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Archive for May 24th, 2012

Venezuela diplomat in Kenya has been accused of sex abuse

Posted by African Press International on May 24, 2012

The Star news, Nairobi Kenya reports that, “Staff at the Venezuela embassy in NairobAWAY: Gerardo Carrillo Silvai have formally filed complaints with the Diplomatic Police Unit over alleged sexual impropriety by ambassador Gerarto da Silva (photo). At least three junior employees working at da Silva’s home in Runda have complained over what they termed as sexual harassment. They recorded police statements last month accusing the diplomat of constantly harassing them.
 
According to the Star, ”The embassy stands opposite the Diplomatic Police Unit in Gigiri only metres from the main Gigiri Police Station surrounded by a host of other diplomatic foreign missions. Ambassador da Silva repeatedly declined to comment on the complaint booked in police reference number 35 OF 25/04/2012. We have called him several times from last week and although he picked the calls, he said he was “not ready to talk to newspapers” over the subject.

The situation at the Embassy is reported to be very bad with staff either leaving their jobs due to fear of sexual abuse by the Ambassador. On reading the Star, it is not clear if the embassy star being sexually abused by the male ambassador are male or female employees of Kenyan origin.

It is reported that the ambassador is out of the country, possibly due to pressure. It is said he left without following protocol as required. Ambassadors do inform the host country’s foreign ministry whenever they leave the country.

End

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Zimbabwe’s Zanu PF and Vice President Joice Mujuru strikes a secret deal with President Mugabe: She will take over.

Posted by African Press International on May 24, 2012

President Robert Mugabe, now 88 years old strikes a deal with his vice President to take over power when he retires any time from now.

The Zimbabwean leader has been ill for some time now and is very tired. However, he does not want anybody else to take over apart from the VP, who will be the first woman leader in Zimbabwe’s history.

The opposition led by Tsvangirai has been a headache for the ailing leader. Mugabe says, he does not want Tsvangirai to rule during his lifetime and would rather the elections takes place without Tsvangirai.

It remains to be seen if Mugabe will mange to drum up support for the vice president without his Zanu PF breaking up. Mugabe, who wanted someone else is said to have decided to hand-pick the vice president and will use her woman-hood to convince supporters that Zanu PF should give a chance to a woman.

Mugabe’s problem is that he wants someone who will not put him or any of his family members into disrepute by opening corruption investigations against them when the family is no longer in power.

End

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ICC throws out Ruto’s and Sang’s appeal – They now have to face trial

Posted by African Press International on May 24, 2012

Original: English No. ICC-01/09-01/11 OA3 OA4

Date: 24 May 2012

THE APPEALS CHAMBER

Before: Judge Akua Kuenyehia, Presiding Judge

Judge Sang-Hyun Song

Judge Sanji Mmasenono Monageng

Judge Erkki Kourula

Judge Anita Usacka

SITUATION IN THE REPUBLIC OF KENYA

IN THE CASE OF THE PROSECUTOR v. WILLIAM SAMOEI RUTO,

HENRY KIPRONO KOSGEY AND JOSHUA ARAP SANG

Public document

Decision on the appeals of Mr William Samoei Ruto and Mr Joshua Arap Sang

against the decision of Pre-Trial Chamber II of 23 January 2012 entitled

“Decision on the Confirmation of Charges Pursuant to Article 61(7)(a) and (b) of

the Rome Statute”

No: ICC-01/09-01/11 OA3 OA4

 

1/17

 

ICC-01/09-01/11-414 24-05-2012 1/17 EO T OA3 OA4

Decision to be notified in accordance with regulation 31 of the Regulations of the

Court to:

