Science Guardian

Paradigms and power in science and society

I am Nicolaus Copernicus, and I approve of this blog

I am Richard Feynman and I approve of this blogComparing mainstream claims in science and technology and received wisdom in society with the published record, we defend honest, accomplished, independent minded and often heroic scientists (Peter Duesberg, Serge Lang, Harvey Bialy, Kary Mullis, Henry Bauer, Jim Watson, Peter Medawar, Erwin Chargaff, Richard Feynman, Linus Pauling, James Hansen, Fred Singer, Richard Lindzer, Rainer Plaga, Otto Rossler, Michio Kaku, David Rasnick, Rebecca Culshaw, Ernst Krebs, Mark Leggett, Adrian Kent) and their good science against the censorship, mudslinging, false arguments, ad hominem propaganda, overwhelming group prejudice and internal science politics of the paradigm wars of cancer, HIV/AIDS, evolution, global warming, collider physics, health, medicine and nutrition, as well as from time to time promoting truth in personal technology by identifying items of genuinely high quality from those whose reputation is unjustly magnified in the media.

I am Galileo Galilei, and I approve of this blog, but wish to warn the author that it is unwise to get on the wrong side of the Pope by portraying him as a simpleton, as I did, although confinement to my villa wasn't too bad a punishment.I am Bertrand Russell and I approve of this blog for three reasons - because it is for science, because it is against against religion, and because it is especially against religious belief in any scientific paradigm. This publication aims to measure truth only by the professional and scholarly literature in peer reviewed journals, well researched books, and the investigative reporting and reviews of thoughtful and informed if often unconventional academics, philosophers, researchers, scholars, authors, and journalists (John Lauritsen, Celia Farber, Liam Scheff, Robert Houston, Claus Jensen, Anthony Liversidge, James Blodgett, Jim Tankersley, John Tierney, Bob Herbert, Dennis Overbye, Marcus Cohen, Gary Null, Walter Wagner, Luis Sancho, Toby Ord and Eric Johnson) too often scorned, shortchanged or damned by publicly irresponsible scientists and other authorities living off the status quo.

Thus we hope to combat the influence of the running dog lackeys of those in power who mislead in science and society, namely compliant media editors, unquestioning science reporters, ignorant publishers, fellow traveling pharma activists and other invested parties, and their misled congregation of patients, doctors, politicians, officials, charity workers, foundation staff, celebrities, bloggers and innocent members of the confused but trusting general public who may assume that leading scientists and other gurus are not subject to the laws of human nature, by which personal rewards and group goals can trump professional conscience and the public interest.

I am Carl Sagan, and I approve of this blog, because it encourages the lay person to practice the scientific method for himself,  and to double check the verbal claims of scientists, however prominent, against the published literature and common sense.  I myself wish that I had been less gullible when I was alive, for then I would not have taken the AIDS HIV claim at face value, and I might have saved myself from standard treatment for leukemia.   After all, I did stand up for marijuana and against the political prejudice and legal suppression which prevents all of us benefiting from its educational influence.I am Freeman Dyson, and I approve of this blog, but would warn the author that life as a heretic is a hard one, since the ignorant and the half informed, let alone those who should know better, will automatically trash their betters who try to enlighten them with independent thinking, as I have found to my sorrow in commenting on "global warming" and its cures. I have never made but one prayer to God, a very short one: “O Lord make my enemies ridiculous.” And God granted it. – Voltaire

Everything that one thinks about a lot becomes problematic. – Friedrich Nietzsche

A little inaccuracy sometimes saves tons of explanation. – Saki (H. H. Munro).

More Quotations on Science and Belief

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(Incorporating New AIDS Review)

House of Numbers is quietly explosive

September 5th, 2009

Remarkable movie shows how AIDS story falls apart under questioning

Leading luminaries confess flaws, confirming critics’ concerns

Clarity and entertainment value may gain wide audience for documentary

But John Moore and his squad are on the job to sink it if possible

shipoffoolsHouse of Numbers premiered last night at the Quad in New York City, and contrary to the uninformed review by Jeannette Catsoulis in the New York Times (see previous post), the documentary is a winner on every level – clarity of exposition, entertainment value, and unexpected revelation. Small wonder it has started garnering prizes at festivals (six so far).

Brent Leung adopts the Boy Scout approach of innocent inquiry, and travels the world in search of answers to the huge questions that HIV/AIDS ideology raises in every inquiring mind. He ends up gaining remarkable admissions from some leading lights in the field.

Web of inconsistency

The impression left as the credits roll is that every time he pokes at the supposedly solid science of HIV/AIDS he finds he meets no resistance, and his finger tears another hole is what seems like a cobweb of false claims, one that needs sweeping away before it catches another million hapless “HIV positives” to feed killer drugs to and, the film implies, shorten their lives for no good purpose except to preserve the careers and salaries of all in the vast economy of this statistically exaggerated and medically misread disease.

The film makes all the major points that the much vilified (by HIV defenders) “denialists” have made over the years, starting with Peter Duesberg’s brilliant and unrefuted reviews of the late 1980s, which have been censored from public attention ever since by Anthony Fauci of NIAID and the editors of the New York Times. But none of these McCarthy-ite internal politics are touched on in the film, which keeps it all very simple.

Conjuring the statistics

Can electron microscope images of the AIDS virus be produced? A leading expert in the technique shows Leung all the pictures produced by Gallo and by others since, but confirms they are only “probably” HIV. Do any tests provably confirm the presence of HIV or even HIV antibodies in the blood of “HIV positives”? No they don’t, other experts admit.

As the scientists quarrel on camera about which combination of tests might be definitive, it emerges that all tests, even PCR tests, have package disclaimers saying that in themselves they confirm nothing about the HIV status of the individual. Meanwhile, test interpretation varies by country, and by the information you have given the tester (are you gay? are you poor?). Rapid tests, used widely now in South Africa, are unreliable and prove nothing, it turns out, though Brent takes one on camera. Many Africans are still judged to be AIDS victims without any testing at all (the Bangui definition is still widely used, he discovers, for symptoms as simple as diarrhea and fever, no testing required).

