News (Updated July 17, 2011)

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Cutting AIDS funding to China a big mistake: UNAIDS

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Mon, Jul 11 2011

By Sui-Lee Wee

BEIJING (Reuters) - It will be a "big mistake" for donors to cut funding to China in the fight against AIDS, the head of UNAIDS said Monday, rebuffing critics who say the world's second-largest economy should no longer be a recipient of such aid.

Several non-governmental organizations (NGOs) involved in fighting AIDS in China say they are facing more difficulties in receiving donations from developed nations because of the country's wealth.

"I think it'll be a big mistake for a donor and particularly, for anyone who's invested in China today, to withdraw, for the simple reason that this funding is a catalytic fund," Michel Sidibe, executive director for the Joint United Nations Program on HIV/AIDS told Reuters in an interview.

Sidibe said the Global Fund to Fight Aids, Tuberculosis and Malaria was helping to bring innovation and make a difference in most-affected countries by establishing a new link among the government and civil society and NGOs to work together.

The Global Fund has approved funding of $947 million to China , of which $369 million goes to fighting AIDS.

The fund's chief said in April that donors' decisions to suspend $180 million of aid to the Global Fund could hit efforts to combat the diseases. Germany , Spain and Denmark temporarily stopped payments to the Geneva-based fund earlier this year after hearing reports donations had been misused.

Sidibe, a Mali national, is in China for the first meeting of BRICS health ministers, made up of emerging markets of Brazil , Russia , India , China and South Africa .

HIV/AIDS became a major problem for China in the 1990s when hundreds of thousands of impoverished farmers in rural Henan province became infected through botched blood-selling schemes. It is now spreading primarily via sexual contact.

Beijing was initially slow to acknowledge the threat of the disease but has since stepped up its efforts, spending more on prevention programs, launching steps to give universal access to anti-retroviral drugs to contain the disease, and introducing policies to curb discrimination.

But China has also been wary of AIDS activists who have agitated for the rights of AIDS victims. Hu Jia, an advocate of rural victims of AIDS, was released in June after serving three-and-a-half-years in jail on subversion charges.

Asked about China 's tight controls on AIDS-related NGOs, Sidibe said Vice Premier Li Keqiang told him in a meeting on Monday that making "community-based organizations in the fight against AIDS...was an important transformation that China wants to see."

China , the world's most populous nation with 1.34 billion people, had 740,000 people infected with HIV, the virus that causes AIDS and 105,000 AIDS patients in 2009, state news agency Xinhua said, citing United Nations estimates.

 

World Health Organization calls for anti-discrimination laws to tackle HIV

by Jessica Geen
21 June 2011

 The World Health Organization (WHO) has released new guidelines on HIV.

The World Health Organization (WHO) has released new guidelines on HIV in gay and bisexual men and transgender people.

According to the body, there has been a recent resurgence of HIV infection in men who have sex with men, especially in industrialised countries.

Meanwhile, new epidemics are being identified in Africa, Asia, the Caribbean and Latin America .

Gay and bisexual men are almost 20 times more likely to have HIV than the general population. Among transgender people, HIV rates range from eight to 68 per cent, depending on the country.

New WHO public health guidelines say countries must address discrimination as a factor in high HIV infections and difficulty in accessing treatment.

Laws against gay relationships, social stigma and anti-LGBT violence can all contribute to higher infection rates, experts say.

Dr Gottfried Hirnschall, WHO’s director of HIV/AIDS Department, said: “We cannot imagine fully reversing the global spread of HIV without addressing the specific HIV needs of these key populations. We are issuing these guidelines to help countries and communities scale-up the services needed to reduce new infections and save lives.”

George Ayala, executive director of the Global Forum MSM & HIV, added: “Men who have sex with men and transgender people everywhere face huge difficulties in accessing HIV services.

“The guidelines both present evidence for effective prevention interventions for these populations and provide recommendations to help ensure that pervasive barriers like stigma and criminalisation no longer stand in the way of life-saving services.”

Advice includes repealing discriminatory laws, establishing more inclusive health services, encouraging condom use and continuing targeted health projects.

 

Health ministers in big emerging economies vow to help poor countries get cheap, safe drugs

By Associated Press, Published: July 11

BEIJING — The world’s top emerging countries banded together Monday to help fight diseases in the poorest countries, pledging to explore the transfer of technologies to the developing world to enable poor nations to produce cheap and effective lifesaving medicines.

Health ministers from Brazil , Russia , India , China and South Africa — the so-called BRICS countries — meeting in Beijing said their collaboration would help strengthen health systems and increase access to affordable medicines for diseases such as HIV/AIDS, tuberculosis, hepatitis.

