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Continued from page 63– Africa: New Light Shed on Male<br />

Sex Work<br />

ing, in <strong>com</strong>plex ways," Boyce said. "This points to key<br />

issues that must be developed in future HIV prevention<br />

policy and counselling."<br />

Aside from targeted HIV services, the report re<strong>com</strong>mends<br />

that more research be conducted into the realties and HIV<br />

risks of male sex workers in Africa, and that larger sex<br />

work organizations such as ASWA incorporate men into<br />

their work.<br />

http://allafrica.<strong>com</strong>/stories/201106200804.html<br />

☻☻☻☻☻☻<br />

Tanzania: Unsafe Injections<br />

'Caused 1.3 Million Death<br />

By Rosemary Mirondo<br />

9 November 2010<br />

The Citizen<br />

Dar Es Salaam — Re-use of syringes has been established<br />

as one of major agents of diseases spread including HIV<br />

and hepatitis transmission, causing millions of deaths in<br />

developing countries.<br />

A podiatrist from Canada, Dr Clare Beale, who is also a<br />

SafePoint Trust campaign ambassador, made the<br />

observation when briefing journalists in Dar es Salaam<br />

yesterday. She said, according to World Health<br />

Organization (WHO) report, every year a total of 23,000<br />

HIV infections, a million hepatitis C infections and<br />

21million hepatitis B infections are caused by unsafe<br />

injections which result to 1.3 million deaths.<br />

Dr Beale said the problem was so severe that WHO<br />

reported 50 per cent of all injections given globally as<br />

unsafe. "It is sad to learn that in Africa alone, 20 million<br />

medical injections contaminated with blood from patients<br />

with HIV are administered every year," she said.<br />

However, she pointed out that SafePoint was actively<br />

lobbying for changes in legislation to ensure that auto<br />

disable (AD) syringes that can only be used once are the<br />

only type permitted for use in hospitals, medical centres<br />

and surgeries. Adding that Tanzania was at the forefront<br />

of safe healthcare in Africa, and will soon be the second<br />

country to convert over to AD syringes in the East,<br />

Central and Southern Africa Health Services (ECSA)<br />

member countries. Every person across the world has the<br />

right to ask for and receive a sterile and safe injection.<br />

Dr Beale noted that currently SafePoints support team was<br />

in Tanzania to climbing Mt Kilimanjaro with the aim of<br />

reaching the summit in order to raise funds as a substantial<br />

-64- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> October 2011<br />

donation to AD syringes that are fully <strong>com</strong>pliant with<br />

Tanzania Food and Drug Authority (TFDA).<br />

http://allafrica.<strong>com</strong>/stories/201011090865.html<br />

☻☻☻☻☻☻<br />

WHO: Hepatitis Toll 'in<br />

Millions'<br />

28 July 2011<br />

Medical experts are calling for global action to tackle<br />

the viruses that cause the liver disease hepatitis.<br />

The first worldwide estimates in drug users show 10<br />

million have hepatitis C while 1.3 million have<br />

hepatitis B.<br />

Writing in the Lancet, experts say only a fraction of<br />

those who could benefit are receiving antiviral drugs.<br />

Only one in five infants around the world is vaccinated<br />

against hepatitis B at birth, they say.<br />

The figures, published in the Lancet, show about 67%<br />

of injecting drug users in the world have been exposed<br />

to hepatitis C, while around 10% have <strong>com</strong>e into<br />

contact with hepatitis B.<br />

In the UK, around half of injecting drug users has been<br />

infected with the hepatitis C virus, while the rate for<br />

exposure to hepatitis B is 9% - the highest in Western<br />

Europe.<br />

The research was led by Prof Louisa Degenhardt of the<br />

Centre for Population Health, Burnet Institute,<br />

Melbourne, Australia, and Paul Nelson from the<br />

National Drug and Alcohol <strong>Research</strong> Centre at the<br />

University of New South Wales.<br />

They say: "The public-health response to blood-borne<br />

virus transmission in injecting drug users has mainly<br />

centred on HIV.”Maintenance and strengthening of the<br />

response to HIV in injecting drug users remains crucial,<br />

but the significance of viral hepatitis needs to receive<br />

greater attention than it does at present."<br />

Commenting on the study in the Lancet, Dr Joseph<br />

Amon, of Human Rights Watch, New York City, US,<br />

said: "This study provides us with a first step and<br />

powerful data to draw attention to the problem of viral<br />

hepatitis in people who use drugs.<br />

"The next step is to challenge governments to act, and<br />

hold them accountable for implementation of rightsrespecting<br />

and evidence-based programmes."<br />

Health risks<br />

Hepatitis is caused by five main viruses - A, B and C,<br />

and, more rarely D and E.<br />

Continued on page 65

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