Date: Mon, 23 Oct 1995 13:57:58 +0500 From: ghmcleaf{CONTRACTOR/ASPEN/ghmcleaf}%NAC-GATEWAY.ASPEN@ace.aspensys.com Subject: CDC AIDS Daily Summary 10/23/95 AIDS Daily Summary October 23, 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 ************************************************************ "Drug Company Did Not Act on AIDS Virus Warning" "Safeguarding US Drug Patents" "100,000 Zimbabweans Face AIDS Deaths in 18 Months" "Clinton, Dole Struggle With Gay Rights Politics" "Pros and Cons: Carrington Laboratories" "Fear of Disclosure" "Mycobacterium Avium Complex Infection in AIDS: Clinical Features, Treatment, and Prevention" "Chicago Hope" ************************************************************ "Drug Company Did Not Act on AIDS Virus Warning" Philadelphia Inquirer (10/23/95) P. A1; Shaw, Donna In October of 1985, executives of Armour Pharmaceutical Co. agreed to ignore a warning from researcher Alfred M. Prince that the company's heating procedure was insufficient to kill the AIDS virus in Armour's blood clotting medicine Factorate. "Confronted with the facts at the time, Armour had no scientific reason to believe that there was anything wrong with its heat-treatment methods, and every good reason to suspect that the Prince results were flawed." The company did switch to a more rigorous heating process in 1987, but it continued to sell the remainder of the medicine that was heat treated by the old method. By this point, the medicine had already infected several hemophiliacs in Britain, Canada, and the United States with HIV. "Safeguarding US Drug Patents" Journal of Commerce (10/23/95) P. 10A; Brock, William E. William E. Brock, a former U.S. trade representative who now represents Glaxo Pharmaceuticals, applauds Congress's recent decision to uphold its commitment to intellectual property rights under the General Agreement on Tariffs and Trade (GATT). Generic drug companies have been lobbying for immunity from the GATT agreement, and Sen. David Pryor (D-Ark.) has argued that such a provision was erroneously left out of the GATT terms due to "bureaucratic oversight." Brock contends that the United States' policy of protecting intellectual property rights has made it a world leader in innovation, adding, "It is no coincidence that the pharmaceutical industry is one of the few sectors of the U.S. economy enjoying a balance of trade surplus with the rest of the world." He concludes, "Eroding the incentives that reward pioneering drug companies will mean less research devoted to cures for cancer, heart disease, AIDS and Alzheimer's." "100,000 Zimbabweans Face AIDS Deaths in 18 Months" Reuters (10/22/95) According to a statement made to the independent Sunday Gazette newspaper by Zimbabwe Health Minister Timothy Stamps, at least 100,000 Zimbabweans will die of AIDS-related diseases over the next 18 months. "I am not trying to be alarmist," he said, "but this is the reality we are facing." Stamps added, "At present ... 25 to 30 bodies of victims of AIDS are put [daily] into mortuaries of Harare and Mpilo hospitals where authorities are now failing to cope with the congestion." Stamp noted that Zimbabwe is now one of the world's top countries in terms of new HIV infections. "Clinton, Dole Struggle With Gay Rights Politics" Reuters (10/22/95); Zabarenko, Deborah Top Clinton aide George Stephanopoulos recently spoke to the National Lesbian and Gay Journalists Association detailing President Clinton's efforts on behalf of gay rights. He specifically mentioned the president's support for AIDS research, the appointment of a liaison with the homosexual community, and the scheduling of a White House summit on AIDS. However, he also noted that Clinton continues to resist federal sanction of same-sex marriages. On Friday, Clinton articulated his support of the Employment Non-Discrimination Act, which would prohibit employers from discriminating against employees based on their sexual orientation. "Pros and Cons: Carrington Laboratories" Barron's (10/02/95) Vol. 75, No. 40, P. 5; Welling, Kathryn M. Carrington Laboratories suffered a decline in the late 1980s when several of its aloe vera extracts, touted as remedies for everything from AIDS to cancer, did not pan out. The company is back now, performing better on the stock market and planning trials of