STATEMENT ON THE GAMBIAN GOVERNMENT’S
UNPROVEN CLAIM OF A CURE FOR AIDS

24 April 2007 (Geneva, Switzerland) –As the world’s leading association of
HIV professionals, the International AIDS Society’s (IAS) more than 10,000
members are working at all levels of the global response to HIV/AIDS. Our
members represent scientists, clinicians, and public health and community
leaders on the frontlines of the epidemic in 171 countries worldwide.
As the principal convener of the International AIDS Conference and the
upcoming HIV Pathogenesis, Treatment and Prevention Conference, the IAS is
firmly committed to an evidence-based response to the epidemic, based on
sound science. It is therefore with great concern that we note recent
developments related to HIV treatment in the Gambia.
This concern is echoed by the Society for AIDS in Africa (SAA), an
independent association of HIV professionals in Africa, and the custodian
of the International Conference on AIDS and Sexually Transmitted
Infections in Africa (ICASA), the biannual regional AIDS conference in
Africa.
Earlier this year, Gambian President Yahya Jammeh announced that he had
found a cure for AIDS. He began treating HIV-positive patients with a
herbal treatment at the Presidential Palace, with the support of the
Department of State for Health and Social Welfare. The initial ten
patients, who were responding very well to antiretrovirals (ARVs), were
required to stop ARVs in order to receive the herbal treatment. Blood
samples from the patients were sent to Professor Souleymane Mboup of the
University of Dakar, Senegal, who is the former Regional Representative
for Africa on the IAS Governing Council, a member of the Executive
Committee of the Society for AIDS in Africa, and the Chair of the next
ICASA, to be held in December 2008. A public statement issued by the
Office of the Gambian President on 12 February 2007 indicates that tests
conducted by Professor Mboup showed undetectable levels of HIV in the
samples submitted to him.
In response, Professor Mboup has issued the following statement:
“The interpretation by the Gambian authorities of the results of HIV
antibody and viral load testing on blood samples sent to my laboratory is
incorrect. Firstly, the results were obtained under false pretenses, when
a technician approached us asking for training on our equipment because he
had problems operating the equipment in his laboratory. We agreed, and in
this process, he asked us to test some anonymous samples, which we later
learned were from patients who had received President Yammeh’s treatment.
Of those samples that were HIV-positive (66.66%), none could be described
as cured. Viral load was detectable in most cases. In some samples viral
load measures were below the level detectible by the tests. This is not
surprising, since these patients had been treated with ARVs prior to the
administration of the herbal treatment. Effective antiretroviral therapy
can reduce HIV viral load to below levels of detection. In addition, some
of the patients were infected with HIV-2, and it is well known that these
patients would have lower viral loads compared to HIV-1 patients. However,
extensive research over many years has shown that, even in patients whose
HIV viral load is undetectable by standard testing measures, with further
specific DNA and RNA testing, HIV can be found in the tissues of all
patients.
“There is no known cure for AIDS. Under no circumstances may the tests
conducted in my laboratory be used as proof of an alleged cure for HIV.
For the results to be used in this way, tests must be conducted before,
during and after treatment. International rules regulate the conducting of
trials in order to prove therapeutic efficacy.”
IAS President Dr. Pedro Cahn, President of Fundación Huesped in Argentina,
added:
“Pharmaceutical and traditional medicines have benefited many people with
various medical conditions across the world. All products that show
promise in the treatment or eradication of HIV should be rigorously
studied. The Gambian government has characterized criticism of its herbal
treatment as “anti-African”. This is not at all the case. The IAS believes
that all reasonable approaches should be scientifically evaluated,
including the current Gambian treatment being billed as a “cure”. It is
premature and unethical to label this product a cure if it has not been
thoroughly tested and proven. Furthermore, to take patients off potent
combination antiretroviral therapy, which has saved millions of lives
since its introduction in 1996, is shocking and irresponsible.”
The IAS urges its worldwide membership to hold their governments to
account for unproven claims of AIDS cures. We advise health care workers
and policy makers throughout the world to continue to implement ARV
treatment programmes for all who need them, and to clarify the proven
dangers of stopping ARVs, including the risk of disease progression and
the development of drug resistance.
In closing, SAA President Dr. Femi Soyinka emphasized the continued need
to work towards universal access to HIV treatment:
“WHO, UNAIDS and UNICEF last week released a report that noted that two
million people in low- and middle-income countries were on ARV treatment
as of December 2006. This represents a dramatic fifty-four percent (54%)
increase from the 1.3 million that were on treatment a year ago, but is
still far short of the estimated 7.1 million who are in need of treatment
throughout the world. The world must continue to advance HIV prevention
and treatment to all those who need it.”
Ends
For further information, contact:
Karen Bennett (Geneva, Switzerland)
Communications Manager, International AIDS Society
Email: [log in to unmask]
Tel: +41 22 710 0832
Malaki Owili (Nairobi, Kenya)
Secretary General, Society for AIDS in Africa (SAA)
Email: [log in to unmask]
Tel : +254 73 479 9154


-- 
BambaLaye
Radio Free Gambia
www.freegambia.net

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