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GLOBAL HEALTH

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Volume 360:1808-1810 April 30, 2009 Number 18
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Rationing Antiretroviral Therapy in Africa — Treating Too Few, Too Late
Nathan Ford, D.H.A., Edward Mills, Ph.D., and Alexandra Calmy, M.D.

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 by Kitahata, M. M.
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The past 6 years have seen striking advances in access to antiretroviral therapy in Africa. From 2002 onward, the international drive to scale up antiretroviral treatment gained considerable momentum, most notably with the establishment of the Global Fund to Fight AIDS, Tuberculosis, and Malaria, the "3 by 5" Initiative of the World Health Organization (WHO), and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). Today, an estimated 3 million people in the developing world are receiving antiretroviral therapy.

The momentum has now begun to wane, with various groups arguing that the focus on AIDS has had its day and . . . [Full Text of this Article]


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Mr. Ford is the head of the medical unit of Médecins sans Frontières (MSF), Cape Town, and a research associate at the School of Public Health and Family Medicine, University of Cape Town — both in Cape Town, South Africa. Dr. Mills holds a Canada Research Chair in Global Health, Faculty of Health Sciences, University of Ottawa, Ottawa. Dr. Calmy is a physician in the HIV Unit, Infectious Disease Services, Geneva University Hospital, and an HIV consultant for the MSF Access Campaign, MSF International — both in Geneva.




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