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Published on: 7/28/2006
Last Visited: 7/28/2006
Nations like Brazil, Mexico and Peru are leading the way in embracing various levels of AIDS treatment, prevention and research, reports journalist Jon Cohen in this week's special AIDS-themed edition of Science.
"Poorer countries have greater challenges and by and large are doing worse," he said.
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And Cohen says the example of Caribbean and Latin American nations shows that countries can make real headway against HIV.
A prime example: Haiti, of the world's poorest countries, where 80 percent of people live below the poverty line.Even here, though, health workers have managed against great odds to create an effective treatment system for people with HIV.
According to Cohen, this shows that, "Even with the poorest people in the world, there's a way to get them treatment."
To gather information for the current report, Cohen visited a dozen countries in Latin America and the Caribbean -- a region with an estimated two million people living with HIV, more than the U.S. and Western Europe combined.
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However, Cohen said the figures about Latin America and the Caribbean are a bit misleading because they're influenced by the high population of HIV-positive people in the world's fifth largest country, Brazil, which has made a priority of getting AIDS drugs to those in need.
In his report, Cohen found a variety of differences between -- and even within -- various countries.
Mexico, for example, sets itself apart by being "pretty up front" about the ways that AIDS is transmitted, Cohen said.
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The country has "become this magnet for research," and its scientists are launching major drug trials, according to Cohen.
"Something has gone right there," he said
Haiti's example also shows that poor people will follow the complicated AIDS drug regimens, Cohen said."There was a fear that poor can't do it, but Haiti showed that's a lot of nonsense.Poor people are just as motivated as wealthy people to stay alive."
Not every country is worthy of praise in Cohen's report.The Dominican Republic, which borders Haiti on the island of Hispaniola, is having a much harder time fighting the epidemic than its neighbor.Critics blame that on "government disinterest and outright obstructionism," Cohen said.
And he believes that many political and religious leaders across the region are making the epidemic worse.
"The virus doesn't see borders, it doesn't have any morals, it just wants to copy itself and spread," he said.
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SOURCES: Jon Cohen, journalist, Cardiff, Calif.; Thomas J. Coates, Ph.D., professor, medicine, Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles; July 28, 2006, Science