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- From: bigoldberg@igc.apc.org (Billi Goldberg)
- Newsgroups: sci.med.aids
- Subject: CDC Summary 1/27/93
- Message-ID: <1993Jan27.164311.24308@cs.ucla.edu>
- Date: 27 Jan 93 15:08:37 GMT
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- Approved: david@stat.com (David Dodell)
- Note: Copyright 1992, Dan R. Greening. Non-commercial reproduction allowed.
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- Archive-Number: 44
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- AIDS Daily Summary
- January 27, 1993
- The Centers for Disease Control and Prevention (CDC) National AIDS
- Clearinghouse makes available the following information as a public
- service only. Providing this information does not constitute endorsement
- by the CDC, the CDC Clearinghouse, or any other organization.
- Reproduction of this text is encouraged; however, copies may not be
- sold. Copyright 1992, Information, Inc., Bethesda, MD
- =======================================================================
- "Japan Plans Gene Therapy Research for AIDS" Reuters (01/26/93)
- Tokyo--Japan will launch a long-term research effort into gene
- therapy as part of its anti-AIDS campaign, according to a health
- ministry official. Shigeki Shiiba of the ministry's health science
- division said the group will allot 150 million yen ($1.2 million) this
- year to begin basic research on gene therapy. "Gene therapy is a
- highly promising area ... but it will take a long time, say more than
- 10 years, before it becomes practical," said Shiiba. The therapy is a
- controlled experimental treatment which involves the introduction of
- new genes into the body to correct an inherited or acquired condition.
- In a separate announcement, the ministry's AIDS Surveillance Committee
- said Tuesday that Japan reported 10 newly diagnosed AIDS cases and 59
- new HIV-positive individuals in the November-December period. The
- committee said that Japan's reported cases of full-blown AIDS totaled
- 543, in addition to 2,551 people infected with HIV during the period
- that ended on Dec. 31, 1992. Japan's cumulative death toll from AIDS is
- 298. Among the 69 new cases diagnosed in November-December, more than
- 40 were women from Southeast Asia working in the entertainment
- industry, said a committee spokesman. Previously, most Japanese viewed
- AIDS as a disease that primarily affected foreigners, especially
- homosexuals and IV-drug users. Now, most of the Japanese that contract
- HIV do so through heterosexual contact.
- =======================================================================
- "BRF--AIDS-Watches" Associated Press (01/25/93)
- Washington--AIDS activists gave members of Congress broken
- wristwatches on Monday to signify that time is running out for
- aggressive action against the disease. A letter delivered to the 540
- members of Congress by ACT-UP said, "For the past 12 years, Congress
- has collaborated with the Reagan-Bush administrations in their criminal
- neglect of the AIDS crisis." In addition to the letter, about two
- dozen ACT-UP members who had driven from New York delivered broken
- wristwatches to the congressional offices. The organization is
- requesting that Congress form a "Manhattan Project" for AIDS research
- and spend another $500 million for prevention and education, said Scott
- Sawyer, an ACT-UP spokesman.
- =======================================================================
- "Iran Says 219 Infected With HIV, 45 Died of AIDS" Reuters (01/25/93)
- Nicosia--Iran revealed Monday that there have been 219 reported
- cases of HIV infection, and 45 AIDS patients have already died of the
- disease. The Iranian news agency (IRNA) cited an official from an
- anti-AIDS group who told a seminar in Tehran that if the Iranians were
- not educated about the risks of the disease, the "problem would be much
- greater in the future." Deputy Health Minister Saeed Namaki said in
- December that 42 people had already died of AIDS, and 169 others had the
- disease. The official said, "Restricting sex to its religiously
- established forms would offer the surest way for harnessing the epidemic
- in Iran." Previously, Iranian officials said AIDS was not a severe
- problem in the country, which has a population of 60 million people.
- Clerical leaders said Islamic ethics helped control the spread of HIV
- in Iran. In December, Iran said it was introducing mandatory HIV
- testing for foreigners wishing to stay in the Islamic republic for more
- than three months.
