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Plenary speakers address challenges in the delivery of sustained antiretroviral therapy in developing countries, call for social scientists to take their place at the HIV/AIDS policy-making table, and stress the need for a long-term response to AIDS
Date:7/19/2011

four to five times higher than first line regimes. It is challenging for countries and partners to afford second line treatment, and difficult for physicians to detect first-line failure early enough;
  • detectingfirst-line treatment failure earlier and prescribing an effective and safe second line regimen in light of the expense of the latter;
  • management, diagnosis and treatment of side effects;
  • retention of patients: data for cohorts studies show that 25%-30% of HIV patients starting treatment are lost to follow up after 12-24 months;
  • socio-political instability and humanitarian crisis and natural disasters

    AIDS: The Need for a Long-term Response

    Peter Piot (Belgium), Director of the London School of Hygiene & Tropical Medicine, London, concluded the plenary session by reflecting that given the enormous mortality and human suffering caused by the AIDS epidemic, the nature of the global response to the AIDS epidemic has been framed as an emergency. Yet the ultimate duration of the emergency has rarely been discussed.

    In spite of a recent decline in interest and funding for AIDS, UN member states recently adopted a "Political Declaration on HIV/AIDS: intensifying our efforts to eliminate HIV/AIDS" with ambitious goals for the next five years. Projections from aids2031 and UNAIDS estimate that over the coming two decades, there may still be one to one and a half million new infections and one million deaths annually, with resources required to curb infections well in excess of currently available funds.

    The combination of these developments, as well as the longer life expectancy of many people infected with HIV, provides a compelling argument for the need for a long term view on the AIDS response. In addition, resource constraints dictate that effective investments leading to the best possible outcomes in both the short and long term are necessary, and right now.


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  • Contact: Lindsey Rodger
    lindsey.rodger@iasociety.org
    International AIDS Society
    Source:Eurekalert

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