Bloomberg Examines Aid Shortfall In Philippines; Clinton Commits Additional $5.2M During Visit Bloomberg examines the U.N.’s continued appeal for aid for the people of the Philippines “after three tropical cyclones left almost 1,000 people dead” and an estimated 1.7 million people displaced or living in flooded areas. “The UNâ€™s humanitarian…
Treatment and Prevention Strategies
During a press conference on Thursday, Medecins Sans Frontieres (MSF) warned that the “global economic crisis and calls to commit funds to other health crises” threatened to undermine recent gains in the fight against HIV/AIDS, the Associated Press reports. MSF “says money for other health issues should be given in addition to money for [HIV/]AIDS” (11/5).
“Executive Director of UNAIDS Michel Sidibe Wednesday called for the production of anti-retroviral drugs [ARVs] in Africa to make the life-saving medicines against AIDS accessible to patients and boost the medicines manufacturing sector on the continent,” PANA/AfriqueJet reports. Speaking at the 16th West African Economic and Monetary Union (UEMOA) Summit in Lome, Togo, “Sidibe said it was time for the continent to negotiate strong partnerships with emerging countries, including India and Brazil, to support the local production of ARVs in Africa,” the news service writes, adding, “According to [Sidibe], Africa accounts for only one percent of the medicine manufacturing sector that is expected to generate as much as $1 trillion by 2015” (6/7).
The Economist reports on a demonstration by about 300 people living with HIV and activists outside the headquarters of China’s Henan provincial government in Zhengzhou on August 27. “Many of the … participants were infected in government-backed blood-selling schemes in the 1990s,” the magazine writes, adding, “Tens of thousands contracted HIV this way. The government has never admitted responsibility.” According to the Economist, “As the Communist Party prepares for an imminent leadership change it is more than usually anxious to keep the AIDS scandal quiet.”
“Right now, in Leesburg, Va., the office of the U.S. Trade Representative is negotiating a so-called ‘trade agreement’ — the ‘Trans-Pacific Partnership Agreement’ — that could put the lives of millions of innocent civilians at risk” by potentially limiting access to life-saving medications, including antiretroviral drugs, Robert Naiman, policy director at Just Foreign Policy, writes in the Huffington Post Blog. “The process is secret: USTR refuses to publish a draft negotiating text, so any American who isn’t cleared by USTR to see the text can’t say for sure exactly what USTR is doing right now,” he writes, adding, “But because there was a previous leak of the chapter of the draft negotiating text that dealt with intellectual property claims, people who have followed these issues closely have some idea of what USTR has been doing on our dime.”
“India has had a positive global impact through its supply of vast quantities of low-cost, good-quality generic medicines, which have saved or prolonged millions of lives … [b]ut there are also many factors that may hinder the continuation of the [country's] role as chief supplier of medicines to developing countries,” Martin Khor, executive director of the South Centre in Geneva, writes in an Inter Press Service opinion piece. He examines the history of generic drug production in India and says the 1995 World Trade Organization TRIPS agreement negatively affected the country’s ability to produce generic drugs. Though “India has one of the best patent laws in the world that still gives some space to its producers to make generic drugs, … it is also true that the old policy space has been eroded because many new drugs have, since 2005, been patented by multinational companies that are selling them at exorbitant prices,” Khor writes.
NPR’s “Shots” blog examines the “test and treat” approach to HIV care and prevention, which “relies on the fact that taking HIV drugs dramatically reduces a person’s risk of transmitting the virus to others,” and, “[a]s more and more people are put on medication, the epidemic theoretically should fizzle out.” The blog continues, “Test and treat sounds good on paper, but some doctors and policymakers have doubts about its feasibility on a large scale.”
In Foreign Policy’s “Passport” blog, Associate Editor Uri Friedman reflects on former President George W. Bush’s efforts against AIDS, highlighting PEPFAR, which he “established in 2003 and which now supports antiretroviral treatment for 4.5 million people around the world.” Friedman quotes former President Bill Clinton, who, speaking at the Democratic National Convention on Wednesday, said, “I have to be grateful, and you should be too, that President George W. Bush supported PEPFAR. It saved the lives of millions of people in poor countries.” Friedman continues, “[W]hat’s particularly notable about the reference is that, during a convention season designed to draw sharp distinctions between Republicans and Democrats, the two parties have found common ground on at least one point: the success of Bush’s efforts to fight AIDS.”
The U.S. Government Accountability Office (GAO) recently released two reports on issues related to global health. In “Ensuring Drug Quality in Global Health Programs,” the agency writes, “Concerns have been raised about the potential for substandard drugs to enter the supply chains of global health programs,” and notes that it concluded, “U.S.-funded global health programs have put regulatory and policy requirements in place to help prevent procurement of substandard drugs” (8/1). In another report looking at the WHO, titled “Reform Agenda Developed, but U.S. Actions to Monitor Progress Could be Enhanced,” GAO found, “The United States has provided input into WHO’s reform agenda, particularly in the areas of transparency and accountability, but the Department of State’s (State) tool for assessing progress in the area of management reform could be enhanced” (7/23).
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.