New focus on AIDS treatment saves lives, global report finds

A stronger focus on treating the AIDS virus, helped by countries pitching in more to help their own residents, is making it possible for the first time to hope it might be possible to end the pandemic of HIV, world health officials said on Wednesday.

New World Health Organization figures show that more than 34 million people are infected with the AIDS virus That’s close to a million more than a year ago, but it’s good news because it suggests that drug treatment is keeping people alive who would have died without treatment, officials for the United Nations AIDS agency UNAIDS said.

The report shows that eight million patients globally get the drug cocktails that keep them alive and healthy -- 54 percent of those who need it. And countries around the world have stepped up to pay more of the share of treating their citizens.

“It's time to start thinking about an end to AIDS,” UNAIDS director Michel Sidibe told NBC News in an interview in Washington, D.C., where the international conference on AIDS, held every two years, starts next week. "It's not just enough to think about this as a chronic disease that we can treat for 20 years, 40 years, 100 years."

One big success: 100,000 fewer children born infected, or being infected soon after birth, in 2011 compared to 2010. International aid efforts have focused on preventing mother to child transmission of the virus, usually by giving mother and child doses of HIV drugs. But in the past year, 330,000 children were infected by their mothers at or around birth.

The report shows that teens and adults aged 15 to 24 account for 40 percent of the 2.2 million new infections among adults in 2011 -- twice as many girls and women than men. AIDS killed 1.7 million people in 2011, compared to the peak of 2.3 million in 2005.

There is still no vaccine and no cure for the human immunodeficiency virus (HIV) that causes AIDS. But research towards a vaccine is showing progress and that treating patients can help keep them from infecting others. U.S. and global officials have embraced the idea of treating patients to help slow the spread of the pandemic -- and they also support giving these drugs to people at the very highest risk of infection to protect them. That includes people married to HIV patients, sex workers and some gay and bisexual men.

Cheaper generic drugs and the establishment of clinics in developing countries have really helped, WHO and UNAIDS said. "We have never been at this moment, where we are seeing huge drops in incidence," Ambassador Eric Goosby, the U.S. Global AIDS Coordinator, said in an interview. He said experts now understand that the AIDS virus has caused not one pandemic but a series of epidemics -- one among gay and bisexual mean, another among women infected by husbands and partners, another among injecting drug users, and so on. Each one must be tackled differently, but experts believe they now know how to do it.

“Every year, more than a million more people in low- and middle-income countries start taking antiretroviral drugs,” WHO’s director-general, Dr. Margaret Chan, said in a statement. “But for every person who starts treatment, another two are newly infected. Further scale-up and strategic use of the medicines could radically change this. We now have evidence that the same medicines we use to save lives and keep people healthy can also stop people from transmitting the virus and reduce the chance they will pass it to another person.”

The report suggests that programs would pay for themselves in 10 years in many countries, for instance with a stronger work force.

Sidibe said it’s also a big help that countries are taking financial and ethical responsibility for fighting the pandemic among their own citizens.

“Domestic investment now exceeds international investment for the first time,” Sidibe told a news briefing to launch the report. “We are tipping the dependency balance.”

Affected countries now invest $8.6 billion, more than the $8.2 billion given by donors, Sidibe said. Hard-hit South Africa invested $2 billion, the highest of any low-or middle-income nation, he said. Goosby said politicians around the world have signed on to battling the virus.

"I have been humbled by how important the political buy-in is," he said. In the United States, he said, it's a bipartisan issue. "I wasn't sure for a long time," he added, laughing.

Related stories:

Scientists see AIDS vaccine within reach after decades

FDA approves first pill to help prevent HIV

Robert Bazell: Starting HIV meds quickly helps protect partner

The FDA has approved the first over-the-counter HIV test kit. NBC's Brian Mooar reports.

 

Discuss this post

AIDS is one of the easiest diseases to prevent. Eliminate homosexual sex and AIDS drops to a minor problem. The best vaccine for AIDS is to neuter homosexuals. Dang, that is homophobic! but scientifically correct.

