
Wall Street Journal - March 26, 2008
Marilyn Chase, marilyn.chase@wsj.com
Addressing an AIDS Vaccine Summit in Bethesda, Md., Anthony S. Fauci, director of the National Institute of Allergy and Infectious Diseases rejected calls to suspend vaccine funding in favor of other testing, treatment and prevention strategies.
After a string of disappointments climaxed by the surprising failure of a leading vaccine candidate by Merck & Co. last fall, Dr. Fauci said Tuesday that it is time to adjust the balance between spending on clinical and basic research back toward fundamental discoveries about the immune system, animal models and innovative vaccine concepts.
NIH's annual AIDS research budget of nearly $3 billion, half of which funds AIDS research at Dr. Fauci's institute, has been flat for the past five years. With inflation, this has meant a loss of 3% purchasing power a year, Dr. Fauci said. With big increases unlikely, the shift back to basics may require moving some resources from the clinic to the lab for now.
"I'm going to keep fighting like crazy for new money," Dr. Fauci said, "and if we can't get it, will work to torque the balance" back to basics.
"The fact is that an HIV vaccine in 2008 eludes our grasp," said Warner Greene, director of the Gladstone Institute of Virology and Immunology, affiliated with the University of California at San Francisco. Researchers do not know what it will take for a vaccine to prevent HIV infection.
But Dr. Fauci rejected a recent call by a Los Angeles-based group called AIDS Healthcare Foundation to redirect vaccine funding into testing and treatment. That stirred consternation in the AIDS community, especially in Africa, where the bulk of the pandemic's 33 million victims live and where "AIDS is not an abstract thing," said vaccine researcher Glenda Gray of the University of Witwatersrand, South Africa. "Any call to halt vaccine funding is like abandoning Africa."
"Tell your colleagues under no circumstances will we discontinue AIDS vaccine research, Dr. Fauci vowed. "We will not cut it."
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