News (Updated December 6, 2009)

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China city government opens gay bar to fight AIDS

30 Nov 2009

Source: Reuters

A drag queen performer is seen at a bar in Dali, Yunnan province, ...BEIJING , Nov 30 (Reuters Life!) - A Chinese city with one of the nation's highest rates of AIDS has opened a government-funded gay bar in an outreach effort that has stirred debate over the use of taxpayers' money.

The health department in Dali, a picturesque city on a lake in southwestern Yunnan province, funded the bar to reach out to China 's increasingly open gay community. Dali is one of the 10 cities in China most affected by AIDS.

Same-sex transmission accounts for about one-third of new HIV infections in China , the minister of health said this month.

"Some readers think that it's a waste of taxpayer money, or an indirect endorsement of homosexual behaviour," the Beijing News said in an opinion piece on Monday, citing letters to the editor after it ran an article on the bar over the weekend.

"They think if there were another way to reach out to the gay community, it wouldn't be necessary to open a bar."

Founder Zhang Jianbo hopes that the bar will be a public gathering place for gay men, especially from rural villages, who used to gather in a patch of woods near the historic town.

The bar offers sex education and free condoms, in addition to companionship, Zhang said in an interview with the newspaper.

Though funded by the government, the bar is staffed by volunteers from a local non-government organisation that works to prevent AIDS.

"Each year, the Dali city government spends 20,000 yuan ($2,929) on treatment drugs for AIDS. So if our bar succeeds in reducing transmission, our 120,000 yuan will be well-spend," Jiang Anmin, deputy director of health in Dali, told the paper.

China 's gay community for decades lived in fear of discrimination and prejudice, with the earliest gay bars often the targets of police raids and closures while homosexuals often married women to avoid family and social pressures.

China now has about 100,000 known AIDS cases, but some health experts worry that HIV could spread easily among migrant workers and other hard-to-reach sectors. The government has switched to a strategy of outreach to the gay community, as part of efforts over the past few years to fight the spread of HIV.

"In the past the government relied on NGOs to reach out to the gay community," Bing Lan, director of outreach organisation Aibai, told Reuters.

"Now there's a change, in that some local health bureaus feel they are able to reach out to the community themselves."

But one unintended consequence of outreach efforts in parks, bars and bathhouses frequented by gay men, Bing said, is that some gay men now avoid those haunts for fear of being found out.

"Today I saw a blog, saying that when the bar in Dali has its official opening on World Aids Day, no-one will dare to go because there will be too many reporters there," he said.

 

HIV-infected Chinese children struggle with stigma

December 1, 2009

Royston Chan

The second storey of this nondescript building in Fuyang city in China 's central province of Anhui houses HIV-positive orphans, but unlike many other similar establishments, there are no signboards outside.

Heavy stigma still surrounds the disease in China , and children -- probably the most vulnerable group among AIDS patients -- are almost invariably barred from schools and even abandoned by their parents and relatives.

Change is occurring, albeit slowly.

President Hu Jintao last year shook hands with AIDS patients to try and reduce some of the stigma. On World AIDS Day -- December 1 -- this year, he met with AIDS awareness volunteers, and spoke with patients by telephone.

At this orphanage run by the non-government Fuyang AIDS Orphan Salvation Association, children are provided with food, lodging, education and badly-needed drugs to help them control the human immunodeficiency virus (HIV), which causes AIDS.

The children play games and attend classes, while the association also checks on those who live at home.

"Our children have a healthier state of mind now. When I first started to get to know these children, they had a low self esteem and were afraid of being discriminated against by others," association director Zhang Ying told Reuters.

"After these few years, by staging different kinds of activities for them, the children no longer feel inferior and are more confident about themselves."

One of the biggest difficulties is getting the children to take their medication regularly. HIV is infamous for the speed with which it mutates and incorrect use of drugs will quickly result in drug resistance -- meaning the patient has to take stronger drugs which may not be available in the country.

Chen Xueyan, 9, lives with her grandmother in their dilapidated village home near Fuyang. She contracted HIV from her deceased mother, who was infected when she sold blood.

The transmission of HIV through blood is a particularly sensitive topic. On Tuesday, tearful relatives of haemophiliacs who contracted HIV from blood products took the stage at an AIDS-awareness event in Beijing , to protest against a lack of government support.

INCORRECT DOSAGES

Sun Panpan, a staff worker with the Fuyang association, said Chen had previously been taking incorrect dosages of HIV drugs as her father and grandmother had not been monitoring her closely.

