Circumcision, microbicides and drugsall offer promising new possibilities for battling the AIDS pandemic, but it will not be easy to roll out this arsenal ofpreven tion methods, experts said on Tuesday.
And the ultimate goal of a vaccine is still far away, although vaccine researchers said they were making progress.”An AIDS vaccine is the only tool that can end the pandemic,” Dr. S. Berkley of the International AIDS Vaccine Initiative told a news conference.”All evidence suggests that a vaccine is possible. There isprogress being made. It’s slow but it’s steady.”
In the meantime, people need to mobilize every prevention method possible, according to the report by the Global HIV Prevention Working Group, presented to the InternationalConference on AIDS.The global HIV group is in a position to make some of itsrecommendations happen. Its members work at the World Health Organization World Health Organization, Bill and Melinda Gates Foundation, European Commission and the World Bank .”This is really putting prevention on the map in ways thatit hasn’t been done before,” Dr. H. Gayle of the aid group CARE and an organizer of the AIDS conference, said in aninterview. “Research on some of these approaches, such as malecircumcision and diaphragms, could show results within the nexttwo years,” the report concludes.No method would work on its own, but combining severalcould make a dent in the epidemic, the report says.The United Nations United Nations AIDS agency UNAIDS estimates that $11.4billion will be needed annually for HIV prevention by 2008,more than twice what is now spent.The AIDS virus infects more than 39 million peopleglobally, more than 60 % of them in sub-Saharan Africa.It kills more than 4 million people every year.Condoms and abstinence are the only reliable methods toprevent AIDS in adults, which is spread sexually and viaintravenous drug use.
LITTLE PLANNING “Despite the fact that some new HIV prevention methodscould be shown to be effective in the near future, virtually noplanning or resources have been dedicated to ensuring futureaccess to new prevention approaches,” the report says.They include:
- Circumcision: A study in South Africa showed circumcisedmen were 60 % less likely than uncircumcised men tobecome infected with HIV from female partners. The foreskin ofthe penis contains many of the cells HIV can easily infect.
- Cervical barriers: Diaphragms and similar birth controlmethods might block the virus from reaching the cervix, whichin women is the area most susceptible to the virus.
- Pre-exposure prophylaxis with HIV drugs. Research inanimals suggests taking one or two drugs a day could protectpeople at high risk of infection.
- Herpes suppression: The herpes virus, which infects upto 70 % of people in some parts of sub-Saharan Africa,creates lesions that make HIV easier to acquire and transmit,but can be suppressed with several antiviral drugs.
- Microbicides: A gel or cream, perhaps containing an HIVdrug, could be applied to the vagina or rectum to reduce HIVtransmission. Five promising microbicides are currently inlate-stage clinical trials.
Former U.S. President Bill Clinton Bill Clinton told the meeting muchprogress had been made in beating down the price of HIVtreatments and getting them to the people who need them most.Four years ago, Clinton said, a course of treatment withgeneric versions of first-line HIV drugs cost $400 a year. “Wewere able to lower this price to just $140 a person a year,”Clinton said. Rapid HIV tests now cost just 50 cents, he said.And leaders who had refused to recognize the extent of theAIDS problem have signed on to fight it, he added. “China, oncein a state of denial, deserves all of our respect for turningon a dime and recognizing the problem,” Clinton said.
Original post by SX