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Báo cáo y học: "Two standards of care for HIV: Why are Africans being short-changed?"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Retrovirology cung cấp cho các bạn kiến thức về ngành y đề tài: Two standards of care for HIV: Why are Africans being short-changed. | Retrovirology BioMed Central Editorial Two standards of care for HIV Why are Africans being short-changed Mark A Wainberg Address McGill University AIDS Centre Jewish General Hospital Montreal Quebec Canada H3T 1E2 Email Mark A Wainberg - mark.wainberg@mcgill.ca Open Access Published I December 2009 Received 24 November 2009 Retrovirology 2009 6 109 doi 10.1186 1742-4690-6-109 Accepted 1 December 2009 This article is available from http www.retrovirology.cOm content 6 1 109 2009 Wainberg licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. On World AIDS Day 2009 it is appropriate that we reflect on the accomplishments in HIV therapy that have been made over the past decade. First we should recognize that the impact of the XIIIth International Conference on AIDS in Durban South Africa in 2000 was much more than scientific. It also highlighted the non-acceptability of continuing to deny access to life-saving antiretroviral drugs to HIV-infected people in developing countries. This was in spite of efforts by then President Thabo Mbeki of South Africa to undermine the conference through his ridiculous and irresponsible insinuations that HIV might not be the cause of AIDS. Since 2000 it is estimated that the numbers of people in Africa receiving antiretroviral therapy has increased to approximately four million from about 7000 at the time of the Durban Conference. However the fact is that almost all HIV-infected persons in developing country settings are today receiving therapies that are considered to be sub-standard by Western criteria. For example the triple drug combination that is the most widely prescribed in the world is termed Triomune. The reason it is so widely used is that it is cheap as well as generically produced and is