News (Updated February 12, 2012)

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Funding squeeze, apathy risk another half century of AIDS - UN expert

08 Feb 2012

Source: alertnet // Thin Lei Win

A woman pins a red ribbon on her shawl after participating in a rally to mark World AIDS Day in Kathmandu , Dec. 1, 2011. REUTERS/Navesh Chitrakar

By Thin Lei Win

BANGKOK (AlertNet) - With enough money spent in the right way, the world could soon reduce new HIV infections to zero, but global apathy and the financial crisis mean it might take another 50 years to stop the AIDS epidemic, a U.N. expert has said.

At a time when HIV/AIDS efforts face an unprecedented decline in funding, Paul De Lay, deputy executive director of UNAIDS (the Joint United Nations Programme on HIV/AIDS), called on developing states to take more responsibility for tackling HIV in their own countries rather than relying on international assistance.

In Asia, for example, many countries - including Vietnam and India which are seen as economically stable - rely heavily on foreign funding, for up to 95 percent of their HIV budgets in some cases, according to UNAIDS.

Around 34 million people worldwide are living with HIV. Since AIDS emerged in the 1980s, more than 60 million have been infected and nearly 30 million have died, but there has also been significant progress.

New infections have fallen by about 20 percent in the past decade, deaths from AIDS-related illnesses have decreased, and about 6.6 million people - a little less than half the population needing treatment - were on lifesaving antiretroviral therapy (ART) at the end of 2010, De Lay told AlertNet on the sidelines of high-level intergovernmental meeting on HIV/AIDS in Bangkok this week.

“But it’s been a slow, steady decline,” he added. “If we continue at the same rate, we’re talking 40 to 50 years of this epidemic. Zero (transmission) is a long, long way off. So either we accept that or we have to do something different.”

That would mean focusing on the most effective ways of preventing the spread of HIV/AIDS, measuring programme impact and success differently, and boosting efficiency and cost-effectiveness amid limited resources, De Lay said.

‘AIDS FATIGUE’

AIDS activists say the goal of zero new transmissions is within reach, thanks to new technologies, the recent finding that early treatment can reduce the spread of the virus to others by 96 percent, and a three-fold increase in people receiving ART since 2006. 

Yet donor cutbacks in 2010 led to a decline in international support for AIDS programmes for the first time in 15 years. The Global Fund to Fight AIDS, Tuberculosis and Malaria was forced to cancel its annual funding round for 2013 due to shortfalls for the first time in its 10-year history, suggesting that the trend may continue.

“We have to realise it’s unlikely we’re going to have a substantial increase of funds over the next four to five years, so how do we make the money we have more effective and efficient?” said De Lay. “In public health, if you mention the words efficiency and cost-effectiveness, you’re a pariah. But we have to do it.”

UNAIDS is aware it’s not just high levels of government debt in rich countries that is squeezing funding.

“There’s a fatigue about AIDS,” De Lay said. “The attention span of the aid and global health community and the politicians is short-lived, and there are other priorities.”

“The AIDS epidemic... opens up too many sensitive areas of society, culture and religion, so it’s easy for this epidemic to drop off the screen, and I think that’s the real danger,” he added.

VALUE FOR MONEY

Nonetheless, UNAIDS is hoping that funding for the global AIDS response will rise to $22 billion-$24 billion by 2015, a increase of around 50 percent from the $15 billion available in 2011.

De Lay urged programmes to target those most in need of treatment and prevention, and explore new methods of measuring impact.

In the Global Fund’s early days, success was judged by how quickly you could move money, he said.

“Just saying we’ve got 50 percent coverage of prevention programmes, or x number of condoms, doesn’t mean anything,” he said.

Evaluation of results should include patients’ quality of life, life expectancy and the sustainability of programmes, he added.

Other ways of boosting value for money include cutting down on the broader health and social activities HIV/AIDS programmes used to support and pushing for cheaper drugs, De Lay said.

(Editing by Megan Rowling)

 

Official urges real-name HIV testing in China

 (Xinhua) 2012-02-08

BEIJING - A senior health official on Wednesday advocated the use of real-name HIV testing, stating that the tests will be beneficial for the prevention and treatment of HIV/AIDS.

Wang Yu, director of the Chinese Center for Disease Control and Prevention, made the remark at a press conference held by the Ministry of Health on Wednesday in response to a question about a controversial piece of legislation that may soon be approved in south China 's Guangxi Zhuang autonomous region.

A draft regulation on HIV/AIDS prevention is expected to be handed over to the standing committee of the region's local people's congress for approval. The regulation states that HIV tests should be carried out on a real-name basis, with those who test positive obliged to inform their spouses or sex partners.

