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AFRICA: IRIN PlusNews Weekly Issue 308, 3 November 2006

NEWS and FEATURES

SOUTHERN AFRICA: Red Cross launches biggest ever AIDS appeal

ZAMBIA: Getting street kids to stay on the straight and narrow

NAMIBIA: Reaching targets despite great obstacles

ETHIOPIA: Eritrean refugees desperate for HIV services

SAO TOME AND PRINCIPE: HIV positive mothers reject formula feeding

SENEGAL: Sexually active street children increasingly vulnerable to HIV

SOUTH AFRICA: Govt/NGO meeting spurs hope for more effective AIDS action

SOUTH AFRICA: Slow anti-AIDS care being felt in KwaZulu-Natal

MALAWI: Show us the money, says UN AIDS envoy

KENYA: HIV exacerbates malnutrition among infants in drought-prone Turkana

RESOURCE:

1. TB drug report: Analysis of the current drug pipeline

VACANCIES:

1. Open Society Institute - Public Health Programme - Law And Health Initiative

NEWS and FEATURES:

SOUTHERN AFRICA: Red Cross launches biggest ever AIDS appeal

The International Federation of Red Cross and Red Crescent Societies launched an

appeal on Wednesday to massively expand its anti-AIDS programme in Southern

Africa over the next five years.

Speaking in Johannesburg, the Federation's new Special Representative for HIV

and AIDS, Dr. Mukesh Kapila, urged international donor communities to move

beyond rhetoric in meeting the needs of affected populations. The Federation is

appealing for US$300 million to implement the expansion of its AIDS programme in

the region.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6511

ZAMBIA: Getting street kids to stay on the straight and narrow

Dressed in baggy trousers, caps and colourful T-shirts, the toughened teens of

the " Back to School Project " were scared.

The boys, all between the ages of 14 and 18, live on the streets of Zambia's

capital, Lusaka, where they play, fight, gamble and do what they can to earn a

little money for food and drink, sometimes raking in enough to help support

their families. Each of the boys was to be tested for HIV that day.

" I am not going! " yelled one of the younger boys. " I am going to hide and then I

won't have to go " , he said, pouting and folding his arms over his thin chest.

But with a little cajoling and backslapping from some of the braver boys, they

all eventually piled into a sweltering van for a 20-minute, cross-town ride to

the clinic.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6512

NAMIBIA: Reaching targets despite great obstacles

Tucked away in the maze of corridors of Katutura Hospital, in a historically

black township of Namibia's capital, Windhoek, is the recently renovated modern

Communicable Disease Clinic.

This HIV/AIDS facility treats 8,500 adults and 660 children, and is viewed as

the country's " centre of excellence " , according to the hospital's head of

internal medicine, Dr Ishmael Katjitae, who also sits on the country's ARV

rollout technical advisory committee. However, the ARV clinic is not an accurate

reflection of what was happening in the rest of the country. Most of Namibia's

health facilities serve rural areas and are not as well staffed and equipped,

said Dr Angelo Madjarov, who had been working in Oshakati, in the north of the

country.

Patients attending the clinic don't consider themselves any better off. A few

kilometres away, in another part of Katutura, a support group run by AIDS Care

Trust, a local nongovernmental organisation (NGO), is holding its Wednesday

meeting. Most of the members access treatment at the hospital.

Inevitably, with 64 percent of people accessing ARVs nationally being women, the

group is largely made up of unemployed women and many have brought their

children. Martha Aluene, 34, who has appointed herself the group's spokeswoman,

says week in and week out the dominant themes of their discussions are transport

and food. " The hospital is too far, and what can we do but walk - we don't have

money for [public] transport and we don't have income to buy food.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6504

ETHIOPIA: Eritrean refugees desperate for HIV services

Every evening as the sun sets over the hills of northern Ethiopia, young couples

can be seen strolling past the coffee shops and pool halls of Shimelba refugee

camp.

An estimated 10,000 refugees live in Shimelba. The camp resembles a mini-Asmara

- a slice of life from Eritrea's capital city, recreated in rural Ethiopia by

Eritreans fleeing an authoritarian government and lengthy military service.

