News (Updated November 29, 2009)

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China AIDS sufferers face widespread discrimination-UN

27 Nov 2009

BEIJING, Nov 27 (Reuters) - People in China living with HIV and AIDS face widespread discrimination and stigma, with even medical workers sometimes refusing to touch them, according to a U.N. survey released on Friday.

China 's Health Ministry and UNAIDS estimate that the country has between 97,000 and 112,000 people infected with AIDS.

But more than 40 percent of people surveyed in a new UNAIDS report said they had been discriminated against because of their HIV status. More than one-tenth said they had been refused medical care at least once.

Chinese AIDS activist Yu Xuan, talking at a news conference to unveil the report, recounted the story of a friend who was refused an urgent operation because of her HIV status, and who ended up dying as a result.

"I don't want people to have the kind of experiences I have had," said Yu, who also has AIDS.

China has long faced a problem in tackling a disease which officials once refused to acknowledge, and where for many people taboos surrounding sex remain strong, limiting public or even private discussion.

Deputy Chinese Health Minister Huang Jeifu said the government would work harder to address issues related to AIDS stigma and ignorance, but admitted it would be difficult.

"The biggest obstacle is that there is not enough eduction or publicity about AIDS. Society does not know enough about the disease, and people think you can get it just from touch, talking, shaking hands or eating together," Huang said. "This is a huge problem."

The government will launch a video campaign to break the stigma of AIDS featuring Chinese and NBA basketball star Yao Ming which will be shown on 20 large outdoor screens in 12 cities, but will likely have their work cut out.

The survey found that some children with infected parents but who were not necessarily infected themselves had been forced to leave school.

"Many of the respondents knew who they could go to for support in addressing discrimination and taking action against those that violate their rights," the report said.

"Unfortunately, the success rate when addressing problems encountered is very low." (Reporting by Ben Blanchard, Editing by Dean Yates)

 

UNAIDS: Sex main cause for HIV spreading in China

By ELAINE KURTENBACH, Associated Press Writer Elaine Kurtenbach, Associated Press Writer Wed Nov 25, 2009

SHANGHAI – The virus that causes AIDS is now spreading fastest in China through heterosexual sex, a trend demanding new strategies to stave off a rebound in the epidemic after years of progress in containing it, a United Nations report said.

Data show that 40 percent of new HIV infections diagnosed in China were acquired through heterosexual contact, with homosexual sex accounting for 32 percent and most of the remainder related to drug abuse, which was previously the main source of infections and the government's main focus for prevention.

The rate of infections through heterosexual sex in China tripled between 2005-2007, according to the report released Tuesday in Shanghai by UNAIDS. Since 2007, the number of infections through homosexual sex has more than doubled.

"We are transitioning. We are seeing a shift in the nature of the epidemic," said Michel Sidibe, executive director for UNAIDS. Similar trends in Asia and Africa highlight the need to focus on populations most at risk, such as migrants and sex workers, he said.

"We need to ensure resource allocation is responding to that change," Sidibe said.

The government remains sensitive about the disease, regularly cracking down on activists and patients who seek more support and rights.

In Beijing on Wednesday, a group of more than 30 AIDS patients from Henan province were detained shortly after protesting for compensation outside the Health Ministry building, according to their legal adviser, Jiang Tianyong.

Most of the patients were infected with HIV/AIDS through blood transfusions at hospitals in Henan , according to one of the protesters surnamed Gao, who tested positive in 2007, after her husband died from AIDS.

"We've petitioned the local government, but they've ignored us, so we have nowhere left to go," said Gao, who has already traveled to Beijing twice this year to petition for additional compensation.

"Our local hospital in Kaifeng does not have the adequate experts and medication to treat patients like us. We need specialized care, which is why we have to turn to the central government for help."

Gao, whose husband unknowingly contracted HIV after selling his blood in 1993, traveled eight hours by train to Beijing to petition for compensation.

Officials from the ministry and police officers detained the group of more than 30 protesters, including four children with HIV/AIDS, according to Gao.

As a single mother, Gao said her unemployment benefits add up to only $90 a month. That is not enough to cover schooling costs for her 12-year-old son and rent, since her house was sold to pay hospital costs for her husband's treatment.

