“Excitement about turning the tide in the fight against HIV is being tempered by researchers who worry some of the most vulnerable populations will miss out on medical advances,” delegates of the XIX International AIDS Conference (AIDS 2012) heard at Thursday’s plenary session, VOA News reports (Seldin, 7/26). Ugandan physician Paul Semugoma, who works with homosexual and transgender patients, told the session that one of the biggest challenges is reaching people at risk of HIV infection with prevention information, especially when stigma and discrimination are prevalent, VOA says in another article (7/26). “Semugoma says too many physicians fail to ask their patients about their sexual histories in a misguided effort not to discriminate,” VOA writes (7/26). Researcher Cheryl Overs of Australia’s Monash University spoke about how discrimination and stigma hinder the AIDS response among sex workers, VOA reports in yet another article (Seldin, 7/26). Speaking about new HIV prevention methods, Overs said, “The risk to sex workers of all genders will be enormous if condoms are replaced by partially effective HIV methods that do not protect against STIs [i.e., sexually transmitted infections] or unwanted pregnancies,” according to the news service.
Global Health Conferences and Meetings
A webcast titled “A Look Back: The International AIDS Conference,” moderated by journalist George Curry and featuring U.S. Global AIDS Coordinator Ambassador Eric Goosby; Phill Wilson, founder and executive director of the Black AIDS Institute; Jennifer Kates, vice president and director of HIV policy at the Kaiser Family Foundation (KFF); and Dazon Dixon Diallo, founder and president of SisterLove, will be available on the KFF webpage on Friday. “I feel a rekindling, a rejuvenation of energy, and I was not expecting that to happen. I felt a lightening of spirit in the meeting that I was surprised at,” Goosby says in the discussion (7/27).
WEBCAST: Kaiser Family Foundation Interviews Science's Jon Cohen Regarding HIV Treatment, Cure Research
“Science Magazine’s Jon Cohen speaks with the Kaiser Family Foundation’s Jackie Judd about the ‘treatment cascade’ and about research aimed at finding a cure for HIV” in this interview in the foundation’s “Washington Notebook” series, PBS NewsHour reports (Rogo, 7/25). Additional “Washington Notebook” interviews with other newsmakers who attended the XIX International AIDS Conference (AIDS 2012) can be found on the foundation’s webpage.
At the XIX International AIDS Conference (AIDS 2012) on Thursday, PEPFAR and Becton, Dickinson and Company (BD), “announced Labs for Life, a new collaboration to help strengthen healthcare and laboratory systems in the developing world along with U.S. Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC),” a State Department fact sheet states (7/26). “The new five-year initiative builds on a previous five-year partnership between the U.S. government and [BD]” that “improved lab services in sub-Saharan African countries affected by HIV/AIDS and tuberculosis, according to U.S. officials who had been briefed on an audit that will be released in a few weeks,” CQ HealthBeat reports (Adams, 7/26).
“What stands out in my mind from this week’s presentations [at the XIX International AIDS Conference (AIDS 2012)] is that [HIV] interventions previously proved to work in controlled clinical trials are now — over and over again — proving effective outside the research setting, in the real world, in poor and rich communities alike. The pieces are coming together,” Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, writes in a Washington Post opinion piece. He discusses several of the interventions, including the scale up of antiretroviral therapy (ART), treatment as prevention, voluntary medical male circumcision, and pre-exposure prophylaxis (PrEP). “Ending the HIV pandemic is an enormous and multifaceted challenge, but we know it is possible,” Fauci writes, adding that it will require “commitment” and “investments.” He continues, “We must enhance what works and eliminate what does not, overcome legal and political barriers, and remove the stigma associated with HIV.” Fauci concludes, “The global community has a historic opportunity based on solid scientific evidence to end the AIDS pandemic, opening the door to an AIDS-free generation” (7/26).
“[M]any health systems are not ready to cope with th[e] relatively new phenomenon” of people living with HIV (PLHIV) growing older, PlusNews reports. “Data on aging with HIV is largely restricted to the developed world and very little is known about older Africans living with virus, despite the high caseload in this region,” the news service writes, adding, “A July 2012 supplement of the medical journal, AIDS, notes that an estimated three million people in sub-Saharan Africa aged 50 and older are HIV-positive — 14 percent of all infected adults (7/26). In the U.S., people aged 50 and older accounted for 17 percent of new HIV diagnoses in 2009, according to the CDC, the Associated Press adds. The news service notes about one-third of the nearly 1.2 million PLHIV in the U.S. are older than 50, and that proportion will rise to one half by 2020, according to Kevin Fenton, director of the CDC’s National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), who spoke at one of several sessions on aging at the XIX International AIDS Conference (AIDS 2012) (Neergaard, 7/26).
“On Wednesday, July 25, the Global Network for Neglected Tropical Diseases [NTDs] co-chaired a panel at the [XIX International AIDS Conference (AIDS 2012)], addressing the link between NTDs and HIV/AIDS,” the network’s “End the Neglect” blog reports. During the session, titled “Effective Solutions to Combat HIV: Increasing Evidence of the Impact of Neglected Tropical Diseases on HIV Transmission and Disease Progression,” “members of the panel presented current research that has been conducted in Uganda and Brazil suggesting pathogenic links between NTDs such as schistosomiasis, Chagas disease and leishmaniasis and HIV transmission and disease progression,” the blog notes (7/26).
The Closing Session will be webcast live from 3:15pm on Friday. Other webcasts will be made available throughout the day at http://www.kff.org/AIDS2012.
Plenary: HIV in the Larger Global Health Context
Official Press Conference – July 27
Looking to the Future in HIV and TB
Put Your Money Where the Future Is: The Cost of Treating Children
Closing Press Conference
Getting to Zero Excuses: Understanding and Addressing HIV-Related Stigma and Discrimination
Closing Session – Live Friday 3:15pm – 5:00pm
A Look Back: The 2012 International AIDS Conference
“It is outrageous that, in 2012, when we have everything we need to beat AIDS, we are still fighting prejudice, stigma, and exclusion,” UNAIDS Executive Director Michel Sidibe writes on the Human Rights and HIV/AIDS “Now More Than Ever” blog, adding, “It is my daily reminder that the AIDS response is not just about an epidemic; the AIDS response is, has been, and must be, an instrument to fight for social justice.” He concludes, “[O]ur common aspiration is clear: a world where no one gets infected with a preventable virus, no one dies of a treatable disease, and no one faces discrimination for a health condition. We have tools to stop HIV transmission, deaths and discrimination. Human rights demand that we deliver these tools to every community and person affected. By doing so, we help to transform societies into the inclusive places they should be” (7/25).
In this post in the AIDS.gov blog, Nils Daulaire, director of the Office of Global Affairs in the U.S. Department of Health and Human Services (HHS), examines the mental health needs of people living with HIV, writing, “The burden of being HIV-positive, or caring for loved ones living with the disease, is not restricted to the physical toll. For many people, there are equally important mental health needs (PDF). We at HHS understand that addressing HIV means addressing the whole person” (7/26).