Archive for the tag "HIV prevention"

Prepped for PrEP: are we ahead of ourselves? (24/11/08)

When I’m asked: What’s the next big thing in HIV prevention? I usually put Pre-Exposure Prophylaxis somewhere high on the list. We don’t yet know if giving out expensive drugs so that people can have unprotected sex without worrying about HIV will work. But I usually ask people to imagine the headlines in The Daily [...]

Singaporeans on sex: clueless or innumerate? (18/10/08)

A new survey indicates that young Singaporeans are pretty clueless about HIV prevention. Or perhaps it indicates that Singaporeans can’t count. According to The Straits Times, the state’s Health Promotion Board asked close to 1,800 Singaporeans how HIV could be prevented. Apparently, almost half of them didn’t know that consistent condom use prevents HIV infection. [...]

Prayers and yoga prevent HIV in Bhutan (13/09/08)

Bhutan is not exactly crumbling under the weight of HIV infections. Between 1993 and 2006, a total of 90 cases were reported. Each is dilligently listed by the Ministry of Health — age, sex, how they became infected, how their infection came to light, whether they are still alive (19 had died by August 2006). [...]

Speed dating for positives: Nigeria’s solution to HIV (09/09/08)

The conservative northern Nigerian state of Bauchi is running a lonely hearts service for HIV positives who want to get married. Authorities claim that this will reduce the spread of HIV. Predictably enough, some people are whining about this. A UNAIDS official is quoted as saying that it is dangerous, because of the likelihood of [...]

Should we dump on negative advertising? (26/08/08)

As competition to treat people for HIV has hotted up, pharmaceutical companies have started dumping on one another. Using innuendo and not-quite-stated factoids, they are beginning to imply that the rival camp has something to hide (something they’ve no doubt learned from political campaigns). Those other drugs are toxic, discolouring, inconvenient. Activist groups and HIV [...]

Epidemiology and the wrath of God: Nigerian nightmare (22/08/08)

HIV research nerds like myself collect information from people at risk because we want to make things better for those people (by providing better prevention services, e.g.), not because we want to make things worse. But what happens when that information gets used as a weapon against the very people we want to help? It’s [...]

Canada makes HIV prevention count (14/08/08)

One of the current buzzwords in HIV is “combination prevention” — a polite way of saying that anything that works even a little bit should be on the menu. It’s a way of trying to tear people away from the kindergarten level “Abstinence works, No, no, condoms work, No, no, circumcision works, No, no, it’s [...]

More is less in HIV, according to new UNAIDS figures (30/07/08)

When UNAIDS put out their new figures yesterday (in a stonking 357-page report), they accompanied it with a press release that began: “New HIV infections and HIV-related deaths declining — however AIDS epidemic not over in any part of the world”. If you made it to the second page of the press release, you’d find [...]

Australians told not to follow those wild Swiss (28/07/08)

Since the Swiss noted that people who take their meds correctly and don’t have other infections are unlikely to pass on HIV, the public health establishment has been in a tizz over how to react. Predictably enough, Australian researchers have done what epidemiologists with a point to make so often do: — they’ve reached for [...]

Looking the PEPFAR gift horse in the mouth (17/07/08)

The bill allowing another US$ 50 billion of US taxpayer’s cash to be spent on HIV in developing countries has finally been given the thumbs up by the Senate. There’s good and bad drafted on to the PEPFAR legislation. The good is the dropping of a law which forbids foreigners with HIV from sullying the [...]

Psycho alert (and a mea culpa) (12/07/08)

If you live your life among people whose lives, jobs or natural curiousity open their minds to the world, it is easy to forget how rigid some people are in their views. Today, I was sent a shocking reminder of the vitriol that comes with a small mind; it made me understand why some of [...]

Herpes treatment: another blow for HIV prevention (05/07/08)

Before AIDS, the sexually active teen’s STD joke-of-choice was “What’s the difference between love and herpes?” The answer, of course, was that herpes was for ever. And so it was, although antiviral therapy, acyclovir in particular, has proven quite good at suppressing it and at reducing outbreaks which often lead to genital ulcers. But those, [...]

US pressure squashes Cambodia’s HIV success (01/07/08)

We don’t have many success stories in HIV prevention. And it seems like the Bush government is determined to undermine the ones we do have. Cambodia and Uganda, both shining examples of success in HIV prevention, are being squashed into failure by ideologues who would rather see people die than help sex workers and young [...]

The correction of the correction is correct (21/06/08)

Earlier this month, the head of HIV programming at WHO told a journalist that HIV was not going to storm through the heterosexual populations of any continent outside Africa. And he was right. But days later, he issued a hasty and non-sensical “correction”. The correction made it politically correct, but epidemiologically incorrect. I got in [...]

Revelation, beat-up or “I told you so” moment? (09/06/08)

The WHO has declared an end to heterosexual AIDS outside of Africa, according to Jeremy Laurance, writing in The Independent. Laurance quotes Kevin de Cock, a thoughtful and honest scientist who happens also to head up WHO’s HIV division, as saying “It is very unlikely there will be a heterosexual epidemic in other countries [outside [...]

A billion dollars: not enough for gay men in Uganda (03/06/08)

The head of Uganda’s AIDS commission says his country can’t afford to do any HIV prevention work with gay men, according to the Pink News. Though they’ve got hundreds of millions in the AIDS funding trough, and have their snouts raised for more. “Gays are one of the drivers of HIV in Uganda, but because [...]

Life after AIDS (29/05/08)

We’ve all known for ages that there are essentially two HIV epidemics in the world: a heterosexual epidemic in East and Southern Africa (some would say all of sub-Saharan Africa) and an epidemic driven by drug injection, sex between men and commercial sex in the rest of the world. Now there’s another distinction, too. There [...]

Abstaining from common sense in Uganda? (27/05/08)

The First Lady of Uganda, Janet Museveni, thinks that increasing access to HIV treatment is making Ugandans more promiscuous, according to a story in Sunday’s The New Vision. We’ve certainly seen evidence of that in rich countries, and there doesn’t seem to be any reason it wouldn’t be the same in poorer parts of the [...]

Treatment is prevention. And black is white (20/05/08)

Two of the Republican senators accused of holding to ransom some US$ 50 billion in US funding for HIV in Africa are fighting back. They are also ill-educated, badly confused, or lying through their teeth. After a Washington Post editorial accused them of foot-dragging on AIDS funding in part because they worried that money might [...]

For US$ 100, learn about sex (but not about condoms?) (18/05/08)

A reader recently sent me a link to Time4Facts, a site that allows parents to download videos about sex and puberty. The idea is that parents can pick and choose from a menu of video clips, and then put together a “curriculum” that will allow their kids to learn about everything from wet dreams to [...]

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