News (Updated November 21, 2010)

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Pope says condoms sometimes permissible to stop AIDS

Nov 20 2010

By Philip Pullella

VATICAN CITY (Reuters) - The use of condoms to stop the spread of AIDS may be justified in certain cases, Pope Benedict says in a new book that could herald the start of sea change in the Vatican 's attitude to condoms.

In excerpts published in the Vatican newspaper on Saturday ahead of the book's publication next week, the pope cites the example of the use of condoms by prostitutes as "a first step toward moralization" even though condoms are "not really the way to deal with the evil of HIV infection."

While some Roman Catholic leaders have spoken in the past about the limited use of condoms in specific cases to stop the spread of HIV/AIDS as a lesser of two evils, this is the first time the pope has mentioned the possibility himself in public.

The Vatican newspaper unexpectedly published significant excerpts from the book on Saturday night, days before extracts were initially due to be made public.

The pope's words appeared to be a major shift in the Vatican 's attitude. While no formal position existed in a Vatican document, the majority of Church leaders have been saying for decades that the use of condoms was not even part of the solution to fighting aids.

The late cardinal John O'Connor of New York famously branded the use of condoms to stop the spread of AIDS as "The Big Lie."

Last year, the pope caused an international uproar when he told journalists taking him to Africa that condoms should not be used because they could worsen the spread of AIDS.

The new book, called Light of the World, is made up of Benedict's responses to questions by German Catholic journalist Peter Seewald over a month of meetings at the papal summer residence.

The pope says that the "sheer fixation on the condom implies a canalization of sexuality" where sexuality is no longer an expression of love "but only a sort of drug that people administer to themselves."

After the pope first mentions that the use of condoms could be justified in certain limited cases, such as by prostitutes, Seewald asks: "Are you saying, then, that the Catholic Church is actually not opposed in principle to the use of condoms?"

The pope answers: "She of course does not regard it as a real or moral solution, but, in this or that case, there can be nonetheless, in the intention of reducing the risk of infection, a first step in a movement toward a different way, a more humane way, of living sexuality."

(Additional reporting by Tom Heneghan; Editing by Peter Graff)

World's Catholics Debate Pope's Condom Remarks

Pope's condom remarks draw mixed reaction, welcomed as step toward more discussion

 By JIM GOMEZ Associated Press

  MANILA , Philippines November 21, 2010 (AP)

Some church members in Southeast Asia 's largest Roman Catholic nation praised Pope Benedict XVI for saying condom use might be justified in some cases,
though Filipino bishops stressed Sunday the church leader still opposes contraceptives.

Speaking to a German journalist whose book was excerpted in a Vatican newspaper Saturday, the pontiff reiterated that condoms are not a moral solution for stopping AIDS. But he added that in some cases, such as for male prostitutes, their use could
represent a first step in assuming moral responsibility "in the intention of reducing the risk of infection."

The U.N. AIDS agency welcomed the pope's comments but cautioned they were only a first step toward making the use of condoms acceptable among Catholics.

"This is a significant and positive step forward taken by the Vatican today," the executive director of UNAIDS, Michel Sidibe, said in a statement released Sunday. "This move recognizes that responsible sexual behavior and the use of condoms have
important roles in HIV prevention."

A UNAIDS spokesman in Geneva said that while over 80 percent of HIV infections are caused through sexual transmission, only 4 percent to 10 percent result from sex between men. There are no reliable statistics about how many infections might be prevented if male prostitutes routinely used condoms, said Mahesh Mahalingam.

However, even the limited example cited by the pope was a step in the right direction, said Mahalingam. "We are welcoming this as an opening up of discussion," he said.

While the Roman Catholic Church's ban on artificial contraception was not in question, Benedict's stunning remarks could re-ignite debate on contraceptive use in places like the Philippines , where the issue has recently pitted the new president against the influential Catholic Church.

"If a condom is used as a contraceptive, certainly it will be condemned by the church," the Rev. Deogracias Yniguez of the Catholic Bishops
Conference of the Philippines told The Associated Press. "But to use it to avoid a disease in specific circumstances, the church can take another mindset."

