News (Updated November 2, 2009)

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Obama ends travel ban for HIV positive

New York , October 31 -- President Barack Obama announced this Friday that the nation will invalidate a 22-year-old travel restriction on the entry of HIV infected people to U.S.

<strong>New York, October 31 --</strong> President Barack Obama announced this Friday that the nation will invalidate a 22-year-old travel restriction on the entry of HIV infected people to U.S.President Barack Obama while signing a bill to extend the Ryan White HIV/AIDS program at a White House ceremony

The President also announced that an order cancelling the ban will be issued on Monday and would take effect after a 60-days waiting period.

“If we want to be a global leader in combating H.I.V./AIDS, we need to act like it,” Obama said at the White House while signing a bill to extend the Ryan White HIV/AIDS program. “Now, we talk about reducing the stigma of this disease, yet we’ve treated a visitor living with it as a threat.”

The program, started in 1990, provides medical care, medication and support services to about half a million people, most of them low-income.

The bill is named for an Indiana teenager who got infected with the HIV strain through a blood transfusion at age 13 and died in April 1990 at the age of 18.

Lifting of the ban ends the stigma
The ban came into effect in 1987 at a time of widespread fear that HIV/AIDS could be transmitted through physical or respiratory contact.

Under the ban, all those infected with the HIV strain were not allowed to travel or to seek a residency in the United States .

Because of the restriction, the country was also prevented from hosting international conferences on global strategies to fight HIV epidemic since 1990.

Particularly, the ban affected tourists and gay men.

However, this announcement has been welcomed by several groups. Now all those wanting to travel to the United States will not be required to give the HIV test once the bill comes into effect.

"The connection between immigration and H.I.V. has frightened people away from testing and treatment,” said Rachel B. Tiven, executive director of Immigration Equality, a group that advocates for gay people in immigration matters.

"Now, those families can be reunited, and the United States can put its mouth where its money is: ending the stigma that perpetuates HIV transmission, supporting science and welcoming those who seek to build a life in this country," added Tiven.

At the White House ceremony, Obama also acknowledged Bush administration's efforts towards lifting the ban, which started last year.

Last edited by Harpreet Bhagrath on Sat, 10/31/2009 - 12

 

AIDS experts say Russia needs new HIV strategy

By DOUGLAS BIRCH, Associated Press Writer Douglas Birch, Associated Press Writer Oct 28, 2009

MOSCOW – AIDS experts urged Russian officials on Wednesday to scrap their abstinence-based strategy for curbing the spread of HIV, saying the country's fast-growing epidemic could be entering a dangerous new phase.

AIDS specialists meeting here urged Russia to adopt successful strategies like needle-exchange programs and heroin substitutes such as methadone for drug addicts.

The number of HIV infections in Russia has doubled in the past eight years and there is evidence that in this region the virus is increasingly being spread by heterosexual sex.

The rapid growth of the epidemic in Russia is in contrast to sub-Saharan Africa and South and Southeast Asia, where prevalence of the virus fell during the same eight-year period, according to UNAIDS, the United Nations AIDS agency.

Russia's chief public health officer, Gennady Onishchenko, told a regional AIDS conference Wednesday that Russia is "emphatically against" the use of drug replacement therapy. Meanwhile, he criticized programs that exchange clean needles for used ones, saying such programs may promote illicit drug sales and HIV transmission.

Both are part of a so-called harm reduction strategy, in contrast to the just-say-no programs that urge abstinence from drugs and risky sex. Russian health officials say they are committed overall to a "healthy lifestyles" rather than a harm reduction approach to improving public health.

That isn't good enough, a number of foreign experts say.

"International studies show that an abstinence-based message on drug use or sex simply doesn't work," said Robin Gorna, executive director of the International AIDS Society. In Russia , she said, "it does appear that ideology is getting in the way of public health care policy."

Russia has increased spending on AIDS programs by 33 times since 2006, making it a central part of an ambitious new national health care strategy. It has expanded drug treatment dramatically for AIDS sufferers and is among the leaders worldwide in reducing the incidence of transmission of the disease between mothers and their babies.

