December 02, 2005

China senior official resigns over Harbin toxic spillage

China's chief environment official, Xie Zhenhuahas, the director-general of the State Environment Protection Administration (SEPA), has resigned in the wake of sharp public criticism of the handling of a toxic spill into the Songhua river, which supplies water to millions of farmers and city dwellers, including Harbin, in north-east China.

The resignation was announced tonight in a statement through the official Xinhua news agency. Mr Xie has been forced out and is to take responsibility for the damage caused by the spill into the Songhua river, near Harbin, and SEPA?s mishandling of its aftermath, according to the statement.

Comment: Central government is taking strong measures to show that action is being taken in an effort to maintain trust.

Europeans reject abstinence message in split with US on Aids

We continue to see a polarised debate about how to prevent HIV transmission between some of those in developed nations who tend to favour condoms above all else (sometimes perhaps to the exclusion of other options), and those in the poorest nations who often feel the case for abstinence and faithfulness is being ignored (and sometimes feel uncomfortable talking about condoms).

The dispute is confusing and in many ways unecessary.

We need a reality check: as the work of the AIDS foundation ACET (which I started in 1988) has found, the realities on the ground tend to impose their own solutions. Rhetoric and political posturing disappears when you are confronted by the magnitude of the disaster in countries with very few resources and health budgets of maybe only a couple of dollars per person a year.

Take for example the plight of Africa where at least 10% of the population in vast rural areas is already infected. Those that promote condoms as (virtually) the only way to halt spread don't seem to have worked out the logistical and economic challenge of applying a condom-dominated message across an entire low-income region.

The world AIDS budget is insufficient to supply every sexually active adult in Africa with as many condoms as they may need to protect every sexual encounter. Such a policy also assumes perfect distribution channels to villages which may be almost entirely cut off from Western-style supplies, and even date-checking of condom packets which deteriorate in tropical heat.

In any case, such an approach is deeply insulting to many in Africa since it ignores religious and other cultural values which in many places give honour to those who abstain before marriage and are faithful within it. There have been (totally false) widespread rumours that condom-dominated programmes are a front for secret Western attempts to stop babies being born in Africa. But these rumours have influenced many, and have come about because of mistrust of "imperialistic" wealthy nations.

And then there is the sensitive issue of youth. Even if one were to say that a condom-dominated message is the only right one for adults, and older teenagers, how about younger ones?

Is it right with a class of 11 year old girls to only talk about condoms, without raising the possibility that they might have an option to say no to sexual activity at such an age?

In practice, the pro-condom campaigners, and pro-abstinence activists tend to share common ground when tackling HIV education and prevention amongst those at such a young stage in life.

At the other extreme, most pro-abstinence activists also recognise that adults are determined to take a risk that could end their lives should be told about all the ways that such a risk can be reduced, including how to get hold of what they need eg condoms.

And between these two extremes, you will find the vast majority of HIV prevention programmes in Africa and Asia, looking to co-operate in doing all they can to educated people about risks, enabling them to take their decisions about how to stay healthy, in a culturally sensitive way, encouraging every avenue to save lives, whether condom use, refraining from risky sexual activity, not sharing needles and so on. And when it comes to avoiding sexual risk, as the World Health Organisation has always pointed out, there are two options: abstaining from penetrative sexual activity if the person could be infected (recognising you may never know), or being in a faithful relationship where both are known to be uninfected, and are both continuing to take every step to avoid becoming so.

We need every approach: sexual health clinics have a vital role to play in helping reduce other infections and an important co-factor for HIV spread; schools have a central task in informing young people about all health risks; parents have perhaps the greatest opportunity of all with young people growing up; the media, government, churches and other faith-based or community-based organisations likewise all have roles to play. Detached teams can target particular at-risk groups and so on.

This is not a time for disputes over how to put out the forest fire. We need everyone to pull together.

Unfortunately many people on every side of the debate tend to try to produce statistics to back their case. The trouble is that much of the science of prevention has been very weak. It is almost impossible to separate two different groups so that the only variable is your own programme. In almost all cases there are many other factors which could be operating to explain outcome differences. That is why so many of the studies show apparently conflicting results.

