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AIDS Could Be Slowed

The Associated Press - 7 Aug 95
Laura Myers, AP Staff Writer


WASHINGTON (AP) -- The 1990s will be a decade of increasing AIDS deaths, but perhaps also the decade of containment of the disease through global prevention programs, the head of the U.S. government's foreign assistance agency said Monday.

More than 19 million men, women and children worldwide -- including more than 1 million Americans -- are now infected with HIV, the virus that causes AIDS, said J. Brian Atwood, administrator of the U.S. Agency for International Development.

As a result, 300,000 to 600,000 people are expected to die from AIDS this year. AIDS deaths are expected to hit 1.5 million to 3 million by the year 2000, when 10 million children could be orphaned by the disease.

AIDS is now the No. 1 cause of death for Americans aged 25-44.

"These statistics are not someone else's problems," Atwood told a conference of more than 700 AIDS experts sponsored by his agency. "If communities wither and nations fail, all of us will pay."

Atwood said the United States and other countries must make a stronger commitment to pay for AIDS prevention and education programs. The Agency for International Development accounts for more than half of the money spent on such programs worldwide, with a budget of $121 million this year.

"Our rhetoric at international meetings still surpass the tangible actions of our governments," Atwood said. "Fear and ignorance still play too large a role in our national debates."

Patricia Fleming, director of AIDS policy for the White House, said U.S. AIDS funding has increased 40 percent since President Clinton took office. And the House recently agreed to boost funding for the National Institute of Health's office that deals with the disease.

Additionally, scientists are making progress in preventing AIDS infection of unborn babies and in developing better anti-viral drugs, she said.

"There is reason for hope," said Fleming. "I know we can prevail because we must."

Undersecretary of State Timothy Wirth said dislocations of poor and increasingly unhealthy populations threatens to worsen the AIDS epidemic.

"AIDS is not likely to run its course and subside," he told a State Department briefing. "Without better response strategies, without massive behavioral changes, we're going to continue to see a multiplication of AIDS infections. And we are seeing that around the world."

But Atwood said the tide could turn.

"If the 1990s are the decade of AIDS mortality, they can also be the decade of containment, the high-water mark for the HIV epidemic, the beginning of the end of this epidemic," he said.

Already, in Thailand, increased condom use and availability of anti-viral drugs have resulted in a 79 percent decrease in reported sexually transmitted diseases since 1989, he said. He also cited increased condom use in at-risk countries such as Ethiopia and Kenya, where such protection is credited with preventing an estimated 110,000 HIV infections since 1989.

Eustace Muhondwa, an AIDS expert at Dar es Salaam University in Tanzania, said the epidemic spread unchecked in Africa because political leaders and scientists denied it was a problem during the 1980s.

Widespread social change is needed to combat HIV infection in sub-Saharan Africa, where many cultures reward men who have several wives or sexual partners, he said.

Copyright 1995/The Associated Press. Reproduced with permission. Reproduction of this article (other than one copy for personal reference) must be cleared through the Permissions Desk, The Associated Press, 50 Rockefeller Plaza, New York, NY 10020.


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Copyright © 1995 - Associated Press. Reproduction of this article (other than one copy for personal reference) must be cleared through the AP Permissions Desk.

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