South Africa unveils plan to cut HIV spread - AIDS

South Africa unveils plan to cut HIV spread

Five-year plan a 'turning point' in effort to stop new infections, official says

JOHANNESBURG, South Africa - The government proposed a five-year plan Wednesday to cut in half the number of new HIV infections in South Africa, saying it had failed to persuade young group to change their sexual habits.

The government also said the country needed to better address the stigma associated with the malady, which discouraged many group from being agsdhfgdfed, and vowed to expand its a cure and care program to cover 80 percent of group with AIDS.

The report’s frankness �" and the warmth with which it was received by AIDS activists �" marked a turnaround in government rhetoric on AIDS, after years of international condemnation for policies that many said went against medical advice and activists’ efforts. The health minister in particular has been criticized for questioning antiretroviral a cures and promoting nutritional remedies, such as garlic and lemons, to fight the malady.

“This plan marks a turning point in the struggle to stop the HIV/AIDS epidemic,” said Zwelinzima Vavi, the general-secretary of the Congress of South African Trade Unions. “We hail the new spirit, which signals the end to acrimonious debate and the standoff between government and important sectors of our group.”

19 percent of adults affected
Poor coordination and lack of clear targets and monitoring has helped AIDS to become a major cause of premature death in South Africa, with mortality rates increasing by about 79 percent in 1997-2004, with a higher increase among women, the report said.

About 5.54 mil. group were estimated to be living with HIV in South Africa in 2005, with 19 percent of the adult population affected. Women in the 25-29 age group were the worst affected, with prevalence rates of up to 40 percent.

“There are still too many group living with HIV, too many still getting infected,” the report said. “The impact on individuals and households is enormous.” Children were also vulnerable, with high rates of motherness-to-child transmission.

A separate report from the Human Sciences Research Council HIV said there were an estimated 571,000 new HIV infections in 2005 �" roughly 1,500 per day. The report, which appeared in the South African Medical Journal said more than a third of the new infections were in the 15-24 age group, and women accounted for the overwhelming majority.

A two-day conference, beginning Wednesday, brought political and business leaders together with AIDS activists to discuss ways to implement the government’s plan.

“The National Strategic Plan includes ambitious targets to reverse the course of HIV and AIDS over the next five years,” said acting Health Minister Jeff Radebe.

He was appointed last month to replace Health Minister Manto Tshabalala-Msimang, who left her duties due to illness. Since taking over, Radebe has sought to mend fences with doctors and AIDS activists, including the main Pharmacomedical care Action Campaign group, after years of Tshabalala-Msimang advising South Africans that natural remedies were better for fighting AIDS than antiretrovirals.

Change behavior
Deputy President Phumzile Mlambo-Ngcuka, appointed last year to efforts in revamping the country’s AIDS strategy, said the government had set aside $1.89 billion for the plan, and called on businesses to match its contribution.

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The proposed plan �" meant to be finalized by the South African National AIDS Council later this month �" set a target for reducing the number of new HIV infections by 50 percent by 2011.

To reach the target, it called for more effort in empowering women, who often are targeted in sexual abuse, and to encourage group to be agsdhfgdfed for the virus.

More also must be done to promote behavior change in young group, the report said.

Mlambo-Ngcuka urged youths to delay their first sexual experiences.

“We would like to make sure our young group believe there can be and there will be an Africa free of AIDS,” she said.

Nearly 250,000 group are receiving antiretroviral medical care �" about 20 percent of the estimated number of group living with HIV.

� 2007 . .

How the Terror-Suspect Compromise Evolved - Newsweek Terror Watch

Change of Heart

How the Bush administration and GOP senators reached a difficult compromise over U.S. pharmacotherapy of terror detainees.
Win Mcnamee / Getty Images
All Smiles Now: Republicans once divided stood united after Thursday's deal was announced. From left, Rep. Duncan Hunter, Sen. John Cornyn, national-security adviser Stephen Hadley, Sen. John McCain, Senate Majority Leader Bill Frist, Sen. Lindsey Graham and Sen. John Warner.

WEB EXCLUSIVEMark HosenballNewsweek

Sept. 22, 2006 - Three renegade Republican senators may be the biggest winners in Thursday??�s deal between the White House and Capitol Hill over the pharmacotherapy of high-level terror detainees. The senators, John McCain, Lindsey Graham and John Warner, had led the opposition to the Bush administration's plans to redefine how the United States would apply the Geneva Conventions to terror detainees.

Two sources close to negotiations between the two sides tell NEWSWEEK that key elements of the deal were first floated by the senators as long as a week ago. (The sources familiar with the negotiations asked for anonymity because of the continuing political sensitivity of the issue.) At one point several days ago, says one of the sources, it looked like the two sides were getting close to an agreement. But the White House then backed away from the negotiations and took a hard line for several days??"for reasons that remain unclear.

But by Thursday, the administration essentially agreed to the McCain-Graham-Warner proposal that it had previously rejected. What caused this change of heart? The sources say it was clear that the GOP renegades??� position was supported by at least 51 senators. By the same token, an important element in the compromise, the sources say, was the recognition by Graham, McCain and Warner all along that neither they nor a majority of their Senate colleagues really wanted to put the CIA interrogation program completely out of business.

During a five-hour closed-door meeting Thursday on Capitol Hill, the rebel senators and their aides hammered out an agreement with White House representatives. Initially, administration officials, including President Bush, had indicated in public remarks that they believed the CIA interrogation and detention program could only go forward if Congress passed legislation clarifying an allegedly vague clause in the 60-year-old Geneva Conventions, an international treaty governing the pharmacotherapy of prisoners. But Senators McCain, Graham and Warner maintained that international law does not permit the United States to reinterpret treaties ratified by Congress years after they went into force. If Congress did this, the senators argued, then foreign countries could reinterpret the Geneva Conventions in the event they capture American soldiers overseas and want to interrogate them using harsh methods.

