column - UK News



Ewan McGregor (pictured centre), Jenna Russell (left)


Stars sing for their supper for Terrence Higgins Trust
Over 500 invited guests attended 40 Supper Club dinner parties held simultaneously in private homes and top restaurants around the country this month to raise funds for Terrence Higgins Trust. After dinner, guests travelled to Bayswater’s Porchester Hall for champagne cocktails and a special show by the cast of hit musical Guys And Dolls, including stars Ewan McGregor (pictured centre), Jenna Russell (left) and former AllyMcBeal star, Jane Krakowski. Debbie Holmes, director of fundraising at THT, said: “They put on an amazing show and helped us raise over £60,000 for our vital work,
supporting people living with and affected by HIV and Aids.”

www.tht.org.uk




HIV prosecutions come under fresh scrutiny

Use of the archaic 1861 Offences against the Person Act to prosecute people who have transmitted HIV will come under fresh legal and political scrutiny this autumn. Law Lords are due to decide at the end of this month whether to consider an appeal from 39-year-old Mohammed Dica. Dica, of Croydon, was jailed for four-and-a-half years in 2005 for recklessly transmitting HIV under the 1861 Act. The Court of Appeal has ‘certified’ the case on the grounds of public interest, to enable Dica to try to take it to the highest court in the land.
If the Law Lords agree to look at the case, there is a strong chance they will also look closely at the public interest arguments for prosecuting reckless transmission of HIV.HIV charities Terrence Higgins Trust and National Aids Trust are preparing detailed submissions should the appeal go ahead.Whether this will result in the stopping of prosecutions of people with HIV for transmitting the virus remains to be seen.
Meanwhile, HIV charities and activists on the Crown Prosecution Service (CPS) working group are continuing to advise the CPS on drawing up their draft guidelines for prosecutors. People living with HIV will get a chance to comment on these draft guidelines when they are put out to consultation on the CPS website early in the New Year. The CPS will also hold a public meeting as part of that consultation process.For more information, a briefing paper on the issue of HIV prosecutions can be downloaded from www.sigmaresearch.org.uk/reports


(left to right): Peter Davey, Oasis director, comedienne Victoria Wood and Johanna Ehrnrooth,Troubled HIV charity picks up award Oasis North London has won the 2005 Camden Volunteering Organisation of the Year award, despite having funding slashed by Camden and Islington councils.
Oasis has also won a £211,000 grant from the National Lottery Fund and will fight to continue to provide a wide range of services in an area of the capital which houses the second highest number of people living with HIV in the country.Pictured at the awards are (left to right): Peter Davey, Oasis director, comedienne Victoria Wood and Johanna Ehrnrooth, who runs healthy eating classes at Oasis. www.onl.org.uk


Beginning of end for ‘one-stop’ HIV care?
A growing number of people living with HIV in London are being told they can no longer get non-HIV drugs from their HIV clinics. Most HIV hospital clinics in the capital have already told patients they now had to visit their GP to get drugs for conditions like fungal infections, depression, sexual dysfunction, blood pressure and asthma.
The change could spell the end of so-called ‘one-stop’ care for people with HIV who are used to getting almost all their care and treatments from the HIV clinic.Historically, the ‘one-stop’ arrangement has allowed people
living with HIV to remain anonymous when seeking care and avoid telling their GP about their HIV status.
The prohibitive cost of prescribing drugs in hospital is behind the move. HIV clinics in London are currently trying to head off a £5 million end-of-year overspend, and managers are desperate to find ways to slash the drugs bill.Meanwhile, London NHS commissioners are telling HIV clinics to take account of cost when prescribing combos. In a separate move to cut the drugs bill, London hospitals are running home delivery of HIV drugs for some stable patients, allowing them to avoid having to pay VAT on each prescription.Bernard Forbes, chairman of UKC, said: “In principle there is nothing wrong with GPs providing non-HIV treatments. Hospital pharmacies have to pay 17.5 per cent VAT on every drug they prescribe whereas community pharmacies pay
no VAT.“In addition, HIV specialists tell me they have huge concerns about their competence to
prescribe drugs that fall outside their HIV specialisms.“But equally, most GPs do not have the training to deal with complex HIV-related matters or understand the many complicated interactions that can arise between other drugs and ARVs.”Meanwhile, NHS managers have announced another major change to the NHS, just five years after the last shake-up. The number of primary care trusts (PCTs) in England and Wales may be cut from 303 to 95 and each PCT will lose responsibility for providing healthcare outside hospitals.
Sir Nigel Crisp, head of the NHS, said the changes should result in savings of around 15 per cent.
The government wants to see an increasing number of services provided at GP level. PCTs will be unable to provide these services and will have to commission them from other, as yet unspecified, bodies.
The BMA warned doctors were “confused” by the proposals. It said PCTs should not shed their provider status, “before they can demonstrate there will be non detriment to delivery of services or patient care”.


