News (Updated October 16, 2011)

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People with HIV 'living 15 years longer'

Thursday 13 October 2011

The way in which protection providers approach the issue of HIV is back in the spotlight, after figures published this week showed a significant increase in life expectancy for people living with the condition.

The study, published on bmj.com, suggests that people with HIV are living an average of 15 years longer than they were 13 years ago, thanks to improved treatments.

Researchers for the study, which was led by Dr Margaret May of the University of Bristol's School of Social and Community Medicine, looked at data on 17,661 patients, 1,248 (7%) of whom died between 1996 and 2008. The analysis showed that the life expectancy of an average 20-year old infected with HIV has increased from 30 years in 1996-9 to almost 46 years in 2006-8. For women, life expectancy is 10 years higher than for men, with male patients' life expectancy at 40 years and female patients' life expectancy at 50 years.

The rise can be attributed to better antiretroviral therapy, more effective drugs and an upward trend in life expectancy in the UK population in general, researchers said.

It is not yet known what the response of protection providers will be to the positive news on survival rates, but insurers have been taking a more progressive attitude to HIV since the Association of British Insurers published its Statement of Best Practice for HIV and insurance in July 2008. In 2009 PruProtect claimed to be the first “mainstream” UK insurer to extend an existing life cover product to include people living with HIV, in the UK . At launch the product provided up to £250,000 life cover over a maximum period of ten years.

Critical illness insurance providers have also made efforts to make the products more appropriate to the needs of the HIV community.

Deepak Jobanputra, actuarial and product director of PruProtect, said the provider has been providing cover for people with HIV for some time as it recognises that people with HIV lead normal lives and have protection needs to provide peace of mind to cover their dependants and to cover their mortgages. He added that PruProtect's "severity-based" approach to protection is an ideal way of helping people to find the cover they need.

"Prognosis for illnesses change over time and hence the most appropriate solution in meeting people’s needs is through severity-based products," he said.

Chris Morgan, marketing manager of Unusual Risks, the HIV life assurance specialist advisers, said that people living with HIV are on average living longer and this is due to "vast improvements" in medications.

"This therefore has also led to big improvements in the availability of life assurance products to the HIV community," he said.

However, a survey carried out by Compass in December 2010 found that just 33% of "mainstream" life offices have entered the life cover market for people with HIV. Morgan said that Compass has repeated the research this year and the results will be published soon.

 

‘Eastern Europe has fastest growing HIV epidemic in the world’ – UN official

11 October, 2011
Eastern Europe is beset by an HIV epidemic, but there is hope the situation can soon change for the better, according to the executive director of the UN's AIDS program, Michel Sidibé.

In Russia and in much of Eastern Europe , AIDS and HIV infections are a growing problem. In 2010, the number of cases in Russia alone is reported to have increased by thousands.

“Eastern Europe and Central Asia is the only region where we see the infection increasing,” Sidibé, who is in Moscow for a forum on AIDS and HIV, told RT. “It is the fastest epidemic in the world today. G8 countries have made an effort to address the epidemic, by increasing the funding. What they have not done is the investment of these funds with the maximum of return. Almost 60 percent of the new infections are occurring among drug users. And they are not living in isolation – they are interacting with the general population. If we don’t have the right policies, it won’t stop.”

Sidibé warned that a zero-tolerance policy toward drug addicts is not working.

“There is a lot of experience from other countries showing that punishment alone is not working,” Sidibé told RT. “You’re criminalizing those people, you’re making them go underground and help themselves. So even when the help is available, it won’t reach them.”

In Russia , stopping an HIV epidemic among drug users is an achievable goal by 2015, Sidibé said.

“We are sure that Russian government can take the leadership in Eastern Europe and Central Asia ,” he told RT.

 

WHO says world TB cases decline for first time

Oct 11 2011

By Alina Selyukh

wpeF.jpg (14014 bytes)WASHINGTON (Reuters) - The number of people getting sick with tuberculosis has dropped for the first time, while the death toll from the disease reached its lowest level in a decade, helped by progress in countries like China , the World Health Organization said on Tuesday.

In 2010, 8.8 million people fell ill with TB and 1.4 million died, both marking a notable decline over prior years, the United Nations health agency said in releasing its 2011 Global Tuberculosis Control Report.

"The findings reflect a significant milestone for global health," said Dr. Mario Raviglione, director of the WHO's Stop TB Department, at a news briefing. "But history teaches that we cannot be complacent about TB. The international community therefore must not perceive these achievements as job done."

TB is a worldwide pandemic, with about a third of the world's population infected with the bacteria, although only a small portion ever develop the disease.

