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CDC HIV/STD/TB Prevention News Update

Tuesday, November 16, 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

SAAVI Awards First AIDS Vaccine Grants

"SAAVI Awards First AIDS Vaccine Grants" Nature Medicine (11/99) Vol. 5, No. 11, P. 1220; Birmingham, Karen
The South African AIDS Vaccine Initiative (SAAVI) has chosen its first award recipients. Four research proposals were selected, and a fifth proposal is undergoing additional review. SAAVI has allocated the groups 7 million Rand out of its R20 million budget. The recipients include two basic science projects on HIV clade C, one "Education and Advocacy" program, and a project on the "Ethical Issues in HIV/AIDS Vaccine Development." Each team must re-apply for funding on an annual basis.


General Media

A Sex Guide for Girls, Minus Homilies

"A Sex Guide for Girls, Minus Homilies" New York Times (11/16/99) P. D7; Angier, Natalie
Frank sex information for adolescent girls is becoming widely available on the Internet and in a new book aimed at young women. The book, titled "Deal With It! A Whole New Approach to Your Body, Brain and Life as a Gurl," is based on the website gURL.com and offers nonjudgmental takes on girlhood. The book is humorous yet serious, addressing many concerns or questions a teenage girl may have and providing information about bodies and pregnancy. The book contains some graphic sexual situations, providing information beyond what is taught in schools. A far cry from the morality movement of the first half of the century, the guide for girls focuses not on causing fear about sex, but on providing the facts in a forthright manner without embarrassment. Some critics contend that the website and book provide too much information without discussing marriage.

In Heated Heroin, a Dangerous Dragon

"In Heated Heroin, a Dangerous Dragon" New York Times (11/16/99) P. D8
In an effort to avoid contaminated needles, some heroin users have started heating the drug and inhaling its fumes--a method known as "chasing the dragon." However, Columbia University neurologists suggest that this practice can cause spongiform leukoencephalopathy, a rare brain disorder that can cause paralysis and death. The researchers report three cases of the disorder in the journal Neurology, noting that the disease killed 11 heroin addicts in Amsterdam several years ago. The authors theorize that a contaminant that adds its vapor to the heroin plume when heated is to blame, because in the Amsterdam cases, not everyone who injected or sniffed heroin from the same batches was affected.

Across the USA: Colorado

USA Today (11/16/99) P. 14A
The National Institutes of Health has awarded Colorado State University researchers $6.25 million in grants to help fight tuberculosis. The grants will help 70 researchers continue studying drugs to combat the disease, hopefully developing a vaccine.

State's Abortion Rate Hits 20-Year Low

Seattle Times (11/15/99) P. B2
In Washington state, abortions have reached their lowest rate in 20 years, according to the Department of Health. With 27 abortions per 1,000 women, King County had the highest rate among the 39 counties. Overall, abortions were down 5.3 percent last year from 1997, and teen pregnancies dropped nearly 7 percent. Health department researcher Sharon Estee suggested the declines could be linked to fear of sexually transmitted diseases, increased availability of contraceptives, and abstinence education.

US Surgeon General Cold on Carr Injecting Room Plan

"US Surgeon General Cold on Carr Injecting Room Plan" Australian Associated Press (11/15/99); Smith, Rod
U.S. Surgeon General David Satcher said Monday that an Australian plan to test an injecting room for drug addicts would be rejected in the United States. Satcher noted that the United States must maintain a hard stance against drugs like heroin. "We believe that drugs like heroin that are so addicting should not be legalized and therefore we don't support shooting galleries or things like that," Satcher said. He noted that Congress has prohibited the use of federal funds for even needle exchanges, although the programs have been shown to stem the spread of HIV while not promoting drug use. Dr. Satcher was visiting a school in Sydney to discuss the annual Rock Eisteddfod Challenge, a national event that encourages students to be drug- and alcohol-free via an inter-school dance competition.

A Deadly Serious Game of Hide and Seek

United Press International (11/16/99); Wasowicz, Lidia
University of Michigan researchers report that microbes can attach to the chromosomes of a host cell for an extended time, going dormant until a weak immune system allows the virus to multiply. The team looked at Kaposi's sarcoma and identified a protein expressed by a gene of the causative virus that builds a link between viral DNA and the chromosomes of lymphoma cells. The researchers note that the findings, published in the journal Virology, could be used to develop new treatments for viral diseases.

Lasting Stress, Anxiety Linked to Repeat Episodes of Genital Herpes

Reuters Health Information Services (11/15/99)
New research indicates that women with genital herpes who are under stress for a long period of time are at greater risk of having repeated outbreaks of the disease compared to women with short-term stress. The study, led by Dr. Frances Cohen of the University of California at San Francisco, involved 58 women who had regular herpes outbreaks, an average of three episodes during the six-month study. The results of the study suggest that while long-term stress can trigger a herpes outbreak, short-term stress did not.

Central Europe Has Lowest HIV-Related Mortality in Region

Reuters Health Information Services (11/15/99)
A recent study by members of the EuroSIDA Study Group found that there are increased survival rates for HIV-infected people living in central Europe. The study, which ran from 1994 to 1997, included 7,331 HIV-positive individuals in 18 European countries. Overall, the group found that patients in central Europe fared better than those living in northern or southern Europe. According to the researchers, the risk of death in central Europe was at least one third lower than that in southern Europe and in northern Europe; however, they suggest the numbers will soon be comparable as treatment strategies become more widespread.

An Epidemic of Rapes

Time (11/01/99) Vol. 154, No. 18, P. 59; Hawthorne, Peter
In South Africa, the annual number of rapes is about 50,000, up from 1,263 two decades ago. But rape crisis researchers say that only one in 35 rapes is reported, suggesting that there are more than 1.6 million rapes annually. In a nation with one of the highest rates of HIV infection around the globe, the situation is especially dangerous. The HIV infection rate in Johannesburg is estimated at about 40 percent among men between the ages of 20 and 29, and many men believe that raping a virgin will rid them of the virus. Although post-rape antiretroviral therapy is not available in government hospitals, growing outrage has forced some facilities to open rape clinics and to train staff in rape-crisis management. In addition, punishment for raping someone has become harsher under the Criminal Law Amendment Act of 1998.

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