Tag Archives: AIDS

Advocacy day trip to an AIDS vaccine lab, as described one who was there

Today’s blog comes from Mark Pointer of our Norwich group, who joined us on out advocacy day trip to a working AIDS vaccine lab.

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Dr Bergin speaks to the group

On the last day of our National Conference, we spent a very enjoyable and informative morning at the Chelsea & Westminster Hospital, as we visited the prestigious Human Immunology Laboratory (HIL).

The HIL is the International AIDS Vaccine Initiative`s flagship laboratory where it performs its own AIDS vaccine research as well as coordinating research for other IAVI labs around the world. IAVI is a global, not-for-profit, public-private product-development partnership working with organizations in countries worldwide to help to develop an affordable AIDS vaccine through research and development, effective clinical trials, education initiatives, policy analysis and advocacy.

We were greeted by Dr Philip Bergin and Dr Emmanuel Cormier, who explained

Dr Bergin shows us the £250,000 multi-laser flow cytometer

Dr Bergin shows us the £250,000 multi-laser flow cytometer

their AIDS research work to date and how HIL serves as a hub for IAVI’s vaccine development partnerships. The HIL team, consisting of 18 research scientists and technicians play a pivotal role in AIDS vaccine development in low and middle income countries. Partners include the Kenya AIDS Vaccine Initiative, Rwanda’s Project San Francisco, the Uganda Virus Research Institute, the Indian Council of Medical Research and the Zambia–Emory HIV Research Project. In some countries where IAVI is not sponsoring clinical studies, the organization works with partners to support AIDS vaccine research and advocacy efforts

The HIL team also oversees the training in IAVI’s extended network of collaborating clinical research centres  With their support nearly all of the labs in this network have received international accreditation in Good Clinical Laboratory Practices (GCLP), ensuring the standardization of laboratory procedures applied in IAVI-sponsored vaccine trials.

Blood samples!

Blood samples!

Dr Bergin took us on a guided tour of the laboratory, explaining the research which was being carried out in different areas. He told us that one of the main problems of the development an AIDS vaccine is the ability of the HIV virus to mutate before immune system antibodies can neutralize the virus. Also, the cost of developing a vaccine became clear when we were told that just one of the pieces of equipment (multi-laser flow cytometer) cost £250,000!

The laboratory is the central Repository where all the specimens from HIV vaccine trials and epidemiology studies are stored and we were very impressed with the liquid nitrogen pods, in which tens of thousands of 1ml specimen tubes are stored either in -180 C in liquid nitrogen pods (Blood) or in– 80 C freezers (Serum).

During a Q & A session with Dr Bergin and Dr Cormier they explained that DFID is a major funder but IAVI has brought in other UK partners including Oxford University, St.George’s Hospital and Imperial College.

Vaccine research is a long-term and costly investment, but the potential rewards

Our handsome Mr Poitner inspects the samples

Our handsome Mr Poitner inspects the samplesare very much more cost effective compared to the price of continual antiretroviral treatment. Currently investment in AIDS vaccine research stands at £800 million compared to the cost of antiretroviral drugs being £22 billion. However, for every two people put on antiretroviral therapy five become newly infected with HIV.

IAVI’s current donors include the Bill & Melinda Gates Foundation, the Starr Foundation, the governments of Denmark, Ireland, Japan, the Netherlands, New York City, Norway, Spain, Sweden, the United Kingdom and the United States.

Dr Cormier explained that IAVI helps to address the critical gaps in vaccine development by bringing together experience and expertise with ground breaking new early research from academia. In IAVI projected models, if a vaccine can be produced giving 70 % effectiveness against the AIDS virus, it would save 8.9 million lives.

Both doctors have been encouraged by results of a clinical trial in Thailand in 2009 and are hoping that the new development goals feature R & D. They are also hoping that the UK government will understand the value and benefits of a long-term investment into vaccine development.

The HIL is tucked away inside the Chelsea and Westminister Hospital. I work in an NHS laboratory and was not even aware of its existence. Yet, as we walked around the HIL and talked to Drs. Bergin and Cormier it was clear to us that it is carrying out ground breaking work. What a shame its work is not better known and made more visible to potential donors, policy decision makers and the general public. The UK should be very proud of the work these researchers are doing. Just listening to Dr Bergin and Dr Cormier, you can see how passionate and determined they are to maintain the important progress made in IAVI`s research in finding an AIDS vaccine. A vaccine would dramatically transform the lives of millions of people world-wide. It would also reduce the growing need for antiretroviral drugs by stopping AIDS infections taking hold. We sincerely hope that IAVI’s present donors continue to support them are that more donors will come on board to support this vital research.

