Free Drug Program Cuts AIDS Deaths 64%, China Says

The distribution of free anti-AIDS drugs in China has paid off, government scientists report, producing a 64 percent drop in deaths related to the disease. At the same time, the Chinese scientists say patients infected with HIV, the AIDS virus, through sexual contact or from using dirty needles still need more access to treatment.

About 63 percent of all those needing AIDS drugs are getting them, up from virtually zero in 2002, when Beijing began the free distribution program, the scientists say in a study published in the journal The Lancet. They say that has caused AIDS mortality to fall to 14.2 per 100 person-years — a measure of the years of human life lost to the disease — in 2009, down from 39.3 in 2002.

The decline in mortality associated with the drug distribution effort “is a testimony to the young mid-level scientists who convinced the leadership that this was the right thing to do,” Dr. Myron Cohen, an AIDS specialist at the University of North Carolina who has lived in China, told The New York Times.

But the researchers from several Chinese government agencies showed that the main beneficiaries were patients infected through plasma donations or blood transfusions. They pointed out that mortality was higher and treatment less common for those who contracted HIV through sexual contract or drug injections with dirty needles.  “Increased attention must be given to these populations to diagnose HIV infection earlier and increase treatment coverage,” the study says.

Assessments of how many Chinese are infected with HIV vary widely. China’s official estimate is 740,000, even though the number actually diagnosed is much lower at 323,252, while activists estimate that the total is many times higher.

The study, Reuters reports, showed that patients given highly active antiretroviral therapy — or stronger cocktails of three AIDS drugs — had the most drastic reductions in death rates. Experts recommend that the cocktails be given early not only to boost survival but also to reduce the spread of the virus.

In a separate report released this week, the United Nations’ International Labor Organization criticized China’s health care for HIV patients, saying that hospitals may be routinely refusing to treat them patients because of fear and ignorance about AIDS.

Related Post:
Chinese Hospitals Often Reject AIDS Patients, Study Finds

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