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aidsfocus.nouvelles

aidsfocus.nouvelles
1 decembre 2017

01/12/2017

BULLETIN ÉLECTRONIQUE DE LA PLATE-FORME SUISSE «VIH/SIDA ET COOPÉRATION INTERNATIONALE»

Journée mondiale du sida 2017

Chères lectrices et chers lecteurs d'aidsfocus

«Mon activité principale, c'est d'avoir le SIDA!» – Les personnes qui sont traitées de manière adéquate contre l'affection n'ont actuellement plus besoin de dire cela. Cette phrase est issue du film français primé «120 battements par minute» qui sort en salle dans les cinémas de langue allemande exactement aujourd'hui pour la Journée mondiale du sida 2017. Le drame montre comment au début des années 90 à Paris des homosexuels et des lesbiennes du groupe anti-sida «ACT UP» attaquèrent les groupes pharmaceutiques qui retardaient la recherche de médicaments contre le sida. Les activistes étaient séropositifs et tiraient la sonnette d'alarme car le temps leur était compté. «ACT UP» mobilisa contre le silence de la société, pour la prévention et contre les stigmates de l'affection considérée comme une «épidémie de gays».

Aujourd'hui, 25 ans plus tard, guérir de la maladie n'est toujours pas en vue et les stigmates sont également restés. Sinon, beaucoup de choses ont changé. Grâce aux médicaments, les personnes concernées peuvent mener une vie largement «normale». Les actuels résultats thérapeutiques de plusieurs études le montrent également et sont célébrés comme étant les avancées les plus convaincantes de ces dernières années: les personnes, dont le virus du VIH n'est plus décelable dans le sang du fait de leur traitement avec des médicaments antirétroviraux, ne sont également plus contagieuses sur le plan sexuel. Cela n'est pas foncièrement nouveau mais les études ont pu montrer pour la première fois qu'il n'y avait eu aussi aucune transmission sexuelle parmi les dits groupes à risque: dans aucun cas une contamination n'a eu lieu! («U=U» Undetectable=Untransmissable) C'est un signal fort pour le grand public dans la lutte contre la stigmatisation et c'est une libération psychique pour tous ceux qui se considéraient être jusqu'à maintenant un risque potentiel.

Toutefois le défi est toujours là! Ce message de succès n'est valable que pour les personnes en traitement – qui sont actuellement tout juste 21 millions. Il ne s'applique pas au près de 16 millions de personnes infectées non traitées, ni aux deux millions de nouveaux cas qui s'y ajoutent chaque année. Nous connaissons les chiffres: l'ONUSIDA s'est donnée comme objectif, d'ici à 2020, que près de 90% des personnes séropositives ou 32 millions de personnes soient en traitement. De gros efforts supplémentaires sont donc nécessaires et notamment ceux qui sont fréquemment invisibles doivent être atteints: les dits groupes à risque qui ne sont pas assez pris en considération dans les programmes, comme p.ex. les jeunes femmes et les filles de nombreux pays africains, les travailleurs et les travailleuses du sexe, les consommateurs de drogues et les homosexuels.

Robin Campillo, le réalisateur du film «120 battements par minute», le formule parfaitement: «J'ai l'impression que, jusqu'à aujourd’hui, nos gouvernements – malgré tous les progrès en matière de traitement du sida – ne font pas assez pour trouver les cas de nouvelles infections et les protéger. Il ne faut pas arrêter les campagnes et il faut accélérer l'information sur la maladie, non pas du point de vue moral, mais pragmatique » (ARD: en faveur de la lutte contre le sida).

Cela vaut aussi pour la Journée mondiale du sida 2017 d'aujourd'hui, près de 35 ans après la déclaration de l'épidémie: le VIH/sida n'est pas un problème de minorité mais il nous concerne tous. Prenons au sérieux le droit à la santé pour TOUS! ACT UP NOW!

Mira Gardi, notre stagiaire MMS et cheffe de projet, a analysé avec ONUSIDA Inde dans le cadre de son mémoire de master (Master of Science in Global Health) la situation des jeunes travailleurs et travailleuses du sexe en Inde. Lisez dans notre sujet du mois ses résultats intéressants.

