Scoop Investigation: Time Runs Out On South Pacific HIV/AIDS Crisis
Reporter Marietta Gross and Scoop co-editor Selwyn Manning examine this most important issue and report that HIV/AIDS in the South Pacific is insidiously working its way into isolated communities with an infection rate that threatens cultural, economic, and community stability. Experts interviewed say HIV/AIDS, not global warming, is the number one problem threatening Tuvalu's survival.
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Index:
Introduction:
Typical Profile of
Transmission in the Pacific Region
Dealing
with Discrimination and Gender Discrimination
Parallels to Africa
Papua New Guinea
A Warning To A Vulnerable South Pacific
Auckland to Host the Pan Pacific Regional HIV/AIDS
Conference 2005
Social/Economical Effects On
The Community
The Challenge of Accurate Data
Collection
Pacific Church Leaders Slowly
Turning Cheek To Listen
Details Of Treatment
and Biology of HIV-infection: Dr Rod Ellis-Pegler.
References

PIAF AIDS Ambassador Irene Malachi doing outreach in Vanuatu. Photos courtesy of the Pacific Islands AIDS Foundation.
So is gender discrimination as effective way to deal with HIV/AIDS?
Is this statement supported by other experts?

Maire Bopp Dupont and Nelson Mandella. Image courtesy of PIAF
It is accepted, stigma is a common barrier to preventing the spread of HIV.
Experts say Papua New Guinea resembles Africa's HIV-affected nations of five years ago.

Pacific Islands leaders are being urged to attend the Pan Pacific Regional HIV/AIDS Conference in Auckland.
From October 25 to 28 2005 the Pan Pacific Regional HIV/AIDS Conference is going to take place in Auckland, which is about to raise the issues of leadership, engaging communities, improving care and building knowledge. Also topics like mobility, culture, gender and vulnerability will be discussed within the frameworks and parameters of the Pacific. In total the Auckland conference means a remarkable occasion for the South Pacific region, as the Pacific usually gets buried within the traditional Asia Pacific gathering.
The aim of the conference is to bring any concerned persons together, particularly People Living with HIV/AIDS, leaders,caregivers and so on. One of the interview partners stated the importance of getting the political leaders of the Pacific countries to attend the conference, as sending uninformed delegates lacking in interest and influence would help no one.
Stuart Watson, UNAIDS: "We hope all the issues you've raised above related to mobility, culture, gender, vulnerability, etc will be raised but within the frameworks and parameters of the Pacific. There has only ever been one other opportunity to bring together the Pacific as opposed to Asia Pacific (where the Pacific usually gets buried) – so this is extremely important to help improve our knowledge of the situation in the region and how we respond to it."
Once again the conference should show the human face of HIV, to which everyone is potentially vulnerable. There is no imaginary fence that protects people from this disease, which affects real people in our communities.
Moreover the participants should concentrate on the lack of drugs for slowing the onset of AIDS. Inhabitants of New Zealand, Australia, Tahiti or New Caledonia can easily obtain the necessary medication. But a majority of HIV-patients in PNG and other Pacific countries have no access to the vitally important medicines.
Trevor Cullen: "There are, however, no such drugs for the majority of those living with HIV in PNG and other Pacific countries. So, it's a double whammy - no medicines and no other support."
Fiji for example has reported 142 HIV-cases by the end of 2003, but has received funding of ARV (anti-retroviral)-drugs for only 40 people.
Media have played a controversial role in giving the epidemic its image. They are said to have adopted a reactive rather than proactive approach. Experts demand a change of their attitude towards realizing their responsibility and involving educational and preventative messages.
After the conference a two-days-workshop is going to take place also in Auckland, which will bring 30 to 40 Pacific tribal leaders together. This meeting is funded by UNAIDS and will be specifically looking at the progress of the strategic action points agreed in March 2004.

