News (Updated August 16, 2009)

[Home]  [
Previous news]


AsiaPac to treat million HIV patients by 2011: UNAIDS

Aug 10, 2009

Boxes of ashes with names wait to be claimed by their relatives ...NUSA DUA, Indonesia (AFP) - The Asia Pacific region is on target to treat a million HIV-positive people with antiretroviral drugs within the next two years, a UN body said Monday.

Around 565,000 people in the region are already receiving treatment, UNAIDS regional director Prasada Rao said, adding he was "confident" of getting the medicine to another half-a-million people by 2011.

"We're half-way through. There are still about 500,000 more who need to be covered by antiretroviral treatment (before we) reach the universal access target," he told reporters on the sidelines of the ninth International Congress on AIDS in Asia and the Pacific (ICAAP) in Bali, Indonesia.

An estimated five million Asians are living with HIV, many of them in Thailand , Cambodia , the Philippines and Indonesia , according to a UN report released last year.

"At any one point, 20 percent (of the people living with HIV) would be needing treatment," he said.

The one-million figure means "the region will be able to achieve something substantial in terms of putting people on treatment" even though "new infections continue to occur", he said.

"I'm very confident we will be able to achieve it... because more money is coming from global funding," he added.

Michel Kazatchkine, who heads the Global Fund to Fight AIDS, Tuberculosis and Malaria, said nearly 1.5 billion dollars will go towards helping countries worldwide combat HIV/AIDS this year and next.

One-fifth of the HIV/AIDS budget goes to Asia Pacific countries, he said, adding that the money will be split "50-50 between prevention and treatment" of the disease.

Rao told reporters that up to 80 percent of HIV-positive people in Thailand , Cambodia and Laos were receiving treatment, but some other countries were only managing to reach 10 to 15 percent.

Delegates from 65 nations are attending the meeting, which runs until Thursday, to discuss topics ranging from HIV risks among migrant workers to the impact of the financial crisis on those with the disease.

 

UN says 50 million women in Asia risk HIV

By EDITH M. LEDERER, Associated Press Writer Edith M. Lederer, Associated Press Writer Tue Aug 11

UNITED NATIONS – An estimated 50 million women in Asia are at risk of becoming infected with the HIV virus from their husbands or long-term partners, according to a U.N. report published Tuesday.

The report produced by the Joint United Nations Program on HIV/AIDS, known as UNAIDS, and its partner organizations said the HIV epidemics in Asia vary between countries but are fueled by unprotected paid sex, the sharing of contaminated needles by drug users, and unprotected sex among men who have sex with men.

Men who buy sex constitute the largest infected population group and the report said most of them are either married or will get married.

"This puts a significant number of women, often perceived as 'low-risk' because they only have sex with their husbands or long-term partners, at risk of HIV infection," UNAIDS said in a news release.

According to a report last year on the global AIDS epidemic, an estimated 5 million people in Asia , and 74,000 in the Pacific, were living with HIV in 2007.

The new report, released Tuesday at the 9th International Congress on AIDS in Asia and the Pacific in Bali , Indonesia , and at U.N. headquarters in New York , said that by 2008, women accounted for 35 percent of all adult HIV infections in Asia , up from 17 percent in 1990.

UNAIDS estimated that more than 90 per cent of the 1.7 million women living with HIV in Asia became infected from their husbands or partners while in long-term relationships. In Cambodia , India and Thailand , the largest number of new HIV infections occur among married women, it said.

According to the report, at least 75 million men regularly buy sex from sex workers in Asia , and a further 20 million men have sex with other men or are injecting drug users.

UNAIDS said many of these men are in steady relationships and it is estimated that 50 million women in the region are at risk of acquiring HIV from their partners.

"HIV prevention programs focused on the female partners of men with high-risk behaviors still have not found a place in national HIV plans and priorities in Asian countries," Dr. Prasada Rao, director of the UNAIDS Regional Support Team Asia and the Pacific said at the launch of the report, according to a U.N. release.

The report notes that the strong patriarchal culture in Asian countries severely limits a woman's ability to control her sex life.

