News (Updated September 12, 2010)

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HIV poses rising risk to Chinese women

Approximately one-third of newly infected women contracted the disease from their husbands. - China Daily/ANN

Sep 08, 2010
China Daily/Asia News Network

By Cheng Yingqi

BEIJING - Chinese women's vulnerability to contracting AIDS has almost doubled in the past 11 years, the latest figures show.

By the end of 2009, women accounted for more than 30 percent of the estimated 740,000 cases of HIV in China, compared to 15.3 percent in 1998, according to the latest research by the UNAIDS, announced on Tuesday.

Of these, approximately one-third of newly infected women contracted the disease from their husbands, who were exposed to the virus either through contact with prostitutes or by engaging in homosexual activity, according to the research.

"Women became increasingly vulnerable over the period of research, with sexual transmission accounting for most cases of exposure to the disease," Guo Ruixiang, a China Program Officer for UNAIDS, said on the sidelines of a forum organized by the All-China Women's Federation in Beijing on Tuesday.

Guo said China had 48,000 new cases of HIV infection in 2009, of which 74.7 percent contracted the virus through sexual contact, though it may also be transmitted through blood transfusions, the use of contaminated hypodermic needles and by mother to child transmission (MTCT) during pregnancy or breastfeeding.

The proportion of women among those who contracted HIV through sexual contact rose from 44.1 percent in 2001 to 55 percent in 2004.

"The MTCT ratio increased in line with the number of female infections," Guo said.

The latest reports from the Ministry of Health show that MTCT transmission accounts for 1 percent of total cases of infection in recent years, while China did not have any MTCT cases 15 years ago.

"We should root out societal expectations regarding sex if we want to reduce women's vulnerability," said Min Ziping, head of the women development department of the Hubei Provincial Women's Federation.

"Women traditionally have less say over condom use, which has made them more vulnerable to infection," she said.

The federation conducted research on female HIV infection, in which 90 percent of respondents said women were unable to assert their right to protect themselves.

Li Yao contributed to this story.

 

HIV spread "out of control" among French gay men

Wed Sep 8, 2010

By Kate Kelland

wpe1.jpg (11698 bytes)LONDON (Reuters) - Transmission of the AIDS virus seems to be "out of control" among gay men in France despite an overall fall in the number of new HIV cases in the country, according to a study published on Thursday.

Scientists from the French National Institute for Public Health Surveillance found that nearly half of the 7,000 people newly infected with HIV in the country in 2008 were gay men, and the incidence among homosexual men is 200 times higher than in the heterosexual population.

Experts said the findings showed that French authorities needed to revise and renew prevention strategies and ensure they were properly targeted at groups most at risk of HIV infection.

The human immunodeficiency virus that causes AIDS infects 33.4 million people globally. In sub-Saharan Africa, 22.4 million people have it, and Eastern Europe currently has the fastest growing HIV epidemic in the world.

Thursday's study, published in The Lancet Infectious Diseases journal, found that HIV in France fell significantly from 8,930 new infections in 2003 to 6,940 in 2008.

But the number of new infections among gay men was stable despite a decline in other groups, and accounted for 48 percent of new cases in France in 2008.

Non-French-nationals living in France accounted for around 23 percent of all new infections in 2008 and for 45 percent of the infections transmitted heterosexually. Most were immigrants from sub-Saharan Africa , the researchers said.

The number of new infections among injecting drug users -- a group in which HIV epidemics are spreading rapidly in other parts of Europe -- was low and stable in France over the 5-year study period, accounting for only 1 or 2 percent of new infections every year.

"Our results provide a new perspective on the HIV epidemic in France ," said Stephane le Vu, who led the research.

"HIV transmission disproportionately affects certain risk groups and seems to be out of control in the MSM population," he said, using an acronym for men who have sex with men.

Since AIDS emerged in the 1980s, 60 million people have been infected with virus that causes it and 25 million have died. HIV is spread in blood, during sex and in breast milk. Drug users can spread it by sharing needles with infected people.

In a commentary on the findings, Robert Hogg from the British Colombia Centre for Excellence in HIV/AIDS in Vancouver , Canada , said the French data reflected an "unacceptably high" number of new infections among gay men worldwide.

He said authorities should seek to tackle the problem with a combined prevention approach which would include promoting prevention measures such as condom use among gay men and expanding access to AIDS drugs for all eligible HIV patients.

Recent studies have shown that treating HIV patients early in their disease and with potent cocktails of AIDS drugs not only helps them live longer but also significantly reduces the spread of the virus to others.

(Editing by Paul Taylor)

© Thomson Reuters 2010 All rights reserved

 

Inquiry to hear from HIV victims

Lord Penrose

 8 September 2010

Lord Penrose has set out the next stage of his inquiry

The judge chairing the inquiry into contaminated NHS blood products in the 1980s has set out the next stages of his inquiry.

Lord Penrose will take oral evidence from doctors, senior NHS managers and people who contracted HIV and hepatitis from infected blood products.

The inquiry will look at whether enough was done to protect patients from the risk of infection.

Hundreds of patients were infected before screening was introduced.

Lord Penrose will chair the probe into how Eileen O'Hara and Rev David Black contracted the virus while in NHS care.

'Provide answers'

It follows complaints by relatives of the victims over the length of time it has taken to start the inquiry.