James Chin, who was chief epidemiologist for WHO for five years, says he warned headquarters how flimsy the statistics were but no one paid any attention. Now he predicts that their “house of numbers” will collapse as the true situation emerges, and indeed huge downward adjustments have been made by the UN for the total of HIV “positives” in the world. (Kevin De Cock, the WHO official who stated a couple of years ago, that heterosexuals have never in reality been threatened by AIDS is not mentioned.)

With Brent and his audience thus instructed how a positive status doesn’t necessarily mean they are infected or have ever been infected by HIV, he is then shown how damaging and even lethal the drugs administered are. Reducing the dosage of the dreaded AZT in the nineties by substituting David Ho’s cocktail of protease inhibitors slowed patients’ decline, reprieving them from the early death guaranteed by full dose AZT before the mid nineties. Everyone lasted longer, so the triumph of protease inhibitors was applauded and the cause of AIDS spuriously confirmed. But deaths have continued at the same rate in the US since (about 17,000 a year). Meanwhile the definition of AIDS was expanded so that a decline was turned into a doubling of cases.

Applause during the film

By the time the film contemplates the experience of Steve and Sherrill Nagel the audience is ready to be horrified. The Nagels adopted a baby from Romania who tested positive in the US, and dutifully fed her AZT while doctors predicted she would barely last till age two. Her leg pains, loss of coordination, and mental disruption are disturbing to watch, and the parents finally decide that even by the measure of standard AIDS ideology it is not worth harming the child any further with AZT. There was a burst of applause at the premiere when it is announced that the child is now 19 and perfectly healthy.

The film doesn’t leave room for any official rebuttal of this or other anecdotes, but on the core points of the science and its politics well known figures such as Anthony Fauci of NIAID are given time to rebut the cynics. When they contradict themselves this is shown clearly. But what is most surprising is that Martin Delaney, who turned from being a skeptic to a staunch advocate of AIDS drugs when his San Francisco group Project Inform gained drug company funding, expresses a lot of world weary doubts about their usefulness and even notes that the companies have no financial motivation to think up a better way to go.

Montagnier’s stunning statement

In its final phase Brent Leung maps AIDS worldwide and shows how it matches poverty and how lack of good food and hygiene gives rise to exactly the same symptoms that are laid at the door of HIV. Is it possible, he asks, that much of global AIDS is sickness from poverty, and would be cured by pouring money into clean water and decent food rather than damaging drugs? That the drugs are damaging is earlier highlighted by photos of buffalo humps and by the death of Joyce Hafford after only 39 days in a test of nevirapine, with grotesque skin symptoms.

Ship of Fools by Joel Peter Witkin, or possibly the current situation in HIV/AIDS
The establishment in HIV/AIDS has practiced answers to all this, to be sure, though none of them bear examination, as we have found in writing this blog. So perhaps Brent Leung can be forgiven for not including them, although they are undoubtedly among the 300 hours of film he has recorded. What he has produced is a vivid documentation of unanswered – in fact, confirmed – doubts about the scientific rationale peddled in HIV/AIDS, conflicting claims by experts, and real people examples of ignorance and suffering. He has shown how AIDS drugs could equally be causing the same and worse symptoms and deaths as HIV is supposedly causing.

The climax of the film comes with Luc Montagnier assuring him that “a good immune system” can rid the body of HIV in a few weeks. Leung gets him to repeat this unexpected statement and then asks if it applies to poor Africans. If their immune systems are restored with adequate nutrition, would their bodies conquer HIV too? The soon to be Nobelist Montagnier says “I would think so.”

Montagnier also emphasizes as he has done over the years (he was barred from the San Francisco AIDS Conference for it) that a co-factor is always necessary for HIV to do its deadly work, which opens the possibility that HIV itself is not actually involved. Presumably now that he alone won the Nobel last year for discovering HIV “the cause of AIDS” he will now be less frank in public. But here he is on film. The cat is out of the bag.

Will the doc be stopped?

This is the kind of paradigm threatening conclusion that a huge array of vested interests cannot abide, ranging from the emotions of patients who have committed themselves to taking the drugs to the vast array of career and financial interests that need to keep the 25 year old HIV/AIDS ideology in play, including now George Bush and Bill Clinton, who have both sought redemption through AIDS funding.

John Moore of Cornell, the HIV scientist most hostile in public and behind the scenes to outside review, has vowed in email to them that the filmmakers will, as the Hollywood phrase has it, ‘never eat lunch in this town again.’ Yet his efforts haven’t been able to stop their momentum so far, despite his supporters at the Times, which itself now has a huge, 25 year investment in the status quo.

With the politics so intense the censors of AIDS review may still succeed, but on behalf of the public Leung has fired the loudest shot yet across the bows of the great ship of fools, SS HIV Science. It is hard to imagine that, as has already happened, thoughtful people completely unaware of the real situation before they take their seats won’t leave the cinema skeptical of and even hostile to those that want to shut off public debate.

And the irony is that Leung has done nothing but document the tale that HIV scientists tell against themselves. The confusion he records looks amusingly like the Mad Hatters tea party from Alice in Wonderland. Could it be that they have led the world through a looking glass for 25 years?

Entertainment plus important revelation. All in all, a stunning achievement.

Libya: bullets for five nurses and doctor – or pay up

December 19th, 2006


World deplores insanity, unaware of greater AIDS madness

AIDS critics may be in luck – another boost to growing examination of HIV∫AIDS in and out of courts

Drawing the world’s attention and curiosity for the second time, the Libyan court again convicted the five Bulgarian nurses and sentenced them to death by firing squad, along with the Palestinian doctor. The session took all of seven minutes.

Months more entanglement with this legal system, while Libya tries to extract more money than it already has from Bulgaria and the West for their ransom, is now forecast for the unhappy nurses, who have been held and threatened by the society they came to save for eight years now, an experience which has already led to some of them saying that they can’t stand it any more, just get it over with.

Apart from bringing Qaddafi and Libya once more into disrepute, this news, however, may be a gift to HIV∫AIDS critics and the millions they hope to save from largely useless and dangerous AIDS drugs.

