3
Apr

Followup on the output of the Commission on AIDS in Asia and the Pacific

This posting follows up on http://www.hivinfo4mm.org/blog/_archives/2007/3/31/2845373.html .

This is a very disappointing output from the Asian AIDS Commission. The press release looks the same as the dozens of press releases from AIDS meetings of nonAsians in Asia.

What is “multipartner sex”? Many people having sex together at the same time? This term is as confusing as the older one “crossborder sex”. Why are mobile workers being demonised as spreaders of HIV?

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HIV infections in Asia could more than double in 5 years
Associated Press
30 March 2007

Manila: The number of people in Asia infected with the HIV virus that
causes AIDS could more than double to 20 million over the next five years
without a better government response and more funding, officials warned
Friday.

"At the current level of inadequate response, it is expected this number
will rise to about 20 million in the next five years," said the
independent Commission on Aids in Asia that is funded by the Joint United
Nations Program on HIV/AIDS or UNAIDS.

There are currently around 8.6 million people infected in Asia with HIV.

It said the number of deaths currently average around 500,000 yearly and
financial losses to the Asian region are estimated at US$10 billion
(euro7.5 billion) annually. But that economic cost is predicted to rise to
as high as US$29 billion (euro21.72 billion) per year if the epidemic is
not controlled within the next five years.

Despite these projections, investments on HIV control in the region remain
extremely low at ten percent of the required US$5 billion (euro3.74
billion) per year, it added.

UNAIDS data show the number of infected people receiving antiretroviral
therapy, which inhibits the replication of the HIV virus, has increased
more than threefold since 2003, but they represent only 16 percent of the
total of those in need of treatment in Asia.

Only Thailand is providing treatment to at least 50 percent of those in
need, UNAIDS said.

The nine-member commission of economists, policy makers and civil society
members was created in 2006 to analyze the socio-economic impact of
HIV/AIDS and make policy recommendations on how it can be mitigated. The
commission is holding its two-day Southeast Asia Sub-Regional workshop in
Manila until Friday.

Chakravarthy Rangarajan, chairman of Indian Prime Minister Manmohan
Singh's economic advisory council and head of the commission, told
reporters that while the prevalence of HIV/AIDS is low in Southeast Asia,
the region is populous, making the number of infections high. It also has
a huge number of mobile workers, who risk spreading HIV.

He also said there was a need to mobilize domestic funds to control
HIV/AIDS in the region, because more than 80 percent of funding currently
comes from foreign aid organizations.

In Southeast Asia, Laos and the Philippines are among those which have low
HIV prevalence rates, while Cambodia, Myanmar and Thailand are among those
which have a high prevalence of the virus, according to J. V. R. Prasada
Rao, a UNAIDS director and a member of the commission.

The commission said the reasons for the inadequate response in the region
are manifold, ranging from low levels of awareness and understanding among
policy makers of the long term impact of HIV/AIDS to a difficulty in
predicting the dynamics of the disease progression, and a lack of funding.

Sex remains taboo, with very little encouragement for sex and family
education for young people. Multi-partner sex and injecting drug use,
which mainly drive the epidemic, are criminal acts in the eyes of the law,
resulting in infected populations remaining highly stigmatized and
deprived of even limited health care services, it added.

Comments

  1. Anonymous says:

    This posting included the phrase:
    "... Southeast Asia, the region is populous, making the number of infections high. It also has a huge number of mobile workers, who risk spreading HIV."
    The [him] moderator noted:
    Why are mobile workers being demonised as spreaders of HIV?
    A [him] reader commented:
    It's hard to claim as you do that the phrase "Southeast Asia... has a huge number of mobile workers, who risk spreading HIV" demonizes mobile workers. Empirical studies over 20 years have correlated mobility and HIV risk (especially examining trucking routes).
    The [him] moderator replies:
    The phrase "risk spreading HIV" makes it appear that the author of the article states that mobile workers are responsible for transmitting HIV to others. This paradigm does not consider the complexity of the links between mobility and vulnerability and tends to blame mobile workers for spreading disease.
    The best synthesis of mobility and vulnerability in the region is a bit dated now but still useful: http://www.adb.org/Documents/Books/HIV_AIDS/Mobility/prelim.pdf
    [him] moderator
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