"If she persists with such incorrect intake of these medicines over a long period of time, there is a possibility of her becoming immune to the medicine. Then, she would have to change the kind of medicine she is taking," said Sun.

China 's total HIV cases number about 740,000, of which about 100,000 have full-blown AIDS. About 50,000 Chinese have died of AIDS since the nation's first case in 1985.

Some 10,000 children in China are HIV-positive, due mainly to botched blood transfusions or mother-to-child transmission.

The children mostly live in central Henan and Anhui provinces, where China 's AIDS epidemic took off in the 1990s because of government-run commercial blood selling schemes that resulted in entire villages becoming infected. They can also be found in Yunnan province in the southwest, a drug trading hub.

Some children have lost both parents to AIDS and are now facing another challenge -- how to survive.

China guarantees free drugs for children but there are few paediatric drugs available. Care givers need to pound into powder pills meant for adults and divide them into smaller portions.

The Clinton Foundation gave China its first batch of paediatric drugs to fight HIV in 2005, but only 250 benefited.

Some NGOs are now making regular visits to the homes of these children to ensure they take their medication correctly. Some, particularly those in rural areas, go without treatment because their families are too poor to afford proper diagnosis.

(Writing by Tan Ee Lyn; Editing by Lucy Hornby and Ron Popeski)

China warns gay transmission of AIDS gaining pace

BEIJING (AFP) - China warned in a notice for Tuesday's World AIDS Day that homosexual transmission of the disease was gaining pace and called for health authorities nationwide to step up prevention work.

The statement by the health ministry came a day after President Hu Jintao called on the nation's people not to discriminate against those with HIV in comments widely broadcast by the nation's government-controlled media.

"Sexual contact continues to be the main channel of transmission with the speed of homosexual transmission clearly increasing," the health ministry said.

"This is a new situation that we need to pay attention to."

China has not been hit as hard by HIV/AIDS as many other nations.

The disease first gained hold in China among illegal drug users, ethnic minorities, sex workers, and through unsanitary blood transfusions.

But in recent years, transmission avenues have expanded out from those traditionally high-risk groups, the ministry said.

"The AIDS epidemic has already spread from high-risk groups to ordinary people, dangerous elements of AIDS transmission are present everywhere," it said.

"AIDS is affecting more and more people and the transmission is becoming more diverse."

The ministry urged stepped-up education efforts on safe sex and condom use.

By the end of October 2009, China had 319,877 registered cases of HIV/AIDS, including 48,000 new cases this year, while nearly 50,000 people have died in China to AIDS, the ministry said.

The ministry has estimated that up to 740,000 people in China live with HIV, many of whom experience high levels of stigma and discrimination, a situation President Hu addressed at an AIDS awareness activity in Beijing Monday.

You "must care more and better for AIDS patients and people living with HIV, and in particular guide society into not discriminating against them," the president told AIDS prevention volunteers.

"We welcome the positive attitude of Chinese leaders on the fight against AIDS," prominent AIDS activist Wan Yanhai and director of the AIDS Action Project told AFP.

"But we would like to see the government open up to all non-government organisations... as our activities are still being restricted, we are unable to raise funds from inside China and we are still subject to (police) surveillance."

 

WHO changes HIV treatment advice

AFP - Tuesday, December 1, 2009

A patient is told how to take anti-retroviral drugs at a hospital in Winterton , South Africa in 2008. The World Health Organisation (WHO) has issued new advice on the treatment of HIV on the eve of World AIDS day, saying drugs should be given earlier and even be prescribed to breastfeeding mothers.

GENEVA (AFP) - – The World Health Organisation (WHO) issued new advice on the treatment of HIV on Monday, the eve of World AIDS day, saying drugs should be given earlier and even be prescribed to breastfeeding mothers.

The WHO says adults and adolescents should receive anti-retroviral therapy (ART) when their immune system strength falls below 350 cells per cubic millimetre of blood. In 2006, the organisation had set the level at 200 cells per cubic millimetre.

"These new recommendations are based on the most up to date available data," said Hiroki Nakatani, assistant director general for HIV/AIDS, TB, Malaria and Neglected Tropical Diseases at the World Health Organization.

"Their widespread adoption will enable many more people in high-burden areas to live longer and healthier lives."

The WHO also recommended pregnant women exposed to the virus could be treated with anti-retroviral drugs (ARVs) from the 14th week of pregnancy and that treatment could continue during breastfeeding.

