30 Years of HIV

Where we are after 30 years

  • 5 June 1981: Center for Disease Control mentions a new virus in its weekly mortality report
  • 1982: The term Aids (acquired immunodeficiency syndrome) first used
  • 1984: Virus identified and named HIV
  • 1985: Rock Hudson dies of Aids, teenage haemophiliac Ryan White expelled from school because infected through treatment
  • 1987: First showing of Aids Memorial Quilt on National Mall in Washington DC
  • 1991: Jeremy Irons wears red ribbon and basketball’s Magic Johnson has the virus
  • 1993: Philadelphia film wins two Oscars
  • 2000: Infection rate in US among African Americans overtakes that in gay men
  • 2011: Global death toll 22m, infections 60m
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UN Urges More Funds for Early HIV Treatment

The UN Programme on HIV/Aids (UNAids) has called for increased funding for the early treatment of people with HIV.

The head of the agency, Michael Sidibe, said a new study showed it could reduce the risk of HIV transmission by 96%.

He said the challenge was to expand access to drugs, and deal with social factors which stigmatise the disease.

On Thursday, a UN report said there had been a nearly 25% decline in new HIV infections and a reduction in Aids-related deaths during the past decade.

It was published ahead of the 30th anniversary on Sunday of the first official report on Aids by the US Centers for Disease Control and Prevention.

The General Assembly is to meet at UN headquarters to discuss the epidemic next week, with 20 world leaders and more than 100 ministers expected to attend.

An estimated 34 million people were living with HIV at the end of 2010 and nearly 30 million have died from Aids-related causes since 1981, the report said.

‘Shunned disease’

In the report published ahead of the anniversary, UNAids said the global rate of new HIV infections had declined by nearly 25% between 2001 and 2009.

In India, the rate of new HIV infections fell by more than 50% and in South Africa by more than 35%; both countries have the largest number of people living with HIV on their continents.

The report found that in the third decade of the epidemic, people were starting to adopt safer sexual behaviour, reflecting the impact of HIV prevention and awareness efforts. But there were still important gaps, it warned, with young men more likely to be informed about HIV prevention than young women.

There has also been significant progress in preventing new HIV infections among children as increasing numbers of mothers living with HIV have gained access to antiretroviral prophylaxis during pregnancy, delivery and breastfeeding.

About 6.6 million people in low- and middle-income countries were receiving antiretroviral drugs at the end of 2010, a nearly 22-fold increase since 2001.

“Thirty years ago this mystery disease was called a gay plague – it was a shunned disease, people were scared about each other,” Mr Sidibe said. “Now it’s a completely different world – we’ve been breaking the conspiracy of silence.”

However, the report found that at the end of last year nearly nine million people who needed treatment were not getting it, and that treatment access for children was lower than for adults.

And while the rate of new HIV infections has declined globally, the total number of HIV infections remains high, at about 7,000 per day.

The report also noted that there had been an increase in the rate of new HIV infections in Eastern Europe and in the Middle East and North Africa, and that HIV was the leading cause of death among women of reproductive age.

‘Game-changer’

UNAids also said that while funding for HIV treatments in low- and middle-income countries had risen 10-fold between 2001 and 2009, international resources had declined in 2010. Many states remain dependant on external financing.

“I am worried that international investments are falling at a time when the Aids response is delivering results for people,” Mr Sidibe said. “If we do not invest now, we will have to pay several times more in the future.”

He stressed the importance of a recent trial, which found that if a person living with HIV adhered to an effective antiretroviral regimen, the risk of transmitting the virus to their uninfected sexual partner could be reduced by 96%.

“Access to treatment will transform the Aids response in the next decade. We must invest in accelerating access and finding new treatment options.

“Antiretroviral therapy is a bigger game-changer than ever before – it not only stops people from dying, but also prevents transmission of HIV to women, men and children,” he added.

Mr Sidibe said the challenge was to expand access to drugs, and deal with social factors that in some countries continue to stigmatise the disease and make women particularly vulnerable.

To do this, UNAids believes an investment of at least $22bn is needed by 2015, $6bn more than is available today. It estimates such funds would stop 12m new HIV infections and 7.4m Aids-related deaths by 2020.

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Gates Foundation Commits $1.7 Billion For Farming In Africa

SEATTLE — The world’s largest charitable foundation announced five years ago it would spend millions of dollars to fight poverty and hunger in Africa, largely by investing in agriculture. To date, the Bill & Melinda Gates Foundation has committed $1.7 billion, but its leaders say it could take 20 years to see the results of that work.

The foundation has focused on ways to bring to Africa the green revolution that swept Latin America and Asia in the mid-1900s, boosting productivity in those regions. Its hope has been that helping small farmers grow more would allow them to sell their surplus, boosting their income and putting more food in hungry mouths. More than 70 percent of the world’s poor depend on agriculture for both their food and income.