Tackling TB and HIV/AIDS together is the only way to reach zero deaths!

This Saturday is World Aids Day, an annual recognition of the scale and impact of an epidemic which claims 1.7 million lives annually, last year there were 2.5 million new HIV infections recorded bringing the number of people living with HIV to 34 million globally. Today as global health activists build momentum behind this year’s World Aids Day, and HIV/Aids groups rightly warn the world’s leaders not to lose focus on the end of Aids, leading TB activists add an important footnote – we will never reach the end of Aids unless we also address TB.

An article in today’s Financial Times focussed on the Southern African TB-HIV and mining epidemic notes that of the three main diseases of poverty, TB, HIV/AIDS and Malaria, TB receives the least attention. The article highlights the recent decision by the board of the Global Fund to Fight Aids, TB and Malaria to allocate just 16 per cent of annual funding to TB. In fact, according to Niya Chari in an excellent Huffington Post blog, TB investments have hit ‘an all-time low’. She states that the World Health Organisation has warned of a ‘$3 billion funding short-fall for global tuberculosis control’.

It is this funding gap as well as a lack of coherent policy which means, says Chari, just ’48 per cent of people living with HIV/Aids are actually being tested for TB’. This figure is particularly shocking given that it is a well-known fact that TB is a leading killer of people living with HIV. The Stop TB Partnership, in its World Aids Day message calls for a ‘one stop service’ for HIV and TB care, integrating TB-HIV at every stage of testing, treatment and care.

The UK Consortium on Aids and International Development TB-HIV Working Group sees such integration as imperative. In a policy brief released for World TB Day earlier this year, the Group calls on the UK government to ensure TB-HIV integration is central to its policy and programming. The UK Department for International Development is well aware of the need for integration of TB-HIV, as referenced in its position paper on HIV/Aids in the developing world published last year. In this World Aids Day statement DFID reiterates the need to look at TB prevention and diagnosis as part of an Aids response package.

Arguably, the US Government’s President’s Emergency Plan for AIDS Relief (PEPFAR) goes even further in its ‘Blueprint: Creating an AIDS-free Generation’ released this week, on which the very first step on its road map is to ‘Target HIV-associated tuberculosis (TB) and reduce co-morbidity and mortality’.  Reflecting this commitment the agency’s funding for ‘TB/HIV collaborative activities increased more than 800% over the past five years’.

As the world is warned not to lose focus now on getting to zero deaths from HIV/AIDS, it is absolutely imperative that zero deaths applies for its co-epidemic, TB, a tragic, curable and often forgotten disease which will today claim the lives of 1000 people living with HIV.

Stop Aids Campaign: This World AIDS Day, we’re asking the UK Government, Why Stop Now?

Yesterday the RESULTS team headed down to Parliament to participate in a demonstration alongside activists from the Stop Aids Campaign. The event was a great opporunity to visualise the message of the campaign, as well as attracting media attention ahead of World Aids Day this Saturday, December 1st.

As part of the stunt, activists demonstrated in front of a giant graph showing what would happen if the UK led the way and made sufficient political and financial commitment to the AIDS response. Some campaigners also dressed up as David Cameroon, Justine Greening and Jermey Hunt, holding up banners with phases such as “Pay today save tommorrow” and “We’ve come to far to turn back now!”

To visualise the Campaign’s call for the government  to produce a blueprint that maps out how they will ensure that everyone with HIV/AIDS has access to the treatment and services they need, every activist painted the palms of their hands with blue paint. To back up this message, the chant  “David Cameron – Why Stop Now! David Cameron – Blue Print Now!” was also shouted throughout the demonstration to attract attention from passers-by. As a result, Jack Straw MP, who was outside Parliament for other reasons, came over and spoke with some of the activists. This provided a great opportunity to explain a bit more about the campaign,  and why it is so important for the goverment to act now.

All in all, the event was a huge success! To see more photos from the day, have a look on our Facebook page and twitter account.

