antiretrovirals

Desmond Tutu 11-22-2013
Spirit of America/Shutterstock

WHO recommends early and preventive treatment of AIDS/HIV with antiretrovirals. Spirit of America/Shutterstock

We are making historic progress against HIV/AIDS: The global rate of new HIV infections has leveled, and the number of annual AIDS deaths has decreased by nearly a third since 2005. Antiretroviral drugs are driving these gains by stopping progression of the disease and, we now know, preventing the spread of HIV infections.

Yet AIDS remains the leading cause of death in sub-Saharan Africa, where poverty limits access to lifesaving treatments and 25 million people are living with HIV—representing 70 percent of cases worldwide. President Barack Obama should be commended for uniting the world behind the goal of creating an AIDS-free generation. I share his passion and believe we can achieve this in the next decade — but only if we accelerate the provision of antiretrovirals to the poorest and most vulnerable people.

The opportunity has never been clearer. New data published in the New England Journal of Medicine project that early treatment with antiretrovirals in South Africa, my home country, would prove very cost-effective over a lifetime (costing $590 per life-year saved) and generate both public health and economic benefits. The World Health Organization now recommends early and preventive treatment with antiretrovirals, including administration to children and uninfected partners of people living with the disease. The WHO estimates that this could save an additional 3 million lives and prevent at least as many new HIV infections through 2025.

When Obama and I met in South Africa in June, I reminded him that, given his deep familial roots in the continent, his success is our success — his failure, our failure. With that in mind, there are two decisions Obama can make before the end of this year to fulfill the promise of an AIDS-free generation.

Cathleen Falsani 2-02-2012
Bill and Melinda Gates via http://bit.ly/xO2DkP

Bill and Melinda Gates. Image via http://bit.ly/xO2DkP

"‘Not everyone who says to me, “Lord, Lord," will enter the kingdom of heaven, but only one who does the will of my Father in heaven.'"
~ Matthew 5:21 (NRSV)

Because it's never too late to say thank you, I didn't want to let the best news I heard out of the World Economic Forum in Davos, Switzerland last week go unnoticed or unacknowleged.

Microsoft chairman Bill Gates and his wife, Melinda, announced during the forum that they would inject an additional $750 million into the United Nation's Global Fund to Fight AIDS, Tuberculosis and Malaria, a public-private organization founded a decade ago to combat three of the world's most devastating diseases that have claimed millions of lives, particularly among the poorest of the poor in the developing world.

The Gates' new gift joins more than $650 million the couple already has given to the Global Fund since its inception. And their latest gesture of epic generosity couldn't come at a more opportune time, especially after news (a few days before the Gates' announcement at Davos) that the fund's executive director, Michel Kazatchkine, was stepping down from his post early, amidst allegations of misuse of funds and cutbacks in funding.