Kaiser Daily HIV/AIDS Report
China To Build First Official AIDS Orphanage, Conduct Mandatory HIV Education for High School Students
Zimbabwe Holds First National AIDS Conference To Highlight Antiretroviral Program, Prevention Issues
Miami Herald Examines Growing HIV/AIDS Prevalence Among Russian Children
Washington Times Profiles Botswana's National Antiretroviral Drug Program
Oklahoman Publishes Five-Part Series on HIV/AIDS, Related Issues
'Collaborative Effort' Needed To Fight HIV, Editorial Says
Global Challenges
Clinton Foundation Could Begin Assisting China in Fight Against HIV/AIDS by August
[Jun 17, 2004]
The William J. Clinton Presidential Foundation by August could begin providing technical assistance with antiretroviral treatment, diagnostic equipment and hospital management to China to help fight its HIV/AIDS epidemic, a foundation program director said on Thursday, Kyodo News reports (Kyodo News, 6/17). China's Ministry of Health and the foundation in April signed a memorandum of understanding to improve HIV/AIDS prevention and treatment in the country. Under the agreement, the foundation will provide assistance in operating HIV/AIDS care and treatment programs, establishing treatment and testing protocols and creating monitoring and evaluation programs. The health ministry authorized the Chinese Academy of Medical Sciences to discuss details of its AIDS plan with the Clinton Foundation. The Chinese government estimates that there are 840,000 HIV-positive people in the country and that 80,000 people have AIDS; however, some experts believe those figures are underestimates. The United Nations estimates that at least one million HIV-positive people live in China and the number could grow to 20 million by 2010 if efforts to prevent the virus are not implemented (Kaiser Daily HIV/AIDS Report, 4/30). Training, Other Provisions Ruby Sheng, the foundation's China country director, said that the foundation will provide training to doctors, adding that some Chinese doctors could study in other countries, or the foundation could bring AIDS experts to China, according to the News. The foundation likely also will establish an office in China, although the size of the staff is unknown, the News reports. The agreement does not allocate any funds to the Chinese government or groups because the foundation does not "give directly to people with HIV/AIDS [or] directly to governments," according to the News. Sheng said that the foundation and the health ministry are "working out details" for implementing portions of the agreement and she anticipates action by August, the News reports. She added that the foundation "tend[s] to be much more agile than a big bureaucracy" (Kyodo News, 6/17).
China To Build First Official AIDS Orphanage, Conduct Mandatory HIV Education for High School Students
[Jun 17, 2004]
China plans to build its first official orphanage for AIDS orphans in Shangcai County in Henan province, Huang Mengfu, chair of the All-China Federation of Industry and Commerce, announced on Tuesday, Xinhuanet/ChinaView reports (Xinhuanet/ChinaView, 6/15). Henan province gained international attention in the early 1990s after it was discovered that farmers there were among hundreds of thousands of poor Chinese who contracted HIV through a government-sponsored blood collection program. The program paid farmers for their blood and sold it at state hospitals and private clinics (Kaiser Daily HIV/AIDS Report, 5/27). There are an estimated 2,000 AIDS orphans in Henan, and most live with relatives on a monthly government stipend of about $15 per month, with an additional $3.63 for each family. About 200 orphans and 52 older people live in 20 "Sunshine Homes" that the Henan government has spent $1.5 million to build over the past year (Shi, South China Morning Post, 6/16). The new orphanage -- which will be called "Red Ribbon Family" -- will be funded through the China Red Ribbon Foundation, a not-for-profit organization co-founded by the federation and 20 private companies (Xinhuanet/ChinaView, 6/15). Construction of the orphanage, the first phase of which will cost more than $400,000, will begin this year, Huang said, adding that it will admit children ages six to nine. "As a special and disadvantaged social group, AIDS orphans deserve the most love and assistance from society," Huang said at the inaugural meeting of the foundation, adding, "They not only suffer a low-quality material life but also meet with discrimination, which is completely unfair" (Agence France-Presse, 6/16). Other Plans Chinese Premier Wen Jiabao on a tour of Hubei province recently said that the government would offer increased financial assistance for orphans, Xinhua News/China Daily reports. In addition, the country has decided to make AIDS prevention education mandatory for high school students starting this fall. "The government will increase its allocations for fighting the disease and continue to offer free treatment for people who have been infected by the virus," Wen said (Xinhua News/China Daily, 6/16). In addition, the government plans to offer free and anonymous HIV testing and treatment, Wen said, according to Agence France-Presse (Agence France-Presse, 6/16). The Chinese government estimates that there are 840,000 HIV-positive people in the country and that 80,000 people have AIDS; however, some experts believe that those figures are an underestimate. The United Nations estimates that there are at least one million HIV-positive people in China (Kaiser Daily HIV/AIDS Report, 5/27).