"HIV carriers might spread the virus to others through unprotected sex or other channels. Under such circumstances, should we protect the privacy of the carriers, or control the epidemic and protect public health?" said Wang.

Wang said he believes that real-name testing could ensure that those who test positive are informed in time, allowing them to change their behavior and seek early treatment.

Wang said international practices have shown that by simply informing people of their HIV-positive status, the odds of them passing HIV on to others can be reduced by 70 percent.

Wang said professionals in the field have increasingly realized that treatment itself is the best form of prevention. If HIV carriers are given antiviral treatments in time, the intensity of their infection can be lowered, as well as the chance that they will pass the infection on to others.

"Without real-name testing, none of this work can be accomplished. The carriers themselves might not even be informed," Wang said.

Wang said public health policies in China and abroad are aimed at eliminating discrimination against HIV carriers, adding that those who choose to "hide out" may pose a grave threat to themselves and their partners.

 

 

Chinese province may have new rule on HIV disclosure

By Shan Juan
China Daily/Asia News Network
Tuesday, Feb 07, 2012

  wpeF.jpg (10131 bytes)BEIJING - HIV-positive men and women in the Guangxi Zhuang autonomous region may soon be required by law to tell partners their status the moment their test results are known.

The regulation, still in draft form, is expected to take effect in six months, said Ge Xianmin, director of HIV/AIDS prevention and control at the local health department.

It stipulates that the sufferer has to tell his or her partners within three days of being confirmed as HIV positive. If not, this would be done by health workers.

"Given that Guangxi has been hit relatively hard by HIV/AIDS and that sex has become a major transmission route, such rules would help protect sufferers' partners and avert secondary transmissions," he said.

It also helps partners to supervise sufferers' treatments, he added.

Of the total of HIV cases detected last year in Guangxi, about 87 per cent were infected through unsafe sex, both homosexual and heterosexual.

Only the northwestern province of Gansu has a similar rule, which was introduced in 2009.

Xiao Dong, leader of a civil organization committed to HIV/AIDS control in Beijing , backed the regulation.

"The sufferer should inform their partners because one's life is more important than personal freedom. We mustn't satisfy our selfishness by harming other's lives," he said.

But Meng Lin, an AIDS patient in Beijing , believes regulation is an intrusion of privacy.

"I don't think the Guangxi regulation should make health institutions inform sexual partners of someone's HIV-positive status if that person refuses to do so," he said.

Meanwhile, to keep better track of HIV carriers for the provision of support and medication, the new regulation will require people to show identification before undergoing HIV screening, which gives preliminary results in 15 minutes subject to laboratory confirmation.

Ge said many people simply disappeared after screenings showed positive results, which made follow-up counseling and treatment very difficult.

Xiao Dong said: "We should respect people's choice of whether to give personal information or not. Not everybody going for a HIV screening is prepared to face up to the impact on their lives if it proves positive and they will be less stressed going anonymously."

Meng Lin warned: "Given HIV/AIDS discrimination and stigma are still rife here, it will drive more potential sufferers away and lead to more inaccurate statistics about the epidemic."

In most parts of China , only confirmatory tests require ID registrations, said Wu Zunyou, director of the National Center for AIDS and Sexually Transmitted Diseases Control and Prevention.

In Yunnan province and Beijing , people have to present ID for screenings.

However, in Beijing , which issued the rule last year, this has led to a big drop in the number going for HIV screenings.

Huang Feifei in Guangxi and Wang Qingyun in Beijing contributed to this story.

 

In China 28,000 die of HIV/AIDS in 2011

(Xinhua) 2012-01-21

wpe15.jpg (19112 bytes)BEIJING - A total of 28,000 people died of HIV/AIDS in China in 2011, and another 48,000 in the country were found newly infected by the virus, according to an official publication on Saturday.

The report on the epidemic situation of HIV/AIDS in China, which was jointly produced by China's Ministry of Health, the Joint United Nations Programme on HIV and AIDS and the World Health Organization, said that the number of people living with HIV/AIDS increased by 40,000 in two years from 2009, although cases of new infections remained at a low level.

With about 780,000 people living with HIV/AIDS nationwide, including 154,000 AIDS patients, the total infection rate of the country stands at 0.058 percent, the report said.

The major reasons for the rise of the number of AIDS patients on record are the government's increasing efforts in prevention and intervention of the disease, which helped reduce deaths out of the patients, as well as some long-infected HIV carriers showing symptoms, said the report.

The report added that more than 136,000 AIDS patients had received anti-virus treatments by September 2011, bringing the treatment coverage rate to 73.5 percent, an increase of 11.5 percentage points compared to 2009.

