EQUINET NEWSLETTER 15 : 07 July 2002

1. Editorial

Why half the planet is hungry
Amartya Sen

Widespread hunger in the world is primarily related to poverty. It is not principally connected with food production at all. Indeed, over the course of the last quarter of a century, the prices of the principal staple foods (such as rice, wheat etc) have fallen by much more than half in 'real' terms. If there is more demand for food, in the present state of world technology and availability of resources, the production will correspondingly increase. The demand for food is restrained mainly by lack of income. And the same factor explains the large number of people who are hungry across the world. Given their income levels, they are not able to buy enough food, and as a consequence these people (including their family members) live with hunger.

But it is not adequate to look only at incomes. There is need to look also at the political circumstances that allow famine and hunger. If the survival of a government is threatened by the prevalence of hunger, the government has an incentive to deal with the situation. Incomes can be expanded both by policies that raise overall income and also by redistributive policies which provide employment, and thus tackle one of the principal reasons for hunger (to wit, unemployment in a country without an adequate social security system). In democratic countries, even very poor ones, the survival of the ruling government would be threatened by famine, since elections are not easy to win after famines; nor is it easy to withstand criticism of opposition parties and newspapers. That is why famine does not occur in democratic countries. Unfortunately, there are a great many countries in the world which do not yet have democratic systems.

Indeed, as a country like Zimbabwe ceases to be a functioning democracy, its earlier ability to avoid famines in very adverse food situations (for which Zimbabwe had an excellent record in the 1970s and 1980s) becomes weakened. A more authoritarian Zimbabwe is now facing considerable danger of famine. Alas, hunger in the non-acute form of endemic under-nourishment often turns out to be not particularly politically explosive. Even democratic governments can survive with a good deal of regular under-nourishment. For example, while famines have been eliminated in democratic India (they disappeared immediately in 1947, with Independence and multi-party elections), there is a remarkable continuation of endemic under-nourishment in a non-acute form. Deprivation of this kind can reduce life expectancy, increase the rate of morbidity, and even lead to under-development of mental capacities of children. If the political parties do not succeed in making endemic hunger into a politically active issue, hunger in this non-acute form can go on even in democratic countries.

What should rich countries do, and is trade liberalisation the answer?

The rich countries can do a great deal to reduce hunger in the world. First, the displacement of democracies in poor countries, particularly in Africa, often occurred during the Cold War with the connivance of the great powers. Whenever a military strongman displaced a democratic government, the new military dictatorship tended to get support from the Soviet Union (if the new military rulers were pro-Soviet) or from the United States and its allies (if the new rulers were anti-Soviet and pro-West). So there is culpability on the part of the dominant powers in the world, given past history, and there is some responsibility now for rich countries to help facilitate the expansion of democratic governance in the world.

Second, hunger is related to low income and often to unemployment. Poverty could be very substantially reduced if the richer countries were more welcoming to imports from poorer countries, rather than shutting them out by tariff barriers and other exclusions. Fairer trade can reduce poverty in the poor countries (as the recent Oxfam report Rigged Rules, Double Standards discusses in detail). Third, there is a need for a global alliance not just to combat terrorism in the world, but also for positive goals, such as combating illiteracy and reducing preventable illnesses that so disrupt economic and social lives in the poorer countries. Trade liberalisation on the part of the richer countries could certainly make a difference to employment and income prospects of poorer countries. The situation is a little more complex in the case of liberalisation of the poorer countries. Even those countries which have greatly benefited from the expansion of world trade (such as South Korea or China) often went through a phase of protecting industries before vigorous expansion of exports and trade. So, trade liberalisation is partly an answer, but the economic steps involved have to be carefully assessed: the policies cannot be driven by simple slogans.

What is the solution?

There is no 'magic bullet' to deal with the entrenched problem of hunger in the world. It requires political leadership in encouraging democratic governments in the world, including support for multi-party elections, open public discussions, elimination of press censorship, and also economic support for independent news media and rapid dissemination of information and analysis. It also requires visionary economic policies which both encourage trade (especially allowing exports from poorer countries into the markets of the rich), but also reforms (involving patent laws, technology transfer etc.) to dramatically reduce deprivation in the poorer countries. The problem of hunger has to be seen as being embedded in larger issues of global poverty and deprivation.

