News (Updated June 12, 2011)

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U.N. summit sets plan to stop HIV child infections

By Patrick Worsnip

Jun 9, 2011

(Reuters) - World leaders at a U.N. AIDS summit launched a plan on Thursday to try to eliminate by 2015 most new HIV infections among children, who inherit the condition from already infected mothers.

The campaign was launched as the leaders also agreed on a target of reaching 15 million people with HIV treatment, more than double the number who currently get it, also by 2015.

Both goals were announced just weeks after groundbreaking new data showed that early treatment of the human immunodeficiency virus, or HIV, which causes AIDS, can cut its transmission to a sexual partner by 96 percent.

In 2009, some 370,000 children were born with HIV, or one nearly every minute -- the vast majority of them in 22 countries, almost all in Africa . But providing HIV-positive pregnant women with treatment can reduce the risk of a child being born with the virus to less than 5 percent.

The UNAIDS organization and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR), which are jointly managing the campaign launched on Thursday, said it would aim to reduce the number of child infections by 90 percent by 2015.

"We believe that by 2015 children everywhere can be born free of HIV and that their mothers can remain healthy," UNAIDS Executive Director Michel Sidibe told the launch event, describing the plan as realistic and achievable.

UNAIDS Deputy Executive Director Paul De Lay told Reuters the plan was based on providing pregnant women with more information and on more effective use of anti-AIDS drugs.

"BEGINNING OF THE END"

UNAIDS officials said funding from all sources for prevention of mother-child transmission of HIV was currently running at some $500 million a year. They said a total of $2.5 billion more would be needed by 2015 to achieve the campaign's target of eliminating mother-to-child HIV infections.

"Developed countries already do this," U.N. Secretary-General Ban Ki-moon told the meeting. "But we cannot rest until this is true for our whole world."

U.S. Global AIDS Coordinator Eric Goosby said the United States was contributing an extra $75 million to the campaign. Several private companies and foundations also announced contributions.

Achieving the goal could be "the beginning of the end of the story, because that opens the prospect for an AIDS-free generation," Michel Kazatchkine, head of the Global Fund to Fight AIDS, Tuberculosis and Malaria, told Reuters.

Meanwhile, a declaration agreed by the 140-nation U.N. summit commits governments to "the target of working toward 15 million people living with HIV on antiretroviral treatment by 2015."

The declaration is expected to be adopted on Friday at the end of the three-day summit, which was held close to the 30th anniversary of the discovery of AIDS.

Some 6.6 million were receiving antiretroviral treatment in low- and middle-income countries at the end of 2010, according to U.N. figures.

Aid group Medecins Sans Frontieres (MSF) called the pledge a "critical step," but said governments needed to take "immediate concrete action" to make the target a reality.

"There are 9 million people waiting for HIV treatment today," Tido von Schoen-Angerer of MSF said in a statement. "This whole AIDS summit will have been a farce if we don't see real plans to ramp up treatment so we can get ahead of the wave of new infections."

(Editing by Vicki Allen)

 

Malawi stops extra pay for public workers with HIV

(AFP) – 9 June, 2011

wpe5.jpg (24393 bytes)BLANTYRE Malawi has phased out a scheme to give extra payments to nearly 40,000 civil servants with HIV, authorities said Thursday, accusing some workers of spending the money on beer and prostitutes.

Instead, the government will hand out a monthly "nutrition food bag" equivalent to $35 (26 euros), said Mary Shaba, secretary for nutrition, HIV and AIDS.

The scheme was launched in 2007, but was grossly abused with hundreds of workers claiming to have HIV in order to cash in on the payment, she said in a statement.

"The patients will now receive a nutrition food bag instead, as the money was not spent on its intended purpose to buy extra food and improve nutrition," she said.

"Some people used the money to buy beers and go out with prostitutes, further spreading the virus," said Shaba , who engineered the scheme.

Shaba said the monthly payments were a civil service workplace programme aimed at improving nutrition to allow people with HIV to respond to treatment quickly.

Malawi has nearly 170,000 civil servants, whose average wage is $100.

Half of Malawi 's 13 million citizens live on less than a dollar a day and are unable to meet their nutritional needs.

Around 14 percent of the country's population is HIV positive. The pandemic, which kills over 85,000 people a year due to AIDS-related illness, has cut life expectancy in the southern African nation to 36.

The government says it now provides free AIDS drugs to 366,000 people, from 5,000 in 2004.

Copyright © 2011 AFP. All rights reserved.

 

Africa demands more help at UN AIDS summit

By Pierre-Antoine Donnet (AFP) – 9 June, 2011

wpeE.jpg (23448 bytes)UNITED NATIONS — African leaders on Wednesday called for greater resources to battle the AIDS pandemic at a summit where UN leader Ban Ki-moon set a target of ending new infections by the end of the decade.

