News (Updated May 16, 2010)

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WHO sees good progress on UN health goals for poor

May 10 2010

By Kate Kelland

LONDON (Reuters) - Far fewer children are dying and rates of malnutrition, HIV and tuberculosis are declining thanks to good progress on health-related Millennium Development Goals (MDGs), the World Health Organization (WHO) said on Monday.

In its annual health report for 2010, the U.N. body said some countries had made impressive gains, although others may struggle to meet some of the 2015 targets.

"With five years remaining to the MDG deadline in 2015 there are some striking improvements," said the report, which is based on data collected from WHO's 193 member states.

Liberia , Sierra Leone , Mozambique and Rwanda had made progress on child mortality despite facing difficulties, WHO said.

However the group said global results mask inequalities between countries, and some nations' progress had been slowed by conflict, poor governance or humanitarian and economic crises.

The Millennium Development Goals were set in 2000 by 189 heads of state seeking to drive global policy to tackle poverty, hunger, ill-health and lack of access to clean water, among other things.

The key findings of WHO's report were that:

* Fewer children are dying, with annual global deaths of children under five falling to 8.8 million in 2008 - down by 30 percent since 1990;

* The estimated percentage of underweight children under five has dropped from 25 percent in 1990 to 16 percent in 2010;

* The proportion of births attended by a skilled health worker has increased globally, but in the Africa and southeast Asia fewer than 50 percent of all births were attended;

* New HIV infections have declined by 16 percent globally from 2001 to 2008. In 2008, 2.7 million people contracted the human immunodeficiency virus which causes AIDS, and there were 2 million HIV/AIDS-related deaths;

* Existing cases of tuberculosis are declining, along with deaths among HIV-negative tuberculosis cases;

* The world is on track to achieve the MDG target on access to safe drinking water, but more needs to be done to achieve the sanitation target.

The water and sanitation goals call for the proportion of people without sustainable access to safe drinking water and basic sanitation to be halved by 2015 from levels in 2000.

The WHO report found that the percentage of the world's population with access to safe drinking water had increased from 77 percent to 87 percent, a rate of improvement it said would hit the MDG target if it keeps up.

"In low-income countries, however, the annual rate of increase needs to double in order to reach the target and a gap persists between urban and rural areas in many countries," the report said.

On sanitation, the progress was less good: in 2008, 2.6 billion people had no access to a hygienic toilet and 1.1 billion were still defecating in the open, it said.

Poor sewerage can spread dangerous infections such as viral hepatitis and cholera.

The slowest improvement has been in Africa , where the percentage of the population using toilets or latrines increased from 30 percent in 1990 to 34 percent in 2008.

 

HIV epidemic may be imminent in the Philippines

Photo

May 11, 2010

HONG KONG (Reuters) - Low condom use, needle sharing and a rise in casual sex and prostitution may unleash an HIV epidemic in the Philippines , according to a new study.

The report, published in the Journal of the International AIDS Society, said young adults, gay and bisexual men, prostitutes, injecting drug users, overseas Filipino workers and sex partners of all these groups were vulnerable to contracting the virus.

"There is no guarantee that a large HIV epidemic will be avoided in the near future. Indeed, an expanding HIV epidemic is likely to be only a matter of time as the components for such an epidemic are already present in the Philippines ," wrote Anna Farr and David Wilson at the National Center in HIV Epidemiology and Clinical Research at the University of New South Wales in Sydney .

Unlike other countries in the region, the spread of HIV in the Philippines has been described as "low and slow" because of a disperse geography, relatively uncommon intravenous drug use, sexual conservatism and high male circumcision rates.

But the authors said an HIV epidemic was possible because of the presence of many conditions "for a large, increasing and generalized epidemic."

"These include: a low rate of condom use; unsafe practices among intravenous drug users; large migration rates; increasing trends in extramarital and premarital sex; a lack of education and common misconceptions about HIV/AIDS; and cultural factors that inhibit public discussion of issues of a sexual nature," they wrote.

The report also focused on the 7.5 million Filipinos working abroad in 170 countries.

"By participating in casual unprotected sex or other risky behavior while overseas in higher prevalence settings, overseas Filipino workers become a substantial source of new HIV cases in the Philippines upon their return home," they said.

Overseas Filipino workers make up 30 to 35 percent of all HIV cases reported in the country, the report said.