But many Russian officials view harm reduction efforts as encouraging criminal or shameful behavior. The position has left it increasingly isolated, as China recently embraced such programs, foreign AIDS experts here said.

Russia has some highly successful needle exchange programs and free condom programs, several foreign specialists said, but many have been paid for through grants from the international Global Fund to Fight AIDS, TB and Malaria.

Now those grants are being terminated under Global Fund rules, the specialists said, because Russia is too wealthy to qualify for them.

Chris Beyrer, a professor at the Johns Hopkins School of Public Health, said Russian officials "have never really embraced" needle exchange, free condom distribution and other harm reduction techniques.

"It is the reason I think that they continue to have one of the most severe epidemics in the region," said Beyrer, director of Hopkins' AIDS International Training and Research Program. He was in Moscow for the regional meeting, which runs through Friday.

Gorna of the International AIDS Society said the only needle exchange programs in Russia are some 75 funded primarily by foreign donors, 22 of which shut down in August after their grants ran out. She and other experts said the regions where those programs have operated have seen slower transmission rates than the rest of Russia .

Russian civic groups and other nongovernment organizations that have distributed millions of free condoms in Russia also lost their Global Fund grants in August, due to the eligibility issue, Gorna said. She said she was unable to determine Wednesday whether the Russian government has continued those programs.

Michel D. Kazatchkine, executive director of the Global Fund to Fight AIDS, TB and Malaria, told reporters at a news conference that he hoped the Russian government would keep the harm reduction programs going. But Onishchenko, speaking at the same event, did not say whether the Russian government would do so.

AIDS was virtually unknown in Russia and elsewhere in the Soviet Union prior to the collapse of Communism. What started as an epidemic among male injection drug users here in the late 1990s has gradually moved into the communities of sex workers. By 2007 about 44 percent of new infections in Russia were among women, according to UNAIDS, raising fears it could move into the general population.

Onishchenko blamed the increase in HIV infections to the surge in Afghan poppy production over the past decade, a trend that has flooded the former Soviet Union with heroin.

Russia, with a population less than half that of the U.S., has 13 percent of the world's heroin users and they consume about one-fifth of the drug used worldwide each year, according to an October report by the United Nations Office on Drug Control.

Though Russia has adopted federal laws forbidding discrimination against HIV-positive individuals, widespread discrimination continues, according to a December 2008 United Nations report on AIDS in Russia , Eastern Europe and the former Soviet Union .

People living in the region are routinely asked to provide health certificates that reveal their HIV status, the report found. Hospital workers often casually identify HIV-positive patients to bystanders and co-workers, U.N. researchers said, and hospitals frequently segregate HIV-positive patients, treat them with scorn or charge them extra, hidden fees.

HIV-positive children face discrimination at school, including forced disclosure of their status and segregation from other students, while in the labor sector, many employers are wary of hiring HIV-positive individuals.

AIDS activists say that discrimination drives many of those infected to avoid testing and treatment.

In addition to harm reduction, Russian and foreign health experts on Wednesday debated the size of the country's AIDS problem and the adequacy of the government's response.

While the U.N. estimates Russia has 1.1 million people with HIV, the government says it has registered just half that number — a total of 501,000 cases.

Kazatchkine of the Global Fund said Wednesday that only 23 percent of Russians who should be receiving anti-retroviral therapy for HIV are getting it. He said most nations are providing such therapy to 35 to 40 percent of those infected.

Onishchenko questioned what he called this "strange data," saying that everyone who needs it is getting the drug regimen, except for a small percentage of injection drug users who walk away from the program.

"They are receiving treatment unless they escape treatment," he asserted.

 

Using DOTS for TB, HIV and other chronic diseases

29 Oct 2009

Source: IRIN

NAIROBI , 29 October 2009 - Malawi 's successful use of a well-known tuberculosis (TB) treatment system to scale up antiretroviral treatment (ART) for HIV could improve chronic disease management in other African nations, experts say.