The epidemic situation of HIV/AIDS is showing some new trends, as imported and sexually-transmitted cases keep increasing, according to the report.

It called for expanding the checking range in relevant groups, further strengthening the treatment of people with HIV/AIDS, as well as expanding the coverage of health education and reducing social discrimination.

 

16 MILLION WOMAN MARRIED TO GAY MEN IN CHINA

February 11th 2012

wpe12.jpg (16152 bytes)Approximately 16 million women in China married to gay men

A new report has estimated that there are approximately 16 million women in China married to gay men. Professor Zhang Bei-chuan, at Qingdao University , is one of the countries leading HIV/AIDS experts and has made the claim that due to the conservative nature of Chinese life, about 90 percent of gay Chinese men marry a woman due to family pressure.

“But their wives are struggling to cope and their plight should be recognised,” he was quoted by the state-run China Daily.

However, the gay community is split on the claim. “Zhang’s estimation is unsubstantiated and I even feel it’s pointless to research the issue,” Xiao Dong, a 36-year-old gay, who heads a civil organisation for HIV/AIDS prevention and control, said.

“To put gays’ wives under the spotlight might cause more public misunderstanding or even hatred toward the gay population, which does not help defuse existing social discrimination against them,” he said, while adding that the question of marriage is complicated for them.

27 year old Beijing resident Wang Zi (name changed) was also quoted in the China Daily, saying that he would never tell his parents the truth and while he
does not want a heterosexual marriage, he would consider it so as not to hurt the feelings of his parents.

“I may marry a lesbian and we can keep going with our own lifestyle more honestly,” he said.

Homosexuality was decriminalised in China in 1997.

Uganda government denies backing anti-gay bill

(AFP) – 9 Feb., 2012

KAMPALA Uganda 's government has distanced itself from a controversial anti-gay bill calling for severe penalties on homosexuality after it was reintroduced in parliament this week.

But in a statement released late Wednesday, the government said parliament had the right to debate the legislation, which was shelved last year after widespread condemnation.

"The bill itself was introduced by a backbencher," said the statement.

"It does not form part of the government's legislative programme and it does not enjoy the support of the prime minister or the cabinet.

"However, as Uganda is a constitutional democracy, it is appropriate that if a private member's bill is presented to parliament it be debated."

David Bahati, the MP behind the legislation, reintroduced the bill on Tuesday after lawmakers voted last year to automatically pass it over to the new session of the parliament. MPs had failed to debate it last time round.

Lawmakers applauded Bahati as the bill -- which US President Barack Obama has described as "odious" -- was introduced, clapping their hands, thumping the seats in parliament and chanting "our bill".

Homosexuality is already illegal in Uganda , but the proposed bill has previously attracted heavy criticism for the draconian penalties it proposed.

It would introduce the death sentence for anyone caught engaging in homosexual acts for the second time, as well as for gay sex where one partner is a minor or has HIV.

It also proposes to criminalise public discussion of homosexuality -- including by rights groups -- with a sentence of up to seven years in prison.

While the government said that even if the bill were passed it "would not sanction the death penalty," parliament officials insisted it had been tabled without amendments and still included the controversial clause.

Kampala also accused critics of the bill of ignoring "far graver and far more draconian legislation relating to homosexuality in other countries."

"One might ask for example, if Uganda enjoyed as close a relationship with the US and European countries as Saudi Arabia (which sentences homosexuals to corporal and capital punishment) would we have attracted the same opprobrium as a result of allowing this parliamentary debate?" the statement said.

The reintroduction of the bill sparked strong criticism from rights groups. Amnesty International urged MPs to reject it.

"If passed, it would represent a grave assault on the human rights of all Ugandans, regardless of their sexual orientation or gender identity," Michelle Kagari, the rights group's Africa programme director said this week.

Copyright © 2012 AFP.

 

S.Africa in $208 mn AIDS drug venture

(AFP) – 10 Feb., 2012 

CAPE TOWN — South Africa on Friday unveiled plans for a 1.6 billion rand ($208 million, 157 million euro) pharmaceutical plant, in a joint venture with Swiss biochemicals group Lonza to produce anti-AIDS drugs.

Lonza, headquartered in Basel , confirmed talks with the South African government but said no deal had yet been inked.

"This joint venture, named Ketlaphela, will establish the first pharmaceutical plant to manufacture active pharmaceutical ingredients for anti-retroviral medicines in South Africa ," Science Minister Naledi Pandor told journalists.

