CDC HIV/STD/TB Prevention News Update

Thursday, November 4, 1999
The CDC National Center for HIV, STD, and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases, and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information.

Peer-Review Headlines

General Meadia


Peer-Review Headlines

Letters to the Editor: Community-Level HIV Intervention Work for Women Means Restructuring Society and Culture

"Letters to the Editor: Community-Level HIV Intervention Work for Women Means Restructuring Society and Culture" American Journal of Public Health (11/99) Vol. 89, No. 11, P. 1762; Gollub, Erica L.; Metzger, David
In a response to an article regarding individual-level HIV interventions, researchers from the University of Pennsylvania Center for Addiction Studies assert that author J.A. Kelly ignored the need for a macro level approach to the problem. To reduce HIV risk for women, interventions should focus on helping women break from the poverty and societal cycle that puts them in the hands of a male provider. Raising opportunities for education and employment would help women to lower their likelihood for contracting HIV by helping to address the cultural factors behind the risk. The authors contend that "reducing HIV risk for women means changing society and culture to align women's perceived power with actual power so that avoiding HIV infection really has only benefits and no costs."


General Media

Muluzi Breaks Silence on AIDS Epidemic

"Muluzi Breaks Silence on AIDS Epidemic" Washington Times (11/04/99) P. A17
Malawi's president, Bakili Muluzi, has spoken out against the AIDS epidemic in his country. Last week, Muluzi held a public meeting in Blantyre to discuss an aggressive five-year plan to fight the disease. At the meeting, Muluzi said, "Our biggest achievement today is that we have summoned the courage to speak about this terrible HIV/AIDS pandemic publicly."

AIDS, HIV Rates Down for State, Federal Prisoners

Boston Globe Online (11/03/99)
The number of inmate deaths from AIDS declined over 50 percent between 1995 and 1997, according to the U.S. Department of Justice. The report found that 48 of every 100,000 prisoners died from AIDS in 1997, compared to 100 AIDS deaths per 100,000 prisoners in 1995. There were 538 inmate deaths caused by AIDS in 1997, down from 907 in the previous year. The Justice Department also noted that the number of HIV-infected inmates decreased by 333 in 1997, for a total of 23,548 infections.

White House Rejects Latest D.C. Budget Bill

Washington Post (11/04/99) P. A10; Fehr, Stephen C.
President Clinton will be advised to veto the latest version of the District of Columbia's budget that was passed by the House, according to White House budget officials. The new budget bill, the fifth version the House had passed since July, includes a provision prohibiting private clinics that receive federal money from distributing needles to drug addicts in order to stop the spread of HIV. Budget officials suggested that the measure would have been accepted by Clinton if the House had kept an earlier version of the budget that permitted private clinics to distribute needles without losing federal support.

Ted Turner Foundation Pledges Funds to Combat AIDS

Boston Globe Online (11/03/99); Cohen, Mike
Forty-five new United Nations programs--including anti-AIDS programs in Madagascar, Jordan, and East Africa--will receive millions of dollars from a charity funded by media mogul Ted Turner. The U.N. Foundation is one of two organizations established to administer Turner's $1 billion donation to U.N causes in 1997. The foundation also plans to launch projects for saving rainforests, eradicating polio, and preventing youth smoking.

Poverty Masks Russian TB Figures

Fox News Online (11/04/99)
Dr. Mikhail Perelman of Russia's Health Ministry has said that the poverty and homelessness that followed the fall of communism have fueled a tuberculosis (TB) epidemic in Russia, making infections harder to detect. Perelman suspects that about 10 percent of cases are not diagnosed. In 1998, the country's TB infection rate was 76 cases per 100,000 people. Compared to the West, Russian physicians use hospitalization and surgery more to combat TB; however, Western experts assert that the expensive hospital stays are wasting the limited available resources to fight the dangerous disease.

U.S. Researchers Find New Clue to TB Virulence

Reuters (11/03/99); Reaney, Patricia
William Jacobs of the Howard Hughes Medical Institute in New York and colleagues have discovered that the bacterium that causes tuberculosis (TB) needs to produce a lipid molecule called PDIM in order to grow in the lungs. The researchers discovered the lipid after creating mutant strains of the TB bacteria and using them to infect mice. According to Jacobs, knowing more about how TB functions could lead to better treatments. The study is published in current issue of the journal Nature.

US Opens Modern TB-HIV/AIDS Laboratory in Botswana

"US Opens Modern TB-HIV/AIDS Laboratory in Botswana" Africa News Online (11/03/99)
A new high-tech laboratory built by the United States in Botswana will work to fight the tuberculosis and HIV epidemics. At the opening of the laboratory, U.S. Ambassador Robert Krueger noted that "Botswana has perhaps the highest degree of HIV/AIDS infection in the world and 44 percent of all its people who are affected receive their death stroke by contracting tuberculosis." The lab, built and equipped by the U.S. Department of Defense Humanitarian Assistance Program and the Centers for Disease Control and Prevention, cost $858,000 to construct. The center features facilities for training about tuberculosis diagnostics and for epidemiological research.

American Chamber Launches AIDS Kit for S. Africa

Reuters (11/03/99); Sithole, Emelia
The American Chamber of Commerce and Lifeworks, a healthcare consultancy firm, have developed an AIDS impact calculator that will hopefully open the eyes of businesses that are affected by the disease. The calculator will help firms in the United States and South Africa manage and assess the impact of AIDS on their organizations. The new program notes three areas in which executives can intervene to manage AIDS-related costs in the workplace. These areas are absenteeism, HIV prevention, and medical care for individuals who are already infected.