Some people have been helped, and the foundation expects more will be in years to come, but agricultural development happens slowly, said Roy Steiner, the foundation’s deputy director of global development.

As an example, he said some Kenyan farmers will receive seeds for drought-tolerant maize this year. They’ll try them out, see the results and decide whether to adopt them more enthusiastically next year. A year after that, increased production could give them more money to buy food for their families or fertilizer to improve their other crops.

“It takes years and years to shift the system,” Steiner said.

A more immediate impact might be made by buying and giving away food, and the Gates Foundation has done this indirectly with grants to groups such as Oxfam and CARE. But Steiner said the foundation doesn’t see this as a long-term solution.

“Giving food to people is certainly necessary when there’s a crisis,” he said. “But these people don’t want to be depending on outside charity. And, frankly, who is going to pay for all of that food being given?”

The foundation, he said, aims to prevent crises by strengthening agriculture systems.

It’s an approach anti-hunger organizations such as CARE and the United Nation’s World Food Programme also are taking. One-fifth or less of CARE’s budget now goes to the kind of direct food aid the nonprofit was created to provide 65 years ago. The rest is focused on agriculture development work similar to what the Gates Foundation is doing.

“This move from more of a charity approach to more of a capacity building and empowerment approach is something most of the major relief and development organizations have gone through,” said Kevin Henry, who directs CARE’s work in agriculture, economic development and climate change.

The World Bank estimates 338 million people live on less a dollar a day in sub-Saharan Africa. The U.S. government spends about $1.7 billion on food aid each year and about $1 billion a year on its Feed the Future Program, which focuses on reducing poverty and hunger through agriculture development.

Gates Foundation believes it can move more than 150 million in Africa out of extreme poverty by 2025 by improving agriculture. To that end, it has invested millions in seed research, buying and distributing fertilizer, improving farmers’ education and access to markets and political advocacy to get governments to spend more money on agriculture and to improve policies ranging from trade to land ownership.

Much of the work has been done through the Alliance for a Green Revolution in Africa, which is run by Africans with heavy support from the foundation. AGRA has used Gates money to support plant breeding programs at nine African universities, help seed companies increase their production, set up soil mapping programs and provide credit to help seed, fertilizer and equipment suppliers expand, among other things.

It has drawn attention from a Seattle nonprofit called AGRA Watch, whose members say they are concerned about the foundation’s interest in genetically modified seeds and its relationship with African farmers. Co-chair Janae Choquette claims the foundation hasn’t talked to enough farmers to find out what kind of help they want.

“Their analysis of solutions is not coming from these communities,” Choquette said. “We want to support of the self-determination of farmers in deciding their own path forward.”

Steiner disputed Choquette’s claim, saying the foundation gets direction for all its work from farmers. But he also said one of its biggest challenges has been a lack of education among farmers.

“We want to make sure that we are really making things better over the long term, not making them worse,” he said.

The foundation says very little of its work involves genetically modified seeds.

Another big chunk of Gates Foundation money, $66 million, has been promised to the World Food Programme to help improve African farmers’ access to markets. The idea is the World Food Program saves money by buying locally, while its purchases put money in farmers’ pockets. Thus far, the program has spent about $30 million with small farmers and small- and medium-sized traders through its Purchase for Progress program.

The head of the foundation’s agriculture department, Sam Dryden, also is pushing it to help increase African farmers’ opportunities to sell their products beyond their own communities. The foundation has invested many millions in helping cocoa, cashew and coffee farmers reach the quality and quantities they need to sell to overseas markets.

A spokesman for Kraft Foods Inc. says that effort has resulted in his company buying some cashews directly from Africa, because the nuts can now be processed there instead of having to be shipped to Asia or elsewhere for processing.

Steve Yucknut, Kraft’s global vice president for sustainability, said the company hasn’t changed the overall amount of cashews it buys, but with his company and the Gates Foundation setting up processing plants in Africa, more of the profit from growing cashews stays in countries there.

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What the Successful Have in Common: Passion

Earlier in the Series

Passion is defined as an intense emotion that compels feeling, enthusiasm, or desire for something. My own definition for the purpose of this chapter is the ‘type of feeling you feel about something that makes you feel like you’re really feeling some feeling’.

Passion is the single most important quality shared by all successful people in life or if you like, people who are making real significant impact in some areas in life. Everybody can be okay in something; we can all be average in one thing or the other, but crossing the line of just average to genius doesn’t just take everybody anyhow, it takes individuals with this intense feeling about what they set themselves to do.

My big brother won National Best Teacher Award in 2010. When my sister called to inform me, I wasn’t shocked at all because when I dug deep into his award and considered the way he handles his profession, I could see it happening several years back. His passion for teaching is intense.