In fact we imagine that HIV∫AIDS’s smoothest operator, the renowned Dr Fauci of NIAID, may be frowning at this tsunami of publicity centered on questionable HIV∫AIDS science, much as he probably deplores the politically dim Robert Gallo and John P. Moore for rising to the bait of the Harper’s Celia Farber essay in March on “Out of Control” AIDS science, and the subsequent wasp stings from Harvey Bialy in email exchanges which were subsequently run on Barnesworld, before that changed its name into Hank’s You Bet Your Life.

What could turn up the spotlight on the science of the shaky paradigm more effectively, and lead to more penetrating analysis of the flawed status quo, than this very vivid drama, personalized by the five hapless nurses, and the obviously flawed logic used to convict them? Not much. Maybe John P. Moore’s conscience stricken suicide jump off the Empire State Building, easily reached from the Cornell Weill Medical College building where he works and runs the misleading AIDSTruth propaganda site.

With this blatant example of non-science accepted by the courts in an Arab country under a strong man, and contradicted by the best scientists in the field across the world (or those that the public supposes to be the best scientists) editorial writers and readers across the globe will have the responsibility of thinking about it briefly for the first time in two decades.

As in the court cases in Australia and in Canada, the issue of whether HIV actually causes AIDS is likely to enter into their thinking if only because it will be raised by outsiders as a possible defense, even if the lawyers don’t run with it as they have in Australia, though not yet Canada as far as we know (for a good update post on the vindictively stupid treatment of Canadian Football League linebacker Trevis Smith for ‘attempting to murder’ women he slept with after an uncertain positive HIV test, read the stunning and nightmarish story at Hanks You Bet Your Life: The Travesty of Canadian Justice and the Trial of Travis Smith, Part II by Shelley McNeil) today (Tue Dec 19).

The paradigm under review in the courts.

Trial by judge and jury in Canada, Australia, Libya and soon the US and other countries, and in the court of world public opinion, may now be the route to unchaining AIDS from HIV. It certainly is liable to focus more public attention on the issue than ever before.

Meanwhile, those who know and study the Libyan politics which will decide the real dispensation of the case say that the Libyans will continue to negotiate for compensation from the Bulgarians and other nations before eventually releasing the group after a Qaddafi pardon.

Ramadan al-Faitore, whose 4-year-old stepsister was among the first to die, predicted earlier this month that the medical workers would be sentenced to death.

“But no one will kill the nurses,” Mr. Faitore said in Paris, echoing a statement made by Col. Qaddafi’s son, Seif, two years ago. “After the trial, negotiations will start again.”

Even if they are finally released perhaps the nurses in their long travail will be counted martyrs to the movement to liberate humanity from the best defended scientific theory extant.

The New York TimesDecember 19, 2006

Libyan Court Upholds Death Sentences

By CRAIG S. SMITH

PARIS, Dec. 19 — A Libyan court again sentenced five Bulgarian nurses and a Palestinian doctor to be shot by a firing squad for deliberately infecting 400 children with H.I.V., further complicating the country’s efforts to improve relations with the West.

Today’s verdict drew expressions of anger and alarm from Bulgaria and its supporters in the nearly eight-year-old case, which now appears likely to drag on for months more, if not years. Lawyers for the medical workers said they would appeal the sentence to Libya’s Supreme Court.

“We are going to urge the Libyan political leadership to engage in the process,” said Bulgaria’s foreign minister and deputy prime minister, Ivailo Kalfin, from Washington, where he met with Secretary of State Condoleezza Rice hours after the verdict was announced.

Mr. Kalfin said that his country was working through the Libyan foreign ministry to ask the Libyan leader, Col. Muammar el-Qaddafi, and the country’s political institutions to intervene, because Libya’s inefficient and biased judicial system had failed to deal with the case credibly. He called the verdict “absolutely unfounded and unfair.”

The case began in February 1998 when the nurses arrived to work at the Al Fateh Children’s Hospital in Benghazi, the country’s second-largest city. By August 1998, children at the hospital had begun testing positive for H.I.V., the virus that causes AIDS. Health authorities soon realized they had a huge problem.

An official investigation concluded that the infections had been concentrated in the wards where the Bulgarian nurses had been assigned. Dozens of Bulgarian medical workers were arrested, and a videotaped search of one nurse’s apartment turned up vials of H.I.V.-tainted blood.

According to a Libyan intelligence report submitted to the court, the nurse, Kristiyana Vulcheva, later confessed that the vials were given to her by a British friend who was working for the KBR subsidiary of Halliburton at the time. The nurse was quoted in the report as saying that she and her colleagues used the vials to infect the children.

Col. Qaddafi subsequently charged that the health care workers had acted on the orders of the Central Intelligence Agency and Israel’s intelligence agency, Mossad.

KBR is primarily an engineering and construction company, but it undertakes many kinds of contract work for the United States Department of Defense and other agencies, and its activities in Iraq and elsewhere have sometimes been controversial.

A Benghazi court eventually convicted five Bulgarian nurses and a Palestinian doctor of deliberately injecting the children with the virus. But two of the five nurses said they were tortured into confessing, and international AIDS experts — including Luc Montagnier, the French virologist whose team is among those credited with discovering the H.I.V. virus — concluded that the virus predated the nurses’ arrival and was more likely spread through the use of contaminated needles.

Susannah Sirkin, deputy director of Physicians for Human Rights, an advocacy group, said the convicted medical workers had been “mercilessly scapegoated” by Libya.

“The fact that the true reason, according to all the scientific evidence, for this horrific case of hospital infection is poor hygienic conditions in the hospital that predate the arrival of the nurses is really the tragedy of the case,” Ms. Sirkin said by telephone from her group’s offices in Cambridge, Mass.

She said emotions ran so high among the families of the infected children that in Libya, “the government’s response has been, ‘Let’s blame some foreigners so we don’t have to take the heat.’ “

The medical workers were sentenced to death in May 2004 in a verdict that was widely condemned in the West. That began a period of difficult negotiations among Libya, Bulgaria, the United States and the European Union to find a solution.

Eventually, the four sides announced in December 2005 that they were setting up an international fund to cover medical care and other costs incurred by the families of the H.I.V.-infected children. Libya’s Supreme Court quashed the death sentences two days later and called for a retrial, this time by a court in the capital, Tripoli.

