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‘REVOLUTIONIZING HIV PREVENTION’: UNAIDS EXPEDITES PROGRESS TOWARDS UNIVERSAL ACCESS TO AIDS TREATMENT, BUILDING A NEW AGENDA FOR 2015 INTO A PIONEERING COMMITMENT TO HIV TREATMENT ACCESS.


source: World AIDS Day – UCOF
source: World AIDS Day – UCOF
News release

28 November 2013 | Panama – Acknowledging the pivotal moment we currently face, the world should ensure that 15 million people receive HIV treatment by 2015 and use this achievement as a springboard to expedite progress globally towards UNIVERSAL ACCESS TO TREATMENT.

Although 25.9 million people worldwide are now eligible for antiretroviral therapy, actual demand for HIV treatment services is ostensibly lower. As expressed in the UNAIDS Treatment 2015 framework for strategic action, demand will be increased by reconceptualizing HIV testing, engaging communities in the promotion of HIV services. As well as intensifying educational efforts to increase awareness of the benefits of early therapy to individuals –specifically people living with HIV and key populations– and society at large. UNAIDS, along with its 11 Cosponsors –i.e. WHO, UNODC, UNICEF– and stakeholders, are galvanizing the process to revolutionize HIV prevention across the Latin American region.

Madrid City Hall celebrating The World AIDS Day 2013. Madrid, Spain, date 30.11.2013.
Madrid City Hall celebrating The World AIDS Day 2013. Madrid, Spain, date 30.11.2013.
New HIV treatment guidelines by WHO (June 2013) recommend offering antiretroviral therapy (ART) earlier. Recent evidence indicates that earlier ART will definitely help people living with HIV and key populations (LGBTI), women / girls and adolescents to live longer, healthier lives, and substantially reduce the risk of transmitting HIV to others. The action could avert an additional 3 million deaths and prevent 3.5 million more new HIV infections between now and 2025.

The new recommendations –presented in WHO’s "Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection"–, as well as new data within UNAIDS report on the global AIDS epidemic 2013, reveal a total of 9.7 million people were taking these lifesaving drugs at the end of 2012.

“These guidelines represent another leap ahead in a trend of ever-higher goals and ever-greater achievements,” says WHO Director-General Dr. Margaret Chan. “With nearly 10 million people now on antiretroviral therapy, we see that such prospects –unthinkable just a few years ago– can now fuel the momentum needed to push the HIV epidemic into irreversible decline.”

The Latin American region: pioneering the call to initiate treatment at 500 CD4 cells/mm3 or less.

The new recommendations encourage all countries to initiate treatment in adults living with HIV when their CD4 cell count falls to 500 cells/mm³ or less – when their immune systems are still strong. The previous WHO recommendation, set in 2010, was to offer treatment at 350 CD4 cells/mm³ or less. 90% of all countries have adopted the 2010 recommendation. Argentina and Brazil are some of the few countries worldwide already offering treatment at 500 cells/mm3.

This recommendation is based on evidence that treating people with HIV earlier, with safe, affordable, and easier-to-manage medicines can both keep them healthy and lower the amount of virus in the blood, which reduces the risk of passing it to someone else. If countries can integrate these changes within their national HIV policies, and back them up with the necessary resources, they will see significant health benefits at the public health and individual level.

The new recommendations also include providing antiretroviral therapy –irrespective of their CD4 count– to all children with HIV under 5 years of age, all pregnant and breastfeeding women with HIV, and to all HIV-positive partners where one partner in the relationship is uninfected. The Organization continues to recommend that all people with HIV with active tuberculosis (TB) or with hepatitis B disease receive antiretroviral therapy.

Another new recommendation is to offer all adults starting to take ART the same daily single fixed-dose combination pill. This combination is easier to take and safer than alternative combinations previously recommended and can be used in adults, pregnant women, adolescents and older children.



UNAIDS is further encouraging countries across Latin America to implement a bold and proactive approach to HIV testing and treatment while normalizing HIV services in local health care settings and leveraging community-led efforts to promote HIV testing. Latin American communities –especially people living with HIV– are best positioned to address effectively misconceptions about HIV testing and treatment.

The case of Argentina and Brazil becomes an inspiring paradigm for the Latin American region as a whole to uptake the new HIV recommendations, calling for earlier treatment to push the HIV epidemic into an irreversible END. Let’s make it happen!

Note to editors (provided by WHO):
The recommended treatment is now a combination of three antiretroviral drugs: tenofovir and lamivudine (or emtricitabine) and efavirenz, as a single pill, given once daily.

For further recommendations, kindly check WHO website - Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection.


source: PWA – World AIDS Day
source: PWA – World AIDS Day
>Snapshot of the Latin American region. New HIV infections:

In Latin America, the number of new HIV infections in 2012 was 11% lower than in 2001.