With a degree in accounting and commerce, he could strive to secure a high-paying job with a financial institution but he rather chose to teach in elementary school. Surely, that is not what I would choose. To him, there’s not a single day he regrets what he does. He’s not the type of teacher who pupils sleep in class because of the level of enthusiasm with which he executes his duty. Some may envy the physical award that was given him, but I know that what he cherishes most is the pride of living as a National Best Teacher for the rest of this life. That is passion.

If you’re passionate about what you do, it should show in every aspect of your life, not life at the Continue reading “What the Successful Have in Common: Passion”

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Mobiles ‘May Cause Brain Cancer’, WHO


The World Health Organization’s cancer research agency says mobile phones are “possibly carcinogenic”.

mobile phones may cause cancer

A review of evidence suggests an increased risk of a malignant type of brain cancer cannot be ruled out.

However, any link is not certain – they concluded that it was “not clearly established that it does cause cancer in humans”.

A cancer charity said the evidence was too weak to draw strong conclusions from.

A group of 31 experts has been meeting in Lyon, France, to review human evidence coming from epidemiological studies.

They said they looked at all relevant human studies of people using mobile phones and exposure to electromagnetic fields in their workplace.

The WHO’s International Agency for Research on Cancer (IARC) can give mobile phones one of five scientific labels: carcinogenic, probably carcinogenic, possibly carcinogenic, not classifiable or not carcinogenic.

It concluded that mobiles should be rated as “possibly carcinogenic” because of a possible link with a type of brain cancer – glioma.

Ed Yong, head of health information at Cancer Research UK, said: “The WHO’s verdict means that there is some evidence linking mobile phones to cancer but it is too weak to draw strong conclusions from.

What else is labelled possibly carcinogenic?

  • Car exhausts
  • Lead
  • Coffee
  • Dry cleaning

“The vast majority of existing studies have not found a link between phones and cancer, and if such a link exists, it is unlikely to be a large one.

“The risk of brain cancer is similar in people who use mobile phones compared to those who don’t, and rates of this cancer have not gone up in recent years despite a dramatic rise in phone use during the 1980s.

“However, not enough is known to totally rule out a risk, and there has been very little research on the long-term effects of using phones.”

The WHO estimated that there are five billion mobile phone subscriptions globally.

Christopher Wild, director of the IARC, said: “Given the potential consequences for public health of this classification and findings it is important that additional research be conducted into the long term, heavy use of mobile phones.

“Pending the availability of such information, it is important to take pragmatic measures to reduce exposure such as hands free devices or texting.”

By James Gallagher Health reporter, BBC News
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UN Calls for Better Grain Storage to Reduce Africa’s Post-harvest Losses

31 May 2011 – Large amounts of food in sub-Saharan Africa goes to waste as a result of inappropriate storage, the United Nations Food and Agriculture Organization (FAO) said in a report unveiled today, which calls for investing in post-harvest technologies to reduce to the losses and boost the continent’s food security.

The joint FAO-World Bank report, entitled Missing Food: The Case of Postharvest Grain Losses in Sub-Saharan Africa, estimates the value of grain losses in sub-Saharan Africa at around $4 billion a year.

“This lost food could meet the minimum annual food requirements of at least 48 million people,” said Maria Helena Semedo, the FAO Assistant Director-General. “If we agree that sustainable agricultural systems need to be developed to feed 9 billion people by 2050, addressing waste across the entire food chain must be a critical pillar of future national food strategies,” she said.

According to estimates provided by the African Postharvest Losses Information System, physical grain losses prior to processing can range from 10 to 20 per cent of African annual production, which is worth $27 billion.

Losses occur when grain decays or is infested by pests, fungi or microbes, and physical losses, but the waste can also be economic, resulting from low prices and lack of access to markets for poor quality or contaminated grain.

According to the report, food losses contribute to high food prices by removing part of the food supply from the market. They also have a negative environmental impact as land, water and resources such as fertilizer and energy are used to produce, process, handle and transport food that no one consumes.

“Reducing food losses is increasingly recognized as part of an integrated approach to realizing agriculture’s full potential, along with making effective use of today’s crops, improving productivity on existing farmland, and sustainably bringing additional acreage into production,” said Jamal Saghir, the Director of the Sustainable Development Department of the World Bank’s Africa Region.

A variety of practices and technologies are available for reducing post-harvest losses, including crop “protectants” and storage containers such as hermetically sealed bags and metallic silos, the report notes.

Those technologies have proved successful in Asia, but more research is needed to identify methods adapted to local environments in Africa. To succeed, interventions must be sensitive to local conditions and practices.