While society tolerates extramarital sex and multiple partners for men, women are generally expected to refrain from sex until marriage and remain monogamous afterward, it said.

"Discrimination and violence against women and girls, endemic to our social fabric, are both the cause and consequence of AIDS," Jean D'Cunha, South Asia regional director for the U.N. Development Fund for Women, said in a statement. "Striking at the root of gender inequalities and striving to transform male behaviors are key to effectively addressing the pandemic."

The report calls for stepped up efforts to prevent HIV infections for men who have sex with men, injecting drug users, and clients of female sex workers. It said that programs should emphasize the importance of protecting their regular female partners.

 

ASIA : Marriage no safe haven for women

12 Aug 2009 15:42:21 GMT

BALI, 12 August 2009 (IRIN) - An estimated 50 million women in Asia are at risk of contracting HIV from male partners who engage in risky sexual behaviours, says a new UNAIDS report released at the 9th International Congress on AIDS in Asia and the Pacific (ICAAP) in Bali, Indonesia, this week.

The report, HIV Transmission in Intimate Partner Relationships in Asia, cites evidence from several Asian countries indicating that most women are acquiring HIV as a result of their partner's sexual behaviour, not their own: of the 1.7 million women living with HIV in Asia, more than 90 percent are thought to have acquired the virus from their husbands or long-term boyfriends.

"HIV and intimate partner transmission is nothing new - it was previously recognized under the term 'spousal infection'," said Dr Prasado Rao, director of the UNAIDS Regional Support Team for Asia and the Pacific.

"However, we need to expand this term to include MSM [men who have sex with men] - who are not gay but have sex with both female and male partners - injecting drug users, and clients of sex workers."

The drivers of the HIV epidemic in Asia vary, but there are common factors in all countries, such as high rates of unprotected paid sex, injecting drug users sharing contaminated needles, and unprotected sex by MSM.

The Commission on AIDS in Asia – an independent body of economists, scientists, civil society representatives and policy-makers from across the region - has estimated that up to 10 million Asian women sell sex, and at least 75 million men regularly pay for it.

Men who buy sex constitute the largest HIV-infected population group; most are either married or will get married, increasing the HIV risk for a significant number of women previously perceived as "low risk".

Secrecy often surrounds MSM behaviour so it is difficult to determine the precise number, but the Commission put the figure at around 16 million. Many are either married or have regular female partners, but do not always identify themselves as bisexual.

An estimated four million injecting drug users add to the number of men at higher risk of HIV infection who may pass the virus to their female partners.

Patriarchal culture

The strong patriarchal culture in Asian countries severely limits women's ability to negotiate safe sex in relationships; while multiple partners and extramarital affairs are tolerated for men, women are expected to abstain from sex until marriage and then remain faithful to their husbands.

In Indonesia , where HIV was initially concentrated among drug users, the virus is now spreading quickly through commercial sex networks; in Cambodia , India and Thailand the largest number of new HIV infections are occurring among married women.

Studies show that by 2008, women constituted 35 percent of all adult HIV infections in Asia , up from 17 percent in 1990.

"These women are a tragic reminder of the deeply engrained social construction of gender, which enables terrible acts to be perpetrated on women across the region, which tolerates extra marital sex and multiple sex partners for men, and which fails to enable women to negotiate safe sex and protect themselves from HIV," said Rao of UNAIDS.

Domestic violence

The UNAIDS report also indicated that up to 65 percent of women in Asia experienced physical and or sexual violence at the hands of their intimate partners. Studies in Bangladesh , India and Nepal found HIV was linked to intimate partner violence and the extramarital behaviour of men.

A demographic and health survey in India showed that HIV prevalence was more than four times higher among women who experienced both physical and sexual violence from an intimate partner than among women who were not abused.

"Risks for women living with HIV are different and very high - they become exposed to domestic violence, experience disinheritance, and are sometimes disowned by their families," said Jean D'Cunha, regional director of the UN Development Fund for Women (UNIFEM).

D'Cunha noted that women who were married or in long-term relationships were being largely bypassed by current HIV/AIDS interventions, and called for a gender-based response to the problem of HIV transmission among intimate partners.