Countries of the South increasingly seek food self-sufficiency. Could this solve the problem of hunger and starvation?

Food self-sufficiency is a peculiarly obtuse way of thinking about food security. There is no particular problem, even without self-sufficiency, in achieving nutritional security through the elimination of poverty (so that people can buy food) and through the availability of food in the world market (so that countries can import food if there is not an adequate stock at home). The two problems get confused, because many countries which are desperately poor also happen to earn most of their income from food production. This is the case, for example, for many countries in Africa. But if these countries were able to produce a good deal of income (for example through diversification of production, including industrialisation), they can become free of hunger even without producing all the food that is needed for domestic consumption. The focus has to be on income and entitlement, and the ability to command food rather than on any fetishist concern about food self-sufficiency.

There are situations in which self-sufficiency is important, such as during wars. At one stage in the Second World War, there was a real danger of Britain not being able to get enough food into the country. But that is a very peculiar situation, and we are not in one like that now, nor are we likely to be in the near future. The real issue is whether a country can provide enough food for its citizens - either from domestic production or imports or both - and that is a very different issue from self-sufficiency. We have to look at ways and means of eliminating poverty, and to undertake the economic, social and political processes that can achieve that.

Amartya Sen, who won the Nobel Prize in Economics in 1998, is Master of Trinity College, Cambridge. This is a longer version of an article, expanded by the author, that appeared in Le Monde

2. Equity in Health

Africa Launches Own AIDS Vaccine Initiative

Africa launches a campaign for a fairer share of funding into the development of an AIDS vaccine, saying it was unacceptable that the world's poorest continent received so little attention. Though more than 28 million Africans carry the virus that causes AIDS, less than 2% of world research funding goes towards fighting the unique strains of the disease in Africa. The AAVP (African Aids Vaccine Programme) is being coordinated by the World Health Organisation (WHO) in Geneva, with African scientists leading the search. The African vaccine initiative requires $233 million over the 7 years that AAVP participants have given themselves to test and produce a cheap, effective and safe vaccine for the HIV/AIDS strains common in Africa, she said.

Further details: /newsletter/id/29207
AFRICA: 28 million Africans now living with HIV/AIDS - UNAIDS

More than 28 million Africans are now living with HIV/AIDS and in some countries over 30 percent of the adult population is infected, a UNAIDS statement has warned. "The devastating impact of HIV/AIDS is rolling back decades of development progress in Africa," said Peter Piot, UNAIDS executive director. "Every element of African society - from teachers to soldiers to farmers - is under attack by AIDS," he added.

AFRICA: NEPAD criticised for not focusing on HIV/AIDS

Stephen Lewis, the UN special envoy for HIV/AIDS, has criticised the New Partnership for Africa's Development (NEPAD) for its modest references to HIV/AIDS. Speaking at the opening of the People's Summit, an alternative to the G-8 Summit taking place last week, he said: "How can you talk about the future of sub-Saharan Africa without AIDS at the heart of the analysis?" Africa's development goals would remain an "impossible hope" until the HIV/AIDS pandemic was addressed, despite initiatives such as NEPAD, he warned.

Barriers to Accessing Free Condoms at Public Health Facilities Across South Africa

The authors studied the determinants of condom procurement at 12 health facilities in four health regions. Potential barriers to condom procurement included female gender and perceived risk of HIV. The authors conclude that because barriers to condom procurement vary from region to region, national-level interventions to promote condom procurement and use may be less appropriate than specialised interventions addressing locally relevant factors.