The report recommends that governments create enabling conditions for farmers by reducing market transaction costs through investing in infrastructure such as roads, electricity and water, and strengthening agricultural research and extension services.

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French’s Sarkozy Offers Libya’s Gaddafi ‘Options’

French President Nicolas Sarkozy has urged Libya’s Col Muammar Gaddafi to step down as “all options are open”.

“We are not saying that Gaddafi needs to be exiled. He must leave power and the quicker he does it, the greater his choice,” Mr Sarkozy told journalists.

He is hosting a meeting of leaders from the G8 group of wealthy nations in the northern French resort of Deauville.

The Arab uprisings, internet regulation and future of nuclear power are all being debated at the two-day summit.

The global economy and climate change are also being discussed at the gathering for the leaders of the US, Russia, the UK, France, Germany, Italy, Japan and Canada.

Thousands of police have been deployed as part of a huge security operation and checkpoints have been erected on all roads leading to Deauville.

‘Plane ticket’

UK Prime Minister David Cameron, also at the G8 summit, has approved the deployment of Apache attack helicopters in Libya, the BBC has learned.

There had been speculation about the move after France said it would be deploying French Tiger helicopters.

Mr Sarkozy defended Nato’s intervention in Libya when he spoke to journalists on Thursday evening, saying “had we not stepped in [the rebel stronghold of] Benghazi would have been wiped off the map”.

He thanked Russia for not blocking the UN resolution authorising force despite Moscow’s misgivings, and said Russian President Dmitry Medvedev understood that “the blame lies with Col Gaddafi” and he had said so “frankly and unambiguously”.

He said the later Col Gaddafi stood down, “the shorter the list of his possible destinations”.

If Col Gaddafi stepped down and withdrew his forces quickly, President Sarkozy said, “all options are open”.

“Then we’ll look at what the name should be on the plane ticket and even what class he should travel,” he joked.

In other remarks, Mr Sarkozy said:

  • The violence used to crush pro-democracy protests in Syria was unacceptable and would be the subject of further talks at the summit
  • New rules on trade and the environment were needed to recognise emerging nations. Mr Sarkozy insisted France had supported a drive to give developing nations a greater voice in the International Monetary Fund (IMF) despite Paris’s backing for another European to go at its helm
  • There should be a new push for peace between the Israelis and Palestinians and Europe and Russia should play a critical role along with the US in forging it

Mr Cameron has also talked about “turning up the pressure” on Col Gaddafi but the Apache helicopters will probably go into operation “within days” rather than overnight, says BBC political editor Nick Robinson.

Correspondents say recent events such as uprisings in the Arab world and Japan’s nuclear crisis have given the G8 a new sense of purpose.

Interim prime ministers from Tunisia and Egypt – where long-time leaders were overthrown this year – and the head of the Arab League will also be at Deauville for talks on a massive aid plan to help their transition to democracy.

Range of discussions

As the summit opened, the French and Russian leaders met to agree the sale of four French-built Mistral helicopter carriers to Russia at a cost of at least 400m euros each (£350m; $565m).

Leaders debated ways of improving global nuclear safety after the breakdown of Japan’s Fukushima power plant following March’s earthquake and tsunami, with Mr Sarkozy insisting that “when it comes to nuclear matters, safety must prevail over cost – that we all agreed on”.

His wife, Carla Bruni-Sarkozy, who is hosting the leaders’ spouses, greeted them in a white dress that showed off her pregnancy.

US President Barack Obama, who headed to the meeting after a state visit to the UK, is holding a series of one-on-one meetings with leaders including President Sarkozy and Japanese Prime Minister Naoto Kan.

He has already met Russian President Dmitry Medvedev for discussions over the two countries’ long-running row over US plans to create a missile defence shield in central and eastern Europe.

President Obama told reporters that the two men were committed to finding an approach that met the security needs of both countries, while Mr Medvedev said the two could work together towards a resolution, but it was unlikely to come in the near future.

Points of friction

BBC diplomatic correspondent Bridget Kendall, in Deauville, says that despite President Obama’s appeal in London on Wednesday for democratic unity and leadership, there may well be friction at the summit.

She adds that Russia’s president has opposed air strikes on Libya from the start, though he may offer to mediate in that conflict.

Africa will also be represented at the summit, as it has been since 2003. Newly elected leaders from Ivory Coast, Niger and Guinea are expected to participate in sessions about promoting democracy.

A shift in global influence to emerging powers such as India and China, who are not in the G8, has led to the bloc’s relevance being questioned.

But speaking in London on Wednesday, President Obama rejected arguments that the rise of superpowers like China and India spelled the demise of American and European influence in the world.

After the summit ends on Friday afternoon, President Obama is scheduled to travel to Poland, the last stop on a four-country tour of Europe that began on Monday in Ireland.

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