2001: 97,000 [78,000–120,000]
2012: 86,000 [57,000–150,000]

There was 37% decrease (as compared to 2001) in AIDS deaths in Latin America.

2001: 82,000 [63,000–100,000]
2012: 52,000 [35,000–75,000]

722,000 people were benefited from antiretroviral therapy (ART) by the end of 2012 across Latin America.
Still 778,000 people were lacking access to ART by the end of 2012.

For further and global information, kindly check UNAIDS website – AIDS by the numbers.

Source image HIV / AIDS: UNAIDS | Radioxyzonline. Sharp drop in new HIV infections.
Source image Madrid City Hall: ECS Group image stock bank.

La persistente crisis financiera y económica global pone de relevancia la creciente necesidad de repensar varios de los procesos políticos y económicos que parecen evadirse de la oportuna gestión de los propios gobiernos; las multinacionales; el poder político; grupos de presión y, lo que es más importante, la ciudadanía.

- Miryam de la Concepción González, Coordinadora de la Publicación.


Reflexionar sobre la crisis de forma constructiva, lejos de poner en entredicho el proyecto europeo, inspira y motiva al ciudadano a reformular una Unión Europea vertebrada de forma óptima. El proyecto europeo, con sus elevados valores de libertad, equidad y prosperidad ha de integrar en una visión global el elemento de la gestión pública, si queremos responder con posibilidad de éxito a los desafíos que plantean las transformaciones del orden internacional –nuevas potencias emergentes– y la crisis geopolítica y económica que sufren los denominados ‘países ricos’.

La innovadora publicación ORGANIZACIÓN Y GESTIÓN PÚBLICA EFICIENTE ANTE LA CRISIS reúne a un amplio conjunto de expertos dentro de un abanico de sectores clave como la –últimamente conflictiva– sanidad; las finanzas públicas; la gestión de crisis; y los académicos, con el fin de analizar, bajo un enfoque interdisciplinar, las cuestiones más sobresalientes que hacen que la gestión pública deba ser revisada con urgencia desde el punto de vista del empleo eficiente de los recursos públicos –obviamente escasos ante la coyuntura presente– y de una equilibrada atención de las necesidades del administrado.

© EDITORIAL UNIVERSITAS, S.A. | © Miryam de la Concepción González
© EDITORIAL UNIVERSITAS, S.A. | © Miryam de la Concepción González
El equipo, liderado por la Profesora González Rabanal –Premio del Banco Santander a los equipos de investigación (2010): “Gestión de la diversidad en la sociedad española”– tras revisar ad hoc el diseño práctico de la Gestión Pública y comprobar cómo se desarrollan las políticas públicas en la actualidad, hace un repaso táctico por los aspectos fundamentales del quehacer público: desde el suministro de bienes preferentes –como la educación, la sanidad y la vivienda–, hasta el rol que han de jugar los presupuestos en la consecución de la eficiencia. Pasando por la optimización de la política de recursos humanos, de cara a obtener una administración eficiente y ágil, a la vez que moderna y flexible.

Este enfoque es consecuencia de entender que una gestión pública de calidad debe ser capaz de atender satisfactoriamente las demandas del ciudadano, garantizar el cumplimiento de los presupuestos y dotar de fluidez a los recursos financieros, de modo que permitan ejecutar las mejores oportunidades de negocio, dirigidas al servicio de la población, suministrando servicios de calidad. Todo ello en el escenario de un buen gobierno, que dé respuesta a las exigencias que se le plantean con una perspectiva doble: por un lado, la pertenencia a organismos supranacionales y los compromisos derivados de la Unión Europea como actor global y, por otro, la necesidad de aproximarse a los votantes.

A fin de cuentas el futuro no está escrito, con lo cual gracias a una reflexión progresista como la que propone esta obra –quizá sea la revolución silenciosa que profetizó Monnet–, podrá ser escrito por aquellos que tengan visión global e integrada para sacar a la Unión Europea de su estado de inercia, postración y pesimismo.

(1) Lista de colaboradores (orden alfabético):

Miryam DE LA CONCEPCIÓN GONZÁLEZ RABANAL (Coordinadora)

Christopher O. DE ANDRÉS
Pablo DE DIEGO ÁNGELES
José Manuel FREIRE CAMPO
Jesús FUENTETAJA PASTOR
Juan GÓMEZ CASTAÑEDA
José Manuel GUIROLA LÓPEZ
Pedro JUEZ MARTEL
Carmen MITXELENA CAMIRUAGA
Rafael MORALES ARCE
Andrés MUÑOZ MACHADO
Alfredo SÁNCHEZ MONTESEIRÍN
Alejandro TIANA FERRER

© Miryam de la Concepción González | email
© EDITORIAL UNIVERSITAS, S.A.

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