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From: Gabriel ADEYEMO [ profile ]
Subject: When treatment is also prevention
Sent: May 31st, 2011 - 10:17:45

  Source:* New York Times *
http://www.nytimes.com/2011/05/23/opinion/23mon3.html

Fellow GYCAers,

The discovery of a near-perfect way to halt sexual transmission of the AIDS
virus has the potential to change the way international agencies and nations
cope with the epidemic. But that can only happen if troubling issues of cost
and practicality can be surmounted.

The study involved more than 1,700 couples in nine countries, the vast
majority of them heterosexuals. One member had the virus that causes AIDS;
the other did not. It demonstrated conclusively that if infected partners
are treated with a cocktail of drugs immediately -- instead of waiting for
their immune systems to deteriorate -- the risk of transmitting the virus to
the uninfected partner drops by 96 percent.

The only reported health benefit of early treatment for the infected partner
was a reduced risk of tuberculosis spreading beyond the lungs. Infected
partners would have to start early on a lifetime of taking drugs mostly for
altruistic reasons -- to avoid infecting their partners. Further research
may do cument greater health benefits. It seems likely that earlier
treatment that keeps immune systems strong should further slow the
progression of the virus to full-fledged AIDS and ward off other devastating
co-infections.

International organizations don't have enough money to treat all those who
qualify for drug therapy under current guidelines. They will be hard-pressed
to find additional money to treat millions more people to slow the spread of
the virus. With most industrialized economies still lagging, there is little
appetite for increasing aid.

A strong moral case can be made for protecting millions more people from
infection, but there may be an economic case as well. We need valid,
well-documented estimates as to whether a big investment in prevention now
might pay for itself in the long run by greatly reducing the number of sick
people who have to be cared for.


--
Many Thanks
Yours' in Prevention Science

Gabriel, ADEYEMO
Regional Focal Point - West Africa
Global Youth Coalition on HIV/AID (GYCA)
+234-80-6798-7317 | gabriel (at) gyca.org
www.gyca.org | www.tigweb.org



GYCA is a youth-led global network of more than 5,500 young leaders and
adult allies working on youth and HIV/AIDS in over 173 countries world-wide.
GYCA's mission is to empower young leaders with the skills, knowledge,
resources and opportunities they need to scale up HIV/AIDS interventions
amongst their peers.

Universal Access is possible; *
*Zero new HIV infections. **Zero discrimination and ***Zero AIDS-related
deaths.***



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