This guest blog from Jess from the Stop Aids Campaign explains a bit more about the work the group are doing and how you can get involved.  Have a read!

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New declaration on TB and mining to be signed, Saturday 18th August 2012

Following on from months of discussions on the impact of TB and mining in Southern Africa, leaders from the South African Development Community(SADC), led by health ministers from South Africa, Lesotho and Swaziland, will be signing a declaration tomorrow, Saturday 18 August 2012, in Maputo, Mozambique, designed to drive a regional response to tackling tuberculosis.

Politicians and researchers discuss how to build political will to tackle TB/HIV at Aids conference

Left to right: Jirair Ratevosian, Cathy Jamieson MP, Dr Gavin Churchyard, Dr Richard Horton, Pamela Nash MP

On Tuesday 24th July at the International Aids Society Conference in Washington DC, USA, the APPG on Global Tuberculosis hosted the workshop  ‘Politics of Persuasion:  Empowering and Engaging Elected Representatives to Tackle TB/HIV through Research’ . The session was facilitated by Dr Richard Horton, Editor-in-chief of the Lancet, the world’s leading general medical journal on infectious diseases.

An audience of over 200 heard from guest speakers including Cathy Jamieson MP, member of the APPG on Global Tuberculosis, Pamela Nash MP, chair of the APPG on HIV/AIDS, Jirair Ratevosian, Legislative Director of the Hon Barbara Lee – co-founder of HIV/AIDS Caucus in House of Representatives, US Congress, Gavin Churchyard, CEO of the Arum institute and Jennifer Woolly, Director of Advocacy at Aeras.  The panellists discussed the importance of gaining a clear understanding of how researchers can engage with parliamentarians using scientific evidence to build political support and help drive policy change at the national, regional and international level.

The session highlighted the importance of advocacy as an essential communication tool for both parliamentarians and at the community level to raise awareness of latest developments in research and better understanding their full potential and implications for combating TB and HIV. Panellists discussed and demonstrated through their presentations how researchers, advocates and parliamentarians can work in better synergy with each to address these twinned global epidemics.

Dr Richard Horton

In his opening remarks Dr Horton made a  poignant statement:

“why don’t we take TB more seriously when talking about HIV?  It is the leading killer of people living with HIV, accounting for 1 in 4 deaths, yet it does not get the attention the suffering and loss of life it causes warrants”.

Dr Horton pointed to an article in the Lancet published in 2010 called ‘The HIV-associated tuberculosis epidemic—when will we act?’, which highlighted that despite policies, strategies, and guidelines, the epidemic of HIV-associated tuberculosis continues to rage.  Dr Horton stressed how important engagement with policy makers was to ensure appropriate action was taken to address HIV-TB co-infection.

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Whoopi Goldberg calls on the world to do more to tackle TB-HIV co-infection

Last week, to mark the International Aid’s Society Conference, UNICEF Goodwill Ambassador Whoopi Goldberg posted a message on the Aids 2012 Conference Blog about TB-HIV co-infection. You can read Whoopi’s message in full here.

Whoopi GoldbergTB, or tuberculosis, is the biggest killer of people living with HIV. TB is an infectious disease which travels through spores in the air and is most likely to affect those with a weakened immune system, hence the high prevalence of the disease in those living with HIV.

However, TB is curable and preventable but it’s an often neglected disease which can be difficult to diagnose.

Whoopi explains in her blog how we need to pay more attention to the dual epidemic of TB-HIV in order to properly tackle both diseases and save millions of lives:

“I have heard a lot about the tragedy of AIDS orphans – but not enough about TB orphans. In 2009 there were some 10 million children in the world who had been orphaned by the death of a parent because of TB. TB is most typically a “family” problem. The vast majority of kids who become ill with TB catch it from a close family member before their TB has been diagnosed or treatment has begun. When you realize that, it’s easy to see that you can’t protect children against TB without addressing it within the family and wider community.

“What we need to do now is scale up methods that are already available. In countries heavily affected by HIV and TB, everyone should be offered testing for both diseases. That is not happening in most places now. Any person living with HIV who is diagnosed with TB needs prompt, life-saving TB treatment. If they don’t have TB, they should get life-saving preventive treatment with the drug isoniazid, so they won’t get TB. Needless to say ART should be started early – which also helps prevent TB.