Directly observed treatment short course (DOTS), has been used to successfully deliver tuberculosis treatment in some of the world's poorest countries.

The main elements of DOTS include political commitment, case detection, standardized treatment with supervision and patient support, an effective drug supply and management system, and a monitoring and evaluation system.

"The key to rapid and massive scale-up [in Malawi ] was to keep the principles and practices of ART delivery as simple as possible," said the authors of an article on scaling up antiretroviral therapy, in the latest edition of the Journal of Acquired Immune Deficiency Syndromes.

Solid systems

"A standardized system was put in place so that the same system of assessing patients for ART eligibility, initiating treatment, and registering and reporting cases and outcomes was followed wherever ART was being delivered - from central hospital to health centre, and from public health facility to private clinic," the authors said.

Malawi began its national ART rollout in 2004 with just nine health facilities providing the medication to about 3,000 people. Using the DOTS framework, by the end of 2008, 170 health facilities in the public health sector had registered 215,449 patients.

A study published in 2008 in the British medical journal, The Lancet, found that rapid scale-up of free ART in rural Malawi had led to a decline in adult mortality that was detectable at the population level.

The article's authors attribute the success of Malawi's ART scale-up to government commitment and leadership; clear national ART guidelines, with emphasis on the system of registration, monitoring and recording of results; intensive training of clinical officers and nurses in ART guidelines, with practical experience at ART sites; an efficient drug-supply chain to prevent stock-outs.

Taking DOTS further

They note that with the rise in prevalence - even in resource-poor sub-Saharan Africa - of non-communicable diseases such as heart attacks, strokes, cancers, diabetes and respiratory diseases, there is a need to put in place simple yet effective systems to give people access to treatment.

The World Health Organization (WHO) forecasts that deaths from non-communicable diseases are likely to increase by 17 percent globally over the next 10 years, with the greatest increase projected in Africa .

"Although patients with these non-communicable diseases usually need chronic care and treatment over their lifetimes, it is simply not provided in most resource-poor countries, outside a few centres of excellence, and there are no systems to monitor patient access or outcomes," they stated.

"The system put in place in Malawi to facilitate the management and monitoring of lifelong ART can also be used for patients with non-communicable diseases."

If handled properly, HIV and chronic disease management systems could be used to strengthen health systems in resource-poor nations, particularly by improving laboratory infrastructure and service delivery, monitoring, supervision, quality assurance, and rational drug forecasting and procurement.

"Any attempt to better the management and monitoring of special diseases must include a vision of how the work will improve the health sector and health care delivery as a whole," they said.

 

Kenya to conduct AIDS control study among gays

Thu Oct 29, 12:15 pm ET

NAIROBI (AFP) – Kenya will conduct a study among homosexuals and use the findings to help control the spread of HIV/AIDS in the east African country, where homosexuality is illegal.

The research by the National AIDS/STD Control Programme (NASCOP) is to begin in December or next January, the group's director Nicholas Muraguri told AFP.

"From the studies it appears that 15 percent of the new HIV infections are attributed to gays. We can make much noise about them but we cannot ignore them," he said.

The study will seek to determine the latest population of gays -- currently estimated to be around 10,000 in the capital Nairobi and the coastal city of Mombasa -- along with the rate of HIV infection among them and statistics on their use of condoms.

Through anonymous questionnaires to be distributed in selected places or by a peer network, respondents will also be asked how many partners they have and offered voluntary AIDS testing.

"It is the first time in Africa that a government is taking a leadership to deal with population at risk," Muraguri said.

NASCOP stressed that the identity of people who become involved in the programme will remain confidential.

In Kenya , as in much of Africa , homosexual acts are criminal.

 

Caribbean sees drop in HIV, AIDS cases

Mon Oct 26, 2009

wpe4.jpg (12652 bytes)GEORGETOWN , Guyana (AFP) – The number of people with HIV and AIDS in the Caribbean is on the decline, but more must be done to contain the disease, a senior official said Monday, on the eve of a regional meeting on the ailment.

