The March issue of the WHO Bulletin features an editorial on global shortages of medicines; a public health round-up; an article on breast cancer awareness; a research paper on interventions for the prevention of mother-to-child HIV transmission in Kwa-Zulu Natal, South Africa; and a paper on the global burden of cholera (March 2012).
As part of its series of interviews with CDC staff working on global HIV and tuberculosis (TB) research and development, the Center for Global Health Policy’s “Science Speaks” blog spoke with Jordan Tappero, “who is currently serving as director for the Health Systems Reconstruction Office in the Center for Global Health, an office opened in response to the January 2010 earthquake in Haiti.” In the interview, “Tappero describes his early research in HIV and TB, thoughts on why Uganda is the only sub-Saharan African country not enjoying a reduction in HIV incidence, and how quickly HIV services were restored to people living in Haiti after the January 2010 earthquake,” according to the blog (Mazzotta, 2/29).
Republican Presidential Candidate Santorum Could Be Beneficial To Global Health Programs If Elected President
In the Republican campaign for the presidential nomination, former Sen. Rick Santorum (R-Pa.), “the most religiously conservative candidate, surprisingly, is the most fervent advocate for U.S. global health diplomacy,” Jack Chow, former U.S. ambassador on global HIV/AIDS and former assistant director-general of WHO on HIV/AIDS, tuberculosis, and malaria, writes in a Foreign Policy opinion piece. “Santorum has staked out global health as one of his preferred instruments of asserting American power abroad” and “seems determined to lay the groundwork for a global health agenda that is not only far more extensive than his competitors’, but would surpass both [George W.] Bush and Barack Obama in advancing U.S. interests abroad through fighting disease,” Chow writes.
“[T]oday, with the national debt approaching $14.7 trillion, Americans rightly demand fiscal responsibility. Yet efforts in Congress to cut billions from the president’s proposed budget for the State Department and the U.S. Agency for International Development (USAID) are short-sighted,” Sen. John Kerry (D-Mass.), chair of the Senate Foreign Relations Committee, writes in a Wall Street Journal opinion piece. He adds that “all of our foreign aid programs and foreign policy initiatives — from sending diplomats to Afghanistan to helping reverse the HIV/AIDS epidemic in Africa — cost less than one-tenth of our annual military expenditures” and “comprises a mere 1.5 percent” of President Obama’s FY 2013 budget request.
China’s State Council, or cabinet, on Wednesday “published the country’s AIDS Action Plan for the 12th Five-Year Program period (2011-2015) on the website of the Chinese government, http://www.gov.cn,” Xinhua/China.org.cn reports (2/29). According to the plan, “China hopes to cap the number of people living with HIV/AIDS at 1.2 million by 2015, up from around 780,000 at present,” by promoting condom use, reducing stigma and discrimination, and educating urban and rural populations, as well as local officials, about the disease, Reuters notes (Blanchard, 2/29). In addition, the plan aims to implement interventions among people at higher risk of infection, such as drug users, and increase the rates of HIV testing and treatment, according to Xinhua (2/29).
“People look to [the U.S.] to protect our allies; stand by our principles; serve as an honest broker in making peace; to fight hunger, poverty, and disease; to stand up to bullies and tyrants everywhere,” Secretary of State Hillary Rodham Clinton said on Tuesday in testimony to the Senate Appropriations Subcommittee on State, Foreign Operations, and Related Programs, and she added that to do so “takes more than just resolve. It takes resources,” ABS-CBNnews.com reports (Jaleco, 2/29).
Group Requests More Research, Better Communication From WHO On Use Of Hormonal Contraceptives, HIV Risk
“The International Community of Women Living with HIV (ICW) expressed concern Monday over the World Health Organization’s (WHO’s) Technical Statement on Hormonal Contraceptives and HIV (.pdf) and its accompanying press release,” the Center for Global Health Policy’s “Science Speaks” blog reports. “WHO released the statement last week — concluding that women living with HIV or at high risk of HIV can safely continue to use hormonal contraceptives to prevent pregnancy,” the blog writes. According to the blog, “The ICW is pushing for more research on the subject and increased communication to explain the risks involved to potential users of hormonal contraceptives” and “‘urgently’ demanded that the WHO correct the note for media the WHO released along with the technical statement, calling it inconsistent with the findings of the technical review panel” (Mazzotta, 2/28).
The Global Health Technologies Coalition (GHTC) — consisting of 40 global health research and advocacy organizations — on Tuesday held a congressional briefing to launch its third annual policy report, titled “Sustaining Progress: Creating U.S. policies to spur global health innovation,” GlobalPost’s “Global Pulse” blog reports (Donnelly, 2/28). The group is “warning deep cuts in the U.S. federal budget could reverse progress made on many diseases, including HIV/AIDS, tuberculosis and malaria,” VOA News writes (DeCapua, 2/28).
Two new reports from southern Africa’s Health Systems Trust show that pregnant women, infants, and people newly diagnosed with HIV infection are receiving more services, but the costs of care are increasing, PlusNews reports. The annual District Health Barometer shows that about half of infants born to HIV-positive mothers are being tested for the virus at six weeks; almost all pregnant women are tested for HIV, helping to lower the rate of mother-to-child HIV transmission to below four percent nationwide; and about 70 percent of people newly diagnosed with HIV receive screening for tuberculosis (TB), according to the news service.
Examining Link Between ‘Power Structures,’ Disease Spread Through Study Of Incarceration, HIV Treatment
In this Open Society Foundations (OSF) blog post, Daniel Wolfe, director of the International Harm Reduction Development Program at OSF, examines “the ways that power structures, rather than individuals, contribute to disease rebound and spread,” citing a recent study by MJ Milloy and colleagues, published in the journal JAIDS, “which shows the link between incarceration and the failure of HIV treatment.” Wolfe writes, “Milloy’s analysis showed that incarceration kick-started viral replication among patients who had previously had their HIV under control. The findings make the study one of a number of must-reads on how prison practices not only impact the health of inmates but communities at large” (2/27).