China 's health minister, Chen Zhu, reported that as of the end of October, the number of Chinese confirmed to be living with HIV-AIDS was 319,877, up from 264,302 last year and 135,630 reported in 2005. But Chen said the actual level of infections is probably near 740,000.

AIDS was the top killer among infectious diseases in China for the first time last year, a fact that may reflect improved reporting of HIV/AIDS statistics in recent years as the country slowly acknowledges the problem.

"In China , we have a long way to go to prevent and control HIV-AIDS," Chen said, while defending the government's policies toward the disease as "open and transparent."

The HIV virus that causes AIDS gained a foothold in China largely due to unsanitary blood plasma-buying schemes and tainted transfusions in hospitals. But last year, health authorities said sex had overtaken drug abuse as the main cause of HIV infections.

HIV's spread has been accelerated by China 's thriving sex industry: about 37 million men are estimated to be clients of female sex workers, and surveys show that 60 percent do not regularly use condoms, the UNAIDS report said.

Such factors contributed to a doubling in women's share of HIV cases in China in the past decade, it said.

China 's policy of tolerating the sex industry while outlawing it has long prevented effective efforts to promote education and testing among sex workers, though Chen said the government intends to improve education and prevention.

___

Associated Press writer Chi-Chi Zhang contributed to this report from Beijing .

 

Yao Ming joins HIV campaign in China : UN

Friday, November 27, 2009

wpe1.jpg (12179 bytes)The campaign, launched with China 's health ministry, will see posters and videos of Yao and his fans, including some with HIV, displayed on giant screens in 12 cities across China , the United Nations agency said in a statement.

People who are HIV positive in China experience high levels of stigma and discrimination.

According to a report by UNAIDS, a quarter of medical staff and over a third of government officials and teachers developed negative and discriminatory attitudes towards people living with HIV after learning their status.

More than 12 percent of people with HIV had also been refused medical care at least once since they tested positive, UNAIDS said in their China Stigma Index report emailed to AFP.

"These results really underscore the importance of ensuring health care professionals receive appropriate training to reduce stigma and discrimination and increase their ability to provide appropriate services to people living with HIV," UNAIDS executive director Michel Sidibe said in the statement.

The report was based on a survey of more than 2,000 people living with HIV in China and is the first of its kind in the Asian nation.

It also found that more than 34 percent of those of working age had stopped working as a result of being HIV positive and over 55 percent had chosen not to attend social gatherings or had isolated themselves from family and friends.

"Building understanding and care from society as a whole for people living with HIV, together with eliminating discrimination, are key elements of the AIDS response," Huang Jiefu , China 's vice minister of health, said in the statement.

The campaign will also see more than 30,000 posters distributed across China , the statement said.

China's health ministry estimates that at the end of 2009, 740,000 people were living with HIV in the country, and according to the latest data, 48,000 were infected this year, according to UNAIDS.

 

HIV kills 25 million, infects 60 million: UNAIDS

wpe5.jpg (11771 bytes)Almost 60 million people have been infected by HIV and 25 million people killed by causes related to the virus since the epidemic started, according to new data published by UNAIDS on Tuesday.

While prevention programmes have helped to cut infection rates by 17 percent over the past eight years, the total number of people living with HIV continued to rise in 2008.

By the end of 2008, a total of 33.4 million people or 20 percent more people were living with the epidemic compared to in 2000. The UN figures

"The continuing rise in the population of people living with HIV reflects the combined effects of continued high rates of new HIV infections and the beneficial impact of antiretroviral therapy," said UNAIDS in its annual report.

Sub-Saharan Africa remains the most affected region, as it is home to 67 percent -- 22.4 million -- of those currently living with the human immunodeficiency virus.

In South and South-east Asia , 3.8 million people are now living with the infection, added UNAIDS.

The comparative figure for Eastern Europe and Central Asia is 1.5 million.

UNAIDS observed that in these regions, the epidemic was "experiencing significant transitions."

While Asia 's epidemic was once concentrated among risk groups such as sex worker, drug users and homosexuals, it is now "steadily expanding into low-risk populations to the sexual partners of those most at risk."

In Eastern Europe and Central Asia , the epidemic was once characterized mainly by transmission through drug users, but it is now increasingly moving into "significant sexual transmission."

