AIDS winning fight, UN says

LONDON – The world is losing the race against the AIDS virus, which last year infected a record 5 million people and killed 3 million, the United Nations reported Tuesday.

The virus has now pushed deep into Eastern Europe and Asia, and tackling it will be more expensive than previously believed, according to the most accurate picture to date of the global status of HIV infections.

The number of people living with HIV has risen in every region. UNAIDS chief Dr. Peter Piot said the deaths and infections were a testament to the world’s failure to get prevention and treatment to those who need it.

Nine out of 10 people who urgently need treatment are not getting it, and prevention is only reaching one in five at risk, the report said.

The AIDS epidemic is now entering its globalization phase, Piot said at the launch of the U.N. AIDS agency’s report, which is compiled every two years and released ahead of the International AIDS Conference, which begins this weekend in Bangkok, Thailand.

“AIDS is truly a disease of our globalized world. Whereas until recently AIDS was largely a problem for sub-Saharan Africa, one out of every four new infections is occurring in Asia today, and the fastest growing epidemic is happening in Eastern Europe,” Piot said. “The virus is running faster than all of us.”

In revised estimates based on improved information, the report says about 38 million people are infected. Until now, experts had put the ranks of the HIV afflicted at 40 million.

Although there have been successes and money is starting to flow, the cost of tackling the pandemic has risen. Two years ago, the United Nations predicted that $10 billion a year would be needed by 2005. Now that figure is $12 billion because of the cost of delaying action and because the planned campaign is now more comprehensive than it has ever been, said Piot.

Less than half that money has been set aside so far.

Among the reported successes, many countries – including Brazil, Uganda and Thailand – have reduced HIV infections; prices for medicines have dropped dramatically; money is beginning to flow in for the global effort; more politicians are showing commitment to the fight; and medicines are becoming increasingly available in poor countries.

Among the major challenges are improving the plight of women; keeping health workers in the developing world; tackling the stigma surrounding the disease; and looking after children orphaned by it. In some places, the size of the health workforce needs to quadruple, the report found.

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