aloe-based capsules to treat ulcerative colitis as well as a possible aloe-based cancer treatment. Its FDA-approved OTC canker-sore remedy is in test marketing. The company claims to have been completely overhauled. However, Stephen Hanauer, a leading researcher on ulcerative colitis at the University of Chicago, says, "All these studies of aloe vera are 90 percent pseudo-science." "Fear of Disclosure" POZ (10/95-11/95) No. 10, P. 36; Murphy, Robert Tom Stoddard, former director of the Lambda Legal Defense and Education Fund, concealed his HIV-positive status from nearly everyone at the organization for two years before going public. Stoddard entered Lambda in 1985, after eight years at the New York Civil Liberties Union; there, he lobbied for such issues as freedom of speech and religion, women's reproductive rights, due process in criminal law, and gay rights. At Lambda, Stoddard's high visibility and fundraising skills propelled rapid growth. A review of Lambda's docket in the mid- to late-1980s reveals a wide range of discrimination against HIV-infected people, and much success on the part of the organization. "We succeeded in making AIDS discrimination illegal, and Tom deserves the most credit for pulling the effort along," said David Hollander, a former co-chair of Lambda. Although Stoddard learned he was HIV-infected in 1989, he did not immediately reveal his infection, in part, because he said he "didn't want other people to believe that [he] was an advocate for people with HIV because that was [his] illness." He ultimately disclosed his status in a New York Times op-ed column, at a time when he felt it was right; however, prolonged staff tensions, tension over his disclosure, and his deteriorating health forced him to resign toward the end of 1991. Currently, Stoddard teaches law, serves as vice-chairman of the American Foundation for AIDS Research, and is a consultant for HIV and gay-rights advocates across the country. "Mycobacterium Avium Complex Infection in AIDS: Clinical Features, Treatment, and Prevention" Journal of the Association of Nurses in AIDS Care (09/95-10/95) Vol. 6, No. 5, P. 37; Eccles, Elizabeth; Ptak, Judy Mycobacterium avium complex (MAC)--a group of slow-growing, closely-related, aerobic bacilli--can cause a severe disseminated bacterial infection in as many as 40 percent of all advanced HIV patients. Disseminated MAC (dMAC) causes fever and wasting, and substantially contributes to the mortality of HIV-infected persons. As the patient's CD4 cell level falls, the risk of developing dMAC increases; most cases of dMAC are found in HIV-infected patients who have fewer than 50 CD4 cells. Still, new studies of dMAC therapy show that aggressive diagnosis and treatment can reduce the infection's debilitating effects, thus improving the overall quality of life. For example, the new macrolide antibiotics have quickly become the basis for the multidrug therapy that is used because antimicrobial resistance develops when single drugs are used. Also, the antibiotic rifabutin has been recommended as way to help prevent dMAC in HIV-patients with less than 200 CD4 cells. The U.S. Food and Drug Administration based its decision on two large studies in which rifabutin prophylaxis effected a 50 percent decline in the incidence of dMAC in HIV-infected individuals with low CD4 counts. "Chicago Hope" Multi-Housing News (09/95-10/95) Vol. 30, No. 6, P. 37; Foong, L. Keat Last year, a 71-unit home for people with HIV, low-income families, and singles earning 50 percent or less than the area median income opened for occupancy in Chicago. San Miguel Apartments are named for Frank San Miguel, a former caseworker for Chicago's Travelers and Immigrants Aid (TIA), who encountered the many problems involved in locating housing for homeless people with AIDS. "You need to organize permanent housing for people with AIDS, which also integrates them with the general population," he said to Sid Mohn, president of the Century Place Development Corp. (CPDC), the development arm of TIA. CPDC took up the suggestion, overcoming such challenges as locating finance sources and countering strong opposition from local groups. The $3.21 million rehabilitation project has 30 units for people with HIV/AIDS, and has inspired the CPDC to consider other similar developments.