The refugees are predominantly young and urban; many are former soldiers and all

are living together in an atmosphere of stifling boredom - perfect conditions

for the spread of HIV. Yet no one knows how widespread the virus has become as

no testing is available in the camp.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6516

SAO TOME AND PRINCIPE: HIV positive mothers reject formula feeding

Poverty and a cultural preference for breastfeeding are driving the spread of

HIV from mothers to their babies in Sao Tome and Principe.

The HIV rate among pregnant women on the tiny West African islands tripled from

0.5 percent to 1.5 percent between 2001 and 2005.

" The number of cases is growing every year, " said Bonfim, the UN children's

fund health project officer. " We were hoping that with increased support, the

rate would either stagnate or reduce. So it's clear that something isn't

working. "

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6509

SENEGAL: Sexually active street children increasingly vulnerable to HIV

Many of the thousands of children that wander the busy streets of Dakar, the

capital of Senegal, are sexually active but few have any knowledge about the

risks of HIV.

" One sees eight-year-old children who already have several male and female

partners who are older than they are, " said Adjiratou Sow Diallo Diouf, author

of a 2005 study on the impact of HIV/AIDS on Dakar's estimated 6,000 street

children.

The 30 children, aged between 8 and 17, Diouf questioned for the study revealed

sexual relations that were both homosexual and heterosexual and rarely

protected, leaving them highly vulnerable to sexually transmitted diseases

including HIV.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6510

SOUTH AFRICA: Govt/NGO meeting spurs hope for more effective AIDS action

A spirit of greater openness and unity between government and civil society has

emerged from a two-day AIDS congress, signalling a possible end to damaging

divisions in South Africa's HIV/AIDS response.

Reinforcing a number of moves by the South African government in recent months

aimed at improving its strained relationship with AIDS activists, Deputy

President Phumzile Mlambo-Ngcuka urged delegates to partner with government in

the fight against AIDS.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6506

SOUTH AFRICA: Slow anti-AIDS care being felt in KwaZulu-Natal

For many HIV-positive people in South Africa's Embo area, southwest of the port

city of Durban, accessing treatment at public health facilities is as difficult

as navigating the steep and muddy paths between their homes.

Pausing briefly to catch his breath up the hill to a patient's house, Leonard

Gcabashe, a local pastor and community caregiver, recalled the many times he had

tumbled down the paths while carrying people who were too sick to walk.

" My van only goes as far as the paved roads will allow, and then I go the rest

of the way by foot, sometimes for distances of 1.5km. It doesn't seem like much,

but when you carry a grown man or woman on your back, it can be very tricky, " he

told IRIN/PlusNews.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6507

MALAWI: Show us the money, says UN AIDS envoy

A visiting UN envoy has accused the world's wealthiest countries of failing

Malawi, which is struggling to care for more than two million orphans and

vulnerable children.

" Where is the money? At the G8 summit in Gleneagles in July 2005, rich nations

promised to double financial aid to Africa, an extra US$25 billion by 2010. The

Malawi government is struggling to support its people because there is no

money, " complained , the UN secretary-general's special envoy for

HIV/AIDS in Africa.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6508

KENYA: HIV exacerbates malnutrition among infants in drought-prone Turkana

A high incidence of HIV has worsened the condition of hungry children in

drought-prone Turkana region, in northern Kenya.

Over the past month, seven of the 10 children admitted to a nutritional

rehabilitation centre at the hospital in Lodwar, Turkana's largest town, were

found to be HIV positive. Turkana has a high HIV prevalence rate of 11.4

percent, almost double the national rate of 6.7 percent estimated by UNAIDS.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6514

RESOURCE:

1. Relying on the standard World Health Organisation (WHO) TB strategies in the

face of extensively drug resistant tuberculosis (XDR TB) was dangerous, the

international medical humanitarian organisation Médecins Sans Frontières (MSF)

warned this week. According to MSF, to respond to the XDR-TB outbreak, WHO will

need to get newer drugs to patients as soon as possible by ensuring accelerated

development of new drugs already in clinical trials.

