Medecins Sans Frontieres (MSF), the largest provider of antiretroviral treatment (ART) in Burma, also known as Myanmar, are calling for the gap between the need for and access to ART in the country to be closed, the Guardian reports. Approximately 240,000 people live with HIV in Burma, and doctors say half are in need of “urgent” ART, but national data estimates less than 30,000 were receiving ART in 2010, the newspaper writes, adding, “In a country where nearly 33 percent of people live below the poverty line, thousands of Burmese are unlikely ever to be able to afford ART, which, according to [MSF], cost $30 a month.”
The Global Fund to Fight AIDS, Tuberculosis and Malaria “expects to have an additional $1.6 billion to fund projects in 2012-2014, [the fund's General Manager Gabriel Jaramillo] said on Wednesday, a turnaround from a funding freeze last year,” Reuters reports (Miles, 5/9). “The new funds are a result of ‘strategic decisions made by the Board, freeing up funds that can be invested in countries where there is the most pressing demand,’ a statement by the fund said,” according to PlusNews (5/10). “The money includes funds from new donors, from traditional donors who are advancing their payments or increasing contributions and from some donors, such as China, that have offered to support projects in their own country to free up cash for more pressing needs elsewhere, Jaramillo said,” Reuters notes (5/9). “This forecast is better than expected, and it comes from the fantastic response we are getting to our transformation,” Jaramillo said, adding, “But we need more to get the job done. Countries that implement our grants are saving more and more people, but demand for services is still enormous,” according to the statement (5/9).
GlobalPost reports on the GBCHealth Conference, which took place in New York City on Monday and where “panelists at a session titled ‘AIDS@30’ were asked how they would fulfill U.S. Secretary of State Hillary Clinton’s call late last year for an ‘AIDS-free generation.’” According to the news service, “Ambassador Eric Goosby, the U.S. global AIDS coordinator, said the key will likely be a combination HIV prevention strategy” that “includes expansion of treatment to help prevent new infections; major scale-up of male circumcision; and treating all HIV-positive pregnant women to end the transmission of HIV from mother to child.” GlobalPost adds, “Michel Sidibe, UNAIDS executive director, said the way to defeat AIDS had to include more financial contributions from developing countries.” GlobalPost quotes several other conference attendees (Donnelly, 5/15).
More Research Needed Into How Transgender Persons In Asia, Pacific Affected By HIV, Stigma, Report Says
A report released Thursday in Bangkok by the United Nations Development Programme (UNDP) and the Asia Pacific Transgender Network (APTN) says more research needs to be conducted to determine the extent to which transgender persons in Asia and the Pacific are affected by HIV, are socially ostracized, and lack fundamental rights, including access to basic health care, a UNDP press release reports. The report, released to mark the International Day Against Homophobia and Transphobia, is “a comprehensive review of material gathered from across the region over the past 12 years” and “emphasizes that inclusive research, designed and implemented in partnership with the transgender community, is critical to enable governments, community-based organizations and supporting organizations to enhance HIV and sexual health care services specific to the needs of transgender people, and foster action by governments to adopt more socially equitable policies and practices to protect their rights,” according to the press release (5/17).
“As Washington prepares for a major international AIDS conference this summer, developments on the drug front are once again elevating the subject of the continuing epidemic in the public eye,” CQ HealthBeat reports. The article mentions an FDA panel’s recent recommendation for the approval of Truvada for pre-exposure prophylaxis (PrEP) to prevent HIV among healthy people at risk of contracting the virus and a bill (S 1138) introduced last week by Sen. Bernie Sanders (I-Vt.) aimed at reducing the cost of antiretroviral drugs (ARVs). The bill, which is focused on the cost of ARVs in the U.S., would “create a $3 billion ‘prize fund,’ through which [pharmaceutical] firms that bring a new HIV or AIDS medicine to market would get awards” in exchange for relinquishing patent rights to the drug, according to CQ (Norman, 5/18).
“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 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.”
U.N. Says Asia Pacific Region Making Strides Against HIV/AIDS, Must Address Social And Legal Barriers To Treatment, Prevention
The U.N. Economic and Social Commission for the Asia Pacific (ESCAP) on Monday in Bangkok “opened a three-day meeting lauding impressive gains in recent years in the fight against HIV/AIDS,” but the body cautioned “there are still legal and social barriers that significantly set back eradication efforts,” VOA News reports. U.N. ESCAP Executive Secretary Noeleen Heyzer “note[d] the gains are uneven and there are still gaps in the goal of universal access to HIV treatment,” the news service writes.
President Barack Obama’s December 1 World AIDS Day speech “could be pivotal, but only if it is followed by changes in how we tackle global AIDS,” Chris Collins, vice president and director of public policy at amfAR, The Foundation for AIDS Research, writes in this Huffington Post “Global Motherhood” opinion piece. “Obama signaled a renewed U.S. commitment to funding for global AIDS programs at a time when resources at home are constrained and other countries are backing away from the fight,” he writes, adding, “Now it’s time to plot a course for implementing the president’s vision.”