News (Updated September 5, 2010)

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Father seeks China AIDS activist's release

By ANITA CHANG (AP) – 6 days ago

wpe5.jpg (12353 bytes)BEIJING — A Chinese AIDS activist jailed after a run-in with a hospital administrator is in poor health but has vowed to keep fighting for compensation after being infected by tainted blood during a childhood transfusion, his father said Monday.

Tian Xi was taken into custody earlier this month after he lost his temper and smashed office equipment during a meeting with the administrator of the hospital where he was infected. Fellow activists have said the 23-year-old was arrested because he angered local officials with his tireless campaigning for those who contracted HIV, the virus that causes AIDS, through tainted blood supplies.

"My child started on this path of petitioning at the age of 17 and this path has led him to today. He said 'If the government doesn't resolve my case, I will fight to the end, I will fight until my death.' That's how determined he is," Tian Demin told The Associated Press.

After ignoring or demonizing people with AIDS for much of the 1980s and '90s, China 's authoritarian government has taken a more compassionate line on the disease and combating its spread in recent years. But people with AIDS still face difficulties in getting treatment and compensation, and authorities remain deeply suspicious of independent activists.

Tian Xi, who for more than a week had been shuttling between government offices trying to meet with authorities to discuss his case, finally confronted the administrator at the Xincai County No. 1 People's Hospital in central China 's Henan province, which gave him a blood transfusion in 1996 as treatment for a mild concussion, his father said.

The administrator said there was nothing he could do about Tian's case and got up to leave, Tian Demin said. Tian Xi lost his temper and smashed a computer, fax machine and other equipment. Two weeks later he was arrested on charges of intentionally damaging property.

Phones at the hospital's general office and president's office rang unanswered Monday.

Tian Xi, who has AIDS and hepatitis B and C, is being held at the Shangcai County Detention Center two-hours' drive from his hometown in Xincai County and his family worry conditions there are too difficult him. He has already missed two doses of drugs that need to be taken a precise times, his father said.

"I want to bring him home where we can take care of him. Is he getting enough to eat right now? He needs nutritious food. He needs treatment," Tian Demin said, wiping tears from his eyes.

An official surnamed Xu at the detention center said Tian Xi was being held in a room designed for inmates with AIDS, who are more common in Henan due to unregulated blood-buying schemes there in the mid-90s that contaminated blood supplies.

Tian Xi will receive medical treatment if he falls ill, Xu said.

Lawyer Liang Xiaojun said he would appeal for Tian Xi's release while awaiting trial. Tian Xi, whose name means "happiness," plans to plead not guilty to the charges, which carry a maximum sentence of seven years imprisonment.

In recent weeks, Tian Xi had obtained official documents in which leaders from Gulu and Xincai County , where the town is located, ordered police to stop his activism, fellow AIDS activists said.

Copyright © 2010 The Associated Press. All rights reserved.

 

 

Combating HIV Virus Possible Only with Adequate Funds

Gene Rickman 09/02/2010

A word of warning has been spread by an expert, who is of the belief that Sydney could play the role model to the rest of the world in combating HIV but only if sufficient funds are available on hand, but reality was something else.

Michel Sidibe, UNAIDS Executive Director said that the world had become ‘numb to the drumbeat’ of the reality that there are no less than 7,400 individuals living with the AIDS virus, struggling each day to live, and the backing offered by the Government and businesses was dropping at this very moment when chances had been emerging to restrain the spread of disease.

Ever since the year 2001, the count of infected people plunged by 17% almost each day for every given year, however another 2.7 million new cases spring up each year.

Mr. Sidibe gave his stance that new infection rates in Sydney had sunk to almost one person for each day, offering a chance to the city to turn into a role model for all, because of its endeavors at tackling and eliminating the spread of the virus.

While addressing the Advance Global Health conference in Melbourne , Mr. Sidibe said that the conspiracy of silence was broken by all. But translation or rather materializing the aims into reality was taking a backseat.

 

31 August 2010

China court 'accepts first HIV job discrimination case'

Map

A Chinese man has filed a lawsuit alleging he was denied a job because he has HIV.

State media say this is the first time that such a discrimination case has been accepted by a Chinese court.

The man said he had passed written tests and interviews for the teaching post in Anhui province.

But he was turned down after medical screening revealed his HIV status, China Daily said.

The newspaper reported that the case will be heard by a court in Anqing city, in Anhui province.

The plaintiff, a recent graduate, was not asking for compensation but wanted to be given the job, it said.

A lawyer for the plaintiff told the BBC that he would defend his client under existing Chinese laws.

"The state already has laws and regulations forbidding discrimination against HIV carriers when they apply for jobs," Zheng Jineng said.

