News (Updated December 31,
2006)
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Gao Jun is an orphan. And aged just two to three years old (no-one knows his exact age) he is also an outcast. HIV-positive and with both his parents dead from AIDS he is shunned by everyone around him. People living in the remote village in East China's Anhui Province, where he lives, including some of his relatives, won't go near him, mistakenly fearing they could catch the deadly virus.
Gao is a central character in The Blood of Yingzhou District, a documentary by Hong Kong-born filmmaker Ruby Yang and award-winning producer Thomas Lennon, about an epidemic that has so far orphaned 75,000 children throughout China.
Just 39 minutes long, the film is one of eight listed for the short
documentary section of next year's Oscars.
It received the prestigious Grand Jury Prize at the 2006 Silverdocs Documentary Festival in Washington, DC and has so far been screened at 13 film festivals across the world.
"It's a very quietly stunning film," said Nina Gilden Seavey, director of Silverdocs' "Docs Rx" offerings. "You look for movies that tell a deep story that is unexpected. This one does."
The filmmakers tell their tale from the mouths of children turned pariahs in four villages in Anhui. "People bore an incredible sadness about a disease that was everywhere," Yang said. "The villagers knew Gao Jun was sick but he was neglected and ignored. He lived like an animal." Gao's parents, like many other farmers, fell victim to AIDS after donating their blood to earn a bit of money.
"I'd encountered this during the making of other documentaries," said Yang. "With the help of the local charity founder Zhang Ying, I was able to gain the trust of the children and their extended families so that they could open up to tell their stories. With Zhang's help, the filmmakers not only talked to the orphaned children but also got to quiz officials about the scope of the AIDS virus.
Yang and Lennon are founders of the China AIDS Media Project, an ambitious new effort to bring disease prevention to a country that only in recent years has acknowledged its AIDS epidemic. In 2004, they wrote and edited the first major AIDS prevention campaign to air on Chinese mainland television.
What Yang saw broke her heart, especially when she entered the home where the children lived alone. "There was this smell of death," she said. "There was so much poverty. The experience of meeting the children, seeing their helplessness, and hearing their stories has stayed with me."
"The stories of the children were heartbreakingly sad; we had to find that balance where you don't overwhelm the audience or drive them away, yet at the same time keep the power of the narrative," said Yang. "Also, maintaining emotional distance was difficult. For months, I wouldn't give up certain stories even though I kind of knew they slowed the film down. Tom would fly in and we'd have screaming matches over cutting the film down."
Gao Jun's two uncles grapple over the orphan's future. The older uncle knows that if he allows his children to play with Gao Jun, they will also be isolated by neighbours terrified by infection. The younger uncle's choice is no easier: his association with the boy will make it harder to find a wife.
But the film also shows the children's fierce determination to survive. In one scene, the children resolve to become educated as a way to one day better their tormentors. "I hate being looked down upon," the boy said. "One day I will surpass them all."
After their project premiered before an international audience in Washington, the filmmakers say they hope the documentary gets its airing in China as well.
"There weren't any reactions from the audience that I didn't expect," said Yang. "But 90 per cent of the audience wanted to know about the fate of the children in the film."
Gao Jun, the boy at the heart of the film, is now on medication and his health has improved significantly, according to Yang. He has also been moved to the home of an elderly couple who have lost their two sons and one daughter-in-law to AIDS, and they are believed to be taking good care of him. He started kindergarten in the fall.
But nobody can be sure what the future will hold for Gao, or for Nan Nan, the other central character also living with HIV/AIDS.
"All we know is that they are no longer shunned by the villagers and Nan Nan's relatives are no longer afraid to be with her," Yang said.
(China Daily 12/21/2006 page6)
BEIJING -- Soaring medical costs are the most notable social problem in China, according to a social blue book issued Monday.
This was the first time that concerns over medical and health care had exceeded other worries in similar surveys, researchers said.According to the blue book, medical expenses had risen to 11.8 percent of household consumption in China, surpassing expenditure on education and transportation.
"This is a very high percentage even compared with developed countries," said Li Peilin, chief editor of the blue book.
China's health care sector has been under constant criticism over soaring costs and inaccessibility. Most rural dwellers have no medical insurance.
Statistics from the Health Ministry show that one third of poor rural patients in China choose not to go to hospital and 45 percent of the hospitalized farmers ask to be discharged before they have recovered.
"Soaring medical costs have plunged many rural and urban Chinese back into poverty," Li said.
Unemployment was the second major concern, followed by the wealth gap, corruption, pensions, educational charges, housing prices, public security, social values, and pollution, according to the blue book.
The blue book was based on a survey by the Chinese Academy of Social Sciences, conducted from March to July. The survey covered 7,140 households in 28 provinces, municipalities and autonomous regions.
