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Recent News (click on blue to read more)

 
2008 Presidential Elections:
 
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UNITED STATES:   "Researchers Blame HPV for Rise in Throat Cancer"
Chicago Tribune     (06.08.08)

In the past two years researchers have proved a link between human papillomavirus and throat cancer. With 6,000 cases per year and an annual increase of up to 10 percent in men younger than 60, some experts say the prevalence of HPV-linked throat cancers could overtake that of cervical cancer, which is also often caused by HPV, in the next decade. The HPV infections likely occurred decades ago and are only now spurring a rise in throat cancer cases.

Changes in sexual practices in the 1960s and 1970s may be a reason for the infections. Oral sex is a known risk factor for HPV-related throat cancers, and studies have shown that people who grew up since the 1950s are more likely to have engaged in oral sex than prior generations.

Last year, a research team led by Maura Gillison at the Johns Hopkins Kimmel Cancer Center found that HPV-positive throat cancer patients tended to have had more sex partners and also were far more likely to have multiple oral sex partners.

The HPV-linked cancers appear somewhat less deadly than throat cancers that arise from smoking or heavy drinking. A study published this year found that 96 percent of HPV-positive throat cancer patients survived at least two years after diagnosis, compared with 62 percent for those with HPV-negative cancers.

Other causes for the spread of HPV cancers may include the increased movement of people both nationally and internationally.

The HPV vaccine may offer protection from HPV-positive throat cancer, though studies have not yet been done to show this. Merck & Co. hopes to submit an application this year seeking Food and Drug Administration approval for use of its HPV vaccine Gardasil by males. "We expect the vaccine to work just as well in male and female populations," said Dr. Richard Haupt of Merck.

 


UNITED STATES:   "Virginity Pledges Help Some Delay Sex: Study"
Reuters     (06.10.08):: Maggie Fox

A new study by the Rand Corporation research institute found that taking a virginity pledge may help some young people delay the start of sexual activity.

The research team led by Steven Martino, a psychologist at Rand, surveyed 1,461 adolescent virgins ages 12-17 in 2001. About a quarter of the participants said they had taken a pledge to remain a virgin until marriage. The researchers performed follow-up at one and three years.

After adjusting for such differences as religious beliefs, parenting and friendship characteristics, the team found that 34 percent of youths who took virginity pledges had had sexual intercourse within three years, compared to 42 percent of similar teens who had not taken such pledges.

"Making a pledge to remain a virgin until married may provide extra motivation to adolescents who want to delay becoming sexually active," said Martino. "The act of pledging may create some social pressure or social support that helps them to follow through with their clearly stated public intention."

The study showed that those who pledged were no more likely than other comparable youth to engage in sexual behaviors just short of sexual intercourse - findings that align with a recent study by the nonprofit, New York-based Alan Guttmacher Institute. In addition, the study did not find that youth who made virginity pledges were less likely to use a condom when they eventually did have intercourse, though they were not asked if they always used a condom or used one at first intercourse.

"These findings do not suggest that virginity pledges should be a substitute for comprehensive sexual education programs, or that they will work for all kinds of kids. But virginity pledges may be appropriate as one component of an overall sex education effort," said Martino.

"Waiting until you are older to have sex is good for teens from a health standpoint," Martino continued. "There are lots of reasons for more kids to wait until they are older."

GLOBAL:   "UN Calls for Lifting Travel Restrictions on HIV Carriers"
Agence France Presse     (06.10.08)

At the Tuesday opening of the UN's two-day High-Level Meeting on HIV/AIDS, Secretary-General Ban Ki-moon urged member countries to do more to end HIV/AIDS discrimination.

Sixty years after the Universal Declaration of Human Rights was adopted, "it is shocking that there should still be discrimination against those at high risk, such as men who have sex with men, or stigma attached to those individuals living with HIV," said Ban. "I call for a change in laws that uphold stigma and discrimination, including restrictions on travel for people living with HIV."

