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Sun Mar 13, 3:48 AM ET
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BEIJING (AFP) - China, grappling with rising numbers of HIV/AIDS cases, has begun testing a vaccine on humans, state media said.
A
20-year-old man became the first volunteer to receive the vaccine Saturday, the
Xinhua news agency said Sunday. He was followed by seven others.
Forty-nine volunteers aged 18-50 will undergo trials for the vaccine in the next year and longer, Xinhua said, citing Chen Jie, deputy director of the center for disease control and prevention in the southern province of Guangxi.
The trials will be conducted in three phases, Chen said, with the first lasting 14 months. The second phase will test the immune nature and safety of the vaccine.
China initially denied it had a serious problem with HIV/AIDS, but it has been under pressure to do more to prevent a major health crisis after a scandal over infections from unsanitary, state-approved bloodselling came to light.
The government has since stepped up efforts to battle the disease.
There have been about 35 AIDS vaccine trials on humans throughout the world, most of which are still in the first phase, according to Xinhua.
More than 20 million people worldwide have died of AIDS and some 38 million more have HIV, the virus which causes it.
But in the entire 23-year history of AIDS, only one vaccine, a design based on the gp120 protein, has ever gone through the entire three-phase test process, and it proved a disappointing flop.
China estimates it has 840,000 HIV/AIDS sufferers although international AIDS experts say the actual number is much higher and more needs to be done to prevent it rising to as many as 10 million by 2010.
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Wed Mar 9, 7:05 AM ET
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SINGAPORE (AFP) - One of Asia's most popular gay and lesbian festivals may be behind a sharp rise in the number of new HIV infections in Singapore, a government minister told parliament.
Senior Minister of State for Health, Balaji Sadasivan, cited an unnamed medical expert's opinion that the Nation festival, which attracts thousands of revellers from around the region each August, is a possible cause for the rise.
"We do not know the reasons for the sharp increase of HIV in the gay community," Balaji said, as quoted by local radio station NewsRadio 93.8.
"An epidemiologist has suggested that this may be linked to the annual predominantly gay party in Sentosa, the Nation party, which allows gays from high prevalence societies to fraternise with local gay men, seeding the infection in the local community.
"However, this is an hypothesis and more research needs to be done by the experts."
Balaji told parliament that a record 311 people in Singapore had contracted HIV last year, 28 percent more than in 2003.
He said 90 percent of the people who contracted the virus last year were men, with a third of them gay.
There are now more than 2,000 HIV or AIDS confirmed patients in Singapore.
Fridae.com, which bills itself as Asia's largest website for gays, has hosted the increasingly popular Nation festival on the Sentosa resort island since 2001. More than 8,000 people attended last year's edition.
Fridae.com chief executive Stuart Koe reacted angrily to Balaji's comments. He said they would fuel homophobia in Singapore and he blamed inaction by the government as the main driver of the increase in HIV among gays.
"The government has failed to address the issue of MSMs (men having sex with men) in any of their public health campaigns," Koe told AFP, adding that the prohibition on homosexual acts in Singapore was also a major problem.
"Because gay sex is illegal, many of the public health agencies in Singapore aren't even available to work with MSM groups."
"These statements serve to fuel homophobia and discrimination in this country."
The government's hands-off approach to the Nation festival had helped build Singapore's reputation over recent years as one of Asia's premier gay tourism hubs, despite gay acts being illegal.
However, the government late last year signalled it was rethinking its stance on gay parties when it banned Fridae.com's planned all-night "Snowball.04" party that was scheduled to start on Christmas Day.
It cited incidents at the Nation parties for its banning of the Christmas event, which it said would be "against the moral values" of most Singaporeans.
Among measures to fight AIDS, Balaji said over-the-counter test kits that require only saliva samples may be made available, while the government was also considering making HIV testing for pregnant mothers compulsory.
The "Nation.04" party -- a festival of international DJs, podium dancers, pumping music and muscular boys stripping off their tops on packed dance floors -- had increased in size every year since it was launched in 2000.
Last August's party could have allowed "gays from high prevalence societies to fraternise with local gay men, seeding the infection in the local community," junior health minister Balaji Sadasivan told parliament on Wednesday.
Sadasivan said this was the view of an unnamed epidemiologist to explain a 28 percent rise in the number of new HIV/AIDS cases in Singapore in 2004 to an all-time high of 311.
"This is a hypothesis and more research needs to done," he said.
Gay activists such as Eileena Lee of "People Like Us" accused the government of promoting homophobia and being irresponsible. "This is almost like paranoia," she said. "Statements like this can marginalise and stigmatise what is already a minority group."
Fridae.com, which organised the event and runs Singapore's main gay and lesbian Internet site, said the government must shoulder more responsibility for the rise in HIV because of its poor public health policies and laws which criminalise oral sex.
Under Singapore's Penal Code section 377A, acts of "gross indecency" between two men are punishable by up to two years in jail. The government has said it may decriminalise oral sex but only between men and women.
