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The Zimbabwe Gazette Daily News Online

Thursday
Sep 04th


Last Updated: August 15, 2008, 1:24 pm  ET

   
Home arrow Health arrow More Research Being Done on HIV/AIDS
More Research Being Done on HIV/AIDS PDF Print E-mail
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By Tawanda Kadungure, on March 17 2008 14:52

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As the HIV/AIDS pandemic continues to wreck havoc on the human population scientists are carrying out research projects into finding a cure or prevent the period in which HIV matures to full blown AIDS.

Scientists in developed nations are doing research on biomedical prevention which is different from the traditional prevention strategies such as the promotion of condom use and the knowledge of one’s HIV status. These scientists are focusing on four innovative technologies that are gaining momentum around the world which are namely pre-exposure prophylaxis (PrEP), male circumcision, microbicides and herpes simplex virus type 2 (HSV-2). In PrEP, antiretrovirals are prescribed to high risk HIV negative people in an effort to prevent the onset of the virus in the event of actual exposure.

Trials are currently in Botswana, Thailand, Peru, Ecuador and the United States. These researches involve heterosexual men and women as well as homosexuals. Zimbabwe at the moment is offering PrEP after one has been exposed to infection. Hope for an effective prevention method that women, in particular, can control was dampened when news regarding the failure of a once promising microbicide was presented by the scientists. Data from two studies showed that Ushercell, a microbicide containing 6% cellulose sulphate, did not protect women against sexually transmitted HIV infection and suggested that it may have even contributed to an increased risk of HIV acquisition. Microbicides are anti-HIV substances in the form of creams or gels that can be applied to the vaginal or rectal areas in an effort to prevent HIV infection. There are currently no microbicides approved for use, however, there are a number of them being studied in clinical trials. A large-scale phase 3 study of the microbicide that was being conducted in Benin, South Africa, Uganda, and India was stopped in January 2007, however, when an interim analysis revealed that more women who were actually using the gel had become infected than those using a placebo gel.

Three randomized controlled trials conducted in Africa have shown that male circumcision reduces the risk of HIV acquisition in heterosexual men. However, because circumcision is not a universally feasible or acceptable prevention strategy for various reasons, the promotion of genital hygiene which includes washing the uncircumcised penis after vaginal intercourse has been suggested as an alternative. A study of 2,552 uncircumcised men conducted in Rakai, Uganda, however, showed that cleaning the penis after vaginal sex does not protect men from HIV infection. In fact the study found that the men who washed with soap, as well as those who washed a few minutes after having sex were at the highest risk for acquiring HIV. An additional study that examined the adverse effects of circumcision on HIV positive and HIV negative men in Uganda found the procedure to be equally safe in both populations though more of the HIV positive men had not fully healed 30 days out from the operation. This difference could be the result of weaker immune systems among HIV-positive men.

Finally data presented from a 30-month randomized study conducted in Tanzania by researchers from the London School of Hygiene and Tropical Medicine showed that treatment with acyclovir, a medication used to treat HSV-2 (also known as genital herpes) infection, does not protect women against HIV. These findings came as a shock to many including the researchers themselves considering that the relationship between HSV-2 infection and the risk of acquiring HIV has been well established. In fact, a recent study found that HSV-2 infection increased the risk of HIV acquisition by three-fold.




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