News (Updated March 26, 2006)

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Act now to stop HIV/AIDS in children, UN says

Fri Mar 24, 6:23 AM ET

PhotoThe United Nations called on governments on Friday to take immediate steps to better protect children from HIV/AIDS and ensure better treatment for those infected.

At the end of 2005, an estimated 30,000 children in East Asia and the Pacific were living with HIV or AIDS, nearly 11,000 of them newly infected, the United Nations Children's Fund (UNICEF) said in a statement at a conference in Hanoi.

"It is imperative that the call for action is taken seriously at the highest level of political decision making," Anupama Rao Singh, UNICEF's Regional Director of East Asia and the Pacific, said in the statement.

Asia has the world's fastest growing HIV rates, with 50 percent of all people infected in the region last year aged between 14 and 24.

UNICEF said about 450,000 children in the region had lost one or both parents to AIDS while millions more children and young people were at high risk of HIV infection or suffered from stigma and discrimination.

"To effectively mount our response, we need to improve our country-level analysis of the situation of children and the impact of HIV so as to be better able to guide efforts to plan and scale up our response," Singh added.

She also called for leaders of Southeast Asian nations to endorse a UNICEF plan to help children with HIV/AIDS at their next meeting in Manila.

Experts say the true extent of the region's epidemic is probably understated. The lack of good quality and consistent data on children and young people greatly hinders the region's response to the epidemic.

Of the 263,500 HIV/AIDS patients in Vietnam, 8,500 were under 19 years old, with only around 260 provided treatment on a regular basis last year, the Vietnamese government said in a report.

"Children are the hardest-affected victims of the HIV/AIDS epidemic," said Le Thi Thu, chairwoman of Vietnam's Commission of Population, Family and Children.

"These children should have the same rights as others," she told a news conference.

Only a few countries in the region collect data on children with HIV/AIDS, UNICEF said.

It also called for the elimination of religious and cultural taboos that deter parents and educators from addressing topics such as safe sex and condom use, and limited financial resources for prevention and adequate information.

Asia's most seriously affected countries are Thailand, Myanmar, Vietnam, Cambodia and India, with some five million of India's one billion population now believed to be HIV positive. China had about 800,000 with HIV, but the real figure could be much higher.

 

AIDS leaves 9 mln African children without mothers

By Manoah EsipisuMon Mar 20, 12:02 PM ET

PhotoSome 9 million children in Africa have lost a mother to AIDS, British charity Save the Children said Monday, calling on donors to sharply increase aid to meet their needs.

"Incredibly, the impact of HIV and AIDS on children is still being ignored," Save the Children Chief Executive Jasmine Whitbread said in a statement.

The charity said in a report that a lack of testing facilities meant that many mothers, especially in the poorest countries, did not know their HIV status until they were ill and unable to fight off even the simplest infections.

"The AIDS pandemic robs millions of children of their childhoods as well as their mothers," Whitbread said. "Children are caring for their mothers, missing school, and having to work because their mothers are too sick to look after them."

The charity called for a focus on children orphaned by AIDS as well as sick parents, adding red tape was slowing aid flows.

"Donors must spend 12 percent of their AIDS funding on proper support for children," it said, adding this would amount to $6.4 billion over a three-year period.

In 2006, if Britain, the United States and Ireland met all their pledges, there would be $412 million committed for children -- or about one quarter of the $2.1 billion needed per year.

"This is best case scenario and it's not yet clear whether all of the donors will meet their commitments," a spokeswoman for Save the Children told Reuters by telephone from London.

The charity addressed its appeal to the G8 wealthy nations, the Global Fund to Fight AIDS, Tuberculosis and Malaria, the World Bank and the European Commission.

Sub-Saharan Africa has about 10 percent of the world's population but 60 percent of the people living with HIV/AIDS.

More than 3 million Africans were infected with HIV in 2005, representing 64 percent of all new infections globally and more than in any previous year for the impoverished continent, according to UNAIDS, the lead U.N. agency against AIDS.

Across sub-Saharan Africa, an estimated 4.6 percent of young women aged 15 to 24 are infected with HIV, compared to 1.7 percent of young men, according to U.N. data.

Save the Children said most of the 19.2 million women living with HIV around the globe were already mothers.

"To truly make a difference we must also support children whose mothers are HIV positive," it said.

