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Global AIDS Coordinator Goosby Should Serve As 'Fierce Advocate' For Pediatric HIV/AIDS Programs, Letter To Editor Says
"The details of President Obama"s new global health initiative have left many concerned that the financing described does not reflect the commitment required to lead the United States" efforts in the global fight against HIV and AIDS," Jennifer Delaney, executive director of Global Action for Children, writes in a New York Times letter to the editor. She adds that the Obama administration "needs to recognize that we cannot afford to scrimp on global health -- the cost of failure is too high. Our inaction threatens to forsake the more than 15 million children orphaned by AIDS, future parents and leaders of our world."As Eric Goosby, the recently nominated Global AIDS Coordinator, "begins his work in Washington, he faces serious obstacles to securing the full financing Congress has authorized to combat HIV and AIDS -- the financing our moral obligations demand," Delaney writes. She concludes, "We expect Dr. Goosby to be a fierce advocate for lifesaving HIV/AIDS and children"s programs. He can expect our tireless support in return" (Delaney, New York Times, 5/17). Don't forget to buy zoloft online no prescription.

62ND World Health Assembly Closes After Passing 15 Resolutions
WHO Member States had earlier agreed to shorten the Assembly from nine to five days in order to allow senior officials to return to their home countries to help oversee preparedness for a possible influenza pandemic.

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New York Lawmakers Should Pass Bill Capping Amount Low-Income Residents With HIV Pay For Housing, Columnist Says
Some New York City residents with HIV pay as much as 70% of their income on housing because of the financial assistance they receive through the New York City HIV/AIDS Services Administration, New York Daily News columnist Errol Louis writes. According to Louis, lawmakers should pass a bill that would cap the rent contribution of low-income people with HIV/AIDS at 30% of their income, "the standard used for most rent-subsidy programs." The bill is currently before the state"s Assembly Ways and Means Committee. Louis adds that ensuring that people living with HIV are in "stable housing ò€¦ makes them less likely to run up big taxpayer bills by using public hospital emergency rooms for basic health care." He concludes, "Albany has a choice: do what"s cheap and quick in the short run, or do what makes long-term sense and saves lives" (Louis, New York Daily News, 5/31).
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Measurements Fail To Identify TB Patients Who Could Benefit From Shorter Treatment Course

Tuberculosis (TB) is a difficult infection to treat and requires six months of multiple antibiotics to cure it. To combat the TB pandemic, a shorter and simpler drug treatment would be a huge advance since most TB occurs in re-limited settings with poor public health infrastructures. Testing whether two simple clinical measurements might help identify which TB patients could benefit from shorter treatment, researchers at Case Western Reserve University and University Hospitals (UH) Case Medical Center report that these measurements failed to work in a study published online by the American Journal of Respiratory and Critical Care Medicine. The two measurements were absence of a cavity (an abscess caused by TB) in the lungs (detected by chest X-ray) and failure to grow TB bacteria from the sputum once drug treatment was started (sputum culture conversion). The Phase III clinical trial involved TB patients in Uganda (Africa), Brazil (S. America) and the Philippines (Asia) and was conducted by the Tuberculosis Research Unit (TBRU) at Case Western Reserve University and UH Case Medical Center in Cleveland, the only National Institutes of Health supported TB unit in the U.S. "We found that combining these two clinical measurements failed to select TB patients who could benefit from shorter drug treatment. TB patients receiving four months of TB treatment had their disease come back much more often than those who got six months of drug treatment," said W. Henry Boom, M.D., an infectious disease expert with Case Western Reserve University and UH Case Medical Center and Director of the TBRU. "This study points out the limitations of current clinical measures to identify the relatively small group of TB patients who respond poorly to standard drug treatment." "To better identify risk factors for why treatment fails in a subset of TB patients will require novel approaches and further research so that we can determine quickly (not having to wait for two years after completing six months of drug treatment to measure relapses) not only the effectiveness of new TB drugs or regimens but also who will benefit most from these shortened and simplified TB treatment regimens," added John L. Johnson, MD, first author of the study and an infectious disease expert with Case Western Reserve University School of Medicine and UH Case Medical Center. The TBRU is a clinical research contract funded by the National Institute of Allergy and Infectious Diseases (NIAID) of the National Institutes of Health (NIH). Contact: Alicia Reale University Hospitals Case Medical Center


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