The ninth annual general meeting of the Pan Caribbean Partnership Against HIV/AIDS (PANCAP) is to be held on the island of Grenada from October 28 to 30.

The Guyana-based PANCAP unit of the Caribbean Community (Caricom) headquarters said the region recorded 17,000 new infections last year compared to 20,000 the previous year.

PANCAP also said there were 11,000 deaths compared to 14,000 during the same period in 2008.

"The figures are still very high for such a small region," said PANCAP director Carl Browne, comparing the Caribbean on a per capita basis to sub-Saharan Africa .

Latest statistics show that 230,000 people in the Caribbean and 22 million in Africa live with HIV and AIDS. And the prevalence rate among adults in sub-Saharan Africa is five percent compared to 1.1 percent in the Caribbean .

Authorities say the decline in new infections is due to massive public education and increased condom-use, while the reduced number of deaths is a result of better access to care and treatment.

The estimated 150 participants at the PANCAP general meeting are the discuss the latest advancements in developing an HIV vaccine that has shown a 31 percent rate of success.

They will also examine the impact of HIV and AIDS on the Caribbean 's finance and education sectors.

 

Nearly one in three people with HIV do not know: EU

Mon Oct 26, 12:45 PM

wpeA.jpg (14560 bytes)BRUSSELS (AFP) - Almost one in three people infected with the virus that causes AIDS do not know they have the disease, increasing the risk of infection, the European Commission warned Monday.

In a document on combatting AIDS more than a quarter century after it surfaced, the EU's executive arm said now was not the time for Europe to drop its guard, noting that the figure was up to double in some neighbour nations.

And while efficient treatments exist to slow the evolution of the human immunodeficiency virus (HIV), no vaccine or cure has been found.

"We need to continue the political momentum in the fight against HIV/AIDS," EU Health Commissioner Androulla Vassiliou said in a statement.

"We need to encourage people to take responsibility for themselves and their partners by talking about and practicing safe sex and going for HIV testing," she said.

According to commission figures, the number of people living with HIV or AIDS in the 27 EU countries and its neighbours rose from 1.5 million in 2001 to 2.2 million in 2007, around 730,000 of whom live in the bloc.

Some 50,000 new cases of HIV were diagnosed in the EU and its neighbours in 2007.

The percentage of adults, ranging in age from 15 to 49, infected with HIV vary widely, from less than 0.1 percent in some countries to more than 1.0 percent in others.

France , Italy , Spain and Portugal have relatively high infection rates -- ranging from 0.4 percent to 0.5 percent -- but the number roughly triples in Estonia , which has a rate of 1.3 percent.

In Russia , around 1.1 percent of the population is HIV positive, while the figure climbs to 1.6 percent in Ukraine .

 

China teacher held after kids jabbed with syringe

Tue Oct 27, 2009

BEIJING (AFP) – A 24-year-old female kindergarten teacher has been detained in southwest China after allegedly stabbing more than 20 children with a syringe to discipline them, state media reported Tuesday.

The woman, Sun Qiqi, was taken into custody at the weekend in Yunnan province after angry parents complained to police about the alleged abuse at the unlicensed school in Jianshui county, the China Daily reported.

One mother, Zhou Limei, said her four-year-old daughter had been stabbed multiple times last week, on the back of her left hand and on her bottom.

It was not immediately clear if the alleged syringe contained any hazardous materials. Children were given ultrasound examinations and HIV tests which were negative, the China Daily said.

"Although the blood test shows the children are HIV-negative, I hope the government gives us proper compensation," Zhou told the paper.

The Global Times reported that Sun had confessed, saying she had pricked the children to "tame" them and that she was overwhelmed by the 37 three- and four-year-olds in her charge.

One three-year-old boy had eight needle wounds, and was allegedly punished for refusing to take a nap, the newspaper said.

School principal Bai Yali told the Global Times she knew nothing about the incident, and that Sun's performance had been "good".


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