medicalcondition:aids

  • Comment #Big_Pharma pénalise-t-il le traitement de l’épidémie des opiacés ? - Actualité Houssenia Writing
    https://actualite.housseniawriting.com/sante/2017/08/09/comment-big-pharma-penalise-t-il-le-traitement-de-lepidemie-des-opiaces/23013

    Traduction d’un article de The Conversation par Robin Feldman, professeure de propriété intellectuelle à l’université de Californie.

    Les grandes entreprises pharmacologiques (Big Pharma) utilisent de nombreuses tactiques pour retarder l’arrivée des #génériques et on peut prendre l’exemple des traitements contre l’épidémie des #opiacés.

    • En 2015, 80 % de la croissance des bénéfices des 20 plus grandes entreprises technologiques provenaient de l’augmentation des prix. Et les médicaments aux États-Unis sont largement plus chers que dans d’autres pays. Par exemple, le Syprine, un médicament contre l’insuffisante hépatique, coute moins de 400 dollars pour un an de traitement dans de nombreux pays. Aux États-Unis, ce médicament coute 300 000 dollars. Sovaldi, le médicament contre l’hépatite C de Gilead, coute environ 1 000 dollars à l’étranger. Aux États-Unis, il coute 84 000 dollars.

      Il faudra un motif d’inculpation pour trainer les gens qui décident cela devant la justice. Un truc du genre crime contre l’humanité.

    • Un des aspects intéressants des câbles diplomatiques américains, publiés par Wikileaks, c’était justement qu’une des activités principales des ambassades ricaines dans monde consiste à défendre les intérêts des grands groupes pharmaceutiques américaines.

      Par exemple (quasiment au hasard), ce câble de 2005 à ce sujet au Brésil :
      https://wikileaks.org/plusd/cables/05BRASILIA1567_a.html

      1. (C) Summary. Ambassador Hugueney of Brazil’s Foreign Ministry (Itamaraty) told Ambassador June 6 that U.S. pharmaceutical companies should improve their offers on pricing and/or voluntary licenses for AIDS treatment drugs so as to avoid compulsory licensing by the Ministry of Health (MoH). Hugueney believed movement in the Chamber of Deputies of legislation that would deny patentability to AIDS drugs was likely intended to provide greater leverage to the Ministry of Health in its negotiations with the pharmaceutical companies. The bill’s broad political backing, he observed, makes a presidential veto unlikely should the legislation pass. On the WTO Doha Round of trade negotiations, Hugueney said Brazil will submit a “substantially improved” revised services offer the week of June 6. Hugueney expects to take up the post of Brazil’s Ambassador to the WTO by late August or early September. Hugueney confirmed Brazil’s plan to attend the June 21 to 22 US-EU International Conference on Iraq. End Summary.

      2. (SBU) On June 6, Ambassador met with Clodoaldo Hugueney, Itamaraty’s Under Secretary for Economic and Technological Affairs, to discuss a number of trade issues, principally, pending legislation that would render drugs to prevent and treat AIDS un-patentable, and the continuing threat of compulsory licensing facing the U.S. pharmaceutical companies Gilead Sciences, Abbott Laboratories, and Merck, Sharp & Dohme for their AIDS treatment drugs (ref A). Hugueney was accompanied by his assistant, Miguel Franco, and Otavio Brandelli, Chief of the Ministry’s IPR Division. Ecouns, Commoff, and Econoff accompanied Ambassador.

      AIDS Drugs - Compulsory License Threat and Patent Legislation

      3. (C) Hugueney, who had just returned from Doha negotiations in Geneva, said Itamaraty is following MoH negotiations with the pharmaceutical companies closely and described them as boiling down to issues of pricing or voluntary license/royalty payments. He noted the intense pressure the GoB is under from civil society, particularly NGOs, to issue compulsory licenses. Hugueney agreed the best outcome would be to avoid compulsory licenses, but opined that to do so would require improved offers on price or voluntary licensing from the companies. (Upon relaying this message to the companies, the Merck representative here told us his company was in the process of preparing a more detailed offer, although he did not say that it would be more forthcoming on prices. As for Gilead and Abbott, they have taken Hugueney’s suggestion “under advisement.”) Hugueney further advised the companies to maintain a dialog with the MoH to forestall precipitous, politically motivated action by that Ministry, and encouraged them to explain/present their proposals to a wide array of GoB interlocutors.

  • Uganda’s refugee policies: the history, the politics, the way forward

    Uganda’s refugee policy urgently needs an honest discussion, if sustainable solutions for both refugees and host communities are to be found, a new policy paper by International Refugee Rights Initiative (IRRI) reveals.

    The paper, entitled Uganda’s refugee policies: the history, the politics, the way forward puts the “Ugandan model” in its historical and political context, shines a spotlight on its implementation gaps, and proposes recommendations for the way forward.

    Uganda has since 2013 opened its borders to hundreds of thousands of refugees from South Sudan, bringing the total number of refugees to more than one million. It has been praised for its positive steps on freedom of movement and access to work for refugees, going against the global grain. But generations of policy, this paper shows, have only entrenched the sole focus on refugee settlements and on repatriation as the only viable durable solution. Support to urban refugees and local integration have been largely overlooked.

    The Ugandan refugee crisis unfolded at the same time as the UN adopted the New York Declaration for Refugees and Migrants, and states committed to implement a Comprehensive Refugee Response Framework (CRRF). Uganda immediately seized this opportunity and adopted its own strategy to implement these principles. As the world looks to Uganda for best practices in refugee policy, and rightly so, it is vital to understand the gaps between rhetoric and reality, and the pitfalls of Uganda’s policy. This paper identifies the following challenges:

    There is a danger that the promotion of progressive refugee policies becomes more rhetoric than reality, creating a smoke-screen that squeezes out meaningful discussion about robust alternatives. Policy-making has come at the expense of real qualitative change on the ground.
    Refugees in urban areas continue to be largely excluded from any support due to an ongoing focus on refugee settlements, including through aid provision
    Local integration and access to citizenship have been virtually abandoned, leaving voluntary repatriation as the only solution on the table. Given the protracted crises in South Sudan and Democratic Republic of Congo, this remains unrealistic.
    Host communities remain unheard, with policy conversations largely taking place in Kampala and Geneva. Many Ugandans and refugees have neither the economic resources nor sufficient political leverage to influence the policies that are meant to benefit them.

    The policy paper proposes a number of recommendations to improve the Ugandan refugee model:

    First, international donors need to deliver on their promise of significant financial support.
    Second, repatriation cannot remain the only serious option on the table. There has to be renewed discussion on local integration with Uganda communities and a dramatic increase in resettlement to wealthier states across the globe.
    Third, local communities hosting refugees must be consulted and their voices incorporated in a more meaningful and systematic way, if tensions within and between communities are to be avoided.
    Fourth, in order to genuinely enhance refugee self-reliance, the myth of the “local settlement” needs to be debunked and recognized for what it is: the ongoing isolation of refugees and the utilization of humanitarian assistance to keep them isolated and dependent on aid.


    http://refugee-rights.org/uganda-refugee-policies-the-history-the-politics-the-way-forward
    #modèle_ougandais #Ouganda #asile #migrations #réfugiés

    Pour télécharger le #rapport:
    http://refugee-rights.org/wp-content/uploads/2018/10/IRRI-Uganda-policy-paper-October-2018-Paper.pdf

    • A New Deal for Refugees

      Global policies that aim to resettle and integrate displaced populations into local societies is providing a way forward.