The Philippines has the lowest rate of condom use in Asia - just 20 to 30 percent among groups at risk of HIV infection such as sex workers, according to the report.

"A common perception is that condoms are only for birth control and not for protection against HIV and other sexually-transmitted illnesses," the authors wrote.

"This perception is reinforced by the view that condoms are discouraged by the Roman Catholic Church. Government family planning programs have policies against supplying condoms to unmarried people."

Monthly HIV diagnoses among homosexual men jumped to 704 by 2008 from 328 in 2003, while the figure among bisexual men shot to 289 from 92 within the same period. The average age of diagnosis has also fallen significantly, from 36 before 2005 to 29 years recently, the authors wrote.

(Reporting by Tan Ee Lyn; Editing by Kazunori Takada)

 

HIV/Aids activist flees China for US

guardian.co.uk, Monday 10 May 2010  

Wan Yanhai

China-based campaigner Wan Yanhai has fled to the US with his family. Photograph: Peter Parks/AFP/Getty Images

One of China 's most prominent HIV/Aids activists has fled to the US with his family owing to increasing pressure from the Chinese authorities.

Wan Yanhai's departure comes less than a year after another Aids campaigner moved to America , and amid warnings that officials are clamping down on the China 's fledgling civil society.

"As an organisation and personally, the attacks from the government had become very serious. I had concerns about my personal safety and was under a lot of stress," Wan told the Associated Press.

"When I am in China , the authorities look at me like I am a bird in a cage. They say: 'If you don't listen to me, then I will eat you.' But after I leave the country, they will see me in a new light, because I am no longer in their cage."

Wan, founder of Beijing 's Aizhixing Institute, said he expects to stay in the US for two to three years.

He founded Aizhixing in 1994 to raise awareness and fight discrimination. But while he praised the government for strides it made on the issue in recent years – such as increasing funding and attempting to address the stigma of having the virus in China – the authorities were less tolerant of his work on sensitive issues, such as highlighting the cases of those who contracted HIV from blood transfusions.

Wan had been detained and questioned several times, but said he felt increasing pressure in recent months – following checks by tax, education and propaganda officials, and the state administration for industry and commerce. Police recently interrupted a lecture he gave at a university. Tightened regulations on foreign donations to Chinese NGOs have also caused funding problems, he said.

"Even if I hadn't left, I wouldn't be able to carry on working normally," he told the South China Morning Post. "I kept getting phone calls from the police and five, six government departments are after me – I just could not concentrate on my work."

He added: "I'm not sure but it looks like they might be forcing me to leave … the aim of the harassment is probably to give you pressure so you'll leave of your own accord."

A staff member at Aizhixing said they were continuing work as usual.

But Wan's decision means that those with HIV have lost another champion. Dr Gao Yaojie, a high-profile campaigner who blew the whistle on Henan province's HIV epidemic, moved to the US last year. Hu Jia, another HIV/Aids activist, is serving a three and a half year prison sentence for inciting subversion.

Wang Songlian, research co-ordinator at Chinese Human Rights Defenders, warned of a wider attempt by the authorities to tighten controls over NGOs.

"All the indications suggest that NGOs are suffering from a heightened level of pressure and we feel that too … People have felt it from the middle of last year," she said, citing the closure of the Gongmeng legal aid centre and the three-week detention of one of its founders as a moment that shocked many.

"I think its because NGOs have been more successful and more vocal … [The authorities] maybe want to put a lid on their development – not cracking down completely because that is impossible, but maybe picking the most outspoken ones to send a message to the rest," said Wang.

In March, Beijing University abruptly terminated the affiliation of the Women's Legal Research and Services Centre – the country's leading independent women's rights organisation – which had been involved in several sensitive cases.

 

Over 600 UAE Nationals Living With HIV, Says UN Report

DUBAI , May 152010 (Bernama) -- A United Nations (UN) report indicates that 636 United Arab Emirates (UAE) nationals had HIV in 2009.

Of the 49 new cases detected last year, 19 were in Dubai and 17 were in the neighbouring emirate of Abu Dhabi , The National daily reported, citing the UN document.

Only 121 HIV-infected individuals opted to seek treatment in the UAE.

The UN report noted that the main risk factors among UAE nationals were likely to be extramarital heterosexual relations and intravenous drug use for men, and infection from the spouse for women.

All expatriates moving to the UAE are required by law to be tested for HIV, according to the newspaper.

They face deportation if the result is positive.


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