The families have asked that Bulgaria or other donors provide $10 million for each child, the same amount that Libya agreed to pay each of the families of the 270 people who were killed in the bombing of Pan Am Flight 103 over Lockerbie, Scotland, in 1988. Libya has accepted responsibility for the bombing.

Under Libyan law, crime victims’ families have the power to grant clemency in return for compensation. The families of the infected children have said that they would agree to release the medical workers from the criminal charges if their request was satisfied.

But only a few million dollars in cash, services and equipment has been donated to the fund so far. Talks over further donations stalled while the second trial was underway — apparently, the Libyan families say, because Bulgaria hoped the new court would acquit the nurses.

In a seven-minute court hearing in Tripoli today, the presiding judge, Mahmoud Hawissa, read out the verdict and sentence in the latest trial.

Bulgarian officials and the defense lawyers for the nurses argue that the latest trial was as flawed as the first.

“The whole court case was compromised, and covers up the real cause that sparked the AIDS epidemics in Benghazi,” said a joint statement issued today by Bulgaria’s president, Georgy Parvanov, and prime minister, Sergey Stanishev.

Emmanuel Altit, a French lawyer in Paris who worked on the defense team, said: “The question of torture by electricity, proof that the nurses had been beaten, sexually harassed, kept for six months without contact, the question of fabricated evidence — none of this was discussed at all. The court refused to hear our experts.”

Amnesty International issued a statement condemned the trial as “grossly unfair.” “We deplore these sentences and urge the Libyan authorities to declare immediately that they will never be carried out,” said Malcolm Smart, the director of Amnesty’s Middle East and North Africa program.

Mr. Smart’s statement raised a number of complaints about the fairness of the trial, and noted that the evidence produced by Libyan medical experts was called questionable by international medical experts.

Warning that the verdict could frighten Western doctors and nurses away from traveling to Africa to help in future health crises, representatives of some charitable organizations expressed hope that it would be set aside and the doctor and nurses allowed to go home.

The European Union’s justice commissioner, Franco Frattini, called on Libyan authorities to rethink their handling of the case, calling it “an obstacle to cooperation with the E.U.” Bulgaria will become a member of the union on Jan. 1.

Official American reaction to the case has been muted, in part, some diplomats suggested, because the United States is trying to improve its relations with Libya on other fronts. Still, Tony Snow, the White House spokesman, said today that the administration was “disappointed with the verdict,” and that Secretary of State Condoleezza Rice assured Mr. Kalfin that the United States would continue working for the nurses’ “early return to Bulgaria.”

Outside the Libyan court, families of the children, about 50 of whom have since died, rallied today to call for the sentence to be carried out immediately, news agencies reported.

But for the Libyans who believe the nurses are guilty, the verdict was a foregone conclusion, even if their execution is not.

Ramadan al-Faitore, whose 4-year-old stepsister was among the first to die, predicted earlier this month that the medical workers would be sentenced to death.

“But no one will kill the nurses,” Mr. Faitore said in Paris, echoing a statement made by Col. Qaddafi’s son, Seif, two years ago. “After the trial, negotiations will start again.”

Mr. Kalfin, the Bulgarian foreign minister, said today that his country was committed to the making sure that the fund would “provide lifelong medical treatment for the children, and create conditions that would prevent this from ever happening again.”

But he bristled at the suggestion that Bulgaria would pay “blood money” for the release of the nurses, calling such talk “cynical.”

“We feel a great deal of sympathy for the children and the families,” Mr. Kalfin said. “But making a linkage between this tragedy and the work of the Bulgarian nurses has absolutely no foundation.”

Standing in a muddy field across the street from the Libyan Embassy in Sofia, Zorka Anachkova, Ms. Vulcheva’s mother, said she wasn’t surprised by the verdict.

“What kind of negotiations can you have for innocent people?” she asked. “All the evidence proves their innocence. Their innocence is axiomatic. What else is there to talk about?”

Contributing reporting for this article were Matthew Brunwasser from Sofia, Brian Knowlton from Washington and Christine Hauser from New York.

Libyan cliffhanger: verdict today

December 19th, 2006


The decision is due

Madness blossoms like a devilish flower

The Libyan court case is marked by agitation in the street by families calling for a guilty verdict, Bulgarian press kept out of the court, etc. as the following Sofia news agency Novinite report tells (3.30 am New York time).

Bulgaria is against the reparations demanded, saying it would be an admission of guilt.

Lawyer Osman Bizanti was attacked on the way entering a Libyan court minutes ahead of the start of a session expected to announce the verdicts on five Bulgarian medics.Darik News reported the situation both inside and outside the courtroom is extremely tense, which has called for massive police presence in the area.

All 11 Bulgarian journalists are still staying outside the court after Libyan authorities tried to bargain that only few of them enter the building.

“We firmly opposed and insist that all must attend the hearing; moreover, there are some 30 arab media already inside,” Zheni Marcheva from Darik News reported.

Bulgarian Ambassador to Libya Alexander Olshevski is expect to attend the court hearing, along with a number of other foreign diplomats.

Bulgaria’s Deputy Foreign Minister Feim Chaushev, who landed surprisingly on Libyan soil, will follow the court proceedings at the Embassy.

Our optimistic prediction:

Qaddafi won’t dare to flout international opinion on this one. The nurses and doctor will go free, appear on Larry King and write a best seller.

In all the attention and examination their story will attract, the science of HIV∫AIDS will finally be exposed for the pretense it is.

Ultimate result: Luc Montagnier and Peter Duesberg will share the Nobel Peace prize for saving the world from HIV∫AIDS think.

Focus News Agency report:

Libyan Supreme Court Expected to Announce Sentences of the Bulgarian nurses19 December 2006 | 08:03 | FOCUS News Agency

Sofia. Today the Libyan Supreme Court is expected to announce the sentences of the Bulgarian nurses, who have been in Libya since 1999.

