With 2010 now behind us, I thought it fitting to reflect back on a year that saw both major steps forward in the global fight against HIV/AIDS, as well as many steps backwards. For some, medical advances from improved ARV’s, and a breakthrough on the microbicide front, gave cause for great celebration. For others, who continued to be stigmatized due to their HIV status, or their sexual orientation, 2010 was anything but a cause for celebration. As such, I thought I would look back at some of the biggest stories about HIV/AIDS in 2010. Below, I’ve also provided links to some of the HIV/AIDS stories from 2010 published on this site.
Microbicide breakthrough – After years of disappointing results, this year saw the first clinical evidence that a vaginal gel – known as a microbicide – could help to prevent sexual transmission of HIV. Such a preventative tool in the hands of women would radically reduce the level of new infections, analysts say.
ARVs for prevention – A new study found that daily oral pre-exposure prophylaxis (PrEP) – the use of ARVs to prevent HIV in high-risk groups – reduced HIV infection risk among participants who took the ARV Truvada by an average 43.8 percent.
Two-hour TB test – In December, the UN World Health Organization endorsed a new rapid test for TB that could potentially save millions of lives through earlier diagnosis.
Treatment 2.0 – In July, UNAIDS launched a new approach to HIV treatment aimed at simultaneously achieving two holy grails of the AIDS response: drastic reductions in AIDS-related deaths and new HIV infections. “Treatment 2.0″ aims to drastically scale up testing and treatment using current best practices and future innovations in antiretroviral (ARV) drugs and diagnostics, with the aim of averting 10 million deaths by 2025, and reducing new infections by one-third.
Patent pool’s first licence – In October, the US National Institutes of Health (NIH) became the first patent holder to join the recently created Medicines Patent Pool. By licensing the ARV Darunavir to the patent pool, it made the technology to produce it available for the benefit of low- and middle-income countries.
UNITAID, the international health financing agency that established the pool, is optimistic many of the large pharmaceutical companies will soon follow the NIH by licensing their own patented ARVs.
Easier travel - New rules allowing HIV-positive people to travel freely to the US came into effect early in 2010, ending a 22-year-old ban that had been widely criticized by AIDS activists as discriminatory and stigmatizing. China and Namibia also lifted HIV-related travel restrictions in 2010, but another 51 countries still have restrictions in place.
Universal Access – At the 2006 UN General Assembly High-Level Meeting on AIDS, world leaders expanded their commitment to include universal access to prevention, care and support and agreed to set national targets by the end of 2010. While a few African countries achieved universal access to treatment – Swaziland, Zambia, Namibia, Botswana and Rwanda – most did not. UNAIDS’s new vision is: “Zero new infections. Zero discrimination. Zero AIDS-related deaths.”
Funding crisis – The Global Fund to fight AIDS, Tuberculosis and Malaria reported a US$1 billion funding shortfall over the next three years. This upsets plans to dramatically increase HIV treatment numbers and puts people already on treatment at risk of drug resistance should funding affect the supply of their medicines.
Anti-MSM sentiment - Crackdowns on African MSM increased in 2010, leading AIDS activists to urge tolerance. Uganda continued to pursue its anti-gay bill, while Malawi arrested a gay couple who got engaged and Kenya’s Prime Minister Raila Odinga called for the arrest of gays. Fears of legal action or public outing often lead MSM to avoid health facilities where they could receive treatment and care and prevent governments from including MSM programming in their national strategies.
Threats to India’s generics industry – India, widely thought of as the pharmacy of the developing world, has stood firm against attempts by large pharmaceutical firms to insist on patents on ARVs, allowing the country to continue manufacturing cheap generics. In 2010, however, activists warned of multiple threats to the nation’s generics industry, including “Special 301“, an annual review process led by the Office of the US Trade Representative, which has placed India on a “priority watch list” for failure to properly enforce intellectual property rights, and a Free Trade Agreement between India and the European Union. Activists claim the EU is using it to circumvent India’s public health protections and boost its own pharmaceutical industry, putting millions of HIV-positive people’s lives at risk.
And Now for Some of the Stories about HIV/AIDS I’ve covered in 2010:
Major Reduction in New Infections: Twenty-two of the most affected countries in sub-Saharan Africa have reduced new HIV infections by more than 25%
#PreventionRevolution: UNAIDS Incredible New Social Media Campaign: Creating a #PreventionRevolution through Social Media [VIDEO]
Major HIV/AIDS Poster Exhibit: 25 Years of AIDS Awareness Posters: A Graphic Intervention
Stephen Lewis and the 2010 UNAIDS Global Report: Stephen Lewis weighs in on the 2010 UNAIDS Report and on the State of the HIV/AIDS Pandemic
Genetic Variant Allows some to overcome HIV Infection: ‘Slow Progressers’ could be the key to new HIV treatment
For more, please visit the HIV/AIDS section of this site!
Sections from this post were originally published online by the humanitarian news and analysis service, IRIN, and PlusNews. To view the original article, please visit PlusNews’s article: HIV/AIDS: Top 10 for 2010; Image Credit: Gabiselle Nkosi 2001; from Art for AIDS International Portfolio.