Further details: /newsletter/id/29204
Botswana: Washington Times Examines AIDS Epidemic

Botswana's AIDS epidemic, which affects approximately one-third of the nation's population, "threatens to undermine one of [Africa's] most democratic and best educated countries," the Washington Times reports in a profile of the country. According to a Harvard University Gazette article published in April, between 36% and 38% of Botswanan adults have HIV/AIDS, and 50% of women "most likely to become pregnant" -- those between the ages of 25 and 30 -- are estimated to be HIV-positive. The average life expectancy in the country is expected to fall from 64 years in 1998 to 42 years by 2010, the Times reports. In addition, health officials say the infant mortality rate will increase from 41 infant deaths to 65 per 1,000 live births. During a recent broadcast calling on residents to "come forward" to receive free medical supplies and prescription drugs, Botswana's President Festus Mogae said, "We are the most hideously affected country in the world. The pandemic is not abating".

Consensus Statement of National HIV/AIDS Treatment Congress
June 29th 2002

Between June 27th and 29th 2002, 750 delegates from all over South Africa attended the TAC/COSATU National Treatment Congress. Delegates heard presentations from many of South Africa's leading HIV scientists but also the day-to-day experiences of the epidemic of nurses, doctors and people living with HIV/AIDS. Delegates heard of many of the best practices South Africans are using to combat the epidemic, but there was also a belief that most people with HIV are not receiving adequate treatment, care and support. Furthermore HIV is already having a dramatic and negative impact on the health service.

Further details: /newsletter/id/29214
Defying Predictions, HIV in Africa Has Not Yet Peaked

"The scale of the Aids crisis now outstrips even the worst-case scenarios of a decade ago," according to a new UNAIDS Report on the Global HIV/AIDS Epidemic, and Africa continues as "the worst-affected region in the world." By 2020, according to UNAIDS numbers, over 25% of the workforce may be lost to Aids in some severely affected countries. "I wish I could come up with better news," said UNAIDS Executive Director, Peter Piot, briefing reporters Tuesday. "The Aids epidemic continues its expansion. It's now clear to me that we are only at the beginning of the Aids epidemic." This conclusion was unexpected, said Piot. Epidemiological modeling used to project the expansion of Aids had predicted that the spread of the disease would have "peaked" by now.

Nonoxynol-9 Not Effective in Preventing HIV Transmission, WHO/CONRAD Report Says

The chemical nonoxynol-9, which is found in at least 18 over-the-counter spermicides sold worldwide, does not reduce the spread of HIV as once thought and could increase the likelihood of HIV transmission, according to a joint report released last week by the World Health Organization and Eastern Virginia Medical School's Contraceptive Research and Development Program.

Risking health?

Peri-urban natural resource development projects can have both positive and negative consequences for residents and workers. There are various possible health risks, argues this new report summary from iD21.

The Spread and Effect of HIV-1 Infection in sub-Saharan Africa

A detailed analysis of HIV-1 epidemiology in sub-Saharan Africa traces the spread of the virus to four factors: the subordinate position of women, poverty and the breakdown of social services, rapid urbanization, and war.

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3. Human Resources

Malawi: Pfizer to Offer Diflucan Free of Charge

Pfizer Inc. has announced that it will provide its antifungal drug Diflucan at no cost to people with AIDS in Malawi, Reuters reports. The drug maker stated that Diflucan will be provided free of charge for Malawians being treated in hospitals operated by either the government or by the Christian Health Association of Malawi. The drug will be provided "for as long as it is required" for these patients, and there is "no dollar or time limit" on the offer, Pfizer stated. Diflucan treats two opportunistic infections: cryptococcal meningitis, a brain infection which affects 10% of people with AIDS, and oral thrush, which affects between 20% and 40% of people with AIDS. Malawi is the seventh African nation to participate in the program, which also helps train health workers. South Africa, Uganda, Botswana, Namibia, Swaziland and Lesotho have already signed on to the program. Tanya Elston, communications manager at Pfizer, said that the company plans to offer the program soon in Mozambique and Zambia. Pfizer hopes eventually to expand the program to 50 of the world's poorest nations, Elston said.