Thirty presidents and heads of government were at the summit marking the 30th anniversary of the discovery of AIDS, which will set a target figure for the numbers who will receive retroviral treatment in coming years.

More than six million people currently get drugs to keep AIDS and HIV at bay. But more than nine million still do not get the treatment and an estimated 1.8 million people a year are still dying from AIDS.

Some 34 million people around the world have AIDS, according to UN figures, and about half do not know they have the disease.

US President Barack Obama, who did not attend the United Nations summit, urged more governments to get involved and coordinate more efficiently to create greater awareness about the virus and its victims.

"No nation can do this alone," he said in a statement. "Together, we can resolve to meet our shared responsibilities. Together, we can come closer to our vision of a world without HIV/AIDS."

"Thanks to an aggressive global response, fewer people are being infected, a diagnosis is no longer a death sentence and more people with HIV/AIDS are living long, vibrant lives," Obama said.

"But so long as tens of millions of people live with this devastating disease, and so long as nearly two million people die from AIDS-related diseases every year, we cannot and will not rest."

African presidents said they were making spectacular progress, with the number of new infections in the continent brought down from 2.2 million a year in 2001 to 1.8 million in 2009. But they added that Africa desperately needs finance for drugs.

"The international community cannot remain deaf to the silent whispers for help from the disadvantaged countries," Lesotho 's Prime Minister Pakalitha Mosisili told the summit.

"Conflicts can be addressed through political dialogue. The same cannot be true for HIV and AIDS. It simply does not have a cure," he added.

"To say that adequate funding is critical to the success of our HIV and AIDS response is an understatement," said Nigeria 's President Goodluck Jonathan, whose country has Africa's second highest number of AIDS victims behind South Africa .

"Many countries, including mine, can neither achieve the targets we have set for ourselves 10 years ago, nor the Millennium Development Goals, without the support of our development partners," the Nigerian leader added.

Gabon 's President Ali Bongo Ondimba said that resources given to Africa "remain insufficient given the size of the HIV/AIDS impact on the continent."

The summit final statement is to set out the target number of people who will get AIDS drugs. Health groups have joined poorer nations in pressing for rich countries to commit to pay for drugs for all nine million sufferers that still do not get treatment.

The UN secretary general said that the international goal must now be to eliminate Acquired Immune Deficiency Syndrome by 2020 -- "zero new infections, zero stigma and zero AIDS-related deaths."

Ban also said that "bold" action was required by the international community, but also highlighted how perceptions of the disease and its sufferers have changed in the past 30 years.

"Many of you remember the early days in the 1980s. The terrible fear of a new plague. The isolation of those infected. Some would not even shake hands with a person living with HIV," Ban said.

"If we are to relegate AIDS to the history books we must be bold. That means facing sensitive issues, including men who have sex with men, drug users and the sex trade," he added.

"I admit those were not subjects I was used to dealing with when I came to this job. But I have learned to say what needs to be said because millions of lives are at stake."

Ban called on partners to "come together in global solidarity as never before," in a bid for universal access to treatment by 2015 and efforts to lower costs.

Mathilde Krim, founder of The Foundation for AIDS Research, said that 30 years ago no one would have predicted the scope of the AIDS tragedy -- which has killed more than 25 million people, including one million in the United States .

She warned that with 7,000 new infections each day there is still a huge battle ahead.

"We are still losing ground to HIV and we are still losing the battle with HIV," she said. "There are more infections than people put under treatment."

Copyright © 2011 AFP. All rights reserved.

 

UN AIDS summit overcomes condom resistance

By Tim Witcher (AFP) – 10 June, 2011

UNITED NATIONS — A new condom home delivery service in India and the production of billions of extra contraceptives around the world highlight the breakthrough of condoms in helping put a brake on the AIDS pandemic, experts say.

An AIDS summit on Friday gave the most explicit UN backing yet to the use of condoms. Negotiators said they had to overcome fierce opposition from the Vatican and conservative Muslim countries to get the final communique to even mention the latex contraceptive.

Instead of talking simply about the importance of abstinence and fidelity, the statement stresses the "correct and consistent use of condoms." The Vatican led protests at the summit final session.

"It is a first at the UN General Assembly," said a diplomat who took part in two months of hard-fought negotiations on the text.

"We are very happy about this. It is very explicit and will definitely help our work to overcome resistance and fears about condoms," said George Tembo, head of the AIDS/HIV department at the UN Population Fund.

The global need for condoms to combat HIV and for family planning has shot up from an estimated 13 billion in 2004 to about 19 billion in 2010, according to the UN Population Fund.

Tembo said the UN agency gave out about 3.2 billion condoms in target countries in 2010, up from 2.7 billion the year before.

India 's Health Minister Ghulam Nabi Azad told the summit about the "door-to-door distribution" of male and female condoms by thousands of social health activists in his country.

The condoms will initially be delivered to homes in 17 Indian provinces covering an approximate population of 200 million people "and will be scaled up to cover the entire country soon," the minister said.