According to UNAIDS, 74 countries impose HIV-related travel restrictions. Twelve of these - Armenia, Colombia, Iraq, Oman, Qatar, Russia, Saudi Arabia, Solomon Islands, South Korea, Sudan, the United States and Yemen - bar entry by persons with HIV/AIDS. A letter signed by 345 non-governmental organizations was sent to these countries, calling on them to lift the restrictions.

Innocent Laison of the Senegalese NGO Africaso noted that countries that restrict travel still allow their own HIV-infected nationals to go abroad. Salvadoran President Elias Antonio Saca, who lifted such restrictions in his country four years ago, said, "I appeal to the international community and all governments for the scrapping of walls and barriers which restrict the free movement of people living with HIV."

 


AFRICA:   "Toolkit Set to Help Firms Fight Lethal Combination of HIV and Tuberculosis"
Cape Argus (Cape Town, SA)     (06.09.08):: Di Caelers

A new toolkit has been released to help companies deal with the growing number of employees co-infected with HIV and TB. Announced at the recent World Economic Forum on Africa in Cape Town, the toolkit was developed by WEF's Global Health Initiative (GHI) and the Eli Lilly MDR-TB Partnership.

It is in the interest of business for companies to ensure the development of the human capital needed to drive economic growth, according to Lilly's Alex Azar, but "TB has the capacity to undermine all of this."

By blocking the progress of TB transmission and its often lethal intersection with HIV/AIDS, businesses can better use their own existing health infrastructures and resources, Azar said.

In South Africa, about 70 percent of TB patients are co-infected with HIV. Acknowledging the extent of the problem is critical for understanding its potential impact on business, said Dr. Shaloo Puri of GHI.

Those promoting the toolkit say that by engaging proactively with the community, businesses can create greater efficiency in the workplace and thereby offset the modest costs of partnering with local stakeholders.

For more information, visit http://www.weforum.org/pdf/Initiatives/GHI_TB_HIV.pdf
 

Medical News

CANADA:   "Youth Sexual Behavior in a Boomtown: Implications for the Control of Sexually Transmitted Infections"
Sexually Transmitted Diseases Vol. 84; No. 3: P. 220-223    (06.01.08):: S. Goldenberg; J. Shoveller; A. Ostry; M. Koehoorn

As a result of a boom in the oil and gas industries, northwestern British Columbia is experiencing a rapid in-migration of young, primarily male, workers. The region has a chlamydia prevalence rate of 294.6 cases per 100,000 persons - 32 percent higher than the provincial prevalence of 213.3. "Evidence indicates that sociocultural and structural determinants of young people's sexual health are key to consider in the design of interventions," the authors wrote.

The current study involved ethnographic fieldwork (eight weeks) and in-depth interviews with 25 youths (ages 15 to 25) and 14 health/social service providers. The participants identified four main ways in which the boom-related sociocultural and structural conditions affect sexual behaviors and fuel the spread of sexually transmitted infections (STIs): mobility of oil/gas workers; binge partying; high levels of disposable income; and gendered power dynamics.

The conditions fostered by the energy boom "appear to exacerbate sexual health inequalities among youths who live and work in these rapidly urbanizing, remote locales," the authors concluded. "To meet the needs of this population, we recommend STI prevention and testing service delivery models that incorporate STI testing outreach to oil/gas workers and condom distribution. Global, national and local STI control efforts should consider the realities and needs of similar subpopulations of young people."

 


GLOBAL:   "Sex Work and HIV Status Among Transgender Women: Systematic Review and Meta-Analysis"
JAIDS Vol. 48; No. 1: P. 97-103    (05.01.08):: Don Operario, PhD; Toho Soma, MPH; Kristen Underhill, DPhil

"Transgender women are a key risk group for HIV, and epidemiologic studies have attributed high rates of HIV infection to behaviors associated with sex work in this population. This systematic review compared HIV prevalence among transgender female sex workers (TFSWs) with prevalence among transgender women who do not engage in sex work, male sex workers and biologically female sex workers," explained the study authors.