Medical Schemes: Research Conducted by TAC and CARE

The Treatment Action Campaign (TAC) welcomes the results of the research done on HIV Benefits in Medical Schemes in 2002 by the Centre for Actuarial Research at the University of Cape Town in association with our organisation. One of the most important pieces of legislation promulgated by South Africa's first democratic government is the Medical Schemes Act (Act 131 of 1998). Unfair discrimination against people on a range of grounds including "any medical condition" is prohibited by private medical schemes. The AIDS Law Project, AIDS Consortium and current TAC members supported the passage of the legislation against powerful forces including the insurance industry, the Chamber of Mines and others. This survey shows conclusively that the Medical Schemes Act has been successful in ensuring coverage by medical schemes of people with HIV/AIDS.

Further details: /newsletter/id/29235
Treating HIV-Positive South Africans More Cost-Effective Than Not Providing Medications, TAC Says

Treating people with HIV/AIDS is more cost effective than not providing them with medications because "if you manage HIV properly, it would cut costs and have social benefits," Mark Heywood, secretary of the Treatment Action Campaign, has said in Johannesburg, the South African Press Association reports.

4. Public-Private Mix

Counting the cost of HIV in Southern Africa

Southern Africa is the region with the highest rates of HIV infection in the world. An estimated 9.4 million of the total population of 97 million were HIV-positive in 1999. What impact will the HIV/AIDS epidemic have on the provision of health services in the region? Is there any scope for improving access to highly active antiretroviral therapy (HAART) in low-income countries? A study by the International Monetary Fund warns that health services in southern Africa are already over-stretched. The current cost of providing health services to HIV patients accounts for a very large proportion of total health expenditure for most countries in the region. As the number of AIDS patients increases, the situation will deteriorate.

5. Resource allocation and health financing

Activists Criticize Global Fund Director's Statements Regarding Fund's Financial Health

Some activists have already called for the resignation of Richard Feachem, even though he has not yet signed a contract to become the first director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Boston Globe reports. Feachem, the founding director of the Institute for Global Health at the University of California-San Francisco, was named as the fund's first director in April by the fund's board but has come "under fire" from some activists because of comments regarding the amount of money in the fund. According to comments that first appeared in the Memphis Commercial Appeal, Feachem said that the fund had "plenty" of money to get started. Northeastern University law professor Brook Baker and Gorik Ooms, head of Medicins Sans Frontieres in Tanzania, last week in an e-mail demanded that Feachem step down from his prospective position unless he "distanced himself" from his comments. Baker said that Feachem, as the head of the "grotesquely underfunded" fund, should be "a drum major who is marching at the head of the pack and demanding the money" and should not be "making 'nice nice' with politicians in the hope that they will become more forthcoming in the future." Feachem, who could "as early as today" sign a $200,000 annual tax-free contract to become the fund's first director, responded to both Baker and Ooms by e-mail, saying that he "understood ... the activists' frustration" and acknowledging that the fund "needed much more money."

Contraceptive Funding Faces Crisis in Developing Countries
Hopkins Report

The number of contraceptive users in developing countries is expected to surge by more than a third within the next 13 years, reaching 764 million by 2015. Without more funding for contraceptives, many couples will be unable to plan how many children to have and when, or to protect themselves against HIV/AIDS or other sexually transmitted infections, according to a new report from the John Hopkins Bloomberg School of Public Health.

G8 Approves Plan to Increase Development Aid, Offer Help to Battle AIDS

The leaders of the world's major industrial nations have said they would provide about $6 billion in foreign aid -- some of which would be used to fight the spread of HIV/AIDS -- to African countries that meet specific reform criteria, the Los Angeles Times reports. The plan, called the New Partnership for Africa's Development, was proposed at the G8 summit meeting near Calgary, Canada, by leaders from South Africa, Nigeria, Algeria and Senegal and was accepted by the G8 members, including the leaders of Britain, Canada, France, Germany, Italy, Japan, Russia and the United States. The plan requires African countries that wish to receive aid to "demonstrate they are pursuing free market reforms and democracy." Starting in the next four years, the G8 will offer countries that meet such criteria "help in the battle against the AIDS epidemic," in addition to assistance to end civil wars and improve market access for African goods.

