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Susan Smith Ellis

Susan Smith Ellis

Posted: August 6, 2010 06:30 PM

Sometimes you have to look back to see how far you've come. An article in Bloomberg Businessweek -- -- 'AIDS Drugs Flow to the Third World' -- reports on new ways HIV/AIDS drugs are being manufactured and distributed in developing countries. It's a remarkable story.

In 2002, antiretroviral (ARV) medicine cost between $10,000 -- $15,000 per person a year. Today, in sub-Saharan Africa, the cost of that same medicine for each person, according to the Global Fund to Fight AIDS, Tuberculosis and Malaria, is around $150 a year, which breaks down to approximately 40 cents a day.

The fact that the medication is only 40 cents a day in developing countries is a stunning accomplishment. Thanks to organizations like the Clinton Foundation, PEPFAR and the Gates Foundation, all of which have worked tirelessly to lower the cost of ARVs, we now have made real progress towards getting the 33 million people (worldwide) who have HIV the medicine they need. In 2002 only 50,000 people in Africa were on ARVs. Today that number is four million. The world is a much better place because of these organizations and initiatives.

Medicine is only one piece of the puzzle. Successful treatment for HIV/AIDS requires education, care, support, food and nutrition, as well as medication. For example, with food and nutritional support, the ARV drugs taken to treat HIV/AIDS, are likely to be significantly more effective. And programs to provide treatment and care go hand in hand with prevention.

At (RED) one of our key objectives is to communicate the message that AIDS is preventable and treatable. We produced a documentary that aired on HBO, Channel 4 (in the UK) and on YouTube titled 'The Lazarus Effect' to show that if people with HIV/AIDS can get access to the medicine they need, they can regain their health and live a productive life. We also created a Public Service Ad campaign to support the film that highlighted the affordability of anti-retroviral medicine.

ARVs are just one aspect of this complex issue, so why did we concentrate on showcasing its affordability? To quote my friend and colleague, Michel Kazatchkine, Executive Director, the Global Fund: "It is true that many factors are important in ensuring that people are able to live healthy lives despite an HIV infection, including good nutrition and proper care. But the one that has revolutionized the fight against AIDS is the reduction in the price of antiretroviral drugs."

2010 is a critical year. There already have been a couple of breakthroughs. In March, the Global Fund, announced that the elimination of mother to child transmission of HIV/AIDS by 2015 is within reach. For the first time since the AIDS epidemic began in the 1980s, it is possible to imagine an AIDS-free generation. At last month's International AIDS Conference in Vienna, Salim Abdool Karim announced that a new vaginal gel reduced the risk of sexual transmission of HIV to women. This is an important breakthrough.

In September, the United Nations will meet to discuss the Millennium Development Goals. In October, the Global Fund seeks replenishment funding for its programs. We are, truly, at a turning point. It will take the collective power of governments, foundations, NGOs and the private sector to keep this global effort alive. (RED) and the global brands with whom we partner remain committed to amplifying the urgency of the effort and the moral power of its success.

You can watch 'The Lazarus Effect' on YouTube.

 
 
 
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01:40 PM on 08/10/2010
I would Like to see Susan Ellis add housing to her list of supports necessary to successful treatment of HIV/AIDS worldwide. More and more data is emerging every month proving that housing is the determining factor in people's ability to access healthcare and achieve the daily stability they need to remain healthy and avoid passing HIV onto others. People interested in finding out more should visit the National AIDS Housing Coalition website www.nationalAIDShousing.org, and in particular the Ford foundation-funde report " More Than Just a Roof Over My Head.“
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Dynamohum
08:38 AM on 08/09/2010
We now have 3000+ people on HIV Drug assistance waiting lists in the United States! The reason the drugs are $150 in Africa is because AMERICANS ARE PAYING FOR IT in the cost of HIV medications here in the US. Several Americans have died recently because of these WAITING LISTS.

I am really losing patience with this whole cure the world thing. We cannot help others until we help ourselves first! SIMPLE LAW OF NATURE. So with budgets being cut in the United States you can bet that one of the first casualties will be funding for various disability groups.