Rigorous studies are very hard to do and data that exists needs to be looked at very carefully.

However one thing is clear: advertisers have for years persuaded companies to spend huge amounts of money by proving that messages can change behaviour. Prevention programmes are an extension of the same process. They work.

We can debate about which approaches are most cost-effective, sustainable or culturally appropriate but as we have seen, when all parts of a community pull together, AIDS can be beaten.






Thursday December 1, 2005
The Guardian


Europe, led by the UK, last night signalled a major split with the United States over curbing the Aids pandemic in a statement that tacitly urged African governments not to heed the abstinence-focused agenda of the Bush administration.

The statement, released for World Aids Day today, emphasises the fundamental importance of condoms, sex education and access to reproductive health services. "We are profoundly concerned about the resurgence of partial or incomplete messages on HIV prevention which are not grounded in evidence and have limited effectiveness," it says.


While the US is not named, there is widespread anxiety over the effect of its pro-abstinence agenda in countries such as Uganda, where statements by Janet Museveni, the president's wife, and alleged problems with supply have led to a serious shortage of condoms.

The US has pledged $15bn (?8.6bn) over five years to fight the disease, most of which is channelled through the President's Emergency Plan for Aids Relief (Pepfar). Pepfar grants come with conditions, however - two thirds of the money has to go to pro-abstinence programmes, and it is not available to any organisations with clinics that offer abortion services or even counselling. The US is also opposed to the provision of needles and syringes to drug users on the grounds that it could be construed as encouraging their habit.

But the statement from 22 EU member states, released at a meeting under the UK presidency in London yesterday, calls on developing world governments to use every prevention tool, from condoms to clean needles to sexual health clinics, in a bid to slow down ">Google Desktop Search: Europeans reject abstinence message in split with US on Aids: "Thursday December 1, 2005
The Guardian


Europe, led by the UK, last night signalled a major split with the United States over curbing the Aids pandemic in a statement that tacitly urged African governments not to heed the abstinence-focused agenda of the Bush administration.

The statement, released for World Aids Day today, emphasises the fundamental importance of condoms, sex education and access to reproductive health services. 'We are profoundly concerned about the resurgence of partial or incomplete messages on HIV prevention which are not grounded in evidence and have limited effectiveness,' it says.


While the US is not named, there is widespread anxiety over the effect of its pro-abstinence agenda in countries such as Uganda, where statements by Janet Museveni, the president's wife, and alleged problems with supply have led to a serious shortage of condoms.

The US has pledged $15bn (?8.6bn) over five years to fight the disease, most of which is channelled through the President's Emergency Plan for Aids Relief (Pepfar). Pepfar grants come with conditions, however - two thirds of the money has to go to pro-abstinence programmes, and it is not available to any organisations with clinics that offer abortion services or even counselling. The US is also opposed to the provision of needles and syringes to drug users on the grounds that it could be construed as encouraging their habit.

But the statement from 22 EU member states, released at a meeting under the UK presidency in London yesterday, calls on developing world governments to use every prevention tool, from condoms to clean needles to sexual health clinics, in a bid to slow down "

December 01, 2005

Who is the world's most influential business thinker alive today? Thinkers 50 2005 ranking

Friend sent me an e-mail today - seems I have been ranked number 17 in the world in answer to the question, "Who is the most influential business thinker alive today?". In the last ranking (2003) I came number 46 - rather a surpise. And even more so to be ranked where I am today. An article describing the process is below. Maybe the fact that my www.globalchange.com site has now been seen by 9 million different visitors, half of whom are managers, has helped a little.

All business rankings have their own characteristics as every business school knows, and at the end of the day, the final adjustments by the team of judges will carry some subjective judgments.

Here is an explanation in the Times

Porter thinks his way to the top;Profile;Michael E. Porter;The Most Influe ntial Management Gurus;Thinkers;Thinkers 50

1 December 2005
The Times

The death of Peter Drucker means that there is a new king of management thinking, write Des Dearlove and Stuart Crainer.