"In the past 25 years none of the public health campaigns have ever targeted the gay community. It's really no wonder that the rates of infection are increasing," said Stuart Koe, chief executive of Fridae.com.
"It's very simplistic and dangerous of them to point the finger at one single event and say that that is responsible for the spike," he said.
Ninety percent of newly diagnosed patients were male and a third of them gay men, said Sadasivan, describing the new cases as "the tip of the iceberg" in Singapore where a total of about 2,000 people are diagnosed to be suffering from HIV/AIDS.
"For every AIDS patient we have diagnosed, there are possibly two to four undiagnosed patients with HIV in Singapore. That means there could be, anywhere between 4,000 to 8,000, undiagnosed HIV patients in Singapore," he said.
The "Nation.04" party -- half of whose 6,000 revellers came from other Asian countries and the United States to make it Asia's largest known gay festival -- is at odds with Singapore's image as a strait-laced city-state.
But the government has turned a blind eye to the growth of an entertainment industry catering for homosexuals, quietly acknowledging the potential of the "pink dollar."
Gay activists have urged authorities to decriminalise homosexuality in the affluent, predominantly ethnic Chinese island of 4.2 million people to strengthen AIDS awareness.
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Tue Mar 8,12:11 PM ET
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VIENNA (AFP) - Non-governmental organizations have charged at a UN meeting US opposition to programs offering needle exchanges to drug users to fight the spread of HIV/AIDS is threatening the lives of thousands.
In
an open letter to a UN drug meeting that opened in Vienna Monday, the Human
Rights Watch group said the United Nations "under pressure from the United
States, is being asked to withdraw support from proven HIV prevention strategies
at precisely the moment when increased commitment to measures such as syringe
exchange and opiate substition treatment is needed."
"The United States should be encouraging proven HIV prevention strategies, not attacking them," Human Rights Watch said in the letter, written in cooperation with 300 NGO's from 56 countries.
"In most countries outside Africa, the largest number of new infections now occurs among injection drug users," the letter said.
"We must not deny these addicts any genuine opportunities to remain HIV negative," Antonio Maria Costa, head of the UN Office on Drugs and Crime (UNODC) told in Vienna on Monday the 48th session of the UN Commission on Narcotic Drugs (CND).
Costa said that contaminated syringes were a major source of transmission of the HIV virus and other diseases including hepatitis, especially among drug users whose capacity for rational thought was diminished.
"We reject the false dichotomy that either drug control prevails, with no consideration for HIV, or that HIV prevention prevails with no consideration for drug abuse," he added.
John Walters, director of the US Office of National drug control policy disagreed, telling reporters at the commission session that the United States remained "concerned about the global danger of HIV/aids transmission."
"The single greatest way of preventing the spread of HIV/aids through drug users is taking those addicted and get them to recover," Walters said.
The United States thinks the UN body "should not be involved with needle exchange because this is promoting drug use," said an unnamed US government official.
But Walters said that the points of agreement in the fight against drug abuse outweighed the differences, saying "there has been a kind of caricature" of the two sides' positions.
But the influential US newspaper, the New York Times, pointed to stark differences of opinion when it said in an editorial last week that "Washington's antipathy toward needle exchanges is a triumph of ideology over science, logic and compassion."
The Times said such exchanges were "a proven weapons against AIDS transmission" and that the US government's blocking money for such programs as it does for abortion programs, "would be an even more deadly mistake."
Jane Francis, a spokeswoman for the Council of Senlis think tank said "forced abstinence does not work if the drug addicts are not ready to stop."
"Needle exchange is the biggest life saver," she said, adding that the idea that "AIDS is getting spread through drug users" was "totally ridiculous."
Costa had said in a letter sent in November to the US State Department that the controversy over US objections to needle exchanges "continue to place... (Costa's office) in a difficult position," according to a copy of the letter obtained by AFP.
Costa said the United Nations does not "endorse needle exchanges as a solution for drug abuse nor support public statements advocating such practices" and feels such "prophylactic measures to prevent the spread of HIV/AIDS should be undertaken only within the overall effort to reduce druge abuse," the letter said.
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08 Mar 2005 07:41:10 GMT
Source: IRIN |
ADDIS ABABA, 8 March (IRIN)
- AIDS threatens the lives of 80 million Africans by 2025, according to three
scenarios spelt out in a new report by UNAIDS. A further 90 million could be
infected by that time. In an interview in the Ethiopian capital, Addis Ababa,
UNAIDS chief, Peter Piot, however told IRIN that the future of the epidemic
would be determined by our actions today. Below are excerpts:
QUESTION: How did you come up with these three scenarios?
ANSWER: The three scenarios are the outcome of the committed work of over 100 eminent Africans from all works of life. Some you wouldn't think they could bring something to the table but when it comes to AIDS I still have to discover one discipline, one type of sector that does not have something to bring.
