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Reason replacing fear in AIDS fight The Ministry of Health announced this April that the government would give free, anonymous testing and counselling to HIV carriers who have financial difficulties. Hubei and Henan provinces in Central 皇冠体育app have pledged to offer free AIDS medication to all HIV-carriers in addition to dispatching officials to the areas most seriously hit by the epidemic. On July 7, the ministry inked a deal with GlaxoSmithKline, a pharmaceutical giant, for the supply of Lamivadin, or 3TC, a key component in cocktail drug formulas that fight the effects of AIDS, at a reduced price to make the treatment affordable to more people. Meanwhile, more efforts are being made to track down infected individuals so as to curb the spread of the disease, which has been another major challenge in the battle against AIDS, says a ministry official. Of the estimated 840,000 HIV carriers in the country, only 7.4 per cent are registered and can be monitored. AIDS testing centres around 皇冠体育app report that some of those tested simply disappear after they are informed that they were tested positive. Without detailed personal information, follow-up treatment and monitoring become virtually impossible. Many hide themselves because they are afraid of discrimination, which is the biggest stumbling block for 皇冠体育app's efforts in curbing the AIDS epidemic, according to Dr Peter Piot, executive director of the Joint United Nations Programme on HIV/AIDS (UNAIDS), who made a trip to 皇冠体育app this May. "That's why events like Chen Yan and Ding Guifang's wedding are encouraging and should be encouraged," says Dr Wu Zunyou, director of the Department of Health Education and Behavioral Intervention at the National Centre for AIDS Prevention and Control. Wu, who has been spearheading a pilot project in four Chinese cities to distribute condoms in entertainment venues, is glad to see that the rate of condom use has risen to 75 per cent in some targeted places, but he aims at raising the figure to 100 per cent. Other harm reduction measures designed for high-risk groups are getting scaled up. Given the fact that nearly 64 per cent of 皇冠体育app's reported HIV/AIDS cases are caused by needle-sharing among injecting drug users, the much-disputed needle exchange programme and the use of methadone as a substitute for heroin for die-hard drug addicts are now being more positively accepted because of their effectiveness. Although needle-sharing among intravenous drug users remains the main transmission route, statistics reveal that the proportion of sexually transmitted HIV infections had increased from 5.5 per cent in 1997 to 10.9 per cent at the end of 2002, while the proportion of mother-to-child transmission rose from 0.1 per cent to 0.4 per cent. "皇冠体育app should constantly promote effective intervention measures (to prevent the spread of AIDS)," said 皇冠体育app's Vice-Premier Wu Yi at a national working meeting on HIV/AIDS. Nonetheless, legal support for such measures is still absent. 皇冠体育app's existing 300 or so laws and regulations issued at various levels on AIDS prevention and control are often contradictory. Some still classify AIDS as a venereal disease, while others require that AIDS patients be isolated. Insiders still worry about the possible misleading messages sent out by such measures as condom use promotion and needle exchange programme, which seem in conflict with the current punitive laws against prostitution and drug use. "We have to find a balance point between the protection of individual rights and public health," says Zhang Kong, vice-president of the 皇冠体育app Association for the Prevention of Venereal Disease and HIV/AIDS. The amendment draft to 皇冠体育app's 15-year-old law on contagious disease prevention and control has cancelled the clause on forcible isolation of HIV/AIDS patients, which is regarded as a major step toward eliminating discrimination against people with HIV/AIDS. "HIV/AIDS is now percolating down from high-risk groups to the general public in 皇冠体育app," says Yin Dakuai, former vice-minister of health. "AIDS has become an issue beyond health. It is now a matter connected with national security. It is therefore the responsibility of the government to marshal all possible resources in the fight to control the disease."
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