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Hopkins AIDS experts issue warning about global efforts to provide drug therapies

lic pressure, the allocation system was revised to put first the most urgent cases, not those who stood the chance of living the longest. Similarly, previous studies have recommended that the most severely affected AIDS patients be first in line for therapy.

According to McGough, "medical criteria are never completely neutral, and they have to be balanced against the society being served, so the patient-selection criteria need to be developed locally and to incorporate local values about priorities, adherence and such issues as whether or not children should be treated first.

"If current global efforts to prevent the spread of HIV/AIDS are to work in the long term, they must avoid public suspicions of being unfair, and they must build public trust for the future," she adds.

"HIV-positive people in each country affected must be involved in deciding how limited therapies are rationed, and these decisions cannot be made for them by self-appointed experts. We do not want this opportunity to become another case where only a few privileged people receive therapy. What international authorities can do is help these countries plan for rationing, so that the medical and ethical mistakes of the past are not repeated."


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Source:Johns Hopkins Medical Institutions


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