THE most influential living management guru is Michael E. Porter, head of Harvard Business School's Institute for Strategy and Competitiveness, according to the rankings of The Thinkers 50 2005.

The Thinkers 50 ranking is based on the votes of 1,200 business people, consultants, academics, MBA students and visitors to the project's website.

Nonetheless, Professor Porter only just made it to the top. Had the ranking been compiled a few weeks earlier, the title would have gone to Peter Drucker for the third successive year. But the father of modern management died on November 11 at the age of 95.

Professor Porter's ascension is no surprise. After the new economy meltdown, strategy is fashionable again. More of a surprise is a massive surge of support for Bill Gates. Once regarded as the business equivalent of a James Bond villain, Gates's elevation to the No 2 slot suggests that he has successfully reinvented himself through a judicious combination of vacating the Microsoft hot-seat and billion-dollar philanthropic giving.

Also benefiting from a generosity of spirit is another strategy guru, Professor C.

K. Prahalad, of the University of Michigan, whose book The Fortune at the Bottom of the Pyramid challenges conventional thinking about the world's poor. He rises an impressive nine places to No 3. Professor Prahalad is one of several Indian-born management gurus to make the 2005 ranking. These include the CEO coach Ram Charan (ranked 24), Professor Vijay Govindarajan, of Tuck Business School (30), and Harvard's rising star Professor Rakesh Khurana (33). As yet no Chinese guru has emerged.

Business gurudom is a man's world, with only four women in the top 50. Insead's Professor Renee Mauborgne is the highest placed at 15, followed by Harvard's Professor Rosabeth Moss Kanter at 19, Dr Lynda Gratton, of the London Business School (34), and the No Logo author Naomi Klein (46). The anti-management message of Dilbert rises from 27th to 12th place in the guise of the cartoonist Scott Adams. However, despite a strong showing early on, there is no place in this year's ranking for the ultimate management fashion victim David Brent.

THE TOP 50 BUSINESS BRAINS:

