Summit & Awards was held in New Delhi on October 28 under the theme, The Blueprint for a Future-Ready Healthcare Ecosystem: Innovation. Access. Self-Reliance.

From the use of artificial intelligence (AI) in diagnostics to advances in fertility treatment and the need to strengthen public health infrastructure, various sessions explored several aspects of how healthcare delivery could evolve. Here are the key discussions and takeaways from the summit.

Anupriya Patel Highlights India's Healthcare Priorities Including Ayushman Bharat Coverage

Union Minister of State for Health and Family Welfare Anupriya Patel addressed the summit on building a future-ready healthcare ecosystem. With around 500 Ayushman Bharat cards issued, Patel also said that 132.5 million people had received free treatment under the scheme.

She also addressed India's Viksit Bharat 2047 vision, stating that Union health budget increased from around Rs 37,000 crore in 2014 to more than Rs 1.06 lakh crore.

Also read: Infertility Affects 1 In 6 Couples: Experts Highlight Age, IVF Costs & Male Fertility At Times Health Summit 2026

Delhi Health Minister Dr. Pankaj Singh Addressed Air Pollution Crisis

Delhi Health Minister Pankaj Singh answered key questions about the city’s looming air pollution crisis. He said that the government's various pollution-control measures, including electric vehicle (EV) policy can help fight it. He also spoke about the need for long-term solutions.

Union Minister of State (Independent Charge) AYUSH Prataprao Jadhav, Madhya Pradesh Minister of State Narendra Shivaji Patel and Uttarakhand Cabinet Minister Subodh Uniyal, were also scheduled to address different aspects of healthcare policy and delivery.

Padma Bhushan Dr S K Sarin On Liver Health

Padma Bhushan Dr Shiv Kumar Sarin, leading hepatologist, gastroenterologist, and medical educator who also serves as the Senior Professor, Chancellor, and Director of the Institute of Liver and Biliary Sciences (ILBS), recently spoke about the dos and don’ts to maintain a healthy liver at the Times Health Summit 2026.

From ideal breakfast time to late night eating, the expert spoke about common lifestyle mistakes people make that could worsen their liver health.

Also read: Unspoken Side Of Breast Cancer: Experts Discuss Recurrence Risk, Emotional Toll & Societal Impact At Times Health Summit 2026

Need For Investment In Ayurveda & AYUSH Sector

The session From Tradition to Therapeutics: The New Science of AYUSH was based on the role of traditional medicine in India's healthcare landscape.

Dr Biswaroop Roy Chowdhury, Founder of BRC Clinics Health, and Dr Tanmay Goswami, Founder of Goswal, discussed Ayurveda, its potential applications and questions surrounding its integration with modern medicine.

The speakers spoke about Ayurveda’s scientific research, evidence, AYUSH funding, clinical applications and integration with western medicine. The experts said that Ayurveda sector is valued at approximately $17–18 billion, while China's traditional medicine sector is estimated at around $30 billion, calling for greater investment in the sector.

Mental Health: Suicide Risk, Screen Addiction & More

Mental healthcare was another focus, with Dr Deepak Kumar, Professor and Head of the Department of Psychiatry at the Institute of Human Behaviour and Allied Sciences (IHBAS), discussing The Next Frontier in Indian Psychiatry: Specialization, Geriatric Mental Health, and De-addiction Strategies.

The doctor discussed immediate threat of suicidal thoughts, warning behavioural signs, screen addiction and need for parents to supervise and limit screen use in children.

Also read: Leading Gastroenterologist Padma Bhushan Dr S K Sarin Shares Dos & Don’ts For Healthy Liver At Times Health Summit 2026

Aftermath Breast Cancer Diagnosis & Treatment

Women's health was featured prominently at the summit, with the knowledge session Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes.

The session featured Dr Meenu Walia, Chairman of Medical Oncology at Max Healthcare; Vaishali Iyer, Country Head of Communications, Patient Advocacy and CSR at Novartis in India; and Dr Pankaj Goyal, Senior Consultant and Unit Head of Medical Oncology at Rajiv Gandhi Cancer Institute.

