Low-profile killers need AIDS cash, experts warn
Source: AlertNet
By Ruth Gidley and Mark Hanrahan

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Iraqi boys swim in a polluted canal in Basra.
File photo by DAMIR SAGOLJ
File photo by DAMIR SAGOLJ
LONDON, April 28 (Reuters) - HIV/AIDS has captured world
headlines leaving other killer diseases out of the spotlight and
under-funded, health experts warn.
Lower-profile illnesses also kill millions of people every
year, most of them children, they say.
Respiratory infections kill more than four million annually,
diarrhoea kills 2.2 million, one-third of the world's population
carries tuberculosis (TB) and malaria kills around 3 million
every year.
But experts in the HIV/AIDS field argue the virus needs more
money and attention because it kills more people and is more
expensive to fight than other diseases.
And they say there is still not enough money spent on
combating HIV/AIDS in poor countries.
U.S. academic Robert Black of the John Hopkins School of
Public Health in Baltimore, Maryland, told Reuters: "Given the
relative magnitude of the problems of AIDS and other infectious
diseases, the increase in funding for AIDS has been very large
and the funding for other infectious diseases has either not
increased or only very selectively increased.
"I would never say that funding for HIV/AIDS should be
decreased. There should be more funding for other infectious
diseases, in addition."
Elizabeth Mason, director of child and adolescent health at
the U.N. World Health Organisation (WHO), said: "If you look at
the resources going into child health compared to the resources
going into other areas, it is very, very small.
NO BETTER IN 20 YEARS
"I've been working in Africa for 25 years, and I'm not sure
we are better off than we were 20 years ago."
Some health specialists argue that AIDS is privileged in
funding terms due to its high profile in wealthier countries.
Debarati Sapir, an epidemiologist at the Catholic University
of Louvain in Belgium, told AlertNet: "I think (AIDS funding and
publicity) is overdone."
But at UNAIDS -- the U.N. body working on HIV/AIDS --
communications and resources director Achmat Dangor said: "In
Africa and Latin America AIDS is the biggest cause of death,
twice more than malaria and four times more than TB.
"I know it is odious to make comparisons between human
mortality, but the fact is that AIDS erodes human capacity far
more rapidly than other diseases."
Rosie Vanek, communications officer at the Global Fund to
Fight AIDS, Tuberculosis and Malaria said it was not useful to
think of AIDS as stealing the limelight from other diseases,
since it was more expensive to fight.
She estimated that HIV/AIDS needed $11.5 billion by 2007,
well above the $2.6 billion for malaria or the $0.8 billion
required to fight TB.
SCARCE RESOURCES
In an environment of scarce resources for health care in
developing countries, some experts argue AIDS funding helps
fight illnesses that often affect HIV-positive people, such as
TB and pneumonia.
WHO spokesman Colin Mathers said: "There is a risk that the
focus on HIV will divert scarce resources, medical personnel
particularly, in countries where they are needed for a broad
range of diseases.
"On the other hand, the funding that comes into HIV can lift
the whole health system and benefit other diseases."
Manica Balasegaram, a doctor for aid agency Doctors without
Borders, told Reuters: "The high profile given to HIV/AIDS has
helped to drive research and the treatment of patients. I hope
this will lead the way for progress against other killer
diseases like malaria and tuberculosis.
"We still have a long way to go in providing HIV/AIDS
treatment to the majority of the people who need it -- the
world's poor and marginalised."
((Editing by Janet Lawrence))
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