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Editorials |17 April 2007

Hungering for HAART

Julio S.G. Montaner, MD; Robert S. Hogg, PhD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From British Columbia Centre for Excellence in HIV/AIDS, University of British Columbia, and Simon Fraser University, Vancouver, British Columbia, Canada.

    Potential Financial Conflicts of Interest: Consultancies: J.S.G. Montaner (Abbott, Argos Theraputics, Boehringer Ingelheim, Bristol-Myers Squibb, Gilead Sciences, GlaxoSmithKline, Hoffmann-La Roche, Janssen-Ortho, Merck-Frosst, Pfizer Inc., Schering, TheraTechnologies, Tibotec, Trimeris), R.S. Hogg (Canadian Institutes of Health Research, National Institutes of Health, Abbott, Boehringer Ingelheim, GlaxoSmithKline), R.S. Hogg (Abbott, Boehringer Ingelheim, GlaxoSmithKline); Honoraria: J.S.G. Montaner (Abbott, Argos Theraputics, Boehringer Ingelheim, Bristol-Myers Squibb, Gilead Sciences, GlaxoSmithKline, Hoffmann-La Roche, Janssen-Ortho, Merck-Frosst, Pfizer Inc., Schering, Thera Technologies, Tibotec, Trimeris), R.S. Hogg (Canadian Institutes of Health Research, National Institutes of Health, Abbott, Boehringer Ingelheim, GlaxoSmithKline), R.S. Hogg (Abbott, Boehringer Ingelheim, GlaxoSmithKline); Grants received: J.S.G. Montaner (Abbott, Argos Theraputics, Boehringer Ingelheim, Bristol-Myers Squibb, Gilead Sciences, GlaxoSmithKline, Hoffmann-La Roche, Janssen-Ortho, Merck-Frosst, Pfizer Inc., Schering, TheraTechnologies, Tibotec, Trimeris), R.S. Hogg (Canadian Institutes of Health Research, National Institutes of Health, Abbott, Boehringer Ingelheim, GlaxoSmithKline).

    Requests for Single Reprints: Julio S.G. Montaner, MD, University of British Columbia, 1081 Burrard Street, Room 667, Vancouver, British Columbia V6Z 1Y6, Canada; e-mail, jmontaner@cfenet.ubc.ca.

    Current Author Addresses: Dr. Montaner: University of British Columbia, 1081 Burrard Street, Room 667, Vancouver, British Columbia V6Z 1Y6, Canada.

    Dr. Hogg: Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, Burnaby, British Columbia V5A 1S6, Canada.

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Of any country in the world, South Africa is experiencing one of the most severe HIV epidemics. According to Joint United Nations Programme on HIV/AIDS (UNAIDS) estimates, by the end of 2005, South Africa had 5.5 million people living with HIV and approximately 1000 AIDS-related deaths per day (2). A recent survey found that people in South Africa spend more time at funerals than while shopping, having their hair cut, or having barbecues (3). Clearly, urgent action is needed to reduce the impact of the pandemic in South Africa.
In this context, although the international community has widely commended South Africa's implementation of a government-funded antiretroviral program, the slow pace of implementing this program is causing growing concern. In 2003, South Africa stated an official plan to have more than 380 000 people enrolled in government-funded highly active antiretroviral therapy (HAART) programs between 2005 and 2006 (4). However, by September 2005, only 85 000 people in these programs were receiving treatment (4). According to UNAIDS estimates, at least 79% of South Africans in medical need of HAART had no access to these life-saving treatments as of December 2005 (5). If South Africa is to have an impact on its HIV epidemic, it must address this gap quickly and decisively. Doing so will reduce the HIV mortality rate and the rate of new infections (6), as has been shown elsewhere (7).
Expansion of HAART programs in South Africa and other low- and medium-income nations...
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Montaner JS, Hogg RS. Hungering for HAART. Ann Intern Med. 2007;146:609–610. doi: 10.7326/0003-4819-146-8-200704170-00013

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Published: Ann Intern Med. 2007;146(8):609-610.

DOI: 10.7326/0003-4819-146-8-200704170-00013

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2007 American College of Physicians
3 Citations

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