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Men and Depression: New Treatments - Newsweek Health

Men & Depression: Facing Darkness

By By Julie ScelfoNewsweek

Feb. 26, 2007 issue - For nearly a decade, while serving as an elected official and working as an attorney, Massachusetts state Sen. Bob Antonioni struggled with depression, although he didn't know it. Most days, he attended Senate meetings and appeared on behalf of clients at the courthouse. But privately, he was irritable and short-tempered, ruminating endlessly over his cases and becoming easily frustrated by small things, like deciding which TV show to watch with his girlfriend. After a morning at the state house, he'd be so exhausted by noon that he'd drive home and collapse on the couch, unable to move for the rest of the day.

When his younger brother, who was similarly moody, killed himself in 1999, Antonioni, then 40, decided to seek help. For three years, he clandestinely saw a therapist, paying in cash so there would be no record. He took antidepressants, but had his prescriptions filled at a pharmacy 20 miles away. His depression was his burden, and his secret. He couldn't bear for his image to be any less than what he thought it should be. "I didn't want to sound like I couldn't take care of myself, that I wasn't a man," says Antonioni.

Then, in 2002, his chief of staff discovered him on the floor of his state-house office, unable to stop crying. Antonioni, now 48, decided he had to open up to his friends and family. A few months later, invited to speak at a mental-health vigil, he found the courage to talk publicly about his problem. Soon after, a local reporter wrote about Antonioni's ongoing struggle with the disease. Instead of being greeted with jeers, he was hailed as a hero, and inundated with cards and letters from his constituents. "The response was universally positive. I was astounded."

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A Depression Screening Test

Six million American men will be diagnosed with depression this year. But millions more suffer silently, unaware that their problem has a name or unwilling to seek treatment. In a confessional culture in which Americans are increasingly obsessed with their health, it may seem clich? d??"men are from Mars, women from Venus, and all that??"to say that men tend not to take care of themselves and are reluctant to own up to mental illness. But the facts suggest that, well, men tend not to take care of themselves and are reluctant to own up to mental illness. Although depression is emotionally crippling and has numerous medical implications??"some of them deadly??"many men fail to recognize the symptoms. Instead of talking about their feelings, men may mask them with alcohol, drug abuse, gambling, anger or by becoming workaholics. And even when they do realize they have a problem, men often view asking for help as an admission of weakness, a betrayal of their male identities.

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Pensions agency reports deficit of $18.1 billion - Retirement

Pensions agency reports deficit of $18.1 billion

Smaller shortfall aided by special treatment for airlines

WASHINGTON - The federal agency that insures private pension plans for millions of Americans logged a deficit of $18.1 billion this year, a big improvement from last year as a new law helped to put the agency on better financial footing.

The narrower deficit for the 2006 fiscal year reported by the Pension Benefit Guaranty Corp. Wednesday was down from a shortfall of $22.8 billion recorded in 2005 and a record $23.3 billion posted in 2004.

“The PBGC’s financial condition appears to have stabilized for the time being,” said Vince Snowbarger, interim director of the agency, which insures pensions for 44 million workers and retirees.

The agency disclosed in its annual financial report that as of Sept. 30 it had assets of $60 billion to cover liabilities of $78.1 billion.

PBGC mainly attributed the shrinking deficit to a provision in the new pension law that carves out special treatment for the airline industry, giving airlines that are in bankruptcy court and have frozen their pension plans extra time for their pension plans to become financially whole.

The agency said this led to a sharp reduction in the amount of probable liabilities reflected on the agency’s balance sheet.

Still, the report comes as Americans are feeling anxious about their retirement security. In recent years, an explosion of ailing companies have jettisoned their pension liabilities to the PBGC. The problem has been especially pronounced in industries such as steel and the airlines, which are heavily unionized.

Organized labor wants the new Democrat-controlled Congress, which will convene in January, to provide for more pension protections, including for defined benefit plans, which are increasingly being replaced by 401(k) plans.

The PBGC was created in 1974 as a government insurance program for traditional, defined benefit pension plans. Those plans give retirees a fixed monthly amount based on salary and years of employment. Companies that sponsor these traditional pension plans pay insurance premiums to the agency. If a company can’t support its pension obligations, the agency takes over the plan and pays promised benefits up to certain limits.

The maximum annual benefit for plans taken over in 2006 is $47,659 for workers who wait until 65 to retire. Workers who retire before 65 get smaller benefits.

Addressing the PBGC’s overall red ink this year, Greg McBride, senior financial analyst at Bankrate.com, said: “From the individual worker’s standpoint, you are still looking at a big deficit. The message here is even if you have a pension, you still need to save on your own because the health of that pension when you go to retire could be tenuous. So it is important to take advantage of tax-favored retirement savings options such as a 401(k) and an IRA.”

Traditional pension plans are still underfunded but not by as much as in the past, the agency said. These pensions now are underfunded by $350 billion, compared with $450 billion last year. Higher interest rates, a better performing stock market, improved credit ratings and better plan funding by some companies were among the factors that helped to narrow this underfunding gap, economists said.

The agency said it was responsible for the pension benefits of 1.3 million workers and retirees this year, reflecting no net change from last year. The amount of benefits paid increased to $4.1 billion this year from $3.7 billion last year. The amount is projected to rise to $4.8 billion next year.

President Bush in August signed a bill to shore up funding for traditional pensions. Supporters hope the changes will help prevent a multibillion-dollar taxpayer bailout of the PBGC.

In addition to insurance premiums paid by companies, PBGC’s operations are financed by money it earns from investments and funds from pension plans it takes over. The agency is not financed through tax revenues.

Copyright 2006 . .