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Laser Treatments Could Kill HIV and MRSA

The BBC reports on an innovative laser treatment that Arizona researchers are developing. If perfected the treatment could kill hardy organisms like HIV and MRSA.
It produces lethal vibrations in the protein coat of micro-organisms, thereby destroying them. The effect of the vibrations is similar to that of high-pitched noise shattering glass.

However, the line of attack can be perfected so that the proteins which coat human cells remain unaffected.

So far experiments have been done on E. coli bacterial cells, Tobacco Mosaic Virus cells, as well as human and hamster cells.

After several attempts, the researchers found a level which "inactivates both viruses and bacteria while leaving sensitive materials such as mammalian cells unharmed".

Lead researcher Professor Kong-Thon Tsen, of Arizona State University, said: "The research so far suggests that ISRS will be ready for use in disinfection and could provide treatments against some of the worst, often drug-resistant, bacterial and viral pathogens."
The technology is called Impulsive Stimulated Raman Scattering (ISRS). The report was filed in the Journal of Physics: Condensed Matters.

Posted on November 6, 2007
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Merck Halts AIDS Vaccine Tests

There was some very unfortunate news earlier this week when Merck reported that it was halting its AIDS vaccine test because tests showed the vaccine was not working - people were still getting infected with the HIV virus.
Merck & Co. said Friday that it is ending enrollment and vaccination of volunteers in the study, which was partly funded by the National Institutes of Health.

It was a high-profile failure in the daunting quest to develop a vaccine to prevent AIDS. Merck's vaccine was the farthest along, considered the most promising and was closely watched by experts in the field.
The test was an obvious failure because more people who received the vaccine later became HIV positive than those who received dummy shots.
Officials at the company, based in Whitehouse Station, N.J., said 24 of 741 volunteers who got the vaccine in one segment of the experiment later became infected with HIV, the virus that causes AIDS. In a comparison group of volunteers who got dummy shots, 21 of 762 participants also became infected.

"It's very disappointing news," said Keith Gottesdiener, head of Merck's clinical infectious disease and vaccine research group. "A major effort to develop a vaccine for HIV really did not deliver on the promise."
It is a big failure but it isn't the end of the quest for an AIDS vaccine. A New York Times article cites Wayne C. Koff, a senior vice president of the International AIDS Vaccine Initiative in New York. Koff told the Times that there are about thirty other H.I.V. vaccines are being tested in people.

Posted on September 24, 2007
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Scientists Discover Genetic Switch for HIV

The New Jersey Star-Ledger reports that two Princeton scientists have discovered a genetic "switch" that could theoretically turn off HIV.
Scientists have long known that HIV can go dormant, only to emerge again later and run rampant through the body.

"We know the virus can hide out," Weinberger said. "How does it hibernate? We wanted to look at the basic components of the virus."

In the laboratory, the two created a "gutted" HIV virus, or one with molecular components removed. The scientists then looked at the components necessary for the virus to replicate.

Scientists already know that a protein called Tat is connected to HIV's ability to go dormant. After a year of work, the Princeton team identified enzymes that act on the protein. These enzymes modify, or "decorate," the protein. Together, the Tat protein and the enzymes create the cascade of chemical reactions that push HIV in and out of latency.

So far, the scientists have pin-pointed the target, but have no way, at present, to affect it.
The scientists believe their findings could help pharmaceutical companies come with a drug to turn off HIV. They also believe their genetic circuit concept could lead to the development of drugs that turn off other viruses. The PLoS Biology article can be found here.

Posted on January 12, 2007
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New HIV AIDS Testing Will Be Slow Going

An article on MSNBC.com talks about some of the complications arising from the plan to recommend HIV AIDS testing for almost everyone. The article says state laws and reluctance by local doctors are hindering plans to test everyone.
"How challenging this is going to be depends on where (what state) the doctor practices," said Dr. Nancy Nielsen, a Buffalo, N.Y.-based physician who sits on the governing board of the American Medical Association.

And then there's the daunting issue of dealing with a patient who has HIV, which some pediatricians and family doctors have rarely faced.

Many primary care doctors customarily refer a patient with HIV to a specialist better equipped to treat the virus and put the patient in touch with support services. That's expected to continue.
The plan is also hard on the patient's primary doctor who will have to deliver the bad news. The cost of the tests, $15 each, is also a burden.
But the primary doctor will be expected to break the initial news of the diagnosis to the patient - a task requiring skills some physicians don't always demonstrate, said Dr. Kimberly Manning, an internist at Atlanta's large public hospital, Grady Memorial.

"It's not like someone's cholesterol being high," she said. With HIV, a physician must be prepared to empathize, educate and guide patients into such steps as notifying intimate contacts, she added.

And there is the issue of cost. A routine blood test for HIV can cost between $3 and $5, some health experts say. New rapid tests, done through finger pricks or oral swabs, cost $15 or more.
Given time some of these hurdles will probably be overcome but it will be a long process.

Posted on October 5, 2006
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Clinton and Gates Vow to Wipe Out AIDS

The National Post reports that Bill Clinton and Bill Gates are vowing to wipe out the deadly AIDS virus that is a worldwide problem. The AIDS virus has been especially devastating to African countries and other third world and developing nations.
Despite infection rates that are ravaging Africa and other parts of the developing world, Bill Clinton and Bill Gates insisted Monday a "happy ending" is in the offing and AIDS will be vanquished.

The former U.S. president and the Microsoft chairman conceded at the International AIDS Conference Monday the turning point in the pandemic has not yet been reached and may not come until scientists develop a vaccine or some other form of preventive tool. Clinton, whose charitable foundation is largely focused on the HIV/AIDS cause, said visiting endemic regions gives him optimism for a AIDS-free future.

