By Kathryn Doyle
28 January 2016
Healthcare providers need to understand that for HIV-positive African women, following advice not to breastfeed in order to protect their babies from the virus takes a high emotional toll, a U.K. study suggests. “Firstly, we need to understand that avoiding breastfeeding may carry significant emotional, social and financial cost to women,” lead author Dr. Shema Tariq of University College London told Reuters Health. “It is important to build a safe and non-judgmental space where expectant mothers can openly discuss their concerns.”
The risks and benefits of breastfeeding while HIV-positive depend on the setting, Tariq and her colleagues write in the journal Sexually Transmitted Infections. In high-income settings like the U.K., there is little risk of malnutrition or diarrheal illness for babies raised without the protective factors in breast milk, so women are advised not to breastfeed, which carries some risk of transmitting the virus. But in low-income settings, like some areas of Africa, infant death due to malnutrition or diarrhea is much more common, so HIV-positive women are advised to exclusively breastfeed for six months and to be on antiretroviral therapy (ART).
By Dominic Howell
28 January 2016
Strains of HIV are becoming resistant to an antiretroviral drug commonly used to prevent and fight the virus, research has suggested. HIV was resistant to the drug Tenofovir in 60% of cases in several African countries, according to the study, covering the period from 1998 to 2015. The research, led by University College London, looked at around 2,000 HIV patients worldwide. Lead author Dr Ravi Gupta said the results were “extremely concerning”.
See full story at http://www.theglobalfund.org/en/results/
The Global Fund’s cumulative results, as of end 2015, show strong progress in supporting programs that aim to end HIV, tuberculosis and malaria as epidemics. The latest results show that Global Fund grants have supported:
8.6 million people currently on treatment for HIV
3.3 million HIV-positive women receiving treatment to prevent HIV transmission during pregnancy
470 million people conciliated and tested for HIV
7.8 million orphans and vulnerable children provided with care and support
5.2 billion condoms distributed
16 million people treated for TB/HIV co-infection
15 million cases of tuberculosis treated
230,000 people treated for multidrug-resistant TB
600 million mosquito nets distributed
61 million homes and buildings sprayed to eliminate mosquitoes
560 million people treated for malaria
470 million disease prevention activities
29 million HIV-positive people receiving care and support
16.1 million training sessions for health workers
By Sir Elton John. From The Australian, Tuesday 1 December 2015
When AIDS reared its ugly head in the 1980s it was the disease of the gay; a physical infection for a perceived moral imperfection. I saw dozens of my friends contract the disease and then die while the world watched on, uncertain of how to act.
As dozens turned into hundreds, then thousands and then millions, the world’s engine of compassion slowly cranked into gear.
As global apathy turned to action, my despair turned to hope – and by the turn of the millennium I could see a light at the end of the tunnel.
Now, my heart is set on seeing an end to AIDS in my lifetime.
Some 30 years on , with World AIDS Day today and before my Australian tour, I wanted to take the time to shine a light on how far we’ve come in the fight against HIV and AIDS.
After a peak in 2005, in the past decade AIDS-related deaths have decreased by 30 per cent. Much of that success is due to access to antiretroviral therapy, which particularly in poor countries has increased from 4 per cent to 40 per cent. Much of this success is because of the work of the Global Fund to Fight AIDS, Tuberculosis and Malaria.
While the search continues for a cure and a vaccine, it now has been shown that early access to HIV testing and treatment helps to prevent new infections.
Since 2000, infection rates have fallen by 36 per cent in countries in which the fund works. When I look back at the change in attitude we have seen since the 80s, and the impact of action that we have seen since 2000, my heart is full of hope for an AIDS-free future.
Yet, as we turn our attention to our progress, it’s important to remember that there are more than 27,000 people in Australia, and more that 35 million people around the world, still living with HIV. There is still more work to be done.
By far the majority of the people with HIV and AIDS around the world are in low and middle-income countries, particularly in sub-Saharan Africa.
AIDS, like poverty, discriminates. It disproportionately targets the poor, the vulnerable and those without access to the prevention and treatment that the disease requires.
With so much progress made, it’s important for us to maintain our focus and support.
However, it seems that our two countries are now on quite different paths in terms of the priority given to aid funding.
The British government recently legislated to maintain its aid investment at the UN recommended level of 0.7 per cent of gross national income.
In contrast, Australia aid spending is set to reach 0.22 per cent next year. This will be the lowest level ever in Australian aid although we are more hopeful with the new Malcolm Turnbull-led government which has already made some positive changes. They include appointing Steve Ciobo as Australia’s Minister for International Development and the Pacific, and helping to rid the Asia-Pacific of malaria by 2030 in the recent commitment of $18 million to a new Regional Malaria and Other Communicable Disease Threats Trust Fund.
Still, this isn’t the Australia that I know. It’s the lucky country, not just because of its unsurpassable beauty but because it’s filled with people who look out for their neighbours, no matter what.
And what do these cuts mean for important initiatives such as the Global Fund and the global efforts to the end of AIDS? In 2016, the Global Fund to Fight AIDS, Tuberculosis and Malaria will ask donors, including Australia, for increased support for its lifesaving programs for the period of 2017 to 2019. Australia’s contribution to the Global Fund have already helped to bring about remarkable reduction in the new HIV cases, deaths from malaria and access to tuberculosis treatments, especially in the Asia-Pacific. Increasing Australia’s contribution to the fund will save lives, and is a smart investment in health security and peaceful development of fragile and vulnerable countries and regions.
When I saw the beginning of the AIDS crisis, it’s fair to say that I lost heart. But I knew that I had to help. I volunteered, I raised my voice, and eventually started the Elton John Aids Foundation. My commitment to this cause, and the commitment of people all over the world, was reflected in commitments from world leaders, and together we have seen great change.
My call now is for Australians to go and do likewise. To make your concern for your future and the future of your region known. To stand up for the great work done in your name through Australian aid. To raise your voice, and make sure that your leaders know that Australian aid is a part of what makes your country so great.
The progress that we’ve seen around the world in tackling AIDS promises a brighter future for the 27,000 Australians and the 35 million people living with HIV around the world. And you’ll play your part in that story of human progress through Australian aid.
So, are you for Australian aid? I’m proud to say I am. See you soon, Australia.
On Tuesday 1 December 2015, Ministers, shadow Ministers and Members of Parliament from across the political spectrum came together to support World AIDS Day 2015 at a Breakfast to be held at Parliament House, Canberra.
The Ministers and Members of Parliament were joined by a wide cross-section of Australia’s HIV sector including senior experts in HIV care, treatment, education, prevention and research to hear the latest on global and Australian HIV treatment and prevention initiatives.
The Australian Parliamentary World AIDS Day 2015 Breakfast was addressed by:
- Hon Sussan Ley MP Minister for Health
- Hon Catherine King MP Shadow Minister for Health
- Hon Steven Ciobo MP Minister for International Development and the Pacific
- Hon Tanya Plibersek MP Deputy Leader of the Opposition and Shadow Minister for Foreign Affairs
- Senators Dean Smith and Lisa Singh, Chair and Deputy Chairof the Parliamentary Liaison Group for HIV/AIDS, Blood Borne Viruses and Sexually Transmitted Diseases
- Professor Andrew Grulich, Program Head, HIV Epidemiology, Kirby Institute, University of New South Wales
- David Menadue OAM, Board Member National Association of People Living with HIV Australia
- Bill Bowtell AO, Executive Director, Pacific Friends of the Global Fund to Fight AIDS, Tuberculosis and Malaria