News (Updated April 3, 2005)

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U.S. Abstinence Calls Hurt Uganda AIDS Success

Wed Mar 30, 2005 08:46 AM ET

By Daniel Wallis

KAMPALA (Reuters) - President Yoweri Museveni is jeopardizing Uganda's giant strides against HIV/AIDS by backing U.S.-funded "abstinence-only" programs, a New-York based human rights group said on Wednesday.

Museveni has been widely praised for reducing infection rates to around six percent today from 30 percent in the early 1990s, a reversal most Ugandans attribute to his government's frankness about the role of condoms in tackling the disease.

But Human Rights Watch (HRW) said Uganda had recently stopped giving out vital information on HIV/AIDS in primary schools, older children were being misinformed about condoms, and U.S.-sponsored rallies were spreading "falsehoods."

"These abstinence-only programs leave Uganda's children at risk of HIV," said Jonathan Cohen, a researcher on the disease for HRW. "Abstinence messages should complement other HIV-prevention strategies, not undermine them."

Uganda's government says it has long employed an "ABC" strategy -- Abstinence, Be Faithful, and use Condoms -- and it says Museveni and his wife Janet, an anti-AIDS campaigner, have not changed their position.

"The president and the first lady are being misunderstood," said a Museveni spokesman.

"He says that those who are sexually active should be faithful to their partners, others should abstain, and that those who cannot abstain should use condoms."

Uganda's war against HIV/AIDS is a rare success story compared to other African countries, notably South Africa where more than 5 million are infected with HIV -- more than 10 percent of the global pandemic.

In its 80-page report, "The Less They Know, the Better: Abstinence-Only HIV/AIDS Programmes in Uganda," HRW said abstinence schemes had been proved ineffective and potentially harmful in numerous independent studies.

Cohen said they were "a triumph of ideology over public health."

POVERTY AND SEX

President Bush has more than doubled funding for U.S. abstinence-only programs over the past five years reflecting the values of his religious-right supporters.

As part of his global AIDS plan, the U.S. government has already budgeted about $8 million this year for abstinence-only projects in Uganda, HRW said.

It said Janet Museveni -- a strong supporter of abstinence who hosted several hundred virgins at a Kampala school in December -- and charities close to her had received U.S. funds.

Meanwhile, Ugandan teachers told HRW they had been instructed by U.S. contractors not to discuss condoms -- which provide a reliable barrier to the transmission of HIV -- in schools because the country's new policy was abstinence only.

"President Museveni has publicly condemned condoms as inappropriate for Ugandans, leading some AIDS educators to stop talking about them," it added.

Posters promoting abstinence have appeared along major Ugandan roads, but many people Reuters spoke to said defeating the disease by abstaining from sex was not realistic.

"There are so many factors to consider, particularly in Africa where people are so poor," said John, a 30-year-old businessman. "There will always be predators ready and waiting to take advantage of that poverty."

Other Ugandans echoed his view, telling HRW that abstinence promoters should look more closely at the living conditions in a country where most people earn less than $1 a day, and where at least 1.2 million are HIV-positive.

"Around here, people don't buy this idea of abstinence, because in Uganda, many girls are using sex to buy their daily bread," a head teacher in the eastern town of Mbale said.

A youth activist in Kampala said impoverished youngsters needed help and access to protection, not judgmental messages.

"Abstinence is a message for the elite. It has no place in the slums," he said.

 

More than 4,000 South African teachers succumbed to AIDS last year

 

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JOHANNESBURG (AFP) - More than 4,000 teachers died last year of complications linked to HIV/AIDS in South Africa, which has one of the world's highest caseloads, a daily reported, quoting a study.

The study by the respected Human Sciences Research Council also said more than 45,000 teachers -- or 12.7 percent of the workforce -- are HIV-positive, The Star newspaper said.

The report, released on Thursday, was based on interviews and surveys at 1,700 schools across the country over 18 months and was commissioned by the Education Labour Relations Council.

"Now fewer than 11 South African teachers died of HIV/AIDS complications every day last year," The Star said, adding that 80 percent of the deaths recorded were of teachers aged below 45. About 33 percent were aged between 24 and 35.

Olive Shisana, the head of the research unit, said: "There are 356,700 teachers in 26,700 schools countrywide and of the 1,700 we visited, 83 percent of teachers agreed to provide specimens of HIV testing."

The prevalence of HIV/AIDS among school teachers is the highest in the eastern KwaZulu-Natal province at 21.8 percent, the study said.

South Africa has the highest HIV/AIDS caseload in the world, with 5.3 million people, or one in five adults, living with HIV and AIDS, according to UN figures.

President Thabo Mbeki, who attracted controversy some years ago for allegedly questioning the link between HIV and AIDS, recently declared in his state of the nation address that his government's plan to fight AIDS was "the best in the world."