There is a MISCONCEPTION that once a person takes these drugs that they can live a NORMAL life. THIS IS AN UNTRUTH. After about 5-7 years on these drugs they begin to affect KEY functions of different organs in the body. Heart attacks, strokes, broken bones, neuropathy, neurologic decline, dementia, kidney toxicity (dialisys), liver toxicity (transplants) and a list as long as my arm. Lazarus effect only for a SHORT time.

Until we own up to the truth of this situation we won't fully solve it.
11:20 AM on 08/24/2010
Maybe your governmentt could use the TRIPS agreement to manufacture generics? After all it does use these for manufacturing parts of F16 fighter jet.
Oh but wait! Who is going to pay for the electoral campaign of your politicians if the Big Pharma does not make its bucks?
10:51 PM on 08/08/2010
I am all for combatting HIV in Africa.

However, there is a huge movement in the medical community to do thousands of adult male circumcisions as part of the battle against AIDS in Africa. This is based upon very faulty studies. Utterly reprehensible and disgusting... The Gates foundation is helping to fund this sick operation!
01:25 AM on 08/09/2010
These were well conducted studies with a clear and consistent large effect. Why would you try to criticize the methods just because you don't approve of circumcision? Circumcision is perhaps our most effective tool yet as once administered its adherence is obviously 100% - even the recent microbicide can't offer that. And also, none of these three trials were funded by Gates so please get your facts correct.
02:34 AM on 08/09/2010
This is quoted from another blog:
There are still six African countries where men are *more* likely to be HIV+ if they've been circumcised: Cameroon, Ghana, Lesotho, Malawi, Rwanda, and Swaziland. Eg in Malawi, the HIV rate is 13.2% among circumcised men, but only 9.5% among intact men. In Rwanda, the HIV rate is 3.5% among circumcised men, but only 2.1% among intact men. If circumcision really worked against AIDS, this just wouldn't happen.
10:31 PM on 08/08/2010
i have asked Huffington to ask their MD s who write blogs to adress this matter of the solution and prevention of epidemics and infections being available allready for many years from the field of integrative medicine which includes Maharishi Ayur Veda [ based on actual texbooks e.g. Charaka samhita, Sushruti samhita ], traditional chinese medicine [ 3300 TCM hospitals in china according to Vice Premier ] , master herbalism degree doctors etc

i hope i havnt offended practitioners of alternative medicine [ traditional medicine TM according to WHO still needed by 70% of th eworld's people] when i state that they are a minority who have been badly discriminated against and even hated on by doctors advising Clinton , gates, lewis and governments

i hope i am wrong about this
01:28 AM on 08/09/2010
All a big hoax--all meant to rake in big bucks by Big Pharma while using Africans a s guinea pigs. The mantra is now: Geld and African and you stop AIDS. All pathetic BS.
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Giverny
Truthiness
05:40 PM on 08/09/2010
Uhm, that's not exactly what geld means.
11:18 AM on 08/09/2010
The reason nobody takes these systems seriously in the West is that when you read the theories on which they are founded they make absolutely no sense. They discuss things like "elements" and "forces," things we know to be completely inaccurate descriptions of the functioning of human physiology. They have no scientific merit. You may as well believe in magic medicine. The cures and practices are often sound actually, but the mechanisms of disease are a throwback to the middle ages and "humours." Can you blame a physician with an advanced education in the discipline of physiology for not taking someone who comes from a field that considers demonic possession totally seriously? Even if the treatments are about right the fundamental beliefs guiding the system make no sense.