"Several clinical trials have shown the efficacy of ARVs in preventing transmission to the infant while breastfeeding," a WHO statement said.

The WHO also said Stavudine, a relatively cheap HIV/AIDS drug that is widely used in developing countries, should be replaced with Zidovudine and Tenofovir as they have less harmful side effects.

Some 33.4 million people worldwide are living with HIV/AIDS and there are 2.7 million new cases each year.

 

Pakistan sex workers on AIDS frontline

by Hasan Mansoor Hasan Mansoor Sun Nov 29, 10:07 pm ET

A Pakistani home-based sex worker in Karachi. Many of the prostitutes ...KARACHI (AFP) – A prostitute born and brought up in Karachi 's Napier Road red-light district, Shumaila never heard about HIV and AIDS until recently. Today, she carries condoms but clients refuse to wear them.

"None of us were aware about the danger of AIDS looming over us for years but now we all know and can avoid it," said the tall 29-year-old who lives in a Victorian-style building in the heart of the neighbourhood.

Shumaila's awareness -- rare among Pakistan sex workers -- is thanks to the Gender and Reproductive Health Forum, a local charity that runs a UN-funded programme in Napier Road teaching prostitutes about the perils of HIV/AIDS.

"So far we have provided hundreds of thousands of condoms to sex workers in the last two years, which have saved them from being infected with the lethal virus," said Mirza Aleem Baig, who runs the forum.

Karachi , Pakistan 's largest metropolis and one of the biggest Muslim cities in the world, has up to 100,000 female sex workers, according to data gathered by Pakistan Society, a local welfare organisation.

"This is 20 percent of their overall population in Pakistan . Lahore comes next with 75,000 sex workers," Saleem Azam, head of the charity, told AFP.

Prostitution may be illegal but it has prospered in an increasingly Islamised Pakistan, where an economic downturn and widening poverty have forced women and men onto the streets to meet the rising cost of living.

Shaheena, 38, is a home-based sex worker. She is a skilled paramedic but seldom finds a permanent job.

"So I opted to enter this business on the side," she told AFP, veiling her face to hide her identity.

"I have sibblings, cousins, nephews and nieces who don't know about my second profession. So I don't want to identify myself to embarass them.

"But it's a question of survival as none of my relatives support me with money. They are all too stretched themselves," she said.

Azam says more than 60 percent of Pakistan 's prostitutes work from homes or ply the streets, while the elite serve wealthy clients from kothikhanas (houses or rooms) in plush neighbourhoods.

This year's annual UN report on AIDS said while the epidemic in Asia appears to be stable overall, HIV prevalence is increasing in some parts of the region, such as Bangladesh and Pakistan .

A survey published in the report said 60 percent of female sex workers and 45 percent of their male clients in Karachi and Lahore do not know that condoms can prevent transmission of HIV.

Of those that do, few protect themselves.

"The number of our clients who agree to wear a condom is very small. Female condoms are not available, which can save us more effectively," said Nasreen, another prostitute in Napier Road .

"I can't carry condoms in my purse on the street as we're vulnerable to the police and could be arrested if they find them," said Afshan, 29, who walks the city's busy streets looking for clients.

The most recent survey conducted by Pakistan 's state-run National AIDS Control Programme (NACP) in 2006 said only 18 percent of sex workers reported always using condoms.

The UN report estimates that around 96,000 people, or 0.1 percent of the population, live with HIV in Pakistan . The government says only 5,000 people are infected.

NACP says the disease is spreading among high-risk groups, especially drug users, who mostly inject and use dirty needles, raising fears the virus could spread quickly from addicts to prostitutes.

In 2006, Pakistan said HIV/AIDS prevalence among female sex workers was around 0.02 percent, but independent bodies put it much higher.

"It is at least 15 percent," said Azam.

"They are totally at the mercy of their clients. Most of their clients refuse to wear condoms," he said.

"In Pakistan , this business is illegal, thus there is no law to seriously tackle the issue and save precious lives. Yet a way-out is desperately needed on humanitarian grounds."

Baig said he had identified an HIV-positive sex worker a few months ago and tried to help her with treatment and a new job but she left because her colleagues considered her a blot on their business.

"Now, no one knows where she is and what she is doing," he said.

 

AIDS epidemics risk being generalised: UN

November 30, 2009

An HIV infected child cries during an injection ...The AIDS epidemic in Ukraine , one of Europe 's most affected countries, risk becoming generalised as heterosexual contacts become the chief transmission route for the HIV virus, UN and Ukrainian officials warned Monday.