The South African president last year said some 53,000 people would be receiving free anti-retroviral drugs by March but the number of people on the programme is way short of the target.

Shisana said 10,000 of the 45,000 HIV-positive teachers needed anti-retroviral treatment.

National Professional Teachers Organisation of South Africa Dave Balt conceded that the situation was grave.

"It is much higher than we expected and this needs to be changed. We can't afford to lose so many teachers. We also need to give moral support to teachers who are HIV-positive and provide them with medical assistance."

 

Report says 80 percent of HIV-positive in CIS below 30 years old

 

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MOSCOW (AFP) - More than 80 percent of HIV-positive people in most of the former Soviet Union are under the age of 30, according to a report.

"Young people are more vulnerable to AIDS because of quick social changes and economic difficulties... They face poverty and unemployment," said a report issued at the end of an international AIDS conference in Moscow.

According to the study's conclusions, 70 percent of all new registered cases of HIV in the countries that make up the Commonwealth of Independent States (CIS), which includes all the former Soviet republic except the Baltic states, are linked to growing drug consumption.

In Ukraine, for example, 25 percent of AIDS infected people are teenagers and in Belarus 60 percent of all HIV-positive people are aged between 15 and 24, the report said.

Official figures say some 1.4 million people are registered HIV-positive in the CIS.

 

World Bank gives Vietnam 35 million dollars for AIDS fight

 
Wed Mar 30,12:10 PM ET

HANOI (AFP) - Vietnam will get a 35-million-dollar grant to support its fight against HIV/AIDS, the World Bank said.

PhotoThe number of people infected with HIV/AIDS in Vietnam is still relatively low compared to other countries in the region, but it is spreading at an alarming rate, especially among young adults.

An estimated 245,000 people were living with HIV by the end of 2003, according to Vietnam's health ministry and international experts have warned the figure could hit one million by 2010.

The United Nations estimates Vietnam's HIV prevalence rate at 0.4 percent of the adult population -- far less than in regional neighbours Thailand and particularly Cambodia, where an estimated 2.6 percent were infected at the end of 2003.

But prevalence among Vietnam's high risk groups -- largely intravenous drug users and sex workers -- is rising and at a higher rate even than in India, Russia and China, according to US officials.

The government aims to raise awareness and change attitudes towards the epidemic among the general population and policymakers, the bank's statement said.

"Discrimination is hindering strategies to halt transmission of HIV," said Klaus Rohland, the bank's director in Vietnam.

"We will support the government's efforts to aggressively and carefully create behavioral changes through communication efforts to reduce this stigma."

More than 60 percent of Vietnam's reported HIV cases are attributed to people aged between 20 and 29, who are economically the most productive group.

If the epidemic continues to spread through them, the economic consequences will be serious, the bank noted.

The United States in June added Vietnam to a list of countries that can receive emergency US help to counter the pandemic -- the first in Asia to appear on the list.

 

Bulgarian nurses appeal death penalty in Libya AIDS case

 
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TRIPOLI (AFP) - A Libyan court began hearing an appeal by five Bulgarian nurses and a Palestinian doctor who face the death penalty for allegedly infecting children with the AIDS virus.Relatives of the victims demonstrated outside the courthouse waving banners demanding "Death to the child killers" and two of the HIV-infected youngsters joined the protest wearing mock military uniforms and carrying fake pistols.

The case has provoked tensions between Libya and Bulgaria, a candidate for membership of the European Union, and Foreign Minister Solomon Passy has raised the issue with US Secretary of State Condoleezza Rice and UN Secretary General Kofi Annan.

The opening session was to determine if the six had a prima facie case and was expected to last around three hours. European diplomats were in court to follow proceedings.

The Bulgarians' Libyan lawyer Othman al-Bizanti told AFP he was "optimistic" but said he did not expect the judge to make a final ruling on the appeal before four to eight weeks.

The six health workers were sentenced to death in March last year for infecting 380 children with the HIV virus through contaminated blood at a hospital in Benghazi on Libya's Mediterranean coast.

The defendants, who have already spent six years in jail, all maintain their innocence. Two nurses and the doctor initially confessed to the charges but later claimed police extracted their confessions with torture including beatings and electric shocks.

Forty-seven children at the pediatric hospital have died of the disease, but the Benghazi court that condemned the health workers to death rejected testimony from Luc Montaignier, the French doctor who first isolated the HIV virus, and Swiss and Italian colleagues, that the epidemic was due to a lack of hygiene.

Instead the court based its verdict on a report by Libyan experts that placed the blame on the foreign health workers.

Bulgarian Prime Minister Simeon Saxe-Coburg said Friday: "The less we speak of it and the less we try to politicise the process, the better their chances are."

