By Nancy Harris
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Extra resources for AIDS in Developing Countries
Any trial of an HIV vaccine must take into account the history of exploitation and abuse of vulnerable people in clinical trials. All research has the potential to introduce unequal power relations between the researchers and the trial participants, particularly when the researchers are from a rich nation and the participants are from a poor nation. • Rich countries want to do research in poor countries. Poor countries often have weak research infrastructure and regulatory institutions, allowing rich countries to exert more control over the research and over intellectual property rights.
Vaccines are the only hope for the control and possible elimination of HIV infection. Vaccines have never been as commercially successful as other medical treatments, and so entering the field of HIV vaccine development is a risk for companies. Most of the initial uptake of an effective vaccine will have to be in countries with a high prevalence; and as these countries are heavily indebted, they will not have the resources to buy and distribute the vaccine. Governments of the rich countries will have to work with IAVI, the World Bank, the United Nations, the WHO, and the private sector to ensure that commercial guarantees are in place to give the private sector an incentive to move into this field.
Glaxo Wellcome is also sponsoring a program in developing countries called Positive Action, which provides intensive training to community groups and nongovernment organizations (NGO’s) for delivering improved HIV/AIDS care. S. pharmaceutical industry is nothing short of remarkable. The first reports of a mysterious illness, later identified as HIV/AIDS, appeared in the medical literature in 1981 and the HIV virus was identified in 1983. The John Siegfried, testimony on behalf of the Pharmaceutical Research and Manufacturers of America before the House Government Reform Committee, July 22, 1999.
AIDS in Developing Countries by Nancy Harris