News (Updated December 2, 2007)

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Global leaders call for action on World AIDS Day

by Michael SmithSat Dec 1, 9:40 PM ET

PhotoActivists and global leaders used World AIDS Day Saturday to warn against complacency in fighting the disease and called on governments to fill a multi-billion-dollar funding gap.

"We have made tangible and remarkable progress on all these fronts. But we must do more," United Nations Secretary General Ban Ki-moon said in a message for World AIDS Day.

The highlight of events across the globe was a concert in Johannesburg organised by Nelson Mandela's 46664 AIDS campaign group, named after his prison number from his 27 years in jail during South Africa's apartheid regime.

An estimated 50,000 people attended the concert of local and foreign artists, ranging from Peter Gabriel to Ludacris, broadcast to millions around the world.

Mandela himself put in a rare appearance, and the crowd erupted in screams before falling silent as the 89-year-old urged people to stand up and take the fight against AIDS into their own hands.

"It is still alarming that for every person who receives treatment there are four others who are newly infected," said the Nobel laureate, after slowly walking to the podium with the aid of his wife and a walking stick.

"Yes, big ambitious plans are needed to deal with the epidemic. But what really matters are small acts of kindness ... such as protecting yourself," he said.

South Africa has the world's worst rate of HIV, according to recent UN statistics, with around 5.5 million people infected out of a population of 48 million.

But while sub-Saharan Africa has been hard hit, other African nations have registered successes.

Mali's HIV infection rate dropped from 1.7 percent in 2001 to 1.3 percent last year, an official from the state's national council against AIDS said.

Since the first World AIDS Day in 1988 there has been progress in levelling off the percentage of the world's population living with HIV and AIDS from a peak in the late 1990s, the UN AIDS programme UNAIDS said last month.

The tally of new infections fell to an estimated 2.5 million in 2007, from 3.0 million in the late 1990s, it added.

Efforts to bring anti-retroviral (ARV) drugs to sub-Saharan Africa, where more than two-thirds of those with HIV/AIDS live, were now bearing fruit, it said.

But with 33.2 million people around the world estimated to be living with AIDS and 2.1 million deaths in 2007, campaigners warned there was still a long way to go.

"Despite substantial progress against AIDS worldwide, we are still losing ground," said James Shelton of the US Agency for International Development (USAID) in a commentary in the medical journal The Lancet on Saturday.

Treatment was still only available to about 10 percent of those in need, he said, while in developing countries, "the number of new infections continues to dwarf the numbers who start anti-retroviral therapy in developing countries."

One of the biggest areas of concern was funding.

According to the UN, there is currently an eight-billion-dollar (five-billion-euro) shortfall in resources to fight AIDS.

To meet the Group of Eight (G8) goal of providing universal access to ARVs by 2010, 42 billion dollars will be needed. So far, only 15.4 billion is in the kitty.

US President George W. Bush marked the day by repeating his call on US lawmakers to double support for anti-AIDS programmes to 30 billion dollars over five years.

Hillary Clinton, the Democratic frontrunner in the 2008 US presidential race, said "AIDS is not just an African problem, an Asian problem, or an American problem. It's not someone else's problem."

Chinese President Hu Jintao was on front pages of state newspapers shaking the hand of a woman infected with HIV, a day after UN warnings that up to 50 million Chinese were at risk of contracting HIV/AIDS.

In Australia, campaigners warned that complacency after earlier success in fighting HIV/AIDS risked giving rise to a new wave of infections.

"This is the moment it all could go astray. This is the moment when it can become a pandemic," said AIDS awareness educator Vince Lovegrove.

Indonesia -- which the UN says has Asia's fastest growing HIV epidemic -- marked the day with the launch of its first national campaign to promote the use of condoms.

And in the Ukrainian capital Kiev, several dozen AIDS activists observed a minute of silence to remember the 12,000 Ukrainians who have died of AIDS in two decades.

Some stood with their mouths taped to protest what they say is the government's silence about Ukraine's growing HIV and AIDS problem.

During the first 10 months of the year, close to 14,500 new HIV cases were reported, prompting UN AIDS officials to warn that Ukraine's HIV epidemic was the most severe in Europe.

French President Nicolas Sarkozy visited the country's leading HIV research hospital and called the battle against AIDS "absolutely fundamental".

In Latin America, campaigns promoting condom use were in high gear particularly in Brazil, which the United Nations says is home to one third of the people infected with HIV across the region.

In Peru, at least 3,000 people formed a human chain to raise awareness, while a separate exposition with "Blankets of Love," made for loved ones who dies of the disease, was held in a Lima park.

In Haiti, the country with the greatest number of HIV infected people in the Americas (190,000) after Brazil, despite a relatively small population, HIV clinics were opened in the impoverished Caribbean country's capital.

 

China's Hu meets with AIDS patients

Fri Nov 30, 2007 8:37 AM ET

BEIJING (Reuters) - Chinese President Hu Jintao visited a number of AIDS patients and their families on Friday, a public show of solidarity in a country where HIV/AIDS sufferers still face widespread stigmatization.

Beijing was initially slow to acknowledge the threat of the disease, but has since stepped up the fight against it, spending more on prevention programs and implementing policies to curb discrimination.

