The World Health Organization and the world's six biggest medical journal publishers today announce a new initiative which will enable close to 100 developing countries to gain access to vital scientific information that they otherwise could not afford. The arrangement agreed to by the six publishers would allow almost 1000 of the world's leading medical and scientific journals to become available through the Internet to medical schools and research institutions in developing countries for free or at deeply-reduced rates.
Equity in Health
Efforts to improve and speed up access to care for people living with HIV/AIDS are gaining new momentum, the Joint United Nations Programme on HIV/AIDS (UNAIDS) said today. A total of 58 countries have now expressed interest in gaining access to lower-price drugs – including treatments for opportunistic infections and antiretroviral therapy – in the context of the public-private partnership started in May 2000 by five United Nations agencies and five private sector companies.
South Africa could lose between 40 and 50percent of its current workforce to Aids, according to new research released by the HIV-Aids organisation LoveLife. Funded jointly by the Henry J Kaiser and Bill and Melinda Gates foundations, the study also confirms previous findings that HIV infections could cost individual companies between two and sixpercent of the wage bill per year.
THE United Nations Population Division has painted a grim picture of the HIV-AIDS epidemic spreading through Namibia and other countries in sub-Saharan Africa. In a new chart released by the UN Population Division, Namibia is said to be among eight countries where the life expectancy will have dropped by at least 17 years by 2005.
Angola's civil war, which has isolated thousands of communities from the outside world for long periods over the past three decades, might also have prevented the rapid spread of HIV/AIDS across the country.
President Bush and South African President Thabo Mbeki "defended their positions on AIDS" yesterday when they met to discuss the epidemic and other issues pertinent to Africa, the AP/Philadelphia Inquirer reports. Mbeki said that he "supported a comprehensive approach to South Africa's problems" -- a strategy that tackles "not just AIDS, but malaria, tuberculosis and various social problems deepened by poverty".
Zimbabwe has dismissed as "exaggerated" a UN report asserting that life expectancy will drop to 27 years in a decade as a result of HIV/AIDS, the news agency IPS reported. The UNICEF Progress Report on Zimbabwe 2000, released in Harare this week, said that overall life expectancy has already dropped to 44 years from its peak of 62 years in 1990.
During the past 100 years, disasters associated with prescription drugs have led to the introduction of laws to protect the consumer. The Biologics Control Act, for example, was passed by US Congress in 1902 after the death of ten children given diphtheria antitoxin contaminated with live tetanus organisms. Such tragedies are rare nowadays, but two reports in The Lancet this week signal renewed concern about the quality of orthodox medicines in some countries.
South Africa's health minister has dashed any remaining hopes that her government will provide antiretroviral treatment for the estimated five million people who are infected with HIV. Dr Manto Tshabalala-Msimang has told parliament again, and repeated in several group meetings, that her government cannot afford the drugs regardless of how low the price goes. She repeated the government's view that the infrastructure necessary to deliver the treatment is not uniformly available, and she expressed the government's continuing fears of "toxicity" and the development of resistance. The government is also afraid that patients taking the treatment will not fully comply with the regimen.
The Ethembeni Care Centre in northern KwaZulu-Natal is set in a pleasant forest clearing just outside the industrial hub of Richards Bay. The region is in the eye of the HIV/AIDS storm in a province soon to experience negative population growth due to the disease. The hospice is currently home to nineteen patients, most are dying of AIDS-related illnesses. Volunteers lay their frail bodies out on the veranda every morning so they can enjoy the view and listen to the birds, between frequent bouts of TB-induced coughing. Ethembeni is the first industry-funded AIDS hospice in South Africa, and its symbolic of changing attitudes towards the epidemic on the part of sub-Saharan Africa's biggest business community.