An Interview With Dr. Anthony Fauci
Posted in AIDS, Gay Interest, Science, Values on September 3rd, 2007 by Chip GibbonsThe Seattle Gay News published an interview with Dr. Anthony Fauci which contains some statistics that remind us just how much work is left to be done:
SGN: Dr. Fauci. You serve as an advisor to both the White House and the Department of Health and Human Services on global AIDS issues. I wondered if you felt that enough was being done to combat the issue world-wide?
Fauci: I think, over the last few years, there has been a quantum leap over what has been done. With the President [Bush]’s Emergency Plan for AIDS Relief (PEPFAR), an original $15 billion five year program now up to $30 billion, now extended another five years; the Global Fund to Fight AIDS, Tuberculosis, and Malaria; private foundations, such ad the Gates Foundation, the Clinton Foundation… I know a lot is being done. Is it enough, quite frankly, no, it isn’t enough. That in part because, I know, there are some partners, particularly in developed nations that have not really put in their share, number one. Number two; there’s been, in some nations, a serious lack of leadership at the level of the host country of what needs to be done.
I think the problems that we have seen in South Africa are a very good example of that lack of leadership. In taking a long time and, even now, not yet approaching HIV with the seriousness it needs to be taken. There was an initial denial; the same kind of denial we have been talking about but with a different twist. In China, a long time went by before they admitted the problem of the blood contamination as well as the problem sexual, hetero and homosexual, transmissibility and injection drug use. So, there’s a lot of things that are being done, but there is still a lot more that needs to be done.
SGN: Dr. Fauci. Are there other areas of the world, in addition to African and China that you mentioned, which concern you?Fauci: The whole world concerns me. The developing world concerns me because if you look at the curves, they are still out of control. There are 4.3 million new infections each year, 2.9 million deaths. A statistic that is quite troubling is that for every one person you put on therapy, six people get newly infected. Every day that goes by we are getting worse and worse with the numbers game. So, treatment, although is necessary, is not the final solution. The final solution is prevention. So, I worry not only about the developing world, in which you have this acceleration of infection. I worry about the developed world. In the United States, we have a very embarrassing number.
We have 40,000 new infections each year. It’s been 40,000 for the last 15 years. That is absolutely unacceptable. It went way up in the 80’s to 150,000 new infections yet it went down to 40,000 and has stayed at 40,000. So, we are not cracking that 40,000 number. Even in a country like the United States, we are not seeing it go down linearly. So, I see a problem in the developing world and the developed world.
All the millions of infected people in the world are not being used as the tremendous resource that they are. If they all had the freedom to experiment on themselves, order their own tests and or work directly with their doctors and/or local scientists we would have many different minds working on the problem of finding a cure for AIDS rather than the small number now approved by government.
Billions of dollars are being spent but most of that money is spent following the same paths that have been followed for more than a decade, drugs cocktails and an HIV vaccine. That leaves many other alternative approaches that never get tested. Limiting the number of people who can work toward a cure is certainly one of the factors that is delaying the cure for AIDS as well as many other diseases.
Limiting the number of people working on the problem is more about protecting the power and profits of special interests like doctors and drug companies more than about protecting patients. Patients can be protecting in other ways, without limiting their options or their ability to take charge of their own bodies and their health care.