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Annan bemoans efforts to combat HIV/AIDS

From Liz Neisloss
CNN

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UNITED NATIONS (CNN) -- U.N. Secretary-General Kofi Annan on Thursday told a U.N. special conference on HIV/AIDS that the global response to the disease was insufficient, saying "the epidemic continues to outrun our efforts to contain it."

The executive director of UNAIDS, Dr. Peter Piot, also told the conference that the AIDS epidemic needs to get the same attention from world leaders as "the most urgent security threats and crises" and "not an iota less."

Piot said a funding gap of billions needs to be closed to ensure universal access to HIV prevention and treatment.

"Nothing less than universal access to effective HIV prevention and treatment will be sufficient if we are to keep this epidemic from engulfing the next generations," he said.

The one-day gathering of representatives from more than 120 nations, including 40 health ministers, is gauging progress in meeting commitments made at the first global gathering at the United Nations on HIV/AIDS and spelled out in the 2001 Declaration of Commitment on HIV/AIDS.

Annan praised prevention programs in Brazil, Cambodia and Thailand.

In a report released at Thursday's gathering, Annan said that "the overall epidemic continues to expand with much of the world at risk of falling short of the targets set forth in the declaration."

"While political commitment to the AIDS response has become significantly stronger since 2001, it remains inadequate in many countries in which the epidemic is emerging as a major problem," Annan said.

"Strong and energetic leadership is especially vital in all countries in Asia and Eastern Europe, where the opportunity to prevent the epidemic from becoming generalized is quickly vanishing."

The following are key findings of the U.N. report:

  • Many of the most affected countries are at risk of falling short of the target of reducing by 2005 the level of infection in young men and women 15 to 24.
  • While those on antiretroviral therapy increased by nearly two-thirds during the second half of 2004, 12 percent of people who need such treatment in low and middle-income countries were receiving it as of December.
  • Many countries have yet to adopt legislation that will prevent discrimination against people living with HIV, and even fewer have enacted measures to promote and protect the human rights of vulnerable populations.
  • There is a growing crisis of HIV/AIDS orphans and vulnerable children, but "national efforts and the level of donor support are currently not sufficient."
  • There is an "acute shortage of trained personnel who possess the requisite skills and expertise."
  • Spending trends will cause a "significant shortfall" by 2007.
  • Piot also said that "over the past four years two disquieting facts become evident: One is that AIDS is an unprecedented global crisis. There is simply no other example of that kind."

    "The other is that until and unless we control this epidemic, it will continue to expand [and] worsen for decades, killing unbelievably large numbers of people and wrecking societies."


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