Highly Active Antiretroviral Therapy and Tuberculosis Control in Africa: Synergies and Potential
Bulletin of the World Health Organization 2002, 80 (6): 464

WHO, 2002. Anthony D. Harries, Technical Adviser, National Tuberculosis Control Programme, Ministry of Health, Lilongwe, Malawi; Nicola J. Hargreaves, Coordinator, PROTEST Project, National Tuberculosis Control Programme, Lilongwe, Malawi and Lecturer in Tropical Medicine, Liverpool School of Tropical Medicine, Liverpool, England; Rehab Chimzizi, Coordinator, PROTEST Project, National Tuberculosis Control Programme, Lilongwe, Malawi; and Felix M. Salaniponi, Programme Manager, National Tuberculosis Control Programme, Ministry of Health, Lilongwe, Malawi.
A decline in TB is unlikely to occur unless strategies to combat HIV and TB simultaneously are implemented. HIV/AIDS and TB are two of the world?s major pandemics, the brunt of which falls on sub-Saharan Africa. Efforts aimed at controlling HIV/AIDS have largely focused on prevention, little attention having been paid to care. Work on TB control has concentrated on case detection and treatment. HIV infection has complicated the control of tuberculosis. There is unlikely to be a decline in the number of cases of TB unless additional strategies are developed to control both this disease and HIV simultaneously. Such strategies would include active case-finding in situations where TB transmission is high, the provision of a package of care for HIV-related illness, and the application of highly active antiretroviral therapy. The latter is likely to have the greatest impact, but for this therapy to become more accessible in Africa the drugs would have to be made available through international support and a programme structure would have to be developed for its administration. TB programmes could contribute towards the development and implementation of a comprehensive HIV/AIDS management strategy complementing the preventive work already being undertaken by AIDS control programmes. Correspondence should be addressed to Anthony D. Harries, c/o British High Commission, PO Box 30042, Lilongwe 3, Malawi.

Reversing development gains - the impact of AIDS in southern Africa

How has AIDS affected development in the world's poorest regions? How can we reduce the devastation caused by the epidemic? The Zimbabwe-based NGO, SAfAIDS, examined the impact of HIV in Southern Africa where the disease affects a quarter of the adult population. The AIDS epidemic is assuming crisis proportions in the region and is reversing advances made against poverty and under-development. As the cost of care for people with AIDS escalates, donors find it difficult to provide adequate funding for support and care efforts. Communities have a critical role to play in looking after the sick.

6. Governance and participation in health

Special Initiative on Governance in Africa - Consultation Report

This was an NGO/CSO Regional Consultation on Governance in Africa, published in 1997. UNDP and ECA shared responsibility under the UNSSIA for improving coordination in the areas of capacity building, peace-building, conflict resolution and national reconciliation, and strengthening civil society for development, all linked to the governance agenda. Effective good governance and sustainable development is predicated on efficient public sector management systems and practices; establishment of appropriate legal frameworks that guarantee the rule of law; instalment of systems that ensure both economic and financial accountability; and ensure transparency. The consultation noted both the state and non-state sectors must reach a consensus on a common definition, priority agenda and practical modalities for popular participation in governance. It also noted that defining the nexus between popular participation, governance, peace, and development must invariably include the collaborative initiatives of various actors including ECA, UNDP, and the OAU on one hand and representative African governments, African NGOs and other civic organizations in the continent.

7. Monitoring equity and research policy

Death, data and demographics: AIDS and adult mortality in Africa

Adult mortality is increasing in many parts of Africa. Is this due to AIDS? Can existing data answer this question? What other statistics are needed to document the spread of the AIDS epidemic in Africa? Research from the London School of Hygiene and Tropical Medicine examines the impact of HIV/AIDS on adult mortality in five African countries. It shows that increases in adult mortality correspond to high levels of HIV infection. However, there is a pressing need to collect more data on adult mortality in Africa, and to exploit more fully existing data sources.

8. Useful Resources

AIDS.Edumela

AIDS.Edumela is a new website aimed at providing information on the HIV/AIDS situation in Botswana and other parts of Southern Africa. Their page "About Condoms" contains user contributions about the use of condoms and other issues related to the HIV/AIDS epidemic in Botswana.