- =======================================================================
- "HemaCare Begins Construction of Plasma ..." HealthWire (01/25/93)
- Los Angeles--HemaCare Corp. announced Monday that it has taken a
- significant step in furthering its efforts to develop a series of
- hyperimmune, gamma globulin, pharmaceutical products to treat AIDS and
- other conditions. The company has leased a building in Valencia,
- Calif., which will house a plasma fractionation facility. The first
- application of the facility will be to transform the human plasma being
- used in the company's Passive Hyperimmune Therapy (PHT) AIDS
- therapeutic research project into intravenous gamma globulin or
- antibody concentrate. Dr. Joshua Levy, HemaCare's medical director and
- principal investigator of its PHT clinical research, said, "The
- construction of the fractionation facility is a major step in
- HemaCare's development of a safe and effective AIDS therapy. The gamma
- globulin concentrate obtained by fractionation will have greater drug
- purity and stability and be more widely accepted by the medical
- community than the current whole plasma product." He added, "We expect
- that the pilot plasma fractionation facility will be completed in six
- months and that intravenous gamma globulin may be produced by the end
- of 1993. By utilizing self-contained, modular, independent,
- manufacturing units, other plasma products in addition to the initial
- HIV antibody plasma product may be produced in this facility."
- =======================================================================
- "Israel-AIDS" Associated Press (01/26/93)
- Jerusalem--The Israeli government will require immigrants from
- Western nations and all foreign workers to be tested for HIV before
- entering Israel, the Health Ministry announced Tuesday. A ministry
- statement indicated that HIV-positive immigrants would have their cases
- reviewed but did not say whether they would be rejected. The new
- policy, developed by the health and interior ministers, will be
- instituted Monday. Critics claim that the mandatory tests are unfair
- because they single out groups from certain countries when Israel is
- supposed to be a haven for all Jews around the world. However, Yehuda
- Weinraub, a spokesman for the Jewish agency that deals with immigration,
- said the country's policy of citizenship to Jews can exclude those who
- are a threat to public health. The statement by the ministry did not
- list the countries included in the category "Western nations." It said
- immigrants from the former Soviet Union and developing countries, in
- addition to tourists, foreign embassy staff, and journalists, are
- exempt from the mandatory tests. Those individuals account for most of
- Israel's immigrants. Since 1989, more than 400,000 Jews have come from
- the former Soviet Union, and about 50,000 have come from Ethiopia since
- the mid-1980s. Weinraub said about 1,500 Jews a year immigrate from
- France and England, but did not have any figures for other Western
- European nations. Ira Cohen, a spokesman for the Association for
- Americans and Canadians in Israel, said about 3,000 immigrants come to
- Israel from North America every year.
- =======================================================================
- "Ohio Officials Fear TB Increase" United Press International (01/26/93)
- Cleveland--Ohio health officials are monitoring a nationwide rise
- in tuberculosis cases and believe the state might be on the brink of a
- similar increase. For the third consecutive year, Ohio has reported a
- constant rate of TB cases. There were 378 identified TB cases in Ohio
- during 1991, the most recent statistics available. Dr. Frits van der
- Kuyp, director of the Cuyahoga County tuberculosis control service at
- MetroHealth Medical Center in Cleveland, said that Ohio doctors may also
- be increasingly confronted with multi-drug-resistant TB. Eight cases
- of drug-resistant TB transpired statewide in 1991. However, state
- public health officials said the number could be higher because only
- half of the total tuberculosis cases were examined for resistance. As
- many as 500,000 Ohioans may be infected with TB bacteria, but for most,
- the disease remains dormant. Dr. George Hurst, assistant chief of the
- Ohio Department of Health's division of preventive medicine, said,
- "There is a direct link to declining resources and increases in TB
- cases. In Ohio, we have the opportunity to avoid the epidemic increase
- the others are experiencing." Ohio uses a $350,000 federal grant for
- TB tracking, education, and for four nurse outreach workers who manage
- all the TB patients and guarantee that those patients take their
- medications, said Hurst. However, he projects that it will cost as much
- as $1.5 million to attack Ohio's TB problem.
- =======================================================================
- "Senate Committee Approves Family Leave, NIH Reauthorization" United
- Press International (01/27/93)
- Washington--The Senate Labor and Human Resources Committee has
- approved the National Institutes of Health reauthorization bill. The
- legislation was vetoed by former President Bush because it allowed the
- use of fetal tissue in medical research. But President Clinton, by
- executive order, has already approved the use of fetal tissue for such
- research. The bill supports women's health research, funds cancer and
- heart research, provides support for fighting AIDS, and guarantees
- freedom of medical research.