"In sub-Saharan Africa alone, more than 12 million children under the age of 15 have lost one or both parents to AIDS. By 2010, at current rates of HIV infection, this number is likely to increase to 18 million," Save the Children said.

 

Love's not enough, says Vietnam AIDS orphanage

Thu Mar 23, 11:01 AM ET

PhotoTen-year-old Nguyen Thi Thuy isn't sure what HIV is or why she had to leave her uncle's family to live in a kindergarten with 22 other sick Vietnamese children.

"I don't know what kind of disease I have. Sometimes when I am ill, my whole body hurts," she said, pointing at her head, stomach and limbs.

Thuy, whose mother who died of AIDS four years ago, now lives in an orphanage inside a state-run rehabilitation centre for drug addicts, many of them HIV-positive, the Centre for Social Protection No. 2, some 80 kilometres (50 miles) southwest of the capital Hanoi.

Thuy is too young to know that death is probably near.

She appears healthy at first glance, as do the other children, aged five months to nine years, who are laughing and chasing each other across the centre's small, green playground.

"Caring for a child with HIV is probably ten times harder than caring for a healthy one," said Nguyen Thi Phuong, who runs the first such kindergarten in the Hanoi area.

"Love is not enough," she said. "We need volunteer mothers with good health and skills."

Phuong set up the centre on her own initiative in 2002. It now has 16 staff, 14 of them former drug users and carriers of the deadly virus.

What they bring in goodwill, they lack in resources. Vietnam's communist government gives just 270,000 dong (17 dollars) per month per child.

"We always need lots of drugs for the kids but unfortunately, we never have enough," Phuong said. "Ensuring nutrition for them is a major problem.

"We need a significant change in the way the medical system is handling children with HIV. We need many, many more skillful and trained doctors."

According to official statistics, Vietnam now has around 8,500 children under 15 living with HIV/AIDS.

No-one knows the true figure, but Vietnam is thought to have at least 300,000 HIV carriers, and experts warn that the disease is crossing from high-risk groups, such as intravenous drug users and prostitutes, into the general population.

In the largest metropolitan centre, Ho Chi Minh City, and the northern port of Haiphong, infections have crossed the red line of one per cent of the population, which at national level would signify an epidemic.

Foreign experts have lauded Hanoi's efforts to contain the disease, but resources remain scant in the developing country, where AIDS carries a heavy stigma and few sufferers have access to retroviral drugs.

As in many other Asian countries, children with HIV are largely ignored.

"Children living with HIV/AIDS in Vietnam do not receive good care," a ministry official told AFP, speaking on condition of anonymity.

"It is not because we don't pay attention to them. It's just because we don't have enough drugs, facilities and skills. There are not many government establishments for the kids, and demand is increasing day by day."

Since 2002, Phuong's kindergarten has received 42 orphans. Nine were adopted by families after they tested HIV negative after their first 18 months.

Ten others lie buried at a small cemetery nearby.

"We were not allowed to witness the last moments of any of our children," said volunteer Lam Uyen Nhi, 31. "We would not want to see it."

In the children's small playroom hangs a banner that reads, "Love them as if they were your children," and nearby stands a small altar.

"We just want to pray for them on their death anniversary, so that they can rest in peace," said Nhi, fighting tears.

"We were wrong to use drugs, and we got infected," she said. "We have to pay for our mistakes. But the kids here, they are innocent."

 

 

24 Mar 2006 17:16:08 GMT
Source: Reuters
BUJUMBURA, March 24 (Reuters) - Burundi's Roman Catholic church said on Friday it would not bless engaged couples unless they presented certificates showing whether or not they were infected with HIV/AIDS.

"There was a meeting of bishops who decided that young couples who wish to be married have to present an HIV test certificate," Gelase Mugerowimana, a spokesman for the church, told local radio.

"The church will not bless the engaged couple if they do not present this document. We ask the future married to tell the truth to each other, which is the only basis of their statement of union."

Officials said the result of a test would not matter, but the church wanted partners to know each other's HIV status.

A local non-governmental organisation, ANSS, which represents infected people, called the policy discriminatory.

"Our position is clear, we are against a forced HIV test, the test must be voluntarly and anonymous," Jeanne Gapiya, head of ANSS, told Reuters.

