News (Updated October 25, 2009)

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Taiwan haemophiliacs appeal over HIV-tainted drug

AFP October 20, 2009

Benjamin Yeh

wpe1.jpg (11405 bytes)The patients, who are haemophiliacs, say they contracted the deadly virus from blood products sold in Taiwan in the 1980s by US-headquartered Cutter, owned by Bayer, according to Michael Baum, their lead attorney.

The Illinois Federal Court recently ruled that the Taiwan cases were barred by the statute of limitations, although the Taiwanese patients had won a motion to proceed in California in January.

"We have filed notices of appeal," said Baum, of Los Angeles-based law firm Baum, Hedlund, Aristei and Goldman, which has represented 41 Taiwanese haemophiliacs and their relatives since 2003.

At the centre of the dispute is a blood product called Koate, used in the early 1980s to clot the blood of the haemophilia patients in the event of injury. Koate was made by Cutter, which was bought by Bayer in the 1970s.

Taiwanese health authorities banned the product in 1985 after it was found that the product had not been heat-treated and could be tainted with HIV.

By that time, thousands of people had been affected worldwide, among them at least 53 in Taiwan , according to Taiwan 's Department of Health.

"I was three years old when I contracted HIV," said one of the patients, now 27. "My mom told me I took the drug only three times."

Thirty-six out of the 53 local patients had since died, the patient said.

Cutter and most of local haemophiliac patients reached an agreement in 1999, with each patient given up to two million Taiwan dollars (62,000 US dollars at current exchange rates).

The money was provided on the basis that it was humanitarian aid since Cutter had done nothing wrong.

However, the issue developed a twist in 2003 when The New York Times reported that Cutter had continued to market the blood products in Asia even though it was aware of the risk, an allegation denied by Bayer.

"The company deliberately lied to the Taiwanese patients while reaching the agreement with them," said K. C. Huang, a legal expert at Taiwan 's top academic body, Academia Sinica.

"Documents showed it knowingly dumped the tainted product in Taiwan and other countries in Asia ," he told AFP.

Bayer Taiwan declined to comment when contacted by AFP.

However, a spokesperson for the company recently told the British newspaper The Guardian that it had behaved ethically.

"Bayer is committed to the highest ethical standards, to promoting our medications responsibly and to providing life-saving therapies for the global haemophilia community," the spokesperson said, according to the paper.

 

Catholic Church urges AIDS testing in Brazil

AFP October 22, 2009

wpe4.jpg (16570 bytes)The Catholic Church said Thursday it will launch a campaign in Brazil urging early testing for AIDS, despite maintaining its opposition to government incentives promoting condom use. Skip related content

The effort seeks "to make the population aware of the risks of AIDS and, if a positive diagnosis is found, to start treatment as soon as possible," said Luiz Carlos Lunardi, a spokesman on the church's efforts on Acquired Immune Deficiency Syndrome.

The national campaign will be based on a test program already underway in five Brazilian cities, and will include testing for syphilis, the Brazilian National Confederation of Bishops said.

The confederation and Brazil 's health ministry will jointly launch the undertaking.

This show of unity in the country with the largest Catholic population in the world comes after several clashes between the government and the church over the use of condoms, which have been shown to be effective in curbing the spread of HIV.

"The churches pray, and we work to reduce the number of cases of illness," Health Minister Jose Gomes Temporao said recently.

The Brazilian government intends to hand out 1.2 billion condoms this year as part of its policy for family planning and the reduction of sexually transmitted diseases.

 

African states urged to curb child AIDS infections

AFP October 22, 2009

wpe7.jpg (11050 bytes)African leaders were urged Thursday to increase efforts to end HIV infections among children and women, in the world's worst affected continent. Skip related content

Speaking at the launch of the Campaign to End Pediatric HIV-AIDS, activist Graca Machel said that only two countries in Africa spent a target of 15 percent of their budgets on health.

"You tell me next time we meet how much is being spent in wars and defence...but how much is being spent in health, how much is being spent in agriculture to produce food for our kids," Machel told delegates.

Sub-saharan Africa is home to 1.8 million of the world's two million children infected with the virus that causes AIDS. Mother-to-child prevention and treatment coverage currently averages 30 to 40 percent against a target of 80 percent.

"We need the international community to commit, to meet their obligations, but we have to show commitment ourselves no matter how small our budgets might be," said Machel, who is married to South Africa 's Nelson Mandela and a member of the group of senior statespeople known as The Elders.

"We will not get there when African leaders do not get moved, they do not get moved by the hundreds of thousands of people who are dying on this continent when we know that this can be prevented," she said.

 

SOUTH AFRICA : HIV-positive inmates speak out

20 Oct 2009 Source: IRIN

DURBAN, 20 October 2009) - Just over three years ago, a group of HIV-infected inmates at Westville Correctional Centre, near the South African port city of Durban, won a High Court battle that forced the government to provide them with life-prolonging antiretroviral (ARV) treatment.

Judge Thumba Pillay ordered the national Department of Correctional Services to provide the medicines to the 15 prisoners, as well as to any other inmate in need of them.