Barcelona: XIV International AIDS conference
Follow the developments

Kaisernetwork.org will feature daily coverage of the XIV International AIDS conference, all of which is available for you not only to view at www.kaisernetwork.org/aids2002, but also to link to and/or post on your website, free of charge, including:

* Webcasts and transcripts of plenary sessions, satellite meetings, press conferences, and other sessions, along with in-depth related resources
* Daily updates and highlights of the day's events
* Interviews with newsmakers and perspectives from those who have been fighting or covering AIDS.

Further details: /newsletter/id/29229
CD-ROM: Media/Materials for Health Communication

The Media/Materials Clearinghouse at the Johns Hopkins University Center for Communication Programs is pleased to make available a new CD-ROM: "Media/Materials for Health Communication" which is a CD-ROM of the M/MC's website. The CD-ROM is a "carry-along" resource center with many databases of health communication materials, photographs, videos, etc., as well as several of the M/MC's newsletters. Also included is a checklist that walks the user through the planning and establishment of a multi-media resource center.

Further details: /newsletter/id/29222
Choosing a Birth Control Method:
An Interactive Program to Help You Choose the Birth Control Method That\'s Right for You (web-based questionnaire)

This site offers recommendations on which methods may be best suited for an individual answering 20 questions about lifestyle choices and medical history. Once the questions are anonymously submitted, a list of contraceptive options that best suit these needs is generated. The program also offers a general descriptions, effectiveness rates, side effects and approximate cost for each contraceptive method.

How To Survive Peer Review
New Title from BMJ Books

Elizabeth Wager, Fiona Godlee and Tom Jefferson
* How to survive the peer review of journal articles, conference abstracts and grant proposals
* How to be a reviewer
* Professional peer review
* Informal peer review
ISBN number 0 7279 1686 6
80 Pages
Price (in Pounds Sterling) 12.95
Published 2002
For orders contact:orders@bmjbooks.com
Tel: +44-207-383-6185
Fax: +44-207-383-6662

The Centre for HIV/AIDS Networking (HIVAN) website

HIVAN aims to showcase the positive, creative and proactive approaches in the fight against HIV/AIDS. They have currently focused largely on KwaZulu-Natal, South Africa, but have drawn in from national sources, the rest of Africa and abroad. They've also tried to highlight partnerships, especially those which are multisectoral and multidisciplinary. The site also contain a comprehensive database of HIV/AIDS-related organisations and individuals and regularly updated listings of international funding opportunities.

[HIF-net at WHO] Effective use of English in health publications
Can anyone help?

TALC is producing a series of free CD-Roms on health. David Morley, Professor Emeritus, Institute of Child Health, Tropical Child Health Unit, is looking for help addressing his concern that the English in these be appropriate for those to whom it is a second language. Does anyone know of a vocabulary list for those who have had secondary school education? Is there a computer programme which would identify words in a text outside this vocabulary, print them in a different font and take those that are unfamiliar with the word to a glossary with a click? Please send any imput to David Morley via email.

Further details: /newsletter/id/29211

9. Jobs and Announcements

Anthropologist, Medical Research Council Laboratories
Farafenni, The Gambia

Applications are invited from suitably qualified West Africans for a two-year appointment as an Anthropologist to work on a project studying the economic and socio-economic determinants of the demand for malaria treatment. The candidate will be based at the MRC's Field Station at Farafenni but will need to spend periods living and working in the surrounding villages. There is a possibility that the candidate will be appointed a Gates Research Training Fellow linked to the London School of Hygiene & Tropical Medicine. Fellows will receive mentoring from staff at LSHTM as well as local supervision and support for further appropriate training. Qualifications: a) Masters degree in anthropology or a related discipline; b) Experience in carrying out qualitative research; c) Experience of training and supervising staff at different levels; d) Computer literacy in word processing and email; e) Proficiency in at least one of the main languages of The Gambia; f) Excellent command of English; g) Ability to work independently as well as in a team; h) Flexible approach to work; i) Excellent communication skills; j) Ability to work independently and co-operatively in a team; k) Willingness to live and work in a rural setting. Salary will be in Occupational Group D1/D2 commensurate with qualifications and experience and will be within the range D73, 340 per annum - D110, 800 per annum plus a composite allowance of 50 per cent of basic salary. Further details and applications forms are available from the Personnel Officer, MRC Laboratories Fajara, P.O. Box 273, Banjul, The Gambia, West Africa. Telephone: (+220) 495442/6 & 494072/9; Fax: (+220) 495919; email: personnel@mrc.gm. Please also send a copy of your application to: Dr. Tracey Henshaw, Assistant Manager Gates Malaria Partnership, London School of Hygiene & Tropical Medicine, 50 Bedford Square, London, UK. WC1B 3DP; Fax: +44 020 7299 4720; email: Tracey.Henshaw@lshtm.ac.uk. Closing date for applications is 21 Jun 2002.