The Office of the Prosecutor Counsel for William Samoei Ruto

Ms Fatou Bensouda, Deputy Prosecutor Mr Kioko Kilukumi Musau

Mr Fabricio Guariglia Mr David Hooper

Counsel for Joshua Arap Sang

Mr Joseph Kipchumba Kigen-Katwa

Mr Joel Kimutai Bosek

Legal Representatives of Victims

Ms Sureta Ghana

REGISTRY

Registrar

Ms Silvana Arbia

No: ICC-01/09-01/11 OA3 OA4 2/17

/6

ICC-01/09-01/11-414 24-05-2012 2/17 EO T OA3 OA4

The Appeals Chamber of the Intemational Criminal Court,

In the appeals of Mr William Samoei Ruto and Mr Joshua Arap Sang, pursuant to

article 82 (1) (a) of the Statute, against the decision of Pre-Trial Chamber II entitled

“Decision on the Confirmation of Charges Pursuant to Article 61(7)(a) and (b) of the

Rome Statute” of 23 January 2012 (ICC-01/09-01/11-373),

After deliberation.

Renders unanimously the following

DECISION

The appeals are rejected.

——–

Kenyan cases: Appeals Chamber rejects appeals regarding challenges to the ICC’s jurisdiction 

Today, 24 May 2012, the Appeals Chamber of the International Criminal Court (ICC) decided unanimously to reject the appeals regarding the challenges to the ICC’s jurisdiction, raised by the Defence teams in the two Kenyan cases: The Prosecutor v. William Samoei Ruto and Joshua Arap Sang and The Prosecutor v. Francis Kirimi Muthaura and Uhuru Muigai Kenyatta.

The Defence teams of the accused had challenged the Court’s jurisdiction before the Pre-Trial Chamber, submitting that the Court should decline to exercise jurisdiction over their cases and contesting the interpretation of the term ‘organizational policy’ as a component of crimes against humanity under article 7 (2) (a) of the Rome Statute, which the Pre-Trial Chamber had adopted, by majority, in its decision authorising the opening of an investigation into the situation in Kenya, dated 31 March 2010. In its decisions on 23 January 2012, the Pre-Trial Chamber decided, by majority, to endorse its previous definition of the term ‘organisational policy’ and confirmed that the ICC has jurisdiction over the two Kenyan cases. The Defence teams appealed the Pre-Trial Chamber’s decisions on 30 January 2012, essentially alleging legal, factual or procedural errors stemming from the Pre-Trial Chamber’s interpretation of the term ‘organizational policy’ and its subsequent findings that such policy existed in the two cases. They requested the Appeals Chamber to declare that the Court does not have subject-matter jurisdiction in this instance and to reverse the Pre-Trial Chamber’s confirmation of charges against the accused.

In its decisions, today, the Appeals Chamber indicated that the interpretation and existence of an ‘organizational policy’ relate to the substantive merits of this case as opposed to the issue of whether the Court has subject-matter jurisdiction to consider such questions. These issues relate to whether the Pre-Trial Chamber erred when it confirmed the charges in respect of the accused. As the Prosecutor has expressly alleged crimes against humanity, including the existence of an ‘organizational policy’, the Appeals Chamber found that the ICC has subject-matter jurisdiction over the alleged crimes. The Appeals Chamber noted that whether the Prosecutor can establish, in law and on the evidence, the existence of such a policy is not a question of jurisdiction, but rather a question to be determined on the merits. The Appeals Chamber concluded that the issues raised on appeal are therefore not properly before the Appeals Chamber. The Appeals Chamber decisions relate only to the issues raised by the accused and are with no prejudice to the merits of the cases.

The cases The Prosecutor v. William Samoei Ruto and Joshua Arap Sang and The Prosecutor v. Francis Kirimi Muthaura and Uhuru Muigai Kenyatta are currently before Trial Chamber V. Status Conferences are scheduled, respectively, on 11 and 12 June 2012.

End

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ICC throws out Uhuru Kenyatta’s and Francis Muthaura’s appeal – They will now have to face trial.

