Federal AIDS policy emergencies.
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Biomedical subjects
Publications and source records attributed to John S James.
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Pneumocystis is still one of the leading causes of death of people with HIV in at least some parts of the U.S. Such statistics can show where medical care access is working and where it is not.
As governments cut back, the AIDS community must fund information and advocacy or lose control of its future. We need activists who can be credible with both service providers and donors, and serve as diplomats between them.
Huge, secret price variations create huge profits for the well connected, raising prices for patients and the public. One drug with an "average wholesale price" of $2.66 per pill was actually sold to pharmacies for 5 cents per pill.
Where to find current information about Severe Acute Respiratory Syndrome (SARS), a new disease that can cause severe or fatal pneumonia.
A government clinical trial stopped treatment with abacavir plus AZT plus 3TC, due to more viral rebound than other treatments in the study. Many unknowns remain.
A $92 billion Medicaid cut passed by the U.S. House of Representatives, and a plan by the Bush Administration to reduce entitlement funding of medical care for the poor and elderly and give states more power to choose whose benefits are ended, could seriously reduce HIV care in the coming decade.
AIDSVAX, the first HIV preventive vaccine to finish a human efficacy trial, did not protect against infection, but is likely to provide much information on designing better vaccines.
A new kind of HIV treatment will probably cost several times as much as other AIDS drugs and be unavailable to many who need it.
At a recent Retroviruses conference, President Clinton told how his organization lowered the price the government of the Bahamas paid for HIV treatment, from $3600 to $500 per year.
An outbreak of staphylococcus skin infection, causing large boils that are difficult to treat because these bacteria are resistant to many antibiotics, has spread recently among gay men in some cities, and also in certain prisons. In the past this infection occurred mainly in hospitals.
Citizen-action campaigns (like getting people to call Congress or their state representatives to support Medicaid, ADAP, or other program for access to medical care) could get much more response if they were made accessible to the millions of people who are already supportive but not already involved. We suggest several ways to make action alerts and other citizen organizing work better.
The presidential initiative to increase funding for global AIDS prevention and treatment is widely seen as a groundbreaking advance. But critical time will be lost if the U.S. focuses so heavily on building its own new system, instead of using multinational organizations like the Global Fund that are ready now.
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Explore the source record for details and available documents.
People with HIV and certain other medical conditions must avoid smallpox vaccination, and also vaccinia infections from others who have been vaccinated recently.
Governments can override patents for legitimate purposes, including public health. But many small or poor countries hve no pharmaceutical industry to manufacture medicines themselves, and global trade rules being phased in will prevent others from exporting to them without the patent holder's permission. Negotiations to solve this problem broke down when the U.S. insisted that any agreement apply only to AIDS, tuberculosis, malaria, and similar major epidemics--excluding cancer, heart disease, and hundreds of other diseases.