1. Michael Porter (2)* - Harvard strategy specialist

2. Bill Gates (20) - Founder of Microsoft

3. C. K. Prahalad (12) - (left) LBS strategy man

4. Tom Peters (3) - Leadership consultant

5. Jack Welch (8) - GE's ex-CEO and celebrity

6. Jim Collins (10) - Author of Good to Great

7. Philip Kotler (6) - Kellogg's marketing guru

8. Henry Mintzberg (7) - Promotes Managers not MBAs

9. Kjell Nordstrom & Jonas Ridderstrale (21) - Funky Business exponents

10. Charles Handy (5) - British portfolio worker

11. Richard Branson (34) - Entrepreneur and Virgin flyer

12. Scott Adams (27) - creator of Dilbert (left)

13. Thomas Stewart (37) - Intellectual Capital author

14. Gary Hamel (4)- Strategy consultant

15. Chan Kim & Renee Mauborgne (31) - Blue Ocean Strategy duo

16. Kenichi Ohmae (19) - Japanese strategy master

17. Patrick Dixon (46) - Futurist and change guru

18. Stephen Covey (16) - Knows The 7 Habits of Highly Effective People

19. Rosabeth Moss Kanter (9) - Harvard's change manager

20. Edward De Bono (35) - Lateral thinker and author

21. Clayton Christensen (22) - Harvard's new-tech guru

22. Robert Kaplan & David Norton (15) - Balanced scorecard creators

23. Peter Senge (14) - Learning organisation inventor

24. Ram Charan (-) - Coach to the CEOs

25. Fons Trompenaars (50) - Intercultural management man

26. Russ Ackoff (-) - Specialist of systems thinking

27. Warren Bennis (13) - Humanist leadership guru

28. Chris Argyris (18) - Action and learning guru

29. Michael Dell (33) - Dell Computer's founder

30. Vijay Govindarajan (-) - Tuck's strategy innovator

31. Malcolm Gladwell (-) - Blink and Tipping Point guru 32. Manfred Kets De Vries (43) - Psychoanalytic economist

33. Rakesh Khurana (-) - Harvard labour market guru

34. Lynda Gratton (41) - LBS people and strategy guru

35. Alan Greenspan (42) - Head of US Federal Reserve

36. Edgar Schein (17) - MIT organisational psychologist

37. Ricardo Semler (36) - Radical CEO of Semco

38. Don Peppers (48) - Customer relationship man

39. Paul Krugman (40) - Economist and columnist

40. Jeff Bezos (39) - Amazon's main man

41. Andy Grove (26) - One of the Intel founders

42. Daniel Goleman (29) - Emotional intelligence inventor

43. Leif Edvinsson (-) - Professor of intellectual capital

44. James Champy (25) - Advocate of re-engineering

45. Rob Goffee & Gareth Jones (-) - Authentic leaders

46. Naomi Klein (30) (left) - No Logo author

47. Geert Hofstede (47) - Cultural expert

48. Larry Bossidy (-) - Chair of Honeywell

49. Costas Markides (-) - LBS strategy professor

50. Geoffrey Moore (38) - Hi-tech marketing man

* 2003 ranking in brackets

(c) Times Newspapers Ltd, 2005

November 26, 2005

Another chemical explosion in China -

An explosion at a chemical plant in southwest China killed one worker and forced thousands of people to evacuate their homes, Agence France-Presse reported.

The explosion happened yesterday at Yingte chemical plant at a town near Chongqing, AFP said. A female worker died and more than 10,000 residents were evacuated.

An initial explosion went off near barrels of benzene, sparking a second one which created a yellow cloud. Officials ordered people to stop using water from taps and started gathering water and air samples.

A previous explosion on November 13th at a chemical plant in the northeast of the country spilled nitrobenzene into the Songhua River, leading to reports of contamination of the drinking water of Harbin, a city of 3 million.

These kinds of accidents are to be expected in a vast country, growing rapidly, populated by millions on low incomes who are struggling to survive economically, and for whom short cuts may bring promise of higher productivity and wages.

Accidents can happen in any country and any industry and it is easy for smaller nations to point the finger, when the main reason they have fewer accidents is the relative size of their industries - together witht the fact that they have had the benefit of relative wealth for some decades.

It is hard for the government when accidents happen because the lines of authority may be long, information may not always be available and when announcements are made, they may not always be believed by citizens who suspect local officials are playing down the situation. The result can be rumour and panic.

One way to deal with this problem would be to allow greater freedom in the media to investigate and criticise. A free media might be more trusted at such times - for example over whether local drinking water is safe. However, freedom in the media may bring other challenges, making it easier for organised protest movements to develop, perhaps leading to destabilisation. These are the dilemmas facing government leaders as they seek to lead the country along the delicate path of rapid growth, job creation, digital revolution, internet access and mobile telephone on the one hand, and secure, stable party rule on the other.

November 24, 2005

Human cloning pioneer confesses to breaking ethical code

Woo Suk Hwang, of Seoul National University, has confirmed that two junior researchers in his laboratory had donated their eggs for his groundbreaking experiments in human cloning.
"I am very sorry that I have to tell the public words that are too shameful and horrible," Professor Hwang said at a press conference in Seoul. He also said he would step down as head of the World Stem Cell Hub, an international research network based in Seoul that also has laboratories in San Francisco and London.

Professor Hwang's team cloned human embryos and extracted stem cells from them.
They went on to clone patient-specific embryos and stem cells this year. Professor Hwang also cloned the first dog, Snuppy, announced this year.

Cloning raises a number of significant ethical issues, of which this is just one.

In the meantime the rational is disappearing for human cloning as a source of stem cells to fight disease, as scientists learn more about the potential of adult stem cells.

November 23, 2005

AIDS pandemic is still out of control in many countries

Text of UNAIDS press release on World AIDS Day 2005..... Note: ACET International Alliance has been involved in the fight against AIDS for 17 years (I started ACET in 1988) and we have also seen signficant falls in HIV in places like Uganda. However we have also seen rapid spread recently in places like India and Russia.