“We also need programmes focused on maternal and child health to start paying attention to the risk of TB. What better place to start the integration of TB and HIV care for women and children than at the same clinics where they receive family planning services, prenatal care, immunizations and other services?

“By following these simple steps, millions of lives could be saved. But we could achieve even more with simpler diagnostic tests, more child-friendly drugs and a new vaccine. Research into these tools must be increased fast.

“The theme of AIDS 2012 is ‘Turning the Tide Together’. I truly hope everyone attending the conference—or reading this blog post – will recognize that to end AIDS we must join together to tackle TB and HIV as one disease. We must act now – for the sake of children and their families everywhere.”

There is a phrase we often in our advocacy work on TB: ‘TB anywhere is TB everywhere’. With an infectious disease such as TB, it’s crucial to ensure that quick, accurate and easy diagnosis is available to everyone and that once diagnosed, people have access to prompt and effective treatment.

RESULTS UK, as a partner of the ACTION Project, will continue to advocate for better diagnosis, treatment and recognition of TB and TB-HIV co-infection until families are no longer torn apart by the devastating disease that is tuberculosis.

Response to David Cameron’s speech at Global Health Policy Summit

RESULTS UK welcomed Prime Minister David Cameron’s speech yesterday at the Global Health Policy Summit and the UK’s commitment to global health and innovative research in the life sciences.

The UK remains one of the top three global funders for neglected disease research and development, and is one of very few countries where funding has risen in recent years. Investment by public, private and philanthropic sectors is vital if we are to reverse the burden of poverty related diseases through new drugs, vaccines and diagnostic tools.

The Prime Minister is right to refer to the UK government as a champion of global health and highlight its status as one of the world’s leading donors to the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) and the Global Alliance for Vaccines and Immunisation (GAVI Alliance). These two organisations have had immense impact since their inception and continue to save millions of lives every year.

In the face of a global recession, we congratulate the UK Government on maintaining its existing commitment to aid, and in particular the Global Fund. At the International Development Select Committee hearing on the Global Fund in May 2012, the UK Government reiterated its commitment to increase its investment in the Global Fund. RESULTS UK waits with anticipation for details on the size of this increase and the timeline for when it will be able to support and expand the Global Fund’s lifesaving work.

Advocacy in Action: the Global Fund protest

Hundreds of protesters took to the stage during last Thursday’s panel discussion on the future of the Global Fund at the International AIDS Conference in Washington.

This video clip shows protesters interrupt the conference with banners and chants of ‘End Aids – No Cuts’. It continues as one activist steps up to the podium to speak out against the Global Fund’s budget cuts and the damage to life that restricting its country grant allocation procedures could have in the future.

The protest party consisted of AIDS activists from ACTION, HealthGAP, Global Fund Advocates Network and Stop AIDS Campaign UK and were joined by representatives from humanitarian medical aid organisations like Medecins sans Frontiers (MSF).

The protesters spoke out against efforts to cap funding for high risk HIV-TB countries and called on Global Fund manager Gabriel Jaramillo and the US Global AIDS Coordinator Dr. Eric Goosby to promise to protect the country-led, demand-driven funding model that has proved so vital to the treatment of HIV and its related illnesses like tuberculosis.

This comes amidst fresh waves of cut backs and increased austerity measures which see the Global Fund cancel its 11th Round of funding applications this year, leaving thousands of projects under-funded and millions of lives at risk.

Click here to find out about the Global Fund and what RESULTS UK is doing to make sure this revolutionary grant model for health provision isn’t undermined.

RESULTS UK – Getting active about Advocacy.

News from Washington: Bold claims from the AIDS 2012 Conference.

This week, over 20,000 delegates from nearly 200 countries are gathered in Washington D.C for the AIDS 2012 International Conference. Now in its 19th biennial session, this is the first time in 22 years that the event is being held in the US, a possible response to Barack Obama’s 2009 lifting of the 25-year-old travel ban preventing HIV-positive people from entering the country.

The conference is being hosted by the International Aids Society (IAS), the world’s leading independent association of HIV professionals with over 14,000 members in 190 countries. Joining them are doctors, scientists, politicians and drug company representatives from around the world as well as AIDS activists, philanthropists and people living with or affected by HIV/AIDS.

