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Archive for February 1st, 2010

AFRICA: Rotavirus data must propel immunization – experts

Posted by African Press International on February 1, 2010


Photo: Lourenço Silva/PlusNews
More than half-million children die from rotavirus infection annually (file photo)

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DAKAR,  – Health experts hope the release of data showing the success of rotavirus vaccine will help compel policymakers to ensure all children will be immunized.

Rotavirus – the top cause of severe and often fatal diarrhoea and dehydration in children – kills some 527,000 children a year globally, nearly half of them in sub-Saharan Africa.

“It is our hope that these data will catalyze action so that one day we can live in a world where no child dies from diarrhoea,” Kathy Neuzil, senior clinical advisor for vaccines at the international health non-profit PATH, said in a 27 January statement.

Published on 27 January in the New England Journal of Medicine, results from first-ever clinical trials in South Africa and Malawi show that a live, oral rotavirus vaccine significantly reduces the episodes of severe rotavirus gastroenteritis in African children during the first year of life.

The data “provide policymakers with the critical information they need to make decisions about rotavirus vaccine introduction,” George Armah, professor and rotavirus expert at Ghana’s Noguchi Memorial Institute for Medical Research, said.

The trial results led the World Health Organization in June 2009 to recommend global use of the vaccine.

The Africa trials focused on the vaccine’s performance in high mortality, low-income settings, according to a 27 January communiqué by PATH and GAVI Alliance.

Health experts point out that while rotavirus infection in treatable, it has devastating and deadly impact in rural and poor areas where people cannot access medical care. “Vaccines represent the best hope for preventing the severe consequences of rotavirus infection,” Nigel Culiffe of University of Liverpool said in statement.

The trials were coordinated and co-funded through a partnership between GlaxoSmithKline Biologicals and the GAVI Alliance-funded Rotavirus Vaccine Trials Partnership – PATH, WHO and the US Centers for Disease Control and Prevention.

np/aj

source.irinnews
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GLOBAL: Breakthrough could create better ARVs

Posted by African Press International on February 1, 2010


Photo: Gary Hampton/World Lung Foundation
The puzzle has been solved

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NAIROBI,  – Scientists have finally discovered the structure of a key enzyme found in HIV and similar viruses, a breakthrough that has crucial implications for HIV treatment.

Researchers from Imperial College London, in the UK, and Harvard University, in the US, developed a crystal that could reveal the structure of integrase – an enzyme used by HIV to integrate its genetic material into a host cell.

Many researchers had tried and failed to unravel the three-dimensional structure of integrase, which is bound to viral DNA. When someone is infected with HIV, the virus uses integrase to paste a copy of its genetic information into the person’s DNA.

The new study, published in the latest edition of Nature, a scientific journal, revealed how a class of life-prolonging antiretroviral drugs – integrase inhibitors – functions. The drugs work by blocking integrase, but for a long time scientists did not understand fully how the medicines managed to do this, or how to improve them.

“We now know how drugs that target integrase – such as Isentress [an integrase inhibitor produced by pharmaceutical company Merck & Co] – bind to and block integrase, meaning it is now possible to improve the drugs on the market,” Dr Peter Cherepanov, of Imperial College London, one of the study’s lead authors, told IRIN/PlusNews.

''This is the holy grail of HIV research … it opens a whole new door for manufacturers of HIV medication''

“Now we have this information, drug developers can modify the available drugs to work better – for instance, to bind tighter to integrase,” he said. “We will also be able to better understand and explain HIV drug resistance, since we now know how these HIV drugs work.”

Using a version of integrase borrowed from a retrovirus similar to HIV, the researchers were able to grow a crystal after more than 40,000 unsuccessful attempts.

“This is the holy grail of HIV research,” said Dr Matilu Mwau, a virus researcher at the Kenya Medical Research Institute. “It has the potential to increase the repertoire of drugs to treat HIV; it opens a whole new door for manufacturers of HIV medication.”

“In the developing world we do not tailor-make drug combinations for HIV patients – we treat HIV from a public health perspective, where most people are put on a similar combination,” he said. “More drugs available mean better chances for people to be put on second- and third-line treatment regimens where first-line drugs don’t work.”

kr/kn/he source.irinews

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Nigeria: Aid agencies “staggered” by IDP numbers

Posted by African Press International on February 1, 2010

Kano (Nigeria) – Relief agencies are struggling to help the some 18,000 displaced people in 17 makeshift camps in and around the central Nigerian city of Jos.

Most of the displaced do not have enough food and they lack access to toilet facilities and safe drinking water, Nigeria Red Cross (NRC) head Auwalu Mohammed told IRIN.

Local aid agencies and the state authorities say they were unprepared for the scale of destruction, he said.

The capacity of the Nigeria Emergency Management Agency (NEMA) and NRC is overstretched, he said, adding that a lack of coordination among local relief organizations is hampering the humanitarian effort.

“There is no synergy between the organizations providing relief. We don’t have an avenue to coordinate the assistance we provide or to know what the needs of the IDPs are and which camps need what materials,” he told IRIN.

“Our resources are limited but if we could all harness our resources and coordinate our activities, we would enhance the assistance we provide these desperate people.”

As of 27 January 31 women had given birth in police stations and in the central mosque in the Jos neighbourhood of Bukuru, said local midwife Binta Hassan. Two of the babies have died.

Thousands of people fled violence that erupted in Jos on 17 January. Local authorities say 326 people died.

Though previous violence in Plateau State saw higher death tolls, an “unprecedented” number of residents were displaced this time because their houses were destroyed, according to Red Cross.

Local and international aid agencies, including ActionAid and Médecins Sans Frontières, are launching operations to help the displaced.

source.irinnews

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