Such rare cases, however, should be spelled out by church leaders now that the pontiff has apparently cited an example, he said, adding that he had not yet read the pope's full remarks.

Shay Cullen, a Columban missionary who has helped sexually abused children in the Philippines , praised what he said was a crucial change in the pope's stand.

"We welcome the pope's change of opinion because it is meant to save life and to protect people," Cullen said. "We see here an enlightened pope putting his concern over human life as a priority first."

Businessman George Gueco said the pope's remarks did not amount to any change in the Catholic Church’s long-standing stance against contraceptives, a position he strongly backs."There may be extreme, extreme exemptions for the church to allow its use," Gueco said. "I'm thinking hard, but I can't think of any right now."

Housewife Benita Vitualla, 72, expressed relief at the pope's flexibility, which she said could help people deal with problems like sexually transmitted diseases and surging populations.

"The pope has become more practical; he knows what's happening to the world," said Vitualla, who wore rosaries around her neck.

"There are contagious diseases and very high population growth that need to be controlled," she said.

Public debate over condom use has simmered in the predominantly Catholic Philippines since President Benigno Aquino III recently expressed support for the right to contraception. A church official has threatened to launch civil disobedience protests.

Aiming to avoid a head-on collision with the Roman Catholic Church, Aquino met Catholic bishops last month and explained that he was leaving it to Filipino couples to choose family planning options, including artificial birth control.

Associated Press writer Frank Jordans in Geneva
contributed to this report.

S.Africa could halve new HIV infections

Nov 19, 2010

By Jon Herskovitz

wpe6.jpg (16627 bytes)JOHANNESBURG (Reuters) - South Africa could cut the number of new HIV infections to below 200,000 a year by 2020, more than half the current level, with the right policies, but reaching the goal will be costly, a report on Friday said.

South Africa has the most infected people of any country in the world with 5.7 million with HIV, according to data from the U.N. programme on HIV/AIDS (UNAIDS). Around 18 percent of South Africans aged between 15 and 49 are infected.

"This situation poses huge financial dangers and risks for the country, particularly at a time when South Africa is feeling the negative effects of the global economic recession," the report said.

The report recommends drawing up and funding more effective plans for prevention, treatment and halting the transmission of the virus from infected parents to their children.

Even if it implements these plans, a further 5 million more South Africans will be infected with HIV over the next two decades, according to the report from the Centre for Economic Governance and AIDS in Africa and the Results for Development Institute.

The government has allocated several billion dollars a year for treatment, prevention and drugs aimed at keeping HIV infections in check.

Total costs over the next two decades to reduce the number of new infections are estimated to be as much as $102 billion if the country steps up spending on drugs, increases the number of those receiving treatment and plans to prevent the spread of the disease, the report said.

"South Africa is beginning to make important inroads in its efforts to slow the number of new infections and bring life saving treatment to those who need it", said Robert Hecht, one of the report's authors and managing director of the Results for Development Institute.

UNAIDS said access to treatment for the human immunodeficiency virus (HIV) -- an incurable viral infection that causes AIDS and infects around 33.4 million people around the world -- has increased 12-fold in six years, and 5.2 million people are now getting the drugs they need.

Sub-Saharan Africa remains the region hardest hit by HIV, accounting for 67 percent of all people living with the virus worldwide, 71 percent of AIDS-related deaths and 91 percent of all new infections among children.

African nations whose populations have been devastated by AIDS have made big strides in fighting HIV, with new infections down 25 percent since 2001 in some of the worst hit places, a recent U.N. report said.

 

Swaziland 's HIV/TB crisis threatens generations - MSF

18 Nov 2010

Written by: Katie Nguyen

A Swazi child looks on during an AIDS awareness meeting outside Mbabane , Swaziland , aimed at changing traditional male attitudes in the country, May 2005. REUTERS/Mike Hutchings

LONDON (AlertNet) - Swaziland is suffering a dual epidemic of HIV and tuberculosis, an emergency of "huge proportions" that threatens to wipe out generations, medical charity Medecins Sans Frontieres (MSF) said on Thursday.