Posted by African Press International on May 24, 2012

Original: English No. ICC-01/09-02/11 OA 4

Date: 24 May 2012

THE APPEALS CHAMBER

Before: Judge Akua Kuenyehia, Presiding Judge

Judge Sang-Hyun Song

Judge Sanji Mmasenono Monageng

Judge Erkki Kourula

Judge Anita Usacka

SITUATION IN THE REPUBLIC OF KENYA

IN THE CASE OF THE PROSECUTOR v. FRANCIS KIRIMIMUTHAURA,

UHURU MÜIGAI KENYATTA and MOHAMMED HUSSEIN ALI

Public document

Decision on the appeal of Mr Francis Kirimi Muthaura and Mr Uhuru Muigai

Kenyatta against the decision of Pre-Trial Chamber II of 23 January 2012

entitled “Decision on the Confirmation of Charges Pursuant to Article 61(7)(a)

and (b) of the Rome Statute”

No: ICC-01/09-02/11 OA 4

 

1/18

 

• s

ICC-01/09-02/11-425 24-05-2012 1/18 FB T OA4

Decision to be notified in accordance with regulation 31 of the Regulations of the

Court to:

The Office of the Prosecutor Counsel for Francis Kirimi Muthaura

Ms Fatou Bensouda, Deputy Prosecutor Mr Karim Khan

Mr Fabricio Guariglia Mr Essa Faal

Legal Representatives of Victims Counsel for Uhuru Muigai Kenyatta

Mr Morris Azuma Anyah Mr Steven Kay

Ms Gillian Higgins

REGISTRY

Registrar

Ms Silvana Arbia

No: ICC-01/09-02/11 O A 4 2/18

ICC-01/09-02/11-425 24-05-2012 2/18 FB T OA4

The Appeals Chamber of the Intemational Criminal Court,

In the appeal of Mr Uhum Muigai Kenyatta and Mr Francis Kirimi Muthaura,

pursuant to article 82 (1) (a) of the Statute, against the decision of Pre-Trial Chamber

II entitled “Decision on the Confirmation of Charges Pursuant to Article 61(7)(a) and

(b) of the Rome Statute” of 23 January 2012 (ICC-01/09-02/ll-382-Conf),

After deliberation.

Renders unanimously the following

DECISION

The appeal is rejected.

—————

Kenyan cases: Appeals Chamber rejects appeals regarding challenges to the ICC’s jurisdiction 

 

Today, 24 May 2012, the Appeals Chamber of the International Criminal Court (ICC) decided unanimously to reject the appeals regarding the challenges to the ICC’s jurisdiction, raised by the Defence teams in the two Kenyan cases: The Prosecutor v. William Samoei Ruto and Joshua Arap Sang and The Prosecutor v. Francis Kirimi Muthaura and Uhuru Muigai Kenyatta.

 

The Defence teams of the accused had challenged the Court’s jurisdiction before the Pre-Trial Chamber, submitting that the Court should decline to exercise jurisdiction over their cases and contesting the interpretation of the term ‘organizational policy’ as a component of crimes against humanity under article 7 (2) (a) of the Rome Statute, which the Pre-Trial Chamber had adopted, by majority, in its decision authorising the opening of an investigation into the situation in Kenya, dated 31 March 2010. In its decisions on 23 January 2012, the Pre-Trial Chamber decided, by majority, to endorse its previous definition of the term ‘organisational policy’ and confirmed that the ICC has jurisdiction over the two Kenyan cases. The Defence teams appealed the Pre-Trial Chamber’s decisions on 30 January 2012, essentially alleging legal, factual or procedural errors stemming from the Pre-Trial Chamber’s interpretation of the term ‘organizational policy’ and its subsequent findings that such policy existed in the two cases. They requested the Appeals Chamber to declare that the Court does not have subject-matter jurisdiction in this instance and to reverse the Pre-Trial Chamber’s confirmation of charges against the accused.

