Date: Thu, 20 Apr 1995 09:34:04 +0500 From: ghmcleaf{CONTRACTOR/ASPEN/ghmcleaf}%NAC-GATEWAY.ASPEN@ace.aspensys.com AIDS Daily Summary April 20, 1995 The Centers for Disease Control and Prevention (CDC) National AIDS Clearinghouse makes available the following information as a public service only. Providing this information does not constitute endorsement by the CDC, the CDC Clearinghouse, or any other organization. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC Clearinghouse should be cited as the source of this information. Copyright 1995, Information, Inc., Bethesda, MD ************************************************************ "Baltimore Grapples with Idea of Legalizing Drugs" "What's News: Tuberculosis Has Risen Sharply" "Why Another Bathhouse in D.C.?" "Across the USA: Tennessee" "Lebanon AIDS Cases Skyrocket to 7,000 by Year 2000" "Procept Reports on Promising New Class of Anti-HIV Compounds; Preclinical Data Demonstrates Activity Against Broad Range of HIV-1 Isolates" "Britain's Lords Clear Bill to Curb Child Sex" "In the Aftermath of Tragedy" "Transfer of HIV-1 Specific Cytotoxic T Lymphocytes to an AIDS Patient Leads to Selection for Mutant HIV Variants and Subsequent Disease Progression" "Pediatric HIV Infection in Elista, Russia: Interventional Strategies" ************************************************************ "Baltimore Grapples with Idea of Legalizing Drugs" New York Times (04/20/95) P. A16; Janofsky, Michael In an effort to end turf wars, reduce violent crime, ease the strain on the criminal justice system, and curb the spread of diseases such as AIDS and hepatitis, the city of Baltimore is considering legalizing drugs. The idea was proposed by Baltimore Mayor Kurt L. Schmoke eight years ago. And while the proposal has attracted various supporters over the years, the impetus for action has died, with the Clinton Administration opposed to any kind of legalization and the Republican-controlled Congress favoring more stringent enforcement of drug control laws. Last fall, after an in-depth study of the city's drug problems, a grand jury recommended against legalizing drugs. However, the members concluded, "Removing the profit from the drug trade may be the only way to resolve" drug-related problems. Robert A. Kaufman, a City Council candidate, recently called for a resolution urging the federal government to consider establishing a commission to supply heroin, cocaine, and marijuana to users as a method of neutralizing the illegal drug trade. Some city leaders, however, are unsure whether such a radical approach would have an effect on fighting drugs at the local level. "What's News: Tuberculosis Has Risen Sharply" Wall Street Journal (04/20/95) P. A1 According the Centers for Disease Control and Prevention (CDC), the incidence of tuberculosis has significantly increased among foreigners in the United States. The trend is likely to continue unless there is a greater effort to control the disease among immigrants, the CDC said. "Why Another Bathhouse in D.C.?" Washington Post (04/20/95) P. A20 It does not make sense for Washington, D.C., authorities to negotiate a permit for the Crew Club--a new social club in which several anonymous homosexual encounters have occurred, write the editors of the Washington Post. Jim Graham, the administrator of the Whitman-Walker AIDS Clinic, sees the danger of permitting such a facility. "In the midst of an epidemic, I am disappointed this is part of the landscape in this city," he commented. Research indicates that, after years of stability, HIV infection among homosexual men is increasing. This is due in part to promiscuous and unsafe sex. The city, however, is not unaware of the Crew Club's potential health threat. The Department of Consumer and Regulatory Affairs has already responded to a complaint of sexual activity in the club and city regulators are negotiating with club to make any kind of sexual activity off limits. Any government-licensed club in the capital, whether it is geared toward homosexuals or heterosexuals, should be prohibited from letting its premises to be used as a site that encourages unsafe behavior, the editors conclude. "Across the USA: Tennessee" USA Today (04/20/95) P. 11A In Memphis, Tenn., an HIV-infected Federal Correctional Institution inmate was charged with attempted murder after he allegedly bit two prison guards. The prisoner knew he was endangering the lives of the guards, the federal grand jury indictment said. "Lebanon AIDS Cases Skyrocket to 7,000 by Year 2000" Reuters (04/19/95) On Wednesday, Lebanon predicted that the number of AIDS cases in the country will rise from the