A new analysis from amfAR (.doc), The Foundation for AIDS Research, “estimates potential human impacts of funding changes [in global health programs] proposed in the President’s fiscal year 2013 budget request when compared to current operating budget levels (fiscal year 2012).” President Obama’s FY 2013 budget request includes a decrease in funding for PEPFAR and an increase in funding for the Global Fund to Fight AIDS, Tuberculosis and Malaria, according to the analysis, which concludes, “Taken together, proposed changes in funding for the Global Fund and PEPFAR could lead to significant reductions in lifesaving AIDS treatment delivery, services to orphans and other vulnerable children, prevention of vertical HIV transmission (from mother-to-child) services, and HIV testing services that could otherwise have been delivered with flat funding for PEPFAR” (April 2012).
The Center for Global Health Policy’s “Science Speaks” blog summarizes an event hosted by USAID in late March to commemorate World Tuberculosis (TB) Day. The blog includes “brief profiles and pictures of some of the survivors featured in the event ‘Voices of TB.'” Andre Gariseb of Namibia, who was cured of TB in 2009, said at the event, “[TB] is a battle for everybody â€¦ As long as we share the same air it becomes everybody’s problem,” according to the blog (Mazzotta, 4/2).
According to a study recently published in a special supplement of the Journal of Infectious Diseases, half of countries receiving grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria provide tuberculosis (TB) services in prisons; “even when TB services were provided to prisoners, they were limited in scope; and “[f]ew of the programs receiving a grant from the Global Fund offered services dedicated to the treatment and prevention of multi-drug resistant TB (MDR-TB),” an aidsmap news story reports. TB is a leading cause of death among incarcerated individuals worldwide, aidsmap notes. The study authors concluded, “There is an urgent need to better understand the financing needs and cost-effective service delivery models for tuberculosis care in prisons,” according to the story (Carter, 3/30).
Health workers with Medical Teams International, a medical non-governmental organization, “say they are overwhelmed” by high demand at five health clinics in two southwestern Ugandan refugee centers, PlusNews reports. The refugees, “many of whom came from conflict-prone areas of the Democratic Republic of Congo (DRC),” and local residents are in need of HIV and tuberculosis (TB) prevention information, and care and treatment services, according to the news service. “Uganda suffers from a chronic shortage of health workers — less than half of the vacant health positions are filled — but the recent influx of refugees fleeing violence in neighboring DRC has put even more pressure on [the region’s] health services,” PlusNews writes. Physicians, who see 30 to 50 patients daily and often work double shifts, say gaps in the supplies of antiretroviral (ARV) and TB drugs poses concern, as does trying to follow-up with patients who may not return for visits, the news service notes (3/29).
The Center for Global Health Policy’s “Science Speaks” blog reports the findings from the second edition of the 2011 Report on Tuberculosis (TB) Research Funding and Trends from 2005-2010, released Thursday by Treatment Action Group (TAG) and the Stop TB Partnership. “TB research and development investment increased 76 percent between 2005 and 2010, but investment has slowed markedly, with only two percent growth since 2009,” the blog notes, adding, “The $630.4 million 2010 investment is only one-third of the $2 billion needed to stay on track with the Global Plan to Stop TB 10-year implementation and research strategy to eliminate TB as a public health threat by 2050” (Mazzotta, 3/28).
In this Lancet opinion piece, Madhukar Pai, a professor and tuberculosis (TB) researcher at McGill University and consultant to the Bill & Melinda Gates Foundation, discusses TB control in India. He writes, “Much has been said and written in the media about totally drug-resistant tuberculosis â€¦ However, all of these discussions really miss the key point — that tuberculosis continues to be a huge problem in India, and that the conditions for emergence of drug resistance are undeniably prevalent, in both public and private sectors.”
Speaking at an event where South African Deputy President Kgalema Motlanthe urged the mining industry to take greater steps to address tuberculosis (TB) and HIV among its employees, Mineral Resources Minister Susan Shabangu “announced that mining companies, whose HIV, TB and workplace safety policies are being audited by her department, will have to submit their policies as a prerequisite for renewing their mining licenses,” PlusNews reports. “According to Shabangu, South Africa’s mining sector sees three times as many cases of active TB as the general population,” the news service writes.
Inadequate Government TB Program, Lax Drug Sale Regulations Contributing To MDR-TB Cases In India, Health Groups Say
“India’s inadequate government-run tuberculosis [TB] treatment programs and a lack of regulation of the sale of drugs that fight the disease are responsible for the [increasing] number of drug-resistant cases that are difficult to treat,” health advocacy organizations said in India last week, the Associated Press/Huffington Post reports. “India adds an estimated 99,000 cases of drug-resistant TB every year, but only a tiny fraction of those infected receive the proper” six- to nine-month antibiotic regimen, according to the AP. In India, government-run TB treatment programs only provide drugs to patients on alternate days, increasing the likelihood of missed doses, and patients increasingly are turning to private physicians who are unaware of how to treat the disease, Medecins Sans Frontieres in India and other health groups said, the news agency reports. “The Indian government had no response Friday to requests for comment on the activists’ allegations,” the AP writes (Naqvi, 3/23).
Saturday, March 24 was World Tuberculosis (TB) Day. The following is a summary of several editorials and opinion pieces published in recognition of the day.
The South African “government plans to bring down new HIV infection rates to zero in the next 20 years, Deputy President Kgalema Motlanthe said on Saturday” at a World Tuberculosis (TB) Day even at the Goldfields mine in Carletonville, Gauteng, SAPA/Independent Online reports. “He said the National Strategic Plan for HIV, TB and sexually transmitted infections (STI) would aim [to] eliminat[e] new HIV and TB infections, mother-to-child HIV infections, and have zero preventable deaths as well as discrimination associated with” HIV and TB, according to the news agency (3/26). Motlanthe also “launched a plan to diagnose tuberculosis in the country’s gold mines, where the disease’s incidence is the highest in the world,” Agence France-Presse writes, adding, “Motlanthe said the goal was to ‘ensure that all mine workers, particularly in the gold mining sector, are screened and tested for TB and HIV over the next 12 months'” (2/24).