On a recent trip to Liberia, a country nearly destroyed by civil war, the college students he met were as bright and ambitious as any he has encountered.

"The source of optimism is the human material," he said. "There is no shortage of intelligence, effort, dreams and drive anywhere in the world."
The message at the International AIDS Conference was that we have not yet turned the corner in the fight against in AIDS but that we will eventually prevail. It would be terrific to see AIDS banished from the world just like smallpox appears to be. The National Post said that on the first day of the conference Bill and Melinda Gates blasted the Bush administratio's policy of tying funds for preventing HIV to the "teaching of abstinence, a strong stand against prostitution and opposition to needle exchange for drug addicts."

Posted on August 15, 2006
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AIDS Tests for Everyone

CBS News is reporting that the CDC plans new guidelines later this summer that will include a recommendation that everyone aged 13 to 64 who visits a doctor gets test for AIDS.
The radical change to HIV testing guidelines will be released in June or July, says Kevin Fenton, MD, PhD, the new director of the CDC's National Center for HIV, STD, and TB Prevention. Routine HIV tests in doctors’ offices and clinics will no longer require the pretest counseling now a part of all HIV testing.

Fenton, joined by former CDC AIDS chief James Curran, MD, MPH, now dean of Emory University’s Rollins School of Public Health, spoke today at a news conference marking the 25th anniversary of the AIDS pandemic.

"Most HIV is transmitted by the 25% of infected people who do not even realize they are infected," Fenton said. "We need to dramatically expand access to HIV testing by making it a routine aspect of clinical care."
The CDC says 500,000 have AIDS in the U.S. and a million more may be carrying the disease without realizing it.
Five hundred thousand Americans are among the 25 million dead from AIDS. A million more Americans now carry the virus -- and nearly 16,000 died in 2004. If you think it's easy to live with the AIDS virus, if you think AIDS drugs are a cure, think again.

"Living with HIV is not easy," Fenton said. "The drugs can cause serious side effects and sometimes don't work for the long term. We need to reduce the number of people who become infected in the first place. Twenty-five years into the epidemic, prevention is the only cure we have."
The article also says that 40,000 new people are infected each year. HIV infections have also been increasing among heterosexuals. The CDC has an AIDS fact sheet available here.

Posted on May 8, 2006
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40.3 Million With HIV

HIV continues to spread according to a new UN report. There are now over 40 million people with HIV. The BBC reports that the worst areas are still in Africa, specificially Sub-Saharan Africa.
Overall, the report says more than 3m people died of Aids-related illnesses in 2005. Of these, more than 500,000 were children.

The report says Sub-Saharan Africa is still hardest hit by HIV/Aids.

Two thirds of the people living with HIV - 25.8m - are in this area.

In 2005, 2.4m people in Sub-Saharan Africa died of an HIV-related illness, and a further 3.2m were infected with the virus.
The UN report also said HIV infections are climbing in Eastern Europe and Central and East Asia. 5 million people were infected with HIV in 2005 alone. The BBC has a map that shows the spread of HIV around the world. A copy of the reports and additional AIDS information can be found on the UNAIDS website.

Posted on November 21, 2005
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Was a British Man Cured of HIV?

Doctors want to do more tests on a British man who is now possibly HIV free after testing positive for HIV in 2002. If it is true the British man named Andrew Stimpson was able to cure himself it would be the first time this has occured. The BBC has an new story about the HIV "cure" claims.
Andrew Stimpson, 25, was diagnosed HIV-positive in 2002 but was found to be negative in October 2003 by Chelsea and Westminster Healthcare NHS Trust.

Mr Stimpson, from London, said he was "one of the luckiest people alive".

The trust said the tests were accurate but had been unable to confirm Scotsman Mr Stimpson's cure because he had declined to undergo further tests.

A statement from the trust said: "This is a rare and complex case. When we became aware of Mr Stimpson's HIV negative test results we offered him further tests to help us investigate and find an explanation for the different results.
The BBC has also posted a faq about HIV and cures as well as an answer to the question: Might the body rid itself of HIV?
The body has many defence mechanisms against viruses. However, in the case of HIV, it has not yet been proven that the body can clear itself completely of the virus.

In some patients, HIV never turns into full-blown Aids, which scientists hope will give them clues to how to beat the virus.

There have been a number of anecdotal reports of people who appear to be immune to or have shaken off HIV. But the science is sketchy.

Deborah Jack, chief executive of the National Aids Trust, said: "The virus is extremely complex and there are many unknowns about how it operates and how people's bodies react to it."
It would certainly be wonderful news if the Stimpson case turns out to be accurate. Hopefully there will be more tests that provide additional information.

Posted on November 14, 2005
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Home HIV Testing in Twenty Minutes

The BBC reports that the US Food and Drugs Administration is considering making a fast HIV test available for home use. The test from Orasure Technologies just takes twenty minutes and people can use a swab sample instead of a blood test.
An individual would be able to tell within 20 minutes whether they had the infection or not, in the privacy of their own home.

Many have expressed fears that people who find out in this way may kill themselves and hence testing should be supervised and counselled face to face.

Home HIV testing kits are banned in the UK for such reasons. However, some buy unapproved kits over the internet.
The BBC article says that there is currently a test available in the U.S. where you prick your finger, mail in a blood sample and then contact a phone number anonymously to learn the results. The test from OraQuick definitely sounds quicker, easier and more private.

Posted on October 15, 2005
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