“What stands out in my mind from this week’s presentations [at the XIX International AIDS Conference (AIDS 2012)] is that [HIV] interventions previously proved to work in controlled clinical trials are now — over and over again — proving effective outside the research setting, in the real world, in poor and rich communities alike. The pieces are coming together,” Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, writes in a Washington Post opinion piece. He discusses several of the interventions, including the scale up of antiretroviral therapy (ART), treatment as prevention, voluntary medical male circumcision, and pre-exposure prophylaxis (PrEP). “Ending the HIV pandemic is an enormous and multifaceted challenge, but we know it is possible,” Fauci writes, adding that it will require “commitment” and “investments.” He continues, “We must enhance what works and eliminate what does not, overcome legal and political barriers, and remove the stigma associated with HIV.” Fauci concludes, “The global community has a historic opportunity based on solid scientific evidence to end the AIDS pandemic, opening the door to an AIDS-free generation” (7/26).
“It is outrageous that, in 2012, when we have everything we need to beat AIDS, we are still fighting prejudice, stigma, and exclusion,” UNAIDS Executive Director Michel Sidibe writes on the Human Rights and HIV/AIDS “Now More Than Ever” blog, adding, “It is my daily reminder that the AIDS response is not just about an epidemic; the AIDS response is, has been, and must be, an instrument to fight for social justice.” He concludes, “[O]ur common aspiration is clear: a world where no one gets infected with a preventable virus, no one dies of a treatable disease, and no one faces discrimination for a health condition. We have tools to stop HIV transmission, deaths and discrimination. Human rights demand that we deliver these tools to every community and person affected. By doing so, we help to transform societies into the inclusive places they should be” (7/25).
With Africa’s “emerging position in the global order, … [a]stute African leaders are striving to ensure that this realignment delivers a new paradigm of partnership for sustainable health development — a partnership that is led by Africa, for Africans, through African-sourced solutions,” UNAIDS Executive Director Michel Sidibe writes in a Huffington Post “Impact Blog” opinion piece. The African Union is taking steps “to reduce the continent’s dependence on foreign solutions and foreign ‘aid’ while adopting and scaling up development solutions that have been proven to work in different African countries, and finding better and more sustainable approaches to financing them,” he states. “It makes a lot of sense to apply such an approach to addressing three killer diseases: AIDS, tuberculosis (TB) and malaria,” he continues, adding that “the overreliance of Africa’s AIDS response on foreign investments, foreign drugs and foreign solutions must be addressed.”
Lawrence Altman, former senior medical correspondent for the New York Times, writes in an opinion analysis in the newspaper that while there was much discussion about “ending the AIDS epidemic” and an “AIDS-free generation” at the XIX International AIDS Conference (AIDS 2012) last week in Washington, D.C., “[o]ne obstacle is a failure to clearly define the epidemic or what it means to have an AIDS-free generation.” He continues, “Definitions of terms like these may help determine how many billions of dollars the world devotes to the battle against AIDS and how many millions of lives will be extended. A failure to meet ill-defined goals could lead to public misunderstandings that limit investments and the number of people who have access to the lifesaving antiretroviral drugs in the future.”
“The International AIDS Conference [AIDS 2012] was full of talk of hope and best practices, but no one was giving details on how to reach an ‘AIDS-free generation,'” GlobalPost correspondent John Donnelly writes in this post in the “Global Pulse” blog. “Still, this conference, like many before it, had several key moments when it was clear that the world of AIDS had changed,” he adds, and highlights a summit of faith groups organized by Rick and Kay Warren of Saddleback Church and held on the sidelines of the conference. “Saddleback’s work in Africa follows what it calls the PEACE Plan, which stands for planting churches that promote reconciliation; equipping servant leaders; assisting the poor; caring for the sick; and educating the next generation,” he notes.
In her “Global Health Blog,” Guardian health editor Sarah Boseley notes that she spoke with USAID Administrator Rajiv Shah during last week’s XIX International AIDS Conference (AIDS 2012). She writes that though he “has a very clear vision of where USAID is going and what it hopes to achieve … [h]e appears to be a little concerned, however, that Europe may not keep pace — particularly on the finance but perhaps also on the approach.” She continues to say “Shah’s main anxiety is clearly … about the diminishing funding from European allies for the efforts to turn the tide of AIDS … but also about the financial commitment to global health generally.”
In this post in The Hill’s “Congress Blog,” Mark Dybul, former U.S. global AIDS coordinator, examines “whether the U.S. should continue its efforts to increase support to local hospitals, governments and faith- and community-based groups in developing countries to promote self-sufficiency so that, over time, countries take over responsibility for the health and well-being of their citizens.” Dybul notes the Bush Administration “began a significant push in this direction” with PEPFAR and the Millennium Challenge Corporation and the Obama Administration “has picked up, evolved and expanded this strategy.” He writes, “The reason for the strong bipartisan agreement is rather simple: it’s the right thing to do for the American taxpayer to save and lift up more lives with the highest return on investment — and that, in turn, is good for our national economy and security” (7/20).
Noting the successes of PEPFAR and the Global Fund to Fight AIDS, Tuberculosis and Malaria, former President George W. Bush writes in a Washington Post opinion piece that “[a]n important byproduct of this massive effort on HIV/AIDS has been the improvement of African health systems,” which “has raised an exciting prospect: to extend the gains on AIDS to other diseases.” Bush also discusses his work with the Pink Ribbon Red Ribbon, a public-private partnership initiative spearheaded by the Bush Institute to save women from breast and cervical cancer. Over the past decade a “global effort” has saved millions of lives, he says, adding, “It would be a sad and terrible thing if the world chose this moment to lose its focus and will.” Bush concludes, “Other countries and local governments in Africa can do more in providing resources and increasing funding … [b]ut to continue the momentum in the fight against AIDS, America must continue to lead” (7/22).
RECENT RELEASE: Kaiser Family Foundation/Washington Post Poll Shows Positive News About Public Opinion And HIV
As the XIX International AIDS Conference convenes in Washington, D.C., Kaiser Family Foundation (KFF) President and CEO Drew Altman highlights positive news about public opinion and HIV from KFF’s new survey of the American people conducted with the Washington Post in his latest “Pulling It Together” column. He says that “the American people get most of the essentials about the HIV epidemic right (but not necessarily all of the details)” and highlights some of the survey’s findings. Altman also explores factors possibly contributing to the public’s understanding of the epidemic, including media coverage, personal contact with people living with HIV, and advocacy and education efforts. Though “there is a long way to go in the effort to end the epidemic here and abroad … there is a foundation of basic public knowledge and support which will serve the HIV effort well in years ahead,” he concludes (7/23).
In this post in the Huffington Post’s “Opportunity” blog, Orin Levine, executive director of the International Vaccine Access Center (IVAC), examines “some of the available facts on global health and jobs in swing states and [presents] three reasons why the presidential campaigns should pay more attention to global health than they have so far.” Levine writes, “According to the Duke Global Health Institute, in 2007, global health contributed an estimated 7,000 jobs, more than $500,000,000 in wages and salaries and had an economic impact of $1.7-2.0 billion on the North Carolina economy”; “[n]early one-half of all the funding for global health from [USAID] went to Virginia-based institutions — over $560 million in FY 2011 and 2012 alone,” which “no doubt provide jobs to hundreds of Virginians”; and “U.S. contributions to global health and policies towards regulation, research and investments that build systems in emerging market countries will have a major impact on thousands of jobs” in Pennsylvania, where “Merck, Pfizer, GlaxoSmithKline and others have major manufacturing, commercial and research presences” (7/20).