Press Release:



HIV infection rates decreasing in SEVERAL COUNTRIES

but global number of people living with HIV

CONTINUES TO RISE



Increased HIV prevention and treatment efforts needed to slow and reverse AIDS epidemic, according to new UNAIDS/WHO report





GENEVA, 21 November 2005 ? There is new evidence that adult HIV infection rates have decreased in certain countries and that changes in behaviour to prevent infection?such as increased use of condoms, delay of first sexual experience and fewer sexual partners?have played a key part in these declines. The new UN report also indicates, however, that overall trends in HIV transmission are still increasing, and that far greater HIV prevention efforts are needed to slow the epidemic.



Kenya, Zimbabwe and some countries in the Caribbean region all show declines in HIV prevalence over the past few years with overall adult infection rates decreasing in Kenya from a peak of 10% in the late 1990s to 7% in 2003 and evidence of drops in HIV rates among pregnant women in Zimbabwe from 26% in 2003 to 21% in 2004. In urban areas of Burkina Faso prevalence among young pregnant women declined from around 4% in 2001 to just under 2% in 2003.


These latest findings were published in AIDS Epidemic Update 2005, the annual report by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO). The joint report, which this year focuses on HIV prevention, was released today in advance of World AIDS Day, marked worldwide on the first of December.



Several recent developments in the Caribbean region (in Bahamas, Barbados, Bermuda, Dominican Republic and Haiti) give cause for guarded optimism?with some HIV prevalence declines evident among pregnant women, signs of increased condom use among sex workers and expansion of voluntary HIV testing and counselling.



Despite decreases in the rate of infection in certain countries, the overall number of people living with HIV has continued to increase in all regions of the world except the Caribbean. There were an additional five million new infections in 2005. The number of people living with HIV globally has reached its highest level with an estimated 40.3 million people, up from an estimated 37.5 million in 2003. More than three million people died of AIDS-related illnesses in 2005; of these, more than 500000 were children.



According to the report, the steepest increases in HIV infections have occurred in Eastern Europe and Central Asia (25% increase to 1.6 million) and East Asia. But sub-Saharan Africa continues to be the most affected globally? with 64% of new infections occurring here (over three million people).





?We are encouraged by the gains that have been made in some countries and by the fact that sustained HIV prevention programmes have played a key part in bringing down infections. But the reality is that the AIDS epidemic continues to outstrip global and national efforts to contain it,? said UNAIDS Executive Director Dr Peter Piot. ?It is clear that a rapid increase in the scale and scope of HIV prevention programmes is urgently needed. We must move from small projects with short-term horizons to long-term, comprehensive strategies,? he added.



Impact of HIV Treatment



The report recognizes that access to HIV treatment has improved markedly over the past two years. More than one million people in low-and middle-income countries are now living longer and better lives because they are on antiretroviral treatment and an estimated 250 000 to 350 000 deaths were averted this year because of expanded access to HIV treatment.



Commenting on the potential enhanced impact of integrating prevention and treatment, the 2005 report emphasizes that a comprehensive response to HIV and AIDS requires the simultaneous acceleration of treatment and prevention efforts with the ultimate goal of universal access to prevention, treatment and care.



"We can now see the clear benefit of scaling up HIV treatment and prevention together and not as isolated interventions," said WHO Director-General Dr LEE Jong-wook. "Treatment availability provides a powerful incentive for governments to support, and individuals to seek out, HIV prevention information and voluntary counselling and testing. Effective prevention can also help reduce the number of individuals who will ultimately require care, making broad access to treatment more achievable and sustainable."



Future challenges for strengthening HIV prevention



New data show that in Latin America, Eastern Europe and particularly Asia, the combination of injecting drug use and sex work is fuelling epidemics, and prevention programmes are falling short of addressing this overlap. The report shows how sustained, intensive programmes in diverse settings have helped bring about decreases in HIV incidence?among young people in Uganda and Tanzania, among sex workers and their clients in Thailand and India, and among injecting drug users in Spain and Brazil.