    Reply#1 - Wed Jul 18, 2012 12:33 PM EDT

    Wow! It only took one comment for the religious right to appear spewing hate and misinformation! Guess you didn't read that part about 100,000 fewer children born with it as they work to prevent mother to child transmission. Guess that has a lot to do with homosexuality, huh?

    • 2 votes
    Reply#2 - Wed Jul 18, 2012 1:17 PM EDT

    Brian, while I agree that Jamie's comment is absurb, there is nothing in that post to suggest a religious connection to what was written. You are showing your own bias by assuming such in your post. Leave the labeling out next time, you are better than that...

      #2.1 - Fri Jan 4, 2013 3:23 PM EST
      Reply

      Oh, and Jamie? According to the World Health Organization, of the 38.6 million people worldwide infected with AIDS, 17.3 million...just short of half...are women.

      • 1 vote
      Reply#3 - Wed Jul 18, 2012 1:22 PM EDT

      Jamie, come out from under your rock and into the 21st century duh!

      • 1 vote
      Reply#4 - Wed Jul 18, 2012 3:30 PM EDT

      “It's time to start thinking about an end to AIDS,” UNAIDS director Michel Sidibe told NBC News in an interview in Washington, D.C

      Um, Michel how about also "it's time to start thinking about an end to cancer and Alzheimer's as well". Don't get me wrong, I definitely think we have to end AIDS, however remember when we declared a "war on cancer" in 1971? And Alzheimers is becoming more rampant as well.

        Reply#5 - Wed Jul 18, 2012 3:33 PM EDT

        I'm gonna add something to that Troy, although it isn't going to be popular. I'd rather see money spent on researching cancer of Alzheimers or a whole list of other health issues. It's not that I don't want to see a cure for HIV, but that is a self-inflicted disease that is 100% avoidable. Other things (like cancer) hit people for no good reason. Those people deserve our efforts first...

          #5.1 - Fri Jan 4, 2013 3:27 PM EST
          Reply

          Their are more heteros infected with the virus than homosexuals ,due your research.

          Homosexuals make up 2% of the population. Some people are still ignorant.

          • 1 vote
          Reply#6 - Wed Jul 18, 2012 9:52 PM EDT

          In the US most AIDS are drug addicts and homosexuals. About 90%. Outside the US, particularly in Africa, it is pretty much split. Mirroring Africa, in the US the largest growing population with HIV are blacks and Hispanics. It is a disease that is caused by behavior. Stop "screwing around" and make public who has it, and it will stop spreading. We are wasting billions of dollars trying to prevent something that quarantine will cure. All you marxist Cuba lovers must know that is how Commander Fidel handles the problem. There is minimal AIDS in Cuba. Don't you love the Commies.

            Reply#7 - Thu Jul 19, 2012 1:47 AM EDT

            Please do not associate all Christians with being hateful toward the HIV/AIDS community. As an HIV+ Christian, I have Chrisitan friends who are supportive and those who are not, just as I've had doctors who were kind and caring and some who were terrified to touch me. It is easy for Christians to pick a specific thing, like homosexuality, and make it the cardinal sin because it is something that they don't struggle with. Unfortuantely, they forget Jesus' command to "love their neighbor," and to "judge not lest you be judged." They also forget that Jesus touched lepers and many others that the religious leaders of His day thought unclean. So please don't confuse those who do love and follow Jesus, with a spirit of religion that trys to set up a list of man-made laws and rules.

            I contracted HIV through rape; there are many women in Africa who share my struggle. After visiting there I learned that there is a terrrible myth that a man can cure his HIV by having sex with a virgin. Jamie, please don't try to fit into a box, something that you know very little about. I will pray God changes your heart.

              Reply#8 - Thu Jul 19, 2012 9:26 AM EDT

              8 lousy posts? That's all this story got? I can't believe a huge queer vs straight argument didn't go on up in this b!tch

                Reply#9 - Wed Feb 6, 2013 12:19 AM EST
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