News (Updated June 5, 2011)

[Home]  [
Previous news]


Discrimination in China hinders AIDS fight

By Marianne Barriaux (AFP) –1 June, 2011

wpeE.jpg (16739 bytes)BEIJING — When Meng Lin found out he was HIV-positive, he was forced to leave home, quit his job and change his name -- the victim of intense discrimination experts say hinders China 's fight against the disease.

Fifteen years later, Meng has finally landed on his feet. He works at an HIV/AIDS NGO and has a partner, but still keeps his disease a secret from his friends amid continuing prejudice in China , despite recent improvements.

"When I was diagnosed, there was no information (about HIV/AIDS), it was terrifying. Hospitals wouldn't accept me, they told me there was no room for me, doctors told me they didn't have any medicine," he said.

"I told my family and they asked me to leave home, as they wanted to protect themselves," Meng, who refused to reveal his exact age but said he was in his 40s, told AFP.

Frightened that he might be a threat to others and that he might not live much longer, he also decided to quit his job.

Only by changing his name, starting his own business and buying the life-saving antiretroviral drugs he needed from the United States was he able to survive and start leading a normal life.

wpe16.jpg (25114 bytes)Thirty years after the first AIDS cases were detected in the United States , China says that at least 740,000 people are living with HIV -- the virus that causes AIDS -- out of a total population of 1.3 billion, although some campaigners say the actual figure could be higher.

The government has repeatedly warned of a "grim" situation in China . In February, it said HIV/AIDS had become highly prevalent in some areas and in population groups, with rates of infection among homosexual men rising.

Nevertheless, experts and people living with HIV agree there has been progress over the years as the government has started talking more openly about the disease.

According to Meng, one area of significant improvement is the nationwide availability of free antiretroviral drugs.

A study published in The Lancet medical journal in May said China 's efforts to scale up access to the drugs over the past years had resulted in national treatment coverage increasing from almost zero to 63.4 percent.

The report also found that HIV-related deaths had decreased by 60 percent.wpe14.jpg (21235 bytes)

But experts warn discrimination is still rife in the workplace and in hospitals, hindering these efforts.

"If people know they're going to lose their jobs and face discrimination in hospitals... they might not come forward and take an HIV test," said Richard Howard, an HIV/AIDS specialist at the International Labour Organization (ILO).

"Yet people who begin their treatment early are less likely to infect others. So now, more than ever, it's important that people feel comfortable to come forward and take an HIV test and know their rights will be protected."

A report released in May by the ILO found that people living with HIV/AIDS were still routinely denied treatment in hospitals.

Meng, whose NGO is called the Chinese Alliance for People Living with HIV/AIDS, said he had endured such discrimination.

Several years ago, after suffering chest pains, he was diagnosed with angina and told he would need to have surgery. But when doctors found out he was HIV-positive, they refused to perform the operation.

"I considered getting surgery abroad, but it was too costly. Eventually, the problem got better and I survived without the operation," he said.

Discrimination in the workplace is also rife -- and was brought to the fore by a landmark lawsuit last year by a young man from eastern China who said he was denied a job as a teacher because of his disease.

The plaintiff sued the local education department but ultimately lost the case.

Meng has also experienced this first-hand. In 2005, he was organising an AIDS awareness event when journalists turned up with their cameras. He asked them not to film him, but they did and broadcast a report on television.

"My business partners found out I had HIV and were no longer willing to work with me. I had to leave my company as a result," he said, adding the incident led him to pursue NGO work full time.

But Meng says there are signs of better acceptance in society -- a claim reinforced by Wu Jihai, a migrant worker in northern China .

"Some of my colleagues know I'm an HIV patient, but they don't discriminate against me. One man even treats me better than before and helps me at work because he knows," he told AFP.

"We shake hands and talk, as if I was a healthy man who didn't have this disease. But I still cook and eat on my own, I don't have dinner with them."

