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CDC HIV/STD/TB Prevention News Update

Wednesday, February 23, 2000
The CDC National Center for HIV, STD, and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases, and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Peer-Review Headlines

General Meadia


Peer-Review Headlines

Vaccine Studies Stymied by Shortage of Animals

Science (02/11/00) Vol. 287, No. 5455, P. 959; Cohen, Jon
The New England Regional Primate Research Center, which studies SIV, must wait two to six months to gather enough rhesus macaques to use in experiments. A growing demand that outweighs the supply of these monkeys has AIDS researchers worried that scientific progress is being hindered. The Indian rhesus macaque has shown to be the best monkey to use in research regarding AIDS because, when infected with SIV, it develops a disease very similar to human AIDS. However, macaque supplies are restricted because many of the animals have pathogens, are too young, or have chronic infections; rhesus macaques are also being increasingly used for malaria, reproductive biology, and other kinds of research. At the National Institutes of Health (NIH), Office of AIDS Research director Neal Nathanson explained that the lack of supply falls under the National Center for Research Resources (NCRR) branch. Jerry Robinson of the NCRR's regional primate center says he knows there is a crisis, but he cannot determine how many primates are available for research, since some animals are kept aside for breeding or behavioral study. Scientists prefer certain monkeys as well, ones that are specific pathogen free (SPF). Breeding of SPF animals has not helped the crisis, as prices have risen to $5,000 per animal, beyond the per capita price of most NIH-funded budgets. AIDS researchers must also find females of breeding age to help in studies of the AIDS vaccine; however, breeding colonies are not being built and money is needed to build actual structures to house the monkeys.


General Media

Across the USA: Connecticut

USA Today (02/23/00) P. 14A
The Connecticut Supreme Court has ruled that a woman who contracted HIV during a blood transfusion can sue Danbury Hospital. A lower court had thrown out the 1996 case in which Roberta Sherwood had alleged the hospital was negligent, 11 years after she was infected with HIV during back surgery.

WHO Announces New HIV Vaccine Initiative

Reuters Health Information Services (02/22/00)
A new HIV vaccine initiative by the World Health Organization and the Joint United Nations Program on HIV/AIDS aims to provide common ground for collaboration on vaccine research, according to Dr. Jose Esparza, coordinator of the program. The initiative will focus on increasing research capacity in developing countries and will coordinate efforts being done to develop various HIV subtype vaccines. Financial incentives will continue to play a role in the making of the vaccine.

Call for Urgent Action on Drugs, Vaccines for Poor Nations

Reuters Health Information Services (02/22/00)
A meeting that featured health experts from various world organizations took place over the weekend to discuss global health problems and possible solutions. The Institute for Global Health highlighted the need to improve drug and vaccine development, making treatments more affordable for developing countries. Dr. Richard Feachem, director of the San Francisco Institute for Global Health, said there is a 10-year delay between vaccine/drug development and subsequent delivery to poorer countries. The experts noted the increasing resistance of malaria to available drugs as well as the urgent need for an AIDS vaccine and affordable AIDS drugs, which are still years away.

French Surgeon to Pay Patient He Infected With HIV

Reuters (02/22/00)
A French surgeon has been ordered to pay $107,000 to a patient he infected with HIV during surgery. The patient contracted the virus during a total hip replacement in 1992, before the doctor knew he was HIV-positive. The surgeon apparently was infected with HIV in 1983, after operating on a patient who required multiple blood transfusions and whose HIV infection was not then known. This is the second case worldwide to find a doctor guilty of transmitting HIV to a patient.

Drug Injection Centers Said Illegal

"Drug Injection Centers Said Illegal" Las Vegas Sun Online (02/23/00)
United Nations experts have warned governments that by approving drug injection centers for addicts who receive clean needles and shoot up there, they are in danger of breaking international law. "Shooting galleries" in some parts of Europe are considered to aid in drug trafficking and are seen as the first step in legalizing narcotics, according to the International Narcotics Control Board; the efforts were initiated as a way to get addicts of the streets and to reduce transmission of infectious diseases, including HIV. The Vienna-based board called for better access by developing nations to pain killers, which are too expensive in many countries. Opium-based drugs are used mostly in wealthy nations; however, they are not reaching those in pain from cancer or other diseases in developing nations. The board noted that the industrialized world is seeing an overmedication problem with amphetamines and sedatives, and also reported that more young people are using marijuana in France and Switzerland.

State Gets Mixed Health Report

Birmingham News Online (02/17/00); Sznajderman, Michael
Alabama has made progress in reducing infant mortality rates, deaths due to heart disease, cancer, and stroke, but the state saw increases in cigarette smoking and alcohol abuse during the 1990s. Healthy Alabama 2000, a 10-year project begun in 1991, set 85 goals and met 31 of them, with the trend positive in another 32 measures. The report noted that cases of AIDS and sexually transmitted diseases are falling in the state, and childhood immunization rates are rising. The study shows overall positive results, with 15 areas--including teen smoking and obesity--lacking progress. State Health Officer Don Williamson spoke of the success of the Children's Health Insurance Program, which provides healthcare to lower-income children. He also stated that the immunization rates for children rose to 87 percent in 1998, after being at 50 percent in 1991. Lower income, shorter lifespans, and lack of health service in rural areas are all factors in the state's health trends.

Hundreds Could Have Been Exposed to HIV, Hepatitis C Through Unclean Hospital Equipment

"Hundreds Could Have Been Exposed to HIV, Hepatitis C Through Unclean Hospital Equipment" CNews Online (02/22/00)
A hospital in Halifax, Nova Scotia, has sent letters to 277 patients warning them they may have been exposed to HIV or hepatitis C through endoscopes that were not properly cleaned. The letters tell patients there is no need for testing because the chance for contracting the diseases "is extremely low ... one in a million." The machine cleaning the endoscopes was malfunctioning in December, and if a virus were transferred to the scope, it could remain there until it was cleaned properly. According to a report on the CTV affiliate for Atlantic Canada, the letters were mailed last week, almost two months after the Queen Elizabeth II Health Science Center learned of the cleaning machine's malfunction.

Government to Step Up AIDS Awareness Campaign

"Government to Step Up AIDS Awareness Campaign" Comtex Online (02/22/00)
In preparation for Carnaval, Brazilian health officials are launching an AIDS awareness campaign with the message, "Preventing AIDS is easy--Acquiring AIDS is also easy." The effort will feature radio and television spots, and the slogan will be put on posters in Brazil's larger cities starting this week. The Brazilian government also plans to distribute 9.6 million condoms free of charge.

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