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Jul 05, 2008
Saturday
19:15:54
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Sponsored by:
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Innovative BiomedicaLAB
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Global overview
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Sub-Saharan Africa
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Middle East and North Africa
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Eastern Europe, Russia and Central Asia
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Asia and the Pacific
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Latin America and the Caribbean
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More Developed Countries (MDCs)
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A:
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Global overview
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Introduction
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Stronger commitment
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Beyond complacency
- (a)
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Prompt, focused prevention
(b)
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Reclaiming the future
- (a)
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Devastating cycles
(b)
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Development and stability threatened
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Coping with crisis
A6:
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Coping with crisis
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In the worst-affected countries, steep drops in life expectancies are beginning to occur, most drastically in
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sub-Saharan Africa
, where four countries (Botswana, Malawi, Mozambique and Swaziland) now have a life expectancy of less than 40 years. Were it not for
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HIV/AIDS
, average life expectancy in
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sub-Saharan Africa
would be approximately 62 years; instead, it is about 47 years. In South Africa, it is estimated that average life expectancy is only 47 years, instead of 66, if
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AIDS
were not a factor (see Figure below). And, in Haiti, it has dropped to 53 years (as opposed to 59). The number of African children who had lost their mother or both parents to the epidemic by the end of 2000 -- 12.1 million -- is forecast to more than double over the next decade. These orphans are especially vulnerable to the epidemic, and the impoverishment and precariousness it brings.
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Click on figure for a larger image.
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View also
- Changes in life expectancy in selected African countries with high HIV prevalence, 1955 to 2000
Changes in life expectancy in selected African countries with high HIV prevalence, 1950 to 2000 (Botswana, South Africa, Uganda, Zambia, Zimbabwe)
- Predicted loss in life expectancy due to HIV/AIDS in children born in 2000
- Estimated impact of AIDS on under-5 child mortality rates, 2010 (Botswana, Kenya, Malawi, Tanzania, Zambia, Zimbabwe)
- Trends in mortality among children under five years old and end-1999 adult HIV prevalence rate, 1981-1996 (Cameroon, Kenya, Zambia)
- Cumulative number of children estimated to have been orphaned by AIDS* at age 14 or younger at the end of 1999
- Leading causes of death, 1999
in Africa & worldwide
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As more infants are born HIV-positive in badly affected countries, child mortality rates are also rising. In the Bahamas, it is estimated that some 60% of deaths among children under the age of five are due to
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AIDS
, while, in Zimbabwe, the figure is 70%.
Unequal access to affordable treatment and adequate health services is one of the main factors accounting for drastically different survival rates among those living with
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HIV/AIDS
in rich and poor countries and communities. Public pressure and UN-sponsored engagements with pharmaceutical corporations (through the Accelerating Access Initiative), along with competition from generic drug manufacturers, has helped drive antiretroviral drug prices down. But prices remain too high for public-sector budgets in low-income countries where, in addition, health infrastructures are too frail to bring life-prolonging treatments to the millions who need it.
Backed by a strong social movement, Brazil's government has shown that those barriers are not impregnable and that the use of cheaper drugs can be an important element of a successful response. Along with Brazil, countries such as Argentina and Uruguay also guarantee
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HIV/AIDS
patients free antiretroviral drugs. In Africa, several governments are launching programmes to provide similar drugs through their public health systems, albeit on a limited scale, at first.
In all such cases, though, clearing the hurdle of high prices is essential but not enough. Also indispensable are functioning and affordable health systems. Massive international support is needed to help countries meet that challenge.
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A:
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Global overview
-
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Introduction
-
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Stronger commitment
-
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Beyond complacency
- (a)
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Prompt, focused prevention
(b)
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Reclaiming the future
- (a)
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Devastating cycles
(b)
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Development and stability threatened
-
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Coping with crisis
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The excerpted text and figures integrated herein were mainly from the:
unless indicated, otherwise.
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