HIV epidemic in Russia

•October 27, 2009 • Leave a Comment

According to the BBC,

A top international HIV/Aids expert has told the BBC that the epidemic in Russia is now out of control.  Robin Gorna, head of the International Aids Society, urged Russia to do much more to prevent the spread of HIV among an estimated two million drug users.  Ms Gorna was speaking ahead of a major international conference on Aids which gets under way in Moscow shortly.  It is believed there are now at least a million people infected with HIV in Russia.

Read more:  BBC NEWS | Health | Russia warned about HIV epidemic

AIDS Vaccine 2009 conference (Oct. 19-22)

•October 23, 2009 • Leave a Comment

From “Words of Welcome“: 

We are acutely aware of the difficulties and obstacles which still remain in the path of HIV vaccine development. It is more evident than ever that a strong emphasis on basic research, within a creative and interdisciplinary context, is essential to find an effective vaccine to protect against HIV.

New York Times op-ed discusses importance of vaccine research

•October 19, 2009 • Leave a Comment
By Seth Berkley
Published: October 19, 2009
“A six-year experimental AIDS vaccine trial has been called into question in a way that is overblown and possibly destructive.”
 
The New York Times today published an interesting op-ed column from Seth Berkley, the president and CEO of International AIDS Vaccine Initiative.  (According to its website, “IAVI is a global not-for-profit, public-private parnership [PPP] working to accelerate the development of a vaccine to prevent HIV infection and AIDS.”)  Berkley discusses the controversy surrounding the recently-released results of a vaccine trial in Thailand, which far exceeded expectations by apparently providing protection to a minority of participants.
These results were called into question after
the trial collaborators began to brief researchers privately about additional data, including a second type of analysis that indicated the vaccine regimen had been slightly less effective than the first analysis suggested. This second analysis was not statistically significant, meaning that chance, rather than the protective effect of the vaccine candidate, might explain why fewer volunteers in the vaccinated group than in the placebo group were infected with H.I.V.
Berkley worries that “the trial has been called into question in a way that is overblown and possibly destructive,” doing damage to vaccine research, a field that already suffers from criticism and — in the view of supporters — relative neglect.  He argues that regardless of whether the results were statistically significant (they were more or less borderline), they deserve to be taken seriously, at they very least as a learning opportunity.  “Statisticians,” he writes, “will tell you it is possible to observe an effect and have reason to think it’s real even if it’s not statistically significant. And if you think it’s real, you ought to examine it carefully.”
Berkley concludes:
Even if the Thai vaccine regimen turns out, on examination, to have had no real benefit, researchers will still learn from the trial, as they do from every study. Moreover, other noteworthy advances featured at the Paris conference this week will offer fresh hope for an AIDS vaccine. Years of investment and dogged science are providing leads for solving one of today’s most pressing research challenges. Some 7,400 new H.I.V. infections occur daily throughout the world. Clearly we need better methods of preventing the spread of H.I.V., and no public health intervention is more powerful or cost-effective against infectious disease than a vaccine.
 

World Food Day

•October 16, 2009 • Leave a Comment

World Food Day

“Food and nutritional security are the foundations of a decent life, a sound education and, indeed, the achievement of all the Millennium Development Goals.  Over the past two years, volatile food prices, the economic crisis, climate change and conflict have led to a dramatic and unacceptable rise in the number of people who cannot rely on getting the food they need to live, work and thrive.  For the first time in history, more than one billion people are hungry.”   – UN Secretary-General Ban Ki-moon

God, Us, and Climate Change: Blog Action Day 2009

•October 15, 2009 • Leave a Comment

“It can be very easy to be radical, sacrificial or subversive for its own sake or to achieve a sense of self-righteousness.  But if we really believe that God calls us to love our neighbors and to be stewards of his creation, and if we really believe that the greedy exploitation of people and natural resources is wrong and sinful, then our mission is clear: we must fully engage in all aspects of loving our neighbors and caring for creation with everything God has given us.”   - Ben Lowe

Happy Blog Action Day, everyone!  This year’s theme is climate change.  This, you may be surprised to hear, is very much related to the general themes of this blog.

One of the charges often leveled against environmentalists — especially, perhaps, Christian ones — is that they shouldn’t be working so hard to take care of the earth when there are so many people who need help.  (With things like, say, AIDS, or hunger, or war,  or … and so on.)  This is something I’ve thought and wondered about.  How do you balance care for the natural world with care for its human inhabitants?  The answer boils down to this: helping the earth IS helping people.

