Date: Wed, 22 Feb 1995 12:35:06 +0500 From: ghfostel{CONTRACTOR/ASPEN/ghfostel}%NAC-GATEWAY.ASPEN@ace.aspensys.com AIDS Daily Summary February 22, 1995 The Centers for Disease Control and Prevention (CDC) National AIDS Clearinghouse makes available the following information as a public service only. Providing this information does not constitute endorsement by the CDC, the CDC Clearinghouse, or any other organization. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC Clearinghouse should be cited as the source of this information. Copyright 1995, Information, Inc., Bethesda, MD ************************************************************ "Baboon Bone Marrow Will Be Used in AIDS Patient to Build Immunity" "False AIDS-Vaccine Report Prompts Japanese Inquiry" "AIDS Sufferers Often Must Fight to Keep Jobs" "Marchi Defends Refuge for HIV-Positive Pole" "New Study of Combination AIDS Therapies to Begin" "Law Would Encourage AIDS Test" "Romanian Court Postpones Lawsuit over HIV Child" "China Patient Wins Lawsuit over AIDS False Alarm" "HIV Testing in Prison" "How CDC Wages War on AIDS" ************************************************************ "Baboon Bone Marrow Will Be Used in AIDS Patient to Build Immunity" Philadelphia Inquirer (02/22/95) P. A3; Haney, Daniel Q. In an effort to rebuild his ravaged immune system, an AIDS patient will soon receive a bone marrow transplant from a baboon. The transplant, which was described on Tuesday at a conference sponsored by the American Association for the Advancement of Science, is meant to resupply the human bloodstream with baboon blood cells, which do not become HIV-infected. "Given the fact that there is no treatment for AIDS, people have been very comfortable with moving ahead," said Dr. Suzanne Ildstad of the University of Pittsburgh, who is directing the treatment. Collaborators on the experiment include Dr. Anthony Fauci, head of the National Institute of Allergy and Infectious Diseases, and Dr. Robert Gallo, a pioneering AIDS researcher at the National Cancer Institute. Although a previous attempt at the procedure failed, animal experiments indicate that the transplant might succeed this time. Several question remain, however, including whether baboon blood cells can perform the same functions as human cells do. Ildstad said that the procedure will take place sometime in the next few months and that a terminally ill AIDS patient had already been selected to receive the therapy. Related Story: Baltimore Sun (02/22) P. 3A "False AIDS-Vaccine Report Prompts Japanese Inquiry" Wall Street Journal (02/22/95) P. A16 The Security and Exchange Surveillance Commission in Japan and local officials of the Finance Ministry raided the home of Tsutomu Matsuzaki, former president of T.S.D. Co., a now-bankrupt computer software developer. The regulators are investigating Matsuzaki on suspicions that he deceived investors in 1992 by falsely claiming that his company was sponsoring the clinical testing of an AIDS vaccine in Thailand and Russia, said people familiar with the case. Matsuzaki's alleged claims may have saved his company 1.5 billion yen ($15.4 million) before it went under in November 1993. In June 1992, after a Japanese business journal reported that T.S.D. was involved in testing an AIDS vaccine, the company's share price tripled in less than a month, and 40 percent of the investors exercised an option to buy T.S.D. stock at a set price. The share price crashed in November 1992 after T.S.D retracted its vaccine claims. "AIDS Sufferers Often Must Fight to Keep Jobs" Houston Chronicle (02/21/95) P. 1C; Sixel, L.M. The majority of the HIV/AIDS-related lawsuits filed these days involve employees who took medical leave but found they were not allowed to return to their jobs, experts say. In one recent case, for example, "John Doe" wanted to return to Gulf Precision Industries in Texas after being treated for AIDS. The U.S. Equal Employment Opportunity Commission (EEOC) sued the company after DOE was fired following an employee vote on whether he should be allowed to return. The EEOC accused the company of not accommodating the man's illness as required by the Americans with Disabilities Act (ADA). Another problem for people with AIDS is the employer who tries to limit health insurance benefits for specific illnesses. Recently, the EEOC settled a case with an employer who put a $10,000 cap on AIDS benefits, yet covered $1 million for other illnesses. The employer agreed to repay all the medical claims for an employee with AIDS, treat AIDS as any other illness in the future, and donate $20,000 to an AIDS charity. AIDS discrimination cases make up a large number of ADA cases, said Jim Sacher, regional attorney for the EEOC. Nationwide, the EEOC has 35 ADA cases pending, eight of which concern AIDS. "Marchi Defends Refuge for HIV-Positive Pole" Toronto Globe and Mail (02/21/95) P. A4; Sarick, Lila Canada's Immigration Minister Sergio Marchi defended the country's decision to grant refugee status to a HIV-positive Polish man, saying the decision will not open the floodgates to other infected claimants. He added that the Immigration and Refugee Board decides each case on its individual merits. The case is thought to be the first time the board has accepted a claim that a person faces discrimination because of HIV-positive status. In December 1991, the Polish man arrived in Canada and sought refugee status, claiming that he faced persecution because he was both homosexual and HIV-positive, said his lawyer. The man had been arrested arbitrarily in Poland and beaten because of his sexual orientation. The man's doctor in Poland also sent a letter to the board stating that his country's AIDS clinics have been raided by the police and that patients' names had been passed on to landlords and employers. The issue has revived the Reform call for mandatory HIV testing of all immigrants, including refugees. "New Study of Combination AIDS Therapies to Begin" PR Newswire (02/21/95) The Inter-Company Collaboration for AIDS Drug Development and PAREXEL International Corporation, a major contract research organization, on Tuesday announced that the first study under the collaboration has started to enroll patients at research centers around the United States. The study will determine the ability of two separate three-drug combinations to reduce the viral load and produce a sustained increase in CD4 cells in