World AIDS Day

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Without more money, it’s the end of the beginning of the end of AIDS | 

Tomorrow is World AIDS Day and most organizations that had something to say about this have already said it.

Most said: “We can end AIDS.”

Flickr, by Roger H. Goun

Secretary of State Hillary Clinton

Secretary of State Hillary Clinton called for creating an “AIDS-free generation” and on Thursday released the Obama Administration’s blueprint aimed at describing how we can achieve this. Unfortunately, as the Washington Post noted:

The document, however, contains no specific targets or a schedule for achieving them. It also doesn’t estimate how much more money it would cost to reach the “tipping point” in high-prevalence countries, or where the money would come from.

Michele Sidibé, head of UNAIDS (the UN’s program on HIV/AIDS), also released a report and a suggested game plan for ending the AIDS pandemic.

The UNAIDS report celebrated major gains in reducing new HIV infections in many countries, some of them in sub-Saharan Africa, and called for “Getting to Zero” in terms of new HIV infections worldwide. Most of these gains have been in preventing mother-to-child transmission of HIV in newborns.

UNAIDS

Michel Sidibé

“It is becoming evident that achieving zero new HIV infections in children is possible,” said Sidibé. “I am excited that far fewer babies are being born with HIV. We are moving from despair to hope.”

Others celebrated some of the scientific gains such as more conclusive evidence that getting people on anti-HIV treatment also prevents the spread of disease by significantly reducing viral loads in HIV-infected persons.

And though a vaccine still seems a distant hope, researchers have made progress and are making headway on the basic immunology in ways that have recently also moved the vaccine community from despair to hope.

ONE

A Positive Trend, new HIV infections vs people getting treatment to prevent AIDS

We can end AIDS. It’s true.

It is also true to say we can end hunger and extreme poverty, if only we put enough resources, talent and political will into those efforts. But we don’t.

And until we put in the effort needed to truly suppress HIV/AIDS, calling for an end to the global AIDS pandemic will be, despite some amazing progress made in the past decade, wishful thinking. Continue reading

Wordy word AIDS Day | 

Flickr, Pink Sherbet Photography

No, that’s not a typo.

I’ve decided to mark this 30th anniversary of the recognized beginning of the pandemic as Wordy AIDS Day rather than use its official name, World AIDS Day, because most of what the international community is doing is saying they want to continue the fight against AIDS even as they retreat.

As Sarah Boseley of The Guardian writes, the Global Fund to Fight AIDS, TB and Malaria is threatening to ‘collapse’ thanks to governments reneging on their promised donations. The bottom line here is that there is insufficient funding to meet the existing challenge while politicians like Sec. of State Hillary Clinton proclaim we are on the verge of an “AIDS-free generation.” Says Boseley:

If this were not so deadly serious it would be absurd. As Clinton declares the end of AIDS is nigh with one massive last push, the donor governments, mostly in Europe, sit on their wallets. HIV/AIDS has gone out of favour.

It needs to be said that there has been progress, with a remarkable scale-up in getting people on treatment (about 40 percent of those who need the drugs in Africa) and 20-25 percent reductions in mortality.

Recent scientific studies have shown that getting people on anti-HIV drugs prevents transmission of the virus so it is possible, in theory anyway, to halt the pandemic by getting everyone infected on treatment.

Yet even as we may be at a beneficial ‘tipping point’ in the fight against AIDS, the world community’s commitment to the fight is flagging. Funding for the global fight against HIV/AIDS dropped by 10 percent last year. IRIN called it a Deadly Funding Crisis.

Two old-time warriors in the fight ask, on CNN, if what we should be celebrating is Another 30 Years of AIDS?

One of the presumed bright spots in this gloomy landscape was celebrated today with President Barack Obama’s announcement that the U.S. plans to “win this fight’ and has increased its global commitment to get anti-HIV drugs to two million more people by 2013.

Obama’s announcement was webcast by the ONE Campaign with commentary from a slew of other bigwigs like Bono, Bill Clinton and George W. Bush.

The Obama Administration’s new commitment to the global fight will be good news if it actually happens. Little noticed was the fine print that said this would be accomplished not by donating more money but by “increasing efficiency.” Only the domestic HIV/AIDS needs got actual new money, $50 million.

Here are some other worthy links for this day, Wordy AIDS Day:

Alanna Shaikh at UN Dispatch: The End of the Beginning of the End of AIDS?

ONE’s Erin Hohlfelder: Act V, The End of AIDS

George W Bush in Wall Street Journal: No Retreat in the Fight Against AIDS

NPR: What a lack of funding could mean for Africa

The Independent: Victory is in sight but cuts in funding could spoil it all

Simon Bland of Global Fund: Yes, we’re alive but progress in peril

Dichotomy alert: AIDS prevention vs treatment debate re-emerges | 

Today is the day after World AIDS Day. Things are pretty much the same.

Flickr, Benny Sølz.

Ruminating on the crazed repetitiveness yesterday of the news stories for this issue du jour, I felt a slight irritation crawling up from the lizard portion of my brain. Something in the torrent of AIDS stories yesterday nagged at me.

What was it? Like a bad aftertaste, or a fly buzzing around my head.

Whoa. It was the old AIDS treatment versus prevention debate. What some call the ugly dichotomy (which, by the way, only seems to apply to poor countries) is re-emerging. People are beginning to say we need to shift away from treatment in favor of prevention.

Oh no, here we go again … Continue reading

Social media ramps up, and turns off, for AIDS awareness | 

Flickr, Benny Sølz

For World AIDS Day, many organizations are using “social media” like Twitter and Facebook to get their messages out.

UNAIDS has its hashtag on Twitter #PreventionRevolution. There are lots of folks and organizations chiming in at #AIDS as well.

The organization (RED) is combining the power of Facebook, Twitter, YouTube, Flickr, Foursquare and a few other things I’ve never heard of to create a map that they claim “tracks AIDS awareness” globally. Seattle has two stickpins signifying our region’s level of awareness. Not sure what that means, actually.

And of course, there are the celebrities like Lady Gaga, Ryan Seacrest and Kim Kardashian who have gone virtually dead for the day. That is, they have sacrificed a day of social media life to raise awareness and a million dollars in an aim to fight the pandemic. I can’t tell if I think this is just absurd, really insensitive or maybe actually a good thing. I mean, if it can keep Kim Kardashian quiet …

Buylife.org