State television showed Hu speaking with a female AIDS patient at a Beijing hospital, the shot zooming in on his hand shaking hers.

"I'm so glad you are not frightened by the disease," Hu said.

He was shown at length speaking to the family of an AIDS sufferer as well as to the hospital's staff, whom he encouraged to act responsibly and with a "humanitarian" attitude.

Hu's visit, on the eve of World AIDS Day, highlights both the progress China has made in confronting the disease and the challenges that remain.

The rate of new HIV/AIDS infections is slowing, to about 50,000 new infections this year compared with 70,000 in 2005, the government said this week. That means there will be about 700,000 people living with HIV/AIDS in China this year.

But the epidemic is spreading from high-risk groups like sex workers and intravenous drug users to the general population, and persistent discrimination means many sufferers are afraid to seek medical treatment, experts say.

(Reporting by Niu Shuping and Jason Subler; Editing by Jerry Norton)

HIV/AIDS discrimination widespread in China

Wed Nov 28, 2007 10:49 AM GMT

BEIJING (Reuters) - China's efforts to prevent HIV/AIDS-related discrimination have failed to stamp out "widespread" stigmatization of sufferers, United Nations. officials said on Wednesday.

Subinay Nandy, China country director for the U.N. Development Programme, said China had done a "tremendous job" implementing anti-HIV/AIDS discrimination policies and legislation but enduring misconceptions were stopping sufferers from seeking treatment.

"We all will agree, widespread stigmas and discrimination in all sections of societal life here in China as elsewhere still exist at a very high level," Nandy told reporters.

"China, in terms of the percentage of people and the number affected, (HIV/AIDS) is still not that big a problem ... but there is no reason to be complacent."

The United Nations estimates that the number of HIV/AIDS sufferers in China is about 650,000.

But Chinese health officials have said the epidemic is spreading from high-risk groups such as sex workers and drug-users to the general population.

The rate of new HIV/AIDS infections has accelerated in recent months. While the average monthly figure for the first six months of 2007 was 3,090, the average over the longer January-October period rose sharply to 3,223, state media reported..

AIDS prevention groups have said that more HIV-sufferers were developing full-blown AIDS due to resistance to anti-retroviral drugs and a reluctance to speak out.

"People who feel stigmatized will not come forward or dare to seek medical treatment, and guidance, and by doing so put further fuel on the fire for the spread of HIV," UNAIDS China Country Director Bernhard Schwartlander said.

The U.N. officials spoke at the launch of "Positive Talks" on Wednesday, a UNDP-backed project training 35 Chinese men and women living with HIV/AIDS to participate in "HIV-related advocacy, prevention, care and awareness activities" at schools, companies and hospitals.

"There is a stronger need than ever to reach the general public and humanize the face of the HIV epidemic," Nandy said, but added that sufferers' confidentiality still needed to be protected due to enduring social misconceptions.

Gao Fei, a Beijing-based HIV/AIDS sufferer with the "Positive Talks" project, said discrimination was still serious, even in the Chinese capital, where only two hospitals specialized in providing treatment for sufferers.

"If other hospitals see on your hospital record that you've been infected, they won't treat you ... even if you just need treatment for the flu or a cold," Gao said.

 

China AIDS rate slows, main transmission now sex

Thu Nov 29, 2007 6:31 AM ET

By Ben Blanchard

PhotoBEIJING (Reuters) - The rate of new HIV/AIDS infections in China is slowing and is now mainly being transmitted through sex, which the government could tackle with a circumcision campaign, the health minister said on Thursday.

The country will have an estimated 50,000 new infections in 2007, compared with 70,000 in 2005, though groups like men who have sex with men are increasingly at risk, according to a report by the State Council, or Cabinet, and the United Nations.

That will mean there will be about 700,000 people living with HIV/AIDS this year in China, up from an earlier estimate of 650,000.

Of the new infections, 44.7 percent will come from heterosexual transmission, 12.2 percent from men having sex with men, and 42 percent from intravenous drug use, the report said.

In the past, most infections were caused by intravenous drug use.

"At present, the AIDS epidemic in China continues to spread, but at a slower rate," Health Minister Chen Zhu told a news conference. "Sexual transmission is now the main route for the spread of AIDS."

Chen said more focus needed to be put on traditionally marginalized groups, like the gay community and drug users, though he added condom use by sex workers had risen from 14.7 percent in 2001 to 41.4 percent last year.

Yet the report found risky behavior by men who have sex with men remained widespread, with just a third using condoms for anal sex.

Chen said that with infections now primarily coming via sexual transmission, a male circumcision campaign could not be ruled out in China.

Studies have shown that circumcision could reduce the risk of HIV infection by up to 60 percent, though it does not offer total protection from the virus.

The World Health Organisation has already recommended it as one of the ways developing countries, especially in Africa, could use to fight the spread of AIDS.

"This is a technical question. I think our experts will evaluate it," Chen later told Reuters. "Even before the AIDS era some children in China were already being circumcised."

Circumcision rates are low in China compared to Asian countries like South Korea or Japan, where the foreskin is often removed at birth for hygiene reasons, or Muslim countries like Indonesia which practice it for religious reasons.

