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Sheila Nix

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The Beginning of the End of AIDS

Posted: 11/09/11 08:30 AM ET



Everyone loves a good "they said it couldn't be done" story. From a man on the moon to a personal computer in every home, the nostalgic in each of us loves to reflect about how, throughout history, individuals have run up against the status quo, defied the odds, and achieved something inspirational for society at-large. Those of us in the AIDS advocacy community have experienced our fair share of doubters telling us "it can't be done."

30 years ago when HIV/AIDS cases were first documented, it was a mysterious infection that couldn't be treated. Positive diagnosis was a death sentence. With no treatment, stigma and fear grew, representing what Dr. Anthony Fauci calls " the dark years." But with scientific innovation came the discovery in 1987 of AZT, the first drug approved to treat HIV. Over the next few years, AZT was replaced with more sophisticated combination drug therapy, and by 1996 highly active antiretroviral therapy had been developed. The new drugs were hugely expensive, however, costing $10,000 per year or more. Many HIV-positive people feared that without Magic Johnson's checkbook, they wouldn't be able to get the drugs they needed to keep them alive. Today, AIDS treatment costs just a few hundred dollars per year in poor countries -- a victory for HIV-positive communities around the world.

In the early 2000s, as President Bush and bipartisan Congressional leaders were launching a program called PEPFAR and as the Global Fund to Fight AIDS, Tuberculosis, and Malaria was just getting started, the doubters loomed large. Many believed there was no way to get antiretroviral treatment to millions -- particularly in Africa where some infamously suggested "Africans don't have watches" and so couldn't be expected to take drugs in a consistent manner. Others argued that mobilizing the financing required to hit PEPFAR and Global Fund targets was impossible. Yet global funding for AIDS skyrocketed, growing six-fold between 2002 and 2008. African leaders also stepped up, committing to spend 15% of their budgets on health. Today, the results speak for themselves: 6.6 million HIV-positive people, including those in remote communities, are alive today because of treatment, and countless others have remained HIV-negative thanks to prevention efforts.

In spite of these achievements, economic recessions have a unique way of allowing the "it can't be done" mantra to reemerge. Indeed, as budgets constrict and leaders turn their attention inward, it's easy to see why a renewed push on global AIDS doesn't seem possible. Yet 2011 marks a critical inflection point in our fight against AIDS. Game-changing studies have offered exciting new tools in the fight to prevent HIV -- including new data that shows treatment works as prevention, reducing the likelihood of passing on HIV by as much as 96%. Collectively, these advances show that bending the curve on AIDS is possible in our generation.

At ONE we were pleased to hear the remarks by Secretary Hillary Clinton on Tuesday morning at the National Institutes of Health where she made it clear that achieving an AIDS-free generation is a policy priority for the Obama Administration. ONE and our 2.5 million encourage the President to expand that policy to include, that by 2015:

  • No child is born with HIV
  • 15 million people are receiving AIDS treatment
  • The rate of new HIV infections is drastically reduced



There are those who will say these goals can't be achieved -- that we'll never see and end to AIDS. But we know that these goals are achievable. With the right political leadership we will, by 2015, see the beginning of the end of AIDS.

 
Everyone loves a good "they said it couldn't be done" story. From a man on the moon to a personal computer in every home, the nostalgic in each of us ...
Everyone loves a good "they said it couldn't be done" story. From a man on the moon to a personal computer in every home, the nostalgic in each of us ...
 
 
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04:16 AM on 11/11/2011
I think it's incredible that we would support spending several hundred dollars a year treating someone for AIDS in poorer countries when the resources it takes to do that could fund other interventions that range in price from $2.00 to $20.00 USD to cure other diseases. Why is one year of an AIDS patients life worth not treating 15 other people once for diseases which we can cure?
09:26 AM on 11/10/2011
wow, not one mention of the word "cure" in the entire 'story of aids'. Seems odd to not mention even one of the many groundbreaking studies and developments about the HIV cure that have arose in the last couple years. Stranger even since the Huff Post has devoted an entire page to "HIV Cure" in wake of:
1, the 1st HIV + man ever cured announced in 2010, named Timothy Brown aka 'The Berlin Patient'
2, 30$ Million research grant from the NIH for cure research
3, Gene therapy proven safe and effective (by company 'Sangamo') and in phase 2 trials to develop a 'Functional Cure'..
4, Just yesterday the Bill and Melinda Gates foundation announced several 100,000 grants devoted to HIV cure
5, For the first time in this 30 year epidemic, we know now HIV can be cured, and are closer than ever to finding practical and effecient means of administering it.

I find it odd that an otherwise great article would omit the word 'cure' in the context of this subject and title.
01:03 AM on 11/10/2011
No matter what admistration is in office, these efforts will continue.
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johnb123
All I ask..just be reasonable....do things my way
04:20 PM on 11/09/2011
The rate of HIV infections will not drop until people change their behavior. It's not going away any time soon.
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Bushido08
Spirit of a Warrior
06:06 PM on 11/09/2011
Good point, and a good example would be Japan. During the time I was there the number of AIDS cases were the least of any developed country. The reason...at that time birth control pills were not exactly legal and the main method of contraception was a contraceptive. Also, very very few intravenous drug users. Since then birth control pills have been legalized and we saw a small uptick in AIDS.
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HUFFPOST SUPER USER
johnb123
All I ask..just be reasonable....do things my way
12:23 PM on 11/09/2011
"AIDS treatment costs just a few hundred dollars per year in poor countries", NOT TRUE........."An American diagnosed with the AIDS virus can expect to live for about 24 years on average, and the cost of health care over those two-plus decades is more than $600,000, new research indicates."
04:28 PM on 11/09/2011
"AIDS treatment costs just a few hundred dollars per year in poor countries"
I don't believe that America would be considered a poor country. Certainly not when compared to any of the countries in Africa where there are exponentially more cases of HIV infection than in the U.S.
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10:19 AM on 11/09/2011
It is awesome the changes I have seen in my short lifetime.

This is truly a remarkable shift from fear to hope. May the people responsible be recognized and immortalized for history and giving us all a brighter future. God bless these people!
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Trevor Neilson
Co-Founder, Global Philanthropy Group
09:30 AM on 11/09/2011
Well said Sheila. We have come so far on this issue, it would be truly crazy to turn back now. ONE has played a clear, indisputable role in mainstreaming this issue, keep up the great work.