U.S. Ambassador to Nigeria Terence McCulley on Tuesday in Abuja, Nigeria, launched a five-year, $224 million USAID program, titled Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS), that aims to “increas[e] access to high-quality comprehensive HIV/AIDS and tuberculosis prevention, treatment, care and related services through improved efficiencies in service delivery,” the Daily Trust reports (Odeyemi/Odafor, 5/8).
UNAIDS on Tuesday launched a new campaign “aimed at ending new HIV infections among children by 2015 and ensuring mothers living with HIV remain healthy,” Xinhua reports (5/8). “The campaign, ‘Believe it. Do it.,’ is part of a global plan of action that was adopted last year at the U.N. High Level Meeting on AIDS, when world leaders committed to end new HIV infections among children by 2015,” the U.N. News Centre writes (5/8). “Each year, about 390,000 children become newly infected with HIV and as many as 42,000 women living with HIV die from complications relating to HIV and pregnancy,” according to a UNAIDS press release (5/8).
The New York Times examines the Cuban network of sanitariums created to house and treat people living with HIV, “to keep the infected from having sex with anyone uninfected and to help them die comfortably.” Inside the facilities, patients received food, their former salaries, and care, but they could only leave with escorts, the newspaper notes. According to the New York Times, the sanitariums “were harshly criticized — Dr. Jonathan Mann, the first AIDS director at the World Health Organization, called them ‘pretty prisons’ — but they had a huge damping effect on the early epidemic. Fewer than 150 new cases were detected in the country each year through 1990.”
Goosby Calls For ‘Extraordinary Resources’ To Be Put Into Male Circumcision To Prevent HIV Infection
Male circumcision is “a highly significant, lifetime intervention” to prevent HIV infection that deserves “extraordinary resources,” U.S. Global AIDS Coordinator Ambassador Eric Goosby on Monday told a meeting of 400 army officials from 80 countries in Africa, Eastern Europe and central Asia, Agence France-Presse reports. Studies have shown that male circumcision can significantly reduce the risk of HIV infection, the news agency notes, adding that the U.S. “is sponsoring programs in several African countries with a goal of circumcising four million men by 2013.”
“Despite many gains in the fight against AIDS, children still lag far behind adults in access to important medical services, including HIV prevention, care, and treatment,” Jen Pollakusky, communications analyst at USAID’s Bureau of Global Health Office of HIV/AIDS, writes in USAID’s “IMPACTblog,” noting that Monday marked the 10th anniversary of World AIDS Orphan Day. “By partnering with national governments, communities, and other organizations, USAID is committed to improving the lives of children orphaned and made vulnerable by AIDS — a critical step in the path to achieving an AIDS-free generation,” she writes, adding “we need to step-up our early intervention efforts for children under five years old” and “work with families to help them become more economically stable so they can access essential services and better provide for their children” (5/7).
The Center for Global Health Policy’s “Science Speaks” blog notes that PEPFAR recently released its 8th annual report (.pdf) to Congress. “The five-page document outlines the program’s progress as of the end of fiscal year 2011 in various areas,” including the provision of antiretroviral treatment, care, and support; HIV testing and counseling for pregnant women; and prevention of mother-to-child transmission services, the blog notes. The report includes sections on “leading with science,” “smart investments,” “country ownership,” and “shared responsibility,” according to the blog (Mazzotta, 5/4).
“While the battle against HIV/AIDS attracts more donor funding globally than all other diseases combined, it has not diverted attention from fighting unrelated afflictions — such as malaria, measles and malnutrition — and may be improving health services overall in targeted countries, according to a study on Rwanda published” Wednesday in the American Journal of Tropical Medicine and Hygiene, an American Society of Tropical Medicine and Hygiene (ASTMH) press release reports. “A six-year investigation of health clinics in Rwanda by researchers at Brandeis University infuses fresh evidence into a long-standing debate about whether the intensive focus on HIV/AIDS, which in 2010 alone killed 1.8 million people, is undermining other health services, particularly in African countries that are at the epicenter of the pandemic,” the press release states (5/2).
“In public comments [.pdf] submitted this week, a group of 14 leading HIV/AIDS and health organizations stated their support for Food and Drug Administration (FDA) approval of emtricitabine/tenofovir disoproxil fumarate [TDF/FTC] … as pre-exposure prophylaxis (PrEP) to prevent HIV infection in adult men and women,” a press release from AVAC: Global Advocacy for HIV Prevention states. “Modeling studies have shown that widespread access to PrEP could reduce new HIV infections, and thus the scale of the global HIV epidemic, substantially around the world,” the press release says, adding, “The FDA’s decision on TDF/FTC as PrEP could help pave the way for global health funders and developing countries to step up their planning for implementation” (5/1).
The Center for Global Health Policy’s “Science Speaks” blog rounds up results presented at a late breaker session at last week’s 2nd International Treatment as Prevention Workshop in Vancouver. The blog notes the session “offered some interesting insights relevant to HIV treatment scale up” (Lubinski, 4/30).
“Each year, nearly 400,000 children are born with HIV globally, and prevention of mother-to-child transmission (PMTCT) is a particular challenge in sub-Saharan Africa, an area characterized by weak health systems,” U.S. Global AIDS Coordinator Ambassador Eric Goosby writes in the State Department “DipNote” blog. “Last year PEPFAR and UNAIDS joined with other partners to launch the Global Plan, an initiative to eliminate new HIV infections among children and keep their mothers alive,” Goosby writes and reflects on a two-day mission to Nigeria with UNAIDS Executive Director Michel Sidibe last week. He concludes, “Preventing new HIV infections in children is a smart investment that saves lives, and the United States is proud to partner with Nigeria and other countries in this cause” (4/30).