Zimbabwe Holds First National AIDS Conference To Highlight Antiretroviral Program, Prevention Issues
[Jun 17, 2004]
Zimbabwe President Robert Mugabe on Wednesday addressed the country's first national AIDS conference, which brings together community groups and health workers to discuss ways to combat the disease, VOA News reports. Mugabe called for greater collaboration among the more than 300 nongovernmental and community-based organizations that work on HIV/AIDS in Zimbabwe, according to VOA News (Maphosa, VOA News, 6/16). The conference, titled "Taking Stock: Looking into the Future," will examine Zimbabwe's progress in treating and preventing HIV/AIDS, according to Xinhua News Agency. Christine Chakanyuka, an AIDS expert with the country's health ministry, said at the conference that Zimbabwe's government is "committed to providing a comprehensive package for HIV/AIDS prevention, care and support," according to Xinhua News Agency. "Mobilization of resources in partnership with the private sector is going on," Chakanyuka said, adding, "This has paved the foundation for increased access to antiretroviral drugs and authority to import generic drugs resulting in improved AIDS care" (Xinhua News Agency, 6/15). More than 3,000 people die of AIDS-related causes each week in Zimbabwe, which has one of the highest HIV prevalence rates in the world at 24.9%. Earlier this year, the Zimbabwean government announced a pilot project to distribute antiretroviral drugs at no cost to patients in select government hospitals. According to officials, about 70% of patients in Zimbabwe's hospitals are HIV-positive (Kaiser Daily HIV/AIDS Report, 6/9). Panganayi Dhliwayo, a member of the conference's organizing committee and a health ministry official, said that the number of new HIV cases in Zimbabwe is beginning to decline. Dhliwayo added that the country "deserved a pat on the back" for its efforts to prevent and treat the disease, according to the AFP/Herald (AFP/Herald, 6/16). Antiretroviral Program Chakanyuka said that the antiretroviral pilot programs will be expanded after the government trains additional workers and gains experience in administering the drugs, according to Xinhua News Agency (Xinhua News Agency, 6/15). Mugabe lauded the treatment program, although he said that a maximum of 10,000 can be enrolled in the program because of a lack of funding. He called on more resources to build a "sustainable," expanded antiretroviral drug program and urged voluntary counseling and testing centers to expand into rural areas, VOA News reports. Mugabe also said that traditional healers could play a role in the treatment of HIV-positive people in the country. "There is a need also to compliment expensive modern ARVs by finding a role for effective traditional medicine in AIDS care," Mugabe said, adding, "After all, the majority of our people still rely on and could benefit from traditional medicine as long as the proposed remedies pass and I emphasize, pass the necessary medicines control tests" (VOA News, 6/16). Business Community Involvement Albert Manenji, acting director of Zimbabwe's National AIDS Council, said that assistance from the country's business community is "welcome" in the effort to provide antiretrovirals, according to Zimbabwe's Herald/AllAfrica.com. "A total of $7 billion has been set aside for the provision of ARVs," Manenji said, adding, "Any help that may come in is welcome in this fight against the pandemic." However, Collen Gwiyo, acting secretary general of the Zimbabwe Congress of Trade Unions, said he does not know of any local companies that are providing workers with antiretrovirals, according the Herald/AllAfrica.com. Gwiyo said that providing antiretroviral drugs is "generally a responsibility of the National AIDS Council," adding, "The NAC is collecting levies from workers and they must ensure that workers access ARVs" (Tsiko, Herald/AllAfrica.com, 6/15). Phineas Makurira, who spoke on behalf of doctors at the conference, said that poverty "is one of the factors limiting the access to ARVs," according to Agence France-Presse. Approximately three-quarters of Zimbabwe's population lives in poverty and cannot afford the drugs, Agence France-Presse reports (Agence France-Presse, 6/15). The United Nations office in Zimbabwe, which is co-sponsoring the