"But the actual practise by some government departments and employers are in direct conflict with the laws.

"The fact that the People's Court has accepted the case indicates that the rule of law in China is progressing."

Officials say an estimated 740,000 Chinese people are living with HIV/Aids.

Many face discrimination in employment, education and healthcare because of the stigma attached to the virus.

 

What Britain could learn from Portugal 's drugs policy

Peter Beaumont

5 September 2010

wpe2.jpg (16618 bytes)A decade ago Portugal took a radical new approach to illegal drugs by treating users as people with social problems rather than as criminals. Could it work in the UK ?

Susannah is being treated in the physiotherapy unit of the Centro das Taipas, a vast, pink former mental institutution close to Lisbon's airport, where she is having hot towels pressed on to her lower back. Built during the second world war, the wards of wing 21B are these days committed to the treatment of drug addiction.

Susannah is a long-term drug user and is intelligent but troubled. She first smoked cannabis at 13. At 17, she began taking heroin with the father of her children. Now 37, she has been dependent on drugs – mostly heroin – for almost two decades.

"I lived in Spain for a while," she tells me. "And London for a year, working in the restaurants with a friend. I went there to try to get off drugs but ended up on crack." These days, however, Susannah, who also suffers from a bipolar disorder, is one of the beneficiaries of Europe 's most tolerant drug regime. For in Portugal , where Susannah lives, drugs have not only been decriminalised for almost a decade, but users are treated as though they have a health and social problem. Addicts such as Susannah are helped by the law, not penalised and stigmatised by it.

In the midst of the recently resurgent debate in Britain about whether our drug laws are working – or require a major overhaul – the experience of Portugal has become a crucial piece of evidence in favour of a radical approach that has confounded the expectations of even its conservative critics, so much so that in the last month British officials have asked their Portuguese counterparts for advice, with the only caveat being that they avoid mentioning the word "decriminalise".

It is, perhaps, an unnecessary sensitivity. For the reality is that, despite liberalising how it regards drug possession – now largely an administrative problem rather than a criminal offence – Portugal has not become a magnet for drug tourists like Amsterdam , as some had predicted.

British officials are not the only ones who have made the pilgrimage to Portugal in recent years – health specialists, officials and journalists from around the world have all made the journey to see what Portugal is doing right, even as their own countries are still struggling.

Nor has it seen its addict population markedly increase. Rather it has stabilised in a nation that, along with the UK and Luxembourg , once had the worst heroin problem in Europe .

For Susannah – as for the many long-term addicts now on methadone replacement and other programmes, and for the country's health professionals – the country's recent social history is divided into what the world of addiction and drug use was like before Law 30 was approved in November 2000, and what it is like now.

Before the law, which decriminalised (or depenalised) possession of drugs but still prohibited their use, the story of drug addiction in Portugal was a familiar one. More than 50% of those infected with HIV in Portugal were drug addicts, with new diagnoses of HIV among addicts running at about 3,000 a year. These days, addicts account for only 20% of those who are HIV infected, while the number of new HIV diagnoses of addicts has fallen to fewer than 2,000 a year.

Other measures have been equally encouraging. Deaths of street users from accidental overdoses also appear to have declined, as – anecdotal evidence strongly suggests – has petty crime associated with addicts who were stealing to maintain their habits. Recent surveys in schools also suggest an overall decrease in drug experimentation.

At the same time, the number of those in treatment for their addiction problems has risen by about a third from 23,500 in 1998 to 35,000 today – helped by a substantial increase in available beds, facilities and medical support – with many going on to methadone replacement programmes. The consequence is that perhaps as much as €400m (£334m) has been taken out of the illegal drugs market.

But decriminalisation, as Portuguese officials and others who have observed the country's experience are at pains to point out, was only the most obvious part of what happened 10 years ago in the midst of a similar debate on drugs to the one now going on in the UK.

Then, in a moment of grand vision powered by an inquiry which recommended a wholesale overhaul of Portugal's anti-drugs policy in 1998, the government opted to make wholesale changes to the way Portugal dealt with the issue, giving a huge boost in resources to everything from prevention to harm reduction, treatment and reintegration – creating an entirely joined-up approach to drug abuse under the auspices of a single unit in the ministry of health.

It marked an acceptance that for many, living drug-free was neither realistic nor possible and that what society needed to do was mitigate the risk individuals posed to themselves and a wider population at large by helping them manage their problems.

Susannah's doctor, the head of treatment at the Centro das Taipas, is Dr Miguel Vasconcelos. He frames Portuguese drug laws in a way that I hear repeated several times. Within certain clearly defined limits – an amount equivalent to 10 days' normal use of any particular drug, ranging from amphetamines and cannabis to heroin – possession, he explains, is now considered similar to a traffic offence. It is a notion I find later described in the Portuguese drug strategy document as a "humanistic" approach.

