“Bangladesh has shown low HIV prevalence rates so far but may be silently moving towards an epidemic, say experts pointing to underreporting and poor monitoring for the virus in the general population,” Inter Press Service reports. “Professionals and volunteers working in the HIV/AIDS field say there is no room for complacency and that Bangladesh may well be on the brink of an epidemic, going by continuing high levels of STDs alone,” the news service writes.
“When stakeholders from across the world converge at Washington next month to participate in the International AIDS Conference (IAC) to share their experience and evaluations and to influence both popular and official perceptions and practices for curbing HIV/AIDS, India will host a parallel event for those who cannot make it there,” the Hindu reports. “The event will be organized in Kolkata by Durbar Mahila Samanway Samiti (DMSS) — an umbrella organization of over 65,000 sex workers of West Bengal in collaboration with the Global Network of Sex Work Project (NSWP),” the newspaper adds.
“More than 100 million condoms will be distributed annually to sex workers, men who have sex with men, and other groups vulnerable to HIV as part of a new five-year program to be run by the Ethiopian government and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR),” PlusNews reports. “Dubbed MULU, the Amharic word for comprehensive, the $70 million program — implemented by the NGOs Population Services International and World Learning — will also target day laborers in the booming construction industry, migrant workers and their partners,” the news service notes.
A Lancet editorial discusses the agenda of the XIX International AIDS Conference (AIDS 2012) in Washington last month and asks how the success of the conference will be judged at the XX International AIDS Conference (AIDS 2014), to be held in Melbourne, Australia. “The return of the conference to the U.S. after 22 years, [was not only] a focus for celebration, but also provided a platform for vocal objection to the ban on injecting drug users and sex workers from entering the U.S.,” the editorial states, adding that “the absence of these groups from the meeting is rightly seen by many as a hindrance to developing approaches to combat the epidemic in regions where the disease is concentrated in these populations.”
The Center for Global Health Policy’s “Science Speaks” blog examines how the “U.S. travel bans on people involved in sex work and people who have used illegal drugs … kept many of the people at highest risk from coming to the [XIX International AIDS Conference (AIDS 2012)]” in Washington, D.C., last month. “The result, observers said afterward, was a larger conference with fewer sex workers than had brought their first-hand experiences and concerns to Vienna and Mexico City,” according to the blog. Carlos Laudari, senior technical adviser for HIV AIDS prevention at Pathfinder, “and others said those in absentia were not the only ones disempowered; the loss of sex worker and drug user input on how to realize the goals of treatment as prevention, on barriers to funding, testing, health care access, and for that matter, on the difference between sex work and sex trafficking — commonly, and erroneously equated — weakened the dialogue and the action they were intended to inform,” the blog writes and quotes several other advocates (Barton, 8/8).
The UNDP on Thursday released a report, titled “Sex Work and the Law,” which “examines 48 countries in Asia and the Pacific to assess laws, legal policies and law enforcement practices that affect the human rights of sex workers and impact on the effectiveness of HIV responses,” according to a UNDP press release. “Where sex work has been decriminalized, there is a greater chance for safer sex practices through occupational health and safety standards across the industry,” the press release states, noting, “The report describes countries that use punitive law enforcement practices, confiscate condoms as evidence of illegal conduct, require compulsory or coerced HIV testing, deny government services and certain rights to sex workers, and have compulsory detention centers”; “highlights current laws, policies and practices that are helpful to HIV responses”; and “highlights how significant advances in recognition of the rights of sex workers can occur even in contexts where the sex industry is illegal” (10/18).
Uganda Releases Strategy To Reduce HIV Infections; Activists Question Country's Ability To Meet Goals
“In response to rising HIV prevalence, Uganda’s government has announced a strategy to reduce new HIV infections by up to 30 percent by 2015, but activists have cast doubt on its ability to achieve this ambitious goal,” PlusNews reports. “In August, the Uganda AIDS Commission (UAC) released a revised National HIV Prevention Strategy aimed at ‘increasing the adoption of safer sexual behavior and reduction of risk-taking behavior, attaining critical coverage of effective HIV prevention service, creating a sustainable enabling environment that mitigates the underlying structural drivers of the epidemic, re-engaging leadership and energizing coordination of HIV prevention, and improving strategic information on HIV prevention,'” the news service writes. “The Ministry of Health also plans to improve the quality and coverage of HIV counseling and testing, increase condom use, fast-track the rollout of safe male circumcision to reach 4.2 million men by 2015, expand antiretroviral treatment as HIV prevention, and increase the coverage of prevention of mother-to-child transmission (PMTCT) services from 52 percent to 75 percent,” PlusNews notes.
The Center for Global Health Policy’s “Science Speaks” blog reports on a letter [.pdf] sent by 12 organizations and institutions to U.S. Global AIDS Coordinator Ambassador Eric Goosby, detailing the ways a U.S. global AIDS blueprint, proposed by Secretary of State Hillary Clinton during the XIX International AIDS Conference in July, can address the concerns of key populations, such as injection drug users and men who have sex with men. The letter is signed by representatives of Johns Hopkins University, amfAR: The Foundation for AIDS Research, the Open Society Foundations, ACT V: The End of AIDS, and others, the blog notes and discusses the letter in detail (Barton, 10/8). The PSI “Impact” blog summarizes a different letter sent by the Global AIDS Policy Partnership (GAPP), comprising 27 organizations, to Goosby addressing the blueprint. According to the blog, “We believe ‘[t]he Blueprint should be designed to leverage greater global leadership and guide U.S. interaction with the Global Fund to Fight AIDS, Tuberculosis and Malaria and other multilateral and international stakeholders'” (10/2).
More Research Needed Into How Transgender Persons In Asia, Pacific Affected By HIV, Stigma, Report Says
A report released Thursday in Bangkok by the United Nations Development Programme (UNDP) and the Asia Pacific Transgender Network (APTN) says more research needs to be conducted to determine the extent to which transgender persons in Asia and the Pacific are affected by HIV, are socially ostracized, and lack fundamental rights, including access to basic health care, a UNDP press release reports. The report, released to mark the International Day Against Homophobia and Transphobia, is “a comprehensive review of material gathered from across the region over the past 12 years” and “emphasizes that inclusive research, designed and implemented in partnership with the transgender community, is critical to enable governments, community-based organizations and supporting organizations to enhance HIV and sexual health care services specific to the needs of transgender people, and foster action by governments to adopt more socially equitable policies and practices to protect their rights,” according to the press release (5/17).
AIDS 2010 Studies, Releases: Criminalization, Discrimination Of High-Risk Groups; Test-And-Treat; UNAIDS Launches HIV Prevention Commission
The criminalization of men who have sex with men (MSM) and transgender people in Asia is holding back efforts to contain HIV/AIDS in the region, according to a report presented Wednesday by the U.N. Development Program (UNDP) and Asia Pacific Coalition on Male Sexual Health at the International AIDS Conference-AIDS 2010, VOA News reports. The report “linked the criminalization of homosexual behavior to an increase in the infection rate of HIV and AIDS in Asia,” the news service writes (Dewan, 7/21).