China's Muslim minority, concentrated in the far western region of Xinjiang, likewise circumcise their male children, normally as they reach puberty.

Chen said that were the government to decide to promote circumcision among the wider population, he did not think it would run into much opposition or cultural problems.

"As long as there is evidence it is effective, I don't think it would be an issue," he said.

(Editing by Jeremy Laurence)

China reports sharp drop in HIV cases

Wed Nov 28, 10:17 PM ET

China has 223,501 people infected with HIV, the official Xinhua News Agency said Thursday, a sharp drop in previously reported figures.

The brief dispatch from Xinhua did not give any more details.

In 2004, China scaled back the estimated number of people infected with HIV, the virus that causes AIDS, from nearly 1 million people to 840,000, and then further lowered the estimate to 650,000 in 2005.

Experts have said the figures are probably accurate because they are in line with a change in the way data are collected.

HIV gained a foothold in China largely due to unsanitary blood plasma-buying schemes and tainted transfusions in hospitals.

After years of denying that AIDS was a problem, Chinese leaders have shifted gears dramatically in recent years, confronting the disease more openly and promising anonymous testing, free treatment for the poor and a ban on discrimination against people with the virus.

But the topic still remains very sensitive and authorities regularly crack down on activists and patients seeking more support and rights.

Global health officials said earlier this month that the estimated number of people infected with HIV around the world fell from almost 40 million last year to about 33.2 million this year.

Previous estimates were largely inflated and the new numbers are the result of a different methodology, which show that the AIDS pandemic is losing momentum.

The old AIDS numbers were largely based on how many infected pregnant women were at pre-natal clinics, as well as projecting the AIDS rates of certain high-risk groups like drug users to the entire population at risk. Officials said those figures were flawed, and are now incorporating more data like national household surveys.

Last week, David Ho, a well-known AIDS researcher who also runs a public awareness and prevention program in mainland China, said Beijing's previously revised figures likely reflected the change in method of calculation.

 

China to stop arresting women for carrying condoms: state press

Fri Nov 30, 5:09 AM ET

Chinese police are to stop arresting women who carry condoms, traditionally seen as evidence of prostitution, in an effort to help curb the spread of AIDS, state press said Friday.

Despite efforts to stop the practice, women in China are still being sent to labour camps for prostitution offences merely because they were carrying condoms when detained by police, the report said, quoting an expert.

"We have investigated many education-through-labour camps and we have found that for those sentenced for prostitution, the sole evidence was that they possessed condoms," Xinhua quoted the unnamed expert as telling an AIDS conference here.

The comment appeared to contradict remarks by Han Mengjie, a senior official at the cabinet-level AIDS prevention office, who was quoted by Xinhua as saying a campaign to end the practice was put in place as early as in 2001.

"In 2001, the propaganda bureau and the police issued a joint directive that as for the use of condoms, they would not be considered evidence," said Han.

"As far as I know, since we started our AIDS awareness campaign and consulted with the police ministry, police throughout China have stopped using condoms as evidence."

China is estimated to have about 700,000 HIV/AIDS cases, with tens of thousands of new infections each year.

An increasing number of infections is due to heterosexual contact and not drug use, which was formerly the main channel of the disease here.

Police in China enjoy extraordinary powers to deal with minor crime, and are allowed to convict and sentence suspects to up to two years in labour camps, without trial.

 

Asia-Pacific must do more to tackle gay AIDS crisis-group

30 Nov 2007 11:08:40 GMT

By Ben Blanchard

BEIJING, Nov 30 (Reuters) - Asia-Pacific countries are not doing enough to tackle a growing AIDS crisis among men who have sex with men, hampered by social stigma and discriminatory laws, according to an advocacy group.

Though in some countries such as China the government is now actively involved in reaching out to this community, in others, including Malaysia and India, progress has been much slower, said the Asia-Pacific Coalition on Male Sexual Health.

It is an "almost unrecognised but ever-growing crisis that many governments in the region are only just beginning to grapple with", the group said in a statement ahead of World AIDS Day on Saturday.

HIV infection rates in some Asia cities in the men who have sex with men (MSM) community are estimated to be as high as 32 percent, added the group, a coalition of U.N. bodies, governments and non-governmental organisations.

"One of the main reasons is stigma around engaging in MSM behaviour, and also identifying as gay, transgender and so on in Asia," Edmund Settle, HIV/AIDS Programme Manager for the UNDP in China, told Reuters in a telephone interview.

That stigma can range from lack of visibility to homophobic violence in places like Nepal.

"There's also a legislative reason. In a lot of post-colonial countries such as India and Malaysia, engaging in male-to-male sex is illegal, punishable by long prison sentences. So it's very difficult to talk openly about male-to-male sex if it's illegal," he added.

Another problem is lack of data, though research has now started to take place, and lack of focus on the community in HIV/AIDS prevention work.

"Despite MSM having higher infection rates than the general adult population, the financial investment for HIV prevention, care and support services for this marginalised group across the Asia-Pacific is abysmally low in national HIV and AIDS programme planning, usually between 0 and 4 percent," group chairperson Shivananda Khan said in the statement.

"Less than one in 10 MSM in the region have access to any sort of HIV services, woefully short of the six in 10 that UNAIDS describes as minimal coverage necessary for high-risk groups," Khan added.