The report notes that, without HIV prevention measures, about 35% of children born to HIV-positive women will contract the virus. While mother-to-child transmission has been virtually eliminated from industrialized countries and service coverage is improving in many other places, it still falls far short in most of sub-Saharan Africa. An accelerated scale-up of services is urgently needed to reduce this unacceptable toll.



Levels of knowledge of safe sex and HIV remain low in many countries ? even in countries with high and growing prevalence. In 24 sub-Saharan countries (including Cameroon, C�te d?Ivoire, Kenya, Nigeria, Senegal and Uganda), two-thirds or more of young women (aged 15-24 years) lacked comprehensive knowledge of HIV transmission. According to a major survey carried out in the Philippines in 2003, more than 90% of respondents still believed that HIV could be transmitted by sharing a meal with an HIV-positive person.



Finally, weak HIV surveillance in several regions including in some countries in Latin America, the Caribbean, the Middle East, and North Africa is hampering prevention efforts and often means that people at highest risk ? men who have sex with men, sex workers, and injecting dug users ? are not adequately covered or reached through HIV prevention and treatment strategies.

AIDS pandemic is still out of control in many countries

Text of press release from UNAIDS:

Background: the AIDS foundation I have been part of for 17 years, and helped found, has also seen dramatic falls in HIV infection in Uganda and some other countries, while places like India and Russia have been losing ground.



UNAIDS Press Release World AIDS Day 2005

There is new evidence that adult HIV infection rates have decreased in certain countries and that changes in behaviour to prevent infection?such as increased use of condoms, delay of first sexual experience and fewer sexual partners?have played a key part in these declines. The new UN report also indicates, however, that overall trends in HIV transmission are still increasing, and that far greater HIV prevention efforts are needed to slow the epidemic.



Kenya, Zimbabwe and some countries in the Caribbean region all show declines in HIV prevalence over the past few years with overall adult infection rates decreasing in Kenya from a peak of 10% in the late 1990s to 7% in 2003 and evidence of drops in HIV rates among pregnant women in Zimbabwe from 26% in 2003 to 21% in 2004. In urban areas of Burkina Faso prevalence among young pregnant women declined from around 4% in 2001 to just under 2% in 2003.


These latest findings were published in AIDS Epidemic Update 2005, the annual report by the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO). The joint report, which this year focuses on HIV prevention, was released today in advance of World AIDS Day, marked worldwide on the first of December.



Several recent developments in the Caribbean region (in Bahamas, Barbados, Bermuda, Dominican Republic and Haiti) give cause for guarded optimism?with some HIV prevalence declines evident among pregnant women, signs of increased condom use among sex workers and expansion of voluntary HIV testing and counselling.



Despite decreases in the rate of infection in certain countries, the overall number of people living with HIV has continued to increase in all regions of the world except the Caribbean. There were an additional five million new infections in 2005. The number of people living with HIV globally has reached its highest level with an estimated 40.3 million people, up from an estimated 37.5 million in 2003. More than three million people died of AIDS-related illnesses in 2005; of these, more than 500000 were children.



According to the report, the steepest increases in HIV infections have occurred in Eastern Europe and Central Asia (25% increase to 1.6 million) and East Asia. But sub-Saharan Africa continues to be the most affected globally? with 64% of new infections occurring here (over three million people).





?We are encouraged by the gains that have been made in some countries and by the fact that sustained HIV prevention programmes have played a key part in bringing down infections. But the reality is that the AIDS epidemic continues to outstrip global and national efforts to contain it,? said UNAIDS Executive Director Dr Peter Piot. ?It is clear that a rapid increase in the scale and scope of HIV prevention programmes is urgently needed. We must move from small projects with short-term horizons to long-term, comprehensive strategies,? he added.



Impact of HIV Treatment



The report recognizes that access to HIV treatment has improved markedly over the past two years. More than one million people in low-and middle-income countries are now living longer and better lives because they are on antiretroviral treatment and an estimated 250 000 to 350 000 deaths were averted this year because of expanded access to HIV treatment.