India also has the Red Ribbon Express train crossing the country giving out condoms and advice on preventing AIDS.

A similar effort is gathering pace in many countries, especially in Africa which has borne the brunt of the AIDS pandemic that has killed 30 million people since it first appeared 30 years ago.

In Kenya , condom demand has risen from eight million per month in 2005 to 20 million per month in 2011, said Esther Murugi Mathenge, the country's minister of state for special programmes.

Cameroon gave out 145 million condoms between 2006 and 2010, said its Health Minister Andre Mama Fouda. "Major efforts have been made to make condoms available. The number of female condoms has increased sixfold between 2006 and 2010."

It helps, he said, but Cameroon , with a population of about 19.5 million still has about 560,000 people aged between 15 and 49 carrying the virus.

There were 33,000 AIDS-related deaths in 2010 and 50,000 new infections said Fouda. "We now have 305,000 children made orphans because of HIV and AIDS."

Tembo at the UNFPA said governments and activists are slowly overcoming religious and social resistance to the use of condoms.

"It is not just distributing them, you have to make sure people know about them and know how to use them," he said. "Otherwise they are just left to melt in the sun."

So the UN Population Fund encourages social workers to get out to markets, pop festivals and sporting events such as last year's football World Cup in South Africa, to show people how to use prophylactics.

The increased use and other efforts by governments and doctors have been generally hailed at the summit, which has set a target of getting drugs to all AIDS sufferers by 2015. Is it enough?

"We must face the fact that all these efforts have yet to turn the tide of this epidemic. Three decades on, the rates of new infection still outpace treatment intervention, thereby compelling us to do more," South Africa 's Vice President Kgalema Motlanthe told a UN Security Council debate on the pandemic.

Copyright © 2011 AFP. All rights reserved.

 

Cost of AIDS drugs to keep falling: experts

By Pierre-Antoine Donnet (AFP) – 8 June, 2011

UNITED NATIONS — The cost of drugs used to keep AIDS at bay will keep falling because of the huge demand from millions of sufferers desperate for the lifeline, experts said at the United Nations on Tuesday.

But nations still wrangled ahead of a major three day AIDS summit over how many people will get treatment in coming years.

The summit of about 30 presidents and government leaders must set the future direction of global AIDS policies. Pop stars such as Alicia Keys and Annie Lennox joined pressure groups in demanding rich nations pay the money needed to treat millions more sufferers.

The market economy will drive down the prices of the retrovirals used to keep millions alive now, according to Morolake Odetoyinbo, a board member of the Global Fund to fight AIDS, Tuberculosis and Malaria from Nigeria .

The cost "can only keep falling because they are trying to get more people on treatment, which means there is a bigger demand and that big demand will drive down the prices," she told AFP.

Odetoyinbo, founder of the Positive Action for Treatment Access group in Nigeria , stressed that it was imperative to reduce the cost of treatment to get more people onto the life-saving drugs.

There are an estimated 34 million people living with AIDS and more than nine million are still not getting treatment, according to UN statistics. About 6.6 million people are getting drugs and the rest do not know they have AIDS.

The annual cost of retrovirals was about 10,000 dollars in 2001 but has tumbled to about 67 dollars a year, according to Sharonann Lynch, an expert for the Medecins Sans Frontieres, or Doctors Without Borders, group.

"Cost is unfortunately the over-riding factor in terms of whether indeed we will be getting the remaining nine million people on treatment who need it today in order to live," Lynch said.

"The question of cost is so important that it's actually driving poor decisions in terms of whether governements participating will take the necessary steps and make the necessary financial investments so that we can finally break the back of this epidemic," the expert said.

Going into the summit, no agreement had been reached on the final communique which was to set the numbers who will receive treatment and how it will be paid for.

The UN Security Council on Tuesday passed a resolution calling for a coordinated international response to the AIDS pandemic, which it said was a threat to international peace and security.

But pressure groups said rich countries -- Europe and North America -- were not ready to pay up for the UN target of getting 15 million people on treatment by 2015. An estimated six billion dollars a year will be needed to fund the extra drugs.

France is leading the negotiations for the European Union, which insists it has taken a "respectable" position in the AIDS talks.

In a sign of the anger of many non-government groups, the AIDES and Act Up Paris groups accused France and Europe of "murderous duplicity" by signing up to a target of getting treatment to at least eight million people but refusing to promise finance.

Celebrities have also spoken out strongly in the AIDS campaign.

"Negligent non-action as a response to the HIV-AIDS epidemic, as it affects women and girls is just as bad, just as accountable as criminal action," said Scottish singer Annie Lennox told a symposium on women and AIDS at the UN headquarters.

American star Alicia Keys said world leaders had the means to save millions of lives in Africa . "The question is are we going to do it or not?"

Copyright © 2011 AFP. All rights reserved.

 


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