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CDC HIV/STD/TB Prevention News Update

Wednesday, November 17, 1999
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.

Peer-Review Headlines

General Meadia


Peer-Review Headlines

Structure of an E6AP-UbcH7 Complex: Insights Into Ubiquitination by the E2-E3 Enzyme Cascade

Science (11/12/99) Vol. 286, No. 5443, P. 1321; Huang, Lan; Kinnucan, Elspeth; Wang, Guangli; et al.
The E6AP ubiquitin-protein ligase is important in the processes by which the human papillomavirus breaks down the p53 tumor suppressor in cervical cancer. In addition, a flawed version of the ligase is believed to be involved in the neurological disorder Angelman syndrome. Scientists probing the crystal structure of the catalytic hect domain say the E6AP shows a bilobal structure that has a broad catalytic cleft at the intersection of the two lobes. Also found in the cleft is conserved residue that, when mutated, impacts the ubiquitin-thioester bond formation and marks the location of Angelman syndrome mutations.


General Media

South Africa Says Can't Afford Anti-AIDS Drug AZT

Fox News Online (11/16/99)
South African Health Minister Manto Tshabalala-Msimang said Tuesday that the government would need to spend $47 billion a year to provide AZT to the country's estimated 4 million HIV and AIDS patients. Tshabalala-Msimang noted that even if a review by the Medicines Control Council concludes that AZT is effective, South Africa could not afford to sponsor an AZT program. Opposition parties critical of the comments asked the government to review its policies on AZT. Glaxo-Wellcome, the manufacturer of AZT, has offered South Africa a 70 percent discount on the price of the drug.

City Is Faulted on Housing of Homeless AIDS Patients

New York Times (11/17/99) P. A25; Kelley, Tina
A New York State Supreme Court justice has ordered New York City to comply with its regulation to provide emergency housing for homeless people with AIDS on the day they request it. While city law mandates that people with AIDS receive medically appropriate housing, hundreds of people were forced to live on the streets or with friends when the city could not provide them with shelter. The city will appeal Justice Goodman's decision.

Gay and Lesbian Charities Look to Life Beyond AIDS

New York Times--Giving Supplement (11/17/99) P. E7; Stamler, Bernard
Tim Gill is the openly gay founder of Quark Inc., and he is a passionate philanthropist who gives up to 40 percent of his company's $4 million in annual donations to AIDS-related causes. David Bohnett of GeoCities also has his own foundation, based in Los Angeles, which helps support gay and lesbian centers and advocacy. AIDS, however, does not loom as heavily as it once did. Gay and lesbian charities have shown that they want to move beyond AIDS and become part of the varied philanthropic community. The budgets of gay and lesbian charities and social services now total about $100 million, a huge step since fundraising for AIDS began years ago. AIDS charities still receive immense donations, but many groups are seeing a drop in numbers. Some believe the use of antiviral drugs may be falsely signaling donors that AIDS research no longer needs funding, while others cite donor fatigue as a reason for the reduced donations.

Botswana President Says AIDS Crisis Deepens

Reuters (11/17/99); Baxter, Barry
Botswana President Festus Mogae told parliament Tuesday that the AIDS crisis was hurting the country's economy and affecting attempts at development. With one of the highest rates of HIV infection worldwide, Botswana needs more funding for AIDS programs. Mogae noted that the educated and young labor force was hardest hit by the virus, adding that attitudes toward sex in Botswana made it difficult to promote AIDS awareness and change behaviors. He also called for a removal of sexual taboos and a change in sexual lifestyles and attitudes throughout the nation.

African Leaders Should Raise AIDS Alarm, Says Uganda President

"African Leaders Should Raise AIDS Alarm, Says Uganda President" CNN Interactive Online (11/16/99)
The president of Uganda, Yoweri Museveni, has called on other African leaders to follow his lead in attacking AIDS and stopping the deadly pandemic in Africa. Museveni has helped slow the rate of new infections in Uganda through his political leadership. AIDS experts at the Commonwealth Summit, which concluded Monday in South Africa, showed disappointment that leaders of the 54-nation group listed the fight against AIDS as only the 55th item near the end of their communique. "What we feel is that having it in this way is not showing a real commitment by the heads of government themselves and that is what we want," explained Marianne Haslegrave of the Commonwealth Medical Association.

Identifying HIV Cases by Name Has Little Impact on Treatment

Reuters Health Information Services (11/16/99)
A recent report in the Annals of Internal Medicine has found that keeping records of people infected with HIV by name does not help or hinder treatment, and it does not improve contact notification. Name-based HIV infection surveillance has been implemented in 31 states, but it is a controversial topic. Dr. Dennis Osmond of the University of California at San Francisco and colleagues studied about 400 AIDS patients who were tested in five states with name-based HIV surveillance and found no evidence that name-tracking swayed timely medical care to either side. The researchers concluded that both the negative and positive effects of name-based HIV surveillance may have been overstated by competing advocates.

Validation Studies Begin for New Test to Detect HIV Reservoir

Reuters Health Information Services (11/16/99)
ChromaVision Medical Systems and the University of California at Los Angles (UCLA) School of Medicine will collaborate on studies of a new test designed to detect and quantify the HIV reservoir in people infected with the virus. UCLA's Dr. Kathie Grovit-Ferbas will be the primary researcher of the validation studies involving the Automated Cellular Imaging System (ACIS). Researchers at UCLA also plan to assess the efficacy of ACIS in detecting cytomegalovirus.

More Intestinal Diseases and Colds Among Migrants

Itar Wire Service (11/16/99); Bazhenova, Anna
Migrants from Chechnya staying in Ingushetia are dealing with spreading infectious diseases. Up to 1,344 people are ill, including 955 children, as the cold weather sets in. Vaccinations are being offered in three districts of Ingushetia, with nearly 500 children receiving shots against tuberculosis (TB) and more than 700 being vaccinated against measles. The migrants continue to be screened for TB.

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