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EPIDEMICS
UN AIDS summit aims to treat 15 million
by Staff Writers
United Nations (AFP) June 9, 2011

S.Africa nearly wipes out infant AIDS infections: study
Cape Town (AFP) June 9, 2011 - South Africa's programme to prevent HIV in babies has achieved a 96.5 percent success rate in wiping out transmission from infected pregnant mothers, the Medical Research Council said Thursday.

An inaugural national evaluation survey among the world's biggest AIDS population tested 9,915 infants at public clinics, of whom 31.4 percent were exposed to the virus but only 3.5 percent tested positive, the government research body said.

"This survey was the first-ever rigorous national... evaluation in the nine provinces of South Africa," said Ameena Goga of the MRC.

Infection rates among mothers ranged from 15.6 percent in the sparsely populated Northern Cape to 43.9 percent in KwaZulu-Natal, which is the hardest hit region in the country.

Babies aged between four and eight weeks between June and December last year were tested at 580 sites across South Africa.

The study will be repeated this year and in 2012 to evaluate transmission rates over three years and the babies will be tracked up until they are 18 months old.

Last year, South Africa introduced new anti-AIDS drugs guidelines that include treatment for mothers at an earlier stage of illness.

A UN AIDS summit has set a target of more than doubling the number of sufferers receiving life-saving treatment to 15 million by 2015.

Health groups said the summit accord, to be officially unveiled Friday, was a "critical" step in achieving universal access to drugs, but that rich countries must now commit to paying the bill.

In the final statement, obtained Thursday by AFP, countries at the summit marking the 30th anniversary of the discovery of AIDS "commit to accelerate efforts to achieve the goal of universal access to antiretroviral treatment."

It sets the "target" of getting 15 million HIV sufferers in the poorest countries on antiretroviral treatment by 2015.

The accord also aims to end mother-to-child transfer of HIV by 2015 and increase preventive measures for the "most vulnerable populations."

The international community currently funds treatment for about 6.6 million people in poorer countries, mainly in Africa.

The summit declaration does not make specific new funding commitments, however, and overall financing fell in 2009 and 2010, according to health groups.

About $10 billion a year is spent now, and the UN agency coordinating the international battle against the disease estimates that more than $6 billion of additional annual funding is needed to get treatment to 15 million people.

"There are nine million people waiting for HIV treatment today," said Tido von Schoen-Angerer, executive director of the Medecins Sans Frontiers (Doctors Without Borders) treatment campaign.

"This whole AIDS summit will have been a farce if we don't see real plans to ramp up treatment so we can get ahead of the wave of new infections."

Much of the pressure on richer nations to commit to firm treatment targets has come from African countries and health groups such as MSF.

African presidents such as Goodluck Jonathan of Nigeria, Paul Kagame of Rwanda and Ali Bongo Ondimba of Gabon came to the United Nations to plead the continent's case for extra resources.

Spectacular progress has been made in extending the life of patients through antiretrovirals, and new research indicates that the treatment also drastically reduces new infections.

But about 34 million people around the world have the disease, 1.8 million die from it each year and there are 7,000 new infections each day.

UN Secretary General Ban Ki-moon told the summit that the international goal must now be to eliminate Acquired Immune Deficiency Syndrome by 2020, with "zero new infections, zero stigma and zero AIDS-related deaths."

"If we are to relegate AIDS to the history books we must be bold. That means facing sensitive issues, including men who have sex with men, drug users and the sex trade," he said.

He went on to call on all nations to "come together in global solidarity as never before," to achieve universal treatment.

The summit has also vowed to halt an upward spiral in drug costs by "addressing barriers to the legal trade of generics and other low-cost medicines" which are widely used in poorer countries.

Using generics, the annual cost of antiretrovirals has fallen from more than $10,000 in 2001 to about $67 a year now, according to MSF.

Brazil's Foreign Minister Antonio Patriota welcomed the final document because it included "flexibilities" that enable countries to make low-cost drugs.

Britain's delegation at the summit said it was aiming to generate enough savings by driving down medicine costs to get an extra 500,000 people in Africa on treatment by 2015.

And the United States, which is already the leading financial contributor to the AIDS effort, pledged another $75 million for action against mother-to-child transmission.

earlier related report
UN summit agrees on AIDS universal treatment
United Nations (AFP) June 9, 2011 - A UN AIDS summit has set a target of more than doubling the number of sufferers receiving life-saving treatment to 15 million by 2015, according to an accord obtained by AFP on Thursday.

Health groups said the summit accord was a "critical" step in achieving universal access to drugs but that rich countries must now commit to paying the bill.

In the final statement, summit countries "commit to accelerate efforts to achieve the goal of universal access to antiretroviral treatment."

It sets the "target of working towards" assisting 15 million HIV sufferers in the poorest countries on antiretroviral treatment by 2015.

The international community currently funds treatment for about 6.6 million people in poorer countries mainly in Africa.

The accord also aims to end mother-to-child transfer of HIV by 2015 and increase preventive measures for the "most vulnerable populations."

The summit declaration, which is to be officially unveiled on Friday, does not make specific funding commitments however.

About $10 billion a year is spent now and UNAIDS, the UN agency coordinating the international battle against the disease, estimates that more than $6 billion of extra cash is needed each year to get treatment to 15 million people.

"There are nine million people waiting for HIV treatment today," said Tido von Schoen-Angerer, executive director of Medecins Sans Frontiers (Doctors Without Borders) treatment campaign.

"This whole AIDS summit will have been a farce if we don't see real plans to ramp up treatment so we can get ahead of the wave of new infections."

Much of the pressure on richer nations to commit to firm treatment targets has come from African countries and health groups such as MSF.




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Malawi stops extra pay for public workers with HIV
Blantyre (AFP) June 9, 2011 - Malawi has phased out a scheme to give extra payments to nearly 40,000 civil servants with HIV, authorities said Thursday, accusing some workers of spending the money on beer and prostitutes.

Instead, the government will hand out a monthly "nutrition food bag" equivalent to $35 (26 euros), said Mary Shaba, secretary for nutrition, HIV and AIDS.

The scheme was launched in 2007, but was grossly abused with hundreds of workers claiming to have HIV in order to cash in on the payment, she said in a statement.

"The patients will now receive a nutrition food bag instead, as the money was not spent on its intended purpose to buy extra food and improve nutrition," she said.

"Some people used the money to buy beers and go out with prostitutes, further spreading the virus," said Shaba, who engineered the scheme.

Shaba said the monthly payments were a civil service workplace programme aimed at improving nutrition to allow people with HIV to respond to treatment quickly.

Malawi has nearly 170,000 civil servants, whose average wage is $100.

Half of Malawi's 13 million citizens live on less than a dollar a day and are unable to meet their nutritional needs.

Around 14 percent of the country's population is HIV positive. The pandemic, which kills over 85,000 people a year due to AIDS-related illness, has cut life expectancy in the southern African nation to 36.

The government says it now provides free AIDS drugs to 366,000 people, from 5,000 in 2004.





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EPIDEMICS
Africa demands more help at UN AIDS summit
United Nations (AFP) June 8, 2011
African leaders on Wednesday called for greater resources to battle the AIDS pandemic at a summit where UN leader Ban Ki-moon set a target of ending new infections by the end of the decade. Thirty presidents and heads of government were at the summit marking the 30th anniversary of the discovery of AIDS, which will set a target figure for the numbers who will receive retroviral treatment in ... read more


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