What Is Being Done Is Not Enough For Universal Access To ART

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CD4 - The Key Point in People's Health with HIV

An international AIDS treatment advocacy coalition, providers and clinics of people living with HIV has released an analysis showing that fewer than 1 in every ten people living with HIV live in countries offering antiretroviral therapy (ART) for all regardless of the CD4 count , contrary to international treatment guidelines. Activists have insisted on the need for more funding to make recommendations to make the utopian idea of ​​global universal treatment a reality.

Ahead of World AIDS Day on 1 in December, the World Health Organization (WHO) issued the finalized version of its Consolidated guidelines on the use of antiretroviral drugs for the treatment and prevention of HIV infection. Which had previously been released in a preliminary version in September of 2015.

The guidelines recommend antiretroviral treatment for everyone diagnosed with HIV regardless of CD4 T-cell count or clinical symptoms and recommend pre-exposure prophylaxis (PrEP) for people at substantial risk of infection. The recommendations were influenced by a growing body of evidence, including findings from large studies such as START e HPTN 052, showing that initiation of treatment soon after diagnosis significantly reduces the risk of disease progression and death as well as the reduction of HIV transmission.

The guidelines of the Department of Health and Human Services began recommending treatment for all those diagnosed with HIV in 2012. The clinical picture of the European AIDS Society (EACS) released for universal treatment of so-called guidelines at its recent conference in Barcelona, ​​to bring broad national guidelines in high-income countries and the WHO global guidelines under agreement from first time since 2006..

But this agreement is not yet being put into effect, according to a report -Towards Treatment on Demand for All - prepared and approved by the Health Forum and a global coalition of partners including the International Association of AIDS Carers, the International Community of Women Living with HIV, Pangea, the Action Campaign for Treatment and Regional Organizations in Africa, the Asia and Latin America and the Caribbean.

The report, released in 30 in November, shows that only 9% of people with HIV live in countries that offer treatment to all immediately after diagnosis. Those who are not often sent home from clinics after an HIV diagnosis because their CD4 count is still too high, only to return once they are sick enough to be eligible for treatment.

"The undeniable reality is that most people diagnosed with HIV are turned away from treatments and told to return when they are sick. Said Health Differences Executive Director Asia Russell. "But in many rich countries, people living with HIV can access treatments regardless of their stage of the disease. This two-and-two-step pattern has a deadly effect "

According to UNAIDS, 15,8 million of the estimated 36,9 million people living with HIV worldwide had access to antiretroviral treatment in June of 2015, leaving approximately 21,1 million people eligible but not treated.

The thirteen countries that offer immediate on-demand treatment "for everyone diagnosed with HIV are all high-income or higher than middle-income countries who together represent only 4,4% of the global burden of AIDS mortality, the report says. The average annual per capita income in these countries is $ 29,388 13, compared to only $ 9,003 in the 20 countries accounting for about 80% of the overall HIV disease burden.

Of the 114 countries with guidelines for the treatment of HIV published, 55 are "severely out of compliance"According to the report, the beginning of treatment with a lower limit than following the previous guidelines where treatment was started with a level level of 500 cells / mm3. Some are not called for TARV until a person of the CD4 count falls below 350 or even 200 cells / mm3, indicating that the immune system has already suffered serious damage with high risk of opportunistic diseases and unpredictable consequences ...

"Delay in the execution of test-and-treats translates into millions of preventable deaths and new HIV infections," said José Zuniga, president of the International Association of AIDS Caregivers. "And while the numbers are staggering, each death represents an unnecessary tragedy that has devastating effects on an individual, family, and community level. We have a moral obligation to ensure that everyone can have access to the highest standard of HIV care no matter where they happen to be born or to live. "

The report looks at developments that will lead all countries to adopt policies enabling all people living with HIV to have access to on-demand and call treatment and donor countries to commit to providing the necessary funding prior to the UN High-Level Meeting on AIDS in June of 2016. They stressed that countries should use flexibilities in intellectual property rules to ensure that HIV medicines are available in generic and accessible presentations and to add that countries must address human rights against barriers to expanded access to care for HIV-positive people, including the end of the criminalization of HIV, stigma, discrimination and selectivity in the field of corporate human resources, where a reactive outcome usually discards the candidate, regardless of his level of qualification.

Advocates added that they are committed to the exploration of donor countries and responsible implementation with the XXI International Conference on AIDS held in Durban in July.

"We are very hopeful to verify the reality in the global response to AIDS," said Anele Yawa, South Africa's secretary general in the Action Campaign for treatment. "No matter how much people talk about a" final solution to AIDS, "as long as there is no political will to correct health systems and increase investment then an 'end to AIDS' will remain a chimera and people on the ground will continue to suffer. "

Another advocacy organization, a campaign, also published a report for World AIDS Day, warning of an estimated annual deficit of $ 12 billion in the amount needed to curb the epidemic. Current global HIV / AIDS spending was estimated at $ 20 billion in 2014, but should reach $ 32 billion in 2020 to "double the disease curve to the end of the epidemic."

It also drew attention to a number of social, economic and legal challenges in many countries that make men who have sex with men, transgender and adolescent, women and girls more vulnerable to becoming infected with HIV and less likely to be infected. seek treatment and testing.

"The progress we have made against HIV / AIDS is so powerful that it is easy to be deceived by a false sense of security about the size of the struggle in front of us," said a director of global health policy Erin Hohlfelder. "The world is living on a budget still almost $ 12 billion shorter annually d what it will take to end this disease and dollars, euros, pounds, Naira and yen do not grow in the trees. This World AIDS Day - with the trajectory of the epidemic and millions of human lives at stake - we need governments, corporations and philanthropic actions to step up and provide the resources needed to stop AIDS. "

harlequin cartoon illustrationSoropositivo.Org editor's note, naming oxen, people of dubious morality and ambiguous behavior like Feliciano and Bolsonaro, helped to promote an unnameable setback (I would have a name but children read this site), preventing gender education, interfering in the work of the Catholics for the right to decide (In this case the organization (...) that serves by the name of CNBB and several parliamentarians, who now, to defend their grand master, the House Harlequin, intend to establish chaos in the country to achieve their attempts, using a mass of maneuver that I deplore in its ignorance and blindness by giving course, force, vote and energy to these outcasts, provoking a setback in the HIV / AIDS epidemic in Brazil where, per year, 11.000 people die of AIDS which gives, let us say, one every eight hours and fifteen minutes approximately.

They precision for an end in the bustle out there.

It is us…. Here inside

Read a text from Richard Parker

Category: HIV Treatment

Posted on Tuesday, 01 2015 December 00: 00

Written by Liz Highleyman

Translated by Claudio Souza's original Not Enough Is Being Done to Provide Universal Access to HIV Treatment, Advocates Say. Reviewed by Mara Macedo



Differences in health and partners. For on-demand treatment for all. December of 2015.

Differences in health and partners. Less than 1 in ten people living with HIV live in a country after HIV treatment Press release. November 30 2015.

A campaign. A new report sounds the alarm about government complacency in the global fight against HIV / AIDS. Press release. December 1 2015.

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