 

In its decisions, today, the Appeals Chamber indicated that the interpretation and existence of an ‘organizational policy’ relate to the substantive merits of this case as opposed to the issue of whether the Court has subject-matter jurisdiction to consider such questions. These issues relate to whether the Pre-Trial Chamber erred when it confirmed the charges in respect of the accused. As the Prosecutor has expressly alleged crimes against humanity, including the existence of an ‘organizational policy’, the Appeals Chamber found that the ICC has subject-matter jurisdiction over the alleged crimes. The Appeals Chamber noted that whether the Prosecutor can establish, in law and on the evidence, the existence of such a policy is not a question of jurisdiction, but rather a question to be determined on the merits. The Appeals Chamber concluded that the issues raised on appeal are therefore not properly before the Appeals Chamber. The Appeals Chamber decisions relate only to the issues raised by the accused and are with no prejudice to the merits of the cases.

 

The cases The Prosecutor v. William Samoei Ruto and Joshua Arap Sang and The Prosecutor v. Francis Kirimi Muthaura and Uhuru Muigai Kenyatta are currently before Trial Chamber V. Status Conferences are scheduled, respectively, on 11 and 12 June 2012.

———

Ends.

 

 

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Radisson Blu Heliopolis wins the Golden Certificate from HIIS

Posted by African Press International on May 24, 2012

The Radisson Blu Hotel,Cairo Heliopolis succeeded to win the Golden Certificate from HIIS.

Needless to mention that HIIS (Hospitality Industry Integrated Services which is a Quality Management System, commitment to serve high quality hospitality industry, in particularly with regard to integrated service quality management system & mystery shopper food safety HACCP , environmental management system and occupation health & safety.

After 6 consecutive months of detailed audit for hygiene and food safety Radisson Blu Heliopolis has been awarded the Golden Certificate as has been audited by HIIS and certified for meeting the guidelines of Codex Alimentarius Commission for the implementation of food safety principles and achieving a high standards of Hygiene.

It’s valuable to mention that receiving such awards is the conclusion of Radisson Blu Heliopolis ongoing policy in encouraging the acquaintances to apply their utmost efforts in order to extend exceptional performance and achieve a high quality service.

“Winning this award is an indicator that we are on the right track, Thank you so much for all the efforts and a special thanks to Chef Nasser Ewais with his team for all their efforts that resulted to win the golden certificate I hope that you will continue the outstanding work and keep on to ensure the safety and wellbeing of our guests” said Ashraf Naguib The General Manger

www.africanpress.me/ HIIS Picture. Picture shows Dr. Amal Reyad Managing Director of HIIS, thanking the team for the outstanding effort and handing the awards to Emad Fouad, the Executive Assistant Manager at Radisson Blu Heliopolis, Chef Nasser Ewais the Director of Kitchen and Nevine Nader Director of PR and Communications.

http://www.africanpress.me/ HIIS Picture. Picture shows Dr. Amal Reyad Managing Director of HIIS, thanking the team for the outstanding effort and handing the awards to Emad Fouad, the Executive Assistant Manager at Radisson Blu Heliopolis, Chef Nasser Ewais the Director of Kitchen and Nevine Nader Director of PR and Communications. (From Right to Left: Nevine Nader , Dr. Amal Reyad, Chef Nasser Ewais and Emad Fouad

The Rezidor Hotel Group is one of the fastest growing hotel companies in the world. The group features a portfolio of more than 385 hotels in operation and under development with more than 83,100 rooms in over 60 countries.

Rezidor operates the brands Radisson Blu Hotels & Resorts, Regent Hotels & Resorts, Park Inn and Country Inns & Suites in Europe, Middle East and Africa, along with the goldpoints plusSM loyalty programme for frequent hotel guests. Under a worldwide licence agreement with the iconic Italian fashion house Missoni, Rezidor also operates and develops the new lifestyle brand Hotel Missoni.

In November 2006, Rezidor was listed on the Stockholm Stock Exchange. Carlson Companies is the main shareholder.

The Corporate Office of the Rezidor Hotel Group is based in Brussels,  Belgium.