      For many years now, groups that work with refugees have fought to put an end to the refugee camp. It’s finally starting to happen.

      Camps are a reasonable solution to temporary dislocation. But refugee crises can go on for decades. Millions of refugees have lived in their country of shelter for more than 30 years. Two-thirds of humanitarian assistance — intended for emergencies — is spent on crises that are more than eight years old.

      Camps are stagnant places. Refugees have access to water and medical care and are fed and educated, but are largely idle. “You keep people for 20 years in camps — don’t expect the next generation to be problem-free,” said Xavier Devictor, who advises the World Bank on refugee issues. “Keeping people in those conditions is not a good idea.” It’s also hard to imagine a better breeding ground for terrorists.

      “As long as the system is ‘we feed you,’ it’s always going to be too expensive for the international community to pay for,” Mr. Devictor said. It’s gotten more and more difficult for the United Nations High Commissioner for Refugees to raise that money; in many crises, the refugee agency can barely keep people from starving. It’s even harder now as nations turn against foreigners — even as the number of people fleeing war and violence has reached a record high.

      At the end of last year, nearly 70 million people were either internally displaced in their own countries, or had crossed a border and become a refugee. That is the largest number of displaced in history — yes, more than at the end of World War II. The vast majority flee to neighboring countries — which can be just as badly off.

      Last year, the United States accepted about 30,000 refugees.

      Uganda, which is a global model for how it treats refugees, has one-seventh of America’s population and a tiny fraction of the wealth. Yet it took in 1,800 refugees per day between mid-2016 and mid-2017 from South Sudan alone. And that’s one of four neighbors whose people take refuge in Uganda.

      Bangladesh, already the world’s most crowded major nation, has accepted more than a million Rohingya fleeing ethnic cleansing in Myanmar. “If we can feed 160 million people, then (feeding) another 500,00-700,000 …. We can do it. We can share our food,” Shiekh Hasina, Bangladesh’s prime minister, said last year.

      Lebanon is host to approximately 1.5 million Syrian refugees, in addition to a half-million Palestinians, some of whom have been there for generations. One in three residents of Lebanon is a refugee.

      The refugee burden falls heavily on a few, poor countries, some of them at risk of destabilization, which can in turn produce more refugees. The rest of the world has been unwilling to share that burden.

      But something happened that could lead to real change: Beginning in 2015, hundreds of thousands of Syrian refugees crossed the Mediterranean in small boats and life rafts into Europe.

      Suddenly, wealthy European countries got interested in fixing a broken system: making it more financially viable, more dignified for refugees, and more palatable for host governments and communities.

      In September 2016, the United Nations General Assembly unanimously passed a resolution stating that all countries shared the responsibility of protecting refugees and supporting host countries. It also laid out a plan to move refugees out of camps into normal lives in their host nations.

      Donor countries agreed they would take more refugees and provide more long-term development aid to host countries: schools, hospitals, roads and job-creation measures that can help both refugees and the communities they settle in. “It looked at refugee crises as development opportunities, rather than a humanitarian risk to be managed,” said Marcus Skinner, a policy adviser at the International Rescue Committee.

      The General Assembly will vote on the specifics next month (whatever they come up with won’t be binding). The Trump administration pulled out of the United Nations’ Global Compact on Migration, but so far it has not opposed the refugee agreement.

      There’s a reason refugee camps exist: Host governments like them. Liberating refugees is a hard sell. In camps, refugees are the United Nations’ problem. Out of camps, refugees are the local governments’ problem. And they don’t want to do anything to make refugees comfortable or welcome.

      Bangladesh’s emergency response for the Rohingya has been staggeringly generous. But “emergency” is the key word. The government has resisted granting Rohingya schooling, work permits or free movement. It is telling Rohingya, in effect, “Don’t get any ideas about sticking around.”

      This attitude won’t deter the Rohingya from coming, and it won’t send them home more quickly. People flee across the closest border — often on foot — that allows them to keep their families alive. And they’ll stay until home becomes safe again. “It’s the simple practicality of finding the easiest way to refuge,” said Victor Odero, regional advocacy coordinator for East Africa and the Horn of Africa at the International Rescue Committee. “Any question of policies is a secondary matter.”

      So far, efforts to integrate refugees have had mixed success. The first experiment was a deal for Jordan, which was hosting 650,000 Syrian refugees, virtually none of whom were allowed to work. Jordan agreed to give them work permits. In exchange, it got grants, loans and trade concessions normally available only to the poorest countries.

      However, though the refugees have work permits, Jordan has put only a moderate number of them into jobs.

      Any agreement should include the views of refugees from the start — the Jordan Compact failed to do this. Aid should be conditioned upon the right things. The deal should have measured refugee jobs, instead of work permits. Analysts also said the benefits should have been targeted more precisely, to reach the areas with most refugees.

      To spread this kind of agreement to other nations, the World Bank established a $2 billion fund in July 2017. The money is available to very poor countries that host many refugees, such as Uganda and Bangladesh. In return, they must take steps to integrate refugees into society. The money will come as grants and zero interest loans with a 10-year grace period. Middle-income countries like Lebanon and Colombia would also be eligible for loans at favorable rates under a different fund.

      Over the last 50 years, only one developing country has granted refugees full rights. In Uganda, refugees can live normally. Instead of camps there are settlements, where refugees stay voluntarily because they get a plot of land. Refugees can work, live anywhere, send their children to school and use the local health services. The only thing they can’t do is become Ugandan citizens.

      Given the global hostility to refugees, it is remarkable that Ugandans still approve of these policies. “There have been flashes of social tension or violence between refugees and their hosts, mostly because of a scarcity of resources,” Mr. Odero said. “But they have not become widespread or protracted.”

      This is the model the United Nations wants the world to adopt. But it is imperiled even in Uganda — because it requires money that isn’t there.

      The new residents are mainly staying near the South Sudan border in Uganda’s north — one of the least developed parts of the country. Hospitals, schools, wells and roads were crumbling or nonexistent before, and now they must serve a million more people.

      Joël Boutroue, the head of the United Nations refugee agency in Uganda, said current humanitarian funding covered a quarter of what the crisis required. “At the moment, not even half of refugees go to primary school,” he said. “There are around 100 children per classroom.”

      Refugees are going without food, medical care and water. The plots of land they get have grown smaller and smaller.