"People must be psychologically prepared to welcome results of their test ... but here, it is an obligation, and people will fear to do the test," she said.

"The church has a duty to moralise to people, but to moralise to people or give good advice ... does not mean becoming a policeman or giving orders," she added.

Mugerowimana said the church would not bless pregnant women who were not yet married, saying this was against God's principles.

Burundi's HIV prevalence rate among adults aged 15-49 stood at 6 percent in 2003, according to UNAIDS.

 

Asia must educate young on HIV

Wed Mar 22, 2006 02:19 AM GMT

COLOMBO (Reuters) - Asia must break down taboos about sex and stop discrimination if it is to halt the world's fastest growing HIV rates, an expert warns, with half of all new cases in the continent aged between 14 and 24.

Professor Myung-Hwan Cho, President of the AIDS Society of Asia and the Pacific, said Asia's 8.3 million HIV cases were dwarfed by Africa's 23 million, but that the disease was spreading faster in Asia than anywhere else in the world.

"In Asia, preventing the disease is particularly difficult for cultural reasons," he told Reuters late on Tuesday at the launch of a major international conference on AIDS in Asia and the Pacific to be held in the Sri Lankan capital Colombo next year.

"Talking about sex is taboo. Educating people to use condoms is difficult," he said. "But we need to educate young people. Fifty percent of all people infected in Asia last year were aged between 14 and 24."

Most seriously affected were Thailand, Myanmar, Vietnam, Cambodia and India, he said, with some five million of India's one billion population now believed to be HIV positive. China officially had some 800,000 with HIV, he said, although the real figure could be much higher.

"The Chinese government do not want to speak out," said the Korean scientist, whose group includes a range of AIDS bodies and professional associations. "But there are many intravenous drug users. In south China in particular, the HIV rate is very high."

Reducing the stigma attached to HIV was crucial in encouraging people to come forward and talk about the disease, he said. In many parts of the region, admitting HIV positive status can leave a whole family as social pariahs.

"Refusal of employment, refusal of healthcare and refusing of education for children," he said. "I appeal to attorney generals and human rights commissions to push for legislation to make this illegal."

Sri Lanka, which currently has one of the lowest HIV rates in Asia, also had to be aware of the risks if it was to avoid following India, he said. Sri Lanka has currently identified 743 HIV cases out of a population of 20 million, but officials believe the real number is nearer 5,000.

But although Asia would find it difficult to stem the spread of AIDS in the next decade, Myung-Hwan Cho said he believed the continent would avoid the adult infection rates of 20-40 percent seen in some parts of southern Africa such as Swaziland and Lesotho.

"It's hard to say if will reach that point of 20-30 percent," he said. "I hope we will not. The situation here is difficult. The economies are better than in Africa and there is less political turmoil."

© Reuters 2006. All Rights Reserved.

AIDS, poverty worsen Africa's tuberculosis crisis

By Jack KimballFri Mar 24, 8:27 AM ET

PhotoFive-year-old Unis Nyambura waves her yellow lollipop while waiting for treatment in a tuberculosis clinic in Nairobi's sprawling Kibera slum.

Wearing starred pajama bottoms under her green-and-white dress, she grimaces as she waits for an injection. Like many in Africa, Nyambura's TB status is complicated by an HIV infection.

"All the patients who've died here from TB were also infected with HIV," said Winfred Nzioka, a nurse at the African Medical and Research Foundation (AMREF) clinic in the Kenyan slum which is home to one million people.

Africa's TB crisis -- linked to HIV/AIDS, weak health systems and poverty -- is the main reason behind a rise in worldwide infection rates, the World Health Organization (WHO) said this week ahead of Friday's World Tuberculosis Day.

Of the two million people who die from TB every year, 1.5 million are Africans.

Nzioka said about two thirds of TB patients she treats have HIV. The virus attacks the immune system, leaving people far more susceptible to TB.

"Tuberculosis is coming in as an opportunistic infection," she said. "Our patients with TB/HIV normally deteriorate very fast."

AMREF estimates that more than two-thirds of people living with dual HIV/AIDS and TB infections are African.

Tuberculosis is caused by bacteria, which attack the lungs, but can also infect any part of the body. Left untreated, an infected person will pass it on to an estimated 10-15 people.

The disease is airborne, but sunlight and good ventilation can drastically decrease infection rates, health workers say.