Radisson Blu Hotels & Resorts (formerly Radisson SAS Hotels & Resorts), part of The Rezidor Hotel Group, offers first class service, providing guests with a contemporary, upscale hospitality experience. Radisson Blu has received numerous awards for Best Hotel Chain and is renowned for its “Yes I Can!” spirit of service and the “100% Guest Satisfaction Guarantee”. September 2005 saw the roll out of a free broadband service across the portfolio – the first international hotel chain to offer this service. Radisson Blu currently includes more than 245 hotels either in operation or under development and with more than 57,700 rooms in Europe, the Middle East and Africa.

End

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Leprosy patients are often ostracised

Posted by African Press International on May 24, 2012

Leprosy patients are often ostracised

JUBA,  – A once bustling community of several thousand on the outskirts of South Sudan’s capital, Juba, has been replaced by groups of people huddled under trees, surrounded by bundles piled high and the rubble that was their homes.

Luri Rokwe, a community of people with leprosy (PWL), was set up in 1948 by Sudan’s then Anglo-Egyptian rulers, but in January the PWL and generations of children who were born and raised here saw their houses demolished as part of a government programme which will push three-quarters of the population off this land.

“It has been decided by the government, because Juba is going to be a city and not a village,” said nurse Joseph Wani, who has run this community and treated others like himself with leprosy for years.

The government has allocated land to around 220 of the 290 PWL, but Wani says at least another 750 plots are needed for their children; hundreds of people are destitute.

“Up to today, there are still people waiting, there are still people sleeping outside,” and now the rains have come, he said.

The boy scouts are rebuilding houses for 47 people too affected by leprosy to rebuild their homes. But so far only two are built and there are only 15 temporary tents.

“I’m now sleeping out in the open and I’m really suffering, but at least I have a plot. It is the others who don’t that really pains me,” said PWL Thomas Wedaya, who arrived here in the 1950s.

Alkaya Aligo, undersecretary at the Ministry of Housing and Planning, accepted that the distribution of plots was “very slow” but explained that problems had been caused by healthy PWL offspring illegally grabbing land.

Juba is one of Africa’s fastest-growing cities and extra stress is being put on it by an influx of hundreds of thousands of people who fled Sudan and other countries and now eye Juba as the best place to settle for jobs.

For lepers like Asunta Juan, who was dropped off here as a small girl by her parents and has no identification papers to register for a plot, the future outside of this safe haven seems bleak.

“I grew up here, I did everything in my life here,” she says.

“We saw the grader come and destroy the houses and we don’t know where they will take us. The house I lived in was one that was built for me. Now I don’t know what to do… We need something to cover ourselves for the rains… To get our land back, we need money. Some people have already got their land back, but we don’t have the money to buy it back.”

“Robbed”

In 2005, the southern guerilla-movement-turned-national-army returned from 22 years in the bush and set up their barracks opposite Lori Rokwe, using land that this community had used to grow their own food.

The government says other areas including a lake which PWL used for fishing belongs to other ethnic groups who have returned to the capital in peacetime.

While cultivation land disappeared, government handouts and regular donations from aid agencies dropped after the peace deal and dried up completely in 2009.

“The government used to give us food. Now they don’t and no one is here to stop our suffering. The land for growing food was robbed from us. Now there’s a lack of food, lack of clothes, lack of blankets,” said Wedaya.

Pastor Nasona, whose parents arrived here in 1955, said many who had lived here for years but lacked the papers to claim their rights, were moving out. “Some of them have already gone because of the difficulties,” he said.

Meanwhile, new faces have appeared on what is now prime real estate.

“Some people claim the area of their forefathers before the leper people could be here. They come in and demand that some of the land be given to them, so it’s new people that are getting plots to stay here and people that come from the neighbouring villages,” Wedaya said.

A handful of Christian aid agencies still try to support this community.

“They have nothing to rebuild with, they have no money and no way to grow vegetables because they don’t have land,” said veteran aid worker Lori Bryan.

Poor health

“So you already have very emaciated people – it’s very difficult for them to get water – that are now going to become more diseased, more frail and thin, which leads to more health complications and possible death,” she warned.

