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Thousands unknowingly infected with HIV: Algerian NGO

AIDS epidemics risks being generalised: UN
Kiev (AFP) Dec 1, 2009 - The AIDS epidemic in Ukraine, one of Europe's most affected countries, risk becoming generalised as heterosexual contacts become the chief transmission route for the HIV virus, UN and Ukrainian officials warned Monday. "Heterosexual contact has become the chief transmission path as the number of new cases transmitted through drug consumption has dropped," the UNAIDS coordinator in Ukraine Anna Shakarishvili told reporters. This trend "threatens to make the epidemics generalised," while at present it is concentrated in risk groups such as prostitutes, homosexuals and drug addicts, a health ministry official, Svitlana Tsherenko, warned.

Lacking a swift and efficient response, "the epidemics may reduce male life expectancy in Ukraine by up to four years and its GDP by six percent by 2014," the UNAIDS stressed in its statement, pointing out the lack of budget funds allocated to combat the disaster. Of Ukraine's 46 million inhabitants, some 340,000 people aged over 15 years are considered HIV-positive, which amounts to 0.86 percent of all adult population, government statistics showed. Officially, 151,000 cases of HIV contamination have registered since 1987. The highest number of new cases was recorded last year at nearly 19,000, which is a 7.3 percent rise from 2007 figures. This year, over 10,000 new cases were registered in the first six months alone, compared to last year's 9,400 for the same period. The only significant progress in fighting the disease was noted in the area of preventing HIV transmission from mother to child, which had fallen from 27 percent in 2000 to seven percent in 2008, UNAIDS said.
by Staff Writers
Algiers (AFP) Nov 30, 2009
An Algerian health organisation warned Monday that thousands of people in the north African country are unknowingly infected with the AIDS virus as it called for more testing and prevention efforts.

"The epidemic of HIV/AIDS is progressing at an alarming rate in Algeria," said Scander Abdelakader Soufi, president of the Association to Fight Sexually Transmissible Diseases and AIDS (AnisS), on the eve of World AIDS Day.

"Thousands of people are infected without knowing it," Dr Soufi said, adding that large-scale tests were needed, along with a public information campaign and psychological and socio-economic measures to help the sick.

Algeria had 4,084 HIV-positive people at the end of October and 1,011 people who had developed AIDS, according to official health ministry figures cited by Soufi's non-govermental organisation.

But "according to more realistic estimates," 21,000 people are infected by HIV/AIDS, AnisS reckoned. Soufi told a press conference at a forum organised by the daily El Moudjahid that the figure is "rising sharply every year."

"We have to act now, while Algeria has a low rate" of HIV-AIDS, noting that there was "a general decline in commitment" to fight the disease, Soufi said.

The executive director of the National Foundation for Medical Research (FOREM), Dr Abdelhak Mekki, bemoaned a lack of funds for assocations working in this sector, in a country "where two-thirds of the population is under 40."

Mekki called for further cooperation with the Global Fund to Fight AIDS, Tuberculosis and Malaria, which is in the forefront of the battle against the killer diseases, and stressed the role that civil society can play in dealing with HIV-AIDS by handing out condoms and holding meetings among young people.

"It's unthinkable that there is no discussion between parents and their children on sexual education. Yet young people surf the Internet, which whets their appetite," said Algerian rap star Lofti Double Kanon, who is a member of AnisS.

The musician said he had "learned wih horror that they don't know about using condoms".

WHO changes HIV treatment advice
Geneva (AFP) Nov 30, 2009 - The World Health Organisation (WHO) issued new advice on the treatment of HIV on Monday, the eve of World AIDS day, saying drugs should be given earlier and even be prescribed to breastfeeding mothers.

The WHO says adults and adolescents should receive anti-retroviral therapy (ART) when their immune system strength falls below 350 cells per cubic millimetre of blood. In 2006, the organisation had set the level at 200 cells per cubic millimetre.

"These new recommendations are based on the most up to date available data," said Hiroki Nakatani, assistant director general for HIV/AIDS, TB, Malaria and Neglected Tropical Diseases at the World Health Organization.

"Their widespread adoption will enable many more people in high-burden areas to live longer and healthier lives."

The WHO also recommended pregnant women exposed to the virus could be treated with anti-retroviral drugs (ARVs) from the 14th week of pregnancy and that treatment could continue during breastfeeding.

"Several clinical trials have shown the efficacy of ARVs in preventing transmission to the infant while breastfeeding," a WHO statement said.

The WHO also said Stavudine, a relatively cheap HIV/AIDS drug that is widely used in developing countries, should be replaced with Zidovudine and Tenofovir as they have less harmful side effects.

Some 33.4 million people worldwide are living with HIV/AIDS and there are 2.7 million new cases each year.

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