The Monday Press

July 2024 

HIV Prevention News Around The Globe

Most new HIV infections occurred outside sub-Saharan Africa for first time – UN report

The majority of new HIV infections last year occurred in countries outside sub-Saharan Africa for the first time.

African countries have made swift progress in tackling the virus, with the number of infections in sub-Saharan Africa 56% lower than in 2010, a new report from UNAids said. Globally, infections have fallen by 39% over the same period.

“For the first time in the history of the HIV pandemic, more new infections are occurring outside sub-Saharan Africa than in sub-Saharan Africa. This reflects both the prevention achievements in much of sub-Saharan Africa and the lack of comparable progress in the rest of the world,” said the report, which found case numbers were rising in eastern Europe and central Asia, Latin America, the Middle East and north Africa.

UNAids said the world is “at a crossroads” in efforts to tackle the virus, with action this year key to success. A backlash against human rights in many countries is making it harder for marginalised groups to access care, said Winnie Byanyima, executive director of UNAids.

You can read more about the article here

New HIV preventive strategy sparks excitement and protests - at AIDS conference

A new way to prevent HIV infection is generating great buzz -- and more than a bit of controversy -- at this week’s AIDS 2024 Conference in Munich. The treatment consists of a twice-yearly injection of a drug called lenacapavir.

Early trial results were released in June and generated great excitement, indicating 100% efficacy. On Wednesday, July 24, the full peer-reviewed results were released at the AIDS 2024 conference, confirming the preliminary data. The trial was sponsored by Gilead Sciences, the California-based maker of the drug. This treatment offers an alternative to the current standard of core for HIV prevention efforts for over a decade: taking a pill like Truvada every day.

In clinical trials, this type of preventive drug, called pre-exposure prophylaxis (PrEP), can be 99% effective in stopping new HIV infections from sex. In the real world, however, that is not always the case. People don’t always take their pills. In a study in South Africa, women said they felt there was a stigma to the pill -- a sexual partner might assume they’re taking it because they already have HIV or because they have other partners. The new trial results, released on Wednesday, point the way to a new preventive strategy.

In a double-blind, randomized study of 5,300 cisgender women in South Africa and Uganda, 2,134 got the injection and the others took one of two types of daily PrEP pills. The trial began in August 2021 and, so far, not a single woman who received the injections has contracted HIV. The participants who received either of the oral PrEP options, Truvada and Descovy, had infection rates of about 2% -- consistent with the infection rates of oral PrEP in other clinical trials.

You can read more about the trial here

Humanity is closer to stopping HIV, and the biggest obstacle is the price of the drug that will do it

Lenacapavir, an antiviral drug already approved as a treatment that costs $40,000 in the US, prevented 100% of infections in a study on African women with just two injections a year. UNAIDS is asking the drugmaker Gilead to reduce the cost in order to make it more widely available

Four decades after the emergence of the human immunodeficiency virus (HIV), humankind is closer to having the tool to put an end to an epidemic that has caused 40 million deaths and incalculable suffering. Lenacapavir, an antiviral drug from the pharmaceutical company Gilead that has already been approved as a treatment of HIV infection in adults, has been shown to be able to prevent 100% of new infections in women if used preventively with a simple administration route: two subcutaneous injections per year.

The Phase 3 trial data was presented on Wednesday at the International AIDS Society (IAS) Conference, which is being held these days in Munich (Germany) and published in The New England Journal of Medicine. It is not a vaccine, but it is very similar. And it was astonishingly effective in a study among cisgender women (women assigned female at birth) in Africa. New trials are now investigating whether the molecule, as expected, will achieve the same results in other groups.

You can read more about the article here

New ‘vaccine-like’ HIV drug hailed as game-changer could cost just R734

A new "vaccine-like" HIV drug that currently costs over R734 000 per person a year could be made for as little as R734, researchers estimated on Tuesday.

The antiretroviral drug Lenacapavir, developed by US pharmaceutical giant Gilead, has been hailed as a potential game-changer in the fight against HIV. Early trials have found the treatment is 100 percent effective in preventing HIV infection. And it only needs to be injected twice a year, making the drug far easier to administer than current regimens requiring daily pills.

"It's like having a vaccine basically," Andrew Hill, a researcher at the UK's Liverpool University, told AFP. The treatment currently costs patients over $40,000 (R 734 000) a year in a range of countries including the United States, France, Norway and Australia. New research, which Hill presented at the International AIDS Conference in Munich on Tuesday, looked into how much the cost of making the drug could come down if Gilead allowed for cheaper generic versions to be manufactured.

A year's worth of the drug could be made for as little as $40 (R734) - 1,000 times less than the current price - according to the research, which has not been peer reviewed.

You can read more about the article here

Achieving the 10-10-10 HIV targets by 2025

Around the world countries are taking powerful steps to protect people’s rights, dignity, and health. Dominica and Namibia became the most recent to decriminalize same-sex relations. South Africa made strides towards decriminalizing sex work. Japan’s Supreme Court ruled that compulsory sterilization for transgender people is unconstitutional, and for the first time the essential role of harm reduction was recognized in a UN resolution on narcotic drugs.

These achievements all contribute to the landmark 10-10-10 HIV targets, adopted by countries in the 2021 Political Declaration on HIV and AIDS, to reduce new infections and tackle criminalization, stigma and discrimination and gender inequality, issues especially critical for people living with HIV and key populations, including sex workers, men who have sex with men, transgender people, people who inject drugs, and the incarcerated.

Yet, for every heartening step toward justice, setbacks and barriers remain. In the last three months alone, Georgia’s parliament moved to curb LGBTIQ+ rights, Iraq criminalized same-sex relationships, countries in Eastern Europe and Central Asia have signed into law sweeping restrictions on civil society and the Malawi courts upheld a ban on same-sex conduct.

You can read more about the article here

7th Person Cured of HIV in 40-Year AIDS History

In a rare medical achievement, a German man has become only the seventh person in the 40-year history of AIDS to be fully cured of HIV.

The 60-year-old German, who wants to remain anonymous, completely recovered after receiving a stem transplant, the doctors have said. The man underwent the risky and painful procedure which is performed only on those who have both HIV and acute myeloid leukemia, or AML. The person started receiving the stem cell transplant in October 2015 and stopped taking his antiretroviral medicines in September 2018.

Since then, he remained on viral remission with no rebound as confirmed by multiple ultra-sensitive tests that found no viable HIV in his body. “A healthy person has many wishes, a sick person only one,” the man reflected on his HIV-free status. The findings of the case will be presented at the 25th International AIDS Conference in Munich by Dr. Christian Gaebler, a physician-scientist at the Charité-Universitätsmedizin Berlin.

You can read more about the findings here

Opportunities

International Climate and Health Africa Conference

“The CHAC 2024 issues a Call for abstracts or case studies inviting researchers, scholars, and practitioners to contribute oral and poster presentations on a diverse range of topics related to climate change and related environmental factors on human health. Abstracts should present original research, studies, or reviews that contribute to the understanding of health impacts associated with climate change.

Submissions should align to the following scientific themes:

Scientific Themes:

Track A: Pathophysiology and biological mechanisms

Track B: Health impacts and epidemiology

Track C: Adaptation interventions, and building climate resilient health systems

Track D: Mitigation actions and their co-benefits

Track E: Ethics and climate research equity

If you are interested in applying, register here

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