15.3.13

Two cures for HIV

Last week another major victory was won in the fight against HIV and AIDS.
A two-year-old girl from Mississippi was declared "functionally cured" of the Human Immunodeficiency Virus, the infectant that causes the deadly Acquired Immunodeficiency Syndrome. She is only the second person ever to be considered cured of the disease.
The girl was born HIV-positive, contracting the virus from her mother. News reports state that doctors discovered her mother was infected only shortly before the baby girl's birth. A combination of three different HIV drugs, called antiretroviral therapy or ART, was given to the infant when she was only 30 hours old, in the hopes of arresting the virus' growth, to prevent it from becoming AIDS.
Within a month of treatment, tests showed that the virus in the baby's blood had decreased until it was undetectable. Now, two years later, there is still no detectable sign of HIV in her blood. Her remarkable case was presented by doctors at the 2013 Conference on Retroviruses and Opportunistic Infections in Atlanta, Georgia. She has given health researchers hope that if infected babies are treated early enough with effective doses, they can be cured, and will not have to live the rest of their lives on treatment.
The toddler is the second person freed of HIV after the famous "Berlin patient," Timothy Ray Brown, was also declared cured in 2011. Brown, a 40-year-old HIV-positive man, had been diagnosed with leukemia in 2007. He received a stem cell transplant from a donor's bone marrow, selected for genetic compatibility but who also has a rare immunity to HIV.
Studies revealed in the late 1990s that about one per cent of people of northern European ethnicity are totally immune to the virus. Their immunity was found to be due to a rare genetic mutation that creates a protective barrier for cells in the body. Two copies of the rare gene are required for total immunity. Somewhat more common among northern Europeans is to have one copy of the gene mutation, found in about 11 per cent of Caucasians, making them more resistant, though not immune, to infection.
Today, Brown has no detectable HIV, though the effects of his leukemia have affected him and he has trouble walking. But his case gives hope that stem cells from genetically immune donors can lead to a cure for most, if not all, people.
Even though most of us may never put ourselves at risk of acquiring HIV or AIDS, the impact of the virus on the whole world cannot be underestimated. Uganda's ABC model has proven the most successful preventative method: Abstinence first, Be faithful to your spouse, and only as a last resort use a Condom; but much of sub-Saharan Africa continues to suffer with prevalence rates over 20 per cent in some countries.
While AIDS is relatively uncommon in Alberta and Canada — statistics from 2009 found about 1,462 people in this province living with the disease — medical advances like these are an important sign of hope for humanity.