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CDC HIV/STD/TB Prevention News Update

Wednesday, March 15, 2000
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. Contact the sources of the articles abstracted below for full texts of the articles.

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Across the USA: Iowa

USA Today (www.usatoday.com) (03/15/00) P. 14A
Sixty-one new AIDS cases were reported in Iowa last year, down from a high of 193 in 1993. Statistics show, however, that while African-American residents make up only 2 percent of Iowa's population, they represent 10 percent of the AIDS cases recorded since 1983.

Uganda Seeks Millions From Donors to Fight AIDS

Reuters (03/15/00)
A senior Ugandan official said Wednesday that the country hopes to find donors to contribute up to $122 million to its battle against AIDS. That figure represents about 70 percent of $182 million bill for the next five years; the government plans to supply at least $60 million. Katenta Apuuli, the director of Uganda's AIDS Commission, also reported that the government aims to cut the number of new HIV infections by 25 percent in five years.

Up to 16 Million a Year Get Hepatitis B From Dirty Syringes, WHO Says

"Up to 16 Million a Year Get Hepatitis B From Dirty Syringes, WHO Says" Agence France Presse (03/14/00)
The World Health Organization (WHO) reported Tuesday that between 8 million and 16 million people are infected with hepatitis B through dirty or reused needles every year. In a statement, the WHO noted, "Although most injections given in the world follow safe clinical practices, poor injection practices continue to transmit viral hepatitis and other infections on a large scale in many countries." In addition to the millions of hepatitis infections, the WHO said that between 80,000 and 160,000 people contracted HIV via unsafe injections each year.

AIDS Care Getting Harder to Find

St. Petersburg Times (www.sptimes.com) (03/14/00) P. 1A; Allison, Wes
Low reimbursement rates from managed care organizations have forced several Tampa Bay area AIDS practices to close in recent months. The situation is difficult for patients trying to find new physicians, because many doctors already have too many patients or have little experience. If the closings do not stop, activists fear HIV and AIDS patients will be left without proper care. Meanwhile, the new Florida Academy of HIV Physicians is planning to lobby the state Legislature to make HIV care a specialty. If successful, members would have greater leverage against health maintenance organizations.

Beyond the Basic Pap Smear

Wichita Eagle Online (www.wichitaeagle.com) (03/14/00); Rafinski, Karen
Many women who opt for a new test for the virus that can cause cervical cancer are paying for the procedure themselves, because basic benefits do not cover it. Although the standard Pap smear has helped to lower the cervical cancer death rate by 70 percent by catching cancer early, a new test, the ThinPrep, is more accurate. Studies show that it can detect about 65 percent more problematic cells and reduce the number of ambiguous results by almost 30 percent; however, it is often not covered by insurance. This raises the question of which tests are necessary and if the Pap exam is accurate enough to be done only once a year. While most patients trust their doctors to offer the needed tests, most physicians have little time to spend with each patient and may not present all available testing options.

Namibia: Women Press Case on Sex Risks

"Namibia: Women Press Case on Sex Risks" Africa News Service (03/14/00); Maletsky, Christof
The Women's Manifesto Network is urging the Namibian government to supply rape survivors and HIV-infected pregnant women with the necessary drugs to prevent infection or to prevent HIV transmission to their infants. The group is also calling for comprehensive sex education. At a "Women and AIDS" forum in Windhoek on Saturday, a keynote address from Health Minister Dr. Libertina Amathila noted that women and girls are at risk for HIV, because it is biologically easier for men to transmit the virus to a women than for women to transmit the virus to men. Many women are reluctant to ask their partners to use condoms, because doing so may be thought evidence of a woman's infidelity or considered disrespectful by a man. Amathila also condemned the practice of widow inheritance--the passing of a widow to a brother--and the dangers of circumcising boys in group ceremonies with dirty instruments.

Methadone Clinic Planned for SW Florida as Heroin Use Rises

Naples Daily News Online (www.naplesnews.com) (03/10/00); Freeman, Liz
A methadone clinic for heroin addicts could be opening in southwest Florida's Lee or Collier counties. Growing heroin use in the central and southern parts of the state has prompted concern that a substance abuse treatment center is needed for heroin addicts. The clinic will run on client fees and Medicaid according to Janet Chapman, program director for Department of Children and Families District 8 office. Four heroin deaths occurred in Collier for 1998, and three in Lee. Heroin-related deaths rose 52 percent in Florida from 1993 to 1998, as the price of the drug fell. Because heroin can now be smoked or snorted, there is less fear regarding dirty needles and HIV or hepatitis, accounting for increasing use.

The Chemistry of Attraction

Scientist (www.the-scientist.com) (03/06/00) Vol. 14, No. 5, P. 26; Vettese-Dadey, Michelle
Chemokine receptors are valuable instruments used in finding therapies for asthma, cancer, AIDS, inflammation, and arthritis. A chemokine receptor has even recently shown to be a co-receptor for HIV-1. The word chemokine is short for chemotactic cytokines, or small secreted proteins that share 20 percent to 90 percent identity in amino acid sequence. They are produced and released by many cell types, in response to an injury or antibodies. The process of releasing chemokines involves the binding of the chemokine to its receptor. Their effects are moderated by seven transmembrane G-protein-couple chemokine receptors, which are 40 percent to 90 percent homologous. Since chemokines aid in cell movements towards a site of inflammation, chemokine research could find ways to replace original therapies for disorders like asthma, since steroids may have long-term effects.

Blood Money

Maclean's (www.macleans.ca) (02/28/00) Vol. 113, No. 9, P. 63
In the ongoing case involving thousands of Canadians who became sick from tainted blood, lawyers are debating how much they will receive for settling the deal. While 10,000 patients will split C$1.2 billion, lawyers in British Columbia, Ontario, and Quebec hope to divide C$52.5 million amongst legal teams in each of the three provinces and attorneys for hemophiliacs. Representatives for the patients note, however, that they still do not know when they will receive their compensation.

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