The book also said that about 90 percent of Chinese sampled are optimistic of the country's social and economic development.
It said 83.4 percent believe the social problems are temporary and 91.6 percent believe the Communist Party of China and the government are able to deal with the problems satisfactorily.
BEIJING -- Provincial publicity officials who gathered for a two-day workshop in Beijing were urged to promote more accurate and balanced HIV/AIDS reporting in their areas and not to neglect the human side of the disease.
The workshop, which began December 25, was organized by the AIDS Prevention Committee of the State Council and the Publicity Department of the CPC Central Committee, comes amid concerns about the rise in China's HIV/AIDS population.
Publicity officials from China's 28 municipalities, provinces and autonomous regions attended lectures by Tsinghua University professors and other government officials on current HIV/AIDS reporting and on ways to improve it, the challenges of combating HIV/AIDS as well as China's HIV/AIDS prevention policies.
"This training course for national publicity officials has broken new ground," said Dong Junshan, deputy director of the Publicity Department of the CPC Central Committee. "Publicity officials at all levels should make HIV/AIDS reporting a priority and combat discrimination against AIDS sufferers. Publicity is essential in the fight against HIV/AIDS," he said.
He said good HIV/AIDS reporting should be detailed and rooted in reality. Empty cliches should be avoided at all costs. Besides accurate news reporting, "HIV/AIDS reports must be attractive and compelling for local readers -- forms like literature and movies can be used."
The course follows an earlier one in November 2005 for officials from eight provinces. According to the Publicity Department of the CPC Central Committee, the officials trained at this course will cascade the training down to the local level next year.
Fri Dec 29, 1:30 AM ET
South Korean scentists have said they are closer to understanding how a protein found in both primates and humans blocks the progression of the human immunodeficiency virus (HIV) in the apes.
The team, led by professor Oh Byung-Ha of Pohang University of Science and Technology, said the discovery would help scientists working to develop a cure for AIDS.
Its research paper was featured in the latest edition of a biology journal, Molecular Cell, university officials said.
"We have determined the structure of a key domain of a protein, paving the way for scientists to identify the cause of various diseases created by HIV and other viruses," Woo Jae-Sung, co-author of the paper, told AFP.
There are drugs which slow the progress of AIDS but no cures. HIV/AIDS patients use expensive anti-retroviral drugs to reduce the side-effects.
"Our discovery paved the path for more research into identifying the structure and functions of TRIM5," Woo said.
TRIM5 is a protein found in the cells of both humans and most types of monkey. It is known to fend off various retrovirus infections in monkeys, and scientists are investigating whether the human form of the protein can be modified so it has the same effect.
"We hope our research will lead to drugs or better therapy for other incurable viral diseases," Woo said."
Sat Dec 30, 3:21 PM ET
Libya's leader Moamer Khadafi has rejected calls for the release of five Bulgarian nurses and a Palestinian doctor sentenced to death for infecting children with AIDS.
"Those who commit a crime must accept the consequences," he said Friday at a gathering of Arab and Western diplomats, as well as media and religious dignitaries, held to mark the beginning of Muslim festivities as well as the Christian end of year.
Stressing "the independence of the Libyan judicial system", he rejected "Western intervention and pressure in this affair."
This month's verdict of death by firing squad caused an international outcry, especially in Europe.
The six foreign medics were all found guilty of intentionally injecting the HIV virus that can cause AIDS into more than 400 children at a hospital in the northern coastal city of Benghazi.
In a statement earlier in the day, the foreign ministry had accused the West of pressuring Tripoli to quash "What European countries, the European Union and NATO said showed a lack of disrespect for the judicial systems of other countries."
It accused these parties of working "towards making an independent state, Libya, quash a verdict handed down by a competent tribunal, contrary to the laws of this country".
The ministry also said the death sentences could be revised after an appeal to the supreme court.
Bulgarian Foreign Minister Ivaylo Kalfin confirmed in Sofia that Libya had lodged a protest.
"A note we received yesterday (Thursday) indicates that the Libyan justice system is independent and evokes a certain conflict of civilisations," Kalfin told a news conference.
A Tripoli foreign ministry memorandum, reprinted on Friday by the Libyan state news agency JANA and read out on Bulgarian national radio, insisted that "the political stance expressed by the Bulgarian government, the EU countries and others is a clear deviation from certain values that is likely to trigger wars and conflicts and spark hostilities among religions and civilisations".
Kalfin has summoned Libya's charge d'affaires in Sofia Taher ben Shaban over the note.
"I declared that Bulgaria has proven its ethnic and religious tolerance" and cannot in any way "be accused of triggering ethnic and religious conflicts ... Such qualifications are unacceptable," he added.
"The Bulgarian reaction is absolutely justified," Kalfin said.
