20-OCT-1993 17:04 EVANGELICAL LUTHERANS CONSIDER ROLE OF HOMOSEXUALS CHICAGO, Oct 20 (Reuter) - A draft report on sexuality this week by the United States' largest Lutheran church affirmed gay and lesbian relationships and described the use of condoms as a "moral imperative." The first draft of "The Church and Human Sexuality: A Lutheran Perspective," was released Wednesday by the 5.3-million- member Evangelical Lutheran Church in America and will be mailed to 19,000 church leaders to elicit responses. Meant as a framework for discussion that will eventually guide church members, the report states that "a church called to love thy neighbour begins with pastoral concern for what gay and lesbian persons are experiencing. The church's 67-member Conference of Bishops responded to the report with "appreciation but also with reservations." The bishops disapproved of the church performing any ceremony that would confer its blessing on homosexual relationships, but said congregations should "explore the best ways to provide pastoral care for all to whom they minister." Lutheran churches in this country have in the past wrestled with the issue of whether to allow homosexuals to become ordained. The draft report discusses at length the challenges faced by both married and single people, and also addresses premarital sex, divorce, contraception and sexual abstinence. On the issue of responsible sexual behaviour, the report said that employing preventive practices such as the use of condoms are "moral imperatives," given the unacceptability of exposing partners to sexually transmitted diseases. But it stops well short of approving extra-marital sex. "Prior to a (marriage) commitment, we as a church affirm and encourage abstinence," the report said. However, "It is the binding commitment, not the license or ceremony, that lies at the heart of the biblical understandings of marriage," it went on to say. "(Homosexuals) yearn to love and be loved in an enduring relationship, though there is little church and societal support to maintain such a committed relationship," it said. The report also confronts many of the biblical references used to indict homosexuals and declares, "it is inappropriate to use these passages by themselves as the basis for opposing all committed, just, loving homosexual relationships today." The church task force that wrote the report said the document will be discussed in church hearings, synod assemblies and other settings next year and will be revised. 20-OCT-1993 18:40 AIDS researchers give upbeat reports at national conference By LIDIA WASOWICZ UPI Science Writer SAN FRANCISCO (UPI) -- Leading AIDS researchers delivered an upbeat message Wednesday at a major meeting, noting renewed enthusiasm, optimism and hope, as well as promising new vaccine tests in the fight against the deadly disease. They are forging ahead with studies of long-term survivors, combination drug therapies, individualized tests to determine treatment effectiveness and inoculation trials on thousands of homosexuals and drug abusers. The widespread discouragement and pessimism that followed last summer's international AIDS conference in Berlin -- where scientists presented a slew of disappointing study results for what had been considered promising therapies -- have given way to more positive attitudes, they said. "Although everyone agrees therapies need to be better than they are, the mood has recovered," Dr. Paul Volberding, director of the AIDS, or acquired immune deficiecy syndrome, Program at San Francisco General Hospital, said at the Sixth National AIDS Update Conference. Since the epidemic began in 1981, 315,390 Americans have been stricken with AIDS, and 194,344 have died, according to the U.S. Centers for Disease Control and Prevention in Atlanta. Of particular interest are studies of long-term survivors who have remained symptom-free five years to 10 years after being infected. They may provide a critical clue as to why some people remain healthy while others become deathly sick when invaded by the human immunodeficiency virus, HIV, that causes AIDS. Although researchers have thus far failed to pinpoint what sets the resistant apart, studies of the infected with no symptoms indicate early intervention with low doses of the drug AZT in patients with higher T- cell counts persistently slow the disease, Volberding reported. Also on the front burner are therapeutic strategies involving combinations of drugs. Scientists agree there is no good therapy for AIDS but hope while waiting for a non-toxic and effective drug to be developed, some combination of existing treatments might be used to prolong and improve life for at least some patients. Promising initial results have been shown in a group of drugs called protease inhibitors that block the growth of infectious viruses. In addition, Volberding said researchers are on the verge of developing tests that can quickly measure the effectiveness of a treatment in an individual. Because of the wide range of symptoms and reactions to HIV infection, such tests could prove vital in making sure no patient gets over- or under-treated. Dr. Donald Francis, a researcher with Genentech Inc. of South San Francisco, reported progress on an AIDS vaccine developed by the biotechnology firm. In "remarkable results," the scientists found the 300 subjects suffered no negative side effects aside from sore arms. "One-hundred percent of the humans produced neutralizing antibodies, which are cross-protective against various types of the virus," Francis said. But "we do not know if they produce enough to protect against the virus." To find out, researchers plan to test the vaccine on several thousand gay men and drug users in late 1994. Francis said liability, cost and profits are the main obstacles in getting more drug companies interested in manufacturing an AIDS vaccine.