conference, said that despite declines in the number of new HIV cases, some people -- "particularly women" -- have begun to "take sexual risks" due to "economic hardships," according to Reuters reports. "Risky sexual behavior, including unsafe sex in exchange for cash, food, tillage (of fields) and agricultural inputs, jobs or other basic necessities, persist[s]" in Zimbabwe, according to the United Nations (Mapenzauswa, Reuters, 6/15). Editorial Although Zimbabwe has "already moved from the stage of staring at total defeat" by the HIV/AIDS epidemic to believing that the country can "win" the battle against the disease, there is "obviously still ... a long way to go," according to a Herald/AllAfrica.com editorial. The disease is no longer "being swept under the carpet" and condoms are "very cheap and sold openly," but there is "still a sizeable majority" in Zimbabwe's population that engages in risky behavior, the editorial says. Zimbabwe "cannot reject" antiretroviral drugs, although the drugs may lead some to be less careful about avoiding spreading the disease if they believe it is not a "sentence of premature death," the editorial says. Access to antiretrovirals will "reduce the fear" of being tested for HIV and may present opportunities for "drastically slowing the spread" of the virus, according to the editorial. Young people who have changed their behavior in response to the HIV/AIDS epidemic have shown that it is "not impossible" to take steps to prevent the disease, the editorial says, concluding that other people need to "follow that example" (Herald/AllAfrica.com, 6/15).
Miami Herald Examines Growing HIV/AIDS Prevalence Among Russian Children
[Jun 17, 2004]
The Miami Herald on Wednesday examined the HIV/AIDS epidemic in Russia, where increased HIV prevalence among teenage girls and young women is leading to "horrifying spikes" in the number of Russian infants who are born HIV-positive. According to the government's AIDS center, 6,000 Russian infants were born HIV-positive in 2003, compared with only 60 in 1997. The disease already has "taken hold" among Russian prisoners, sex workers and injection drug users, according to the Herald. The "virtually unchecked" Russian HIV/AIDS epidemic is "turning the old Soviet Union into the new Southern Africa," the Herald reports (McDonald, Miami Herald, 6/16). The complete article is available online.
Drug Access
Washington Times Profiles Botswana's National Antiretroviral Drug Program
[Jun 17, 2004]
The Washington Times on Thursday profiled Botswana's antiretroviral drug program, which has attracted many public health groups "in search of one place in Africa that [they] can call a success in the battle against AIDS." While the rest of the continent "dithered" in addressing the epidemic, Botswanan President Festus Mogae in 2001 announced plans to start a program to provide free antiretroviral drugs to all HIV-positive people in the country. Botswana, which some say has the highest HIV prevalence in the world, opened its first antiretroviral drug site in January 2002 with the help of the Bill & Melinda Gates Foundation, which pledged $50 million, and pharmaceutical company Merck, which pledged $50 million and free drugs for five years. Since then, about 80,000 people have been tested for HIV, and 21,000 of whom have tested positive. Of that group, about 15,000 have become sick enough to begin antiretroviral treatment. Although some say that getting this many people tested and into treatment is a "remarkable success," Mogae said that the government had hoped to have 60,000 people on treatment by now, the Times reports. However, "even with committed leadership and a generous budget, the Botswana experiment exposes serious gaps and shows that the best may not be enough to hold back a rising wave of AIDS illness," according to the Times. "We have to change behavior," Dr. Ndwapi Ndwapi, a physician working in the national treatment program, said, adding, "I do not believe Batswana have a death wish ..., but I am afraid there will be a lot more funerals before people really change their behavior" (Carter [1], Washington Times, 6/17).
The Times in a separate article on Thursday examined HIV/AIDS prevention methods, including condom distribution and abstinence programs, in Botswana (Carter [2], Washington Times, 6/17).