A Tripoli court handed down the death sentence on December 19 after a retrial of the so-called Benghazi Six, who have been in custody for the past seven years. Their first trial also resulted in a death sentence.
On December 20, Bulgarian leaders wrote to EU heads of state, to NATO members, to the Council of Europe and to the United Nations asking them to help Sofia arrange the prisoners' release.
The EU and the scientific community had argued that hygiene at the Benghazi hospital was poor before the accused started work there, leading the children to be infected through used and unsterilized instruments.
By Boubker Belkadi
ALGIERS (AFP) - Long taboo, condoms have made a startling entrance into the media in this conservative Muslim country once gripped by an Islamic insurgency but now taking on a very different threat: HIV/AIDS.
Spearheading a new government campaign to promote the once-illegal condom, experts are now lining up on Algerian radio and television stations to preach the contraceptive's virtues as a barrier to infection.
Algerian officials have even tapped imams, or Muslim preachers, to spread
"We're not yet at the point of putting (condom) distributors on the road," said one youngster, involved in an AIDS-awareness campaign in an Algiers neighborhood.
"But it's already remarkable progress to talk about the condom as the only protection against AIDS for those who don't resort to abstinence and who frequent prostitutes."
Only 19,000 out of this North African country's 33 million people -- 0.05 percent of the population -- live with AIDS, according to the UN agency UNAIDS.
Algerian authorities offer dramatically lower estimates to figures that are already modest compared to other African nations. Only 40 new AIDS cases and 120 HIV-positive ones are registered each year, the country's health ministry says.
By contrast, roughly 1,000 AIDS-related deaths occur every day in South Africa, where roughly 19 percent of adults aged 19 to 49 are HIV-positive, according to UNAIDS.
But Algeria shares challenges faced by a number of other Islamic countries, experts say, especially widespread public misunderstanding about the virus and the lack of screening to detect it.
"The best way to change mentalities is to target schools to install a culture of prevention against AIDS," said Father Kamel Senhadji, a genetic therapy specialist in the eastern Algerian city of Tizi Ouzou. "It's urgent to create (new) generations conscious of the dangers that await them."
After experts began talking about the benefits of condoms as barriers to spreading HIV/AIDS, the government began soliciting imams last month to preach about the virus and the risks of unprotected sex during Friday prayers.
But it's clear they face an uphill path.
In television interviews, for example, many Algerians claimed AIDS can be transmitted simply by being in contact with someone who had it. Others, swayed by hard-line clerics, argue the virus aims to punish sexual deviants, including homosexuals.
In one case, a veiled woman -- her face hidden from view -- confessed on TV how loved ones rejected the meals she prepared and refused to touch her personal objects. The woman had acquired the virus from her husband.
Indeed, a striking 40 percent of Algerian youth know "nothing about AIDS," nor about how to prevent it, according to an official survey published in November.
Algerian officials are soon expected to open some 54 centers offering free and anonymous screening against the virus, according to Father Abdelouahad Dif, head of a national AIDS-fighting committee.
That includes in the southern Hoggar region, located on the migration highway for sub-Saharan Africans bound for Europe and considered an "at-risk zone" for the spread of HIV/AIDS.
(Embargoed for release at 0100 GMT, Dec. 26)
JOHANNESBURG, Dec 26 (Reuters) - Male circumcision, which has been shown to decrease the chances of contracting HIV, could save billions of dollars in AIDS-hit Africa, a new study has shown.
Circumcision has emerged as a new tool in the battle against AIDS following results in three African studies which showed it cuts the chances of HIV infection by as much as 60 percent.
Researchers who conducted one of the studies in Orange Farm outside of Johannesburg concluded that circumcising 1,000 men would prevent an estimated 300 new HIV infections over 20 years -- translating into savings of some $2.4 million that would have been spent on treating AIDS patients in this group alone.
"I would say we're making two points -- it's an effective strategy and it's cost effective," said James Kahn of the University of California-San Francisco, one of the researchers on the project.
The study in the medical journal PLoS Medicine has implications for other African countries, Kahn said.
"The estimate is that a fully scaled-up programme might save ... well over $5 billion in savings if it were done throughout sub-Saharan Africa based on the infections prevented over 10 years," he said.
While researchers have hailed the circumcision studies as opening a new front in the war on AIDS, some African governments have reacted cautiously -- noting that it appears to provide only partial protection against HIV.
Public health experts have also warned that promoting circumcision may confuse or undercut other AIDS prevention strategies such as condom use and reducing a person's number of sexual partners.
Khan said however that, on a cost basis, circumcision was a good idea for Africa.
"HIV is particularly attractive (for finding cost savings) mainly because it's so serious a disease and so expensive to treat," he said. "But male circumcision looks pretty good compared to many other strategies that we use for HIV prevention."