The nurses Kristiana Valcheva, Nasya Nenova, Valentina Siropulo, Valya Chervenyashka and Snezhana Dimitrova and Dr. Zdravko Georgiev were charged with deliberately infecting 393 Libyan children with HIV in a Libyan hospital. The evidence is claimed to be the confessions of Kristiana and Valya – confessions, they later said were extracted by torture.

After multiple delays of the case and bringing it back to retrial, the Libyan court sentenced the Bulgarian nurses and one Palestinain doctor to death by firing squad. Dr. Zdravko Georgiev was sentenced to 4 years imprisonment. He was released because the time, passed since his detention, exceeded his sentence.

The appeal of the death sentences was launched days after the sentence was announced.

On December 25th 2005 the Supreme Court of Cassation cancelled the death sentences of the five Bulgarian nurses and brought the case back for retrial.

An International Fund for assistance to families of HIV-infected children is created in Tripoli.

The prosecution requested confirmation of the death sentences on 29 August.

The opinion of world-famous medical experts and the International community were left unheard.

Following is a chronology of key events in the case. (Source: Reuters)

Feb 1999 – Nineteen Bulgarian medical workers in Libya detained in connection with investigation into how children in a hospital in the eastern town of Benghazi became infected with the HIV virus that causes AIDS. Thirteen are later freed.

Feb 2000 – Trial of six Bulgarians – five female nurses and a male doctor – and a Palestinian doctor and nine Libyans opens at Tripoli People’s Court. They are accused of deliberately infecting hundreds of Libyan children with HIV-contaminated blood products as part of conspiracy by foreign intelligence to undermine Libya. Libyan defendants are charged with negligence.

June 2, 2001 – Defendants plead not guilty. Two Bulgarian nurses retract confessions, alleging they were tortured. Libya denies this.

Feb 17, 2002 – People’s Court, which tries national security cases, returns trial to ordinary court citing insufficient evidence that defendants acted against Libyan security.

Sept 3, 2003 – French doctor Luc Montagnier, who first detected the HIV virus, testifies the epidemic broke out a year before the arrival of the Bulgarians.

Sept 8 – Libyan prosecutors demand death sentences for the six Bulgarians and Palestinian accused. They demand nine Libyan officers charged with torturing the medics be tried separately.

May 6, 2004 – Libyan court sentences five Bulgarian nurses and the Palestinian doctor to death for deliberately infecting 426 children. The Bulgarian doctor is acquitted. The nine Libyans are acquitted. Torture charges against the Libyan officers are transferred to a Tripoli court. Bulgaria, the European Union and the United States condemn the death sentences as “absurd”.

Dec 5 – Libyan Foreign Minister Mohammed Abdel-Rahman Shalgam says will discuss overturning sentences if Bulgaria offers compensation. Bulgaria refuses, saying that would be an admission of guilt.

May 28, 2005 – Bulgarian President Georgi Parvanov, visiting Libya, meets children with HIV in Benghazi and the nurses in a Tripoli prison.

June 7 – A Tripoli court acquits nine Libyan policemen and a doctor of torturing the nurses.

Oct 17 – U.S. President George W. Bush urges Libya to free the medics.

Dec 19 – Supreme Court brings forward its appeal hearing to Dec. 25.

Dec 23 – Bulgaria, Libya, the EU and the United States agree to set up fund to help to the Libyan children and their families.

Dec 25 – Libya’s Supreme Court scraps death sentences against the nurses and the Palestinian doctor, sends the case back to a lower court for retrial.

Jan 21, 2006 – Families demand total of 4.4 billion euros ($5.6 billion) from donors trying to end the standoff.

April 22, 2006 – Libya court sets May 11 date for retrial.

April 28 – U.S. Secretary of State Condoleezza Rice says the Bulgarian nurses have been detained for too long.

July 4 – Defendants again deny charges.

Aug 8 – AIDS outbreak was deliberate, prosecution says.

Aug 29- Prosecutor demands death penalty.

Oct 31 – Neglect caused HIV infections, the defence says.

Nov 4 – Judgement day set for Dec 19.

Bulgarian Journalists Entering Courtroom in Tripoli

19 December 2006 | 11:00 | FOCUS News Agency

Libyan Defender of Bulgarian Nurses Enters Courtroom Frustrated

19 December 2006 | 10:19 | FOCUS News Agency

None of Bulgarian Journalists Will Attend Court Session on Libyan AIDS Case in Tripoli as a Sing of Protest

19 December 2006 | 09:40 | FOCUS News Agency

Libya Today: Idris Aga and Libyan Scientists Call a Press Conference in London

19 December 2006 | 08:32 | FOCUS News Agency

Nurses in Libya Will Hear for the Third Time Decision of Libyan Court

19 December 2006 | 08:24 | FOCUS News Agency

Libyan Supreme Court Expected to Announce Sentences of the Bulgarian nurses

19 December 2006 | 08:03 | FOCUS News Agency

At Stake In Libyan HIV Trial: EU Relations

19 December 2006 | 03:20 | FOCUS News Agency

Circumcision cuts African AIDS! – Times

December 15th, 2006


Editors excited about way for heterosexuals to evade HIV

Millions will want the $20 operation, major funds ready to give – but is Padian so wrong?

Precisely why the editors of the Times made the HIV-circumcision story the top story on their Web front page and top right hand above the fold print edition front page headline yesterday is a matter of speculation, but we assume it is because the story involves a) heterosexuals b) African sex c) danger to the genitals d) a simple but effective solution to AIDS and e) women’s revenge (photo, left, is of a Somali woman parading against Ethiopia with an AK-47).

Not to mention it allows readers to indulge their envious prejudice, which the Times editors and reporters like to reinforce monthly, against Africans for supposed sexual excesses.

Nelson Mandela’s autobiography, “Long Walk to Freedom,” contains an unnerving but hilarious account of his own Xhosa circumcision, by spear blade, as a teenager. Although he was supposed to shout, “I am a man!” he grimaced in pain, he wrote…Dr. Mark Dybul, executive director of President Bush’s $15 billion Emergency Plan for AIDS Relief, said in a statement that his agency “will support implementation of safe medical male circumcision for H.I.V./AIDS prevention” if world health agencies recommend it…

AIDS experts immediately hailed the finding. “This is very exciting news,” said Daniel Halperin, an H.I.V. specialist at the Harvard Center for Population and Development, who has argued that circumcision slows the spread of AIDS in the parts of Africa where it is common.