The Bulgarian press said the six were made "scapegoats" in a bid to calm the public outrage that the epidemic has provoked in Libya.

Fears for the fate of the nurses rose further last week when Libyan leader Moammer Kadhafi, during an Arab League summit, criticised Western attempts to win their release.

"The Bulgarians have killed our children. I swear by Allah that some Western officials come to me and say, 'We want to take them (the nurses) back today, so release them,'" Kadhafi said in Algiers.

"We told them that the day the court sentenced the nurses to death, demonstrations in support (of their death sentence) were held in Benghazi. The West told us, the opinions of your people do not interest us, our people are sheep and that we have no public opinion."

On Thursday, however, Kadhafi followed up his remarks with an invitation to Bulgarian President Georgy Parvanov to visit Libya.

Tripoli has said that in exchange for the freedom of the nurses, it wants compensation equal to that paid by Libya to relatives of the victims of the Lockerbie plane bombing carried out by its secret service in 1988.

But Bulgarian authorities have rejected the demand, saying that giving in would amount to acknowledging the guilt of the six.

One of the defence lawyers, Egyptian Amin al-Dib, has said he was "absolutely sure" that the Libyan Supreme Court in Tripoli would not confirm the death sentence but would call for a new jury to re-examine the evidence.

"There is not the faintest proof that these five women committed the crime of which they have been accused," he told a Bulgarian newspaper.

 

US tells Libya to respect rights in AIDS case

 
Wed Mar 30,12:00 PM ET

SOFIA (AFP) - US Deputy Secretary of State Robert Zoellick urged Tripoli to handle the appeal of six foreigners sentenced to death in Libya in an AIDS case with respect for human rights and justice.

"We believe that if Libya wants to choose a different course, and there are signs that it has been starting to choose that course, it has to deal with a problem like this with respect for human rights and justice," Zoellick said in Sofia.

"That strengthens its ability to deal with people who are caught in a tragedy that is unfair," he added.

Five Bulgarian nurses and a Palestinian doctor were sentenced to death last May for allegedly infecting 380 children with the HIV virus at a hospital in Benghazi in northern Libya.

The defendants, who have already spent six years in jail, all maintain their innocence.

Forty-seven children at the pediatric hospital have died of AIDS, but the court that condemned the health workers to death rejected testimony from Luc Montaignier, the French doctor who first isolated the HIV virus, and Swiss and Italian colleagues, that the epidemic was due to a lack of hygiene.

The court handling the appeal said Tuesday it would rule in two months' time.

The Bulgarian news agency BTA reported on Wednesday that Libya's supreme court had found lapses in the verdicts pronounced by the court at Benghazi on May 6, 2004, which have also been pointed out by the Bulgarian defence in the appeal of the death sentences.

Libya last year started coming in from the cold diplomatically when leader Moammer Kadhafi renounced weapons of mass destruction.

In September, Washington lifted most economic sanctions on Libya as part of a normalisation process and the European Union in October lifted its 18-year-old arms embargo on the country.

But both the EU and Washington have voiced continued concern over the death sentence hanging over the foreign health workers.

 

Benin gives free medication to 6,000 HIV sufferers

 
Wed Mar 30,11:26 AM ET

COTONOU (AFP) - Six thousand people living with HIV/AIDS in Benin will be given anti-retroviral drugs free of charge by the end of the year under a government programme, the health ministry said.

Doctors in the west African state welcomed the move. More than 71,900 people were estimated to have the HIV virus in 2003, according to health ministry statistics last December.

More than 48 percent were women aged 15 to 49.

And the illness has killed more than 41,000 people in Benin since 1985 when it first appeared in the country, the ministry said.

"This decision will permit a stabilisation in the state of health of people living with HIV-AIDS, bring back patients lost to treatment and create a keen interest within the population for voluntary testing campaigns," Cotonou-based immunology specialist Jean Luc Mintchedji told AFP.

 

Singapore minister upholds ban on gay Christian concert

 
Wed Mar 30, 9:42 AM ET

SINGAPORE (AFP) - Singapore's information and communications minister has upheld a ban on a planned weekend concert organised by a local gay Christian support group, the media industry regulator said.

The Media Development Authority (MDA) said Minister for Information, Communications and the Arts Lee Boon Yang supported its earlier decision to deny a permit for the Affect05 concert scheduled for Sunday, to protect public interest.

"The minister has carefully considered the appeal for the licence application for Affect05 and has decided to uphold the MDA's position that such performances that promote alternative lifestyles are against the public interest," MDA said in an e-mail to AFP.

Susan Tang, spokeswoman for the concert organiser Safehaven, said the group was disappointed with the rejection of their appeal.