Unfortunately, I have to agree with you to an extent. While these systems are completely unsound from a medical perspective if people followed some of the common sense instructions of these systems, such as diet, they would do better in some cases. The suggestions are not harmful and for whatever reason people don't like to follow the advice of MDs. If people follow the instructions of these practitioners they will probably benefit, but for AIDS there is no way you should consider dropping HAART for some unproven herbal cure.
10:31 PM on 08/08/2010
it would be nice for RED and the orgs mentioned above to lose their aversion or whatever the right word to the professionals in alternative medicine who collectively have possessed the remedies for decades for centuries actually they merely need to be tested proven in demonstration projects in AIDS clinics

simply put known Herbal remedies need to be tested [ along with the above mentioned organic food [ nutritional supplementation ] etc [+ panchakarma and purification or detoxification protocols ] which is standard with doctors of Naturopathy and Ayur Veda etc ]

it will be proven that it was prejudice in the mainstream MD community e.g. the MDs advising Bill gates , against even testing and researching known herbal remedies [and vitamin C foundation protocol , Silver ion hydrosol etc ] in AIDS clinics or university studies which caused the infection to go viral [ pardon the pun]

e.g.Johns Hopkins U. found that the herb Larrea tridentata kills HIV in vitro

Spirulina Platensis kills HIV-1 and has been a traditonal food supplement in Africa

part of this is the destruction or marginalizing of local traditional knowledge for use of wildcrafted or cultured herbs and spices with medicinal properties which very importantly are an income to local farmers or peasants

i
11:33 AM on 08/24/2010
Bleach kills HIV in vitro. Wanna try in vivo?
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HUFFPOST COMMUNITY MODERATOR
Livin in Spin
Corporate Fat Cat is keepin teh bonus
08:47 PM on 08/08/2010
This is spot on. The new advances are only the end of round one - we have AIDS on the ropes, but we can't let up!
06:33 PM on 08/07/2010
It seems that the prices of HIV/AIDS antiretroviral drugs vary considerably; depending on where you live.
In sub-Saharan Africa the cost is now $150.00 a year according to the Global Fund but in Vancouver, Canada, where I live, the cost of my HIV/AIDS medications is much, much, higher. The actual price is on my HIV/AIDS medications. A one month supply, 120 tablets of Kaletra ( Lopinavir/Ritonavir ) cost $1887.52 and a one month supply, 30 tablets of Truvada is $2254.50. A year, this amounts to a much higher cost than the $10,000 - $15,000 a year reported in this article.

Why the difference in the cost of HIV/AIDS medications from one country to the next? If the costs can come down to $40.00 a day in developing countries; why the vast difference in the cost for my medications? Seems to me that the prices of HIV/AIDS medications are still way to high!

Bradford McIntyre, HIV+ since 1984
Vancouver, Canada
www.PositivelyPositive.ca
schatsie
Wall Street is Worse than Vegas
08:27 PM on 08/08/2010
thank you! and this totally ignores the fact that more people are dying in the US from MRSA than AIDs.....
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HUFFPOST SUPER USER
Dynamohum
08:41 AM on 08/09/2010
Well aren't you the compassionate one.......NOT.........
10:06 PM on 08/08/2010
I suspect the pharmaceutical industry has an algorithm which it uses to determine pricing policies in different areas of the world: "what's the maximum amount of money people will be able to be pay for life saving drugs --through work, theft, debt, prostitution, etc -- before choosing to commit suicide."

They then set price of said life-saving drugs at once cent below suicide rate.
schatsie
Wall Street is Worse than Vegas
10:21 PM on 08/09/2010
Exactly....
04:13 PM on 08/07/2010
When I read about the cost of ARV treatment being as low as 40cents a day (or roughtly $150 a YEAR, as pointed out in the article) because of cooperation with PEPFAR and such im truly happy for these people. However, it disturbs me that every month people like myself go down to our local pharmacy and every month to see the those same meds ring up at around $2000. It's a remarkable $150/year in Africa and India; $24,000/year in the US. No difference, same medications, made in the same plants by the same company; it makes you wonder how they set their prices. Of course for people who cant afford that highway robbery there is a dwindling government support (in some states), which means this outrageous cost is being picked up by you the US tax payer.
schatsie
Wall Street is Worse than Vegas
08:28 PM on 08/08/2010
Sarcasm here,,,,,You must realize that AIDS is a chronic condition caused by your lifestyle if you are gay and caused by your lifestyle if you are straight....get the message, sex is only for the chosen few......not us bottom 80%.....
01:25 AM on 08/09/2010
After 25 years the scientists who are a bit more intelligent than the rest have realized that the AIDS thing is a big hoax--all geared to making big money forever.