Q. What can the scenarios tell us?
A. These scenarios have great potential to improve both our shared understanding and our collective response to the AIDS epidemic in Africa. They give us three diverse but equally plausible visions of the likely future of the AIDS epidemic in Africa.
Each of them is sobering but on the other hand I think they are an enormous source of hope for me. By providing this unusual ability to look into the future they allow us to understand which cause of action will lead to the best result. As we sometimes forget the future is defined by what we do today.
Q. What key insights do these three scenarios offer?
A. The scenarios confirm that with the AIDS epidemic Africa is facing an unprecedented and exceptional crisis, and a challenge that we have never seen before, I would say, since slavery. It is so exceptional in its scale, complexity and the consequences across generations; it really is a mortgage on Africa's future.
The future of much of Africa is literally dependent on how it responds to the epidemic today. The crisis is so unprecedented in severity, longevity and its impact that as societies and individuals we really don't know exactly how to respond. There is no pattern, there is nothing we can follow. But I think we are getting on the right track now.
Q. Do the scenarios offer hope?
A. The scenarios confirm that in the clearest terms possible that this is anything but a hopeless or inevitable situation. Through determined efforts today, particularly by building on the collective strengths of African nations, the trajectory of the AIDS epidemic in Africa can be profoundly changed for the better, saving millions of lives. This I would say is the core message of these scenarios.
Q. And what of the response?
A. The scenarios show that our efforts must be compatible, short-term pragmatic solutions and a long-term strategic response. Up to now we have mainly been reacting and running after the crisis and behind the virus. We now have to enter into a phase of being proactive and being strategic. Of course the core element of the short-term response now is keeping people alive, all those who have been infected, that is to save not only them and their families but whole economies, making sure there is more investment in prevention, but in the long term making sure the young generation remain HIV-free.
These scenarios focus on addressing the epidemic's root social, economic and politician causes. Gender inequality is one that comes out very strongly throughout these scenarios, poverty and income inequality and Africa's marginalisation in the world. These scenarios show clearly that we can only truly bring AIDS under control as part of a wider effort to end Africa's under-development.
Q. Which scenario do you think is most likely?
A. It is unpredictable. As we can see the responses are different from country to country. It will be mostly a patchwork of different scenarios across Africa. These are scenarios we want to use for policy information in countries.
Q. Is progress being made?
A. As compared to a couple of years ago a lot of progress has been made and things are accelerating in what we are doing and also making sure that AIDS is part and parcel of our core development strategies. But if the response to AIDS continues to be fragmented and as it is today, it is going to cause not only tens of millions, but will also really jeopardise African development in a big way. So the tough choices that need to be made are not tough choices 20 years from now but tough choices today because the longer we wait the tougher the choices will be.
Q. Is too much emphasis being placed on abstinence and being faithful following recent research from Uganda showing a drop in prevalence due to greater condom use?
A. The recent study from Uganda suggests the success in bringing down new infections, which is absolutely real, said it is from people dying and only using condoms. This is from one study. All other studies from across Uganda show it is a combination of factors. One of the strong messages out of the scenarios project is that there is not a magic bullet; it is not one action that is going to fix this epidemic, whether that is abstinence or whether that is condoms, you really need the combination.
In the specific case of Uganda, what had happened is that young people have postponed the first age of sexual intercourse, there are fewer partners and there is a massive increase in condom use. And I think indeed that sometimes the role of condom use is underplayed. I don't know of a single society that has been successful in bring down the number of new infections without massive condom promotion. But that in itself is not enough. Saying that it would only be abstinence and being faithful is really being fairly naïve about the realities of life.
Q. Does that mean, as a policy, abstinence, being faithful and using condoms (ABC) is now outdated?
A. I think you need to fully role out this so-called ABC but for many women
it is irrelevant, many women are infected by their sole sex partner and that is
their husband, so marriage was not made for abstinence to say the least if
fidelity has to come from the other side and imposing a condom on your husband
is, for any country in the world, a problem. So we have to make sure that we
incorporate in our AIDS work a change in social norms.
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Thu Mar 10,10:16 AM ET
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MAPUTO (AFP) - Brazil will build a plant in
Mozambique that will produce generic AIDS drugs in the southern African country
where more than one million people are living with HIV and AIDS, the visiting
foreign minister revealed.
"We already have the financing to carry out feasibility studies for this factory," Brazilian Foreign Minister Celso Amorin said as he wrapped up a one-day visit to Mozambique late Wednesday.
"Health ministry officials will come to discuss the final details," said Amorin in remarks broadcast on television.
Some 12.2 percent of adults, or 1.3 million people, are living with HIV and AIDS in Mozambique, according to the UN AIDS agency.
No date has been set for the construction of the pharmaceutical plant to begin.
Brazilian President Luiz Inacio Lula da Silva visited Mozambique in 2003 and the then Mozambican president Joaquim Chissano paid a return visit to Brazil in August of last year.
Both countries are former Portuguese colonies.