 

Pope urges prayer, action to comfort AIDS patients

Sun Nov 29, 2009

VATICAN CITY – Pope Benedict XVI is calling for prayers and concrete action to comfort all those who are suffering from AIDS.

wpe8.jpg (16854 bytes)Benedict issued the appeal during his weekly Sunday blessing ahead of World AIDS Day on Tuesday.

He said the Catholic Church has been on the front lines caring for AIDS sufferers with its hospitals and care givers. He said he hoped that with coordinated efforts, the HIV virus can be successfully cured.

Benedict drew unprecedented criticism from European governments, international organizations and scientists in March when he said that distributing condoms was not the answer to Africa 's AIDS problem and could make it worse.

He said a moral attitude toward sex — abstinence and marital fidelity — would help fight the disease.

 

America wages new war in Vietnam - on AIDS

By BEN STOCKING, Associated Press Writer Ben Stocking, Associated Press Writer Sun Nov 29, 2009

wpeB.jpg (14292 bytes)TINH BIEN, Vietnam – When her husband fell ill with AIDS, doctors at the hospital turned him away, fearing they would catch the virus.

"They told him, 'There's nothing we can do for you. Just go home and wait to die,'" said Do Thi Phuong. So when she too got AIDS, she didn't seek help, fearing that she would also be shunned. Instead, like her husband, she went home to die.

Then she heard about a little AIDS clinic in the Mekong Delta, in a place where the Americans used to train South Vietnamese soldiers during the Vietnam War.

Now, on a regimen of AIDS drugs provided by the U.S. , she is getting her strength back.

The clinic at Tinh Bien is one of 55 across Vietnam funded by the President's Emergency Plan for AIDS Relief, known as PEPFAR, the initiative that President George W. Bush made a centerpiece of his administration.

As memories of the eight-year war fade, the America that older Vietnamese remember, of bombers, guns and Agent Orange, is now represented to many by places such as Tinh Bien, where 340 HIV patients are getting treatment.

The U.S. has spent more than $300 million fighting AIDS in Vietnam , and is now providing AIDS drugs to more than two-thirds of the 32,000 Vietnamese receiving treatment. At $85 million this year alone, PEPFAR accounts for 80 percent of U.S. humanitarian spending in the country.

The funding pays for treatment, support for patients' families, prevention programs and dispelling the AIDS stigma, which is entrenched in Vietnam .

Just how entrenched was demonstrated recently when a group of HIV-positive schoolchildren living at a PEPFAR-supported compound near Ho Chi Minh City were enrolled at a neighborhood school. They were expelled the next day because parents of other students objected.

"The other kids refused to play with me," said Huyen, 13, who wouldn't give her last name. "They pointed at me and said, 'She has AIDS.'"

Phuong feared the stigma too. She said that for a long time she didn't dare tell anyone she had HIV.

"In the countryside, the only thing people know about AIDS is that it's the 'Disease of the Century.' They're afraid they'll get infected, so they shun you," she said.

Then she saw a report on TV that life-extending AIDs drugs were available in Vietnam . But the doctors she asked didn't know where to find them.

Finally, outreach workers learned from a friend of hers that she was ill and invited her to the Tinh Bien clinic.

"The doctors and staff here treat me like I'm just another patient," said Phuong, 30.

At the Mai Hoa Center , home to the children who were turned away from school, a memorial display at the center holds rows of urns with remains of former residents.

Until the U.S. began providing AIDS drugs, "We used to have one or two funerals a day. Now we only have one a month," said Tran Van Nhan, a center volunteer.

PEPFAR has been criticized for its paperwork, which is regarded as onerous, and for the U.S. ban on spending the money to dispense clean needles and syringes, on the grounds that they might foster drug abuse. Infected needles are the main transmitter of HIV nationally in Vietnam .

Under the Obama administration, PEPFAR is reconsidering this approach, according to Steve Mills, who directs the Vietnam operations of Family Health International. The North Carolina-based nonprofit organization runs the Tinh Bien clinic and other programs in Vietnam and Cambodia , funded through USAID, the U.S. Agency for International Development.

Some question why Vietnam , whose 0.51 percent AIDS prevalence falls short of a generalized epidemic, was chosen. Most of the 15 PEPFAR countries are in Africa, and Vietnam is the only Asian one.

But for Mills, working in Vietnam is special.