The experts focused on the risk of recurrence, the emotional toll of breast cancer treatment, financial and societal hardships, body image issues, intimacy problems and other challenges patients face after leaving the hospital.

Fertility Treatment And Parenthood

The panel The Fertility Revolution: Reimagining Parenthood in Modern India spoke about the evolving field of reproductive medicine and the challenges faced by people seeking fertility treatment.

The speakers included Dr Ranjana Sharma, Senior Consultant in Obstetrics and Gynaecology at Indraprastha Apollo Hospital; Dr Vimal Grover, Senior Director of Obstetrics and Gynaecology at Fortis LaFemme; Dr Hrishikesh Pai, Founder and Managing Director of Bloom IVF India; and Dr Abha Majumdar, Emeritus Consultant in IVF and Human Reproduction at Sir Ganga Ram Hospital.

The session brought attention to fertility preservation, IVF costs, male infertility, stigma women face, and the judgments that come with seeking IVF for starting a family.

Also read: Experts Discuss Ayurveda For Treating Lifestyle Disorders, Medical Emergencies & Trauma At Times Health Summit 2026

Why Menopause Is A Long-Overlooked Health Issue

The session From Silence to Care: Why India Can No Longer Ignore Menopause focused on menopause and the need to bring greater attention to women's health during midlife.

The session was led by Sanjith Shetty, Founder and CEO of Miror. He spoke about the suicide rates among menopausal women, along with other life challenges like divorces, retirements, and social isolation.

Digging Deeper Into Longevity Science

The fireside chat From LifeSpan to HealthSpan: Can Science Help Us Live Longer and Better? explored the science of longevity and the difference between living longer and maintaining good health for more years.

The conversation featured Dr Chirantan Bose and Dr Preetesh Bhandari, founders of Vytalyou. They spoke about the importance of maintaining muscle health, monitoring neurological health, and warding off lifestyle diseases like obesity and diabetes.

Other Sessions

The role of technology in modern medicine was explored in Precision Diagnostics: AI, Genomics & The New Era Of Personalized Care. The panel featured Dr Arjun Dang, CEO and Partner at Dr Dangs Lab; Dr Manish Vaish, Director and Head of the Institute of Neurosciences at Medanta, Noida; and Dr Belal Bin Asaf, Director of the Institute of Chest Surgery, Chest Onco-Surgery and Lung Transplant at Medanta, Noida.

The discussion focused on the evolving role of artificial intelligence and genomics in diagnostics, personalised treatment and improving diagnostic accuracy.

The future of specialised medical services was examined in The Next Frontier of Advanced Care: Scaling Capacity, Innovation & Clinical Excellence. The session brought together Dr V.S. Chauhan, Chairman and Managing Director of Prakash Hospitals and Institutions, and Prof. Dr Sanjeev Bagai, Chairman of Nephron Clinic.

The discussion centred on expanding advanced healthcare capacity, strengthening clinical excellence and leveraging innovation and technology to improve patient outcomes while making specialised treatment more accessible.

Addressing the challenges of equitable healthcare delivery, Reengineering Public Health Infrastructure: Last-Mile Delivery, Digital Health Equity, and Rural Access brought together Dr Anoop Saraya of the Institute of Liver & Biliary Sciences; Dr Charu Dutt Arora of AmeriHealth Home Healthcare, Asian Institute of Medical Sciences; Dr Gyanendra Kumar of Maulana Azad Institute of Dental Sciences; Girish Krishnamurthy, CEO of Tata Medical & Diagnostics; and Dr Jyoti Wadhwa of Apollo Athenaa Women's Cancer Centres.

The session focused on strengthening public health infrastructure, improving rural and last-mile access, and exploring the role of digital health and healthcare delivery models in bridging gaps in access to medical services.

The journey of a breast cancer patient does not end when their treatment comes to a conclusion. There is always a risk of recurrence, which makes regular follow-ups and adherence to treatment important.