present 293 to 7,000 by the year 2000. Health ministry sources said the total figure would include both cases of HIV infection and full-blown AIDS. Health Minister Marwan Hamade said the figures registered by his ministry were probably too low because just a small portion of the cases are reported. "Procept Reports on Promising New Class of Anti-HIV Compounds; Preclinical Data Demonstrates Activity Against Broad Range of HIV-1 Isolates" Business Wire (04/19/95) Scientists at Procept, Inc. have discovered a new class of compounds that inhibit HIV-1 infection of immune cells by interrupting early events in the viral infection process. According to the data presented at the Keystone Symposia in Colorado, PRO 2000, Procept's primary anti-HIV compound, blocks the binding of the glycoprotein gp120 to a corresponding CD4 protein on the surface of immune cells. The company launched Phase I human clinical trials of the compound in February. "Britain's Lords Clear Bill to Curb Child Sex" Reuters (04/19/95) Britain's House of Lords passed a bill on Wednesday that would allow Britons who sexually exploit children overseas to be prosecuted and brought to justice in England. The Sexual Offenses Amendment Bill must now go to the House of Commons before it can become law. The U.K. Coalition of Child Prostitution and Tourism, an umbrella group of charities, led the campaign for the bill's passage. The demand for younger children is growing rapidly because of the misconception that they are a lower risk group for HIV and AIDS, the coalition said. While the problem of child sex tourism is most severe in Asian countries such as Thailand and the Philippines, it also takes place in African and Latin American countries. Similar legislation has been proposed in the United States, Australia, Sweden, France, Germany, and Norway. "In the Aftermath of Tragedy" Washington Post (04/19/95) P. C7; Harrington, Richard Two late-summer benefits have been arranged as a result of the death of rapper Eazy E (Eric Wright) from AIDS. Both events--one put together by Uptown Records CEO Andre Harrell in New York and the other sponsored by Los Angeles radio station KBBT, where Wright had a weekly show--will benefit AIDS-related charities and educational efforts, particularly ones geared toward young African Americans. "Transfer of HIV-1 Specific Cytotoxic T Lymphocytes to an AIDS Patient Leads to Selection for Mutant HIV Variants and Subsequent Disease Progression" Nature Medicine (04/95) Vol. 1, No. 4, P. 330; Koenig, Scott; Conley, Anthony J.; Brewah, Yambasu A. et al. Koenig et al. tried to determine the safety and efficacy of supplementing HIV-1-specific cytotoxic T lymphocytes (CTLs) in an HIV-1-seropositive subject. The patient was infused with an expanded autologous CTL clone directed against the HIV-1 nef protein. The clone was adoptively transferred to determine whether enhancing CTL activity would reduce viral burden or improve clinical course. The infusion, however, was followed by a decrease in circulating CD4 T cells and an increase in viral load. A nef epitope was not found in some of the HIV isolates obtained from the plasma or CD4 cells of the patient. These findings indicate, the authors conclude, that active CTL selection of viral variants could add to the pathogenesis of AIDS and that clinical progression take place despite high levels of circulating HIV-1-specific CTLs. "Pediatric HIV Infection in Elista, Russia: Interventional Strategies" American Journal of Public Health (04/95) Vol. 85, No. 4, P. 586; Mintz, Mark; Boland, Mary; O'Hara, Mary-Jo As a result of unsafe medical practices, a group of children became infected with HIV-1 between 1988 and 1989 at a municipal hospital in Elista, Russia, write Mintz et al. in a letter to the American Journal of Public Health. Since 1990, however, medical teams from the Francois-Xavier Bagnoud Pediatric HIV International Training Program of the Children's Hospital AIDS Program in Newark, N. J., have provided expertise and service in educating and training Elista's health care providers. During the program, the New Jersey medical teams make three 10-day, on-site visits to Elista. In return, Elista's health care providers travel to the Children's Hospital in Newark for six weeks of training and education. In Elista, the Francois-Xavier Bagnoud team reviewed and examined each HIV-infected child. Clinical case conferences and teaching sessions took place each evening. As a result of the project, appropriate infection control procedures have been instituted in the hospitals and nosocomial transmission of HIV has declined significantly, the authors conclude.