James Wani, state coordinator for leprosy and tuberculosis at Juba Teaching Hospital, fears the community could be further weakened by illnesses caused by poor shelter and sanitation such as malaria and respiratory infections.

He said there were 1,437 lepers registered in Central Equatoria State last year for treatment, out of around 10,000 nationwide.

Wani said people are drawn here from the other nine states for treatment and support: “People don’t know that leprosy is an infectious disease that can be treated. They only know that leprosy is a curse.”

He said during awareness campaigns they often come out and can be cured in 6-18 months depending on the severity of the disease and their medication.

He feared that other PWLs who have yet to register for treatment will be harder to reach if they cannot stay at Luri Rokwe. “Right now they have 220 lepers, who have documents, what about the rest? That is what we are talking about.”

“Since 2009, nothing has happened to us here. Nobody has helped us -only for the treatment of other diseases but not leprosy,” said community leader Joseph Wani.

He said accidents among lepers were common, especially while cooking and carrying out duties as skin has deadened and they do not feel the pain of fire or sharp instruments.

Pastor Nasona fears that without help, many vulnerable people could be turned onto the streets of a city that has outgrown them. “There are those who have children who can help, but there are those who are just without and sometimes they can venture into the town asking for help – they become beggars.” 

hm/cb
source www.irinnews.org

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Sub Saharan Africa facing food security threat

Posted by African Press International on May 24, 2012

  • Thomas Ochieng reporting from Kenya

With more than one in four of it’s about 856 million people undernourished,
Sub-Saharan Africa remains one of the most food insecure region in the world
today, this is according to a report launched on 15th of May 2012 by the United Nations Development fund UNDP.

The report dubbed ‘Addressing hunger precondition for sustained human development in Sub-Saharan Africa’ has been launched on the back drop of over 15 million people facing hunger in the Sahel region which stretches from he semi-arid belt of Senegal to Chad. While acknowledging that there can never be quick fixes, the report points out that food security can be achieved through four pronged approaches namely, increasing agricultural productivity, emphasizing on nutrition, building resilience and empowerment compounded with social justice.

While launching the report in Kenya the Head of state noted that because adequate and nutritious food enhances mental and physical development of human beings thus also enabling people to exercise their freedoms and capabilities in different fields. , “These four key areas include: increasing agricultural productivity to increase food availability and incomes of rural households; improving nutrition awareness and consumption of nutritious foods especially amongst children and pregnant women; building effective social protection and safety net programmes; and enhancing the capacity of the vulnerable, especially women, to tackle the challenges that confront them.” Said  Kibaki.

Food security, as defined by the 1996 world leaders’ Food Summit, means that people can consistently access sufficient and nutritious food to meet their dietary needs for an active and healthy life at a price they can afford, it on
this backdrop that there has been a consistent call for the African political
leadership to match the commitment to the 1996 agreement with actions. Such action can make a difference.

Ghana became the first Sub-Saharan African country to achieve the Millennium Development Goal One on halving hunger by 2015, partly by focusing on policies which encouraged cocoa farmers to boost output. Malawi transformed a food deficit into a 1.3 million tonnes surplus within two years, thanks to a massive seed and fertilizer subsidy programme.

The UNDP regional director for Africa Dr. Tegegnework Gettu lamented the lack of adequate leadership that places food security a priority undertaking by the governments in  most African countries “It remains a large paradox that in a world of food surplus hunger and malnutrition remains pervasive
in levels that poses a great threat to the stability and development in the sub Saharan region of Africa” Said Dr. Gettu, adding that misguided policies underpinned by the lack of political commitment coupled by weak institutions in the region are the main reasons why the Sub Saharan region is unable to attain the much desired food security.

The report paints a grim picture for the Sub-Saharan Africa that it cannot
sustain its present economic resurgence unless it eliminates the hunger that
affects nearly a quarter of its people, the United Nations Development
Programme (UNDP) argues in the newly released Africa Human Development Report 2012 - Towards a Food Secure Future.

