“Methadone treatment is proving to be the most efficient way to wean people in Bangladesh from addiction to buprenorphine, a pharmaceutical drug, and health experts say it should be expanded to reach thousands more drug users to prevent the spread of HIV,” IRIN reports. The news service notes that “illegal use of pharmaceutical substances, mostly buprenorphine, is on the rise” in the country. “Buprenorphine was intended to be used to wean injecting drug users, also known as people who inject drugs (PWID), from narcotics like heroin, but has itself become a substance of addiction, with users injecting a liquid form of it,” the news service notes, adding, “Methadone, a pain reliever, suppresses withdrawal symptoms and blocks craving.”
Programs, Funding & Financing
UNICEF Warns More Children Than Ever To Be Affected By Hunger In Sahel; PM Cameron Expected To Announce Nutrition Initiatives At Summit
“The number of malnourished children is set to hit a new high of 1.5 million in the Sahel next week as cholera and locusts emerge as new threats, UNICEF warned on Tuesday,” Agence France-Presse reports (8/7). According to VOA News, “International aid agencies report the situation is particularly critical in Niger where an estimated 400,000 children are expected to require life-saving treatment for severe, acute malnutrition this year.” UNICEF, other U.N. agencies, and international aid organizations “are hampered by a lack of funds,” the news service notes (Schlein, 8/7).
In this post in The Hill’s “Congress Blog,” Kent Campbell, director of the Malaria Control Program at PATH, and Jonathon Simon, chair of the Department of International Health and director of the Center for Global Health and Development at the Boston University School of Public Health, write that “major progress has been made in the fight against malaria, thanks in large part to the efforts of the President’s Malaria Initiative (PMI),” and call the effort “a shining example of the profound impact the U.S. is making in global health.” They highlight a “recent external review of the first five years of its work,” which “shows substantial progress toward PMI’s goal of cutting malaria deaths by half in 15 African countries.”
The Devex “Development Newswire” examines how disagreements over how to administer global food aid programs is affecting negotiations over a FY 2013 version of the U.S. farm bill. “The farm bill provides for the U.S. Agency for International Development-administered Food for Peace program, which received around $1.5 billion in fiscal year 2012, as well as the McGovern-Dole International Food for Education and Child Nutrition Program, funded at around $200 million,” the news service notes, and writes, “At 0.5 percent or 0.6 percent of the nearly trillion-dollar farm bill, global food aid is ‘barely a rounding error,’ said Lucas Koach, policy adviser at Food for the Hungry.” It continues, “If a new five-year farm bill is not passed, shorter interim bills could succeed, or there could be a continuing resolution to renew funding at 2008 levels,” adding, “If none of those options is in place by the last day of September, the farm bill reverts to statutory language from the 1940s” (Brookland, 8/7).
“The global effort to eradicate polio received a SEK 1 million [about $150,000] boost today as Melinda Gates, co-chair of the Bill & Melinda Gates Foundation, dedicated the monetary award she accepted from the TÃ¤llberg Foundation to Rotary International — a humanitarian service organization that has made a polio-free world its top priority,” according to a Gates Foundation press release. “Rotary International has been an invaluable champion for bringing the world more than 99 percent of the way toward a polio-free world, and will continue to be in the final steps to success,” Gates said, according to the press release (8/6).
U.S. Secretary of State Hillary Clinton on Tuesday visited officials in South Africa and discussed the response to HIV/AIDS, the Associated Press/Huffington Post reports. Speaking with Foreign Minister Maite Nkoana-Mashabane “in the second cabinet-level strategic dialogue between the two nations,” Clinton said “that global efforts to stop the virus ‘have saved hundreds of thousands of lives,'” the news service writes. “In South Africa, 5.7 million people — 17.8 percent of the population — have tested positive for HIV,” and PEPFAR “has spent $3.2 billion on antiretroviral drugs and HIV prevention programs in [the country] since 2004,” according to the AP.
Inter Press Service reports on the successful efforts of Tanzania’s Kigoma Region “to train assistant medical officers to conduct life-saving c-sections at its rural health centers,” allowing pregnant women with complications to deliver at more local facilities instead of having to travel to regional or district hospitals. Tanzania’s maternal mortality rate is high, at 578 deaths for every 100,000 live births, IPS notes. “[A]t one point the Kigoma Region had the highest rate in the country, at 933 per 100,000 live births in the early 1980s,” but “maternal mortality in this region [now] is considered to be lower than in the rest of the country,” according to the news service.
Science looks back at the XIX International AIDS Conference (AIDS 2012), which ended last week in Washington, D.C., writing, “The battle against HIV is having more success than ever. … But several presentations made clear that a gulf separates aspirations from reality when it comes to ‘ending AIDS,’ which [Secretary of State Hillary] Clinton and many other prominent speakers at the conference emphasized was now possible.” Though more people are on antiretrovirals (ARVs) now than ever, low- and middle-income countries are spending more on HIV/AIDS, and “attempts to find a cure — long viewed as a fantasy — now lead the scientific agenda,” most “of the 34 million HIV-infected people in the world do not take ARVs, many receiving treatment have trouble staying on the medication, … new infection rates continue to climb in key populations,” “[n]o AIDS vaccine is on the horizon,” and “funding shortfalls loom for global programs,” Science writes, quoting several speakers at the conference and providing more detail on the successes and challenges in the response against HIV/AIDS (Cohen, 8/3).
In a series of “News Focus” articles in Science, the magazine examines the global effort to eradicate polio. One article examines the Global Polio Eradication Initiative (GPEI) — a partnership of the WHO, Rotary International, UNICEF, the CDC, and the Bill & Melinda Gates Foundation — and recent reports on the program by an Independent Monitoring Board (IMB), “an oversight body” that provides feedback and guidance. A second and third article look at efforts to vaccinate children against polio in Pakistan, which “is the perfect case study for why it is so hard to eradicate poliovirus from its last few strongholds — and what it might take to pull it off.” The WHO’s Chris Maher “and others attribute the explosion of cases last year to a perfect storm of all the problems that are Pakistan: poverty and illiteracy; a health system in tatters; ethnic and sectarian violence; a government struggling to deal with corruption and dysfunction; huge population movements; and, especially since 9/11, rising extremism and anti-Western views — not to mention the natural attrition that accompanies any program that has dragged on for so long,” according to Science (Roberts, 8/3).
“The United States announced Thursday it would hike its humanitarian aid to Syria, adding another $12 million to provide food, water, medicine and other necessities for battered and displaced people” affected by violence in the Syrian conflict, the Los Angeles Times blog “World Now” reports. “The increase approved by the Obama administration brings American humanitarian assistance in Syria to more than $76 million, including $27.5 million to the World Food Programme [WFP], roughly $18 million for the United Nations refugee agency and the rest split among other U.N. funds and non-profit groups,” the blog writes (Alpert, 8/2).