Conflicts, civil unrest, emergence of drug-resistant strains of parasites and insecticide-resistant vectors, mass population movements worsened by the refugee situation, and disintegration of health services, is exacerbating the malaria situation in sub-Saharan Africa. A one week workshop held in Nairobi between July 30 and August 4, bringing together regional heads of malaria control in sub-Saharan Africa, concluded that malaria is still "an unfinished agenda in sub-Saharan African countries, and needs more attention than it has so far received".
Equity in Health
Child mortality goals are unlikely to be met in societies which fail to pay attention to the survival of HIV-positive mothers, according to findings from the Uganda General Population cohort published this month in AIDS. The authors note that "the very high mortality of mothers who die within a few years of giving birth suggests that simply reducing vertical transmission might not proportionately reduce the mortality risks in children of infected mothers."
The South African cabinet finally approved the provision of AIDS drugs to HIV-positive citizens through the public health system on 8 August. It instructed the health ministry to act "with urgency". This announcement came after months of a bitter row between South Africa's AIDS activists and the department of health, over the delay in implementing a treatment policy. The following is a chronology of events in the treatment access debate, from December 2001 through to the government's decision this month to introduce a treatment plan.
The South African cabinet finally approved the provision of AIDS drugs to HIV-positive citizens through the public health system on 8 August. It instructed the health ministry to act "with urgency". This announcement came after months of a bitter row between South Africa's AIDS activists and the department of health, over the delay in implementing a treatment policy. The following is a chronology of events in the treatment access debate, from December 2001 through to the government's decision this month to introduce a treatment plan.
The illegal sale of anti-AIDS drugs in Malawi was endangering the lives of many HIV-positive citizens who were desperate to access affordable treatment, a health official told PlusNews. "Our major concern is that people are selling immune boosters and multivitamins, and cheating [HIV] positive people by saying they are antiretrovirals (ARVs)," Dr Bizwick Mwale, director of Malawi's national AIDS commission, told PlusNews.
The Treatment Action Campaign (TAC) welcomes the Cabinet's instruction to the Department of Health to develop an operational plan within one month to provide ARVs in the public sector. The Cabinet endorsed the findings of the Joint Health and Treasury Task Team Report that between 500,000 and 1.7 million lives will be saved with anti-retroviral therapy. It also reaffirmed the science of HIV/AIDS pathogenesis and treatment. The TAC National Executive will formally suspend the civil disobedience campaign and reconsider pending litigation early next week. We welcome Cabinet's bold step today but we also remember the anguish, pain and unnecessary loss of lives over the last four years.
Related Link:
* Full report of the South African ARV task force
http://www.gov.za/reports/2003/ttr010803.pdf
Shortages of essential medicines and medical equipment, a staffing crisis and inadequate infrastructure are undermining the quality of hospital care across sub-Saharan Africa. This could jeopardise plans to provide anti-AIDS drugs to people living with the HI virus, delegates attending the World Health Organisation (WHO) regional committee meeting in Johannesburg, South Africa, heard this week.
The population of HIV/Aids-ravaged southern Africa is expected to decline by 22% by 2050, according to a recent study. The latest world population data sheet of the United States-based Population Reference Bureau estimates South Africa's population will drop from 44 million this year to 35.1 million in 2025, and to 32.5 million in 2050 - a 26% decline.
The population of HIV/Aids-ravaged southern Africa is expected to decline by 22% by 2050, according to a recent study. The latest world population data sheet of the United States-based Population Reference Bureau estimates South Africa's population will drop from 44 million this year to 35.1 million in 2025, and to 32.5 million in 2050 - a 26% decline.
'Avoid Aids, come inside' says the sign outside the sex shop near the Durban beachfront. Just 100 meters away 500 Treatment Action Campaign (TAC) activists, from 110 branches across South Africa, were meeting at the second TAC National Congress to plan how to carry on their fight for the roll out of a comprehensive treatment plan for the 5 million people living with HIV-AIDS. With the highest national HIV prevalence in the world, AIDS is estimated to have caused 40% of all adult deaths in 2001, as many as 1,000 people a day according to UNAIDS (a figure not challenged by the ANC government). Addressing the Congress on the final day, the historic nature of this campaign was underscored by the UN Special Envoy for HIV/AIDS, Stephen Lewis, who compared TAC with some of the greatest social movements of the twentieth century and the "anti-globalisation" movement of the twenty-first.
