The vision of an “AIDS-free generation” presented in a speech earlier this month by Secretary of State Hillary Rodham Clinton “is under threat in Congress,” as “[t]he House and the Senate are discussing significant cuts to the 2012 Obama administration request for global health funding,” Jeanie Yoon, a physician with Doctors Without Borders/Medecins Sans Frontieres (MSF), writes in a Baltimore Sun opinion piece. Yoon describes an MSF program in Zambia working to prevent mother-to-child HIV transmission (PMTCT), saying such programs “provide an opportunity for mothers be tested for HIV (as well as other dangerous conditions for pregnant women) and to take the steps needed for them and their babies to live healthy lives; as well as for communities to gain productive members instead of incurring yet more losses.”
Access to Health Services
Aid Targeting High Mortality Diseases ‘Lays The Groundwork’ For Improving Primary Health Care Services
“In recent years, initiatives such as the President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis, and Malaria have helped rein in some of the biggest scourges,” Paul Farmer, co-founder of Partners in Health and chair of the Department of Global Health and Social Medicine at Harvard Medical School, writes in a Washington Post opinion piece. “Scaling up PEPFAR, alongside other health initiatives, would bring a high return,” because “as we deepen the response to specific diseases such as AIDS or TB, we can broaden access to primary health services,” which “lays the groundwork for addressing health problems of all kinds,” he continues.
South African Public Health Experts Urge Countries To Use TRIPS To Produce Generic Drugs, IPS Reports
South African public health experts from Medecins San Frontieres (MSF) South Africa and the Treatment Action Campaign (TAC) “are calling on governments to use legally available mechanisms to promote the production or import of generic drugs in their countries,” Inter Press Service reports. The article examines how countries can alter their patent acts under the Doha Declaration — a World Trade Organization declaration on the Agreement on Trade-related Aspects of Intellectual Property Rights (TRIPS) and Public Health that “exists to ensure that patents do not undermine the ability of countries to achieve the right to health” — “to access generic versions of otherwise patented medicines in cases where prices are prohibitively expensive, the organizations say.”
In this Huffington Post opinion piece, Nancy Birdsall, president of the Center for Global Development, reports on a World Bank- and USAID-sponsored debate she moderated last week as part of a series on HIV/AIDS issues, the topic of which was “Countries should spend a majority of what is likely to be a flat or even declining HIV prevention budget on ‘treatment as prevention.'” She notes several of her reactions to the debate and asks with regard to global health spending, “What about the pie? Even if it grows, there will be tradeoffs.”
PlusNews examines Swaziland’s national shortages of antiretroviral (ARV) stocks, HIV tests, and lab tests necessary to initiate and manage HIV patients on treatment, and the country’s efforts to find funding to prevent stock-outs of these supplies. “Despite several bail-outs this year by international donors, neighboring countries and international NGOs, Swaziland remains in the grips of a months-long shortage of lab reagents needed for CD4 count testing, which measures the immune system’s strength and is needed to start patients on ARVs, as well as toxicity testing important in monitoring patients’ responses to treatment,” the news service writes, noting that funding received in April from PEPFAR will help supply first-line ARVs through April 2012 (11/15). According to BBC News, about 65,000 of the country’s 230,000 people living with HIV relies on state hospitals for ARVs (Simelane, 11/15).
In this Atlantic opinion piece, Amanda Glassman, director of Global Health Policy at the Center for Global Development (CGD), reports on how “lengthy, inefficient review processes” or “non-existent regulatory capacity” in some developing countries for drug and vaccine candidates waiting in the pipeline is keeping new medicines, vaccines, and diagnostic techniques from reaching millions in need. Glassman highlights a number of trials that were delayed due to regulatory and ethical approval processes, writing, “Not only do these delays prevent access to effective treatments by a growing number of patients,” but “they can lead to unnecessary costs that eat away at already small budgets to find new cures for neglected diseases.”
In this paper published in the Journal of the International AIDS Society, researchers from South Africa, Namibia, Brazil, and the U.S. “explore the existing evidence related to global and country-specific barriers to safe abortion for all women, with an emphasis on research gaps around the right of women living with HIV…
In this post in the Huffington Post’s “Impact” blog, Charles Lyons, president and CEO of the Elizabeth Glaser Pediatric AIDS Foundation, responds to Secretary of State Hillary Clinton’s speech at the NIH last week in which she called for an “AIDS-free generation,” writing, “As Secretary Clinton pointed out, we’ve never before had as many tools to get ahead of the disease as we do now,” such as male circumcision and treatment as prevention, “[b]ut one of the cornerstones of her strategy to create an AIDS-free generation is a tool we’ve actually had in our arsenal for a long time: the ability to prevent mother-to-child transmission of HIV.”
VOA News examines the Eugene Bell Foundation’s work in North Korea to detect and treat patients with multiple-drug resistant tuberculosis (MDR-TB). The foundation is treating about 600 patients in North Korea, where “[c]onditions … are ideal for the spread of TB. The climate is cold. Most citizens live and work in small spaces, and lack proper nutrition to maintain a strong immune system,” VOA writes (Herman, 11/11).
Ethiopia has reduced its child mortality rates by more than half since 1990, from about 20 percent to 8.8 percent, “through campaigns to increase the number of health workers and clinics throughout the country, government and aid officials said on Friday,” Reuters reports. “Reducing malnutrition, which is an underlying factor in at least half of all under-five deaths, has had a profound impact on the survival rates of children,” Ethiopia State Minister of Health Keseteberhan Admassu “told a gathering of representatives of United Nations agencies,” according to the news agency. “Keseteberhan said the nationwide malnutrition rate has been slashed by 32 percent, with prevalence to being underweight dropping to 28.7 percent in 2010 from 42.1 percent in 2000,” Reuters writes (Maasho, 11/11).