Existing TB drugs and diagnostics are not adequate to combat the disease, and a

new analysis released by MSF at the 37th Union World Conference on Lung Health

held this week in Paris, shows that none of the TB drugs currently in

development, however promising, will be able to drastically improve TB treatment

in the near future.

To access the report:

http://www.accessmed-msf.org/documents/TBPipeline.pdf

VACANCIES:

1. Open Society Institute - Public Health Programme - Law And Health Initiative

POSITION AVAILABLE: Programme Officer, East Africa (Nairobi-Based)

DEADLINE: 10 November 2006

START DATE: January 2007 or sooner

RESPONSIBILITIES:

The Programme Officer, East Africa will work with the Law and Health Initiative

(LAHI) of the Open Society Institute Public Health Programme (PHP) and the Open

Society Initiative for East Africa (OSIEA) in Nairobi to advance law- and human

rights-based responses to HIV and AIDS and public health in the region.

Responsibilities will be both grant-related and operational, and will include:

- Strategy Development: Identify opportunities for LAHI to expand its work on

HIV-related legal services throughout East Africa. This may include exploratory

missions in the region, attending conferences and donor meetings, strategy

development, evaluation of existing projects, and leveraging funding from

additional sources.

- Policy Analysis: Author reports and advocacy documents on issues of human

rights, livelihoods, and HIV in the region.

- Advocacy: Conduct advocacy on behalf of grantees and sub-grantees with

government and donor agencies.

- Grant management: Help to oversee the work of a portfolio of LAHI grantees and

sub-grantees providing HIV-related legal services in Kenya.

REQUIREMENTS:

- Advanced degree in public health, law or social sciences related to

international development.

- At least five years of experience in advocacy related to HIV and AIDS, at

least three of which in Kenya or other countries in East Africa.

- Demonstrated knowledge of and commitment to human rights approaches to

combating HIV and AIDS.

- Experience working on HIV/AIDS-related programming, grants management,

programme design, monitoring and evaluation with grassroots organisations in

East Africa.

- Excellent oral and written communications skills in English. Kiswahili

strongly desired.

- Demonstrated skills in public speaking, presentations, research, writing, and

editing for publication, as well as communications and media work.

- Strong organizational and management skills with attention to detail.

- Ability to listen and communicate clearly and effectively with people from

diverse cultures and backgrounds.

- Ability to work effectively both independently without detailed daily

supervision and as a member of a team, on a wide range of tasks.

- Ability to distil programme experience into compelling advocacy messages for

governments and international institutions.

- Willingness to travel both within the East African region and internationally.

- Knowledge of the following issues highly desired: gender and development;

public health best practice, livelihood programming, micro-credit, micro-finance

and vocational training programmes; children's rights; PLHA rights, rights of

the elderly; and rights of sex workers.

To apply, please send a resume, cover letter, and salary history to:

lawandhealth@... or:

Open Society Institute

ATTN: Sai Jahann

400 West 59th St.

New York, NY

USA 10019

Fax: +1 (646) 557-2550

[ENDS]

This is non-reply e-mail. Please do not hesitate to contact us at

Mail@....

IRIN-SA

Tel: +27 11 895-1900

Fax: +27 11 784-6759

Email: IRIN-SA@...

Principal donors: IRIN is generously supported by Australia, Canada, Denmark,

ECHO, Japan, Netherlands, Norway, Sweden, Switzerland, the United Kingdom and

the United States of America. For more information, go to:

http://www.IRINnews.org/donors

[This item comes to you via IRIN, a UN humanitarian news and information

service, but may not necessarily reflect the views of the United Nations or its

agencies. All IRIN material may be reposted or reprinted free-of-charge; refer

to the copyright page (Http://www.irinnews.org/copyright ) for conditions of

use. IRIN is a project of the UN Office for the Coordination of Humanitarian

Affairs.]