      Uganda is doing everything right — except for a corruption scandal. It could really take advantage of the new plan to develop the refugee zone. That would not only help refugees, it would help their host communities. And it would alleviate growing opposition to rights for refugees. “The Ugandan government is under pressure from politicians who see the government giving favored treatment to refugees,” Mr. Boutroue said. “If we want to change the perception of refugees from recipients of aid to economic assets, we have to showcase that refugees bring development.”

      The World Bank has so far approved two projects — one for water and sanitation and one for city services such as roads and trash collection. But they haven’t gotten started yet.

      Mr. Devictor said that tackling long-term development issues was much slower than providing emergency aid. “The reality is that it will be confusing and confused for a little while,” he said. Water, for example, is trucked in to Uganda’s refugee settlements, as part of humanitarian aid. “That’s a huge cost,” he said. “But if we think this crisis is going to last for six more months, it makes sense. If it’s going to last longer, we should think about upgrading the water system.”

      Most refugee crises are not surprises, Mr. Devictor said. “If you look at a map, you can predict five or six crises that are going to produce refugees over the next few years.” It’s often the same places, over and over. That means developmental help could come in advance, minimizing the burden on the host. “Do we have to wait until people cross the border to realize we’re going to have an emergency?” he said.

      Well, we might. If politicians won’t respond to a crisis, it’s hard to imagine them deciding to plan ahead to avert one. Political commitment, or lack of it, always rules. The world’s new approach to refugees was born out of Europe’s panic about the Syrians on their doorstep. But no European politician is panicking about South Sudanese or Rohingya refugees — or most crises. They’re too far away. The danger is that the new approach will fall victim to the same political neglect that has crippled the old one.

      https://www.nytimes.com/2018/08/21/opinion/refugee-camps-integration.html

      #Ouganda #modèle_ougandais #réinstallation #intégration

      avec ce commentaire de #Jeff_Crisp sur twitter :

      “Camps are stagnant places. Refugees have access to water and medical care and are fed and educated, but are largely idle.”
      Has this prizewinning author actually been to a refugee camp?

      https://twitter.com/JFCrisp/status/1031892657117831168

    • Appreciating Uganda’s ‘open door’ policy for refugees

      While the rest of the world is nervous and choosing to take an emotional position on matters of forced migration and refugees, sometimes closing their doors in the face of people who are running from persecution, Uganda’s refugee policy and practice continues to be liberal, with an open door to all asylum seekers, writes Arthur Matsiko

      http://thisisafrica.me/appreciating-ugandas-open-door-policy-refugees

    • Ouganda. La générosité intéressée du pays le plus ouvert du monde aux réfugiés

      L’Ouganda est le pays qui accueille le plus de réfugiés. Un million de Sud-Soudanais fuyant la guerre s’y sont installés. Mais cette noble intention des autorités cache aussi des calculs moins avouables : l’arrivée massive de l’aide internationale encourage l’inaction et la #corruption.

      https://www.courrierinternational.com/article/ouganda-la-generosite-interessee-du-pays-le-plus-ouvert-du-mo

    • Refugees in Uganda to benefit from Dubai-funded schools but issues remain at crowded settlement

      Dubai Cares is building three classrooms in a primary school at Ayilo II but the refugee settlement lacks a steady water supply, food and secondary schools, Roberta Pennington writes from Adjumani


      https://www.thenational.ae/uae/refugees-in-uganda-to-benefit-from-dubai-funded-schools-but-issues-remai

    • FUGA DAL SUD SUDAN. LUIS, L’UGANDA E QUEL PEZZO DI TERRA DONATA AI PROFUGHI

      Luis zappa, prepara dei fori per tirare su una casa in attesa di ritrovare la sua famiglia. Il terreno è una certezza, glielo ha consegnato il Governo ugandese. Il poterci vivere con i suoi cari non ancora. L’ultima volta li ha visti in Sud Sudan. Nel ritornare a casa sua moglie e i suoi otto figli non c’erano più. É sicuro si siano messi in cammino verso l’Uganda, così da quel giorno è iniziata la sua rincorsa. É certo che li ritroverà nella terra che ora lo ha accolto. Quella di Luis è una delle tante storie raccolte nei campi profughi del nord dell’Uganda, in una delle ultime missioni di Amref, in cui era presente anche Giusi Nicolini, già Sindaco di Lampedusa e Premio Unesco per la pace. 



      Modello Uganda? Dell’Uganda il mondo dice «campione di accoglienza». Accoglienza che sta sperimentando da mesi nei confronti dei profughi sud sudanesi, che scappano da uno dei Paesi più drammaticamente in crisi al mondo. Sono 4 milioni le persone che in Sud Sudan hanno dovuto lasciare le proprie case. Chi muovendosi verso altri Paesi e chi in altre regioni sud sudanesi. In questi ultimi tempi arrivano in Uganda anche persone che fuggono dalla Rep. Democratica del Congo.

      https://www.amref.it/2018_02_23_Fuga_dal_Sud_Sudan_Luis_lUganda_e_quel_pezzo_di_terra_donata_ai_pro

    • As Rich Nations Close the Door on Refugees, Uganda Welcomes Them

      President Trump is vowing to send the military to stop migrants trudging from Central America. Europe’s leaders are paying African nations to block migrants from crossing the Mediterranean — and detaining the ones who make it in filthy, overcrowded camps.

      But Solomon Osakan has a very different approach in this era of rising xenophobia. From his uncluttered desk in northwest Uganda, he manages one of the largest concentrations of refugees anywhere in the world: more than 400,000 people scattered across his rural district.

      He explained what he does with them: Refugees are allotted some land — enough to build a little house, do a little farming and “be self-sufficient,” said Mr. Osakan, a Ugandan civil servant. Here, he added, the refugees live in settlements, not camps — with no barbed wire, and no guards in sight.

      “You are free, and you can come and go as you want,” Mr. Osakan added.

      As many nations are securing their borders and turning refugees away, Uganda keeps welcoming them. And they keep coming, fleeing catastrophes from across this part of Africa.

      In all, Uganda has as many as 1.25 million refugees on its soil, perhaps more, making it one of the most welcoming countries in the world, according to the United Nations.

      And while Uganda’s government has made hosting refugees a core national policy, it works only because of the willingness of rural Ugandans to accept an influx of foreigners on their land and shoulder a big part of the burden.

      Uganda is not doing this without help. About $200 million in humanitarian aid to the country this year will largely pay to feed and care for the refugees. But they need places to live and small plots to farm, so villages across the nation’s north have agreed to carve up their communally owned land and share it with the refugees, often for many years at a time.

      “Our population was very few and our community agreed to loan the land,” said Charles Azamuke, 27, of his village’s decision in 2016 to accept refugees from South Sudan, which has been torn apart by civil war. “We are happy to have these people. We call them our brothers.”

      United Nations officials have pointed to Uganda for its “open border” policy. While the United States, a much more populous nation, has admitted more than three million refugees since 1975, the American government settles them in the country after they have first been thoroughly screened overseas.

      By contrast, Uganda has essentially opened its borders to refugees, rarely turning anyone away.

