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Secretary Clinton Reaffirms U.S. Commitment To 'AIDS-Free Generation,' Pledges More Than $150M For Global Efforts

In a speech delivered at the XIX International AIDS Conference in Washington, D.C. on Monday, U.S. Secretary of State Hillary Clinton “underscored the United States’ commitment to achieving an ‘AIDS-free generation’ and announced more than $150 million in additional funding,” Politico reports (Norman, 7/23). “‘I’ve heard a few voices from people raising questions about America’s commitment,’ she said, adding, ‘We will not back off. We will not back down,’” according to The Hill’s “Healthwatch” (Viebeck, 7/23). Of the $150 million pledged, “$80 million will be dedicated towards preventing mother-to-child transmission abroad, with the goal of eliminating it by the year 2015”; “[a]nother $40 million is allotted for voluntary male circumcision in Africa to decrease risk of transmission of the virus”; “an additional $15 million [will] fund research on interventions”; “$20 million [is] to bolster country-led efforts to expand HIV-related services”; and “$2 million [will go] towards civil society groups to reach key populations affected by HIV,” ABC News writes (Duwell, 7/23). “Clinton said she had commissioned [U.S. Global AIDS Coordinator Ambassador Eric Goosby] to produce a blueprint for the way ahead,” the Guardian notes (Boseley, 7/23). “Goosby’s deadline is the upcoming World AIDS Day, Dec. 1,” Inter Press Service adds (Biron, 7/23).

RECENT RELEASE: Kaiser Family Foundation/Washington Post Poll Shows Positive News About Public Opinion And HIV

As the XIX International AIDS Conference convenes in Washington, D.C., Kaiser Family Foundation (KFF) President and CEO Drew Altman highlights positive news about public opinion and HIV from KFF’s new survey of the American people conducted with the Washington Post in his latest “Pulling It Together” column. He says that “the American people get most of the essentials about the HIV epidemic right (but not necessarily all of the details)” and highlights some of the survey’s findings. Altman also explores factors possibly contributing to the public’s understanding of the epidemic, including media coverage, personal contact with people living with HIV, and advocacy and education efforts. Though “there is a long way to go in the effort to end the epidemic here and abroad … there is a foundation of basic public knowledge and support which will serve the HIV effort well in years ahead,” he concludes (7/23).

RECENT RELEASE: Kaiser Family Foundation/JAMA Infographic Examines 30 Years Of HIV/AIDS

The Kaiser Family Foundation (KFF) in partnership with the Journal of the American Medical Association (JAMA) has launched a new monthly infographic series, titled Visualizing Health Policy, which will provide visual snapshots of data that illuminate health policy issues, according to a KFF announcement (7/23). July’s Visualizing Health Policy looks at the state of the HIV/AIDS epidemic after three decades, and is published in the July 25 edition of JAMA, released at the XIX International AIDS Conference in Washington, D.C., the KFF website notes (7/23). The infographic includes global estimates of HIV prevalence, donor government funding for HIV/AIDS in developing countries, rates of new HIV diagnoses in the United States by race/ethnicity, and how the public’s perception of HIV/AIDS as the most urgent public health problem has diminished over time (7/23).

OPINION: U.S. Should Reconsider Ban On Funding Needle-Exchange Programs

Noting that former British Prime Minister Margaret Thatcher’s special cabinet committee on AIDS in 1986 “decided there should be clean needle exchanges for injecting drug users (IDUs) to prevent the spread of HIV,” Norman Fowler, a member of the British House of Lords and former British health secretary, writes in The Hill’s “Congress Blog,” There is no question that needle exchanges and drug substitution have reduced HIV: only two percent of new infections in Britain now come through that route.” In addition, “The policy has neither encouraged drug taking nor crime. Similar reports come from other nations that have adopted this approach,” he says, continuing, “Tragically, not all nations have followed such a lead,” including the U.S. and the Ukraine. Fowler adds, “If the U.S. was to reconsider [its recently reinstated] ban [on funding domestic and international needle exchanges] and recognize that without needle-exchange programs it is impossible to provide full protection from the spread of HIV and the death and suffering that goes with it, it would send a message around the world” (7/20).

OPINION: PEPFAR Funding Trends 'Worrisome'

Michael Merson, director of the Duke Global Health Institute, writes in The Hill’s “Congress Blog” that much of the progress in the fight against HIV/AIDS “has been made — and the lives of millions of people saved — because of PEPFAR, … [t]he largest ever global investment in health by the United States government.” With PEPFAR’s “aggressive new goals” — to provide antiretroviral drugs to six million people in low- and middle-income countries, “fund 4.7 million male circumcisions and provide antiretroviral therapy to 1.5 million HIV-infected pregnant women by 2013” — “[w]e need to ask: Are we setting ambitious goals that we’re not prepared to fund or meet? Are we setting up one of our country’s greatest successes for failure?” Merson asks. He notes that “PEPFAR funding has flatlined despite these new targets and is not nearly enough to maintain progress and continue reducing new HIV/AIDS cases and deaths” and that “uncertainty” surrounds the “commitment by Congress” and the outcome of the presidential election. Saying that “PEPFAR itself also needs to continue to adjust its priorities,” Merson states that “treatment, prevention, care, health system capacity and scientific research to develop an HIV vaccine require financial commitment, strong political will and investment in resources from all stakeholders. Let us not fall behind now and bring back the suffering of the past” (7/20).

OPINION: Thanking U.S. Taxpayers For Their Contribution To Global Health

“[F]olks in Kansas City, Memphis, Selma, El Paso and all across America need to know that you are, indeed, keeping nearly six million men, women and children alive with your tax dollars,” Laurie Garrett, senior fellow for global health at the Council on Foreign Relations, writes in the Huffington Post “Impact” blog, adding, “Actually, the total is much larger than that, America, because six million is just the number of people that are every single day taking anti-HIV medicines that they receive through programs that you fund.” She notes that American tax money pays for HIV prevention campaigns worldwide and medical research on antiretroviral drugs, diagnostic tests and other advances. “Though other countries and private donors contribute to the prevention and treatment of AIDS, none can match the sheer scale of what America is doing,” Garrett writes, adding, “A mere $6.6 billion this fiscal year — out of a total U.S. budget of $3.8 trillion — is the cost of our modern day, life-giving packages.” She concludes, “That’s 0.16 percent of the federal budget, to save millions of lives. What a bargain” (7/20).

OPINION: Momentum In HIV/AIDS Fight Must Continue And Extend To Other Diseases

Noting the successes of PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria, former President George W. Bush writes in a Washington Post opinion piece that “[a]n important byproduct of this massive effort on HIV/AIDS has been the improvement of African health systems,” which “has raised an exciting prospect: to extend the gains on AIDS to other diseases.” Bush also discusses his work with the Pink Ribbon Red Ribbon, a public-private partnership initiative spearheaded by the Bush Institute to save women from breast and cervical cancer. Over the past decade a “global effort” has saved millions of lives, he says, adding, “It would be a sad and terrible thing if the world chose this moment to lose its focus and will.” Bush concludes, “Other countries and local governments in Africa can do more in providing resources and increasing funding … [b]ut to continue the momentum in the fight against AIDS, America must continue to lead” (7/22).