Vasconcelos, 51, is old enough to remember what it was like before, in a country which, two decades ago, barely had a methadone replacement programme at all. In his office, decorated with artworks by his clients, Vasconcelos says: "Critics from the conservative parties were concerned that the new law would make Portugal a place like Amsterdam , but that did not happen.

"You have to remember," he says, "that the substances are still illegal; it is the consequences that are different." And for those arrested in possession of drugs for personal use, that means not a court appearance but an invitation to attend a "dissuasion board" that can request – but not insist upon – attendance at facilities such as the Centro das Taipas for assessment and treatment. "They evaluate if someone is ill or a recreational user, if a person uses sporadically," says Vasconselos. "Even then people have a choice. People can refuse to attend the dissuasion board."

For many, he believes, the experience can be cathartic and he admits being surprised by how open many of the clients who have come to his facility via that system have been .

If there has been a problem with the Portuguese experiment, he believes that it has been one largely of perception – outside Portugal – where decriminalisation has been misunderstood by some as legalisation or a step on the road to it.

Rather, Vasconcelos believes that decriminalisation is a natural consequence of a gradual shift from regarding addicts as social delinquents to regarding them as people in need of help, a view reiterated by Dr Manuel Cardoso, a board member at the Instituto da Droga e da Toxicodependκncia at Portugal's health ministry, which now co-ordinates the country's approach to drug abuse.

At the centre of Portugal's deeply pragmatic approach are the dissuasion boards. Lisbon's board – which deals with 2,000 cases a year – sits in a modest office on the second floor of a block above a pretty park. There are no lawyers (although they can attend) and no clerks in robes. No uniforms at all.

Last Friday, on one side of the table were Nadia Simoes and Nuno Portugal Capaz, both members of the commission. On the other was a 19-year-old barman in a white T-shirt who allowed the Observer to observe the confidential process but asked not to be named.

Stopped by police with 5.2 grams of cannabis, he is marginally over the limit of what can be dealt with by the dissuasion board alone and has had to appear in court as well. It is the young man's first offence. He looks nervous. But it quickly becomes clear that this is a non-confrontational process, as Simoes explains that while possession of drugs for personal use is not a criminal offence, it is still forbidden.

The man nods his understanding. Simoes explains the risks of smoking cannabis, including schizophrenia, and the sanctions the board can impose for second offences, including a fine or community service. Licences crucial to employment can also be revoked. As the process concludes, the barman looks relieved and promises to stop smoking. As he leaves, Capaz stands up and shakes his hand. The whole thing has lasted less than 10 minutes.

A sociologist by training, Capaz is a vice-president on the board. He believes that far from Portugal becoming more lenient, the reality is that the state intervenes far more than it did before Law 30 and the other associated legislation was introduced. Before, he explains, police would often not pursue drug users they had arrested, interested only in the dealers. "People outside Portugal believe we had a tougher approach under the old law, but in reality it is far tougher now."

Now everyone who is caught with drugs must go before one of the 20 boards in the country to be categorised as either a recreational user, someone with a developing problem, or an addict. And while some 30% choose to refuse to appear at the first summons, most – when threatened with a fine for disobedience – eventually attend.

Capaz has been involved since the very beginning and is struck by two things. The first is how Portuguese society has come to accept that addicts and drug users should be treated as a social rather than a criminal problem. The second, he explains, is that under the old criminal system all of those caught were supposed to be equal before the law. "With this system," he explains, "We do it the other way. We can apply the law in a way that fits the individual."

Indeed, the law recognises that for addicts certain sanctions are not appropriate. While recreational users can be fined, the law prevents addicts from having a financial penalty imposed for fear that in trying to raise the fine they might be driven to commit a crime.

But not everyone is totally convinced. Not even among the people who have dedicated their lives to assisting addicts. Francisco Chaves runs a modern shelter for street addicts close to Casal Vendoso, a place once notorious for its drug problems. "I want to explain first that this is not my profession but a vocation," he explains by way of introduction. He wants, however, to pose a "rhetorical question" which turns out to be more passionate intervention than a debating point.

He is concerned that under the "humanistic approach" enshrined in Portugal's decade-old laws – in its concern for the human rights of the addict – perhaps too much pressure to change may have been taken off addicts. "I worry that it has become too easy being an addict now," he says. "They can say: 'I've got clean clothes. I've got food. Support. So why should I change?'"

He says this sadly, because he agrees that addicts should be treated properly but cannot avoid "the paradox of the situation". "I say it is a rhetorical question because places like this are required. It is a personal, philosophical question." But it is one without any obvious answer.