Zhang Beichuan, a professor at Qingdao University and an expert on HIV/AIDS, said the government and media needed to raise public awareness about the virus.

" China is not doing enough at the moment on two aspects. Firstly, funding and policy support is far from sufficient. Secondly, those that are engaged in AIDS work are often themselves excluded," he said.

High-profile AIDS activists Wan Yanhai and Gao Yaojie have both left China for the United States due to ongoing government pressure. Campaigner Hu Jia was sentenced to more than three years in prison in 2008 on subversion charges.

 

After 30 years, new sources needed for AIDS campaign

By Agnes Pedrero (AFP) – 30 June, 2011

GENEVA — As the war on AIDS heads into its fourth decade, the need for funds is spiralling relentlessly higher, prompting a quest for new resources from consumer levies to contributions from developing giants.

"We currently have around 16 billion dollars available for the global fight against aids," said Bernhard Schwartlander, who heads the strategy and results department at the UN agency UNAIDS.

"But we estimate that in 2015, even if we are most efficient ... we will need at least 22 billion dollars, so (there's) over six billion dollars (in) shortfall between now and ramping up the response in 2015," he told AFP.

Drugs to curb HIV are now being rolled out to millions of poor people, especially in Africa .

But these drugs are not a cure and they have to be taken for the rest of one's life.

As a result, the more lives that are saved, the more the bill goes up.

Yet funding has levelled out over the past three years as Western donors -- who shoulder almost all of the financial burden -- deal with the aftermath of the financial and economic crises.

"The problem right now is, with the fiscal crisis there is not only a squeeze on AIDS drugs but there is (also) a huge squeeze on AIDS research," said Seth Berkley, who heads the International AIDS Vaccine Initiative (IAVI).

Campaigners are turning to innovative sources to try to plug the gap.

In 2006, 15 countries imposed tiny taxes on air tickets, a move which reaped two billion dollars over four years, while Schwartlander suggested a new levy on tobacco sales.

At the next G20 summit, where French President Nicolas Sarkozy is expected to push for a new tax on financial transactions to fund development.

The Global Fund to Fight Aids, Tuberculosis and Malaria, a public-private partnership, has launched a mechanism called the Dow Jones Global Fund 50 index.

The barometer measures the financial results of companies that support the Fund's mission. Part of the revenues generated through licensing this index for investors goes to the Fund.

"It has been launched on the London , Frankfurt stock markets and soon Abu Dhabi ," said Michel Kazatchkine, who heads the Fund.

The Fund is also proposing other methods like deals between poor countries, rich countries and the organisation.

"A rich country could agree to cancel 50 percent of the debt of an indebted country if the latter agrees to invest the remaining 50 percent of its debt in the Fund's programmes," said Kazatchkine, noting that the first of such deals was set up in 2008 between Germany and Indonesia .

"The money from this debt will be turned into money for health," he said.

Kazatchkine has been discreetly urging cash-rich emerging giants, including the Gulf states and China , to dip into their pockets, although insiders say that the returns so far have been meagre.

According to the Global Fund's website, 230 million dollars has been disbursed to China for AIDS since 2003.

Yet China now has more than three trillion dollars in foreign exchange reserves and spent tens of billions on staging the 2008 Olympics and the 2010 Shanghai Expo.

Peter Piot, former head of UNAIDS, acknowledged that China has pockets of entrenched poverty and a still-low per capita income.

Even so, it was time for wealthier emerging countries to fund their own needs to help free up resources for far poorer countries, he said.

"I don't see why the Global Fund should give all that money to China , I mean they can pay for that themselves," said Piot, now director of the London School of Hygiene and Tropical Medicine.

"There's a new world order that's emerging, and except for what I would say many sub-Saharan countries and a few other countries, the rest can pay for themselves.

"You have to put the resources where the risk of infection is, and in the countries that are the poorest."

 

HIV infections down 12% among world's youth: UNICEF

(AFP) – 1 June, 2011

JOHANNESBURG — HIV infections among the world's youth dropped by 12 percent over the last decade, but fell short of the 25 percent target set by world leaders, a UNICEF report said on Wednesday.