      Some older Ugandans explain that they, too, had been refugees once, forced from their homes during dictatorship and war. And because the government ensures that spending on refugees benefits Ugandans as well, younger residents spoke of how refugees offered them some unexpected opportunities.

      “I was a farmer. I used to dig,” Mr. Azamuke said. But after learning Arabic from refugees from South Sudan, he got a better job — as a translator at a new health clinic that serves the newcomers.

      His town, Ofua, is bisected by a dirt road, with the Ugandans living on the uphill side and the South Sudanese on the downhill side. The grass-thatched homes of the Ugandans look a bit larger and sturdier, but not much.

      As the sun began to set one recent afternoon, a group of men on the Ugandan side began to pass around a large plastic bottle of waragi, a home brew. On the South Sudanese side, the men were sober, gathered around a card game.

      On both sides, the men had nothing but tolerant words for one another. “Actually, we don’t have any problems with these people,” said Martin Okuonzi, a Ugandan farmer cleaning his fingernails with a razor blade.

      As the men lounged, the women and girls were still at work, preparing dinner, tending children, fetching water and gathering firewood. They explained that disputes did arise, especially as the two groups competed for limited resources like firewood.

      “We’ve been chased away,” said Agnes Ajonye, a 27-year-old refugee from South Sudan. “They say we are destroying their forests.”

      And disputes broke out at the well, where Ugandan women insist they should be allowed to skip ahead of refugees.

      “If we hadn’t given you the land you live on, wouldn’t you be dying in Sudan?” said Adili Chandia, a 62-year-old refugee, recounting the lecture she and others got from a frustrated Ugandan woman waiting in line.

      Ugandan officials often talk about the spirit of Pan-Africanism that motivates their approach to refugees. President Yoweri Museveni, an autocratic leader who has been in power for 32 years, says Uganda’s generosity can be traced to the precolonial days of warring kingdoms and succession disputes, when losing factions often fled to a new land.

      This history of flight and resettlement is embedded in some of the names of local groups around western Uganda, like Batagwenda, which means “the ones that could not continue traveling.”

      The government encourages the nation to go along with its policy by directing that 30 percent of foreign aid destined for refugees be spent in ways that benefit Ugandans nearby. So when money for refugees results in new schools, clinics and wells, Ugandans are more likely to welcome than resent them.

      For Mr. Museveni, hosting refugees has given him relevance and political capital abroad at a time when he would otherwise have little.

      A former guerrilla fighter who quickly stabilized much of his country, Mr. Museveni was once hailed as an example of new African leadership. He was relatively quick to confront the AIDS epidemic, and he invited back Ugandans of Indian and Pakistani descent who had been expelled during the brutal reign of Idi Amin in the 1970s.

      But his star has fallen considerably. He has clung to power for decades. His security forces have beaten political opponents. Freedom of assembly and expression are severely curtailed.

      Even so, Uganda’s openness toward refugees makes Mr. Museveni important to European nations, which are uneasy at the prospect of more than a million refugees heading for Europe.

      Other African nations also host a significant number of refugees, but recent polls show that Ugandans are more likely than their neighbors in Kenya or Tanzania to support land assistance or the right to work for refugees.

      Part of the reason is that Ugandans have fled their homes as well, first during the murderous reign of Mr. Amin, then during the period of retribution after his overthrow, and again during the 1990s and 2000s, when Joseph Kony, the guerrilla leader who terrorized northern Uganda, left a trail of kidnapped children and mutilated victims.

      Many Ugandans found refuge in what is today South Sudan. Mark Idraku, 57, was a teenager when he fled with his mother to the area. They received two acres of farmland, which helped support them until they returned home six years later.

      “When we were in exile in Sudan, they also helped us,” Mr. Idraku said. “Nobody ever asked for a single coin.”

      Mr. Idraku has since returned the favor, loaning three acres to a South Sudanese refugee named Queen Chandia, 37. Ms. Chandia said the land — along with additional plots other Ugandans allow her to farm — has made all the difference.

      Her homestead of thatched-roof huts teemed with children tending their chores, grinding nuts into paste and maize into meal. Ms. Chandia is the mother of a girl and two boys. But over the years, as violence hollowed out her home country, Ms. Chandia started taking in the orphaned children of relatives and friends. Now 22 children call her “mom.”

      A refugee for nearly her entire life, Ms. Chandia arrived in Uganda as a young girl nearly 30 years ago. For years, she worried about being expelled.
      Image

      “Maybe these Ugandans will change their minds on us,” she said, describing the thought that plagued her. Then one day the worry stopped.

      But Mr. Osakan, the administrator who oversees refugee affairs in the country’s extreme northwest, is anxious. There is an Ebola outbreak over the border in the Democratic Republic of Congo. Mr. Osakan fears what might happen if — or when — a refugee turns up in Uganda with the dreaded illness.

      “It would destroy all the harmony between refugees and host communities,” he said, explaining that it would probably lead to calls to seal the border.

      For now, the border is very much open, although the number of refugees arriving has fallen significantly. In one of the newer settlements, many of the refugees came last year, fleeing an attack in a South Sudanese city. But some complained about receiving too little land, about a quarter acre per family, which is less than previous refugees had received.

      “Even if you have skills — in carpentry — you are not given a chance,” said one refugee, Simon Ludoru. He looked over his shoulder, to where a construction crew was building a nursery school. The schoolhouse would teach both local Ugandan and South Sudanese children together, but the workers were almost entirely Ugandan, he said.

      At the construction site, the general contractor, Sam Omongo, 50, said he had hired refugees for the job. “Oh, yes,” he exclaimed.

      How many?

      “Not a lot, actually,” he acknowledged. “I have about three.” Mr. Omongo called one over.

      “Are you a refugee?” Mr. Omongo asked the slight man.

      “No, I’m from Uganda,” he said softly. His name was Amos Chandiga, 28. He lived nearby and owned six acres of land, though he worked only four of them. He had lent the other two to a pair of refugees.

      “They asked me, and I gave it to them,” Mr. Chandiga explained. He patted his chest. “It comes from here, in my heart.”


      https://www.nytimes.com/2018/10/28/world/africa/uganda-refugees.html?smtyp=cur&smid=tw-nytimes

    • Uganda: a role model for refugee integration?