At the Times Network India Health Summit and Awards 2026 in New Delhi, a panel formed by Dr Priya Parmar, Chief Operating Officer, Indian Cancer Society, Delhi, Dr. Jyoti Wadhwa - Principal Lead of Medical and Precision Oncology, Apollo Athena Women’s Cancer Centres, New Delhi and Apollo Hospital, Gurgaon, Dr. Meenu Walia, Chairman Medical Oncology, Max Healthcare, Dr Pankaj Goyal, Sr Consultant and Unit Head, Medical Oncology, RGCI, and Vaishali Iyer, Country Head, Communications, Patient Advocacy and CSR, Novartis in India, discussed the big picture after breast cancer treatment.

During a panel discussion titled “Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes,” experts highlighted the physical, emotional, social and financial challenges that women may continue to face after treatment among many more.

What Comes After Breast Cancer Treatment?

For many women, the period after breast cancer can involve more than medical monitoring. They may face fatigue, menopausal symptoms and changes in body image after undergoing a major physical change, while concerns about intimacy, fertility and relationships can affect emotional and mental well-being.

Dr. Priya Parmar highlighted how losing a breast or hair can affect a woman's sense of identity and femininity. Some survivors also face social stigma related to marriage and fertility, while sexual health and relationship concerns may remain difficult to discuss.

The burden can be greater for women who lack family support or have limited financial resources. These circumstances may affect not only emotional recovery but also their ability to attend follow-up appointments and continue treatment.

The financial strain can become particularly difficult if cancer returns and further investigations or treatment are required.

Dr. Meenu Walia said that treatment for advanced disease can add to the economic burden faced by patients and their families.

Also read: Vanessa Trump Recovers From 'Very Invasive' Breast Cancer, Reveals Early Sign Of The Disease

Risk Of Recurrence

The risk of breast cancer recurrence is not the same for every patient. It depends on the cancer's stage and subtype, tumour grade, lymph node involvement, response to treatment and whether treatment is timely.

Dr. Jyoti Wadhwa explained that different breast cancer subtypes can follow different recurrence patterns.

Triple-negative breast cancer tends to recur earlier, often within the first two to three years after treatment. Hormone receptor-positive, HER2-negative breast cancer, however, can return even 10 to 20 years later.

She also said that patients who achieve a pathological complete response after treatment given before surgery may have a lower risk of recurrence than those with residual disease.

However, a lower estimated risk does not mean the risk is eliminated. Continued monitoring is important even for patients who have responded well to treatment.

Also read: Beyond the Lump: Overlooked Breast Cancer Symptoms That Can Delay Diagnosis

Feeling Better Is Not A Reason To Skip Follow-Ups

One concern raised by the experts was that some patients stop taking prescribed oral hormone therapy or miss appointments after their symptoms improve.

“Your first attempt at treatment is always your best attempt,” Dr. Walia said, underlining the importance of appropriate diagnosis and treatment from the outset.

Follow-up care helps doctors monitor a patient's recovery, assess treatment-related effects and make decisions based on individual clinical circumstances. The appropriate schedule and any further treatment depend on the patient's diagnosis, risk profile and medical history.

Experts also cautioned against allowing the possibility of recurrence to dominate a survivor's life. Understanding individual risk should help patients make informed decisions, rather than leave them in constant fear that cancer will return.

Post-Treatment Care Needs More Than Medical Monitoring

The long-term effects of breast cancer also have implications beyond the individual patient. Vaishali Iyer, Country Head of Communications, Patient Advocacy and CSR at Novartis in India, highlighted an estimated 140 million productive hours lost due to breast cancer care, drawing attention to its wider economic impact.

Dr. Wadhwa emphasised the need to address treatment-related concerns, including menopausal symptoms and bone health, which may require attention even after primary cancer treatment has ended.

Dr. Pankaj Goyal, Senior Consultant and Unit Head of Medical Oncology at RGCI, stressed that doctors must build trust with patients and explain recurrence risks without causing unnecessary alarm. Discussions about care should also account for patients' personal circumstances and financial constraints.

The panel discussion, titled “Take Charge Together: Shaping a Future of Greater Breast Cancer Awareness and Better Outcomes,” took place at the Times Network India Health Summit and Awards 2026.