$45 billion needed to fight HIV/AIDS

By Taro Karasaki
July 8, 2005

Kobe - With prevention the ultimate solution, the world's richest nations must come up with $45 billion (4.950 trillion yen) to win the battle against AIDS, says the director of HIV/AIDS at the United Nations World Health Organization.

Funds pledged so far simply don't go far enough, said Jim Yong Kim, who spoke at the International Congress on AIDS in Asia and the Pacific, which ended here Tuesday.

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The world will indeed be watching as the Group of Eight leaders meet this week in Gleneagles, Scotland, to see how widely they open their coffers, Kim said in an interview with The Asahi Shimbun.

While donor countries appear set to spend $27 billion (2.970 trillion yen) in AIDS assistance over the next three years, at least $18 billion more will be needed to prevent the spread of HIV, Kim said.

He added that Tokyo's recent pledge of $500 million to the global fund against AIDS, tuberculosis and malaria, plus $5 billion for health and development projects, were "extraordinarily important."

He said he expected other countries to follow suit.

"At Gleneagles, we're waiting to see what they say. Eighteen billion dollars is a lot of money. But as we have been watching the tsunami response and various efforts in the Middle East, we know that money is around," Kim said. "There are a lot of hidden pockets that are deep."

Increasing resources-including funding-and exerting strong leadership in dealing with AIDS in Asia were the main points addressed at the conclusion of the five-day conference, which was attended by more than 4,000 participants from 70 countries and regions.

"We feel that if we make the case strongly enough, money will show up," Kim said.

A budget of $45 billion would not only provide life-sustaining treatment for millions who live with HIV in developing countries worldwide, but it would also help develop measures to prevent the spread of the virus.

Those would include basic moves like making drugs available to prevent mother-to-child transmission at birth to the development of an AIDS vaccine.

Kim pointed out that a large problem in developing countries is that affected mothers are unable to access even drugs costing "just pennies" that could prevent passing the virus to a baby during delivery.

According to WHO, only 8 percent of pregnant HIV-positive women across Asia have access to such medication.

Kim said the political will in many nations has focused on investing in treatment because "what they can sell to their constituencies is saving lives."

Although that, too, is important, Kim said prevention is the ultimate key to eradicating the epidemic, particularly in Asia. Lately, he said aid disbursements for prevention projects get more than half of what is pledged.

"We think that for the future, prevention should be funded by at least twice the amount that is used for treatment," Kim said. The Global Fund to Fight AIDS, Malaria and Tuberculosis, has offered about 300 grants worth $3 billion to date.

"Prevention is the ultimate answer to HIV," Kim emphasized.

IHT/Asahi


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