certain HIV-infected patients. The one-year study will evaluate the antiviral and immunologic effects of a combination of Retrovir, HIVID, and Invirase; as well as a combination of Retrovir, HIVID, and nevirapine. The three-drug combinations will be compared to the two-drug combination of Retrovir and HIVID--two nucleoside analog reverse transcriptase inhibitors that are currently on the market for the treatment of HIV infection. "Law Would Encourage AIDS Test" Houston Chronicle (02/17/95) P. 25A; Tuell, Sherry Carter A law proposed last Thursday in Texas, filed by state Rep. Peggy Hamric, is designed to identify HIV-infected pregnant mothers so that their doctors can begin treatment that would likely prevent the child from becoming infected. Under the law, Texas doctors would strongly encourage pregnant patients to be tested for HIV during regular prenatal visits. The women would not be forced to submit to the testing, but they would have to sign a waiver to avoid it. The HIV test would become part of the routine prenatal blood test that is now offered by physicians. Women testing positive for HIV would be told of treatments involving AZT, which has shown to be successful in preventing transmission of the virus to unborn children. Hamric said the cost of "testing every pregnant woman in Texas and treating those HIV-positive amounts to about $2 million, or the cost of treating only 20 HIV babies for one year." In Texas, 0.1 percent of the 328,000 women who became pregnant in 1994 were HIV-positive. One-quarter of their babies were infected, but doctors say that two-thirds of those children could have been spared with AZT treatment. "Romanian Court Postpones Lawsuit over HIV Child" Reuters (02/20/95); Dascalu, Roxana On Monday, a Romanian court postponed hearing a landmark legal case in which the parents of an HIV-positive six-year-old girl are suing the Romanian government for token damages. The girl's parents claim that she became infected with HIV during treatment at a hospital in Iasi, and that the hospital and health ministry were negligent. The ministry rejected the accusations, saying that both the mother and the father have tested HIV-positive and must prove how their daughter became infected. The court postponed the hearing after the couple's lawyer said they were cutting their demand for damages to a token one leu ($0.055) because the state required them to deposit too large a sum before it would agree to accept the suit. "The state wants the parents to pay 32 million lei ($17,729) in order to accept their 325 million lei ($180,000) lawsuit against the hospital and the health ministry. They cannot afford to pay this sum," said the lawyer. "China Patient Wins Lawsuit over AIDS False Alarm" Reuters (02/20/95) A northwest China court has ruled that a man was defamed by a doctor who accidentally diagnosed him as HIV-positive and reported the diagnosis to his employer. A panel of judges in Xian awarded the patient 26,000 yuan ($3,060) in damages and compensation. The court also ordered the doctor to apologize to the patient and the more than 70 co-workers who were forced to undergo AIDS testing after his erroneous diagnosis. Last April, after checking into a hospital because of a high fever, the patient was diagnosed as "suspected of being infected with the AIDS virus" and ordered into isolation for treatment. The doctor reported the suspected diagnosis to state quarantine officials and the patient's workplace. The quarantine officials quickly reversed the diagnosis, but the doctor insisted on conducting additional tests. The man's employers panicked and summoned doctors to draw blood for AIDS screening of all his co-workers. Ten weeks after first entering the hospital, the patient was finally given a clean bill of health. For an unknown reason, the November decision was not disclosed publicly until the Xinmin Evening News of Shanghai reported it on Sunday. Experts say the case reflected widespread ignorance about AIDS in China and emphasized the need for more education. "HIV Testing in Prison" Lancet (02/11/95) Vol. 345, No. 8946, P. 390; Flanigan, Timothy P. In response to a commentary on HIV testing in prison that appeared in the Dec. 17 issue of the Lancet, Timothy P. Flanigan--director of HIV medical care for incarcerated men and women in Rhode Island who are infected--endorses the recommendation of voluntary HIV testing with the provision of counseling and comprehensive care. In Rhode Island, testing is mandatory by law for convicted inmates. All persons who are seen on intake at the state prison are offered voluntary HIV testing with signed consent at the same time that blood is being drawn for syphilis and pregnancy testing. Individuals who test positive for HIV receive individual counseling and comprehensive medical care. HIV-infected individuals are not segregated, and only the medical team has access to records of HIV serostatus. In this setting, 93 percent of individuals accept testing with signed informed consent. Incarceration could also offer many HIV-infected persons the first opportunity to receive appropriate counseling, medical care, and substance abuse treatment, Flanigan concludes. "How CDC Wages War on AIDS" Government Computer News (02/06/95) Vol. 14, No. 3, P. 39; McCarthy, Shawn P. Biologists at the Centers for Disease Control and Prevention (CDC) in Atlanta, working at networked Unix and Apple Macintosh computers, use customized software and an electrophoretic technique for molecular isolation to pinpoint strains of HIV. The epidemiologists "aren't computer experts, they usually just want to see the printouts to read the DNA sequences," said molecular biologist Norman J. Pieniazek of the CDC's National Center for Infectious Diseases, Parasitic Diseases Division. The printouts use letters and lines to show how linked proteins can fall in almost endless combinations on DNA strands. The core of the system constructed by Pieniazek's division is an interface called the Genetic Data Environment, which functions as a general interface from which a user can launch any of several genetic study applications. It also has a built-in molecular taxonomy package called fastDNAml to help with classification. In the case of the Florida dentist who allegedly infected several of his patients with the disease, the CDC biologists used the system to help identify virus strains that pointed to him as the source. THE END