"India: Disquiet About AIDS Control" CDC Daily UpdateImportant note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

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"India: Disquiet About AIDS Control"

Lancet (12/19-26/92) Vol. 340, No. 8834/8835, P. 1533
Mangla, Bhupesh


Abstract: The Indian Ministry of Health and Family Welfare has provided about $100 million for the National AIDS Control (NACO) project in the Eighth Five-Year (1992-97) plan for health. The amount comprises more than 15 percent of the nation's health budget, putting AIDS second only to malaria, for which a little more than 19 percent has been allotted. The majority of the sum for AIDS control is a loan from the World Bank. WHO is allocating $1.5 million by way of technical expertise. The National AIDS Control Organization, created in August to implement the control program, supports unlinked anonymous testing over mandatory testing. However, the medical community, which is fearful of nosocomial spread of infection, is divided on this issue. Also, the safety of the blood supply in India is questionable. Since 1989, when antibodies to HIV were found in some indigenously produced blood products, attempts to prevent contamination of blood have occurred. But earlier this year at a meeting convened by India's Prime Minister, plans for the AIDS control programs contained no mention of the safety of blood and blood products. The plans were resubmitted for review. Now, NACO has allocated $30 million for blood safety. Because the cost of testing by ELISA is less than $1 per sample, the sum should be sufficient to screen all the 2 million units collected each year. Yet NACO says that it cannot be responsible for the practice in commercial blood banks, which supply 29 percent of the blood collected in the country.


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