In an interview from Zimbabwe, he added, “I have no doubt that as word of this gets around, millions of African men will want to get circumcised, and that will save many lives.”

The Times editors are so excited about this revelation (a questionable result which has been around for some time) that they devoted an editorial to it as well, Rare Good News About AIDS comparing it to “the holy grail” of AIDS research, the long heralded but still AWOL vaccine:

For years, the holy grail of AIDS prevention has been a vaccine, even one that is only 50 to 60 percent effective. A real vaccine is years away. But as of yesterday, we know its near equivalent exists. International donors and governments should join together to spread the good news about circumcision and make the procedure available everywhere.

The New York Times

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December 14, 2006

Editorial

Rare Good News About AIDS

The announcement yesterday about the results in two African studies of male circumcision may be the most important development in AIDS research since the debut of antiretroviral drugs more than a decade ago. The National Institutes of Health halted studies in Uganda and Kenya when it became overwhelmingly clear that circumcision significantly reduces men’s chances of catching H.I.V.

The studies recruited men willing to be circumcised and randomly assigned them to immediate surgery or to a control group. In both studies, the circumcised men acquired half the number of H.I.V. infections as their uncircumcised counterparts did. The studies confirm the results of a trial that ended last year in South Africa, in which circumcision prevented 60 to 70 percent of new AIDS infections.

Until now, efforts at AIDS prevention have largely failed. Little wonder. It requires people to resolve — every day — either not to have sex or to use condoms. Circumcision, by contrast, is a one-time procedure. It is familiar and widely accepted all over the world, even by groups who do not practice it. And safe circumcision does not require a doctor. Community workers and traditional healers can be trained to do the operation safely and given the correct tools.

Based on the South African results, groups like the United Nations AIDS program and the World Health Organization were already discussing how they might promote circumcision in countries around the world. They should now move as quickly as possible.

Governments and international donors should also work urgently to provide new financing to help high-risk countries train community workers to do safe circumcision. News of the South African results has already led to a surge in demand for the procedure across Africa, and clinics that now offer it have long waiting lists.

Any campaign will have to be coupled with warnings that circumcision offers only partial protection against H.I.V. and should not become a license for risky sex. Governments must continue to promote condoms and partner reduction.

For years, the holy grail of AIDS prevention has been a vaccine, even one that is only 50 to 60 percent effective. A real vaccine is years away. But as of yesterday, we know its near equivalent exists. International donors and governments should join together to spread the good news about circumcision and make the procedure available everywhere.

Even if one is not a dissenter from the holey (as in Swiss cheese) HIV∫AIDS paradigm, this initiative looks fat headed. Soap would achieve the same result, any doctor will tell you. And do we really need to do unaesthetic surgery on millions of Africans to prevent the transmission of a virus which after billions of dollars worth of research has not yet been proved to cause any harm, although that assumption is built into most of the thinking on the subject? Are trainloads of foreskins going to be useful for interferon or other immune factors, is that it?

Anyhow, as far as HIV∫AIDS science critics are concerned, circumcision is a non solution to a non problem, ever since Nancy Padian demonstrated in her landmark 1997 study the heterosexual non transmission of HIV.

Of course, Padian has had to ‘clarify’ this result since it was noticed and taken up by HIV∫AIDS dissidents and used as a club to bash the paradigm and its defenders, one which knocks away the basic prop of the global pandemic. Without significant heterosexual transmission, there is no global pandemic and no need to circumcise millions of Africans.

Padian’s clarification was published a few months ago on the leading AIDS truthiness site run by John P. Moore of Cornell and other HIV apologists, AIDSTruth.org, the specific page being HIV heterosexual transmission and the “Padian paper myth”,and it reads as follows, with our corrective comments:

HIV heterosexual transmission and the “Padian paper myth”One of the more egregious myths perpetrated by AIDS denialists is that HIV is not heterosexually transmitted.

The debate on the validity of the HIV∫AIDS paradigm is a hall of mirrors, where the defense of the paradigm is very often conducted by co-opting the arguments of the critics and turning them back on their originators (who do the same to them, rather more tellingly, by pointing out that it is the paradigm defenders who are the true “denialists”, for their ostrich like approach to the myriad objections to HIV∫AIDS).

In this case, the word “myth” as in “The AIDS Myth” or “The Myth of Heterosexual AIDS” is appropriated, but rather ineffectively, since it inevitably calls attention to the possibility that the HV∫AIDS paradigm itself may be the greatest myth of all in the field.

Part of the “evidence” that underlies this myth is a 1997 paper by Dr. Nancy Padian and her colleagues at the University of California, San Francisco (Padian NS, Shiboski SC, Glass SO, Vittinghoff E. 1997. Heterosexual transmission of human immunodeficiency virus (HIV) in Northern California: results from a ten-year study. Am J Epidemiol 146, 350-357) (1).

A thorn in the flesh of the paradigm apologists indeed, this study, for its results accounted for the biggest flaw in the HIV∫AIDS explanation for the outbreak of immune deficiency in the US, which is that it cannot explain away the absence of a heterosexual AIDS epidemic in this country, and moreover, it is a study which is now a prime justification for rejecting the standard interpretation of events in Africa, which is that a heterosexually transmitted HIV pandemic has swept the continent and the world.

The denialists either misinterpret or misunderstand this paper. Some internet sites/Blogs even go so far as to suggest that the “HIV/AIDS establishment” (sic) finds Dr. Padian’s work inconvenient and has suppressed it, to the detriment of her professional career.

On the contrary, the skill with which Dr Padian has navigated between the Scylla of the establishment disowning her and her research and the Charybdis of renouncing it herself is a marvel to behold and an inspiration for the many other establishment researchers who have come out with embarrassing results which contradict the paradigm, such as those who came out wih the HAART and the JAMA studies this summer, and Dr Gisselquist.