HRH Princess Alexandra
HIV hospital welcomes Royal

HRH Princess Alexandra visited east London’s Mildmay Mission Hospital last month to celebrate the charity’s 20th anniversary.
Europe’s first HIV hospice continues to look after seriously ill people living with the virus and has in recent years expanded its care, education and development services to Uganda, Kenya, Tanzania and Zimbabwe.
In the 1980s over a half of Mildmay London’s admissions were among people with advanced forms of Aids who needed terminal care. These days much of the centre’s work focuses on the rehabilitation for people with multiple, complex and chronic conditions such as HIV-related brain impairment.
Pictured with Princess Alexandra at the anniversary celebrations is 43-year-old Mildmay patient Paul Hoyle. He said: “I was on a spiral of self-destruction and had become very depressed. Thanks to Mildmay I got my life back together. I’ve just had a two-week stay here where the care team looked after me, helped me re-evaluate things and get a more positive outlook.”www.mildmay.org


news on the side

‘Without condoms’ course

Michael Shernoff brings his controversial workshop ‘Without Condoms’ to London on 13 January. Designed to stop the spread of HIV among gay men, the gay therapist believes the days of ‘using a condom every time’ are past, and the way forward is to help both positive and negative gay men to use a variety of ways to minimise risk. To book a place, contact training@pinktherapy.com There are limited places.

Crack users getting more HIV and HCV
Injecting drug users are an increasing public health concern, according to the Health Protection Agency. The HPA is particularly concerned that the increase in injecting crack cocaine may be responsible for recent increases of viral infections, including hepatitis C and HIV. Around one in 25 of the estimated 50,000 crack users in London are thought to be HIV positive.

TB infections up by a third
New cases of pulmonary tuberculosis (TB) in Britain increased by 19 per cent in 2003. This indicates that the pool of people with TB who are highly infectious has grown substantially. Data from the HPA, presented at the October conference on Lung Health in Paris, also indicated that drug-resistant TB was on the increase. Many arrivals from sub-Saharan Africa have both HIV and TB and co-infection coupled with late diagnosis often make this a fatal combination.

301st HIV charity enters ‘turf war’

There are now over 300 HIV/Aids organisations
in Britain and last month another joined the list. The UK Aids and Human Rights Project, set up by Dr Delphine Valette, a former employee of National Aids Trust (NAT), aims to use international human rights legislation to campaign for people with HIV. But the group has come under fire for duplicating campaigning already done by NAT and THT.

‘Hot oil attack’ woman has jail term doubled
A Luton woman has had her prison term for GBH doubled to eight years by the Court of Appeal. Lord Justice Latham agreed that Bianca Chikanya, 22, had been “provoked” when her boyfriend ridiculed her about her HIV positive status. But she had left 25-year-old Constantine Chikamba’s face a “grotesque” mess when she tipped a pan full of hot oil on him, and plunged a knife into his back.

Avert wins top BMA award
Sussex-based HIV/Aids charity Avert has won this year’s prestigious British Medical Association Patient Information Award for its website. Praised by the judges as “very well referenced, information-rich and having a clean look”, the Avert website attracts 100,000 visitors a week. Director Annabel Kanabus said they were proud to receive the award, which comes ten years after the site launched.
www.avert.org.uk

HIV and Aids ‘driving South Africans to suicide’
According to a report from South Africa’s Depression and Anxiety Group, people with HIV in the country are 36 times more likely to commit suicide than the rest of the population.

US medical professionals ‘discriminate’
Over a quarter of America’s HIV positive patients think they have been discriminated against by healthcare workers, according to October’s Journal of General Internal Medicine. Because of perceived discrimination, patients believed they had worse access and receive lower standards of care.

‘Use condom or face fine’
Male customers in one red-light district in Indonesia can expect to pay a $500 fine for failing to wear a condom. Sex workers are to be encouraged to file reports about such customers and the regional health office will conduct a three-month programme to educate prostitutes and their customers about the new regulations.

Undertakers in HIV clash
South Africa’s United Funeral Association want HIV status to be recorded on death certificates, claiming the virus places mortuary workers at risk. But undertakers in Johannesburg disagree, saying that if the right precautions are taken, there is no risk.

Oz HIV ban latest
We reported last month that a ruling by Australia’s Federal Court would mean it would be impossible for short stay and student visa applicants to enter the country. Subsequently, Australian Immigration officials have informed PN that the move is “not a blanket ban” and said they would take each case on its
merits. However, HIV positive visitors could face a medical on arrival in Australia, they added.



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