Outside his office in the large, bright space where addicts are lolling on the sofa, eating or watching television, I encounter Fernando Almeida, 31, who has been a heroin addict since he was 19. A thief – who stole to support his habit – he was recently released from prison and found a place at this centre.

When he arrived six months ago, he weighed 55 kilos. These days he weighs 73kg and appears both lucid and motivated. "In the old days I used to get hassled by the police. Now the police don't interfere with me," he says. "I used to steal. Now I'm not going to steal anymore. For me the solution is to stop. I've discovered food and small things like taking a walk and having a coffee. I'm learning how to work."

 

Homosexuality against word of God: African bishops

(AFP) – Aug 24, 2010

wpe8.jpg (12569 bytes)ENTEBBE , Uganda — African Anglican bishops voiced their strong disapproval of homosexuality at a meeting Tuesday attended by Archbishop of Canterbury Rowan Williams, as the issue continues to divide Anglicans.

"Homosexuality is incompatible with the word of God," said conference host and Ugandan Archbishop Uganda Henry Luke Orombi.

"It is good Archbishop Rowan is here. We are going to express to him where we stand," he added.

Head of the Anglican church worldwide, Williams is struggling to keep the communion together amid disagreements over the ordination of female bishops in Britain , and of openly gay bishops in the United States .

"There is already a break. It doesn't need to be announced," said Orombi.

Williams delivered a sermon Tuesday at the opening of the six-day meeting, the first of its kind since 2004.

While he did not mention homosexuality, he said it was the duty of all bishops to be open-minded on contentious issues.

"We must learn to listen to those we lead and serve to find out what their hopes and needs and confusions are. We must love them and attend to their humanity in all its diversity," Williams said.

However the head of the Council of Anglican Provinces in Africa left little doubt that his position on the matter is settled.

"Today, the West is lacking obedience to the word of God," Reverend Ian Ernest of Mauritius told journalists on the sidelines of the conference.

"It is for us (Africans) to redress the situation," he said, adding that he has severed all ties to the Episcopalian churches in Canada and the United States that have allowed gays to enter the clergy.

Homosexuality is illegal in many African countries and is punishable by a prison sentence.

In Uganda , a drastic anti-gay bill has been met with criticism from Western states and rights group, notably for imposing the death penalty for "aggravated homosexuality" in cases of rape of a minor by a person of the same sex, or where one partner has HIV.

 

Mumbai struggles with acute malaria outbreak

(AFP) – Aug 20, 2010

wpeB.jpg (17642 bytes)MUMBAI — India is battling record levels of malaria infection in Mumbai, health officials said Friday, with as many cases in the first half of the year as in the whole of 2009.

Authorities in the financial hub have drafted in experts from Medecins Sans Frontieres to tackle an outbreak which has seen nearly 4,000 cases this month alone, with the most virulent form of the potential killer having struck 10 to 15 percent.

"It's an exceptional year. We're definitely seeing a rise in cases. It's a record number," assistant health officer Dr Daksha Shah told AFP.

The first six months of this year saw more than 14,700 cases in Mumbai -- nearly as many as for the whole of 2009 -- while a sharp rise in patients since the start of the monsoon rain in July has left hospitals struggling to cope.

Malaria, which causes fever, headaches and vomiting, is caused by a parasite transmitted via mosquito bites.

If untreated, it can quickly become life-threatening by disrupting the blood supply to vital organs, according to the World Health Organization.

Since August 1, just over 3,800 people have tested positive -- mostly for the non-lethal vivax strain -- and there have been 28 deaths, according to figures released Friday by the Brihanmumbai Municipal Corporation.

MSF teams working on an HIV treatment scheme in Mumbai are providing 100,000 diagnostic kits and 3,700 treatment kits to 64 health centres. They will also train health workers to identify and treat the disease.

Tiago Dal Molin, the group's project co-ordinator in Mumbai, said in a statement: "It is crucial that health staff can give a correct diagnosis so that patients can be treated appropriately.

"The diagnostic tests that we provide are reliable, easy to use and require just one drop of blood to give results."

Outbreaks of malaria and water-borne diseases are common in some areas of overcrowded Mumbai, which is home to an estimated 18 million people, more than half of them in slums.

A.C Dhariwal, director of the National Vector Borne Diseases Control Programme, was quoted as saying by the Indian Express last month that Mumbai had the highest number of malaria cases and deaths out of India 's big cities.

Public health officials have expressed concern that Mumbai's many construction sites have become a haven for mosquitoes that spread the disease because they breed around stagnant water.

They suggested that 200,000 construction workers, many of them migrants who sleep on site, are at risk of infection.


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