"Is it any surprise then that we really don't have a clear picture of the true extent of the HIV crisis affecting men who have sex with men?"

Knowledge of safe sex can be pitifully low.

In China, which has an estimated 700,000 HIV cases, only 30 percent of men who have sex with men use condoms, according to a new Chinese government/UN report. And in urban areas, new cases are growing fast in this community.

"If you just look at urban cases, in China they are starting to make up a large proportion of HIV infections," Settle said, adding this was also the case in other major cities around the region.

"What we don't know is the second and third tier cities." (Editing by Nick Macfie)

Pope calls for new efforts to fight AIDS

Wed Nov 28, 6:42 PM ET

PhotoPope Benedict XVI on Wednesday called for intensified efforts to stop the spread of the HIV virus, saying he felt "spiritually close" to those suffering from AIDS.

"I am asking all people of goodwill to multiply efforts to stop the spread of the HIV virus, to oppose the scorn that often strikes those affected and to take care of the sick, especially the children," Benedict told his weekly public audience in connection with World AIDS Day, which was Saturday.

"I am spiritually close to those who suffer as a result of this terrible illness as well as to their families, in particular those struck by the loss of a close relative," the pope said. "I assure my prayers for all."

Also on Wednesday, a U.N. food agency said that reducing hunger in poor countries was key to fighting AIDS and other infectious diseases.

Hunger and disease create a vicious cycle, as famished people are more likely to fall victim to infectious and chronic diseases, which then reduce their ability to provide food for themselves and their family, the Rome-based World Food Program said in a report.

Malnutrition also makes recovery more difficult even when proper drugs are available, so the international community must take care to couple medical help with food aid, the agency said in its "World Hunger Series" report for 2007.

"Food is often cited by people living with and affected by HIV/AIDS as their greatest and most important need," said Elizabeth Mataka, the U.N.'s special envoy for HIV/AIDS in Africa. "Nutrition interventions for HIV programs are often overlooked in the international HIV policy debate and they remain critically underfunded."

Speaking at a presentation of the report in Rome, Mataka said that, according to U.N. figures, the number of people affected by HIV in 2007 was 35.2 million, down from 39.5 million in 2006.

"It seems that we are witnessing a slowing down of the epidemic, but we have to do more," she said. "Setting a limit to hunger and HIV is an absolute imperative."

 

US Capital has severe HIV epidemic, report finds

Mon Nov 26, 2007 5:40 PM ET

By Maggie Fox, Health and Science Editor

WASHINGTON (Reuters) - Washington, D.C., has the highest rate of AIDS in the United States, and more babies are born with the AIDS virus in Washington than in other U.S. cities, according to a report released on Monday.

People living in Washington also are not getting tested for HIV and show up with advanced infections that progress quickly to AIDS, the report by city health officials found.

The report found that Washington, with a population of around 600,000 people, has a rate of 128 AIDS cases per 100,000 people in 2006, compared with a national rate of 14 cases per 100,000. The city accounted for 9 percent of all pediatric AIDS cases in the United States during 2005.

"The District's rate for newly reported AIDS cases is higher than rates in Baltimore, Philadelphia, New York City, Detroit and Chicago," the report said.

Of the 12,428 people infected with HIV in Washington, 80 percent are black, the report found. More than 8,300 had fully progressed to AIDS and 224 died of AIDS in 2006.

"Heterosexual contact in the District is the leading mode of HIV transmission at 37 percent of newly reported infections, while nationally men who have sex with men lead new transmissions," it said.

The report, the first to look at the HIV epidemic in Washington specifically, found that nearly 70 percent of all people with HIV developed full-blown AIDS within a year, which means they were diagnosed years after having been infected.

This compares with 39 percent nationally.

Dr. Shannon Hader of Washington's Department of Health said the report does not examine why Washington is hit so hard by the human immunodeficiency virus.

A LITTLE OF EVERYTHING

"We have a lot of transmission going on among heterosexuals, we have a lot of transmission going on with men who have sex with men and we have a lot of transmission among injecting drug users," Hader said in a telephone interview.

Washington has a unique status among U.S. cities. When it was established as the U.S. capital, it was kept apart from states and put under congressional management, although it has an elected mayor and city council.

Hader said the city has adopted a policy of routine HIV testing, which means people should get the test whenever they get a check-up or visit an emergency room.

Currently, people usually have to specifically ask to be tested for HIV.

Hader said the city aimed to reduce mother-to-child transmission of HIV to zero by 2009 with better testing and treatment of pregnant women. Women who take HIV drugs around the time of delivery are far less likely to transmit the virus to their babies.

Chip Lewis of the Whitman-Walker clinic, an HIV treatment center in Washington, said the report shows the need for universal HIV testing.

"This is a 100 percent preventable disease," Lewis said by telephone. Yet one in 20 adults in Washington has HIV and one in 50 has AIDS, he noted.

"HIV and AIDS has really become a disease that grows in areas of poverty. There is lots of poverty in the District," Lewis said.

The United Nations estimates that 33 million people are infected with the AIDS virus globally, about a million of them in the United States.

