| By Tawanda Kadungure,
on March 17 2008 14:52
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Favoured : 42 |
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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