I’m reading a brilliant book right now called Green Revolution: Coming Together to Care for Creation.  It was written by Ben Lowe, who graduated a year ahead of me at Wheaton College.  (I met him a couple times: he’s a really, really nice guy, and incredibly smart.)  The book is profound, yet very readable discussion of why Christians need to care about the environment, and how they can put that concern into action.  As hinted at in the title, the author takes the position that we need to care about the earth, first of all, simply because it is God’s.   He discusses creation care in the context of God’s desire to renew and reconcile all things.

Towards the beginning of Green Revolution, the author carefully explains why the environment matters in human terms.  He makes a compelling case for this simple argument: if you care about poverty, if you care about hunger, development, peace, social justice — if you care about people — you need to care about the world people live in.  In short, “we cannot separate loving our neighbor from caring for the natural resources we all depend on to survive” (p. 42).

Problems like pollution and the effects of climate change have something in common with diseases like HIV/AIDS, TB, and malaria: they disproportionately affect the poor and vulnerable.  Ironically, the impact of irresponsible use of natural resources is often felt most by those who had least to do with causing the problems.  As Ben Lowe points out, rich, developed nations ”are ‘exporting’ pollution to the developing world, where exposure to these pollutants is responsible for 20 percent of human disease” (p.25).  That’s shocking, egregious.

Climate change, in particular, stands to hurt the world’s poor the hardest.  For one thing, scientists believe the biggest and most traumatic changes will be felt in low-lying tropical regions — ie. in much of the Global South.  Many densely populated areas could well be submerged due to rising sea levels.  But there are also other, more subtle effects of climate change.  In the book, Ben Lowe talks about a time he spent doing research around Lake Tanganyika, Tanzania, in 2006.  This lake, one of the largest in the world, is home to great numbers and diversity of fish, which are heavily relied on for food and economic activity in the surrounding communities.  But fish populations are going down, and scientists have discovered that warming water temperatures — the result of global climate change — are almost certainly at fault.  The author describes the pain and helplessness of talking to poor and frightened Tanzanian fishermen, whose livelihoods (and lives) were being put at risk due to environmental problems that had nothing to do with them.  He writes, “Seeing firsthand this example of how global warming is already affecting some of the world’s poorest people — the least of these — has had a profound effect on my life” (p. 77).

Beyond just describing some of the environmental problems facing the world today, Green Revolution is really a call to action.  Whether you read the book (I highly recommend it) or not, I hope this post and others this Blog Action Day will remind all of us of the importance of doing everything we can to care for the world and its people — or, I should say, God’s world and His people.

Hope on my desktop

•October 1, 2009 • Leave a Comment

One of my favorite websites is Smashing Magazine.  It’s an online magazine/blog for graphic designers and other people who are very, very good at doing really cool things on computers.  I am neither of these, but I still enjoy it.

One of my favorite things about Smashing Magazine is that it releases monthly collections of free desktop wallpaper.  This month’s collection includes a beautiful design called “Hope,” which both lovely and actually quite pertinent to the theme of this blog.  It was designed by a Christian graphic artist named Abigail Paul.  You can download the wallpaper in various sizes here (it’s the third one down), but here’s a preview…
 

october-09-hope

    
Continue reading ‘Hope on my desktop’

New report on global AIDS efforts

•September 30, 2009 • Leave a Comment

The following is a press release from the World Health Organization.  You can find this text and further information here.  You can also look at coverage from the New York Times for additional details.

News release | 30 September 2009

More than four million HIV-positive people now receiving life-saving treatment

Geneva / Paris — More than 4 million people in low- and middle-income countries were receiving antiretroviral therapy (ART) at the close of 2008, representing a 36% increase in one year and a ten-fold increase over five years, according to a new report released today by the World Health Organization (WHO), the United Nations Children’s Fund (UNICEF) and the Joint United Nations Programme on HIV/AIDS (UNAIDS).

Towards universal access: scaling up priority HIV/AIDS interventions in the health sector highlights other gains, including expanded HIV testing and counselling and improved access to services to prevent HIV transmission from mother to child.

“This report shows tremendous progress in the global HIV/AIDS response,” said WHO Director-General Margaret Chan. “But we need to do more. At least 5 million people living with HIV still do not have access to life-prolonging treatment and care. Prevention services fail to reach many in need. Governments and international partners must accelerate their efforts to achieve universal access to treatment.”

Continue reading ‘New report on global AIDS efforts’

Comments on AIDS vaccine research

•September 27, 2009 • Leave a Comment

 

Unexpected progress on HIV/AIDS vaccine

•September 26, 2009 • Leave a Comment

>> http://www.nytimes.com/2009/09/25/health/research/25aids.html

This week saw an unexepected success in HIV/AIDS research, with the announcement of the results of a vaccine-related study conducted in Thailand.

Scientists said Thursday that a new AIDS vaccine, the first ever declared to protect a significant minority of humans against the disease, would be studied to answer two fundamental questions: why it worked in some people but not in others, and why those infected despite vaccination got no benefit at all.