(Editing by Will Dunham and Philip Barbara)

 

Estimates of U.S. HIV cases rise 50 percent: reports

Sat Dec 1, 2007 8:20 AM ET

WASHINGTON (Reuters) - The government is raising its estimate of how many Americans are becoming infected with the AIDS virus every year by 50 percent, according to newspaper reports on Saturday.

The federal Centers for Disease Control and Prevention now believes the number of new HIV infections each year is between 55,000 and 60,000 -- up from the 40,000 figure used for the past decade, The Washington Post reported.

The Post cited two unidentified people in contact with the scientists preparing the new estimate.

It said the higher figures were based on data from 19 states and large cities that were extrapolated to the nation as a whole. The CDC has not made the new estimate public.

The Wall Street Journal also reported the CDC's expected upward revision, citing unidentified outside researchers and public health officials.

The Journal said Robert Janssen, director of the CDC's Division of HIV/AIDS Prevention, declined to comment on the new estimates, saying they could change.

The newspapers attributed the revision to new testing technology developed by the U.S. public health agency, which also revised its methodology to make estimates more precise.

"The higher estimate is the product of a new method of testing blood samples that can identify those who were infected within the previous five months. With a way to distinguish recent infections from long-standing ones, epidemiologists can then estimate how many new infections are appearing nationwide each month or year," the Post said.

(Writing by Doina Chiacu; Editing by Richard Balmforth)

 

Clinton, AIDS and evangelicals make unusual trio

By Jill SerjeantThu Nov 29, 5:32 PM ET

Democratic presidential front-runner Hillary Clinton makes a rare foray into the U.S. evangelical community on Thursday with an address to an AIDS conference that is seen as a bid to woo the religious right.

Clinton is the only one of six invited presidential candidates to attend a meeting on the role of the evangelical church in fighting the AIDS pandemic, hosted by the influential Saddleback Valley Community Church in Southern California.

Democrats Barack Obama and John Edwards and Republicans John McCain, Mike Huckabee and Mitt Romney are sending short video statements outlining their position on the AIDS issue.

Saddleback's 4-year-old AIDS initiative already is controversial in America's 60 million-strong evangelical community.

It seeks to turn church-goers into volunteers, educators and care-givers of AIDS victim. Evangelicals generally have shunned the HIV/AIDS issue in their opposition to gay rights.

But inviting Clinton to the vast Saddleback campus, where 22,000 people attend services every week, is like a red flag to a bull. White, Republican-leaning conservative Christians object to her support of abortion and gay rights and many see her as the most divisive and liberal of the Democratic contenders.

"It is a mistake to invite her to speak at an evangelical Christian church on AIDS or any other issue because her political stances are contrary to biblical teaching," said Tim Wildmon, president of the American Family Association, which has 2.8 million supporters.

"What Saddleback is doing is helping raise her profile as a legitimate presidential candidate in the eyes of evangelical Christians and I think that is a huge error," Wildmon told Reuters.

'LIVES, NOT LABELS'

Saddleback pastor Rick Warren, author of the best-selling inspirational book "The Purpose Driven Life," said there were many issues on which Clinton and his church disagree.

"But when millions are dying each year we are interested in lives, not labels," Warren said. "We want everyone to become concerned about the AIDS pandemic."

Clinton has much to gain from a good reception at the conference, which features 90 speakers and 1,500 people representing churches and non-governmental organizations.

Some Democrats have expressed concern about Clinton's electability in a tight race with the Republicans. A Zogby Interactive poll released on Monday showed she trailed the top five Republican contenders in hypothetical general election match-ups by 3 to 5 percentage points, although her top rivals Obama and Edwards would defeat them.

Warren's wife, Kay, who started the Saddleback campaign four years ago, takes a pragmatic approach to charges that both Clinton and Saddleback are using the other for different ends.

"Of course (the presidential candidates) are looking to maximize their message in every segment of society," she said. "But we feel we are able to influence them and say what are you going to do about it?"

Clinton this week outlined an AIDS policy similar to her Democrat rivals that sees an expansion of federal efforts to combat HIV/AIDS globally.

Despite scathing attacks on several Christian message boards, the invitation to Clinton has not prompted the organized protest seen a year ago over Obama's visit to Saddleback. That controversy also centered on abortion.

"I don't know if it's just people shrugging their shoulders and saying -- oh! that Saddleback group. Or if it reflects an understanding we have tried to portray that you don't have to agree with everyone to have a conversation about how we make progress," Kay Warren said.

 

S.Africa cites progress on AIDS

Sat Dec 1, 2007 5:29 PM ET

JOHANNESBURG (Reuters) - South Africa, which has one of the world's worst AIDS epidemics, has made headway in fighting the HIV virus, but condom use is still insufficient, government leaders said on Saturday.

One in nine South Africans are infected with HIV, but President Thabo Mbeki's government has been criticized for not doing enough to halt the spread of the disease despite the heavy economic and human toll.

Health Minister Manto Tshabalala-Msimang cited a study showing a decline in HIV among pregnant women -- a benchmark used to measure infection amongst the broader population.

"The report of the 2006 antenatal survey results released this year showed a decrease in the prevalence of HIV amongst pregnant women who use public health facilities," she was quoted as saying by news agency SAPA.

