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Antiretroviral treatment soon will be available to millions more people in sub-Saharan Africa and other developing nations, and international HIV experts fear theyll see increased risk behaviors when the drugs become commonplace.
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The Mother-to-Child-Transmission (MTCT)-Plus initiative was developed in response to the expansion of programs for preventing HIV transmission between mothers and children with the added feature of providing ongoing antiretroviral treatment to mothers.
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With the waning of the publicity hoopla over international support for providing antiretrovirals to sub-Saharan Africa and other developing regions, the actual work of bringing antiretroviral medications to millions of people has begun, and experts say it shows both great promise and great challenges.
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Mental illnesses have had a great impact on the AIDS epidemic, and new research shows that providing psychiatric treatment to HIV-infected patients who have a psychiatric comorbidity will produce better treatment outcomes, a researcher says.
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While the HIV epidemic has shifted toward poor, rural Southern areas, the funding mechanism behind the AIDS Drug Assistance Program (ADAP) favors the populated, urban states where the epidemic first erupted 25 years ago, southern AIDS advocates say.
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North Carolina investigators found evidence earlier this year of an HIV outbreak among white men who have sex with men (MSM) in the Charlotte area. The cluster of cases in Mecklenberg County were associated with MSM who used crystal methamphetamine and found sexual partners via the Internet, says Peter Leone, MD, an associate professor in the department of medicine at the University of North Carolina in Chapel Hill.
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AIDS advocates now say they look back at the late 1990s as a time when they never had it so good: New antiretroviral regimens turned HIV infection into a chronic rather than fatal disease; AIDS funding increased each year; and most states improved their funding for the AIDS Drugs Assistance Program (ADAP).
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To hear AIDS advocates tell it, ever since the late 1990s when the first antiretroviral cocktails were prescribed, there never has been enough money for the AIDS Drug Assistance Program (ADAP) to provide drugs to all of the HIV-infected and uninsured people who need them.
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