"Is it progress? Yes. Is it enough? Absolutely not," said Elhadj As Sy, UNICEF director for eastern and southern Africa, at the launch of the report in Johannesburg .

Five million people aged 15-24 have HIV, down 12 percent from 2001, but with 2,500 new infections daily, the report said.

Young women are hardest hit, representing more than 60 percent of all young people living with HIV -- a figure that jumps to 72 percent in sub-Saharan Africa .

African youth generally bear a staggering share of the burden and risk: close to four of the five million young people living with HIV are in sub-Saharan Africa , it said.

As Sy said early sexual debut, pregnancy and drug use are driving the spread of HIV among youth, and called on communities to address issues of teen sex and drug use.

"For too long, communities have turned a blind eye to some of the most difficult determinants of risk," he said.

"Here is now the time that we have the collective responsibility... to address these very difficult issues head-on."

The study also found most adolescents living with HIV do not know their status -- particularly troubling after a new research last month found that HIV-positive people who take anti-retroviral drugs cut their risk of spreading the virus by 96 percent.

Researchers said the report is the first study to look at HIV among young people.

It was published by seven international organisations including UN children's organisation UNICEF, the World Health Organisation and the World Bank, and comes a week before a UN high-level meeting on AIDS that will review progress in fighting the disease 30 years into the epidemic.

 

Stigma hurts Russia 's fight against HIV: UN

By Maria Antonova (AFP) – 2 days ago

wpe5.jpg (16075 bytes)MOSCOW — Russia and the ex-Soviet bloc need to step up their HIV prevention programmes to stop its rapid spread, but stigma and domestic drug policies are hindering progress, UN representatives said Friday.

As the world prepares to mark the 30-year anniversary of the first recorded case of HIV, the virus that causes AIDS, effective prevention is "to a large extent missing in the region," UNAIDS regional director Denis Broun told reporters.

Ninety percent of new infections in the region occur in Russia and Ukraine , with a growing share of women infected by sex partners who have contracted the disease through drug injection, according to the United Nations.

Data also show the epidemic spreading through Eastern Europe and Central Asia nearly five times faster than the global average, growing to 1.4 million people in 2010.

But Broun said the disease remains poorly understood among the former Soviet republics.

"When we are talking about prevention among drug users or men who have sex with men, we are talking about people who are not easy to reach ... who are often stigmatised," Broun said.

"To reach them with effective prevention there is a need to work with them ... so their behaviours are better understood. This is what to a large extent is missing in the region."

Only 20 percent of those who need AIDS treatment in the region receive it, making the rest a greater risk and shortening their life expectancy, Broun said.

Meanwhile, a lack of substitution therapy options for heroin users means they "risk being infected and infecting others," he added.

Russia has effectively banned therapy that substitutes heroin with drugs such as methadone that are not injected, something that Broun said has worked well in western Europe. In Russia , methadone is illegal for medical use.

"In western Europe, less than five percent of HIV transmission is through drug use, while here it is over 70 percent," Broun said.

Russia's Health Minister Tatiana Golikova said earlier this year there was no proof that methadone treatment was effective, and drug enforcement officials have said it was more addictive than heroin.

Harm reduction programmes such as needle exchanges are also hanging by a thread in Russia , whose anti-drug policies tend to focus on total abstinence.

They are not officially banned but "there is a lack of enthusiasm to put it mildly, even veiled resistance" to these programmes, said the head of Russia 's UN Office on Drugs and Crime, Vladimir Ibragimov.

"With the current trend they will most likely be closed," he said.

Prevention is also hindered by a stigma attached to homosexuality in Russia , Broun said.

"When there is a stigma, men who have sex with men don't have access to prevention and treatment," he said. "They are afraid of going to help centres, and their risk is much higher."

A UN report released last year said HIV among homosexuals in the region is a "hidden epidemic" because of a lack of data and poor attention of national governments to this risk group.