Systematic searches of six electronic databases were performed, and studies that met pre-established criteria were included. The researchers extracted data, appraised methodologic quality, assessed heterogeneity, and organized meta-analyses by comparison group.

Twenty-five studies involving 6,405 participants recruited from 14 countries were identified. Overall crude HIV prevalence was 27.3 percent in TFSWs, 14.7 percent in transgender women not engaging in sex work, 15.1 percent in male sex workers, and 4.5 percent in female sex workers. Meta-analysis showed that TFSWs had significantly higher risk for HIV infection compared to all other groups (relative risk [RR]=1.46, 95 percent confidence interval [CI]: 1.02 to 2.09) - particularly in comparison to female sex workers (RR=4.02, 95 percent CI: 1.06 to 10.11). Significant heterogeneity among the included studies was observed, in addition to methodologic limitations and imprecise definitions of sex work and gender.

"TFSWs could benefit from targeted HIV prevention interventions, HIV testing and interventions to help reduce the risk of contracting or transmitting HIV," the authors concluded. "Structural interventions to reduce reliance on sex work among transgender women may be warranted."

 

Local and Community News
PENNSYLVANIA:   "Group: Schools Should Provide Free Condoms"
Philadelphia Inquirer     (06.11.08):: Kristen A. Graham

Chanting "Youth need the truth! Condoms save lives," members of ACT UP-Philadelphia yesterday led a demonstration to call for universal access to condoms in the city's public high schools. The group gathered outside the Philadelphia School District building and City Hall, and activists called on Mayor Michael Nutter and Arlene Ackerman, the district's new CEO.

Seventeen years ago, ACT UP prevailed - despite opposition from the Archdiocese of Philadelphia and an unsuccessful lawsuit - in its bid to have condoms made available in some city schools. Eleven city high schools now have health resource centers that offer condoms to ninth- through 12th-graders, and two more will get centers in the fall. But despite a district policy that supports "involvement in citywide effort to maximize access to condoms," they are not available at 49 high schools.

"Why shouldn't a student at Dobbins have the same access as a student at Central? This is a program that has been working well for years," said Dorothy Mann, executive director of the Family Planning Council. FPC receives city, state and federal money that it then provides to groups like Children's Hospital of Philadelphia and Planned Parenthood of Southeastern Pennsylvania. These, in turn, run the centers. No district money is used to operate the centers, Mann said. Expanding condom distribution to all city schools would cost about $1.5 million, she added.

Felecia Ward, a city schools spokesperson, said that because the district does not fund the condom distribution program, expanding it is not the district's responsibility. "If [FPC] comes up with additional money, and we have additional space, we will try to meet their needs," she said.

"We're interested in expanding the program to all schools, but there is an outstanding question of resources before a decision can be made," said Doug Oliver, a spokesperson for the mayor.
 

News Briefs

GLOBAL:   "Head of UN's AIDS Program Piot to Step Down"
Reuters     (06.10.08):: Daniel Bases

Dr. Peter Piot, the executive director of UNAIDS since its 1995 inception, is stepping down. In an address Tuesday before the UN's 2008 High-Level Meeting on HIV/AIDS, Secretary-General Ban Ki-moon praised the AIDS chief as a "tireless leader who has been at the vanguard of the response to AIDS since the earliest days of the epidemic." With little fanfare, Piot issued a statement in April disclosing his plan to leave the post when his term expires at year's end. No successor has been named.

 


CANADA:   "Much Has Changed in 30 Years Since First Sexuality Conference"
Waterloo Region Record     (06.11.08):: Jessica Smith

The Guelph Sexuality Conference is convening this week, and the chairperson of its program committee notes that "the world has changed enormously" since the inaugural conference 30 years ago. Richard Barham said the emergence of HIV/AIDS and the growing acceptance of gay, lesbian and bisexual individuals are just two areas of great change. "I think there is very clear evidence that ignorance leads to danger," Barham said. Canada's rates of teenage abortions and STD infections are lower than those of the United States because the Canadian curriculum teaches more than abstinence only, he said.