AIDS in Developing Countries by Nancy Harris

By Nancy Harris

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Seated on a stool in the roadside office of a service organization called Santoshi, she strokes the hair of her quiet 6-year-old daughter and explains her strategy for keeping the child fed. When a driver propositions her on the roadside, she se- AI AIDS/Dev. Countries INT 5/9/03 1:19 PM Page 35 A Deadly Passage to India 35 cures a commitment of 100 rupees ($2), then gives him 10 minutes behind a bush or in the cab of his truck. If the driver pays up, she makes as much as she would from a day of scrubbing floors, and hardly has to leave her daughter’s side.

S. government has adopted a similar view, strongly opposing developing country efforts to undertake compulsory licensing, parallel imports, or other similar measures to make HIV/AIDS drugs and other essential medicines more available and affordable to their people. S. surgeon general to the plague that decimated Europe in the fourteenth century. • Combination of available pharmaceuticals—too expensive for nearly all of the infected people in the developing world—could enable many afflicted with HIV/AIDS to live relatively normal lives.

Since then 54 medicines have been approved for HIV/AIDS and associated conditions, and an additional 113 are in development, most of which are being developed by the research-intensive pharmaceutical companies. Government and academic scientists generally led the way in advancing basic knowledge about HIV/AIDS, although pharmaceutical companies have contributed. And the industry has led the way in translating those advances in knowledge into anti-HIV/AIDS medicines to help patients. Pharmaceutical companies led the discovery and development of medicines to help HIV/AIDS patients.

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