To make changes to or cancel your subscription visit:

http://www.Plusnews.org/subscriptions/AIDSsubslogin.asp

Subscriber: AIDS treatments

Keyword: Africa

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AFRICA: IRIN PlusNews Weekly Issue 308, 3 November 2006

NEWS and FEATURES

SOUTHERN AFRICA: Red Cross launches biggest ever AIDS appeal

ZAMBIA: Getting street kids to stay on the straight and narrow

NAMIBIA: Reaching targets despite great obstacles

ETHIOPIA: Eritrean refugees desperate for HIV services

SAO TOME AND PRINCIPE: HIV positive mothers reject formula feeding

SENEGAL: Sexually active street children increasingly vulnerable to HIV

SOUTH AFRICA: Govt/NGO meeting spurs hope for more effective AIDS action

SOUTH AFRICA: Slow anti-AIDS care being felt in KwaZulu-Natal

MALAWI: Show us the money, says UN AIDS envoy

KENYA: HIV exacerbates malnutrition among infants in drought-prone Turkana

RESOURCE:

1. TB drug report: Analysis of the current drug pipeline

VACANCIES:

1. Open Society Institute - Public Health Programme - Law And Health Initiative

NEWS and FEATURES:

SOUTHERN AFRICA: Red Cross launches biggest ever AIDS appeal

The International Federation of Red Cross and Red Crescent Societies launched an

appeal on Wednesday to massively expand its anti-AIDS programme in Southern

Africa over the next five years.

Speaking in Johannesburg, the Federation's new Special Representative for HIV

and AIDS, Dr. Mukesh Kapila, urged international donor communities to move

beyond rhetoric in meeting the needs of affected populations. The Federation is

appealing for US$300 million to implement the expansion of its AIDS programme in

the region.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6511

ZAMBIA: Getting street kids to stay on the straight and narrow

Dressed in baggy trousers, caps and colourful T-shirts, the toughened teens of

the " Back to School Project " were scared.

The boys, all between the ages of 14 and 18, live on the streets of Zambia's

capital, Lusaka, where they play, fight, gamble and do what they can to earn a

little money for food and drink, sometimes raking in enough to help support

their families. Each of the boys was to be tested for HIV that day.

" I am not going! " yelled one of the younger boys. " I am going to hide and then I

won't have to go " , he said, pouting and folding his arms over his thin chest.

But with a little cajoling and backslapping from some of the braver boys, they

all eventually piled into a sweltering van for a 20-minute, cross-town ride to

the clinic.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6512

NAMIBIA: Reaching targets despite great obstacles

Tucked away in the maze of corridors of Katutura Hospital, in a historically

black township of Namibia's capital, Windhoek, is the recently renovated modern

Communicable Disease Clinic.

This HIV/AIDS facility treats 8,500 adults and 660 children, and is viewed as

the country's " centre of excellence " , according to the hospital's head of

internal medicine, Dr Ishmael Katjitae, who also sits on the country's ARV

rollout technical advisory committee. However, the ARV clinic is not an accurate

reflection of what was happening in the rest of the country. Most of Namibia's

health facilities serve rural areas and are not as well staffed and equipped,

said Dr Angelo Madjarov, who had been working in Oshakati, in the north of the

country.

Patients attending the clinic don't consider themselves any better off. A few

kilometres away, in another part of Katutura, a support group run by AIDS Care

Trust, a local nongovernmental organisation (NGO), is holding its Wednesday

meeting. Most of the members access treatment at the hospital.

Inevitably, with 64 percent of people accessing ARVs nationally being women, the

group is largely made up of unemployed women and many have brought their

children. Martha Aluene, 34, who has appointed herself the group's spokeswoman,

says week in and week out the dominant themes of their discussions are transport

and food. " The hospital is too far, and what can we do but walk - we don't have

money for [public] transport and we don't have income to buy food.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6504

ETHIOPIA: Eritrean refugees desperate for HIV services

Every evening as the sun sets over the hills of northern Ethiopia, young couples

can be seen strolling past the coffee shops and pool halls of Shimelba refugee

camp.

An estimated 10,000 refugees live in Shimelba. The camp resembles a mini-Asmara

- a slice of life from Eritrea's capital city, recreated in rural Ethiopia by

Eritreans fleeing an authoritarian government and lengthy military service.

