On the first stop of a 10-day tour of Africa, Secretary of State Hillary Clinton stopped at the Phillipe Maguilen Senghor Health Center in Dakar, Senegal, where Awa Marie Coll-Seck, the country’s minister of health, “explained to Secretary Clinton how these operational centers dramatically improve maternal and child health,” according to a post in USAID’s “IMPACTblog.” Coll-Seck “also noted that USAID-supported distribution of insecticide impregnated mosquito nets across the country had drastically reduced the incidence of malaria,” according to the blog, which adds that Clinton “was pleased to hear that the United States is playing a key role in helping meet one of its biggest challenges: decentralizing services so they are available at the village level throughout the country.” In an address several hours later, “Clinton invoked the Senghor center … saying she was highly impressed by the integrated nature of the facility” and that “[i]t was a successful model she hoped could be duplicated throughout Senegal and the entire West African region” (Taylor, 8/1).
US Global Health Policy
The XIX International AIDS Conference (AIDS 2012) that took place last week in Washington, D.C., “ignited momentum to shift from ‘fighting AIDS’ to ‘ending AIDS,'” Mohga Kamal-Yanni, senior health adviser at Oxfam International, and Urvarshi Rajcoomer, policy and advocacy adviser at Oxfam in South Africa, write in a Mail & Guardian opinion piece. “Oxfam believes investing in health systems such as infrastructure and health worker, drug supply chain and health information systems, is a critical prerequisite to ending AIDS,” they write. However, “to make this a reality,” pharmaceutical companies, donor governments, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank “must now do their part,” they continue.
In this post in Huffington Post’s “Impact” blog, Deborah Derrick, president of Friends of the Global Fight Against AIDS, Tuberculosis and Malaria, examines “the success of U.S. efforts to promote better global health through support for [PEPFAR] and the Global Fund to Fight AIDS, Tuberculosis and Malaria.” She highlights U.S. Secretary of State Hillary Clinton’s recent trip to Africa, writing that Clinton’s “encouraging words” at the Reach Out Mbuya health center in Uganda reinforced U.S. commitment to an AIDS-free generation. She notes both PEPFAR and the Global Fund have supported the center and adds that “through hundreds of similar local programs all over the world, the Global Fund provides treatment to 3.6 million people who are HIV-positive.”
In this post in BMJ’s “Yankee Doodling,” Douglas Kamerow, chief scientist at RTI International and an associate editor for the journal, reflects on the possibility of achieving an AIDS-free generation “if somehow we succeeded in getting all HIV positive people in the world identified and under long term treatment.” He writes that while there has been “astonishing progress against AIDS,” “two concerns immediately arise: the magnitude of the work remaining to find and continuously treat all those infected, and the confusion between that treatment (even if it is somehow universally successful) and actual eradication of the disease.” He concludes, “It is a rosy scenario, but even if it came true it still would not spell the end of the HIV story,” because “[w]e have no vaccine, and the virus keeps mutating” (8/14).
“Philippine authorities appealed Thursday for help in getting relief to two million people affected by deadly floods in and around the capital, warning that evacuation centers were overwhelmed,” Agence France-Presse reports (Morella, 8/9). “The capital city, Manila, has received two months’ worth of rain in the past 48 hours, leaving much of the 12-million-person metropolis under water,” Deutsche Welle writes (8/9). BBC News reports that at least 19 people have died and more than 80,000 are in emergency shelters (McGeown, 8/8). According to CNN, “U.S. Ambassador to the Philippines Harry K. Thomas said Tuesday that the United States would provide $100,000 for disaster relief” (8/8).
“Scientists researching the lethal Ebola virus have told [BBC News] that a commercial vaccine to prevent the onset of infection may never be developed,” the news service reports. “Efforts to develop a vaccine have been funded in the main by the U.S. Department of Defense and the National Institutes of Health,” which “have poured millions of dollars into scientific research because of concerns that the virus could be turned into a biological weapon,” the news service writes. But in recent days, two companies that had begun human safety trials of their vaccines, Sarepta and Tekmira, “have been told by the Defense Department to temporarily stop work on their vaccines due to funding constraints.”
“On Friday August 10, the U.S. Department of State and [USAID] released the first ever U.S. Strategy to Prevent and Respond to Gender-based Violence Globally [.pdf], including their implementation plans,” Melanne Verveer, ambassador-at-large for global women’s issues, writes in the department’s “Dipnote” blog. “An accompanying Executive Order issued by President Obama was also released, directing all relevant agencies to implement this strategy,” Verveer notes, adding, “These efforts highlight the United States’ commitment to preventing and responding to gender-based violence around the world” (8/14). In a post in USAID’s “Impact” blog, Deputy Administrator Donald Steinberg writes that the strategy, “an interagency response to a Congressional request,” “establishes a government-wide approach that identifies, coordinates, integrates, and leverages current efforts and resources” (8/14). A fact sheet on preventing and responding to gender-based violence globally is available on the White House webpage (8/10).
In an article on the U.S. Department of Defense webpage, the American Forces Press Service reports on how a U.S. military medical team is helping the Botswana Defense Force “to promote Botswana’s national program of education, HIV screening and male circumcision surgeries to stem what’s become a national epidemic,” according to Army Col. (Dr.) Michael Kelly, an Army Reserve surgeon deployed in Botswana from the Army Reserve Medical Command in Washington. “The Botswana Ministry of Health’s goal, Kelly said, is to bring the number of new HIV diagnoses to zero by 2016, … an ambitious plan, in light of an HIV rate that has skyrocketed since the first case of AIDS was diagnosed in Botswana in 1985,” the news service writes (Miles, 8/14).
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).
Advocacy Groups Warn Trans-Pacific Partnership Could Affect Access To Low-Cost Medications, Bloomberg Reports
Bloomberg Businessweek examines how ongoing trade negotiations related to the Trans-Pacific Partnership could affect access to quality low-cost medications, including antiretrovirals, in low- and middle-income countries. “Protecting the patents of drug makers … as part of the Trans-Pacific Partnership has drawn criticism from groups such as Doctors Without Borders and Public Citizen,” and “[t]he proposed accord has also spurred calls from U.S. lawmakers for greater transparency about the negotiations,” the news service writes. “The multilateral talks, the main accord being pursued by President Barack Obama’s administration, … began with Australia, Brunei, Chile, Malaysia, New Zealand, Peru, Singapore, the U.S. and Vietnam [and] may expand after the parties invited Canada and Mexico,” the news service notes.