Guest guest Posted May 24, 2006 Report Share Posted May 24, 2006 E-NEWS FROM THE NATIONAL VACCINE INFORMATION CENTER Vienna, Virginia http://www.nvic.org * * * * * * * * * * * * * * * * * * * * * * * UNITED WAY/COMBINED FEDERAL CAMPAIGN #8122 * * * * * * * * * * * * * * * * * * * * * * * " Protecting the health and informed consent rights of children since 1982. " ================================================================================\ ========== " The Thai government has approached recruiting for the trial like the U.S. government did for the military during World War II -- with a call for patriotism and a plea for people to think of the greater good. " BL Fisher Note: The latest AIDS vaccine fiasco has the NIH foisting two experimental AIDS vaccines on unsuspecting citizens of Thailand, who trust that American doctors and the Thai government have their best interests at heart. Even though every experimental AIDS vaccine that has been created has failed, including one that will be used in this trial, government health officials and eager drug companies press on, determined to ultimately force mandatory use of an AIDS vaccine on the whole world. And the best part? Once a bit of the virus that causes AIDS has been injected into all of us, we will all test positive for HIV. For the greater good, of course. http://www.montereyherald.com/mld/montereyherald/living/health/14646199.htm Monterey County Herald, CA Posted on Tue, May. 23, 2006email thisprint this Biggest AIDS vaccine trial yet Researchers air doubts about U.S.-funded study in Thailand By ARIANA EUNJUNG CHA The Washington Post CHONBURI, Thailand - Inside a ramshackle Buddhist temple here on the country's southeastern coast, curious villagers gathered last fall as part of the United States' biggest gamble yet on stopping the AIDS pandemic. The informational meeting was almost like a game show as attractive young hosts revved up the crowd, working up to the big question, boomed out over loudspeakers: Would the audience be willing to volunteer to test an experimental HIV vaccine? The villagers hesitated. No one moved for a full 60 seconds. Then, tentatively, they approached the three stands set up at the front, marked ''Join,'' ''Not Join'' and ''Unsure.'' For the past three years, such gatherings have been held all over Thailand, exhorting young adults to take part in the largest, most expensive, most resource-intensive AIDS vaccine trial ever. Funded by the National Institutes of Health, it ultimately will involve 16,000 people and last 3½ years. But as the trial moves forward, at a cost of more than $120 million, some researchers are raising questions about its validity. They disparage its science, question its ethics and doubt its efficacy. No luxury of time| One of the chief dissenters is C. Gallo, who helped discover the human immunodeficiency virus. He scoffs at the notion that the trial will be successful. ''I thought we'd learn more if we had extract of maple leaf in the vaccine,'' he said derisively. NIH scientists defend the study, arguing that even if the vaccine doesn't work, the trial may reveal new things about HIV. ''With 5 million new infections each year, the luxury of time is absent,'' four researchers wrote in the journal Science. When scientists identified HIV as the cause of AIDS 21 years ago, they predicted that a vaccine to prevent the infection would be ready long before a treatment for the symptoms could be developed. The opposite turned out to be true. Many people today, especially in wealthy countries, are keeping the virus in check with drugs, but a vaccine, desperately needed in poor countries, has eluded modern medicine. Despite years of effort, investment in the billions of dollars, and dozens of small tests in people around the world, there's still no scientific proof that a vaccine is even possible. HIV is a diabolical virus that disables the very immune responses a vaccine needs to trigger in order to work. No cure| And yet the need is so urgent that scientists have gone forward with preliminary human tests of many vaccines on the basis of data they acknowledge is weak. The one in Thailand is the largest. The fact that no one has ever been cured of AIDS increases the urgency of finding a vaccine. ''In contrast to virtually every other microbe we've come across, there isn't a documented case of anyone who... ultimately cleared HIV from the body completely. That's why more and more research is being directed at trying to stop infection from happening in the first place,'' said S. Fauci, director of the National Institute of Allergy and Infectious Diseases, part of the NIH. The U.S. government last year spent 22 percent of its $3 billion AIDS research budget on vaccines and other preventive drugs, compared with less than 8 percent a decade ago. (Most of the rest is devoted to developing treatments or a cure for those already infected.) Meanwhile, the Bill & Melinda Gates Foundation this year designated up to $360 million for AIDS vaccine research, and Congress is encouraging more research with bills that would provide liability protection and tax benefits for drug companies. Tricking the body| But the science is daunting and subjects hard to come by. Scientists have been forced to travel to remote corners of the world to find communities where the infection rate is high enough to show results in a reasonable amount of time. Thailand, where AIDS is a leading cause of death, has been among the most accommodating places. The NIH effort there involves two vaccines that individually have been disappointing in previous trials. One of them, developed by a once-revered scientist in the AIDS world, flopped spectacularly after an expensive test funded by private investors. The other showed little promise in early trials. Researchers cling to the hope that using them simultaneously will attack different aspects of the disease and prove effective. A vaccine is basically a trick: Take a germ or part of a germ, kill it or alter it so that it doesn't cause disease, then inject it into the body. The body thinks it is being attacked and produces an immune response that will protect it when it is exposed to the real thing. But because HIV comes in 11 subtypes that constantly mutate, it must be treated differently. Enter Francis, a longtime government researcher who is credited with helping to eradicate smallpox and develop vaccines for Ebola and hepatitis B. In 2005 he founded Global Solutions for Infectious Disease, a nonprofit organization that aims to develop an AIDS vaccine. Francis works in a basement office south of San Francisco that looks more like a file room than a laboratory. After abandoning the VaxGen project, Francis and his researchers struck out on their own. Four of the five researchers work without pay, draining their personal savings to pay for their research as they apply for grants. Francis said recently that he expects funding from a foundation in the coming month. Francis is no longer involved in testing the VaxGen vaccine. But the failure of the big 2004 trial did not stop its inclusion in the current trial, which was begun by the U.S. Army and subsequently taken over by the NIH. Half a world away in Thailand, that effort continues. The Thai government has approached recruiting for the trial like the U.S. government did for the military during World War II -- with a call for patriotism and a plea for people to think of the greater good. Dual responses| The recruiters in December exceeded their goal of enrolling 16,000 volunteers. Test subjects will receive either a placebo or a combination of two vaccines -- Francis' and one by Sanofi Pasteur SA of Lyon, France, that targets T-cells. The study will conclude in 2009, after all participants have been followed for 3½ years. The idea behind the NIH trial is that maybe vaccines need to provoke both antibody and T-cell responses to protect the body from AIDS. Critics say that the potentially confusing inclusion of Francis' vaccine muddies the issue and that it should be dropped from the study. Nearly two dozen prominent AIDS researchers wrote an opinion piece in the journal Science in early 2004 calling Francis' vaccine ''completely incapable of preventing or ameliorating'' HIV infection and questioning ''the wisdom of the U.S. government's sponsoring'' the Thailand trial. ''There are adverse consequences to conducting large-scale trials of inadequate (HIV) vaccines....One price for repetitive failure could be crucial erosion of confidence by the public and politicians in our capability of developing an effective AIDS vaccine.'' ============================================= News@... is a free service of the National Vaccine Information Center and is supported through membership donations. Learn more about vaccines, diseases and how to protect your informed consent rights http://www.nvic.org " Our ideal is not the spirituality that withdraws from life but the conquest of life by the power of the spirit. " - Aurobindo. --------------------------------- Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
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