News (Updated July 11, 2010)

[Home]  [
Previous news]


Sex now chief cause of Ukraine 's AIDS epidemic

July 11, 2010

"I am not a drug addict!" insisted Andri, 32, staring desperately at the walls of a clinic for people with HIV in Kiev .

 

The young father contracted HIV through a casual sexual relationship, like alarming numbers of others in a country where heterosexual transmission has overtaken drug abuse as the main cause of AIDS.

The trend has alarmed researchers, showing that the HIV epidemic in Ukraine has now moved out of the niche of intravenous drug users and into the heterosexual mainstream.

With an HIV prevalence rate of 1.11 percent among Ukraine 's adult population as of 2009, the former Soviet republic is one of the states in Europe worst hit by the epidemic.

For years, the virus has been spread mainly in Ukraine by intravenous drug users but the trend has changed with startling speed.

Since 2008, more Ukrainians have been contracting HIV through heterosexual sex than through drug abuse. In 2009, 43 percent of Ukrainians infected with HIV caught the virus through heterosexual sex and 35 percent by drug injection.

Experts have warned that this means the epidemic risks no longer affecting mainly high-risk groups like drug users, prostitutes and homosexuals but the general population as a whole.

"There are already signs of a generalisation" with the HIV infection rate of pregnant women now standing at more than one percent in some regions, said Svitlana Antonyak, an official from the national HIV clinic.

"Two thirds of cases of sexual transmission are linked to intravenous drug use," said Tetyana Deshko of the Ukrainian branch of the NGO International HIV/AIDS alliance.

She described the typical path of transmission in today's Ukraine : "A drug user who probably does not know he is HIV positive has a relationship with a woman who probably does not know that her partner is a drug user."

Andri was infected with HIV during an adulterous relationship with a former lover who he suspects now is a drug addict.

"I saw the traces of injections on her arms but she said it was because she had just been to hospital," said Andri, who learned of his diagnosis at the start of the year.

He insists that he used a condom, but it broke. "I put another one on, and thought that it would do. It was stupid. Stupid!"

Almost half of Ukrainians between 25-49 who say they had more than one sexual partner in a year do not use condoms, said a national report compiled by the Ukrainian ministry of health for UNAIDS.

"A condom is often seen (in Ukraine ) as a sign of not trusting your partner," said Tetyana Deshko. Moreover many in Ukraine still see AIDS as a problem affecting only disadvantaged groups."

"There's lack of information campaigns of good quality, capable of changing young people's behaviour," Antonyak said.

"My 20-year old son told me he always uses a condom because he was here, at the hospital, helped me and saw people suffering here. Probably that's what we need to do", she added.

Alarmingly "only one HIV victim in four" in Ukraine is actually aware that they have been infected, said the national report.

As of January, 101,000 Ukrainians were infected with HIV according to official figures but the real number is estimated at 360,000. The number of deaths from AIDS was 19,000 between 1987 and April.

However in a ray of hope, the use of antiretroviral therapy resulted in the first cut in the mortality rate from AIDS, of 2.6 percent, last year. Antiretrovirals were introduced to Ukraine only six years ago.

But funds are limited and at least 7,500 patients who need the drugs are not receiving them.

"We really need help from donors," said Svitlana Cherenko, head of the state committee for the fight against AIDS.

Ukraine already received 230 million dollars from the Global Fund to Fight AIDS, Tuberculosis and Malaria for the years 2004-2012 and will this month put in a new request with the organisation for estimated 300 million dollars for 2012-2017.

 

THT Launches All-day 'STI Testival' In Bristol

11 Jul 2010   

HIV and sexual health charity Terrence Higgins Trust (THT) is launching an all day 'STI Testival' in Bristol , encouraging local people to test for HIV and sexually transmitted infections (STIs). On Thursday 22nd July, THT's 'Fastest' clinic on West Street will be open from 10.00am - 9.00pm, offering free, confidential testing to local people.

THT is running the event in an effort to bring down high levels of undiagnosed HIV and STIs in the city and surrounding areas. In 2008, there were an estimated 3,440 people living with HIV in the South West, of who around a quarter were unaware they were infected. Young people aged 18-25 are particularly encouraged to attend, as currently one in fourteen of those in this age bracket currently have undiagnosed chlamydia.

At the 'Fastest' service, testing for chlamydia and gonorrhoea involves taking a urine sample which is then posted off to the lab, with results available within a week. THT will direct those who test positive to a local treatment centre, who will provide treatment for the infection.

The clinic also uses a finger-prick blood test to check for HIV, with the results provided within fifteen minutes. Those who attend the clinic will be given information and advice before and after the test, and anyone who tests HIV positive will be fast tracked into a treatment centre.
THT clinics and workers also offer information on STIs and safer sex, as well as giving out free condoms.

Steve Jones, Regional Manager for THT in Bristol , said: "We're determined to get rates of undiagnosed STIs down in Bristol so local people aren't putting themselves at risk of long-term health problems. We want to make sure people know that - where good sexual health is concerned - going for regular check-ups is just as important as using condoms."

Those who are unable to attend the 'STI Testival' are encouraged to attend one of THT's two regular Fastest clinics in Bristol . Sessions take place at the charity's centre on West Street every Monday from 5.00pm - 7.30pm. In South Gloucestershire, sessions take place at The Park Centre, Kingswood every Wednesday from 4.30pm - 6.30pm. Both clinics are free and anonymous.