The MDA said last week it turned down Safehaven's application for a permit after reviewing past performances of the main performers, a Los Angeles-based Christian gay couple named Jason and deMarco.

"Based on the duo's website and reports of their performances in the United States, it is assessed that their performance will promote a gay lifestyle which would be against the public interest," the MDA said at that time.

Safehaven, which lodged the appeal, has said the aim of the concert was to raise funds for HIV/AIDS sufferers in Singapore and promote awareness of the illness.

Acquired Immune Deficiency Syndrome is an incurable condition which is passed on by having unprotected sex, among other causes. HIV is the virus that causes AIDS.

Singapore's gay and lesbian community has protested comments earlier this month by a senior health ministry official who said a sharp rise in new HIV infections could have been caused by an annual gay and lesbian party held in the city-state.

The annual Nation Party on Sentosa island is a key date in Asia's gay festival calendar.

A record 311 people in Singapore contracted HIV last year, 28 percent more than in 2003, Senior Minister of State for Health, Balaji Sadasivan said. He said 90 percent of the people who contracted the virus last year were men, a third of them gay.

There are now more than 2,000 HIV-infected or confirmed AIDS patients in Singapore, which has a population of about 4.2 million people including resident foreigners.

 

Zimbabweans battling AIDS also fight to get help

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HARARE (AFP) - Zimbabweans battling the world's fourth highest AIDS rate are getting little help from international donors while a clampdown on non-governmental organisations is threatening to take away the little assistance they do have.

Relations between President Robert Mugabe's government and non-governmental organisations in the southern African country hit rock-bottom after a controversial bill was adopted late last year, compelling NGOs to submit to government scrutiny.

"We have millions of vulnerable people out there...both infected and affected crying out for help," says Prisca Munonyara, director of the Zimbabwean NGO AIDS Counselling Trust (ACT), set up 17 years ago to provide free counselling to the poor living with HIV and AIDS.

"They have come to depend on the NGOs for help and they are the people who suffer most as a result of the current state of affairs," says Munonyara, referring to the bill that has yet to be signed into law by Mugabe.

"There is an uncertainty in the NGO sector since the NGO bill. We have all been sitting on the fence and our funding partners overseas have adopted a similar stance," she says.

As Zimbabwe heads into key parliamentary elections on Thursday, the AIDS crisis is getting little attention here as the parties slug it out with attacks on each other and - in Mugabe's case - on British Prime Minister Tony Blair.

Opposition leader Morgan Tsvangirai promised at a weekend rally to ensure that hospitals are able to treat people living with HIV and AIDS adding: "The youth especially must be careful and use condoms -- three, three -- if necessary, to stop the spread of AIDS."

Zimbabwe has the world's fourth highest AIDS rate, affecting one in four adults, trailing just behind Swaziland, Botswana and Lesotho, according to UN AIDS.

But contrary to neighboring southern African countries, Zimbabwe is not attracting foreign aid on the same scale, mostly due to concerns from big western donors over the government's record on corruption and human rights.

According to the UN children's agency UNICEF, the average annual per capita donor spending on a person suffering from AIDS in southern Africa by the US government, the World Bank and the Global Fund to fight AIDS, tuberculosis and malaria is 74 dollars (55 euros).

But in Zimbabwe only four dollars is spent on average on a person living with HIV, the agency says.

Zambia, which has a lower AIDS rate than Zimbabwe, gets 187 dollars per HIV-infected person, UNICEF says.

Zimbabwe's Labour Minister Paul Mangwana said the bill was necessary to rein in NGOs that the government claims were being used by foreign governments and organisations as conduits to channel funds to the opposition.

If passed into law the bill will require NGOs to submit themselves to government scrutiny, present regular reports of their accounts and projects, and bar NGOs involved in governance issues from receiving foreign funding.

Jonah Mudehwe, director of the National Association of Non-Governmental Organisations (NANGO), the umbrella body of all NGOs, said the poor are suffering as international aid agencies have adopted a "wait and see" stance since the passing of the bill.

"Since the promulgation of the NGO bill the situation has been uncertain and unsettling," Mudehwe said.

"The poor communities that were benefiting from the services of NGOs do not get as much as they did," said Mudehwe.

The Zimbabwean government two weeks ago said it was investigating several NGOs it accused of abusing funds received from international donors in what critics said was an attempt to build a case against NGOs.

Mangwana said organisations found to have abused funds will be prosecuted and their activities banned in Zimbabwe.

Some 2.3 million Zimbabweans are living with HIV and AIDS, with some 2,500 dying every week from AIDS-related illnesses, according to government statistics.

One in five Zimbabwean children -- one million in all -- are now AIDS orphans, according to UNICEF, which also says that child mortality rates have jumped 50 percent since 1990 due to AIDS.


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