The refugees are predominantly young and urban; many are former soldiers and all

are living together in an atmosphere of stifling boredom - perfect conditions

for the spread of HIV. Yet no one knows how widespread the virus has become as

no testing is available in the camp.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6516

SAO TOME AND PRINCIPE: HIV positive mothers reject formula feeding

Poverty and a cultural preference for breastfeeding are driving the spread of

HIV from mothers to their babies in Sao Tome and Principe.

The HIV rate among pregnant women on the tiny West African islands tripled from

0.5 percent to 1.5 percent between 2001 and 2005.

" The number of cases is growing every year, " said Bonfim, the UN children's

fund health project officer. " We were hoping that with increased support, the

rate would either stagnate or reduce. So it's clear that something isn't

working. "

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6509

SENEGAL: Sexually active street children increasingly vulnerable to HIV

Many of the thousands of children that wander the busy streets of Dakar, the

capital of Senegal, are sexually active but few have any knowledge about the

risks of HIV.

" One sees eight-year-old children who already have several male and female

partners who are older than they are, " said Adjiratou Sow Diallo Diouf, author

of a 2005 study on the impact of HIV/AIDS on Dakar's estimated 6,000 street

children.

The 30 children, aged between 8 and 17, Diouf questioned for the study revealed

sexual relations that were both homosexual and heterosexual and rarely

protected, leaving them highly vulnerable to sexually transmitted diseases

including HIV.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6510

SOUTH AFRICA: Govt/NGO meeting spurs hope for more effective AIDS action

A spirit of greater openness and unity between government and civil society has

emerged from a two-day AIDS congress, signalling a possible end to damaging

divisions in South Africa's HIV/AIDS response.

Reinforcing a number of moves by the South African government in recent months

aimed at improving its strained relationship with AIDS activists, Deputy

President Phumzile Mlambo-Ngcuka urged delegates to partner with government in

the fight against AIDS.

More details:

http://www.plusnews.org/AIDSreport.asp?ReportID=6506

SOUTH AFRICA: Slow anti-AIDS care being felt in KwaZulu-Natal

For many HIV-positive people in South Africa's Embo area, southwest of the port

city of Durban, accessing treatment at public health facilities is as difficult

as navigating the steep and muddy paths between their homes.

Pausing briefly to catch his breath up the hill to a patient's house, Leonard

Gcabashe, a local pastor and community caregiver, recalled the many times he had

tumbled down the paths while carrying people who were too sick to walk.

" My van only goes as far as the paved roads will allow, and then I go the rest

of the way by foot, sometimes for distances of 1.5km. It doesn't seem like much,

but when you carry a grown man or woman on your back, it can be very tricky, " he

told IRIN/PlusNews.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6507

MALAWI: Show us the money, says UN AIDS envoy

A visiting UN envoy has accused the world's wealthiest countries of failing

Malawi, which is struggling to care for more than two million orphans and

vulnerable children.

" Where is the money? At the G8 summit in Gleneagles in July 2005, rich nations

promised to double financial aid to Africa, an extra US$25 billion by 2010. The

Malawi government is struggling to support its people because there is no

money, " complained , the UN secretary-general's special envoy for

HIV/AIDS in Africa.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6508

KENYA: HIV exacerbates malnutrition among infants in drought-prone Turkana

A high incidence of HIV has worsened the condition of hungry children in

drought-prone Turkana region, in northern Kenya.

Over the past month, seven of the 10 children admitted to a nutritional

rehabilitation centre at the hospital in Lodwar, Turkana's largest town, were

found to be HIV positive. Turkana has a high HIV prevalence rate of 11.4

percent, almost double the national rate of 6.7 percent estimated by UNAIDS.

More details:

http://www.plusnews.org/aidsreport.asp?reportid=6514

RESOURCE:

1. Relying on the standard World Health Organisation (WHO) TB strategies in the

face of extensively drug resistant tuberculosis (XDR TB) was dangerous, the

international medical humanitarian organisation Médecins Sans Frontières (MSF)

warned this week. According to MSF, to respond to the XDR-TB outbreak, WHO will

need to get newer drugs to patients as soon as possible by ensuring accelerated

development of new drugs already in clinical trials.