The vaccine — known as RV 144, a combination of two genetically engineered vaccines, neither of which had worked before in humans — was declared a qualified success after a six-year clinical trial on more than 16,000 volunteers in Thailand. Those who were vaccinated became infected at a rate nearly one-third lower than the others, the sponsors said Thursday morning.

Dr. Anthony Fauci, the director of the National Institute of Allergy and Infectious Diseases, commented on the importance of these results:

“For more than 20 years now, vaccine trials have essentially been failures,” Dr. Fauci said. “Now it’s like we were groping down an unlit path, and a door has been opened. We can start asking some very important questions.”

Mitchell Warren, who heads the AIDS Vaccine Advocacy Coalition, discussed the implications of the findings:

“We often talk about whether a vaccine is even possible. . . . This is not the vaccine that ends the epidemic and says, ‘O.K., let’s move on to something else.’ But it’s a fabulous new step that takes us in a new direction.”

Researchers have admitted that they don’t know how or why this vaccine protected the people it did, or why it showed no real benefit to others who received it, not even lowering levels of HIV in the blood of those who contracted the virus after receiving the vaccine.  As scientists puzzle over the results, it is clear that many years of work remain.

Still, the study provides new insights, and a ray of hope for a field where pessimism often wins the day.  Previous vaccine trials have failed, sometimes spectacularly, and when this trial began many experts saw it as a waste of time and resources.

The takeaway: even the modest success of this trial is truly cause for celebration.

Thailand fights HIV/AIDS

•September 26, 2009 • Leave a Comment

>> BBC NEWS | Asia-Pacific | Thailand’s long battle with HIV/Aids

“It is no surprise that Thailand has held the largest ever trial of an HIV vaccine. The South East Asian country has long been at the forefront of the battle against HIV and Aids.”

This is an interesting overview of anti-HIV/AIDS efforts in Thailand, a country that–while it still faces significant challenges–has been unusually successful in combatting the disease at a national level.

 

18,000 a year…

•September 14, 2009 • 2 Comments

…that’s how many Americans die because of a lack of health insurance, according to the National Academy of Sciences. 

>>http://www.iom.edu/CMS/3809/4660/17632.aspx)

 
The Body Count at Home
By NICHOLAS D. KRISTOF
Published: September 13, 2009

About as many people who were killed on 9/11 die every two months because of our failure to provide universal insurance — and yet many members of Congress want us to do nothing?

>> http://www.nytimes.com/2009/09/13/opinion/13kristof.html

International Literacy Day, 2009

•September 8, 2009 • Leave a Comment

September 8 is International Literacy Day!  So, why am I talking about this on a blog about HIV/AIDS?  Glad you asked.  Here’s a pretty good starting explanation, from UNESCO’s website:

Literacy is a human right, a tool of personal empowerment and a means for social and human development. Educational opportunities depend on literacy.

Literacy is at the heart of basic education for all, and essential for eradicating poverty, reducing child mortality, curbing population growth, achieving gender equality and ensuring sustainable development, peace and democracy. [...]

A good quality basic education equips pupils with literacy skills for life and further learning; literate parents are more likely to send their children to school; literate people are better able to access continuing educational opportunities; and literate societies are better geared to meet pressing development.

In addition to the role it plays in poverty-reduction and development efforts, literacy has a monumental impact on health issues — so much so, in fact, that literacy and health was the official theme of International Literacy Day in 2008.  With that in mind, I’ll direct interested readers to my post from one year ago.  Take a look at the links: it’s fascinating, and important, stuff.

Books for Cameroon

•September 7, 2009 • Leave a Comment

Tomorrow is International Literacy Day, and I’m pleased to be writing about this event alongside bloggers from around the world, which I know about thanks to the organizing power of Bloggers Unite.  Also thanks to the community at Bloggers Unite, I know about a very cool project being undertaken by a Peace Corps volunteer in the African nation of Cameroon.  Wendy Lee is working with three other volunteers on a project called Books for Cameroon.  Here’s part of a description from the project’s web page (http://www.booksforcameroon.org):

Reading is the gateway to knowledge and often the access to such knowledge is taken for granted. In Cameroon, students thirst for knowledge yet many schools are not equipped with a functioning library. The Books for Cameroon project will establish a library in 25 schools and benefit over 20,000 students. The schools will range from primary to high schools; some already have an existing library in need of improvement, others simply have a room waiting to be filled with books.

You can learn more about Books for Cameroon — and become a fan of the project! — on its Facebook page.  You can also read more about the project here.

Interested?  Want to help?  You can contribute to the project by making a donation online.  For those on a budget, Wendy suggests donating “a latte” (ie., about $5).  Every little bit helps!