"Discrimination and violence against women and girls, endemic to our social fabric, are both the cause and consequences of AIDS," he said. "Striking at the root of gender inequalities and striving to transform male behaviours are key to effectively addressing the pandemic."

Trafficked women face high HIV infection risk-study

12 Aug 2009 13:08:21 GMT

Source: Reuters

By Tan Ee Lyn

BALI, Indonesia, Aug 12 (Reuters) - Up to a quarter of a million women and girls in Southeast Asia, mostly adolescents, are forced into prostitution each year and face violence and the prospect of contracting HIV/AIDS, researchers said on Wednesday.

The researchers, in a report documenting criminal activity in Thailand , Cambodia and Indonesia , predicted circumstances would worsen as the financial crisis prompts women in the region to migrate in search of work.

Trafficking victims, many of them aged 12 to 16, are raped, locked up, denied food, water and medical care or forced to take narcotics and alcohol, they said.

"Victims of trafficking suffer horrendous, horrendous violations of human rights, deprivations of the most basic human dignity. It's a form of enslavement," said Jay Silverman, an associate professor at the Harvard School of Public Health.

Narcotics and alcohol were used in Indonesia and Cambodia "to keep these people in bondage," he said. A premium was paid for young girls, prompting traffickers "to continually bring them in to maintain the supply".

Caitlin Wiesen, an HIV expert at the U.N. Development Programme, said most victims were lured away by promises of jobs as domestic workers or in restaurants to end up in brothels where they faced "extreme situations of violence and exploitation.

" Asia is both the source and the destination," she added.

The study, entitled "Sex trafficking and STI/HIV in Southeast Asia : Connections between sexual exploitation, violence and sexual risk", was undertaken by the UNDP and the Harvard School of Public Health.

It found that in Thailand , trafficked girls were subjected to more frequent sexual encounters than sex industry workers. Incidence of anal sex, with a greater risk of HIV infection, was three times more common.

In Indonesia , HIV prevalence was nearly 20 percent among trafficked women who had been sexually exploited for a year or more. Seventy-five percent had experienced violence.

Malaysia , it said, was the destination for a third of the women and girls trafficked from Indonesia . In Cambodia , 73 percent of women and girls who were rescued tested positive for sexually transmitted infections.

The researchers said the financial crisis would prompt more women to look abroad for jobs, making them easy prey.

"They are getting more desperate and travelling under more unsafe circumstances that make them terribly vulnerable to unsafe migration, HIV and exploitation such as trafficking," Wiesen said.

Rosilyne Borland of the International Organisation for Migration said criminals "take advantage of places where people are looking for work, places where people need to go find a better life".

The researchers called for a dialogue between the United Nations, non-governmental organisations and law enforcement agencies. Police had to be "sensitised" to the problem and avoid raids and imprisonment which would only drive the activity further underground.

 

Open university teaches street children how to avoid HIV

(15-08-2009)

Students in HCM City hand out free condoms in a bid to fight the spread of HIV/AIDS. — VNA/VNS Photo The Anh

HCM CITY — "Should we keep the child if her mother has HIV? And when its parents die, who will take care of it?"

The young man burst into tears as he asked these questions of social workers during a forum for homeless teenagers at HCM City Open University yesterday.

The youth, who is a drug addict and also HIV positive, was one of many people who expressed high anxiety about their state of health and the future that awaits them.

The seminar seeking to promote a healthy life for street teenagers in the city was organised by the university’s Centre for Applied Social Work.

More than 60 street teens addicted to drugs or infected with HIV or both were invited to listen to doctors and social workers on how to quit their drug habits and get information about organisations that could support them.

Several such seminars have been held over the past year under a project launched by the university to help more young addicts to kick their habit and give them the information needed to prevent epidemics, especially of sexually transmitted diseases.

Lost limbs

Dr Nguyen Dang Phan of the Binh Dan Hospital , who spoke to the teenagers during the seminar, said he has witnessed many people die and others lose their limbs because of drug abuse.

During 2004 and 2006, he had witnessed 85 HIV/AIDS patients die at the Mai Khoi Charity Medical Centre. Ninety-three per cent of them were male drug users.