"It is down to 29.1 percent in 2006 compared to 30.2 percent in 2005 ... The decline in the under 20s from 15.9 percent in 2005 to 13.7 percent in 2006, in particular suggests a possible reduction in new infections in the population," she said at an event to mark World AIDS day in the northern Limpopo province.

Mbeki, who has been criticized for not taking the lead in the charge against AIDS, called on South Africans to use condoms.

"What is really of importance is that we must, all of us, take these messages very seriously, particularly our young people," Mbeki said on SABC public radio.

STAR-STUDDED CONCERT

Mbeki's predecessor, Nelson Mandela, staged a star-studded concert expected to be attended by 50,000 in Johannesburg on Saturday to raise money for his AIDS charity.

"A few days ago, the United Nations estimated that more than 33 million people around the world are living with HIV. This lower figure suggests that prevention programs have been successful in bringing down infection rates," Mandela said.

"That trend is encouraging but it is still alarming that for every person that receives treatment there are four others that are newly infected," he told the crowd.

Elsewhere in Africa, events were also held to mark World Aids Day. In Niger, around 3,000 people, mostly women and young people, marched through the capital Niamey to demand more measures to help AIDS sufferers.

In the small West African state of Benin, President Thomas Boni Yayi headed a march to show solidarity for AIDS victims.

The Johannesburg concert was to include performances from singers Peter Gabriel, Annie Lennox, and Corinne Bailey Rae and its proceeds will go towards HIV/AIDS programs throughout southern Africa, the epicenter of the worldwide AIDS epidemic.

The government relented to pressure and launched a plan to provide life-prolonging anti-retroviral drugs in 2003, after Mbeki had questioned the safety of the medication and expressed doubts about widely accepted science on the link between HIV and AIDS.

But activists have complained that the program is moving far too slowly, causing several hundred deaths each day. Some 700,000 HIV patients are without treatment, especially bad in rural areas where clinics are saturated with a backlog of cases.

Archbishop Desmond Tutu, who took on South Africa's apartheid government as the country's first black bishop and won the 1984 Nobel Peace Prize, said the battle was far from won.

"We face a monumental crisis, one that was horribly exacerbated when we wasted valuable time in futile academic discussions and debates about the causes of AIDS," he said in a speech to diplomats on Friday.

"We were fiddling whilst our Rome was burning. People who would have been alive today, died needlessly."

(Reporting by Gershwin Wanneburg and Bate Felix; Additional reporting by Abdoulaye Massalatchi in Niamey and Samuel Elijah in Cotonou; Editing by Stephen Weeks)

 

Fighting AIDS in Iran seen tough due to taboos

Sat Dec 1, 2007 12:59 PM ET

By Zahra Hosseinian

TEHRAN (Reuters) - Iran is fighting the spread of the AIDS virus by treating sufferers for free but taboos about the issue in the Islamic Republic are hindering efforts to raise public awareness, Iranian health officials said on Saturday.

Injecting drug users are the main risk group in Iran, which is on a heroin smuggling route to the West from the opium fields of neighboring Afghanistan, the world's number one producer of the opium poppy, the officials said.

But some health officials are concerned about the rising number of sexually transmitted cases of HIV.

More than 16,000 people suffer from HIV/AIDS in a country with a population of about 70 million, Deputy Health Minister Moayed Alavian told a conference. But he also said some estimates put the number of sufferers at 70,000.

"From this figure (of 16,000), 66.7 percent are injecting drug users," he told a conference at Tehran University to mark international AIDS day.

He said the Health Ministry faced challenges in fighting HIV/AIDS because of the social stigma attached to the disease and the fact that the subject was considered a taboo.

"There are also social and cultural limitations in providing education on how to prevent (the disease) and informing the public," Alavian said.

Iran is a low prevalence country in terms of HIV infections with a rate of about 0.16 percent of the adult population compared to North America where it is 0.8 percent, experts say.

But, in a pamphlet distributed at the conference, Health Minister Kamran Lankarani was quoted as saying he was concerned by rising sexual transmission of the disease.

"Concerns over the spread of the disease through sexual behavior have increased," he said.

In a speech to the conference, the minister said: "One of our country's greatest points in this regards is that all services related to HIV/AIDS are totally free of charge and that includes drugs, tests and all kinds of treatments."

Because of "free and sufficient treatments and good programs", he said Iran was witnessing a decline in the number of women and children under the age of 15 suffering from AIDS.

A U.N. official said in June that HIV infection rates in Iran were increasing due to the growing inflow of cheap heroin from Afghanistan and also cited more sexually transmitted cases.

But he also spoke of "progressive and pragmatic" efforts to fight the AIDS virus in Iran.

During the conference, a video clip of a campaign encouraging "Abstinence, Be faithful, Condom use" was played.

(Editing by Giles Elgood)

 

Cameroon prostitutes join battle against AIDS

30 Nov 2007 14:20:09 GMT
Source: Reuters
By Tansa Musa

DOUALA, Cameroon, Nov 30 (Reuters) - A drama group including prostitutes has helped make Cameroon one of just three sub-Saharan African countries where young people have clearly reduced risky sexual behaviour.

The Cameroon Red Cross initiative in the main port city, Douala, warns working prostitutes and their potential clients of the dangers of AIDS and other sexually transmitted diseases.