      Uganda hosts the largest refugee population in Africa and is, after Turkey and Pakistan, the third-largest refugee recipient country worldwide. Political and humanitarian actors have widely praised Ugandan refugee policies because of their progressive nature: In Uganda, in contrast to many other refugee-receiving countries, these are de jure allowed to work, to establish businesses, to access public services such as education, to move freely and have access to a plot of land. Moreover, Uganda is a pilot country of the Comprehensive Refugee Response Framework (CRRF). In this Working Paper the authors ascertain whether Uganda indeed can be taken as a role model for refugee integration, as largely portrayed in the media and the political discourse. They identify the challenges to livelihoods and integration to assess Uganda’s self-reliance and settlement approach and its aspiration towards providing refugees and Ugandan communities receiving refugees with opportunities for becoming self-reliant. Drawing on three months of field research in northern and southern Uganda from July to September of 2017 with a particular focus on South Sudanese refugees, the authors concentrate on three aspects: Access to land, employment and education, intra- and inter-group relations. The findings show that refugees in Uganda are far from self-reliant and socially integrated. Although in Uganda refugees are provided with land, the quality and size of the allocated plots is so poor that they cannot earn a living from agricultural production, which thus, rather impedes self-reliance. Inadequate infrastructure also hinders access to markets and employment opportunities. Even though most local communities have been welcoming to refugees, the sentiment has shifted recently in some areas, particularly where local communities that are often not better off than refugees feel that they have not benefitted from the presence of refugees....

      https://www.ssoar.info/ssoar/handle/document/62871

    • Uganda has a remarkable history of hosting refugees, but its efforts are underfunded

      Uganda has agreed to a request from the United States to temporarily accommodate 2,000 refugees from Afghanistan while Washington processes their applications to live in the US. The move underscores the reputation Uganda has of being progressive on refugee issues. Refugee expert Dr Evan Easton-Calabria provides insights into why.
      When did Uganda start hosting refugees?

      Uganda has a long history of hosting refugees. This started in the early 1940s with Polish refugees who fled from Nazi-occupied Europe. The Nakivale refugee settlement – formed in 1959 – in southwest Uganda is the oldest refugee camp in Africa.

      Uganda also hosts huge numbers of refugees. In the mid-1950s almost 80,000 Sudanese refugees, fleeing the first civil war, sought refuge in the country. They were only the first of many waves of refugees from different neighbouring countries to arrive. Uganda has hosted significant numbers of refugees ever since.

      Today, almost 1.5 million refugees live in Uganda, making it the top refugee-hosting country in Africa and one of the top five hosting countries in the world.

      Its longstanding ‘open-door’ policy has benefited it both politically and financially, with hundreds of millions of donor funds provided each year for humanitarian and development projects. These target both refugees and locals. While Kenya, for example, has received Euros 200 million in humanitarian aid from the European Union since 2012, Uganda has received this much from the EU in just over four years.
      Is the country more progressive towards refugees than its neighbours?

      Uganda’s policies towards refugees have been hailed as progressive. It has even been called “the world’s best place for refugees”.

      Refugees have the right to work and freedom of movement, thanks to Uganda’s 2006 Refugee Act and 2010 Refugee Regulations, which provide a strong legal and regulatory framework for refugee rights.

      Refugees have the right to the same social services as Ugandans, including health care and free primary education. They are not confined to camps but can also live in urban areas. The country has, therefore, received a lot of positive attention for ‘fostering’ the self-reliance of refugees.

      However, despite rights on paper in Uganda, refugees still struggle.

      They are not legally recognised as refugees if they live in cities besides the capital, Kampala. As ‘self-settled’ urban refugees, they risk being misclassified as economic migrants. Lacking official refugee status (unless they have been registered in a settlement), urban refugees also often lack assistance.

      Although refugees in Uganda are economically diverse – one study even identified over 70 different types of livelihoods activities by refugees in Uganda – for many in settlements, subsistence farming is their primary livelihood. But, despite plots of land being provided in settlements, many don’t have enough land to farm on and soil quality is often low. This means that, for many, farming is no longer a viable livelihood. This shows that liberal refugee policies, like those promoting self-reliance in Uganda, must be backed with adequate resources if they are to be more than just words on paper.

      Comparatively, Uganda’s neighbours – such as Kenya and Ethiopia – have traditionally been more restrictive. Kenya relies on a system of encampment, where most refugees live in camps, and Ethiopia has only recently expanded its out-of-camp policy to all refugees and aslyum-seekers, although regulatory gaps remain. Nevertheless, it’s important to note that both are major refugee-hosting countries. They host far more refugees than many western (and wealthier) countries. Kenya hosts over half a million refugees, mainly from Somalia and South Sudan. Ethiopia hosts over 788,000 and is the third largest refugee-hosting country in Africa.
      How effectively does Uganda manage its refugee community?

      ‘Effectiveness’ is an interesting word in this context. On one hand, Uganda provides an important foundation in terms of providing the legal infrastructure to allow many refugees to lead independent lives. But refugees also enter a challenging context: Uganda struggles to provide adequate services for its own citizens and unemployment is high. It has one of the world’s lowest rankings in the Human Capital Index.

      In addition, the 2021 presidential election saw increased political and social unrest which has led to the violation of rights such as the freedom of assembly and expression for citizens and other residents, including refugees. While many Ugandans have welcomed refugees, there are increasing accounts of overburdened cities and strains on resources, like firewood, in some parts of the country.

      The corruption of humanitarian aid is also a problem, with UNHCR Uganda accused of mismanaging tens of millions of dollars in 2016-2017. This illustrates the clear need for effective financial management so that refugees can actually be helped.

      There is also another important question of responsibility. Despite the positive attention the international community has given the country, donor funds have not often matched the praise. If schools and health facilities are crowded, in part because of refugees, the responsibility to provide additional support should not fall on a refugee-hosting country such as Uganda alone. Limited resources mean limited management. As of June, the 2020-2021 Uganda Refugee Response Plan was only 22% funded, leaving a shortfall of US$596 million to cover all sectors ranging from protection to food security to sanitation.
      Does it look likely that Uganda will continue in its role as a leading refugee destination?

      Uganda has had a strong commitment to hosting refugees for over 70 years –- about the same length that the 1951 Refugee Convention has existed. A spirit of pan-Africanism and first-hand understanding of displacement by many Ugandans have all contributed to its willingness to host refugees. Its recent temporary accommodation of Afghan refugees indicates that it is interested in continuing this role.

      That said, no country should host refugees without significant international support. Many refugee response plans, such as Uganda’s, remain significantly underfunded even as displacement rises and challenges – such as the COVID-19 pandemic – remain. Even though Uganda receives a significant amount of money, it’s not enough to support the number of people arriving as evidenced by a funding appeal by refugee response actors in June this year.

      Mechanisms such as the Comprehensive Refugee Response Framework offer a means to channel resources and increase collaboration on refugee hosting. But it is important to consider what displacement in Central, Eastern, and the Horn of Africa would look like if Uganda closed its borders. Uganda is making an effort in a neighbourhood where few other countries have the same enthusiasm.

      https://theconversation.com/uganda-has-a-remarkable-history-of-hosting-refugees-but-its-efforts

  • Offline: Why has global health forgotten cancer? - The Lancet
    https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32162-7/abstract

    Nothing illustrates the embedded irrationality of global health more than our attitudes to cancer. In 2016, according to the Global Burden of Disease, 8·9 million people died from cancer (23% of total worldwide deaths from NCDs, and 16% of deaths from all causes). The leading causes of cancer death are tumours of the trachea, bronchus, and lung (1·7 million deaths); gynaecological cancers (breast, cervix, ovary, and uterus: 1 million deaths); gastric cancer (834 000 deaths); colorectal cancer (829 600 deaths); and liver cancer (828 000 deaths). So why the indifference?

