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Dying from AIDS for lack of medicine
#41618 - 10/10/02 09:46 PM
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Dying from AIDS for lack of medicine
More than 36 million people are living with HIV or AIDS. Ninety percent are living in developing countries where the high prices of medications are effectively condemning them to death. Without drastic changes to make these drugs more accessible to populations in need, this generation will witness a health crisis of epic proportions.
This is why university students in the United States must demand the 39 pharmaceutical companies suing the South African government drop their case. If the companies succeed, it could stop people from receiving life-saving medicines, including those most effective against HIV/AIDS in a country where close to five million people are already infected -- the highest number for any country in the world.
For more than three years, the pharmaceutical industry has blocked a law signed by Nelson Mandela that would make medicines more affordable to patients. They claim it would infringe on their patent rights. During that period, 400,000 South Africans have died of AIDS-related causes.
South Africa's predicted future, should the status quo be maintained, provides a frightening glimpse of what will happen in countries most affected by the epidemic if drastic steps are not taken to make medications more accessible. Right now, South Africa's 15-year-olds have a greater than 50 percent chance of dying of HIV-related causes, according to UNAIDS figures. The epidemic is projected to reduce economic growth by 2010 to the point where the country's gross domestic product will be 17 percent lower than it would be without AIDS.
The South African court case has evoked protest worldwide. In an unprecedented move, the European Parliament recently passed an emergency resolution calling on the pharmaceutical companies to drop their lawsuit. People have rallied from Rio to Capetown, Cophenhagen to Washington, D.C. Students must add their voices to this growing chorus of global outrage.
For a start, students can sign the online "Drop the Case!" petition sponsored by the international medical aid agency Doctors Without Borders/Medecins Sans Frontieres at www.doctorswithoutborders.org. MSF is asking students to sign the petition and to distribute it as widely as possible. When the case resumes April 15, the electronic signatures will be presented to the pharmaceutical companies and to governments.
College students must also demand the U.S. government make a clear statement of support for South Africa's right to provide affordable medicine for its people. To date, the Bush administration has been completely silent on the lawsuit. Students can speak out through letter writing campaigns, protests and petitions.
Students must not underestimate their power. Not so long ago, students at U.S. universities played a key role in increasing pressure to get South Africa to end its system of apartheid. A nationwide student and faculty outcry forced many prestigious universities to divest their holdings in the country. South Africans survived apartheid. They should not die for lack of access to medicines.
Anne-Valerie Kaninda, M.D. is medical advisor for the Doctors Without Borders/Medecins Sans Frontieres Access to Essential Medicines Campaign. For more information on the campaign, please go to http://www.accessmed-msf.org Send comments to letters@daily.umn.edu
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Deaths from Non-AIDS-Related Diseases Have Increased as a Proportion of Deaths of HIV-Infected Persons since the Advent of HAART
M. I. Wolfe*, D. L. Hanson, R. Selik, and D. L. Swerdlow CDC, Atlanta, GA
Background: In HIV-infected persons, the proportions of death due to many AIDS-related conditions have decreased since the advent of HAART therapy. There is concern that deaths from some non-AIDS-related causes are increasing as adverse outcomes from therapy or because people are living longer with HIV infection. We examined diagnoses present at death to determine trends in causes of death since the advent of HAART therapy. Methods: Data were obtained from the Adult and Adolescent Spectrum of HIV Disease (ASD) study, an ongoing medical record-review observational cohort study in 11 U.S. cities that has followed over 54,000 HIV-infected persons since 1990. We analyzed data from persons who died in 1992-2000, comparing diagnosis rates during 1992-1995 (pre-HAART) with those in 1996-2000 (HAART). We restricted analysis to 6 sites that collected death certificate cause-of-death data. We compared the proportions of death diagnoses for the 2 periods using stratified Cochran-Mantel-Haenszel statistics and controlling for age, sex, race/ethnicity, HIV transmission mode, and study site.
Results: From 1992 through 2000, we observed a total of 7188 deaths, 4870 (68%) during the pre-HAART period, and 2318 (32%) during the HAART period. Compared with the pre-HAART period, proportions of deaths with the following conditions decreased for tuberculosis (TB) (OR 0.41; CI 0.3-0.6), non-TB mycobacterial infections (OR 0.7; CI 0.6-0.8), pneumocystis pneumonia (OR 0.7; CI 0.6-0.9), and toxoplasmosis (OR 0.7; CI 0.6-0.9). Proportions of deaths increased for liver disease (odds ratio [OR] 1.7; 95% CI 1.4-2.1), non-Hodgkins lymphoma (OR 1.5; CI 1.2-2.0), cachexia/wasting (OR 1.3; CI 1.1-1.6), kidney disease (OR 1.3; CI 1.1-1.5), and sepsis (OR 1.2; CI 1.1-1.4). Although not reaching statistical significance, the trend for ischemic heart disease (OR 1.9; CI 0.99-3.62) was suggestive of an increase in proportion of deaths . Conclusions: This study demonstrates that since the advent of HAART there have been declines in proportions of deaths from some AIDS-related causes, likely due to both improved treatment and prophylaxis. However, this study shows that there have been increasing proportions of some deaths from non-AIDS-related causes including liver and kidney disease, and possibly ischemic heart disease. While these results may be partially explained simply by the declines in AIDS-related causes, data from this analysis should be used to guide research into the question of whether some of these increases may be due to adverse outcomes from HAART or due to the aging population of persons infected with HIV.
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I don't know why they let these nuts post here. The heartbreaking story is so completely different then these few guys with no knowledge and little intelligence will let on. It gives people who are new to this world a funny perspective! They are loud but they are few and no one gives them any attention.
Patients Storm HIV/Aids Conference New Vision (Kampala)
October 29, 2002 Posted to the web October 29, 2002
Charles Wendo Kampala
Their anger turned into cheers when Premier Apolo Nsibambi warned against discrimination and said the Government "wants anti-retroviral drugs for everyone who needs them in every village and locality."
Yesterday, about 30 men and women living with HIV/AIDS, smuggled a demonstration into the International Conference Centre as the National AIDS Conference opened.
They suddenly burst into song and waved placards when their representative, Agnes Nyamayarwo, took to the podium to address 1,600 delegates from Uganda and beyond.
"We are the ones, we are the people. We are the ones to defeat HIV and AIDS," they chorused.
As Nyamayarwo spoke, they kept shouting out messages like, "Give us drugs", "Our people are dying", "We are people like you", "HIV can get you too" and "Stop discriminating against us."
The group of The AIDS Support Organisation (TASO) clients, had entered quietly and taken up strategic seats, waiting for the right moment to protest what they called an unfair living environment.
President Yoweri Museveni, in a speech read by Nsibambi, said openness and concerted effort had brought down HIV infection rates, "but we are now at crossroads. What we have achieved is commendable but not sufficient."
Museveni urged Ugandans to work harder rather than sit back to enjoy past achievements against HIV/AIDS. He urged teachers to regularly address their pupils on HIV/AIDS, using guidelines the Ministry of Education is about to publish.
Nsibambi, who said he recently re-tested HIV negative, urged Ugandans to keep monitoring their HIV status by taking tests periodically.
The Minister for the Presidency, Prof. Gilbert Bukenya, said despair and anger among people living with HIV would soon be history because the Government was planning to treat all AIDS patients.
Nyamayarwo thanked the Government for its effort to reduce HIV infection and to make the drugs cheaper. However, she decried discrimination and stigmatisation against people living with HIV, as well as failure to give them life-prolonging drugs.
As she lashed out at thieves who stole drugs meant for AIDS victims, the TASO clients shouted, "arrest them, crucify them."
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