“For the first time in India, 12 people have been detected with totally drug-resistant lung tuberculosis (TDR-TB), a condition in which patients do not respond to any TB medication” and for which the mortality rate is 100 percent, the Hindustan Times reports. “Doctors treating these patients say the absolute resistance is a result of the patients being prescribed wrong antibiotics,” the newspaper reports (1/7). “While Iran first reported TDR-TB cases three years ago, India seems to be only the second country to report this deadly form of the disease,” the Times of India notes (Iyer, 1/7).
Access to Health Services
“The World Health Organization says Somalia has one of the highest maternal mortality rates in the world,” VOA News reports, adding, “In southern Somalia, the situation is grave, and the recent famine has made the health crisis for mothers and infants even worse.” The news service says challenges facing the health care system include a lack of medical supplies and neonatal facilities, poor retention of health care workers in local hospitals, and “the Somali custom rooted in Islam that requires a man’s consent to treat female patients.”
“Medecins Sans Frontieres (MSF) has shut down two major medical centers in the Somali capital Mogadishu after two of its aid workers were shot dead by a former colleague last month, the international medical aid agency said on Thursday,” AlertNet reports. The closure of the two 120-bed centers, the largest of MSF’s 13 projects in Somalia, cuts in half the organization’s presence in the capital, the news service notes, adding that the centers have treated thousands of malnourished children and provided vaccinations or treatments to tens of thousands more patients since August 2011 (Migiro, 1/19).
The Center for Global Health Policy’s “Science Speaks” blog rounds up results presented at a late breaker session at last week’s 2nd International Treatment as Prevention Workshop in Vancouver. The blog notes the session “offered some interesting insights relevant to HIV treatment scale up” (Lubinski, 4/30).
Leading up to Mother’s Day on May 13, the Huffington Post’s “Global Motherhood” section, in partnership with Mothers Day Every Day, an initiative of the White Ribbon Alliance and CARE, is publishing opinion pieces from a diverse group of people. The following are summaries of two of those opinion pieces.
International Community Should Unite To Ensure Adequate Family Planning Services For Women In West Africa, Globally
“For many years, in large parts of West Africa, the percentage of women who use contraception has stalled at less than 10 percent, leading many to declare that there is very little or no demand for family planning (FP) in the region. This couldn’t be farther from the truth,” Catharine McKaig, project director of family planning at the Maternal and Child Health Integrated Program (MCHIP), the USAID Bureau for Global Health’s flagship maternal, neonatal and child health program, writes in a post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog. “Among women — young and old, those who have had many children and those who have had few or none — there is a sea-change happening. These women are expressing their desire for family planning methods, and our approach towards integrating maternal and child health care services with FP is producing results,” she writes, concluding, “It is an optimal moment to unite as a community supporting women’s health worldwide to ensure adequate supply and minimal cost for family planning services to the hundreds of thousands of women in West Africa who are seeking care” (5/10).
“In a move that could lead to a new milestone for treatment in the evolution of the worldwide AIDS epidemic,” a Food and Drug Administration (FDA) panel on Thursday recommended Gilead Sciences’ antiretroviral drug Truvada be approved for pre-exposure prophylaxis (PrEP) to prevent HIV among healthy people at risk of contracting the virus, Reuters reports, noting the drug is already approved to treat HIV infection (Morgan, 5/10). “The panel voted 19-3 to approve the drug for use in gay men and 19-2, with one member abstaining, for heterosexual couples in which one person is HIV-negative,” according to the Wall Street Journal (Dooren, 5/10). “The recommendation is the first time that government advisers have advocated giving antiviral medicine to healthy people who might be exposed through sexual activity to the virus that causes AIDS,” the New York Times writes (Grady, 5/10). Though the FDA is not required to follow the panel’s advice, it usually does, and “[a] final decision is expected by June 15,” the Associated Press/Fox News reports (5/11).
Loss Of U.S. Funding For UNFPA 'Would Be Devastating' To Family Planning Services In Developing Countries
“By voting to ban any U.S. contribution to UNFPA” in the FY 2013 State and Foreign Operations appropriations bill, the House Appropriations Committee on Thursday “made a judgment call that saving the lives of women and girls around the world is simply not a U.S. priority,” Valerie DeFillipo, president of Friends of UNFPA, writes in a Huffington Post “Global Motherhood” opinion piece. She notes that “[c]ommittee members voted against amendments that would permit funding to UNFPA for preventing and treating obstetric fistula, ending female genital mutilation, and providing family planning services and contraceptive supplies in nine sub-Saharan African countries with high rates of poverty and maternal mortality where USAID does not provide family planning assistance.”
U.S. Ambassador to Nigeria Terence McCulley on Tuesday in Abuja, Nigeria, launched a five-year, $224 million USAID program, titled Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS), that aims to “increas[e] access to high-quality comprehensive HIV/AIDS and tuberculosis prevention, treatment, care and related services through improved efficiencies in service delivery,” the Daily Trust reports (Odeyemi/Odafor, 5/8).
“The world is falling behind in its pledge to reduce HIV/AIDS infections and improve treatment, especially in sub-Saharan Africa, according to a U.N. report [.pdf] released Monday” by U.N. Secretary-General Ban Ki-moon, the Associated Press reports. The report to the U.N. General Assembly “said that ‘critical challenges remain’ if the world is to make good on promises made at a U.N.-sponsored meeting on HIV/AIDS in June 2011,” the AP writes (Alt Powell, 4/30). “Among the targets set by the international community at the June 2011 high-level meeting are the elimination of new HIV/AIDS infections in children, cutting sexually transmitted infections by 50 percent, and delivering antiretroviral therapy to 15 million people,” Xinhua/China Daily notes (5/1).