    The NCD community has become trapped in an ideology that privileges prevention over treatment. A similar mistake disfigured the early response to AIDS. I can recall senior WHO leaders two decades ago agreeing that a generation of people living with HIV would have to die before the pandemic could be controlled by prevention. Only anger and activism overturned the complacency of traditional public health practice. But the NCD community has no time for anger or activism

    #cancer #OMS #prévention #traitement (again)

  • How both sides in Ukraine’s war are losing the #HIV battle

    Displacement, aid delivery issues, and different strategies are all feeding a raging epidemic.
    Every month or so, health project manager Yulia sets off on an arduous 24-hour, 100-kilometre journey across eastern Ukraine’s “contact line” from Severodonetsk to the rebel-held city of Luhansk. It is the front line not only of a conflict that has claimed more than 10,000 lives since early 2014 but also of one of Europe’s worst HIV epidemics.

    https://www.irinnews.org/feature/2018/02/15/how-both-sides-ukraine-s-war-are-losing-hiv-battle
    #sida #AIDS #Ukraine #santé

  • WHO | WHO validates elimination of mother-to-child transmission of HIV and syphilis in #Cuba
    http://www.who.int/mediacentre/news/releases/2015/mtct-hiv-cuba/en

    30 JUNE 2015 ¦ GENEVA ¦ WASHINGTON - Cuba today became the first country in the world to receive validation from WHO that it has eliminated mother-to-child transmission of HIV and syphilis.

    “Eliminating transmission of a virus is one of the greatest public health achievements possible,” said Dr Margaret Chan, WHO Director-General. “This is a major victory in our long fight against HIV and sexually transmitted infections, and an important step towards having an AIDS-free generation” she added.

    Michel Sidibé, Executive Director of UNAIDS: “This is a celebration for Cuba and a celebration for children and families everywhere. It shows that ending the AIDS epidemic is possible and we expect Cuba to be the first of many countries coming forward to seek validation that they have ended their epidemics among children.”

    #VIH #SIDA #enfant #santé #bonne_nouvelle

    Viva Cuba !

  • Trump Adviser Stephen Miller Championed Big Tobacco’s Alarming Lies | Alternet
    http://www.alternet.org/news-amp-politics/stephen-miller-tobacco-truther-lies

    Two op-eds address the health effects of smoking tobacco and the “unrelenting health fascists” who regulate where one can smoke. In one piece that drastically minimizes the health risks of smoking, Miller, then a self-identified smoker, advances ideas that are patently false. Claiming “it is safer for college kids to smoke than to drive,” he overlooks a few key facts: Today, smoking kills 480,000 people in the United States each year, “more than AIDS, alcohol, car accidents, illegal drugs, murders and suicides combined.” While some college smokers may be able to quit long-term, most regular smokers who try to quit are not successful. In contrast, car crashes killed about 31,000 people in the U.S. in 2007, the year Miller wrote his opinion piece.

    Miller relies on several articles published by the "renowned Cato Institute,” a libertarian think tank funded by corporations and wealthy conservatives. And guess what? The Cato Institute has received funding from major tobacco companies RJ Reynolds and Philip Morris. Miller cites a Cato article that even the conservative American Council on Science and Health called “unscientific and inflammatory.”

    #tabac #post-truth

  • Devastating HIV epidemic hits Russia - World Socialist Web Site
    http://www.wsws.org/en/articles/2017/01/10/hivr-j10.html

    Devastating HIV epidemic hits Russia
    By Clara Weiss
    10 January 2017

    A quarter century after the dissolution of the USSR in December 1991, an HIV epidemic, closely bound up with massive heroin consumption, is raging in Russia. It is a devastating indictment of the social catastrophe that was brought about by the restoration of capitalism.

    According to Vadim Pokrovski, head of the Federal AIDS Centre in Moscow, around 850,000 Russians were diagnosed with HIV at the beginning of 2016. Another 220,000 have died of AIDS since the late 1980s. He estimates that another half-million Russians are infected, but not diagnosed, with HIV. An estimated 100,000 were newly infected in 2016.

    #russie #santé #Sida #hiv

  • PLOS Neglected Tropical Diseases: Diseases Neglected by the Media in Espírito Santo, Brazil in 2011–2012
    http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0004662

    Abstract

    Background
    The aims of the present study were to identify and analyse the Diseases Neglected by the Media (DNMs) via a comparison between the most important health issues to the population of Espírito Santo, Brazil, from the epidemiological perspective (health value) and their effective coverage by the print media, and to analyse the DNMs considering the perspective of key journalists involved in the dissemination of health topics in the state media.

    Methodology
    Morbidity and mortality data were collected from official documents and from Health Information Systems. In parallel, the diseases reported in the two major newspapers of Espírito Santo in 2011–2012 were identified from 10,771 news articles. Concomitantly, eight interviews were conducted with reporters from the two newspapers to understand the journalists’ reasons for the coverage or neglect of certain health/disease topics.

    Principal Findings
    Quantitatively, the DNMs identified diseases associated with poverty, including tuberculosis, leprosy, schistosomiasis, leishmaniasis, and trachoma. Apart from these, diseases with outbreaks in the period evaluated, including whooping cough and meningitis, some cancers, respiratory diseases, ischaemic heart disease, and stroke, were also seldom addressed by the media. In contrast, dengue fever, acquired immune deficiency syndrome (AIDS), diabetes, breast cancer, prostate cancer, tracheal cancer, and bronchial and lung cancers were broadly covered in the period analysed, corroborating the tradition of media disclosure of these diseases. Qualitatively, the DNMs included rare diseases, such as amyotrophic lateral sclerosis (ALS), leishmaniasis, Down syndrome, and verminoses. The reasons for the neglect of these topics by the media included the political and economic interests of the newspapers, their editorial line, and the organizational routine of the newsrooms.

    Conclusions
    Media visibility acts as a strategy for legitimising priorities and contextualizing various realities. Therefore, we propose that the health problems identified should enter the public agenda and begin to be recognized as legitimate demands.

  • Chinese Researchers Experiment with Making HIV-Proof Embryos
    https://www.technologyreview.com/s/601235/chinese-researchers-experiment-with-making-hiv-proof-embryos

    Chinese fertility doctors have tried to make HIV-proof human embryos, but the experiments ended in a bust. The new report is the second time researchers in China revealed that they had a go at making genetically modified human embryos.

    [...]

    The Chinese scientists tried to make human embryos resistant to HIV by editing a gene called CCR5. It’s known that some people possess versions of this gene which makes them immune to the virus, which causes AIDS. The reason is they no longer make a protein that HIV needs to enter and hijack immune cells.

    [...]

