News (Updated October 9, 2011)

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Women using injectable contraceptives double risk of HIV

04 Oct 2011

By Katy Migiro

wpe5.jpg (14677 bytes)NAIROBI (AlertNet) – Injectable contraceptives, widely used in Africa , may double women’s risk of HIV infection, a new study published in The Lancet Infectious Diseases journal shows.

Hormone injections used every three months, like Depo Provera, are the most popular form of contraceptive in east and southern Africa because they are cheap and easy to use.

Unlike the daily contraceptive pill, it is easier for women to take them without men’s knowledge.

The study also showed that men are twice as likely to become infected if their HIV positive female partners are using injectables rather than no contraception.

“The best contraception today is injectable hormonal contraception because you don’t need a doctor, it’s long-lasting, it enables women to control timing and spacing of birth without a lot of fuss and travel,” Isobel Coleman, director of the women and foreign policy programme at the Council on Foreign Relations told the New York Times

“If it is now proven that these contraceptions are helping spread the AIDS epidemic, we have a major health crisis on our hands.”

The researchers studied 3,800 couples in Kenya Botswana, Rwanda , South Africa , Tanzania , Uganda and Zambia .

The World Health Organization will meet in January to discuss the findings.

 

Female hormonal contraception linked to higher HIV risk

(AFP) – 4 October, 2011

PARIS — Women who use hormonal birth control are roughly twice as likely to become infected with HIV or pass on the AIDS virus to their partner, according to a study published on Tuesday.

The research was carried out among 3,790 heterosexual couples in Africa where one partner had the human immunodeficiency virus (HIV) while the other was uninfected.

The findings, if confirmed, could have huge repercussions for policies on contraception and HIV prevention.

The authors say it strengthens the need for safe-sex messages, in which the condom is promoted as a shield against the AIDS pathogen.

The couples were monitored for an average of 18 months during which 167 individuals became infected, 73 of them women, according to the paper appearing in The Lancet Infectious Diseases.

Transcribed into a benchmark of prevalence, HIV transmissions were 6.61 per 100 person-years in couples where women used hormonal contraception, compared to 3.78 per 100 person-years among those who did not.

Rates of infection from women to men were 2.61 per 100 person-years among women who used hormonal contraception, but 1.51 per 100 person-years among those who did not.

Most of the women who took hormone contraceptives used an injectable, long-lasting form such as the Depo-Provera shot. Only a small number used the Pill; in this group, there was an increase in HIV risk but not big enough to be conclusive.

Over the last two decades, scientists have launched several investigations into whether hormonal contraceptive use affects HIV risk, but the probes have returned conflicting results.

This is the first large-scale study, using an ambitious design, to return clear proof of the risk. It is also the first to highlight an apparent risk to men.

The investigators noted that women who took injectable contraceptives had "raised concentrations" of HIV genetic material in their cervical secretions.

If this is a mechanism for handing on the virus to men, further work is urgently needed to test the theory, they said.

In practical terms, doctors should advise women of the potentially increased risk and warn them of "dual protection" with condoms, says the probe, led by Renee Heffron of the University of Washington in Seattle .

The study was conducted between 2004 and 2010 in Botswana , Kenya , Rwanda , South Africa , Tanzania , Uganda and Zambia as part of a trial of a therapy against the herpes simplex virus, which is common among people with HIV.

In a commentary also carried by the journal, clinical scientist Charles Morrison spoke of a "tragic" dilemma.

Promoting hormonal birth control in Africa could be contributing to the HIV epidemic; yet limiting this highly effective form of contraception would also boost rates of maternal death and sickness, underweight babies and orphans.

"The time to provide a more definitive answer to this critical public health question is now," through a randomised trial of volunteers, he wrote.

In 2009, more than 33 million people were living with HIV and 2.6 million people became newly infected, according to figures released last year by UNAIDS.

Copyright © 2011 AFP.

 

Scientists use global computer network to find leishmaniasis drugs

04 Oct 2011

Source: Content partner // SciDev.Net - Pablo Correa

Colombian scientists will harnesses the calculation potential of the almost two million computers that make up the World Community Grid, funded by the IBM Corporation.

The project will use an existing open-access database of 13 million drugs to find those that can destroy or inactivate some of the leishmaniasis parasite's 53 proteins. Scientists will concentrate on 600,000 candidates, which have been shortlisted.

Carlos Muskus, the project leader at the University of Antioquia , Colombia , told SciDev.Net that, thanks to the grid, 100 years-worth of work can now be carried out in less than three years.

Muskus said that promising drug candidates would undergo a series of tests, before clinical trials and eventual release as a treatment.

Mauricio Hernandez, a bioinformatics expert at the same university, said the work is pioneering in Latin America . He added: "With this methodology scientists in developing countries can obtain for free what would otherwise cost US$3–4 million — the price of a supercomputer with 2,000–3,000 processors".

The World Community Grid is searching for drugs for other diseases, including dengue and HIV/AIDS. Anyone can join, and members of the community can choose the project they want to support.

There are several similar initiatives around, such as Wide In Silico Docking On Malaria (WISDOM), which uses grid computing to analyze the proteins of the malaria parasite.

Mauricio Rodriguez, director of the National Biotechnology Program and coordinator of the Bioinformatics Center that is being created in Colombia, said that computational biology is enabling researchers to "set [their] foot on the accelerator of knowledge", especially in developing countries.

But Stanley Watowich, an associate professor at the University of Texas , United States , who was involved with the grid's dengue drug search, said that "the process does have its drawbacks".

Watowich said that only 2–5 per cent of the network's users are willing to let their computers conduct large calculations that can slow down their machines. It is mainly the involvement of clusters at universities and institutes that can take the workload.

"We need to work out how to divide these calculations into smaller pieces that will not slow individual computers down too much."

Watowich added that the current process focuses on looking at the interactions between two proteins. This can be processed by a computer in a matter of minutes, but he warned that it is an over-simplification of the interaction and can lead to the identification of many unsuitable drug candidates.

"The current process works well but it also gives a lot of false positives," he said.

Additional reporting by Jan Piotrowski.


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