Commenting on the potential enhanced impact of integrating prevention and treatment, the 2005 report emphasizes that a comprehensive response to HIV and AIDS requires the simultaneous acceleration of treatment and prevention efforts with the ultimate goal of universal access to prevention, treatment and care.



"We can now see the clear benefit of scaling up HIV treatment and prevention together and not as isolated interventions," said WHO Director-General Dr LEE Jong-wook. "Treatment availability provides a powerful incentive for governments to support, and individuals to seek out, HIV prevention information and voluntary counselling and testing. Effective prevention can also help reduce the number of individuals who will ultimately require care, making broad access to treatment more achievable and sustainable."



Future challenges for strengthening HIV prevention



New data show that in Latin America, Eastern Europe and particularly Asia, the combination of injecting drug use and sex work is fuelling epidemics, and prevention programmes are falling short of addressing this overlap. The report shows how sustained, intensive programmes in diverse settings have helped bring about decreases in HIV incidence?among young people in Uganda and Tanzania, among sex workers and their clients in Thailand and India, and among injecting drug users in Spain and Brazil.



The report notes that, without HIV prevention measures, about 35% of children born to HIV-positive women will contract the virus. While mother-to-child transmission has been virtually eliminated from industrialized countries and service coverage is improving in many other places, it still falls far short in most of sub-Saharan Africa. An accelerated scale-up of services is urgently needed to reduce this unacceptable toll.



Levels of knowledge of safe sex and HIV remain low in many countries ? even in countries with high and growing prevalence. In 24 sub-Saharan countries (including Cameroon, C�te d?Ivoire, Kenya, Nigeria, Senegal and Uganda), two-thirds or more of young women (aged 15-24 years) lacked comprehensive knowledge of HIV transmission. According to a major survey carried out in the Philippines in 2003, more than 90% of respondents still believed that HIV could be transmitted by sharing a meal with an HIV-positive person.



Finally, weak HIV surveillance in several regions including in some countries in Latin America, the Caribbean, the Middle East, and North Africa is hampering prevention efforts and often means that people at highest risk ? men who have sex with men, sex workers, and injecting dug users ? are not adequately covered or reached through HIV prevention and treatment strategies.

November 18, 2005

China oil consumption - and global warming

Interesting fact: If China develops to the same level as South Korea (GDP per head), it could consume as much oil per day as 60% of the whole world at 2005 levels.

Expect the Chinese government to invest great efforts not only in securing their own oil supplies by buying significant stakes in oil companies around the world, but also to invest in alternative energy sources, especially coal.

November 17, 2005

BBC NEWS | Business | Pension age 'should rise to 67'

We are rapidly learning more about why people get old, and ways we can interfere with that process. When you add in all the progress we are seeing with adult stem cells in repairing tissues, and other medical advances, it is clear that we are going to see further extensions of life-expectancy.

That is why the proposal to increase retirement age from 65 to 67 has already been overtaken by the realities of biology. Workers who are in their 20s today have more than two additional years of life ahead of them compared to people now in their 60s when they were at the same age.

You will see government actuaries continue to upgrade their estimates of how long we will all live, every few years, and every time they do so, we can expect to see further worries about the solvency of corporate pension funds.

For more on these important issues see http://www.globalchange.com/ppt/index.htm
for presentations on ageing and the future of medicine, also http://www.globalchange.com/stemcells2.htm
for more on stem cell advances.

November 16, 2005

November 15, 2005

Man cured of HIV infection? New information

Reports in the media today of a press statement from the hospital casting some doubt on the story. They say that the first tests were for antibodies only and imply that no direct tests were made for presence of the virus, that have been found to be positive at any stage. This raises the possibility, they say, that the person never had HIV infection. Once again they say they would like to conduct more tests.

In other words, the first test(s) might have given a false postive result - which can happen.

It is interesting that the media story only broke after the person concerned had talked about taking legal action against the hospital, for the distress caused by telling him he was infected and having to live with that thought for many months before being told he was not infected.

