The future of HIV funding
Decreases in international support for HIV and AIDS are not being made up by domestic funding. In fact, declines in aid over the past five years are associated with decreases in the domestic financing that endanger access to treatment and prevention and threaten to reverse reductions in incidence and mortality, according to a study presented here on Wednesday (E8069).
HIV資金的未來
國際HIV和AIDS資金在削減,但本土資金還沒能趕上。事實上,伴隨過去五年間國際援助的減少,本土融資也在減少。這不僅威脅到人們獲取治療和預防,也會帶來逆轉已經下降的發生率和死亡率的危險。更多內容可聽取周三的報告(E8069)
Sub-Saharan Africa: New insights, new impact
Progress and challenges in the most HIV-affected region of the world, sub-Saharan Africa, was the focus of multiple studies presented yesterday. For example, new data show that Namibia is the first country in Africa to reach and surpass the UNAIDS goal of having at least 73% of all people living with HIV virally suppressed. Yet 21% of PLHIV in Namibia are still unaware of their status, including almost 30% of men (13468). The SEARCH study of 「test and treat」 in rural Uganda and Kenya also achieved 90-90-90 goals and improved community health measures including HIV mortality, TB incidence among HIV positive people and hypertension control (13469). In Botswana, expanded access to HIV testing/counselling, ART and male circumcision reduced HIV incidence in settings already approaching the 90-90-90 target (13216). And the world's first implementation trial of universal test and treat (UTT) in a government-managed health system, in Swaziland, showed that UTT improved health system performance, retention and viral suppression (13370).
撒哈拉以南的非洲:新發現,新影響
昨天多個研究呈現了受HIV影響最嚴峻的撒哈拉以南的非洲取得的成就和面臨的挑戰。例如,新數據表明,納米比亞成為非洲首個達到甚至超過UNAIDS制定的至少讓73%的愛滋病病毒攜帶者體內病毒得到抑制的目標。但是,仍有21%的愛滋病病毒感染者並不知道自身狀況,這其中就包括近30%的男性(13468)。SEARCH研究在烏幹達和肯亞農村地區開展的「檢測和治療」項目不僅已經達到了90-90-90目標,還使得社區健康舉措得到改善,包括HIV死亡率,HIV陽新群體中的結核病發病率,以及高血壓控制(13469)。在波札那,擴大的HIV檢測/諮詢,抗逆轉錄病毒治療和男性包皮環切術,在當地業已趨近90-90-90目標的情況下,進一步減少了HIV的發生率(13216)。在史瓦帝尼由政府管理的衛生體系內,實施了世界上首個普遍檢測和治療(UTT)試驗。結果表明UTT能促進衛生系統工作成效,提高留存率和病毒抑制(13370)。
HIV criminalization
Researchers, policy-makers and advocates joined together yesterday to speak out against laws in at least 68 countries that seek to criminalize HIV transmission or exposure, on the basis of faulty information about how HIV is transmitted. A press conference to coincide with the release of the new 「Expert Consensus Statement on the Science of HIV in the Context of Criminal Law」 in the Journal of the International AIDS Society (JIAS) heard from scientific experts, advocates and, by telephone, from Kerry Thomas, who is serving a 30-year sentence in the US for violating Idaho’s HIV disclosure law.
HIV刑事化
研究人員,政策制定者以及倡導者昨天共同發聲,反對至少在68個國家實行的將HIV傳播和暴露定罪的法律,這些法律基於錯誤的HIV傳播信息。在同時舉行的新聞發布會上,發布了已在《國際愛滋病協會期刊》(JIAS) 發表的《刑事法語境下關於HIV科學的專家統一意見聲明》。參加發布會的人員不僅有科學專家、倡導者,還包括電話參會的Kerry Thomas. 他因違反愛達荷州的HIV信息公開法律,獲刑30年,目前正在服刑。