 

Martina Staenke
Colaboratrice Communication Medicus Mundi Suisse
mstaenke@medicusmundi.ch


Thème du mois

World AIDS Day 2017: Young female sex workers in Maharashtra, India: Why they have a higher vulnerability and risk behavior for HIV

MMS/aidsfocus.ch - Existing evidence showed that young female sex workers (FSWs) (<25 years) have an even greater HIV vulnerability and risk behaviour than older FSWs. However, only very few studies analysed differences in HIV vulnerability and risk behaviour based on age, which is why this study compares the vulnerability and risk behaviour of young FSWs and older FSWs, by conducting a descriptive exploratory analysis of secondary age-disaggregated data from Maharashtra (south Indian state). (Photo: AIDS:The Indian Epidemic/Benzene Aseel/flickr, CC BY-NC-ND 2.0)

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Informations de la Communauté Suisse

Es ist noch nicht geschafft - Jochen Ehmer im Interview

Luzerner Zeitung - "Auch wenn schon viel erreicht wurde in der Bekämpfung von HIV und Aids, Entwarnung gibt es noch lange keine. Weder hier noch in Afrika. Warum, das wissen zwei Experten.

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Studie «TENART» bestätigt hohe Behand­lungs­quali­tät der New­lands Clinic

Ruedi Lüthy Foundation - Während 10 Jahren haben Ruedi Lüthy und sein Team den Erfolg der HIV-Behandlung bei über 600 Langzeit­patienten der Newlands Clinic untersucht. Die Resultate sind dank der umfas­senden Behand­lung und Betreu­ung der Patienten vergleich­bar mit denje­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­nigen in der Schweiz.

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Journée mondiale de lutte contre le sida

Aide Suisse contre le Sida - Le 1er décembre est décrété Journée mondiale de lutte contre le sida. La population est invitée partout dans le monde à s’investir activement dans la lutte contre le sida et le VIH et à montrer sa solidarité vis-à-vis des personnes séropositives.

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Informations Internationals

Europe's HIV epidemic growing at alarming rate, WHO warns

Reuters - "The number of people newly diagnosed with HIV in Europe reached its highest level in 2016 since records began, showing the region’s epidemic growing “at an alarming pace”, health officials said on Tuesday.

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The Right to Health Is Universal

Project Syndicate - "On this year's World AIDS Day, millions of people with HIV still do not have access to life-saving treatment, while millions more do not even know that they have the disease. This is a grave injustice, and it speaks to an even larger problem around the world: health is not being afforded the protection it deserves as a fundamental human right. (by Michel Sidibé & Dainius Puras)

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UNAIDS announces nearly 21 million people living with HIV now on treatment

UNAIDS - CAPE TOWN/GENEVA, 20 November 2017: "Remarkable progress is being made on HIV treatment. Ahead of World AIDS Day, UNAIDS has launched a new report showing that access to treatment has risen significantly. In 2000, just 685 000 people living with HIV had access to antiretroviral therapy.

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UNAIDS launches 2017 World AIDS Day campaign—My Health, My Right

UNAIDS - "In the lead-up to World AIDS Day on 1 December, UNAIDS has launched this year’s World AIDS Day campaign. The campaign, My Health, My Right, focuses on the right to health and explores the challenges people around the world face in exercising their rights.

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Alliance launches READY to Decide campaign

www.aidsalliance.org - "Thousands of girls and young women in sub-Saharan Africa are contracting HIV because they’re not able to choose what happens to their bodies. What happens to a girl’s body needs to be when she is ready to decide.

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Offline: Who is Peter Sands?

The Lancet - "The appointment of a new Executive Director to lead the Global Fund to Fight AIDS, Tuberculosis, and Malaria was not a tidy process. The first attempt to find a successor to Mark Dybul ended in ignominious failure, with questions raised, variously, about the moral probity and conflicts of interest of several prominent candidates. The Global Fund Board tried again.

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Time for a GIPA refresh

International AIDS Society - "Perhaps the single most important characteristic of the AIDS response – one that holds lessons about efforts to address other health challenges – is the central contribution of people living with HIV and those in the communities who have borne the brunt of HIV, including LGBTI people, sex workers, and people who use drugs. For no other health problem has the involvement of affected individuals played so vital a role.

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Repressive Drug Policies Fuel Overdoses in Estonia – An Interview with Mart Kalvet

Drug reporter - Estonia is a country hit hard by the opioid overdose epidemic. People struggling with overdoses in other countries can learn a lot from the Estonian example about what works and what does not work in preventing deaths and suffering. We interviewed Mart Kalvet, an activist representing LUNEST, the Estonian organisation of people who use drugs.