In Douala's popular Chat Noir nightclub, as soon as the strippers have finished their show, the music abruptly stops and a group of youngsters in Red Cross gowns mount the stage.

Some customers grumble and walk out.

"One of our friends is not here with us. Where is she?," one performer asks, frowning.

"You mean you've not heard the news?" another fires back. "Well, I'm sorry that she is dead. She died some days ago of AIDS."

"Oh, that is too bad. This means she too has not been taking seriously the message we've been spreading around about this very killer disease," replies the first woman, sighing deeply.

Including past and present prostitutes -- women hardened by street life in a city that has become a magnet for the rural poor -- the troop brandish dildos around the clubs to demonstrate how to put on a condom.

Subtlety and character motivation are not high on the agenda for the project, which extends to retraining street prostitutes for alternative trades to selling sex.

But in the past year the initiative has, according to United Nations data, helped Cameroon join Kenya and Zimbabwe as places whose young people are behaving more safely when it comes to sex.

Cameroon's HIV infection rate, estimated at 5.5 percent, is well below that of Southern Africa's AIDS hotspots like Botswana and Swaziland, but higher than some of neighbouring central African countries.

Some of the highest HIV rates are in Douala and the capital Yaounde, where many young women migrate from rural areas hoping for a better life, but fail to find jobs and end up selling sex.

ALTERNATIVES

"By suggesting an economic alternative to young women, the Cameroon Red Cross controls not only the spread of AIDS but also fights poverty," said Jean-Jacques Kouoh of the International Federation of Red Cross and Red Crescent Societies in Cameroon, which funds the programme and hopes to extend it beyond Douala and Yaounde.

Called Filles Libres (Free Girls) -- local parlance for prostitutes -- the programme offers training and loans to help women get off the streets and set up their own businesses cutting hair, making clothes or cooking.

"I used to make any amount from 3,000 CFA to 15,000 CFA ($7-$34) a day. But it was not a bed of roses," said former prostitute Jennifer, who took to the streets when the father of her twins abandoned her.

"Sometimes a man will give you money, take you to his home and once the act is over he will beat you to take back his money," said the 24-year-old, who is now training as a hair dresser in Douala.

"I can never go back there again, and I want other girls to learn from me. Street life is very risky, it is too dangerous."

Marthe, 23, dropped out of school and left home five years ago when her father was killed in a car accident.

"I came to Yaounde with the hope of making making some money to help educate my younger brothers and sisters and my old mother. But things did not turn out as I thought, so I decided to become a Free Girl to make ends meet," she said.

Filles Libres helped her set up a phone booth and now she is married to a former sex client with whom she has two children.

"I am very proud of my wife," said her husband, Pierre. (Editing by Alistair Thomson and Sara Ledwith)

 

Myanmar junta shuts AIDS monastery and expels monks

Fri Nov 30, 2007 9:58 AM GMT

By Aung Hla Tun

YANGON (Reuters) - The Myanmar junta has shut down a Yangon monastery which served as a hospice for HIV/AIDS patients and expelled its monks, an opposition lawyer said on Friday.

"The authorities sealed Maggin monastery yesterday afternoon" and expelled the monks, said Aung Thein of detained democracy icon Aung San Suu Kyi's National League for Democracy.

"The authorities did not give them any documents and did not say under which law the action was taken, so we cannot do anything to provide them with legal assistance," he added.

United Nations special envoy Ibrahim Gambari criticised the closure of the monastery, which was used as a hospice for HIV/AIDS sufferers and a refuge for provincial patients who came to Yangon for medicines.

"Any actions that run counter to the spirit of national reconciliation, any action that will undermine the dialogue between the government and those who disagree with the policy of the government should be avoided," Gambari said in Phnom Penh.

"And I'd like to repeat that," he told reporters during a visit to Cambodia on a regional tour before returning to the former Burma next month for more talks with the government and probably Suu Kyi.

The abbots of Maggin monastery have long had the reputation of supporting pro-democracy campaigns, such as the one led by monks in September which the junta crushed. The official death toll is 15, but diplomats believe it is much higher.

The suppression caused such international outrage the junta allowed Gambari to visit and it appointed a senior general as intermediary with Suu Kyi, who has spent 12 of the past 18 years under some form of detention.

Gambari, who expects to return to Myanmar in December, said after his last visit he had received assurances the crackdown would stop.

But arrests have continued, raising doubts about the junta's sincerity in beginning a real dialogue with the opposition.

"We get reports almost on a daily basis of people being picked up," Shari Villarosa, the top U.S. diplomat in Myanmar, told reporters in Bangkok.

"It's hard to see how shutting monasteries, continuing to arrest people and continued restrictions on Aung San Suu Kyi, how this is progress," Villarosa said.

Myanmar state media say all but 91 of the nearly 3,000 people arrested in the crackdown were released and monks from raided monasteries were sent home.

Villarosa said she believed "a considerable number" of monks had been arrested and their whereabouts were unknown.

"It's the big question out there. Where are all the monks?"

