The Center for Global Health Policy’s “Science Speaks” blog continued its coverage of the 2nd International Treatment as Prevention Workshop in Vancouver. One post describes a presentation by Zunyou Wu, director of the Chinese Center for Disease Control and Prevention (CDC), who “offered … new information about China’s response to new evidence on treatment as prevention” (Lubinski, 4/25). A second post discusses a presentation by Vladimir Novitsky of the Harvard School of Public Health, who “offered … a snapshot of a four-year treatment as prevention study planned for Botswana (Lubinski, 4/25). “Chewe Luo, a senior adviser for UNICEF, discussed efforts to eliminate vertical HIV transmission from the perspective of treatment as prevention,” according to a third post (Lubinski, 4/26). Finally, Stephen Lawn of the London School of Hygiene and Tropical Medicine “reminded the audience … that antiretroviral therapy (ART) goes a long way to protect HIV-infected individuals from tuberculosis (TB),” a fourth post notes (Lubinski, 4/26).
“Southern African governments could use public spending in their battle against the extremely high rates of HIV/AIDS in their countries and still achieve a positive economic impact, argues a new paper [.pdf] from the African Development Bank (AfDB),” an AfDB press release states. The paper, titled “The Role of Fiscal Policy in Tackling the HIV/AIDS Epidemic in Southern Africa,” examines the cases of Botswana, Lesotho, and Swaziland, which have the highest adult HIV prevalence in the world, and says these countries could increase productivity and gross domestic product (GDP) through “[g]overnment fiscal action on HIV/AIDS treatment,” according to the press release. “Acting optimally, the debt burden of Botswana, Lesotho and Swaziland could be alleviated by five percent, one percent and 13 percent of GDP respectively, says the report,” the press release states (4/25).
“More than 400 Kenyan AIDS activists have demonstrated in the capital, Nairobi, demanding that the U.S. President’s Emergency Plan for AIDS Relief release some $500 million for HIV programs in Kenya that is stuck in the pipeline,” PlusNews reports. “The U.S. government recently revealed that close to $1.5 billion has been in the global PEPFAR pipeline for more than 18 months,” the news service notes, adding that the allocation to Kenya is the largest. According to the news service, “The protestors presented a memorandum listing their demands to U.S. Ambassador to Kenya Scott Gration, head of PEPFAR-Kenya Katherine Perry, Kenya’s Director of Public Health Shahnaz Sharif, and other senior Ministry of Health officials.”
“President Obama and his GOP challenger Mitt Romney have both prioritized deficit reduction, which, of course, is a worthy goal,” former Senate Majority Leader Bill Frist (R-Tenn.), chair of the non-profit Hope Through Healing Hands, writes in an opinion piece in The Week. “[M]any surveys put global health at the top of the list of things to slash. That’s a mistake,” he continues and lists five reasons why global health programs “ought to be spared the chopping block.”
In remarks to the U.N. Commission on Population and Development, which on Monday opened a week-long session in New York, U.N. Secretary-General Ban Ki-moon “stressed the need to provide reproductive health care for young people, as well as give them access to the necessary information and the means to protect themselves from sexual abuse and violence,” the U.N. News Centre reports. Ban “underlined the importance of combating HIV/AIDS among youth, lowering the rates of teenage pregnancies, and protecting children from early marriage” the news service writes (4/23). “In order to empower the youth of the world, said Ban, the international community must ensure that they have jobs and resources, including reproductive health care,” Xinhua/Mysinchew.com notes (4/23).
“Kenya’s High Court ruled on Friday that lawmakers must review legislation that could threaten the import of generic drugs, allowing Kenyans to continue accessing affordable medicine,” Reuters reports. In 2009, three people living with HIV filed a lawsuit arguing that the definition of counterfeit drugs in Kenya’s Anti-Counterfeit Bill of 2008 was too broad and “unconstitutional because it threatened access to life-saving generic medicine by confusing generic and fake medicine,” the news agency notes (4/20).
Strategic Innovations Will Help Prevent HIV Transmission From Mothers To Children, High-Level Meeting Attendees State
At a High-Level Meeting on Innovation for Elimination of Mother to Child Transmission (EMTCT) on Friday in Washington, D.C., “HIV experts, business leaders, aid agencies and ambassadors of 22 priority countries — home to 90 percent of new HIV infections among children –” agreed that strategic innovations are necessary to curb the spread of the virus from women to their children, PANA/Afrique en Linge reports. “The priority countries are Angola, Botswana, Burundi, Cameroon, Chad, Cote d’Ivoire, Democratic Republic of Congo, Ethiopia, Ghana, India, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Tanzania, Uganda, Zambia and Zimbabwe,” the news service notes.
UNAIDS on Thursday “called on all countries to implement new [WHO] guidelines that encourage couples to go together for HIV testing to ascertain their status” and recommend offering antiretroviral therapy (ART) to people living with HIV who have a partner without HIV, “even when they do not require it for their own health,” the U.N. News Centre reports. UNAIDS Executive Director Michel Sidibe said, “I am excited that with the rollout of these new guidelines, millions of men and women have one additional option to stop new HIV infections. … This development begins a new era of HIV prevention dialogue and hope among couples” (4/19). “Earlier treatment, of course, will need more money for more drugs for more people,” Guardian Health Editor Sarah Boseley writes in her Global Health Blog, adding, “Campaigners will be looking anxiously to the reviving fortunes of the Global Fund to Fight AIDS, Tuberculosis and Malaria, as well as the prospects for more money for PEPFAR” (4/19).
This year’s International Microbicides Conference, held this week in Sydney, “will be the last of its kind” because “[f]rom 2014 onwards, it is planned, a single biennial conference on all aspects of HIV prevention will be held,” according to an aidsmap news story. In a closing plenary session, representatives of the Bill & Melinda Gates Foundation and the NIH Office of AIDS Research, the two largest funders of HIV prevention research, “said they were proposing an ‘integrative prevention meeting’ in recognition of the fact that no one HIV prevention method is likely to end the epidemic and that different methods can be synergistic,” the news service writes (Cairns, 4/18).
To Achieve AIDS-Free Generation, Needs Of Youth Living With HIV Must Be Addressed In Transition Services
In this post in USAID’s “IMPACTblog,” Heather Bergmann of John Snow Inc., who is the technical officer for USAID’s AIDSTAR-One project, reports on the need to include youth in transition services for adolescents living with HIV. She writes, “Without proper support, many young people can become overwhelmed, a response that can challenge adherence to AIDS medicines and lead to negative health consequences. This is why it’s imperative to create health services that are appropriate and accessible for youth living with HIV.” She adds, “Achieving the goal set out by Secretary of State Hillary Clinton last year of reducing new HIV infections in children and achieving an AIDS-free generation requires addressing the needs of youth with services that are delivered in ways and in places that are accessible, welcoming, and supportive” (4/19).