The Scottish government said the withdrawal of the original chairperson, judge Lady Cosgrove, had led to the delay.

At the time of Lord Penrose's appointment, the Health Secretary Nicola Sturgeon told the Scottish Parliament she had "every sympathy with those who have suffered or lost loved ones as a result of Hepatitis C or HIV infection through NHS treatment with blood or blood products".

She added: "I hope the Penrose Inquiry can provide answers and the closure which I know they so desperately want.

"This inquiry will also ensure that all possible lessons are learned to prevent such a tragedy occurring again."

 

India not treating AIDS patients early-Global Fund

Sep 9, 2010

By Bappa Majumdar

NEW DELHI, Sept 9 (Reuters) - Thousands of AIDS patients in India are not receiving treatment on time, underscoring huge challenges the country faces as it combats the disease, the Global Fund To Fight AIDS, Tuberculosis and Malaria said on Thursday.

India , with 2.27 million patients, is among the top three countries with the highest number of HIV cases, alongside South Africa and Nigeria .

But with HIV cases lying untreated in many parts of the country, it poses a threat to the country's prevention measures, the fund's executive director, Michel Kazatchkine, said.

"Some of the population groups are at higher risks and it means we have to reach these groups with prevention," Kazatchkine told Reuters in an interview.

"There are 300,000 people receiving treatment, but that is about only one-third of all the people who are estimated to be in need of treatment."

Indian authorities say HIV cases are showing signs of rising in parts of New Delhi , the financial hub of Mumbai, and the north and northeast among other areas.

"In order to access treatment you first have to know that you are HIV positive," Kazatchkine said.

The Geneva-based Global Fund, which signed healthcare agreements worth over $244 million with India this week, has committed $1.8 billion to New Delhi for fighting AIDS, malaria and tuberculosis since 2002.

It also urged India to spend more from its budget on healthcare and improve its healthcare system domestically.

The Indian government spends about 1 percent of its GDP on healthcare facilities, much less than some African countries, forcing millions to struggle to get medicines.

"Clearly India is one of the countries with the smallest percent of health budget of its overall budget going into health and this is an issue," Kazatchkine said.

While India 's economic growth has been forecast to hover around 8.5 percent for 2010/11, authorities acknowledge there is need to spend more in villages where many health centres do not have medicines, doctors or diagnostic facilities.

In March, the World Bank and other agencies said India will have to scale up prevention of HIV to avoid spending an increasing share of its already low budget on treatment of HIV/AIDS patients.

Otherwise the cost of treatment in India could rise to $1.8 billion by 2020, about 7 percent of the total health expenditure, the World Bank said.

Kazatchkine said India faces huge challenges as it tackles other diseases like tuberculosis and malaria.

" India bears one-fifth of all the burden of TB in the world. There are many challenges around TB and many challenges about diagnosis of malaria," he added. (Editing by Alistair Scrutton and Sugita Katyal)

 

Senegal prostitutes look forward to Ramadan's end

By ARTIS HENDERSON (AP)

9 Sept, 2010

DAKAR , Senegal — Wearing white to symbolize purity, worshippers throughout this African capital gathered to pray on one of the final nights of Ramadan. To purify the soul and purge sin, they hadn't eaten all day and refrained from drinking, smoking and having sex — which during the holy month is only allowed among spouses at night.

Ramadan is bad news for the sex workers on the streets of Senegal , a country where 94 percent of the population is Muslim and prostitution is legal.

"It's a rough month," said 31-year-old Fatou Diop, who had taken a position on a piece of pavement just beyond the flashing lights of a nightclub in downtown Dakar . Her miniskirt was so short it barely reached beyond the top of her thighs.

"There are fewer clients during Ramadan — and we earn less. You can work for three days and not make anything," she said.

Like many prostitutes in Dakar , Diop moved to the capital from the city's poor outskirts. She works to support her family, including her young son.

In the same unlit alleyway, Awa Ndiaye was strutting in a dress as tight as cellophane. She said her clients dwindled from 10 per night to three. The 24-year-old native of Casamance, a region in the south of Senegal , said it's difficult to make enough to live. She normally earns $50 per client, but from that amount she must bribe the local police to keep from being harassed or put in jail.

"I have to support my family on what's left after I pay them," she said. "Now, there's no work."

Even though prostitution is legal, it is still taboo. If the police harass prostitutes — registered or not_ and threaten to take them to jail, they often have no recourse but to pay a bribe.

Ndiaye is one of the registered, or legal, sex workers who are required to report to a health clinic for HIV and sexually transmitted disease testing every two weeks or risk losing their health card. Other women work clandestinely.

Djiby Sow coordinates health programs at Africa Consultants International and works with local groups in Dakar that offer health services and counseling to prostitutes.

"The worst impact is during the first two weeks," he said. "People are very pious then. Business goes back up toward the end of the month."

In a dark alley near Dakar 's seedy nightspots, a car slowed. Ami Mdaye approached the driver's side window, but the car pulled forward and left her standing in the road.

"We're tired," she said after she returned to the sidewalk. "We do this until five in the morning, but there are still no customers."

Associated Press Writer Sadibou Marone contributed to this report.

Copyright © 2010 The Associated Press. All rights reserved.


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