Rev. Mua Strickson Pua said the Pacific's elders, religious, and community leaders need to place discussion about HIV/AIDS on the agenda.
So how far has the Church come in the last five years?
"I would say we have even further to go," Rev. Pua said.
Homosexual men who have multiple partners should have an annual check for an HIV infection.
Treatment for HIV infection rests upon three families of drugs.

Dr Rod Ellis-Pegler - head of New Zealand's largest HIV infection clinic at Auckland District Health Board.
With HIV infection, there are not enough different families to enable us to avoid cross resistance.
CombiVir is taken with Efavirenz which is from a totally different family.
An alternative to Efavirenz is Nevirapine which is from a totally different family.
"I find India's decision a bit surprising," Dr Ellis-Pegler said.
So what are the side effects from these drugs?
So are physicians able to prevent the virus from advancing indefinitely?
Do these patients require medicine?
And what is the difference between HIV infection and AIDS?
Doctors named the disease Acquired Immuno Deficiency Syndrome.
So is the incidence of HIV among heterosexual women rising here in NZ?
"You have to be honest about it.
What breakthroughs are being discovered?
"We desperately need a vaccine. Without a vaccine millions and millions more people will die.
"Yes much research has gone into vaccine development and vaccine development is difficult.
-- Ref.UNAIDS Fact-Sheet - OCEANIA
An estimated 35 000 people in Oceania are living with HIV. In 2004, although less than 700 people are believed to have died of AIDS, about 5000 are thought to have become newly infected with HIV. In 2004 there were 7100 women living with HIV in the region.
The annual number of new HIV diagnoses in Australia has gradually increased from 650 in 1998 to about 800 in 2002. A growing share of those diagnoses was in people who had become infected in the previous year—which suggests that the increase in new diagnoses could be linked to a revival of unsafe sex.
As is the case in New Zealand, HIV transmission in Australia continues to be mainly through sex between men, which accounted for more than 85% of new HIV diagnoses from 1997 to 2002. Injecting drug use was responsible for about 4% and heterosexual intercourse for 8.5% of newly acquired infections in that period.
The per capita rates of HIV diagnoses among indigenous people in Australia since 1993 have been similar to those in non-indigenous people. But higher proportions of diagnoses have been among women and have been associated with injecting drug use.
At least half the estimated 14 000 people living with HIV in Australia are receiving antiretroviral therapy, reflecting both the age of the Australian epidemic and extensive treatment access.
Papua New Guinea, which shares an island with one of Indonesia's worstaffected provinces, Papua, has the highest prevalence of HIV infection in Oceania. Roughly 16 000 people of the adult population of about 2.5 million were living with HIV at the end of 2003.
In Papua New Guinea, more than twice as many young women (aged 15–24 years) as men have been diagnosed with HIV. In 2003, for the first time, more HIV infections were detected in women than in men.
HIV-infection levels appear to be low in other parts of Oceania, but the data are extremely limited. On remote islands, seafarers and their partners appear to be most at risk and high rates of sexually transmitted infections are being detected.
Once HIV makes its way into the tiny populations of island nations in Oceania, diffuse epidemics are likely to follow. Prevention strategies that reduce and treat sexually transmitted infections and that quickly bolster AIDS knowledge among the general population are urgently needed.
******* PNG: Teachers Dying Of HIV/AIDS Could Force The Closure Of Some Schools
In Papua New Guinea, education officials are warning many schools could be forced to close due to the ever-increasing number of teachers dying from HIV-AIDS related illnesses. The warning was made recently by the chairman of PNG's main insurance fund when he visited the country's Western Highlands Province to deliver cheques to the families of seven teachers who had died from the disease. Papua New Guinea currently has the highest number of HIV-AIDS cases in the Pacific region.
*Presenter/Interviewer:* Caroline Tiriman
*Speakers:* David Gordon Mcleod, British High Commissioner to PNG ; Martin Kenehe, chairman, PNG National Teachers Insurance Limited.
abc.net.au - PNG: Teachers dying of HIV/AIDS.
ENDS