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CDC Finally Endorses Real
Public Health Against HIV

From Dr. Cary Savitch, MD
StopHIV@aol.com
4-21-3


The following are statements by former Congressman Tom Coburn, MD and the Children's AIDS Fund regarding tomorrow's announcement that the CDC will recommend that HIV finally be treated from a public health perspective, thereby abandoning the AIDS 'exceptionalism' approach that has failed to reduce the HIV incidence in the U.S., allowing in 40,000 Americans to become newly infected every year. This is a historical development, perhaps the most significant in over a decade, that will save countless lives.
 
Tom A. Coburn, M.D.
Muskogee, Oklahoma 74402
(918) 682-4318
 
FOR IMMEDIATE RELEASE
April 16, 2003
 
Coburn Praises Bush Administration's Newly-Unveiled
HIV Prevention Initiative
Science to Finally Replace 'AIDS Exceptionalism' as National Policy
 
Former Congressman Tom Coburn, M.D. is praising the Bush Administration's new HIV prevention initiative to be unveiled by the Centers for Disease Control and Prevention (CDC) on Thursday.
 
The new strategy is described in the April 17 issue of CDC's Morbidity and Mortality Weekly Report. CDC outlines four priorities to prevent HIV:
 
· Making HIV testing a routine part of medical care;
· Creating new models for diagnosing HIV infections outside medical settings;
· Working with people diagnosed with HIV and their partners; and
· Incorporating HIV testing in the routine battery of prenatal tests.
 
"After more than two decades of AIDS, we are finally moving towards addressing the disease as a public health problem," Dr. Coburn said. "For too long the CDC's policies have protected the virus rather than the public. This new initiative will work to stop HIV in its tracks by identifying those who are infected earlier and empowering these individuals to protect their own health and to prevent passing the virus onto others." 
 
Dr. Coburn noted "'AIDS Exceptionalism' has dictated HIV/AIDS policy from the beginning of the epidemic. But now, science will be the basis. HIV will finally begin to be treated with the same public health techniques that have been successfully used to combat other contagious diseases, many of which are far less deadly than HIV."
 
According to the CDC's estimates, 40,000 Americans become newly infected with HIV every year. This number has remained unchanged for over a decade, and includes more than 300 babies who contract HIV from their mothers.
 
"We have known for nearly a decade how to virtually eliminate perinatal HIV transmission through diagnosis, treatment of infected mothers and their newborn children and avoiding breast feeding," Coburn noted. "Yet political concerns prevented the CDC from adopting a sensible public health approach that reflected this science. As a result, thousands of babies have needlessly begun their life with an AIDS death sentence. This new approach will greatly reduce the number of future AIDS babies."
 
More than 200,000 Americans living with HIV are unaware that they are infected, according to the CDC. "Incorporating HIV screening as a routine component of medical care and making HIV testing available in nontraditional settings will greatly enhance the number of those who become aware of their status and, in turn, provide greater opportunities for care and prevention. The same is true of new efforts to help those who are infected to notify current and past partners," Dr. Coburn noted.
 
"President Bush and his staff deserve credit and recognition for being the first Administration to seriously address HIV/AIDS, both domestically and globally," Coburn said. "And while this initiative represents a major step forward in winning the battle against HIV, much still remains to be done to finally end the scourge of this dreadful disease."
 
Dr. Coburn is a practicing physician and a former member of Congress from Oklahoma. Coburn was the author of the Ryan White CARE Act of 2000, which renewed and updated the federal government's AIDS care programs that included incorporating prevention into care services.
 
 
FOR IMMEDIATE RELEASE          
 
CONTACT: Anita Smith
Children's AIDS Fund
703/433-1560
 
Children's AIDS Fund Congratulates Bush Administration on
New HIV Prevention Initiative
 
Washington, DC (April 16, 2003)-The Children's AIDS Fund congratulates the Bush Administration, the U.S. Department of Health and Human Services, and the U.S. Centers for Disease Control and Prevention on its new HIV Prevention Initiative to be announced tomorrow. The initiative, unveiled in the April 17 issue of the Morbidity and Mortality Weekly Report, outlines four priority areas to prevent HIV:
 
* Making HIV testing a routine part of medical care;
* Creating new models for diagnosing HIV infections outside medical settings;
* Working with people diagnosed with HIV and their partners; and
* Incorporating HIV testing in the routine battery of prenatal tests.
 
"This new initiative is based on sound medicine and public health principles," said Shepherd Smith, founder and board member of the Children's AIDS Fund. "It is also consistent with the tenets of the Children's AIDS Fund and with the numerous statements we have provided in testimony before Congress on this issue since 1987."
 
Smith credits the Bush Administration with the willingness to take the steps necessary to stop the spread of HIV/AIDS in the United States. "Since being involved in HIV education, prevention, and direct services early in the epidemic, we have waited 17 years for leadership willing to make the difficult yet bold decisions needed to stop the spread of HIV in this nation and around the world," Smith said.
 
According to Smith, the most common prevention messages have been largely based on unproven theory of risk or harm reduction rather than on proven public health interventions and sound medical principles. "Unfortunately these efforts have proven largely ineffective as evidenced by a stable or increasing HIV epidemic in the United States. The bottom line is that these measures will help save lives and limit suffering, which are everyone's objectives involved in the AIDS issue."
 
The Children's AIDS Fund is a non-profit organization that works to limit suffering of children and their families caused by HIV disease by providing care, services, resources referrals, and education.


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