Across The Nation
Oklahoman Publishes Five-Part Series on HIV/AIDS, Related Issues
[Jun 17, 2004]
The Oklahoman this week published a five-part series on HIV/AIDS issues. Summaries of articles in the series appear below:
- "Thousands of Oklahomans have died of AIDS": The Oklahoman on Sunday examined HIV/AIDS prevalence in the state. According to the state Department of Health, there are about 4,600 residents living with HIV/AIDS. However, there could be "thousands" more Oklahomans who remain undiagnosed, the Oklahoman reports (Gibbs Robinson/Killackey, Oklahoman, 6/13).
- "Programs offer relief, but funds still needed to treat sufferers": The Oklahoman on Monday examined state and not-for-profit programs that provide services to people living with HIV/AIDS. The state health department's HIV/STD Service each year disburses about $9 million in federal funds to treatment and prevention programs. The state also has programs that provide mental health services to HIV-positive residents (Gibbs Robinson/Killackey, Oklahoman, 6/14).
- "CarePoint counsels HIV-positive jobless": The Oklahoman on Tuesday examined workplace discrimination against people living with HIV/AIDS in the state and programs aimed at helping to combat the stigma associated with the disease. The state Department of Rehabilitation Services contracts with private organizations to provide employment counseling and other services to HIV-positive Oklahomans. The department also maintains contracts with groups aimed at educating employers about HIV in the workplace (Gibbs Robinson/Killackey, Oklahoman, 6/15).
- "Medications help keep HIV-infected Oklahomans alive": The Oklahoman on Wednesday examined the increase in available HIV/AIDS treatments, including antiretroviral therapy. Currently, there are approximately 100 drugs to treat HIV/AIDS patients, and the number of medicines "probably will keep expanding," according to the Oklahoman . However, many of the treatments are expensive and have severe side effects. In addition, there is still no available HIV vaccine or cure (Gibbs Robinson, Oklahoman, 6/16).
- "Spreading another message": The Oklahoman on Thursday profiled various HIV/AIDS prevention programs in the state that target different populations, including African Americans, children and other people living with the disease. "We need to be aware this is killing us. We are all in danger," Rev. George Young, who is pastor of Oklahoma City's Holy Temple Baptist Church, said, adding, "Everybody ought to be tested -- I don't care what your chances are" (Gibbs Robinson/Killackey, Oklahoman, 6/17).
The Oklahoman this week also profiled Ryan White, a teenage HIV/AIDS advocate who died of AIDS-related complications on April 8, 1990. White's "heroic story" was the "impetus" for federal funding to address the HIV/AIDS epidemic as part of the Ryan White CARE Act, according to the Oklahoman (Killackey, Oklahoman, 6/14). In addition, the Oklahoman profiled an HIV-positive man in the state who has decided to delay antiretroviral treatment, "defying common wisdom that an untreated HIV infection is a short-term death sentence" (Gibbs Robinson, Oklahoman, 6/16).
Opinion
'Collaborative Effort' Needed To Fight HIV, Editorial Says
[Jun 17, 2004]
The "time has come for a collaborative effort" against HIV, and the recent Group of Eight agreement to form an international HIV/AIDS vaccine consortium is a "departure from customary medical research" in which "institutions or individual teams pursu[e] their ideas independently, sometimes competing against one another," a Salt Lake City Deseret Morning News editorial says (Salt Lake City Deseret Morning News, 6/16). G8 leaders from the United States, Japan, Germany, France, Britain, Italy, Canada and Russia last week at a summit in Sea Island, Ga., announced the formation of the Global HIV Vaccine Enterprise to speed the development of an HIV/AIDS vaccine and streamline research and development efforts. The plan calls for the establishment of HIV vaccine development centers throughout the world, the expansion of manufacturing capabilities, the creation of standardized measurement systems, the construction of clinics for trials and the creation of rules allowing regulatory authorities in different countries to recognize the results of foreign clinical trials, according to National Institute of Allergy and Infectious Diseases Director Anthony Fauci (Kaiser Daily HIV/AIDS Report, 6/14). The agreement to "take a global, political approach to the problem of AIDS is cause for great optimism," the editorial says. However, until a vaccine "can be developed ... prevention is a must," and people at risk "need to be tested and commit to ongoing testing," the editorial concludes (Salt Lake City Deseret Morning News, 6/16).
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