- =======================================================================
- "Data, Doubts Emerge From D.C. TB Tests" Washington Post (01/26/93), P.
- D1 (Goldstein, Amy)
- One homeless resident out of four in Washington, D.C., is believed
- to have been exposed to tuberculosis, according to District health
- officials. However, advocates for the homeless claim that the
- aggressive testing of more than 1,200 residents at homeless shelters
- does not accurately portray the dimensions of the public health threat.
- D.C. Public Health Commissioner Mohammad Akhter said that two weeks
- after the campaign began, which is the first systematic attempt by any
- large American city to detect and treat TB among the homeless, only
- half of the 248 people who have tested positive for exposure to the
- disease have gotten the chest X-rays necessary to confirm whether they
- have active cases. Operators of the 15 shelters and other advocates
- for the homeless said they are unsure how the city expects to track
- down those exposed people, or how it plans to find more than 200 other
- homeless people who were given TB skin tests but never returned to a
- shelter to learn the results. Akhter conceded that the health-care
- workers, in planning the effort, had not been sensitive enough to
- clients. They failed to plan ahead for some people who would be
- afraid--and refuse--to board vans to get X-rays at hospitals. City
- health officials plan to reach as many as 5,000 men and women in all 43
- shelters. New statistics show that 25 percent of the 983 shelter
- residents whose test results have been read so far are infected with
- TB. Among those who tested positive, 129 have gotten X-rays, which
- show only three men have active cases and thus are contagious. Janelle
- Goetcheus, medical director of Health Care for the Homeless, a
- nonprofit group, said that the low infection rate reported may reflect
- problems in the tests.
- =======================================================================
- "AIDS Czar Issue: Report to President or Report to HHS?" AIDS Treatment
- News (01/15/93) No. 167, P. 6
- ACT-UP/New York started a letter writing effort after reports
- revealed that Donna Shalala, the new Secretary of Health and Human
- Services (HHS) wants the new "AIDS czar" promised by Clinton to report
- to her, rather than directly to the president. Many believe that such a
- position should report directly to the president because there are many
- facets involved in the AIDS epidemic other than just those of the HHS.
- A quote from the ACT-UP/New York letter read, "The rationale for the
- position requires the immediate attention and direct access to the
- president, with special powers to coordinate, across all governmental
- agencies and branches, the federal government's response to AIDS. It
- also requires the full commitment of the president to use his office as
- a 'bully pulpit,' to ensure a timely response to AIDS." United for
- AIDS Action has also joined the campaign to have an AIDS czar in the
- Clinton administration.
- =======================================================================
- "National Institutes of Health: Top AIDS Official to Leave" Science
- (01/15/93) Vol. 259, No. 5093, P. 303 (Cohen, Jon)
- Daniel Hoth, head of the AIDS unit at the National Institutes of
- Health (NIH), has announced that he will soon resign after serving 5
- years with the unit. Hoth told his staff and superiors at the Division
- of AIDS (DAIDS), a branch of the National Institute of Allergy and
- Infectious Diseases (NIAID), that he feels he has achieved what he set
- out to do at NIH. Hoth, an oncologist, came to DAIDS from the National
- Cancer Institute in 1987. Since his arrival, the DAIDS staff has
- increased from 24 to 135 and the budget has tripled to $325 million.
- Moreover, Hoth's unit monitors more than 35 percent of the entire NIH
- AIDS budget. Many fellow researchers commend Hoth for expanding the
- AIDS Clinical Trials Group (ACTG), a nationwide network of researchers
- who test new treatments. Hoth has also held a primary role in the
- decision to enhance the NIH's AIDS vaccine effort, both in the United
- States and abroad. However, Hoth has been widely criticized by AIDS
- activists. They say he allowed the ACTG to concentrate too much
- attention on AZT while ignoring other encouraging treatments.
- Activists have also accused DAIDS of footdragging, of not involving
- women and children in trials, and of ignoring the regions hardest hit
- by the epidemic. Derek Hodel of the Washington-based AIDS Action
- Council said, "Hoth presided over a tremendous and very painful growth
- period in DAIDS. Now we have the chance to solidify and address the
- problems with the organization we've identified."
-