(additional reporting by Will Dunham in Washington)
By Grant McCoolMon Dec 25, 2:06 AM ET
A
stocky woman in blue jeans with spiky, gelled black hair dances on stage at
one of Vietnam's rural rehabilitation centers, leading a hip-hop style
chant.
"Hold hands together, we'll stop AIDS together," shouted the former heroin addict patient who returned to the rehabilitation center to encourage over a thousand recovering drug users and prostitute inmates, a third of whom have HIV or
AIDS.
People face stigma and discrimination when they leave the minimum security centers, especially if they are infected with HIV or have AIDS. HIV-infected people are often refused employment and their children denied schooling.
"Everybody should unite in combating this disease," said Danh Thu Hanh, 36, a former addict who spent two years as an inmate.
Hanh works as a supporter of a self-help group called Cactus Blossom, one of about 30 that have emerged in recent years in Vietnam to represent people living with HIV and AIDS.
Vietnam's epidemic is less advanced than its Southeast Asian neighbors Cambodia and Thailand, but the United Nations estimates there are at least 280,000 HIV infections in a population of 84 million.
Health authorities report that the number of new cases is rising rapidly at 100 new infections per day. There were an estimated 14,000 AIDS-related deaths in Vietnam in 2005.
More infections are now caused by sexual transmission than by injecting heroin with unsterile needles and syringes, a worrying change in the course of the epidemic as the Communist-run country works to prevent it spreading into the general population.
In the southern commercial hub of Ho Chi Minh City and in northeastern Haiphong city and Quang Ninh province on the border with China, the epidemic is becoming generalized, experts say.
NEW HIV/AIDS LAW
On January 1, a new law comes into effect that experts say is a broad policy framework for HIV/AIDS prevention and treatment in underdeveloped Vietnam.
The law strengthens the rights of people with HIV, calls for AIDS education in the workplace and HIV medicines to be included in health plans.
It also provides for condom distribution, clean-needle exchange programs and the heroin substitute methadone as part of the response to the epidemic.
"There is certainly hope of reducing the epidemic because the knowledge level about HIV in Vietnam is high, programs are expanding and use of condoms is going up," said UNAIDS country head Nancy Fee.
Places such as "Education Labor Social Center Number 2" -- a cluster of mustard yellow buildings with red roofs in the lush green countryside near the capital Hanoi -- have existed for years to incarcerate heroin addicts and prostitutes.
But facing a drug use relapse rate of 70 to 90 percent, coupled with the doubling of HIV infections in the past five years, the government is debating further reforms of the centers.
"They are thinking of introducing so-called open type of centers so that when people get addicted they can go to the center voluntarily for detoxification and rehabilitation," said Tran Tien Duc, country director for HIV/AIDS advocacy group.
Center no. 2 in Yen Bai, Ha Tay province also has a kindergarten for 29 children orphaned or abandoned because they have HIV or are suspected by their parents of being infected.
When former U.S. President Bill Clinton visited Hanoi on December 6 with his HIV/AIDS foundation to sign an agreement to provide more AIDS medicines for Vietnamese women and children, he tackled discrimination directly.
At a public event, Clinton put his arm supportively on the shoulders of an HIV-positive woman founder of a self-help group called Red Flamboyant and urged young people to talk more openly about HIV to reduce fear and ignorance of the disease.
Vietnam is the only country in Asia to receive United States government money as part of President George W. Bush's $15 billion five-year global fund known as PEPFAR.
The U.S. Embassy said nearly $80 million has been dedicated to Vietnam so far for prevention, care and treatment.
CIVIL SOCIETY NEEDED
Vietnam's one-party rulers have opened the door to capitalism for businesses but the country has no independent civil society. Self-help groups are not legally recognized.
"For the new law to be really implemented it needs much greater involvement of people living with HIV and AIDS, civil society and a lot of monitoring," said Khuat Thi Hai Oanh, a department head in the semi-autonomous research group, the Institute for Social Development Studies.
The government has gone some way in recognizing the need for change in attitudes. The Party this year instructed that the disease should no longer be referred to as a "social evil" although drug use and prostitution still are.
At center No. 2, the staff of guards, doctors and nurses supervise a structured life of exercise, work, job training and treatment from dawn until dusk for about 1,100 residents.
Dormitories of hard, metal-framed beds for men and women are separated by walls topped with barbed wire.
"Some have returned to the center and of course it was disappointing but the issue here is that it is not easy to escape drugs and it takes time and will to do that," said center director Nguyen Thi Phuong.
Resident Do Thi Huyen said she tried drugs because friends were users, but she was arrested and admitted to the center.
"If I don't have HIV, I want to study, maybe open a shop to sell cosmetics and get married one day," the 23-year-old in a red sweater and black pants said quietly, her lips barely moving.
(Additional reporting by Nguyen Nhat Lam and Nguyen Van Vinh)