Source:
Terrence Higgins Trust

 

Infection Control Procedures In Dental Settings

11 Jul 2010   

In light of recent developments at the Missouri VA Medical Center in St. Louis , the American Dental Association (ADA) understands that there may be heightened interest in infection control procedures in dental settings.

The ADA has long recommended that all practicing dentists, dental auxiliaries and dental laboratories employ standard precautions as described in the 2003 Centers for Disease Control and Prevention's (CDC) Infection Control in Dental Health Care Settings guidelines. Infection control procedures are designed to protect patients and health care workers by preventing the spread of diseases like hepatitis and HIV. Examples of infection control in the dental office include the use of masks, gloves, surface disinfectants and sterilizing reusable dental devices. In addition, dental health care providers are expected to follow procedures as required by the Occupational Safety and Health Administration.

The ADA urges its members to keep up to date as scientific information leads to improvements in infection control, risk assessment and disease management in oral health care.

Patients who have questions about infection control in the dental setting should talk with their dentists, who will be glad to explain their procedures.

Source:
American Dental Association

 

HIV Gains At Risk As Organizations Retreat On Funding And Resource Commitments

10 Jul 2010   

In a policy report published in Science, an internationally recognized peer-reviewed journal, leading experts in HIV/AIDS research have warned that failure to meet a pledge for universal access to HIV therapy and funding cuts to prevention and treatment programs are poised to deliver a major setback in the fight against HIV/AIDS.

In 2006, all United Nations member states committed to achieving universal access to HIV prevention, treatment and care by 2010. As the deadline nears, it's clear that the global community has failed to deliver on this pledge. In 2009, UNAIDS estimated that $25 billion will be required in 2010 for the AIDS response in low- and middle-income countries - $11.3 billion more than is available today.

The report notes that the impacts of these budget cuts are already evident. Many African countries are facing depleting stocks of antiretriovirals, reduced treatment coverage goals and an increasing risk of HIV drug resistance as a result of treatment interruptions. A moratorium on new enrollees in the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) has already caused an estimated 3,000 deaths.

"If governments globally don't do more in terms of the quality and quantity of care for people with HIV, this will result in dire human and economic costs in the short and long term," said Dr. Julio Montaner, director of the BC Centre for Excellence in HIV/AIDS (BC-CfE), president of the International AIDS Society (IAS), and one of the authors of the policy report.

"Many patients in the developing world access treatment late, in contravention of the World Health Organization's guidelines. Early treatment reduces transmissions, mortality and hospitalizations. According to a recent modelling study, early treatment yields an incremental cost-effectiveness ratio of U.S. $1,200 per year of life saved."

Highly active antiretroviral therapy (HAART) is recognized around the world as the gold standard treatment for HIV. HAART has proven to be highly beneficial in stopping HIV from progressing to AIDS, extending life expectancy, significantly reducing HIV-related deaths and cutting transmissions. Well-documented evidence shows a strong preventive role of HAART among serodiscordant heterosexual couples (where one partner is HIV-positive) and injection drug users.

Furthermore, HAART has virtually eliminated mother-to-child HIV transmission. Several countries in sub-Saharan Africa have demonstrated a clear correlation between access to HAART and reduction in maternal and child mortality.

"Despite these advances, HIV is still the leading killer of women of reproductive age worldwide," said Dr. Pedro Cahn, director of the Huésped Foundation, a major Argentine AIDS organization, and one of the authors of the policy report. "And, according to a recent study, HIV accounts for one in five pregnancy-related deaths worldwide. It is totally unacceptable that governments around the world are letting women die when this can be easily and effectively avoided by increased access to HAART."

The report, Universal Access in the Fight Against HIV/AIDS, was also written by Françoise Girard, director of public health program, Open Society Institute; Nathan Ford of Médecins Sans Frontières (Doctors Without Borders); and Dr. Elly Katabira, president-elect, IAS.

Source:
Mahafrine Petigara
BC Centre for Excellence in HIV/AIDS

 

China court rejects gay lawsuit over blood donation

July 8, 2004

Top of Form

A court in Beijing has thwarted attempts by a Chinese man to sue a Red Cross centre in the capital after his blood donation was turned down because he was gay, state media reported Thursday.

 

The man, an editor identified by his pen name Wang Zizheng, filed the lawsuit last month at a court in Haidian in northwest Beijing , in what state media said was the first such case in China .

But according to the state-run Beijing Times, an official at the court told Wang on Wednesday that his case had been rejected, without giving him a reason.

When he went to donate blood in early June, Wang said he was gay in a health questionnaire and was then told he could not be a donor, previous reports said.

According to regulations issued by China 's health ministry and published by the national blood transfusion association, "homosexuals and those with multiple sex partners" cannot be donors.

Wang, who said he had been the victim of discrimination, was seeking an apology from the blood centre and permission to become a donor.

Huang Yizhi -- his lawyer -- and court officials were not immediately available for comment.

Homosexuality was considered a mental disorder in China until 2001, and gays still face crushing social and family pressure, despite gradual steps towards greater acceptance.

Experts estimate there are about 30 million gays and lesbians in China -- 2.3 percent of the population -- but observers say the number could be higher as many still refuse to come out.

In December last year, the government warned that homosexual transmission of HIV/AIDS was gaining pace.

According to the Beijing Times, Wang said that despite this setback, he will "not give up on his duties" and would seek justice through other means.

 


[Home]  [Previous news]