Ends.

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Keeping an eye out for drug resistance

Posted by African Press International on May 24, 2012

Keeping an eye out for drug resistance

KAMPALA,  – The prevalence of drug-resistant HIV strains in Uganda has risen from 8.6 percent to 12 percent in the last five years, one of the highest rates in Sub-Saharan Africa, according to a recent study.

The PharmAccess African Studies to Evaluate Resistance (PASER) monitoring cohort study report for 2008-2012 found that the prevalence of transmitted drug resistance among people who have never taken life-prolonging antiretroviral (ARV) medication was substantially higher in Uganda.

ARVs were available at least five years earlier in Uganda than in the five other PASER countries – Kenya, Nigeria, South Africa, Zambia and Zimbabwe – where drug resistance was estimated at 5 percent in selected areas of those countries.

The Ugandan study was based on results from the capital, Kampala, the western town of Fort Portal, and the eastern town of Mbale.

HIV drug resistance occurs when patients do not respond to prescribed ARVs, and their health deteriorates despite taking the drugs correctly and consistently. Patients who have become resistant must start taking a more expensive second-line regimen of medication. HIV-positive people with drug-resistant strains can transmit them to others.

“Drug-resistant HIV variants selected during ART [antiretroviral treatment] failure have the potential to limit the response to subsequent lines of treatment, and constitute a reservoir for onward transmission [of drug resistance] to newly infected individuals,” the authors said. “Drug-resistant HIV may severely restrict therapeutic options, and treatment costs will greatly increase when more people need second- and third-line ART regimens.”

According to the study, the overall drug resistance in patients starting on first-line treatment in the six PASER countries stands at 5.6 percent. Most patients had resistance to a class of ARVs called non-nucleoside reverse transcriptase inhibitors (NNRTIs), which include commonly used medications such as nevirapine and efavirenz.

The report revealed that poor treatment adherence to ARVs, shortage of health professionals, limited training, deficient adherence counselling, inconsistent drug supply and weak enforcement of quality standards were among the causes of HIV drug resistance.

“The supply system inefficiencies many times have created stock-outs that have led to individuals not filling their monthly prescriptions for days. Patients have even been sharing medicines in some places,” Denis Kibira, medicines adviser at the Coalition for Health Promotion and Social Development Uganda, told IRIN/PlusNews.

To address mounting ARV resistance in the region, national HIV treatment programmes should be strengthened, including robust supply chains, routine viral load monitoring, access to second- and third-line drug regimens, with a solid framework for resistance surveillance, the study’s authors noted.

“There is no room for complacency. Without cumulative resistance surveillance data and commitment on the part of the World Health Organization (WHO), international funding agencies and national governments to address programmatic challenges, emerging drug resistance has the potential to curb, and even reverse, further progress on breaking the HIV epidemic,” they said.

“Improved quality of HIV/AIDS care and treatment, increased programmatic efficiency and continued international funding support are urgently needed to reach the goal of universal and sustainable access.”

Dr Joshua Musinguzi, the acting programme manager of the AIDS Control Programme at the Ministry of Health, told IRIN/PlusNews: “Drug resistance is an issue we are keeping an eye on, there are some cases of treatment failure among persons on ART. If we don’t act and respond appropriately, we shall have a problem – the second line of treatment is usually expensive. This will raise treatment and management costs.”

Experts warn that rising drug resistance threatens the global fight against HIV. “If resistance increases it results in a corresponding rise in the cost of ART and makes the goal of universal access to ART that more difficult to achieve,” said Prof Peter Mugyenyi, one of the study’s authors and the executive director of Uganda’s Joint Clinical Research Centre, the first centre in the country to provide ARVs.

“Other subsequent complications are too hideous to contemplate,” he said, “but will happen if timely preparations and strategic plans and actions are not taken now.”

so/kr/he
source www.irinnews.org

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