In Russia , gay rights activists have for six successive years failed in their attempts to get a Gay Pride parade sanctioned in Moscow

Last weekend, their latest unsanctioned attempt to hold a meeting near the Kremlin was broken up violently after activists were attacked by ultra-Orthodox and nationalist group members.

Copyright © 2011 AFP. All rights reserved.

 

Australia gay safe sex ads reinstated amid furore

(AFP) – 1 June, 2011

wpe18.jpg (19011 bytes)SYDNEY — Safe sex advocates claimed a victory over Australia 's Christian lobby on Wednesday when their HIV campaign posters featuring two men hugging were reinstated at bus stops after an intense online backlash.

The black and white posters, in which one man has his arm draped across his partner's chest and is holding a condom, are part of the Queensland Association for Healthy Communities "Rip and Roll" campaign promoting condom use.

The ads were withdrawn by billboard company Adshel after it received a string of complaints, but the company later reversed this decision, saying it had unwittingly been targeted by the Australian Christian Lobby.

"This has led us to review our decision to remove the campaign and we will therefore reinstate the campaign with immediate effect," Adshel chief executive Steve McCarthy said in a statement.

Healthy Communities executive director Paul Martin said that Australians were generally supportive of gay rights, and that he had been heartened by the public backlash against the decision to remove the posters.

"Most people don't have a problem with gay people," he said.

By late Wednesday some 40,897 people had joined a Facebook page called "Homophobia -- NOT HERE" created by one of the men featured in the posters, and protesters had held an afternoon rally outside Adshel's Brisbane office.

Australian Christian Lobby Queensland director Wendy Francis said she had personally complained about the ads because she had objected to what she said was the sexual nature of the posters.

"They show two young homosexual men in some sort of act of foreplay," she said. "It's talking about a sexual act and I don't think that's appropriate for the general public."

But Queensland State Treasurer Andrew Fraser rejected her comments.

"Check the calendar, it's 2011," he said. "I think we should call it for what it is and this is basic homophobia."

Healthy Communities said that more people were diagnosed with HIV, the virus that causes AIDS, in 2010 than at any time since the mid-1980s and it was therefore important to discuss safe sex.

 

S.Africa's first free AIDS clinic celebrates 10 years

(AFP) – 3 June, 2011

CAPE TOWN — South Africa's first clinic to roll-out free AIDS drugs celebrated a decade of lifesaving success on Friday, but also warned of new challenges facing what is now the world's biggest treatment programme.

The trailblazing project in shack-filled Khayelitsha in Cape Town began at a time when South Africa's government questioned the causes of AIDS and a health minister dubbed "Dr Beetroot" advocated vegetables over proven measures.

The courts later forced the government to offer medication, and South Africa now has the world's largest treatment programme.

The benefits of treatment were touted in the results from the first free clinic, where mother to child transmission has dropped to 2.5 percent, lowered death rates, and boosted testing from 450 to 55,000 per year.

"Khayelitsha is showing that it is possible to eradicate the transmission of mother to child," said Eric Goemaere, medical advisor for Doctors Without Borders, which started the clinic in 2001.

"We don't speak about a research setting or about the sophisticated hospitals in the United States . We speak about Khayelitsha: 2.5 percent, it's absolutely amazing."

But making sure that people kept taking the drugs was a challenge with only 65 percent of patients after five years still following their treatment which risks the need for expensive new medicines.

After five years of medical care, about 12 pecent of patients need second-line treatments when an initial cheaper cocktail of drugs had failed, a report on the project said.

That number is expected to rise. One in 10 patients who failed second line treatment already need to switch to a next round of drugs not available at state hospitals. That medication costs up to 15 times as much as the first cocktail.

Now one million people receive anti-AIDS drugs in South Africa , which has the world's most HIV infections, affecting 5.6 million of the 50-million population, according to UN estimates.

 

 


[Home]  [Previous news]