WORLD AIDS DAY: How Many Millions More Will Die?
By Haider Rizvi

December 02, 2005, Inter Press Service News Agency

http://www.ipsnews.net/news.asp?idnews=31258

Millions of people living with HIV/AIDS in poor parts of the
world could lose their lives in the next few years if
governments fail to keep their promises to fight the deadly
pandemic, warn U.N. officials and health advocacy groups.

UNITED NATIONS, Dec 1 (IPS) - In the absence of treatment, as
many as 74 million people could die from HIV/AIDS-related
causes by 2015, according to the Geneva-based International
Labour Organisation (ILO), which notes that young workers are
the ones who are most at risk.

Though acknowledging that the international community has
made some progress in the past few years, U.N. officials and
independent groups say governments must do more to combat
HIV/AIDS.

"The world has made considerable promises," said U.N.
Secretary-General Kofi Annan on the eve of World AIDS Day
Thursday. "The time has come to keep them."

There are more than 40 million people living with HIV/AIDS
today, according to the United Nations. The disease has
already claimed some 25 million lives.

Though HIV/AIDS cases have been reported in all parts of the
world, studies show that most people living with the disease
reside in low-and-middle incomes countries, where most new
HIV infections and deaths are occurring. Among them, sub-
Saharan Africa has been hardest-hit, and is home to nearly 26
million people living with HIV/AIDS.

In South and Southeast Asia, there are more than seven
million people suffering from HIV/AIDS. In Latin America, the
number of AIDS patients is estimated to be around two
million, and almost the same number of people are infected in
Eastern Europe and Central Asia.

Research shows that in developing countries, it is working
class people who are disproportionately threatened by death
from HIV/AIDS.

"Nearly 90 percent of AIDS-related fatalities occur among
people of working age, making it the leading cause of death
worldwide for people between the age of 15 and 49," according
to the Worldwatch Institute, an independent think-tank based
in Washington.

The group estimates that due to HIV/AIDS, Africa loses at
least 10 percent of its working age adults every five years.
By contrast, industrial countries lose about one percent of
this age group to all deaths in the same period of time.

Last September, while attending a major U.N. summit on
development, world leaders pledged to implement the
Declaration of Commitments they had adopted in 2001, by
intensifying efforts for prevention, treatment, care and
support.

But those campaigning for international action against AIDS
doubt if governments will take their promises seriously.

"We have been asked to stomach year after year of rhetorical
statements disguised as commitments on AIDS," says Marcel Van
Soest, executive director of the World AIDS Campaign based in
Europe.

"The litany of broken promises now rings hollow against
unrelenting advance of the epidemic throughout the world," he
adds.

In a new report titled "Promises, Promises...But How Many Get
Delivered," the group notes that many declarations on AIDS
have been seen as "commitments and promises", but simply
restate the current understanding of the epidemic and avoid
committing to concrete deliveries.

Halting and reversing HIV/AIDS by 2015 is also one of the
Millennium Development Goals world leaders had agreed on at a
major U.N. summit held in New York in 2000. Among others,
these goals are targeted to reduce poverty by half, ensure
primary education for girls, and provide clean drinking
water.

"Halting the spread of AIDS is not a Millennium Development
Goal in itself, it is a prerequisite for reaching most of
others," Annan said in urging governments to speed up their
efforts in the fight against the pandemic.

Studies suggest that among young people living with HIV/AIDS
between the age of 15 and 24, women outnumber men. According
to the Kaiser Family Foundation, gender inequalities in
social and economic status and in access to prevention and
care services are increasing women's vulnerability to
HIV/AIDS.

Researchers say the epidemic has multiple effects on women,
such as added responsibilities of caring for sick family
members, loss of income and property if they become widows,
and even violence when their HIV status is discovered.

In their messages on World AIDS Day, various U.N. agencies,
including UNICEF and the World Health Organisation (WHO),
tried to draw the world's attention to the suffering of
millions of women living with HIV-AIDS, especially those who
are pregnant.

UNICEF says the number of children who become HIV-positive
every year could be more than halved if pregnant women with
HIV received comprehensive services, including anti-
retroviral drugs.

Currently, more than 600,000 children are estimated to become
infected with HIV each year, more than 80 percent of them
because they are born to mothers infected with the virus.

"Hundreds of thousands of children are needlessly born with
HIV every year, and many of them die in the first year of
life," said UNICEF executive director Ann Veneman.

Veneman thinks that the number of children with HIV could be
"dramatically" reduced by providing essential services to
their mothers. That requires additional funding as well as
practical action on promises made by government leaders in
the recent past.

International funding to fight AIDS has increased
significantly in recent years -- from 300 million dollars in
1995 to eight billion dollars in 2005. However, it remains to
be seen how effectively governments implement the pledges
made in the 2001 Declaration.

According to UNAIDS, prevention efforts are reaching fewer
than 20 percent of those in need. And critics like Health GAP
complain that U.S.-initiatives in particular refuse to
deliver comprehensive, scientifically-based prevention
messages and instead preach abstinence and faithfulness only
-- in societies where 50 percent of youth are sexually active
and marriage carries an even greater risk of infection than
being single.

"Failing on treatment is bad enough, but for the U.S.
government to fuel the pandemic with evangelic messages that
ignore women's vulnerability and the realities of human
sexuality is criminal," Sharonann Lynch of Health GAP said in
a statement Thursday.

"The U.S. has created an artificial condom shortage in
Uganda; it refuses to fund comprehensive sex education for
youth; and it gags comprehensive family planning services and
simultaneously undermines efforts to work with sex workers by
requiring an anti-prostitution oath by service providers,"
she said. (FIN/2005)

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