The WHO has revised its estimates to show that the absolute number of cases has been on a decline since 2006, not on a slight rise as previously reported. The number of people ill with TB peaked at 9 million in 2005.

The death toll from TB peaked at 1.8 million in 2003.

The WHO officials attributed the decline to better data collection around the world; increased funding in China for addressing TB; better prevention and care in the former countries of the Soviet Union and Latin America as their standard of living improves; and a drop-off of infection in Africa, which had peaked with the HIV epidemic.

The TB bacteria destroys patients' lung tissue, causing them to cough up the bacteria, which then spreads through the air and can be inhaled by others. If untreated, each person with active TB can infect on average 10 to 15 people a year.

TB is especially common in Latin America and the Caribbean, Africa, Asia, Eastern Europe and Russia .

The countries the WHO especially noted for progress in the fight against the disease were Kenya , the United Republic of Tanzania, Brazil and China , which saw a drop of nearly 80 percent to 55,000 TB deaths in 2010 since 1990.

Globally, the TB death rate dropped 40 percent in 2010 compared to 1990, and all regions except Africa were on track to reach a 50 percent mortality decline by 2015.

For full report from the WHO, see www.who.int/tb.

CHALLENGE OF DRUG RESISTANCE

Some countries routinely vaccinate children with Bacillus Calmette-Guerin, made by several companies including Merck & Co Inc. The vaccine doesn't always protect against TB.

The infection is also treatable by antibiotics, such as isoniazid or Sanofi's Rifadin, but they must be taken daily for months to be effective.

Because people do not always take the drugs as directed, multidrug-resistant (MDR-TB) and extensively drug-resistant (XDR-TB) strains have emerged. Leaving them untreated increases the risk of drug-resistant strains of TB spreading.

In March of this year, the WHO warned that more than 2 million people will contract MDR-TB by 2015.

Drug-resistant TB strains remain one of the biggest challenges, as only about 16 percent of patients diagnosed with MDR-TB are actually getting treatment, said Dr. Katherine Floyd, coordinator of the TB monitoring and evaluation unit at the Stop TB department.

"There is little interest by the industry in developing new drugs in general for antibiotics, but when it comes to TB in particular ... they cannot count on making a lot of money off the drugs and therefore don't invest," Raviglione said.

Although many advances have been made in increasing access to diagnostic technology, clinics and treatment around the world, countries pay for some 86 percent of all anti-TB funding and continue to struggle with funding gaps.

With that in mind, global health experts warned against complacency about the reported improvement.

"We know from the past experience that as soon as you drop the guard, TB comes back," said USAID's Dr. Ariel Pablos-Mendez.

(Additional reporting by Stephanie Ulmer-Nebehay in Geneva ; Editing by Michele Gershberg and Philip Barbara)

 

Lady Gaga Raises HIV Awareness By Talking Safe Sex

By Boss Lady on October 13, 2011

wpe12.jpg (16127 bytes)In New York City this week to film her latest music video, Lady Gaga continued her mission to inform and educate young women on the virtues of safe sex.

“It’s always been important to me, as it’s for my generation, a most relevant consideration when you’re growing up. Sex doesn’t mean nothing; sex means so much,” Gaga, 25, told USA Today. “I hope that young women know that sex is still a big deal, and they don’t have to put out soon. If they want someone to court them for a while before they give it up, that’s wonderful and beautiful, and a man will only respect you more for honoring your body. I am that way.”

 

Some of her greatest work in this area has been with MAC Cosmetics and their Viva Glam campaign, which raises awareness of HIV/AIDS via sales of the Viva Glam line of lipsticks. Since becoming the face of the campaign in 2009 (following in the footsteps of Elton John, Cyndi Lauper and Mary J. Blige), Gaga has helped raise $55 million for the MAC AIDS Fund and now hopes to meet the lifetime goal of $250 million for the campaign.

“What I hope to do with this campaign is to not only raise awareness for AIDS and HIV but raise the awareness that it’s okay and wonderful and beautiful to love yourself and be happy and to honor your body and to use a condom or say no,” she says. “The conversation is the most important aspect of it.”

 

 

Gates-aided project helps India slow HIV spread

11 Oct 2011

By Nita Bhalla

wpe5.jpg (11646 bytes)NEW DELHI (AlertNet) - India has slowed the spread of HIV by about 100,000 cases in the past five years with the help of an intervention partly funded by billionaire philanthropist Bill Gates, the Times of India reported on Tuesday, quoting a new study.