The following commentary from Dr. Padian addresses HIV heterosexual transmission, discusses what her seminal 1997 paper does actually say and, ipso facto, speaks to the absurdity of the notion that her work has been suppressed, or is inconvenient to other AIDS researchers.Heterosexual transmission of HIV

Nancy Padian, PhD

University of California, San Francisco

HIV is unquestionably transmitted through heterosexual intercourse.

This kind of statement is increasingly a characteristic of HIV∫AIDS papers which these days typically come up with findings which do not fit into conventional wisdom. First, there is this kind of obligatory obeisance to the reigning belief, the sine qua non of HIV∫AIDS research, which is that all symptoms are first and foremost caused by the dread Virus itself, however much other factors may enter into the picture. For example, patients may die of drug effects such as liver rot, but HIV is really the cause, even though liver problems are not on the CDC list of HIV∫AIDS symptoms.

Indeed, heterosexual intercourse is now responsible for 70-80% of all HIV transmissions worldwide (2). The current likelihood of male to female infection after a single exposure to HIV is 0.01-0.32% (2, 3), and the current likelihood of female to male infection after a single exposure is 0.01-0.1% (2). These estimates are mostly derived from studies in the developed world. However, a man or a woman can become HIV-positive after just one sexual contact.

Rates of between 1 in 10,000 to 1 in 3,000 , or between 1 in 10,000 and 1 in 1,000 for woman to man, are not high enough to sustain a spreading epidemic.

In developing countries, particularly those in sub-Saharan Africa, several factors (co-infection with other sexually transmitted diseases, circumcision practices, poor acceptance of condoms, patterns of sexual partner selection, locally circulating viral subtypes, high viral loads among those who are infected, etc.) can increase the likelihood of heterosexual transmission to 20% or even higher (4).

These factors might raise the transmission rate but to a level of 2000 per 10,000 – ie 2,000 times as much – is unlikely, on the face of it.

Evidence that specifically documents the heterosexual transmission of HIV comes from studies of HIV-discordant couples (i.e., couples in a stable, monogamous relationship where one partner is infected and the other is not); over time, HIV transmission occurs (5).

Not in this study.

Other studies have traced the transmission of HIV through networks of sexual partners (6-9). Additional evidence comes from intervention studies that, for example, promote condom use or encourage reductions in the numbers of sexual partners: the documented success of these interventions is because they prevent the sexual transmission of HIV (1,10,11).

Such results are inconsistent wth her study which was the largest ever conducted.

In short, the evidence for the sexual transmission of HIV is well documented, conclusive, and based on the standard, uncontroversial methods and practices of medical science. Individuals who cite the 1997 Padian et al. publication (1) or data from other studies by our research group in an attempt to substantiate the myth that HIV is not transmitted sexually are ill informed, at best. Their misuse of these results is misleading, irresponsible, and potentially injurious to the public.

The intemperate language suggests a political and emotionally driven stance, and that an unproven belief (that HIV is the cause of AIDS) is acting as a premise in addressing the counterarguments. Here Padian is protesting that her study does not suggest that the paradigm is incorrect. Methinks she doth protest too much. The reason is that her results are in direct conflict with the paradigm. Substantial heterosexual transmission is a pillar of the HIV∫AIDS paradigm, a sine qua non of the supposed global panademic. Her study demonstrated it was so insubstantial that it didn’t appear at all.

A common practice is to quote out of context a sentence from the Abstract of the 1997 paper: “Infectivity for HIV through heterosexual transmission is low”. Anyone who takes the trouble to read and understand the paper should appreciate that it reports on a study of behavioral interventions such as those mentioned above: Specifically, discordant couples were strongly counseled to use condoms and practice safe sex (1,12).

As many as 47 couples did not consistently use condoms or any other means of interfering with transmission for up to six years.

That we witnessed no HIV transmissions after the intervention documents the success of the interventions in preventing the sexual transmission of HIV.

Again, as many as 47 couples did not consistently use condoms or any other means of interfering with transmission for up to six years.

The sentence in the Abstract reflects this success — nothing more, nothing less. Any attempt to refer to this or other of our publications and studies to bolster the fallacy that HIV is not transmitted heterosexually or homosexually is a gross misrepresentation of the facts and a travesty of the research that I have been involved in for more than a decade.

To say “Nothing more, nothing less” is blatantly misleading, and we suspect his was written by John P. Moore, rather than Padian. In fact as many as 47 couples did not use condoms or any other means of interfering with transmission. Yet still for these couples there was no transmission during the study. This without question demonstrated the “fallacy” in heterosexual transmission. There was none for these couple in six years.

If safe sex practices are followed, and if there are no complicating factors such as those mentioned above, the risk of HIV transmission can be as low as our studies suggest…IF.

Of course, this is presumably true. Using condoms does block transmission of any live organism pretty effectively, depending on using them properly. But the problem is that her study showed that even if safe sex practices were not followed there was also nil transmission.

But many people misunderstand probability: they think that if the chance of misfortune is one in six, that they can take five chances without the likelihood of injury. This “Russian Roulette” misapprehension is dangerous to themselves and to others.

The Russian Roulette factor only means that an individual can escape the average, and possibly, even if the chance of an event is 1 in 1000, hit the 1 time the first time, or the 1000th time, or never. This doesn’t change the average, which in this case was nil, a rather conclusive result which shows the chances of transmission of the supposed agent are far too low to initiate any epidemic, since according to her study, normal healthy heterosexuals are virtually incapable of transmitting HIV even if they are not taking any precautions.

Furthermore, complicating factors are often not evident or obvious in a relationship, so their perceived absence should not be counted on as an excuse not to practice safe sex.

The phrasing of this remark is telling. Although it is on the surface merely a practical observation, it continues the fundamental defense of the paradigm in religious terms ie have faith (and fear) that there is something there even though you cannot see any evidence for it.

Finally, it is a complete fallacy to allege or insinuate that this work has been “suppressed” or “ignored” by the AIDS community or unsupported by UCSF or any other institution with which I have worked. To the contrary, these findings have been seen as central and seminal to the problem of heterosexual transmission rates and the development of interventions to lower the rate of transmission and infection worldwide, many of which are being conducted by my research group. The success of my working group has been fueled, not hindered, by our research on the heterosexual transmission of HIV, attested to by our long record of peer-reviewed publications.