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Rapports et Études

On World AIDS Day, UNAIDS warns that men are less likely to access HIV treatment and more likely to die of AIDS-related illnesses

UNAIDS, 1 December 2017 - "On World AIDS Day, UNAIDS has released a new report showing that men are less likely to take an HIV test, less likely to access antiretroviral therapy and more likely to die of AIDS-related illnesses than women. The Blind spot shows that globally less than half of men living with HIV are on treatment, compared to 60% of women. Studies show that men are more likely than women to start treatment late, to interrupt treatment and to be lost to treatment follow-up.

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Right to health

UNAIDS - "World AIDS Day provides an opportunity to reflect on the interdependence between progress in ending AIDS and progress towards universal health coverage and the right to health.

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The expanding epidemic of HIV-1 in the Russian Federation

Plos Med - "In 2017, the Russian Federation (RF) is estimated to have the largest number of HIV-1 infected citizens of any country in Europe. Cumulative reported diagnoses reached over 1.16 million infections by mid-2017, and actual infections, including those that remain undiagnosed and/or unreported, are doubtless substantially higher. In contrast to the global epidemic pattern, the HIV epidemic in the RF and in most countries of Eastern Europe and Central Asia continues to expand significantly.

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Achieving HIV Targets through Human Rights Instruments

The Global Forum on MSM & HIV - "Since the beginning of the HIV epidemic, stigma and discrimination have fueled human rights violations against communities that are marginalized and particularly vulnerable to HIV.

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Advancing the Right to Health in the AIDS Response: An Evolving Movement and an Uncertain Future

Health and Human Rights Journal - "The Joint United Nations Programme on HIV/AIDS (UNAIDS) is focusing its 2017 World AIDS Day campaign on the right to health. This groundbreaking campaign, My Health, My Right, provides an opportunity to reflect on the advancements of the right to health in the AIDS response and the challenges for human rights in the years to come.

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The WHO public health approach to HIV treatment and care: looking back and looking ahead

The Lancet - "In 2006, WHO set forth its vision for a public health approach to delivering antiretroviral therapy. This approach has been broadly adopted in resource-poor settings and has provided the foundation for scaling up treatment to over 19·5 million people. There is a global commitment to end the AIDS epidemic as a public health threat by 2030 and, to support this goal, there are opportunities to adapt the public health approach to meet the ensuing challenges.

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Manifestations

Helminth Infection - from Transmission to Control

The Swiss TPH Winter Symposium, 7-8 December 2017 invites medical parisitologists, infection biologists, epidemiologists and global health specialists and students to review and discuss progress in research, control, elimination and eradication of helminth infections. - Health impact versus health benefits of helminth infections; - Towards better treatment options for helminth infections; - Latest diagnostic developments; - From morbitity control to elimination and eradication.

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Pollution and health, why should I care? - The Lancet highlights the impact of pollution on health

SDC, 14 December 2017 - With Richard Fuller, President of Pure Earth & co-chair of the Lancet Commission and with the participation of: Nino Künzli, Deputy Director Swiss Tropical and Public Health Institute (SwissTPH), Richard Ballaman, Head of the section Air quality management, Federal office for the Environment, Pio Wennubst, Head of the domain Global Cooperation at SDC (TBC), The Hydrology section, Federal office for the Environment (TBC). Diseases caused by pollution were responsible in 2015 for an estimated 9 million premature deaths - 16% of all deaths worldwide – three times more deaths than AIDS, tuberculosis, and malaria combined; and fifteen times more than all wars and other forms of violence.

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Leave No One Behind - End Violence against Women and Girls

MMS/aidsfocus.ch - Medicus Mundi Switzerland will discuss on Gender-Based Violence at the MMS/aidsfocus.ch conference 2018 on the 2nd of May 2018 in Berne.

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AIDS 2018

The International AIDS Society, 23/7/2018, Amsterdam - The International AIDS Society (IAS) announced that Amsterdam, Netherlands will host the 22nd International AIDS Conference (AIDS 2018). AIDS 2018 is expected to bring together some 18,000 participants from around the world. “The Netherlands is a great example of what happens when a government supports outstanding science and embraces evidence-based HIV programmes in combination with a robust commitment to human rights,” said Chris Beyrer, President of the IAS.

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