The southern African kingdom of 1 million people has the world's highest HIV prevalence rate, with around 26 percent of the adult population infected with the virus that causes AIDS.

Swaziland also has one of the highest incidence rates of tuberculosis (TB). Not only are more than 83 percent of its TB patients infected with HIV, but TB is becoming increasingly drug resistant, MSF said in a new report.

The dual epidemic of HIV and TB has contributed substantially to halving life expectancy in the country over the past two decades - to 31 years from 60.

"The high mortality due to HIV and TB is a tragedy that is affecting communities and the economy: parents are dying, children are becoming orphans, and the workforce is slowly disappearing," the report said.

A shortage of medical staff, a lack of capacity to diagnose diseases, and patients' failure to complete treatment - often because they cannot afford to travel long distances to remote health clinics - are all obstacles in tackling the emergency, MSF said.

'ONE-STOP' CARE

The international aid group, which has worked in Swaziland's southwestern Shiselweni region since 2007, has supported a plan to scale up health care by shifting responsibilities from doctors to nurses, and from nurses to community health workers, which means patients can be treated closer to home.

That initiative is part of a bigger government programme, which includes bringing "one-stop" services - everything from HIV and TB testing to treatment and counselling - to 21 state-run health facilities in Shiselweni , Swaziland 's poorest region.

MSF said the number of people tested for HIV each month has more than tripled in the past 18 months, and the number of people starting antiretroviral therapy has doubled.

Despite such efforts, the dual epidemic is still far from under control, the group added.

"Unfortunately, there's been no significant reduction in infections, although more people are now receiving treatment," Aymeric Péguillan, MSF's head of mission in Swaziland , said in a statement.

"Only a third of the Swazi population know their HIV/AIDS status. What's more, many people who urgently need treatment still don't have access to it."

Polygamy and multiple sexual partners have helped spread HIV in Swaziland , which is tucked between South Africa and Mozambique .

Some activists say the king - sub-Saharan Africa 's last absolute monarch - sets a bad example by having 14 wives.

Last year, a member of parliament, Timothy Myeni, was forced to apologise after calling for HIV-positive people to be branded on the buttocks to stop the spread of the virus ravaging the country.

 

CEOs lead by example, take public HIV tests

18 Nov 2010 Source: IRIN

KAMPALA, 18 November 2010  - At least 40 East African chief executive officers (CEOs) recently took public HIV tests, a move designed to show their commitment to fighting HIV in the workplace in an increasingly integrated region.

"The objective was to encourage them [CEOs] to be role models, to plan properly for the future but also to plan for employees who are HIV-positive," said Rosemary Ssenabulya, executive director of the Federation of Uganda Employees.

"As a CEO it [taking an HIV test] makes it easier to decide that an HIV policy is set out and workers are encouraged to test too; after testing I encouraged all my staff to test," she added.

The event was organized in Kampala by the East African Business Council (EABC) [ http://eabc.info/node/714 ] and the German NGO GTZ. [ http://www.gtz.de/en ] It involved CEOs from Burundi , Kenya , Rwanda , Tanzania and Uganda , which have a total population of over 120 million.

"Businesses must recognize how much the wage bill is impacted by the HIV epidemic, a condition that predisposes the affected individual to any infection they come in contact with due to a compromised immune system," said Lillian Awinja, the GTZ adviser to EABC on HIV and health.

In recent years, companies in the region have developed workplace HIV policies to prevent HIV as well as care for HIV-infected employees, but statistics show that many businesses are lagging behind. The Uganda Manufacturers Association (UMA), for instance, reports that just 47 out of 751 registered companies have HIV workplace policies.

"We have a big workforce which is vulnerable and illiterate about HIV," said Mustapher Ssebaggala, the executive director of UMA. "We want a healthy work force and we targeted CEOs because we believe the fish rots from the head."