"Heterosexual contact has become the chief transmission path as the number of new cases transmitted through drug consumption has dropped," the UNAIDS coordinator in Ukraine Anna Shakarishvili told reporters.

This trend "threatens to make the epidemics generalised," while at present it is concentrated in risk groups such as prostitutes, homosexuals and drug addicts, a health ministry official, Svitlana Tsherenko, warned.

Lacking a swift and efficient response, "the epidemics may reduce male life expectancy in Ukraine by up to four years and its GDP by six percent by 2014," the UNAIDS stressed in its statement, pointing out the lack of budget funds allocated to combat the disaster.

Of Ukraine 's 46 million inhabitants, some 340,000 people aged over 15 years are considered HIV-positive, which amounts to 0.86 percent of all adult population, government statistics showed.

Officially, 151,000 cases of HIV contamination have registered since 1987.

The highest number of new cases was recorded last year at nearly 19,000, which is a 7.3 percent rise from 2007 figures. This year, over 10,000 new cases were registered in the first six months alone, compared to last year's 9,400 for the same period.

The only significant progress in fighting the disease was noted in the area of preventing HIV transmission from mother to child, which had fallen from 27 percent in 2000 to seven percent in 2008, UNAIDS said.

 

Discrimination under fire on World AIDS Day

by Godfrery Marawanyika  Tue Dec 1, 2009

Volunteers from Red Cross China take part in an AIDS-awareness ...PRETORIA (AFP) – Calls for an end to discrimination against sufferers rang out on World AIDS Day on Tuesday as South Africa, the country worst affected by the pandemic, rolled out a new battleplan to beat the virus.

With more than 33 million people round the world carrying the virus, China said the incidence among homosexuals was gaining pace while there were warnings in Europe that heterosexual contacts had become the chief transmission route.

And French first lady Carla Bruni-Sarkozy lent her star power to the global campaign against AIDS by calling for greater efforts to beat mother-to-child HIV transmission.

In China President Hu Jintao called on people in the world's most populous nation not to discriminate against those with HIV.

You "must care more and better for AIDS patients and people living with HIV, and in particular guide society into not discriminating against them," Hu told AIDS prevention volunteers in Beijing, comments aired by state television.

Levels of stigma and discrimination against sufferers remain high in large parts of Asia, such as South Korea where many foreign workers are forced to undergo mandatory HIV tests to secure visas.

A group representing HIV carriers, a migrants' trade union and three other rights groups filed a petition Tuesday with South Korea 's human rights watchdog, saying the policy breaches the rights of migrant workers.

Such practices are "in breach of the rights to human worth and dignity and rights to work" it said, adding that discrimination against foreigners on grounds of nationality, social status or illness was unconstitutional.

In an annual report released last week, the UN said that around two million people died of the disease in 2008, bringing the overall toll to around 25 million since the virus was first detected three decades ago.

Almost 60 million people have been infected by the HIV virus since it was first recorded, the UNAIDS agency said in its report, putting the total number of people currently living with the virus at 33.4 million. Related article: Uganda memory books tell of stark AIDS truths .

South Africa remains the world's worst-hit country, a status which many campaigners have attributed to a history of "denialism" within government.

President Jacob Zuma, who was then head of the National AIDS Council, provoked ridicule three years ago when he said that he had showered to wash away the risk of AIDS after having sex with an HIV-positive woman.

But since then, Zuma has been trying to reshape his image and used World AIDS Day to announce a raft of new measures to rein in the disease that has hit 5.7 million of South Africa 's 48 million people.

"Let today be the dawn of a new era. Let there be no more shame, no more blame, no more discrimination and no more stigma," he said in his speech.

The most eye-catching announcement from Zuma was that all babies with HIV would receive anti-retroviral treatment.

"All children under one year of age will get treatment if they test positive," Zuma said.

He also announced expanded treatment for pregnant women, in a bid to prevent the transmission of HIV to their children.

China 's health ministry said homosexual transmission of the disease was gaining pace and called for health authorities nationwide to step up prevention work.

"Sexual contact continues to be the main channel of transmission with the speed of homosexual transmission clearly increasing," the health ministry said.

"This is a new situation that we need to pay attention to."

By the end of October 2009, China had 319,877 registered cases of HIV/AIDS, including 48,000 new cases this year, while nearly 50,000 people have died in China to AIDS, the ministry said.