Phan said 66 per cent of HIV positive people were infected through drug abuse, and 18 per cent got the virus through unsafe sexual intercourse.

About 70 per cent of them are from poor or broken families, he said.

Le Thi My Hien, director of the Centre for Applied Social Work and sociology lecturer at the university, said a group of 15 former drug users was established under the project last September.

They were given the responsibility of inviting other drug-using teenagers they know to join the club for further support.

"On a weekday, the teenagers walk around parks and public places to encourage their peers to stop the habit. So far, more than 700 teenagers have been brought to the club for frequent information exchanges with socials workers and health experts," Hien said.

Every week, a volunteer introduces 15 to 25 teenagers to the centre. Its target this year is to help more than 1,000 people.

Join the club

Le Minh Thien, a 19-year -old street boy, said he has been homeless since he was 12, when his parents divorced. He sells lottery tickets, newspapers and polishes shoes to feed himself.

"I have used drugs for four months but I decided to stop. This is the first time I am coming here. I will ask my friends to join the club," Thien said. — VNS

Clinton , Angola sign agreement to combat HIV/AIDS

By MATTHEW LEE, Associated Press Writer Matthew Lee, Associated Press Writer Mon Aug 10, 6:20 am ET

US Secretary of State Hillary Clinton listens to Angolan Foreign ...LUANDA , Angola – U.S. Secretary of State Hillary Rodham Clinton heads to Congo on Monday to target an epidemic of sexual assault in the violence-torn nation after wrapping up a trip to Angola where she pushed democratic reform and announced the country would get more money to fight AIDS.

Clinton, the first secretary of state to visit Angola in seven years, signed a new agreement with Angolan health officials to help treat and control the spread of HIV/AIDS. The Obama administration will more than double funding for Angola to combat the disease, from $7 million to $17 million.

She also met with President Eduardo dos Santos , who has ruled for 30 years and has been criticized for postponing a presidential vote scheduled for this year.

In the Congolese capital of Kinshasa , she will visit a hospital founded by former NBA star Dikembe Mutumbo, a native of Congo , and hold a town hall meeting. On Tuesday, she travels to the devastated east of the country to meet victims of rampant rapes and other sexual crimes.

While in the eastern city of Goma, Clinton also plans to meet Congolese President Joseph Kabila to press him and his government on democratic reform and fighting corruption in the wake of a brutal conflict that at its height drew in a half dozen of the country's neighbors.

Clinton delivered a similar message in oil-rich Angola , which is struggling to rebuild after 27 years of war that ended in 2002.

On Sunday, she urged Angola's government to build on successful legislative elections held in 2008 — the first in 16 years — by holding presidential elections as soon as possible and dealing with the legacy of 27 years of civil war.

"We look forward to Angola building on this positive step, including the adoption of a new constitution, investigating and prosecuting past human rights abuses and holding a timely, free and fair presidential election," she said.

"So, Mr. Minister, we have our work cut out for us," she said.

Clinton stressed the need for greater accountability and transparency in Angola 's petroleum sector, particularly with revenue from exports, which account for nearly 60 percent of the country's gross domestic product, according to officials traveling with her.

Clinton came to the Angolan capital on the third leg of a seven-nation trip to reinforce America 's presence in a country where it increasingly is competing for energy resources with China . Beijing has loaned Angola billions of dollars in recent years without pressing reform.

But Clinton downplayed any concern about China 's activities in the country.

"I am not looking at what anyone else does in Angola ," she said. "I am looking at what the United States can do to further and deepen our relationship and provide assistance and support for the changes the Angolan government is undertaking."

Angola , a former Cold War battleground, supplies vast amounts of petroleum and liquid natural gas to the U.S. market. In June, Angola surpassed Nigeria as Africa 's largest petroleum producer.

Despite its oil wealth, Angola is mired in poverty as a result of the destruction of most of infrastructure during the war, which broke out after its 1975 independence from Portugal .

The war ended in 2002, leading to major energy sector investments. But the country ranks near the bottom of U.N. development statistics and the gap between rich and poor is among the worst in the world.

