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Invisible HIV couples

by Bill Bowder

COUPLES of whom one partner has HIV and the other has not are the largest and most invisible group of people urgently needing preventative treatment and support for HIV/ AIDS, members of the World Health Editors Network were told at their meeting in London last Friday.

Lital Hollander, who works with the advocacy group CREATHE, which specialises in the reproductive health of people with HIV, and the European AIDS Treatment Group, which aims to speed up treatment, said such a large sector should not be denied the right to have children who are free from the fear of infection.

In India, 80 per cent of those infected are living in a heterosexual partnership. It is not enough to just tell them to use condoms. “You cannot ask that many people not to have children,” Ms Hollander said.

“It is easy to write about kids dying of HIV/AIDS in Africa, but less easy to talk about the trafficked sex worker that stands at the corner below your house and dies of the same causes because of neglect.” Prisoners were another invisible group, as they had insufficient access to treatment and only partial access to prevention. Eastern Europeans, including those living in areas of the former Soviet Union, also had little access to specialist care.

“But the largest and most invisible group of people are those who live with partners with HIV. These people do not appear anywhare", she said.

One answer, when the male partner was infected and the female was not -- and one that met with the approval of the Roman Catholic church -- wa sperm-washing. It could be carried out at home with three test tubes and a centrifuge, at a cost of $40. Specialist health clinics could give the necessary assistance. In Africa, however, there were almost no public clinics offering such treatment, Ms Hollander said.

Professor Stephen Lewis (see here) told the meeting there needed to be much greater focus on the prevention of mother-to-chil;d transmission, "possibly the easiest preventative intervention of all, and therefore the most grievous emblem of multilateral negligence". He also called for an "unflinching" quest for a microbicide that would prevent the transmission between partners.

Last week, a Ugandan couple who are HIV positive, Stephen and Grace Wakodo, met the Queen when she visited the Mildmay Centre in Kampala. With the help of the centre, they have successfully prevented all but one of their eight children becoming infected. later, the Queen told the Ugandan parliament that the centre was "a remarkable example in the provision of care and relief for those who are ill, as well as in educating people people about how protect themselves and their families."



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