"I'm continually amazed that the places we are working in used to be battlegrounds," he said.

Mills has lived in Hanoi for five years and has adopted a Vietnamese boy.

"As an American who remembers the war, I'm awed that Vietnamese are so welcoming of us, and I'm happy we're back now supporting the development of their health system," he said.

Tinh Bien is in An Giang, a poor province where some women supplement their income as prostitutes in the casinos and brothels just across the frontier in Cambodia . That makes commercial sex, rather than needles, the main transmitter of AIDS in the province.

"These drugs are making a very big difference," said Mai Hoang Anh, the top AIDS official in An Giang province.

"They allow people to stay active for many years, just like Magic Johnson," the American basketball ace who announced 18 years ago that he had AIDS and is still looking healthy at age 50.

On a recent day, Chau Thi Anh Loan, 23, sat on a bench outside the clinic, holding a one-month-old baby bundled in a green blanket. She caught the virus from her husband, a heroin user who shared needles with friends and is now dead.

Staffers at Tinh Bien make sure she takes her medicine on schedule and feeds her baby with formula milk.

"This will prevent me from passing HIV to my son," said Loan, who received medicine that helps prevent mother-to-child transmission. "The doctors tell me he's healthy."

 

UN: HIV outbreak peaked in 1996

By MARIA CHENG, AP Medical Writer Maria Cheng, Ap Medical Writer Tue Nov 24, 10:14 am ET

wpeE.jpg (15320 bytes)GENEVA – The number of people worldwide infected with the virus that causes AIDS — about 33 million — has remained virtually unchanged for the last two years, United Nations experts said Tuesday.

Officials say the global epidemic probably peaked in 1996 and that the disease looks stable in most regions, except for Africa . Last year, HIV infections in sub-Saharan Africa accounted for 72 percent of all 2.7 million new HIV cases worldwide.

Daniel Halperin, an AIDS expert at Harvard University , said it was good news the rate of new infections was dropping and that access to AIDS drugs was helping to cut the death rate. Earlier this year, the U.N. announced there are now 4 million people on lifesaving AIDS drugs worldwide, a 10-fold increase in five years.

In the report by the World Health Organization and UNAIDS, the experts estimate there are now about 33.4 million people worldwide with HIV. In 2007, the figure was about 33.2 million. The numbers are based on a mathematical model and come with a margin of error of several million people.

With the U.N.'s confirmation HIV is now declining in most countries, some experts said the report should change the spending habits of international donors. Globally, HIV causes about 4 percent of all deaths, but gets about 23 cents of every public health dollar.

"We shouldn't let this single disease continue to distort overall global funding, especially when bigger killers like pneumonia and diarrhea in developing countries are far easier and cheaper to treat," said Philip Stevens, of International Policy Network, a London-based think tank.

In the report, U.N. officials wrote that "AIDS continues to be a major public health priority" and called for more funds to support their effort. Officials said the drugs have saved nearly 3 million lives.

People with HIV who start the drugs must continue indefinitely, so the cost of treating HIV will continue to rise, even as the epidemic fades. Prices could skyrocket if resistance develops and more expensive regimens are needed.

Whether previous U.N. initiatives are responsible for the epidemic's downturn is uncertain. Some experts said the drop in HIV may simply be a result of the virus burning itself out, rather than the result of any health interventions.

Ties Boerma, a WHO statistics expert, said countries whose HIV prevalence declined dramatically, like Zimbabwe , were not always those that got the most AIDS money.

The report also noted that where treatment is available, rates of HIV are either stable or rising.

Elizabeth Pisani, an epidemiologist who once worked for UNAIDS, said when people with HIV don't take their drugs exactly as prescribed, they have periods where they become infectious, giving the virus a chance to spread. Most people without treatment die before infecting many others.

"In theory, treatment may have an important preventative effect, but in practice, it can actually make things worse," Pisani said. "We obviously can't stop treatment, but we need to do a lot more on prevention."

Stevens said the fact that AIDS peaked more than a decade ago suggests it is now time for the global community to prioritize other health problems.

Outside of the worst-affected countries such as South Africa , respiratory infections, heart disease and malaria are bigger killers.

"Against this backdrop, it is unjust that AIDS should commandeer such a disproportionate level of funding," Stevens said.

 


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