    One day endowing people with protective genes could become a real possibility. It would be like a vaccine, except one that is installed in a person’s genome from birth. And there’s a long list of genes people might demand for their children in addition to HIV resistance. One DNA change, for instance, seems to completely prevent Alzheimer’s. Another generates people with twice the muscle mass.

    “Made in China”

    #CCR5 #Chine #Clustered_Regularly_Interspaced_Short_Palindromic_Repeats #Embryon #Guangzhou_Medical_University #Génétique_humaine #Organisme_génétiquement_modifié #Recherche_scientifique #Syndrome_d'immunodéficience_acquise #Virus_de_l'immunodéficience_humaine

    • It would be like a vaccine, except one that is installed in a person’s genome from birth.

      Ou ça serait comme une girafe, sauf que ça serait pas un animal et que ça serait installé dans le génome d’une personne à la naissance.

      Ou comme un iPhone, sauf que ça serait pas un objet et que ça serait installé dans le génome d’une personne à la naissance.

  • An AIDS Epidemic Is Decimating the Indigenous Warao Community in Venezuela · Global Voices
    https://globalvoices.org/2016/01/21/an-aids-epidemic-is-decimating-the-indigenous-warao-community-in-venez

    Doctors also concluded that the communities with the highest rate of HIV infection are Jobure de Guayo, Usido, and San Francisco de Guayo, that men are more prone to infection than women, and that the highest HIV rates are among the 15-24-year-old age group. The mortality rate of HIV infection of the past eight years is high, and the HIV infection rate in the communities studied has been constant for the past three years.

    In 2007, the Venezuelan Red Cross had identified 15 cases of HIV in the San Francisco de Guayo community and its surroundings (Murako, Jobure, Jobure Island, Ajimurina, Merejina, Kuamujo, La Mora, and Guayaboroina). Today, HIV is present in 26 Warao communities. The leaders of the Jeukubaca community disappeared two years ago when the majority of its inhabitants died of AIDS. This was confirmed by a list of statistics of the deceased maintained by the Guayo hospital. Most were men. The women who remained abandoned the town.

    #Venezuela #sida #peuples_indigènes

  • Public Health Experiment Brings Hepatitis Cures to Egypt’s Poor
    http://www.nytimes.com/2015/12/16/health/hepatitis-c-treatment-egypt.html

    Once demonized for withholding lifesaving AIDS drugs from poor countries in Africa, chastened pharmaceutical companies are testing an alternative strategy: a complicated deal to sell hepatitis drugs at a fraction of their usual cost while imposing tight restrictions intended to protect lucrative markets in the West.

    The strategy has raised howls of outrage from public health advocates in some quarters. If it succeeds, though, the arrangement in Egypt may serve as a blueprint not just for curing hepatitis around the world, but also for providing other cutting-edge medicines to citizens in poor countries who could never afford them.

    #Egypte #santé #hépatite #vaccin #pauvres #pharma

  • A reason for hope in war-torn eastern DRC — New Internationalist
    http://newint.org/features/web-exclusive/2015/08/05/hope-in-democratic-republic-of-congo-panzi-hospital

    The ongoing conflict in the Democratic Republic of Congo (DRC) has been the deadliest since the Second World War. More than 5 million people have died – mainly of starvation and disease – and marauding militia groups have raped and abused hundreds of thousands of women and children.

    Deep in the east of the country, where the war began in the aftermath of the Rwandan genocide, one surgeon in a small and underfunded hospital is giving women and children a reason for hope.

    ’In 1999, Dr #Denis_Mukwege founded #Panzi Hospital, in Bukavu, the capital of South Kivu province, to provide medical care and support to rape victims’

    In 1999, Dr Denis Mukwege founded Panzi Hospital, in Bukavu, the capital of South Kivu province, to provide medical care and support to rape victims. He has received several international awards and been nominated for the Nobel Peace Prize for helping to treat over 30,000 survivors of sexual violence. Dr Mukwege explained:

    The perpetrators of these crimes destroy life at its entry point. The women can no longer have children. Often they get infected with AIDS and will spread the disease. Their men are humiliated. So the perpetrators destroy the entire social fabric of their enemies, their communities, their future generations, without even killing the woman.

    #femmes #viols #conflits_armés #RDC

  • Fatal Accidents as a Global Health Crisis
    http://www.nytimes.com/2015/02/17/upshot/fatal-accidents-as-a-global-health-crisis.html

    Worried about what to worry about? Accidents should move higher up your list.

    Worldwide, road injuries kill more people than AIDS. Falls kill nearly three times as many people as brain cancer. Drowning claims more lives than mothers dying in childbirth. Both fire and poisonings have many times more fatal victims than natural disasters. In 2013, the combined death toll from all unintentional injuries was 3.5 million people. Only heart disease and stroke were greater killers.

    [...] The study isn’t mere morbid fascination. Look beneath the top-level results and you also see huge variations among countries that are economic peers. This is actually encouraging news: It means that some countries have figured out a much better way to curb accidental deaths — and that other countries might be able to follow suit.

    [...] The Global Burden study exists, in part, to provide this kind of all-encompassing view of global, regional and national health, as well as to track progress or setbacks place by place, population by population. The project, which includes more than 1,000 scientists in 106 countries, began in the 1990s at the World Bank and World Health Organization and is now led by independent academic scientists with major funding from the Bill & Melinda Gates Foundation.

    The new article in The Lancet is intended to be the first of a series of annual updates on death, disability and risk factors (like alcohol abuse, air pollution or lack of physical activity), providing the health equivalent of leading economic indicators. Where data on causes of death is sparse, the Global Burden team fills in the gaps as best it can with statistical modeling. The findings are therefore provisional — the best available evidence, not the final word. Still, broad trends suggest that accident prevention continues to be neglected as a public health issue worldwide.

    #accidents #mortalité #santé

  • Why Human Rights Orgs. Are Ignoring 3 Million Syrians Living Without Water | WMD
    http://www.filmsforaction.org/watch/why-human-rights-orgs-are-ignoring-3-million-syrians-living-without-

    Abby Martin talks about the media’s obsession with LA Clipper’s owner Donald Sterling’s new comments regarding Magic Johnson, AIDS and racism while ignoring reports that Syrian rebels are blocking...

  • Dallas Buyers Club - Jean-Marc Vallée (2013)
    http://en.wikipedia.org/wiki/Dallas_Buyers_Club

    Dallas Buyers Club is a 2013 American biographical drama film, directed by Jean-Marc Vallée and written by Craig Borten and Melisa Wallack. Matthew McConaughey stars as the real-life AIDS patient Ron Woodroof, who smuggled unapproved pharmaceutical drugs into Texas when he found them effective at improving his symptoms, distributing them to fellow sufferers by establishing the “Dallas Buyers Club” while facing opposition from the Food and Drug Administration (FDA).

