Though many pregnant women are aware that treatment could save their lives and the lives of their infants if they test HIV-positive during prenatal care, a new study and literature review have found that a “[f]ear of being stigmatized as an AIDS patient is still a major barrier to good medical care for pregnant young women in many countries,” the New York Times reports. The study, published last week in PLoS Medicine, was “based on a survey of 1,777 women in rural Nyanza Province in Kenya,” according to the newspaper, which adds, “Only 44 percent of mothers in the province delivered in clinics, and the study found that a major obstacle was that they feared HIV tests.” The study’s author, Janet Turan, a professor of public health at the University of Alabama at Birmingham, in July also published “a review of multiple studies in many countries” that documented multiple accounts of “stigmatizing behavior,” the newspaper notes (McNeil, 8/27).
Ethiopian Government Working To Improve Access To Clean Toilets, Safe Water For People Living With HIV
PlusNews examines how a lack of access to clean toilets, safe drinking water, and “information on the prevention of common opportunistic infections means many Ethiopians living with HIV continue to contract easily preventable diseases.” The news service writes, “According to the [non-governmental organization (NGO)] Wateraid, people living with HIV are often unable to access community water sources or latrines because of stigma and discrimination.” Following calls from experts for the nation to address water and sanitation issues related to HIV care and treatment programs, the Ethiopian government “has laid out ambitious plans for water, sanitation and hygiene through its Universal Access Plan II, which seeks to reach 98.5 percent of its population with access to safe water and 100 percent with access to sanitation by 2015” and “is also drafting a document called ‘Guidelines to Integrate Water, Sanitation and Hygiene into HIV Programmes,’ which lays the groundwork for incorporating safe water, sanitation and hygiene practices into all HIV care services being delivered at all levels,” PlusNews reports (8/27).
Dominican Republic Establishes Commission To Examine Implications Of Including ART In Country Health Plan
“The Dominican Republic is one step closer to ensuring that all people living with HIV access treatment,” UNAIDS reports in an article on its webpage, adding, “The country’s National Social Security Council has established a commission to look into the technical, financial and operational implications of including antiretroviral therapy (ART) in the Basic Health Plan.” According to the article, “[t]he establishment of the commission comes after a financial feasibility study about covering people living with HIV under the country’s family health insurance,” and “[t]he newly-established commission — whose membership includes several national health system offices in addition to regional and global partners such as PAHO and UNAIDS — is set to complete its work during the last quarter of 2012” (8/23).
“Over the 30 years of the AIDS epidemic, the disease has had a profound impact on every country in the world,” and “in each country, that impact is experienced a different way,” Vivek Anand, CEO of the Humsafar Trust, and Kenneth Mayer, medical research director of Fenway Health and co-director of the Fenway Institute, write in this post in Huffington Post’s “Gay Voices” blog. “But one reality remains: In nearly every country, HIV rates are disproportionately high in gay and bisexual men, as well as men who have sex with men (MSM) who do not identify as either,” they continue, adding, “The full scope of the epidemic simply cannot be addressed until we recognize that there is no country in the world where we can overlook the MSM population.”
“Researchers have identified a mysterious new disease that has left scores of people in Asia and some in the United States with AIDS-like symptoms even though they are not infected with HIV,” the Associated Press reports. “This is another kind of acquired immune deficiency that is not inherited and occurs in adults, but doesn’t spread the way AIDS does through a virus, said Dr. Sarah Browne, a scientist at the National Institute of Allergy and Infectious Diseases,” who “helped lead the study with researchers in Thailand and Taiwan where most of the cases have been found since 2004,” according to the news service. “Researchers are calling this new disease an ‘adult-onset’ immunodeficiency syndrome because it develops later in life and they don’t know why or how,” AP writes, adding, “The fact that nearly all the patients so far have been Asian or Asian-born people living elsewhere suggests that genetic factors and something in the environment such as an infection may trigger the disease, researchers conclude” (Marchione, 8/22).
“Preachers who promise divine healing have often been blamed for turning desperate HIV-positive people against their life-prolonging antiretroviral (ARV) medication and risking their health, but recent research suggests that religious beliefs may not be a barrier to treatment after all,” IRIN/Plus News reports. “A survey published in the medical journal HIV Medicine in June found that strong religious beliefs about faith and healing among black Africans living in London were unlikely to act as a barrier to accessing HIV testing and ARV treatment,” the news service writes, adding, “The 246 respondents described themselves as Christians, including Roman Catholics, and Muslims. Only 1.2 percent said they did not belong to a religion.” “The results reinforce previous African studies, which found that the decision to start treatment is usually based on the level of education and knowledge of ARVs, rather than religion,” the news service notes (8/22).
“Researchers at 14 institutions will explore new approaches to designing a vaccine against HIV with awards that are part of an anticipated four-year, $34.8 million initiative, the National Institute of Allergy and Infectious Diseases [NIAID] announced [Tuesday],” the Center for Global Health Policy’s “Science Speaks” blog reports. “The awards reflect directions suggested by previous research, as well as the need to explore new avenues toward a vaccine, NIAID Director Dr. Anthony Fauci told Science Speaks,” the blog writes. “‘There are some remaining important facts that we don’t know about HIV,’ Fauci said,” adding, “There are many fundamental questions that remain unanswered,” according to the blog. “The awards are intended to allow researchers to ask those questions, he said,” the blog notes (Barton, 8/21).
A Lancet editorial discusses the agenda of the XIX International AIDS Conference (AIDS 2012) in Washington last month and asks how the success of the conference will be judged at the XX International AIDS Conference (AIDS 2014), to be held in Melbourne, Australia. “The return of the conference to the U.S. after 22 years, [was not only] a focus for celebration, but also provided a platform for vocal objection to the ban on injecting drug users and sex workers from entering the U.S.,” the editorial states, adding that “the absence of these groups from the meeting is rightly seen by many as a hindrance to developing approaches to combat the epidemic in regions where the disease is concentrated in these populations.”
On World Humanitarian Day, recognized August 19, “United Nations Secretary-General Ban Ki-moon has highlighted the power of individual actions to spark global changes, and praised the work of humanitarian workers who provide assistance to vulnerable people around the world,” the U.N. News Centre reports (8/17). In a press release, “UNICEF called on all parties in conflicts around the world to allow humanitarian workers safe, unimpeded access to reach children and women in need” (8/19). “World Humanitarian Day gives us the opportunity to show our appreciation to the thousands of workers … who are working every day in difficult circumstances,” the WHO writes in an article on its webpage, noting, “Health is one of several critical dimensions of humanitarian response, and the sustainable recovery of people under hardship” (August 2012).
“During the recent [XIX International AIDS Conference (AIDS 2012)] in Washington, D.C., exciting breakthroughs in HIV prevention, treatment, and care — even a possible cure — took center stage,” but, “despite recent advances, many men and women remain at risk of HIV as a result of structural issues that fuel and have an impact on the epidemic,” Molly Fitzgerald, technical advisor for AIDSTAR-One, writes in this post in USAID’s “Impact Blog.” “Addressing gender inequality, poverty, stigma, and other social, economic, cultural, and legal factors is necessary to create an ‘enabling environment’ for these promising biomedical and behavioral interventions,” she continues, noting, “There is increasing agreement worldwide that structural issues are too often overlooked where HIV prevalence remains high” (8/16).