The plant would produce the key ingredients needed to make the anti-retroviral drugs that have turned AIDS into a chronic condition, rather than a death sentence, in a nation where 5.6 million people have HIV.

South Africa will invest 1.1 billion rand, while Lonza will put 500 million rand into the plant, whose name means "I will survive" in Sotho, said Pandor.

"Lonza's high Swiss standards plus their superb track record of establishing and maintaining successful commercial operations in developing countries, make them a valuable and desirable partner," she said.

A statement from Lonza on its website Friday said a deal had not yet been finalised.

"The discussions are still at an early stage and nothing has been signed," it said.

However, a Lonza vice president Simon Edwards told media in Cape Town that the company was "looking forward to a long term involvement in this project...and to long term success".

"From Lonza, we are incredibly proud and honoured to be part of this project," he said.

"This is the start of it today," he added.

The new plant will help stabilise the price of drugs used to fight AIDS, as South Africa currently imports the main ingredients needed.

The plant will create about 2,600 jobs once it's running in 2016, he added. About 3,800 people will be employed for its construction.

South Africa has the world's largest AIDS treatment programme, serving 1.3 million people.

The treatment programme has already made gains in combating the epidemic, but the numbers of people needing drugs will keep growing as more and more people begin a lifetime on the medicines.

Copyright © 2012 AFP.

 

Indonesia sees huge rise in housewives with HIV

10 Feb 2012

Source: alertnet // Thin Lei Win

About 2880 candles are seen lit during a World AIDS Day event in Jakarta in this file picture. REUTERS/Dadang Tri

By Thin Lei Win

BANGKOK (AlertNet) – When Dr Nafsiah Mboi noticed that more and more Indonesian housewives were contracting HIV due to their husband’s reckless behaviour, she decided to reshape people’s perception of what a macho man should be.

It is not an easy task for Nafsiah who is secretary of Indonesia ’s National AIDS Commission.

The archipelago, the world’s fourth largest by population, is made up of 17,000 islands and numerous ethnic groups with different languages and beliefs, and Nasfiah has limited resources. What is unlimited though is her desire for change.

“Last year, the largest number of people who needed treatment for HIV/AIDS were housewives. That’s really disconcerting,” Nafsiah told AlertNet this week on the sidelines of a high-level intergovernmental meeting on HIV/AIDS in Bangkok .

She said the big rise in HIV infections in a section of society traditionally considered low risk – housewives who are monogomous and not using drugs - showed the need to focus on men's behaviour.

“We decided to change the social image of men to say a strong and macho man is not selfish, but is responsible and caring,” she said.

The Commission embarked on several awareness campaigns in 2009, expanding its focus from drug users and sex workers to heterosexual men, with the message that being a real man means being responsible and safe and using a condom.

ADDRESSING GENDER ROLES

In Indonesia , like many other patriarchal societies, gender roles and expectations mean women, whether housewives or sex workers, do not have the bargaining power to negotiate safe sex or the use of condoms, Nafsiah said.

“In sexual relationships, men are supposed to be macho and they have to have their will and if they resort to violence, well, it’s ok because they’re men,” she said.

“If a housewife comes into the health centre with sexually transmitted diseases or infections, immediately everybody thinks she’s a whore, but if it’s a man, (people go) ‘poor dear’,” she added.

Nafsiah says research in 2009 identified there were 2 million women in Indonesia at risk of being infected with HIV/AIDS. Of these 1.6 million – or 75 percent – were housewives.

The Global AIDS Report in 2008 described the AIDS epidemic in Indonesia as “among the fastest growing in Asia ,” and said the main cause was heterosexual sex.

By 2009, a quarter of the 300,000 or so people living with HIV/AIDS in Indonesia were women, which experts say “shows a feminisation of the epidemic”.

SLOW PROGRESS

Campaigns have included mobile clinics, video essays and a Condom Week. Nafsiah says they are seeing some changes, albeit at a slower pace than she’d like.

For example, condom sales increased from 75 million in 2008 to 300 million in 2011, a four-fold rise in three years, she said.

Research has also shown that the proportion of people saying they had used a condom when they last had sex has increased to 50 percent in places targeted by the Commission.

By comparison, national figures show consistent use of condoms is around 10 to 15 percent, Nafsiah said.

The sheer size of the country and the population are some of the biggest challenges in tackling HIV/AIDS, she added.

Nafsiah is also worried about young people, another group that is alarming experts because of growing infection rates.

“According to a survey, only 14 percent of young people aged 15-24 years can correctly identify how to prevent sexual transmission of HIV/AIDS,” she said.

“That (leaves) 64 million people. How do you reach 64 million people in 17,000 islands?”

 

 


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