    #sida #FDA #médicaments #fast-track #essais_cliniques #AZT #DDC #Peptide-T

    (sur le casting voir http://seenthis.net/messages/99958 )

  • #Cancer in the developing world: Worse than AIDS | The Economist
    http://www.economist.com/news/international/21597962-burden-cancer-falling-increasingly-heavily-poor-worse-aids

    Poor cancer sufferers are not only more likely to die, but more likely to suffer pain and financial distress. When researchers asked Kenyan and Scottish patients with terminal cancer about their experiences, the Scots spoke of emotional angst while the Kenyans reported severe physical pain and financial worries. Though morphine is cheap, it is scarce in many poor countries, whose governments fear it will cause addiction or be used to make heroin.

    Although cancer claims more victims, it receives a tiny fraction of the aid that goes to fighting HIV, malaria and tuberculosis. Three of the Millennium Development Goals dealt with health, but none mentioned cancer.

    #santé

  • Egypt reportedly discovers new treatment for AIDS within six months
    Text of report by Egyptian state-run news agency MENA

    Is it a joke?

    Cairo, 23 February: The quantitative treatment for virus C and AIDS diseases by newly-invented devices will begin by the end of June, said Maj. Gen. Tahir Abdullah, the head of the Armed Forces’ engineering department.

    On Sunday [23 February], the army’s engineering department announced invention of new devices using capsules that boost the efficiency of the immune system.

    The ministry of health had approved the new treatment, Abdullah said.

    “We seek to obtain international approvals for it,” he added, praising a role of scientific research of the army’s engineering department.

    The designed devices can detect and treat AIDS and virus C without the need for taking blood samples from patients, he noted.

    [At 1815 gmt, MENA reported that the armed forces’ engineering department invented new medicine for virus C and AIDS diseases via capsules that boost the efficiency of the immune system and that it designed , Major General Taher Abdullah, head of the department said. The agency also sadi that two devices were designed to detect and treat AIDS and virus C within six months ]

    Source: MENA news agency, Cairo, in English 1909gmt 23 Feb 14

  • The Global Cancer Burden - NYTimes.com

    http://www.nytimes.com/2013/12/25/opinion/the-global-cancer-burden.html?nl=todaysheadlines&emc=edit_th_20131225

    Cancer is on the rise around the world and poses a particular threat in many low- and middle-income countries. Death tolls globally far exceed those from such devastating infectious diseases like AIDS, tuberculosis and malaria. According to recent reports from international health agencies, global mortality from those three diseases has, in fact, been cut substantially — by nearly half in the case of malaria — over the past decade.

    #santé #cancer

  • Les héros de la lutte contre le SIDA sont fatigués - What really killed Spencer Cox, AIDS activist ?

    Surviving AIDS, but Not the Life That Followed

    “There were so many people that came to Act Up young, and they never got to have a life,” he said. “Spencer didn’t even finish Bennington. But these kids were attracted to the activism, and by the time that we were out of the woods they were too old to get jobs. They were too old to get careers."

    (...)

    Walt Odets is a clinical psychologist in Berkeley, Calif., who knew Mr. Cox and has written extensively about the aftereffects of H.I.V. on long-term survivors. Dr. Odets is reluctant to use terms like “post-traumatic stress disorder” and “pill fatigue” to describe what happened to the veterans of Act Up, but he said it was clear the epidemic did not end for them when therapeutic drugs came along.

    “It was an extraordinary trauma comparable to a wartime experience,” Dr. Odets said. “For many gay men, after the epidemic was over, there was a loss of energy and vitality. It’s like going from a car that runs on rocket fuel to one that runs on gasoline. And it had to be bewildering for Spencer.”

    http://www.nytimes.com/2013/02/24/fashion/what-really-killed-spencer-cox-aids-activist.html?pagewanted=all&_r=1&

    #sida #activisme #pill_fatigue #crystal_meth

  • AIDS Spreading Fast Across East Europe | Inter Press Service
    http://www.ipsnews.net/2012/09/aids-spreading-fast-across-east-europe

    Eastern Europe and Central Asia (..) has the world’s fastest-growing HIV epidemic.

    Punitive drug policies, #discrimination and problems with #access to medicines and important therapy are all driving an epidemic which is unlikely to be contained, world experts say, until governments in countries with the worst problems change key policies and approaches to the disease.

    #vih #sida #santé #drogues #europe_de_l'est #médicaments

  • On the Politics of Protest in Cape Town | Groundup
    http://groundup.org.za/content/politics-protest-cape-town

    suites du massacre de Marikana — les oppositions entre « durs » et « mous » se tendent

    For those who have begun to take civil disobedience into middle class spaces, the logic goes that it is better to be vilified and taken notice of than to be given ’lip service delivery’ from the government. In other words, the escalation of protests by poor black communities is an indication of the complete lack of democracy for anyone who can’t afford to purchase their right to a voice in the elite public sphere.

    (...) It is quite concerning, therefore, that a collection of Cape Town-based activist oriented NGOs have been making a significant effort to vilify certain forms of protest that do not fit within its directors’ and funders’ view of what constitute ’acceptable’ forms of protest.

    To be sure, many of these NGOs can claim important victories. The Treatment Action Campaign, for instance, has had a significant impact in helping turn the tide from AIDS denialism to a more proactive HIV/AIDS health policy at the national level. However, just as often, well-funded and publicised protests led by NGOs have gone nowhere, fast. Despite bringing more than 10,000 people into the streets of Cape Town last year to demand that the state build one library per school, Equal Education has not been able to compel the government to build any more libraries. Instead, the Western Cape is now closing down 27 schools in the province. Legal protests have done nothing to prevent this from happening.
    (...)

    One of the best examples of real immediate success from illegal protest tactics was the 2007 blockade of the N2 by thousands of residents of the Joe Slovo shack settlement in Langa. The community was resisting the then Housing Minister Lindiwe Sisulu’s flagship N2 Gateway housing project which was attempting to evict 20,000 Joe Slovo residents to ’temporary relocation areas’ in Delft, a bleak and underdeveloped township on the far outskirts of the city.
    (...)

    Unfortunately, many of the leaders of NGO based civil society moralistically lambaste disruptive tactics in protests here in Cape Town while hypocritically forgetting that they simultaneously support those same tactics in other struggles throughout the world. For instance, respected activist Zackie Achmat attacked Abahlali baseMjondolo’s non-violent but disruptive Informal Settlement Strike in 2010 while a year later hosting Israeli Yonatan Pollak from Anarchists Against the Wall, a respected activist who consistently engages in disruptive and sometimes violent civil disobedience protests against the Israeli occupation.

    During the recent protests, Vuyiseka Dubula, General Secretary of the TAC, penned an article in which she called for protests “built on alliances, strategy, clear realistic demands and the genuine intent to improve the lives of people”. (...)

    Thus, what Vuyiseka, TAC and its affiliated NGOs are really saying is that communities should protest their way, should build alliances under their umbrella, and should make only ’realistic’ (reformist) demands that are acceptable to their vein of sectarian liberal politics. Yet their approach at donor-funded activism often does not work or is unaffordable to shackdwellers – thereby dictating who can afford to protest and actively preventing the formation of alternatives.

    #afrique_du_sud