 

Protesters seek cheaper drugs at HIV/AIDS meeting

By Tan Ee Lyn

BALI, Indonesia, Aug 12 (Reuters) - A small band of protesters holding aloft a banner disrupted a large HIV/AIDS conference in Indonesia on Wednesday to demand access to drugs to treat HIV patients dying from Hepatitis C.

The World Health Organisation says 4-5 million people living with HIV/AIDS around the world are also infected with hepatitis C, a disease that can cause liver failure.

"Hepatitis C + silence = death," read the banner carried by protesters accusing pharmaceutical giant Roche AG of setting the price of a drug to fight Hepatitis C virus (HCV) too high for dying patients to afford.

Protesters said pegylated interferon, a drug marketed by Roche and intended to flush out the virus, costs $1,500 a month.

"Shame on you Roche, shame on you!" they chanted.

Roche was not immediately available for comment.

Most people infected with both HIV and Hepatitis C are injecting drug users. Both diseases are blood borne and transmission is through the sharing of used needles and other equipment, even cotton swabs.

Although international health agencies and governments have sought to make HIV drugs available to sufferers, high costs limit access to treatment for hepatitis C in most countries.

According to the WHO, injecting drug users are excluded from treatment in many countries due to fears of the interaction between drugs and the likelihood of reinfection.

But Nanao Haobam, who is infected with both viruses, said such an approach was untenable as patients were dying.

"In my community back home, I have seen more than 50 (HIV positive) people die because of HCV. There must be many more than that," he said.

Haobam, 38, is a former injecting drug user and now an HIV/AIDS activist in Bangkok . He told Reuters he learned he was HIV positive in 2000 and was diagnosed with HCV two years later.

"I was on treatment, but that didn't get rid of all the HCV. I recently saw a doctor and he advised me to start treatment for hepatitis as I am now in the initial stage of cirrhosis," he said.

"But I just can't afford it, I have to leave this matter in the mercy of God."

Failure to treat cirrhosis, the hardening of the liver, will lead to a patient requiring a transplant or dying.

The prevalence of chronic HCV infection among patients with HIV in western Europe and the United States is estimated at 25 to 30 percent. In Asia , 80 to 90 percent of injecting drug users who are HIV positive are co-infected with HCV.

Co-infection rates average over 40 percent in eastern Europe and extend to 70 to 95 percent in Estonia , Russia and Ukraine .

"If governments can't make the drug available, the least they can do is to get rid of the patent, so that generic versions can be made," Haobam said.

 

No State in the US bars HIV inmates from work release

Thu Aug 13

MONTGOMERY , Ala. Alabama has shed the distinction of being the only state in the US to bar inmates with HIV from work release programs.

The American Civil Liberties Union has fought to end the practice for decades and on Thursday praised the Alabama Department of Corrections for doing so this week.

Corrections officials say all eligible prisoners with HIV have been approved to participate in the work release program.

Margaret Winter, associate director of the ACLU National Prison Project, said the organization is thrilled with what she called an overdue change.

Work release allows eligible inmates to hold free-world jobs, earn money, wear plain clothes and spend the day without supervision of corrections staff.

 

AIDS on the rise in Cuban youth: officials

Sun Aug 16, 12:07 am ET

Cuban activists launch a campaign against AIDS with posters ...HAVANA , Aug 15, 2009 (AFP) – Cuban health authorities have warned of a dramatic rise in AIDS cases among the young on the island, where there over 1,300 new HIV infections in 2008 and another 1,400 are estimated for this year.

Cubans aged 19 to 24 are at the greatest risk of infection, said Jorge Perez, deputy director of the Tropical Medicine Institute in Havana, warning of the dangers of unprotected sex.

"This is something that tends to happen more to young people because of the dynamism of youth, not thinking about the future and only about the present... Having a no-fear attitude and doing things that are risky," he told local television in this communist country of 11 million people.

"We must tell you beware, because there is danger in trust."

Of the total of 11,469 cases of HIV infections recorded in Cuba since 1986, 4,602 people developed aids and 1,864 died, according to official figures.

The national anti-AIDS program offers free medical care and antiretroviral therapy, out of six Cuban-manufactured generic drugs


[Home]  [Previous news]