A 2010 EABC and GTZ study [ http://www.gtzkenyahealth.com/blog3/wp-content/uploads/2010/06/EABC_GTZ-Report-on-Sector-Approach-Study_03-2010.pdf ] of the chemical, manufacturing and hotel sectors in East Africa found that HIV was not mentioned as a primary concern by any of the companies interviewed. The authors recommended integrating occupational safety and health policies with HIV policies to ensure workers had access to HIV prevention, care and treatment; they further recommended the sharing of best-practices between companies with well-developed HIV policies and those with newer ones.

In July, the East African Common Market Protocol was launched, allowing free movement of labour, capital, goods and services within the region. Senior business figures attending the event noted that this would require more integrated efforts to fight HIV.

According to David Kihumuro Apuuli, director-general of the Uganda AIDS Commission, East African businesses have a duty to fund the fight against HIV in the region. He hoped local businesses could set up an HIV trust fund where all private sector companies pool resources and contribute to funding of HIV programmes.

East Africa's nations all have generalized epidemics, with HIV prevalence ranging from 2 percent in Burundi to 7 percent in Kenya .

en/kr/cb

 

One in four Bali prostitutes 'HIV-positive'

(AFP) – Nov 13, 2010

JAKARTA — The number of known HIV/AIDS cases on the Indonesian resort island of Bali is soaring, with one in four prostitutes there reported to be HIV-positive, an official said Sunday.

A new report by the National AIDS Commission said the number of HIV infections on the island had jumped almost 19 percent to 3,778 this year, with another 597 cases.

"The figure is only the tip of the iceberg... we estimate the actual number of cases to hover around 7,000 as many cases were unreported," said the commission's spokesman in Bali, Nyoman Mangku Karmaya.

"Many people are reluctant to go for medical check-ups as there's still a stigma and discrimination against people living with HIV/AIDS," he told AFP.

The number of cases this year has risen sharply from 1,253 cases in 2006 and 590 in 2004.

Karmaya said about 25 percent of the estimated 8,800 sex workers in Bali were infected with HIV this year, up from 23 percent last year, adding that the virus was transmitted from clients who refused to use condoms.

While describing the trend as "worrying", he said most tourists visit Bali for the culture and scenery, not for sex.

"There might be some who get acquainted with the sex workers, but they're aware about using condoms," Karmaya said.

However, he warned that there could be more than 840 new infections in Bali every year if the spread is not contained.

"We will increase our efforts to provide more information and educate the sex workers as well as the public. We'll also intensify campaigns promoting condom use," he added.

More than a million tourists visit Bali every year to enjoy its surf beaches, nightlife and Hindu culture.

 

Malaysia plans sex education for six year olds

(AFP) – Nov 14, 2010

KUALA LUMPUR — Children as young as six will be given sex education in Malaysian primary schools from next year, an official said Sunday, as part of a drive to curb 'baby-dumping', promiscuity and HIV.

Deputy education minister Wee Ka Siong told AFP that pupils aged between six and 11-years-old will study the new curriculum, which has been designed with the help of parents and civil society groups.

The plan follows Thursday's announcement that sex education will be taught in secondary schools across the conservative Muslim-majority country from next year.

"We want to also give primary school students aged between six and eleven years, a better understanding of family values and how to protect yourself from high-risk behaviour," he said.

"Together, the lessons in primary and secondary school provide a comprehensive sex education curriculum that will help to reduce promiscuity, unwanted pregnancies, baby dumping, HIV infection and other social ills."

Last month, Deputy Prime Minister and Education Minister Muhyiddin Yassin said the classes were being considered as part of a plan to tackle the issue of baby-dumping, in which babies have been left to die in toilets and rubbish dumps.

Giving birth out of wedlock carries a strong social stigma in Malaysia , a multicultural society embracing Muslim Malays as well as ethnic Chinese and Indian communities.

In 2009 there were 79 cases of baby-dumping but as of mid-September this year there had already been about 70, sparking alarm among authorities and the public.

Malaysia's first school for pregnant teenagers opened in September in central Malacca state and in May the nation's first "baby hatch" centre for unwanted newborns was introduced in the capital, Kuala Lumpur.

 


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