Such cooperation could pressure multinational pharmaceutical companies. Brazil and India have been at the forefront of promoting generic drugs as an affordable alternative to expensive brand-name medicines for people in developing nations.

South African Health Minister Dr. Aaron Motsoaledi said the BRICS countries could influence global attitudes on access to cheap medicine in the developing world. BRICS countries account for 40 percent of the world’s population.

“For my country it is absolutely essential, as we know most of the developing world is in sub-Saharan Africa , which is unfortunately the theater of the battle against communicable diseases like HIV/AIDS, TB, malaria,” Motsoaledi said on the sidelines of the meeting.

“It is within BRICS countries that most of the affordable drugs are found to supply the developing world. So we think the partnership is strong enough to be able to influence events around the world,” he said.

It was the first ministerial-level meeting of health officials from the emerging countries’ bloc, and the countries said they would collaborate with international health organizations such as the World Health Organization and the U.N. agency, UNAIDS, to increase access to affordable, safe and effective medicines and vaccines.

Michel Sidibe, UNAIDS executive director, welcomed the bloc’s efforts to push for the needs of the poorest countries, noting that Brazil and India have long aided efforts to provide drugs to people living with HIV/AIDS.

“BRICS is a new voice,” Sidibe said at a news conference. “It will help us to change the course of debate on public health by bringing to the center the voice of the poorest segment of society by making sure that social justice and the redistribution of opportunities will become a major aspect of the way we deliver public goods to the people.”

Though largely an ad-hoc grouping at present, BRICS has the potential to be a new force in world affairs on the back of their massive share of global population and economic growth. With the inclusion of South Africa this year, the group accounts for 40 percent of the world’s people, 18 percent of global trade and about 45 percent of current growth, giving them formidable heft when dealing with the developed economies.

The group is willing to play a larger role in financing global health efforts, but not as a replacement for the support of richer nations, said Brazilian Health Minister Alexandre Padilha at a news conference.

Russia ’s Health Minister Tatyana Golikova said the group should work on establishing a database for pricing and patents of medical devices and equipment and also cooperate in fighting counterfeit medical products.

BRICS countries should increase production of affordable generic drugs, because if such countries could compete with other manufacturers, drug prices would fall, said WHO Director-General Margaret Chan.

The health meeting comes after leaders of the five countries held a one-day summit in the southern Chinese resort of Sanya in April at which they said they wanted a stronger voice in the international financial order.

Copyright 2011 The Associated Press. All rights reserved.

 

25,000 babies born with HIV/Aids annually

Health officials have attributed HIV/Aids infection to complacency.

Health officials have attributed HIV/Aids infection to complacency. 

By Yasiin Mugerwa 
Sunday, July 17 2011 

Kampala

As the world celebrates good results of an HIV/Aids drug trial conducted in Kenya and Uganda , the country once a role model in the fight against HIV/Aids, has for the last 10 years not made any progress in reducing the incidence of the disease.

The announcement early this week in the US that the use of certain ARVs among discordant partners had cut infection by 73 per cent is dampened by reports that the number of new infections every year is exceeding the number the government can treat. At the same time, donor money for the fight against the pandemic is dwindling.

Fresh alarm
Though infections in Uganda, which once had the highest, incidence rate in the world, dropped from 30 per cent in the early 1990s to around 7 per cent to date, Centre for Disease Control (CDC-Uganda), a bilateral partner within the US mission to Uganda has raised fresh alarm over increasing HIV/Aids infections.

Dr Wuhib Tadesse, the director CDC-Uganda at a news conference in Entebbe last week, said Uganda was the only country where HIV incidence has remained unchanged for more than 10 years. “In Uganda , for every person started on antiretroviral therapy, there are three new HIV infections and this is unsustainable,” Dr Tadesse said.

Dr Tadesse said there are no clear-cut answers to explain this trend, but added concerted efforts will be needed to stop new infections. “We are investigating what has caused this stagnation in the fight against HIV/Aids in Uganda and we are very concerned,” Dr Tadesse said. “But complacence could be part of the problem. Young people nowadays no longer see people dying; they see people on ARVs but getting children. We need to re-examine our strategies in the fight against HIV/Aids. Leaders at all levels are spending a lot of time in workshops than in the communities to sensitive the people and this must stop.”

According to Dr Tadesse, in the past 10 years, Uganda appears to have turned a corner in the opposite direction as more people continue to get infected. CDC figures show that there are 1.2 million Ugandans with the virus. However, according to Dr Tadesse, only about half of those who are in need of the life-saving drugs under the new treatment guidelines were receiving them by the end of last year. He said unless government deals with new infections through effective prevention strategies, achieving the universal treatment coverage of 80 per cent will be difficult.