Existing TB drugs and diagnostics are not adequate to combat the disease, and a

new analysis released by MSF at the 37th Union World Conference on Lung Health

held this week in Paris, shows that none of the TB drugs currently in

development, however promising, will be able to drastically improve TB treatment

in the near future.

To access the report:

http://www.accessmed-msf.org/documents/TBPipeline.pdf

VACANCIES:

1. Open Society Institute - Public Health Programme - Law And Health Initiative

POSITION AVAILABLE: Programme Officer, East Africa (Nairobi-Based)

DEADLINE: 10 November 2006

START DATE: January 2007 or sooner

RESPONSIBILITIES:

The Programme Officer, East Africa will work with the Law and Health Initiative

(LAHI) of the Open Society Institute Public Health Programme (PHP) and the Open

Society Initiative for East Africa (OSIEA) in Nairobi to advance law- and human

rights-based responses to HIV and AIDS and public health in the region.

Responsibilities will be both grant-related and operational, and will include:

- Strategy Development: Identify opportunities for LAHI to expand its work on

HIV-related legal services throughout East Africa. This may include exploratory

missions in the region, attending conferences and donor meetings, strategy

development, evaluation of existing projects, and leveraging funding from

additional sources.

- Policy Analysis: Author reports and advocacy documents on issues of human

rights, livelihoods, and HIV in the region.

- Advocacy: Conduct advocacy on behalf of grantees and sub-grantees with

government and donor agencies.

- Grant management: Help to oversee the work of a portfolio of LAHI grantees and

sub-grantees providing HIV-related legal services in Kenya.

REQUIREMENTS:

- Advanced degree in public health, law or social sciences related to

international development.

- At least five years of experience in advocacy related to HIV and AIDS, at

least three of which in Kenya or other countries in East Africa.

- Demonstrated knowledge of and commitment to human rights approaches to

combating HIV and AIDS.

- Experience working on HIV/AIDS-related programming, grants management,

programme design, monitoring and evaluation with grassroots organisations in

East Africa.

- Excellent oral and written communications skills in English. Kiswahili

strongly desired.

- Demonstrated skills in public speaking, presentations, research, writing, and

editing for publication, as well as communications and media work.

- Strong organizational and management skills with attention to detail.

- Ability to listen and communicate clearly and effectively with people from

diverse cultures and backgrounds.

- Ability to work effectively both independently without detailed daily

supervision and as a member of a team, on a wide range of tasks.

- Ability to distil programme experience into compelling advocacy messages for

governments and international institutions.

- Willingness to travel both within the East African region and internationally.

- Knowledge of the following issues highly desired: gender and development;

public health best practice, livelihood programming, micro-credit, micro-finance

and vocational training programmes; children's rights; PLHA rights, rights of

the elderly; and rights of sex workers.

To apply, please send a resume, cover letter, and salary history to:

lawandhealth@... or:

Open Society Institute

ATTN: Sai Jahann

400 West 59th St.

New York, NY

USA 10019

Fax: +1 (646) 557-2550

[ENDS]

This is non-reply e-mail. Please do not hesitate to contact us at

Mail@....

IRIN-SA

Tel: +27 11 895-1900

Fax: +27 11 784-6759

Email: IRIN-SA@...

Principal donors: IRIN is generously supported by Australia, Canada, Denmark,

ECHO, Japan, Netherlands, Norway, Sweden, Switzerland, the United Kingdom and

the United States of America. For more information, go to:

http://www.IRINnews.org/donors

[This item comes to you via IRIN, a UN humanitarian news and information

service, but may not necessarily reflect the views of the United Nations or its

agencies. All IRIN material may be reposted or reprinted free-of-charge; refer

to the copyright page (Http://www.irinnews.org/copyright ) for conditions of

use. IRIN is a project of the UN Office for the Coordination of Humanitarian

Affairs.]

To make changes to or cancel your subscription visit:

http://www.Plusnews.org/subscriptions/AIDSsubslogin.asp

Subscriber: AIDS treatments

Keyword: Africa

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