The ministry has estimated that up to 740,000 people in China live with HIV.

But in a sign the epidemic is mutating differently in other parts of the world, authorities in the Ukraine said heterosexual contacts had become the chief transmission route for the HIV virus.

"Heterosexual contact has become the chief transmission path as the number of new cases transmitted through drug consumption has dropped," the UNAIDS coordinator in Ukraine Anna Shakarishvili told reporters.

Ukraine is one of Europe 's worst affected countries. Some 340,000 people aged over 15 years are considered HIV-positive, which amounts to 0.86 percent of the adult population, government statistics showed.

 

Activists protest S.Korea's HIV testing for foreign workers

Tuesday, December 1, 2009

Activists Tuesday filed a petition with South Korea 's human rights watchdog, seeking an end to mandatory HIV tests for some foreign workers.

A group representing HIV carriers, a migrants' trade union and three other rights groups said in their petition that the policy breaches the rights of migrant workers, according to the National Human Rights Commission which received the document.

Foreign applicants must prove they do not have HIV to qualify for work in the entertainment sector or low-skilled industries in South Korea . But local workers are not required to do so, Amnesty International says.

South Korea also requires HIV testing of would-be language teachers from overseas.

The Ministry of Labour obliges all low-skilled work applicants to submit physical examination results including HIV testing in their countries of origin.

Upon arrival in South Korea , they are tested a second time for HIV and if positive are subject to deportation, Amnesty said in a report published in October.

Such practices are "in breach of the rights to human worth and dignity and rights to work" the five groups said in the petition filed to coincide with World AIDS Day.

They said discrimination against foreigners on grounds of nationality, social status or illness was in breach of the constitution.

"According to South Korea 's AIDS prevention law, a person's consent is required before testing for HIV. But foreign workers are made to receive health checks without being informed that they include a HIV test," Youn Gabriel, the head of Nanuri+, an HIV carriers' group, said.

"Even foreigners who have received work permits are deported from the country if they test positive for HIV," Youn was quoted as saying by Yonhap news agency.

More than 600 foreigners have been forced to leave since the late 1980s, he said.

UN Secretary General Ban Ki-Moon has urged South Korea to remove emigration and immigration controls on foreigners with HIV, noting it is one of 12 countries in the world with such restrictions.

 

French first lady says AIDS is a personal affair

December 1, 2009

Carla Bruni-Sarkozy lost her brother Virginio ...French first lady Carla Bruni-Sarkozy said Tuesday she had witnessed first-hand the toll that AIDS took on the fashion industry in the 1980s and spoke about her brother's death from the disease.

"I have witnessed the damage that HIV has caused for humanity for some 20 years now," said Bruni-Sarkozy in an interview to TV5Monde television on World AIDS Day.

Recounting her years as a supermodel, Bruni-Sarkozy said "the fashion world was hit head-on by the AIDS pandemic. It really did lose members of its family."

"The fashion industry became aware about this disease very, very early on, because it was a victim of it," she added.

Bruni-Sarkozy, who lost her brother Virginio to AIDS in 2006, last year became an ambassador for the Geneva-based Global Fund to Fight AIDS, Tuberculosis and Malaria.

The supermodel-turned-singer has called for greater access to AIDS-fighting drugs to eliminate mother-to-child HIV transmission in poor countries by 2015.

"I am personally very sensitive about this issue," she said in the interview.

But the wife of President Nicolas Sarkozy stressed that her decision to join the global AIDS campaign was not directly linked to her brother's death.

"My brother unfortunately contracted HIV and he died from it," she said.

"But my role with the Global Fund is really not linked to my brother's situation.

"My brother was lucky to live in France , to be treated in France , to have access to care, have access to the best hospitals.

"I am now a spokeswoman for people who have access to nothing."

Since becoming AIDS ambassador, the 41-year Bruni-Sarkozy has travelled to Burkina Faso and visited an AIDS orphanage in Mexico .

The Elysee presidential palace for the first time displayed two large red ribbons on its columns Tuesday to mark World AIDS Day, supporting a cause dear to the first lady.

In another show of French solidarity with people living with HIV and AIDS, the lights were to be switched off for five minutes at the Eiffel Tower at 6:30 pm (1730 GMT).

The Empire State Building and the Brooklyn bridge in New York will also go dark at the same time as part of the "Light for Rights" campaign for more access to AIDS drugs.

 


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