Christians and Healthcare Reform

•August 9, 2009 • 6 Comments

If you scroll down a bit, you’ll notice that I have several recent posts about the current healthcare debate in the United States.  This is a huge issue.  The fact that it has in many respects descended into a morass that is alternately farcical and profoundly disturbing is, in my mind, a tremendous tragedy.*

BUT . . . as I was reading around yesterday, I was encouraged to come across some really good pieces about Christian approaches to the issue. 

(For getting me started on this trail of links, I must first give credit to the intrepid pastor-blogger at unorthodoxfaith.com, for his post, “Jesus and Health Care Reform.”  Thank you, sir.)
 

Christians, Please Report to  the Health Insurance Reform Debate  -  Rob Warmowski at The Huffington Post

This is an excellent article, in which a self-described “heathen flipping through the Bible” asks some searing questions — and provides some of the best answers I’ve encountered — on the subject of “what would Jesus do” about healthcare in the United States.

I find it very odd that Christians who live here generally don’t seem to have noticed the evidence that Jesus Christ would have serious problems with the for-profit health insurance industry.It’s an astoundingly wealthy industry that got that way by withholding coverage from the sick at every opportunity. What would the parable-prone healer think of the pay-or-die private health insurance model the US shamefully supports — alone among the 39 most industrialized nations on earth?

Warmowski goes on to cite several verses from the gospels, addressing both Jesus’ healing ministry (healing everyone … even pre-existing conditions??) and some of his more pointed comments on greed.

This article is well worth reading.  Parts of it might just be worth printing out and framing.
 

Christians Weigh In On Health Care Reform  -  by Dan Nejfelt at The Huffington Post

This response to Warmowski’s post contains a multitude of concrete examples, and links, to back up his assertion that millions of American Christians are

organizing in congregations across America, taking to the airwaves, and lobbying on Capitol Hill (often side-by-side with Jews and Muslims dedicated to the same cause).

Lots of resources in this article: check it out.
 

Pulling Together  on Health Care  -  by Jacqueline L. Salmon at The Washington Post

A news article discussing some of the efforts by coalitions of Christian groups, especially their attempts to get their message across to politicians who might be more accustomed to viewing Christians as unshakeable political  conservatives.

In recent weeks, hundreds of clergy members and lay leaders have descended on the offices of members of Congress, urging lawmakers to enact health-care legislation this year. With face-to-face lobbying, sermons, prayer and advertising on Christian radio stations, the coalitions are pressing the idea that health care for everyone is a fundamental moral issue.

This article also provides a glimpse into some broader issues of Christian identity and political diversity (and a refreshing challenge to the common, often unthinking equation of Christianity in America with the Religious Right).

 
I found these articles both thought-provoking and encouraging.  I hope others find them equally engaging.  I’d love to hear your thoughts!

 

* If you can’t tell, I’m very definitely pro-healthcare reform.  Aside from the religious and philosophical convictions that lead me in that direction, I can cite a variety of personal experiences that influence me.

  1. I basically grew up in Canada.  Right, Canada, land of — cue creepy music — socialized medicine (an innacurate, but frequently-levelled charge).  And guess what?  When we were sick, we went to the doctor and got treatment.  Without freaking out about the bills.  And without wondering how many other people weren’t lucky enough to do the same.
  2. When my family moved to the U.S., there was a time when we didn’t have health insurance.  I will never forget how nerve-wracking that was, or how horrible I felt when I thought I had an ear infection, but didn’t know how my parents could pay for a doctor on my dad’s very small mission organization paycheck.
  3. The small company I work for had to change insurance coverage starting August 1 because our old provider nearly doubled our premiums overnight.  At the same time, for the past month or so I’ve been going through some medical stuff of my own — nothing really serious, but requiring multiple doctor’s visits and a couple hospital tests.  So I’m now juggling multiple policies, and facing the prospect of paying off two deductibles back-to-back.  It sucks. 
  4. I know that for all these things, I am far, far more fortunate than many in this country.

New deal to cut ARV costs

•August 9, 2009 • Leave a Comment

NAIROBI, 7 August 2009 (PlusNews) – The Clinton Foundation has announced agreements with two drug companies to bring the cost of second-line antiretrovirals (ARVs) to under US$500 per person annually and reduce the cost of a key tuberculosis (TB) drug to $1 per dose.

“Today’s announcement will help ensure we can sustain treatment over a lifetime, and better treat patients with both HIV and TB, two key steps in turning the tide of the global HIV/AIDS pandemic,” former United States President Bill Clinton said at the Foundation’s headquarters in New York.

Keep reading:  PlusNews: Clinton Foundation closes deal to slash cost of second-line ARVs