COVID-19 pandemic threatens to set back battle against AIDS by 10 years, UN warns - CBC.ca | Canada News Media
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COVID-19 pandemic threatens to set back battle against AIDS by 10 years, UN warns – CBC.ca

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The global fight against AIDS was faltering even before the COVID-19 pandemic, and the coronavirus now threatens to put progress against HIV back by 10 years or more, the United Nations said Monday.

“The global HIV targets set for 2020 will not be reached,” UNAIDS, the agency that co-ordinates the UN’s efforts to curb the spread of HIV, said in a report. “Even the gains made could be lost and progress further stalled if we fail to act.”

Four years ago, the United Nations set goals for limiting HIV infections and improving treatment by the end of 2020, and all will be missed because the coronavirus pandemic is hurting access to care, the report concludes.

The report said the coronavirus, which was officially identified in China in January of this year and was declared the source of a global pandemic by the WHO in March, has already “seriously impacted” the AIDS fight, with lockdowns and travel and trade disruptions delaying or halting HIV treatment and testing.

In many countries, said UNAIDS executive director Winnie Byanyima, health workers testing for and caring for people with HIV have switched to fighting COVID-19, the illness caused by the coronavirus; supplies of medicines and condoms have been disrupted because of lockdowns; and many health clinics have closed.

Latest data from 2019 show that 38 million people worldwide are now infected with the human immunodeficiency virus (HIV) that causes AIDS, the report said, a million more than in 2018.

The United Nations agency reported last year’s numbers at the start of an international AIDS conference.

“Every day in the next decade, decisive action is needed to get the world back on track to end the AIDS epidemic by 2030,” Byanyima said.

Some 25.4 million HIV-positive people were on antiretroviral treatment in 2019. That’s a huge advance on a decade ago, the agency report said, but it means 12.6 million people are not getting medicines that can keep the virus at bay and prevent its spread.

The report says just over half of children and teens with HIV are getting treatment compared with 67 per cent of adults.

Pakistani villagers wait outside a hospital in Ratodero for blood screening for HIV in May 2019. During the pandemic, many health workers usually dedicated to testing for and caring for people with HIV have switched to fighting COVID-19. (Fareed Khan/The Associated Press)

“We are making great progress against the HIV epidemic … but the bad, bad news is that kids are lagging behind,” said Dr. Shannon Hader, deputy executive director of UNAIDS.

There were 690,000 AIDS-related deaths in 2019. That’s down 39 per cent from 2010 but short of the target of under 500,000 by the end of this year. Children accounted for 95,000 of those deaths.

Far behind goals in preventing new infections

The report also found the world is far behind in preventing new HIV infections, with 1.7 million new HIV cases in 2019, down from 23 per cent since 2010 but far short of the 75 per cent reduction goal.

Eastern and southern Africa have greatly curbed new infections, according to the report, but they’re rising elsewhere — by about 20 per cent since 2010 in Latin America, the Middle East and North Africa, and 72 cent in Eastern Europe and Central Asia.

WATCH | COVID-19 fear spreads in Africa:

COVID-19 arrived in Africa later than in most of the world and so far it has had a less terrible impact, but across the continent people are worried about what could be coming. 2:02

The UN agency report says a six-month complete disruption in HIV treatment could cause more than 500,000 extra deaths in sub-Saharan Africa over the next year, bringing the region back to levels of AIDS death rates last seen more than a decade ago, in 2008.

A World Health Organization survey found that 73 countries are at risk of running out of HIV medicines and 24 have critically low stocks.

“Access to HIV medicines has been significantly curtailed” since the coronavirus pandemic began, said WHO chief Tedros Adhanom Ghebreyesus. “We must not turn our backs on HIV while fighting COVID-19.”

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

The Canadian Press. All rights reserved.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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