(Additional reporting by Darren Schuettler in Bangkok; Ek Madra in Phnom Penh)

 

Thai drug users denied access to AIDS treatments: rights group

Thu Nov 29, 2:19 AM ET

Thailand is failing to provide treatment to drug users most at risk of AIDS despite its reputation as a pioneer in the global battle against the disease, Human Rights Watch said Thursday.

The Thai government estimates that 40 to 50 percent of injection drug users are living with HIV, a figure that has not changed over the past two decades despite general success in preventing infections, the group said in a report.

"Thailand wants to be seen as a success story in the fight against AIDS, yet it is failing to address the epidemic among the population hit hardest by HIV," said Rebecca Schleifer, an advocate with Human Rights Watch.

"The Thai government has recognised that the HIV infection rate is 'unacceptably high,' and it has the expertise to address this public health emergency," she said.

The report blames the problem on police harassment and discrimination against drug users, saying health care workers deny antiretroviral treatment to people who need it if they are using illicit narcotics.

Many injection drug users were also driven into hiding and afraid of authorities after former premier Thaksin Shinawatra led a "war on drugs" in 2003, when at least 2,500 people died in extrajudicial killings, the group said.

Thailand has generally been lauded for its universal treatment programme, which has included a controversial battle with pharmaceutical companies for cheap or generic versions of cutting-edge treatments.

"An HIV diagnosis is still a death sentence for most drug users in Thailand," said Paisan Suwannawong, director of the Thai AIDS Treatment Action Group.

"Thailand must stop discrimination against drug users seeking health care services, or it will never meet its promise to ensure access to AIDS treatment to all who need it."

 

Tennis star Federer joins UN anti-AIDS campaign

Tue Nov 27, 3:29 PM ET

PhotoTennis world number one Roger Federer will send a global televised message to raise awareness of mother-to-child HIV transmission to mark World AIDS Day on December 1, the United Nations children's fund said on Tuesday.

Federer, who is also a UNICEF goodwill ambassador, will star in the 30-second video message, recorded in separate English, French and German versions, to be distributed to broadcasters worldwide.

"I've seen kids in South Africa who've been affected and it's a very big problem, especially in the poorer countries," said Federer, whose mother comes from South Africa.

"It's important to break down discrimination and stigma. Many people always think 'I can't talk to this person', but I think it's very important to speak openly about it," the tennis star added.

Federer said he was willing to play his part and use his sporting profile to help foster hope and motivation amongst those children affected by the deadly disease.

"Sport creates leadership opportunities and teaches children teamwork, encouraging them to make good choices that can reduce their risk of HIV infection ... Sport is a fun way to learn lessons that will last a lifetime," he said.

 

More than 27,000 new HIV infections in Europe in 2006: report

Mon Nov 26, 7:39 PM ET

More than 27,000 new HIV infections were recorded in European countries last year, the European Centre for the Epidemiological Monitoring of AIDS said Tuesday.

More than half of the 27,259 new infections, or 54 percent were recorded in France and Britain, with 5,750 and 8,925 cases respectively, said the EuroHIV centre.

The overall figure for the 27-nation European Union was 67.7 cases per million inhabitants, with the highest ratio in Estonia, 504.2 per million and 668 cases; and Portugal, 205 per million and 2,162 cases.

Slovakia and Hungary had the lowest rate with five per million, or 27 cases and eight per million, or 80 cases respectively.

France's rate of 91.9 per million inhabitants compared to Belgium's 95.3 per million (995 cases) and Switzerland's with 104.2 per million (757 cases).

With 66 percent men bore the brunt of the epidemic, and 11 percent of the new cases were diagnosed among 15- to 24-year-olds.

Heterosexual intercourse was the main source of infection with 42 percent, while infections due to sex between men accounted for 29 percent. Seven percent of infections were caused by intravenous drug use.

The overall caseload of more than 27,000 new infections includes figures from Iceland, Norway and Switzerland which are not members of the European Union.

UNAIDS, the global standard-bearer in the fight against HIV/AIDS, estimates the total number of people with HIV/AIDS in 2006 at 740,000 in western and central Europe and at 1.5 million in eastern Europe and central Asia.

 

Russia has almost one million HIV-positive people

Mon Nov 26, 1:20 PM ET

PhotoBetween 900,000 and one million people in Russia have the HIV virus, the head of an international AIDS lobby group said Monday.

Michel Kazatchkine, executive director of the Global Fund for to Fight AIDS, Tuberculosis and Malaria, a private-public group which has injected substantial funds into research, said the UNAIDS agency has completed substantial work "in order to obtain objective figures."

The Interfax and Ria Novosti news agencies quoted him as saying: "According to their estimates, between 900,000 and one million people in Russia are HIV-positive."

The Global Fund was created with public and private funds in 2002 with former UN secretary general Kofi Annan taking a leading role.

Last week, top Russian health official Gennadi Onishchenko accused UNAIDS, the UN agency charged with coordinating the fight against AIDS, of publishing "incorrect" figures regarding the number of HIV-positive people in Russia.

UNAIDS said in a report published November 21 that Russia currently represents 66 percent of the number of new HIV cases in the former Soviet Union.

According to official figures released by the Russian AIDS agency in October, 403,100 HIV-positive people were counted in Russia since the virus appeared in the country, of which 19,924 people died. Russian experts say the true number of HIV-positive is close to 1.3 million.

 


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