Avahan, an Indian government project launched in 2003, targeted vulnerable groups such as female sex workers and their clients and partners, men having sex with men (MSMs), truck drivers and injecting drug users.

The newspaper said a new joint study by the Institute for Health Metrics and Evaluation, University of Washington , University of Hong Kong and the Public Health Foundation of India (PHFI) found that Avahan successfully slowed the transmission of HIV by focusing on more high-risk groups.

"High-risk population like sex workers would infect their clients who would then spread it to other female partners like their wives," Lalit Dandona, lead author of the study was quoted as saying.

"Similarly, MSMs infected each other and then spread it within the general population through unprotected sex. Avahan showed us that by targeting high-risk groups, the virus spread among the general population can be controlled."

Avahan received $258 million from the Bill and Melinda Gates Foundation, and complemented the government's wider efforts on HIV prevention.

The programme was implemented in four large states - Andhra Pradesh, Karnataka, Maharashtra and Tamil Nadu - and two small northeastern states of Manipur and Nagaland.

At the start of the initiative in 2003, the six states - with a combined population equalling that of the United States - were estimated to have among the highest HIV prevalence in India .

With 2.3 million reported cases of AIDS, India - like sub-Saharan Africa - is on the frontlines of the fight against the deadly virus.

Progress is being made. A UNAIDS report marking 30 years since the discovery of the disease said India's rate of new HIV infections fell by more than 50 percent between 2001 and 2009, while the global rate dropped by 25 percent.

 

Russia says U.S. Afghan policy stokes AIDS problem

MOSCOW Oct 10, 2011 (Reuters) - The United States is aggravating the HIV/AIDS problem in Russia and the West by refusing to use its forces to destroy opium crops in Afghanistan, Russian Foreign Minister Sergei Lavrov said on Monday.

Lavrov made Russia 's persistent case for poppy crop eradication by U.S. and NATO forces in Afghanistan at a conference on communicable diseases in the eastern Europe and Central Asia region, where AIDS is a growing problem.

"It is hard for us to understand why our American partners don't want the International Security Assistance Force to do this," he said. "This issue is crucial to the fight against the drug threat and, consequently, the spread of HIV/AIDS."

Afghanistan is the world's biggest producer of poppies used to make opium, the key ingredient in the production of heroin. Russia is the largest per capita consumer of the drug and faces an HIV/AIDS epidemic that is spreading from dirty needles.

"The tragedy of the situation lies in the fact that in Europe , young people ... are getting this disease because of the spread of drugs," Lavrov said, adding that "we must fight not only the use but also the spread of drugs."

Russia , which fought a decade-long war in Afghanistan in the 1980s, is supporting the Western military campaign in Afghanistan by providing transit routes for personnel and supplies.

It says the United States made a big mistake when it reversed its anti-drug strategy in 2009 by phasing out crop eradication efforts to focus instead on intercepting drugs and hunting production operations and drug lords.

The Unites States said it made the change because drug crop eradication was not damaging the Taliban insurgency but was putting farmers out of work, sowing resentment against foreign intervention.

Russia says it opposes a long-term Western military presence in Afghanistan , but has also expressed fears that the spread of drugs and Islamist militancy toward its borders could worsen if NATO forces leave without first ensuring stability.

 

Anglican leader urges acceptance of people with HIV

(AFP) – 12 Oct., 2011

LUSAKA — The Archbishop of Canterbury on Wednesday called on his followers not abandon people living with HIV, as he wrapped up a three-nation African tour with a service in the Zambian mining town of Kitwe.

"The church should deal with HIV and AIDS. The church in Africa deals with HIV and AIDS and we should not forget or forsake those that have the disease," Rowan Williams said.

Williams was speaking at a communion service held at Arthur Davies stadium in Kitwe , some 350 kilometres (220 miles) north of the capital Lusaka , in the country's Copperbelt region.

"We will be friends with them and this means the fight against death," he said.

Williams started his trip in Malawi last week to mark the 150th anniversary of the arrival of Anglican missionaries in that country.

He also stopped in Zimbabwe and met President Robert Mugabe, whom he urged to end attacks on Anglicans by followers of a breakaway bishop aligned with the president.

The service in Kitwe was broadcast live on a community radio stations and attended by over 3,000 people.

"We are sent to share the suffering and joys with our neighbours, we are sent to be alongside them and listening to their needs. We should give our lives to others as Jesus did," he said.

"The church in Africa has given a voice to the women and the vulnerable, and all those are acts of the mission of the church," he said.

Williams returns home on Thursday.

Copyright © 2011 AFP.

 


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