He also ordered the department to adopt a comprehensive HIV/AIDS plan for the jail to ensure that inmates would receive not only ARVs, but adequate nutrition, regular and ongoing counselling, and access to health facilities. The government appealed the verdict but it was upheld, allowing thousands of prisoners across South Africa to receive treatment.

Yet many HIV-positive inmates at Westville say that while most of those who qualify for treatment are getting it, the prison authorities take little interest in their health and are not complying fully with the court order.

"Prisoners now have access to ARVs, but the support services are still not there," said Frank Ntombela, chairman of the Westville HIV/AIDS Support Group, which was instrumental in taking the department to court.

"Good nutrition, which is one of the requirements for people taking these drugs, is unavailable. We get the regular staple food, consisting mainly of rice and soya-bean stew, which is often not good enough," and the prison authorities did not allow inmates' families to provide them with healthier food.

Ntombela's section of the prison houses more than half the total prison population of 7,800, but has only four doctors and four nursing sisters, who only see patients on Tuesdays.

"Sometimes there are more than 50 people who want to see the medical staff, but they force us to choose only seven prisoners who are going to be seen for that week - the others would only get a chance next time, unless they are in an emergency," said Ntombela.

Another member of the support group who did not wish to be named, told IRIN/PlusNews that the ARVs were helping HIV-infected prisoners. "There was a time between 2005 and 2006 when an average of 140 prisoners died of AIDS a year - we saw corpses leaving the prison hospital every week."

However, because of overcrowding many HIV-positive prisoners still contracted tuberculosis (TB), including drug-resistant strains of the disease. The support group member estimated that about 60 HIV-positive inmates now died at the prison every year, with very few granted medical parole.

"Many people end up dying lonely deaths here, yet there is a legal provision which allows terminally ill prisoners to be paroled in order to die dignified deaths with their families."

After their court victory the support group was allocated an office for meetings and treatment and awareness programmes, but prison authorities recently closed down the office after gang violence claimed the lives of two inmates.

"I think they used the gang wars to get to us, because they always resented the fact that we had won the court battle," said the support group member. "As a result, most of our programmes came to a halt."

The number of Westville inmates living with HIV is unknown but the prison is located in KwaZulu-Natal , the province with South Africa 's highest HIV prevalence rate. According to the latest government survey, 39 percent of women attending antenatal clinics were infected.

Pastor Leon Assenderpe of the Family Support Group, a faith-based organisation that runs AIDS awareness and care programmes in prisons throughout the country, described the HIV/AIDS situation at Westville as "dire".

"I know that the government is trying to implement a treatment plan but they are overwhelmed because of the number of prisoners needing treatment," he said.

Nana Mpungose, the Westville coordinator of Treatment Action Campaign, the national AIDS lobby group that helped the inmates bring their case to court, said her organisation was concerned about the number of complaints from HIV-positive prisoners at Westville and other facilities.

"We are also concerned that the department is not fully compliant with the court order," she said. "When we ask for permission to meet with prison authorities, or to speak to prisoners, we are denied that opportunity."

The Department of Correctional Services could not be reached for comment.

 

Experts warn of less money for AIDS research, treatment

19 Oct 2009

Source: Reuters

* Financial disaster could hit funding agencies

* May disrupt treatment and prevention alike

* 1,000 experts attending AIDS conference in Paris

By Tan Ee Lyn

PARIS, Oct 19 (Reuters) - The global financial crisis and a loss of interest in the AIDS epidemic may tranlsate into less money in coming years for research, treatment and prevention of the virus, HIV experts said on Monday.

They are especially concerned because a trial in Thailand has just shown it may be possible to make a vaccine to prevent AIDS -- the first hint of success in the 25 years since the pandemic began.

"I'm very concerned that AIDS is slipping off the agenda in many countries of the world due to a combination of financial and economic crises," said Dr. Peter Piot of the Institute for Global Health at Imperial College London and a former head of the United Nations AIDS agency UNAIDS.

"The money that was spent to save banks, insurance companies and so on is going to have an impact in the social sector and in R&D (research and development)," Piot told a news conference at the start of a scientific AIDS conference.

An estimated 33 million people around the world are infected with HIV and more than half of the 9.5 million people who need AIDS drugs cannot get them, the U.N. reported in September. Every day, 7,000 people become newly infected with HIV.

"How much money will there be to enroll additional new patients? How much money will there be for new prevention activities?" Piot said.

Michel Kazatchkine of the Global Fund to fight AIDS, Tuberculosis and Malaria was worried about treatments, too.

"The financial crisis is clearly affecting the capacity of donors to fund international programs on AIDS and let's not forget that it is also affecting the developing countries that are struggling to keep up with their investments in health," he said.

On Tuesday, scientists will release details of a study released in part last month that showed vaccine made using two older experimental vaccines, lowered the HIV infection rate by 31 percent after three years among 16,000 Thai volunteers.

The $105 million trial was sponsored and paid for by the U.S. government but it was mired in controversy from the start as it was made using two failed products.

"We are not going to see all the results of the Thai trial tomorrow ... we hope this is going to lead to something more important, from 31 percent to a higher figure (of protection)," said Alan Bernstein of the Global HIV Vaccine Enterprise, a international coalition of researchers, funders, policy makers and advocates working on AIDS vaccines.


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