Deputy Director, South African AIDS Vaccine Initiative
Cape Town

The South African AIDS Vaccine Initiative (SAAVI), which is a key strategic project of the Medical Research Council, Department of Health, ESKOM and other stakeholders, is tasked with developing an affordable, effective and locally relevant HIV vaccine for Southern Africa. SAAVI comprises of a tightly coordinated group of approximately 150 scientists/ clinicians/immunologist/ethicists/layers/community educators/manufacturers/funders, etc.

SAAVI is a multimillion dollar R & D initiative which has experienced significant growth, and requires the services of a highly motivated individual to join the SAAVI directorate to assist with the management and direction of the initiative. The incumbent will report to the SAAVI director and will work closely with the director in maintaining, expanding and directing the initiative.

Further details: /newsletter/id/29221
E-conference on Agricultural use of untreated urban wastewater in low income countries

June 24 -July 5 2002. Globally on an average 47% of the population live in urban areas. Even at the lower consumption figures of 100 -150 litres per capita per day the water consumption in Africa would be 45 mill m3 and in Asia 200 mill (Water and sanitation assessment report prepared for the 2nd World Water Forum). Most of this water returns as waste. On the other hand agriculture consumes more than 70 percent of exploited water resources globally and cities are increasingly competing for water with agriculture. See the RUAF website for more information.

HIV/AIDS workshop, University of Natal, Durban

An HIV/AIDS workshop will be held at the University of Natal, Durban, from 16-18 July The need for this workshop evolved from a "Think Tank" held earlier this year in Durban. The workshop is for all nurses - whether they be practitioners, educators or managers. The focus of the workshop will be on HIV immunology, clinical manifestations and antiretroviral therapies and care for the caregiver. The workshop will be facilitated by Professor Donna Gallagher from the University of Massachusetts and Sheila Davis, an adult nurse practitioner in the Partners Aids Research.
Workshop attendance will be restricted.
Please direct enquiries to maharajs35@nu.ac.za Cost: R200,00. Delegates will be responsible for their own accommodation and travel arrangements.

Protect Knowledge to Feed the World?
Conference, September 26, Muri-bei-Bern, Switzerland

InfoAgrar (Swiss Agency for Development and Cooperation)is organizing this international symposium to foster exchange of experience between important stakeholders and promote the debate on strategies for the future. How can farmers in developing countries protect their traditional knowledge? Who controls the use of seeds? Do patents foster or hinder agricultural research for development? Lively discussions about such questions are currently taking place. One of the key issues in the debate is the increasing use of genetic engineering techniques in agriculture and the related trend to introduce patents to protect achievements. Another issue is the increased importance attributed to traditional knowledge and farmers? rights. Intellectual Property Rights (IPR) and rural development is a concern shared by many different groups: farmers in the South, public research centres, the private industry, government agencies and NGOs working in development cooperation. The symposium seeks to contribute to the development of a system of intellectual property protection that benefits food security at the global level.The results of the symposium will serve as input for future discussions at the political level. The symposium will also provide a civil society audience with a good opportunity to learn about the state of the debate on a controversial issue. Registration fee is US$100. For more information, contact InfoAgrar, Länggasse 85, 3052 Zollikofen, Switzerland - Phone: +41 31 910 21 90/91