HIV has claimed approximately 30 million lives worldwide. The conference has been named “Turning the Tide Together” and reflects the broad advances made against AIDS in recent years.

One of the conference’s key themes was ‘Towards an HIV Cure’, a global scheme launched by an international working group of 300 researchers, scientists and HIV specialists which seeks to prioritise finding a cure for this deadly disease.

“We are trying to inspire people about the possibility that this might happen …. But the realistic part is that we have to do some fundamental basic science first.” commented Dr. Steven Deeks of the AIDS Research Institute at the University of California.

Scientists will be looking closely into why the virus lives in certain cells, how to get the immune system to target these infected tissues and what kind of drugs are needed to get rid of it. However, Dr. Steven warns we are a long way off finding a cure for HIV and that years of research and testing are still needed before we start to see the RESULTS of all this hard work.

Tomorrow, a number of key speakers including Anthony Harries from the International Union against Tuberculosis and Lung Disease, will contribute to the plenary ‘HIV in the Larger Global Health Context’ which targets other life-threatening diseases associated with the HIV epidemic such as TB/HIV co infection.  Of particular interest to RESULTS UK is the call for a joint, global effort against tuberculosis, the leading cause of HIV-related deaths worldwide.

Click this link to read an article written by TB survivors Archbishop Desmond Tutu and Gerry Elsdon about the TB-HIV co-epidemic.

Also taking place in DC this week was the annual RESULTS International Conference, which saw activists come together from around the globe to learn about effective poverty solutions and advocacy training and to use these skills during Monday’s lobby meetings with members of Congress on Capitol Hill.

RESULTS UK attendees were lucky to have the chance to hear talks from inspirational, high-level speakers like Jeff Sachs, Director of The Earth Institute at Columbia University and Raj Shah, Administrator for the United States Agency for International Development (USAID).

Staff will shortly be returning to the UK with full news updates from Washington and we wait with anticipation to hear their favourite moments from the conference.

Watch this space….

The race is ON to stop HIV-AIDS suffering

Exert taken from Kolleen Bouchane’s blog, originally published on 21/07/2012 by Huffington Post.

I was still using colouring books when the first HIV/AIDS activists hit the streets. I knew about Ryan White and the discrimination in the U.S. from misinformation, fear and prejudice, but I had no idea then of the devastation AIDS would cause around the world; the lives it would take, the orphans it would create, the communities it would crush.

I also didn’t know how much I would learn from HIV and AIDS, and from people who live with it. Over the years I’ve had the privilege of meeting and learning from many people who have fought HIV in their own bodies, in their families and in their communities. Many of these people have taken their fight to the streets and to the highest levels of government in their own countries and around the world, creating everything from local support groups, to the revolutionary Global Fund to Fight AIDS, Tuberculosis and Malaria.

On July 24, ACTION will join other activists who will march in the streets of Washington, DC and deliver a call to action. At the top of these demands is a call that the President’s Emergency Plan for AIDS Relief (PEPFAR) reach 6 million people with ART by 2013 and that a plan is advanced that reaches 15 million people globally with ART by 2015.

Ending the suffering from AIDS IS possible in our lifetime. We need only look to the investment in and subsequent development of life-saving treatments and drugs that followed it. But the truth remains that millions will still die from AIDS and other related diseases, like tuberculosis, which kills one in four people living with HIV. They will die not only because they lack the necessary testing and treatment, but because they are being denied access to basic health services.

Last year, the Global Fund to Fight AIDS, Tuberculosis and Malaria was forced to cancel its 11th round of funding, highlighting how quickly progress can stall in the current economic climate. If we don’t act now to stop further cut-backs and compromises, the years of hard work and improvement we have seen in AIDS/HIV treatment will be irrevocably reversed.

This week, thousands will come to the International Aids Conference in DC to call on world leaders to do more. You can show your support by following the event and speaking out for the continued commitment of donor countries to the Global Fund.

Together we can win the race to end AIDS/HIV and TB suffering worldwide.

Saving lives by speaking out.

This blog was written by Kolleen Bouchane, Director of ACTION – a global partnership of advocacy organizations working to influence policy and mobilize resources to fight diseases of poverty and improve access to health services. ACTION’s current focus issues are tuberculosis (TB) — the leading killer of people with HIV/AIDS — and increasing equitable access to childhood vaccines.