So as I have said all along, this is a complex story, broken in an unusual way - not in a reputable medical journal - from which many of the most important facts have been missing, and may be complicated still further if it turns out that the person was paid a large sum by the newspaper that broke the story to the world.

November 14, 2005

Man cured from HIV infection?

Media continue to cover this story but the medical facts are still unclear. It will be some time perhaps before we know for certain one way or the other if he was infected in the first place or not, and whether if so he is now completely free of infection. And indeed we may not know, if he choses not to have further tests, or to keep the results confidential.

November 13, 2005

Man cured of HIV in London? Comment on recent press reports

Today has been a busy day with BBC Breakfast TV and other programmes / channels looking for comment on a story about a London man who tested positve for HIV who it is said has "cured" himself. Of course one can only comment in very general terms since so many of the facts have yet to emerge and the report was in a newspaper, not a peer-reviewed scientific research publication. I have been involved since 1987 in the fight against HIV and AIDS, and founded the international AIDS agency ACET in 1988, now a growing alliance of independent AIDS care and prevention programms in countries such as Uganda, India, Thailand, Russia and Ukraine. Over the years I have come across a number of anecdotal reports of people who appeared to be infected with HIV and then had no trace of infection, but it has not been possible to verify what has happened or recheck their results. We do know that some people have a genetic profile which gives them some protection against HIV infection.

Independent researchers will want to take a very close look at any case like this, firstly to be sure that there were no errors in the testing process, and if so, to make certain that there really is no HIV infection lurking in the background. If they are satisfied on both counts, they will try and work out what process the body has used to eliminate HIV. Antibody tests are the usual way to look for HIV infection, and measure the body's reaction to the virus. Direct tests for the virus particles themselves are more difficult and expensive, but it would be very significant if they also tested positive at first, and then negative. It is unclear from the first reports what kinds of HIV tests were positive or negative at each stage.

For more comment on this important story:

http://globalchange.com/hivcurereport.htm

November 12, 2005

China reports new bird flu outbreaks, and other countries report more cases

Bird flu continues to spread unchecked with new countries reporting cases every few days. While the risk of human to human spread remains very low unless there is a mutation, the chances of such an event are growing with every new outbreak of the disease amonst domestic birds.

China reported its seventh and eighth bird flu outbreaks in three weeks. Vietnam has ordered police and the military to help fight the disease. In Thailand, an 18-month-old boy became the 21st person to catch the H5N1 bird flu virus, but is recovering in a hospital. North Korea issued an alert restricting access to chicken farms, urging the public to help fight bird flu.

One of the new Chinese outbreaks was in Liaoning province in the north east. Premier Wen Jiabao visited Liaoning this week and warned that the disease was not under control. The outbreak killed 300 chickens in Beining village near the city of Jinzhou, the agriculture ministry said in a report on the website of the Paris-based International Organisation for Animal Health. 2.5 million birds were destroyed to contain the outbreak.

The other outbreak, in Hubei province's Jingshan County, has killed 2,500 poultry. Authorities haved destroyed more than 31,000 birds, according to the official Xinhua News Agency. The case, which reportedly occurred on November 2. China has reported no human cases.

November 10, 2005

Fujitsu Siemens - and use of robots to build computers

I visited Fujitsu Siemens computer factory near Munich yesterday and was interested to see the very high levels of automation in motherboard assembly with large numbers of robots.

This followed a presentation to 2,000 of their clients earlier in the day on the future of new technology and management.

The need is growing for instant response to requests from European cusomters for custom-built machines, and that means the computers cannot be built in a country like China.

At the conference exhibition I learned that every LCD computer screen in a building can be read up to 100 metres away, if you have the right equipment. It is possible to tune in to each computer and read capture anything on the screen, with major consequences for computer security, privacy, confidentiality and leakage of sensitive business data. Of course there are easier ways to do it. using bugs of various kinds or viruses, and most security breaches are caused by employees inside, not people using clever technology a few streets away. There is a solution to reading at a distance which is to screen the computer and display using the principles of a faraday cage and these kind of solutions were being demonstrated.