BREEDING GROUND

At Kibera's AMREF clinic, the shelves are filled with rectangular medicine boxes labeled in black marker with patients' names.

Barring complications, treatment for TB is an eight-month ordeal. But not all follow through with the entire treatment and scientists warn that drug resistant TB is emerging as a global health problem.

"We are doing all we can to make sure drugs don't develop resistance," Joel Kangangi, head of the WHO's TB program in Kenya said, adding that surveys in the east African country showed resistance was very low.

The WHO says Kenya, which gives out free TB drugs, is making strides in the fight against TB.

But slums like Kibera, where the majority live in cramped and dire conditions, are at great risk of infection. "Poverty has really contributed to the TB spread," Nzioka said.

The canvas bags forming a roof above John Adava allow narrow shafts of light to pour into his small mud-wall house. Adava, who has TB and HIV, lives there with nine other people.

The day before World Tuberculosis Day, Adava said the free drugs from the clinic saved his life, pointing to a picture of his emaciated body nine months before he came to the clinic.

"Were it not for the drugs, we would not be able to celebrate this day alive," he said.

 

China AIDS chief knows nothing of missing activist

Wed Mar 22, 2006 08:05 AM ET

BEIJING (Reuters) - China's top AIDS official said on Wednesday that he had no idea where a missing Chinese activist was, but said the government had a very good relationship with private groups involved in fighting the disease.

Hu Jia, 32, went missing after going on a hunger strike with several others to protest what they said was the government's hiring of thugs to beat up a civil rights campaigner in the southern province of Guangdong in February.

Hu has also been critical of the government's AIDS policy and its efforts to help AIDS victims and their families.

His wife and friends have been trying to locate him since he vanished over a month ago, but police and state security have refused to confirm of deny if they are holding him. "There are 1.3 billion people in China, and you ask me where one person is? How am I supposed to know?" Vice Health Minister Wang Longde, who is also China's top AIDS official, told reporters on the sidelines of a World Health Organization meeting.

"We have very good cooperation with private groups in the fight against AIDS. We believe that in this fight you cannot just rely on the government," the vice minister said, before outlining a series of official measures taken to battle the disease.

He declined to answer any more questions on Hu.

Hu's case has attracted the attention of the lead U.N. agency against AIDS, UNAIDS, and rights group Amnesty International.

"We are very much aware of this person," Henk Bekedam, the WHO's chief representative in China, told reporters. "We have spoken to the government and are following it up. We have not received any specific details about his whereabouts."

China recorded its first outbreak of AIDS in 1989. During the 1990s, many people -- notably in the central province of Henan -- contracted the virus through contaminated blood transfusions.

Last year, there were about 25,000 deaths from AIDS across China. In January, Beijing lowered by about 30 percent its estimate of the number of people living with HIV/AIDS, yet warned against complacency, saying that the figure was still rising with people unaware of the danger.

 

HIV Infections in Malaysia Women on Rise

By EN-LAI YEOH, Associated Press WriterWed Mar 22, 1:22 PM ET

The number of women infected with HIV in Malaysia is on the rise, and housewives outnumber female sex workers four to one, the Malaysian AIDS Council said Wednesday.

In 1986, when the first AIDS cases were discovered in Malaysia, there were no female victims, but by 2004 women accounted for 7 percent of all HIV infections, the council said.

Of the 67,438 people found to be infected with HIV between 1996 and 2004, 4,841 were women. Of these, 1,756 were housewives and 435 were sex workers, said the council, Malaysia's main non-governmental group dealing with AIDS.

Housewives have been infected through their spouses, council President Dr. Adeeba Kamarulzaman said.

The council said it believes the actual number of infected women is higher because many do not come forward for tests and suffer the disease in silence.

Officials say some HIV patients are unwilling to seek treatment despite government subsidies for medication because they fear being ostracized.

HIV/AIDS was not reported in any females in Malaysia until 1988 when two women were infected, the council said. That number rose to 111 new cases in 1994, and to 842 new cases in 2004.

Overall, 7,575 men and women were diagnosed with HIV/AIDS in 2004 in Malaysia, a nation of 26 million, said the council, which regularly advises government health officials on policy.

The council data showed that 7,673 people have died of AIDS since 1986, including 582 women.


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