Much of Uganda ’s HIV/Aids programmes are being funded through the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund.
Dr Tadesse said under PEPFAR, Uganda has received over $1.2 billion between 2004-2010. Globally, as of September 2010, PEPFAR supported ART for 3.2 million people, care and support to 11 million people, counseling and testing to 33 million and provided $5.1 billion to Global Fund initiative.

However, with more than 110,000 new infections occurring every year, more funds will be required to help Uganda regain its reputation in the fight against HIV/Aids. But health experts at CDC-Uganda are concerned that if these new infections continue the way they are, it will be hard for Uganda government to cope with the cost of offering treatment to all. The number of Ugandans on ARVs has risen from 10,000 a decade ago to 200,000. But figures from the Uganda Aids Commission indicate that an extra 300,000 Ugandans in need of ARVs do not have access to the drugs because they cannot afford them.

In his response to the crisis, Dr Kihumuro Apuuli, the director general of the UAC, has since warned that the rising number of new infections will cause a critical challenge in the future, suggesting that more focus should be put on prevention and that the government should stop over relying on donor monies in its battle against the HIV/Aids pandemic.

A senior official in the Ministry of Health who preferred anonymity in order to speak freely, said even those on ARVs receive treatment largely as a result of American generosity. “We are guilty,” she said, adding: “As government, we have not taken prevention seriously. We have concentrated so much on treatment and care yet more Ugandans are getting infected each year and the number of those who need ARVs is increasing. It is time we reviewed the old-fashioned prevention because it has flopped. The few people in Uganda are using the “ABC”- abstain, be faithful and use condoms strategy”.

 

Global Survey of MSM Shows Widespread Lack of Access to HIV Services

 Poor access linked to homophobia, youth particularly vulnerable

OAKLAND, Calif., July 12, 2011 /PRNewswire-USNewswire/ -- A new global survey of more than 5,000 men who have sex with men (MSM) has shown that less than half of MSM around the world have easy access to lifesaving HIV prevention and treatment services.  Released on the eve of the 6th HIV Pathogenesis Conference, the survey is the first of its kind to examine levels of access and knowledge regarding HIV services – including emerging prevention interventions like pre-exposure prophylaxis (PrEP) – among MSM across all major world regions.

Conducted by the Global Forum on MSM & HIV (MSMGF), the study shows that less than 50% of MSM surveyed worldwide could easily access HIV testing or free condoms.  Only 36% of respondents could easily access HIV treatment, and less than a third reported easy access to behavioral interventions and HIV education materials.  Levels of knowledge about emerging prevention technologies were also low.  Of all study participants, 39% of respondents had never heard of PrEP and 44% had never heard of topical microbicides for preventing HIV.  

The study also identified key variables that influenced access to HIV prevention services among MSM.  Greater access to HIV prevention services was positively correlated with receiving HIV prevention messages and having access to venues that distribute HIV prevention information.  Among all variables, the strongest predictor of compromised access to HIV prevention services was the level of homophobia experienced by participants.  

"The results of this study lay bare the enormous role that homophobia plays in undermining the global response to HIV," said George Ayala, Executive Officer of the MSMGF.  "Even the most effective prevention, care and treatment tools are useless if discrimination prevents gay men from accessing healthcare services in the first place.  More than anything, this data is a call to action."

Significant disparities in levels of access, knowledge and homophobia were observed between regions.  Levels of access to HIV prevention and knowledge of emerging technologies were lowest among participants in Asia and the Middle East, followed by participants in other low- and middle-income regions, while these measures were significantly greater among participants in higher-income areas like Europe and North America .  Meanwhile, participants from Africa reported the highest levels of homophobia, followed again by other low- and middle-income regions.  

Considerable differences also emerged between age groups.  Among all age groups, younger MSM reported the lowest access to HIV prevention services, the lowest knowledge of emerging technologies and the highest levels of homophobia.

"Across the board, the trend is alarming – men who have sex with men are not able to access the services they need," said Pato Hebert, Senior Education Associate at the MSMGF.  "But just below the surface, we find that those barriers are enormously complex, varying according to age, region, and other factors.  We will need smart, locally-tailored responses to overcome these challenges."

The full report - Access to HIV Prevention Services and Attitudes about Emerging Strategies: A Global Survey of Men Who Have Sex with Men (MSM) and their Health Care Providers – is available on the MSMGF's website at: http://www.msmgf.org/files/msmgf//Publications/GlobalSurveyReport.pdf  

The Global Forum on MSM & HIV (MSMGF) is an expanding network of AIDS organizations, MSM networks, and advocates committed to ensuring robust coverage of and equitable access to effective HIV prevention, care, treatment, and support services tailored to the needs of gay men and other MSM.

Media Contact:
Jack Beck

 

 


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