Yes, the record of Padian’s work as fundamentally disruptive to the conventional wisdom in HIV∫AIDS yet somehow turned into a piece which fits into it without a ripple is a prime exhibit of how HIV∫AIDS’s double think, Orwellian fantasy works. While the embarrassing inconsistency of her results is recognized and various escape hatches are opened – genital sores, African “dry sex”, HIV piggy backing on other diseases and so on – Nancy Padian has managed to stay a member of the club despite her study being the best argument of all against belief in the paradigm.

Nancy Padian is a Professor of Obstetrics, Gynecology and Reproductive Sciences at the University of California and she has worked on the heterosexual transmission of HIV since 1984. She is a frequent participant in annual NIH Office of AIDS Research planning workshops and has chaired the workshop on international research for the last four years. She is an elected member to the Institute of Medicine and the American Epidemiology Society. She served as vice-chair of the University of California task force on AIDS and currently directs international research for UCSF Global Health Sciences, the UCSF AIDS Research Institute and she is co-director of the Center for Reproductive Health Research and Policy.

An impressive list of appointments which is a tribute to the political skills of Dr Padian and the way she has exchanged reinterpretation of her results to conform with the paradigm for membership of the club, a club which like the English aristocracy knows that the best way to defeat revolutionaries is to bring them in from the cold.

Unkind cut would save very few

Going back to look at the paper, we find something interesting – the numbers involved in this great halving of the risk are very small fractions of the population.

The two trials were being conducted by researchers from universities in Illinois, Maryland, Canada, Uganda and Kenya and involved nearly 3 000 heterosexual men in Kisumu, Kenya and nearly 5 000 in Rakai, Uganda. None were infected with HIV. They were divided into circumcised and uncircumcised groups, given safe sex advice [although many presumably did not take it] and retested regularly.The trials were stopped this week by the NIH Data Safety and Monitoring Board after data showed that the Kenyan men had a 53 percent reduction in new HIV infection.

Twenty-two of the 1 393 circumcised men in that study caught the disease, compared with 47 of the 1 391 uncircumcised men. In Uganda, the reduction was 48 percent.

Even if the figures for transmission reached somehow in this and other studies are valid, and HIV is a threat backed by the literature, instead of being called into question by even paradigm-based papers without valid rebuttal, mass circumcision seems an overreaction.

For example, in the two trials, the trumpeted halving of the rate of new HIV infection was 53 per cent in Kenya and 48 per cent in Uganda, which sounds good but in fact represented only 25 men in 1393 total saved from HIV, a reduction of less thn 2%.

Of course, the remaining question is how accurate was the testing and what did it represent if the difficulty in transmission is as high as Nancy Padian found it was in her study? Presumably the tests are cross reacting with other transmissible diseases, the most likely one being TB, which is very widespread in Africa.

Nancy Padian Hero of AIDS

Encounterimg her at the party following the HIV/NET trials conference in Washington this last spring, we congratulated Nancy Padian on her outstanding research, which had made her a hero of AIDS in our view. “Oh I don’t think I am that!” she demurred, “Why do you say so?”

We explained it was because she had been the first to demonstrate that HIV did not transmit heterosexually very significantly if at all.

She seemed taken aback, and after gathering her wits, pronounced feebly, “But it transmits more in Africa!”

Could it be that Dr Padian has a special interest in emphasizing heterosexual transmission in favor of her own strategy in combating HIV transmission in Africa?

Surely not. But in 2002 she won the largest single private grant ever made to UCSF, $28 million, from the Gates Foundation, “to examine the effectiveness of the diaphragm in slowing the spread of the AIDS virus.”

Director of the Bill and Melinda Gates Foundation’s HIV/AIDS and TB Program at the time was Helene Gayle, who said “finding additional barrier methods that are female-controlled is a public health priority.”

Not, of course, if heterosexual transmission without any barrier is virtually absent.

Padian’s references:

1. Padian NS, Shiboski SC, Glass SO, Vittinghoff E. Heterosexual transmission of human immunodeficiency virus (HIV) in Northern California: results from a ten-year study. Am J Epidemiol 1997;146:350-7.

2. Downs AM, De Vincenzi I. Probability of heterosexual transmission of HIV: relationship to the number of unprotected sexual contacts. European Study Group in Heterosexual Transmission of HIV. J Acquir Immune Defic Syndr Hum Retrovirol. 1996 Apr 1;11(4):388-95.

3. Wiley JA, Herschhkorn SJ, Padian NS. Heterogeneity in the probability of HIV transmission per sexual contact: the case of male-to-female transmission in penile-vaginal intercourse. Stat Med 1989;8:93-102.

4. Gray RH, Wawer MJ, Brookmeyer R, Sewankambo NK, Serwadda D, Wabwire-Mangen F, Lutalo T, Li X, vanCott T, Quinn TC; Rakai Project Team. Probability of HIV-1 transmission per coital act in monogamous, heterosexual, HIV-1-discordant couples in Rakai, Uganda. Lancet. 2001 Apr 14;357(9263):1149-53.

5. Ellerbock TV, Lieb S, Harrington PE, et al. Heterosexually transmitted human immunodeficiency virus infection among pregnant women in a rural Florida community. N Engl J Med 1992;327:1704-9.

6. Hunter DJ. AIDS in sub-Saharan Africa: the epidemiology of heterosexual transmission and the prospects for prevention. Epidemiology. 1993 Jan;4(1):63-72. Review.

7. Venkataramana CB, Sarada PV. Extent and speed of spread of HIV infection in India through the commercial sex networks: a perspective. Trop Med Int Health. 2001 Dec;6(12):1040-61.

8. Adimora AA, Schoenbach VJ, Doherty IA. HIV and African Americans in the southern United States: sexual networks and social context. Sex Transm Dis. 2006 Jul;33(7 Suppl):S39-45.

9. Latora V, Nyamba A, Simpore J, Sylvette B, Diane S, Sylvere B, Musumeci S. Network of sexual contacts and sexually transmitted HIV infection in Burkina Faso. J Med Virol. 2006 Jun;78(6):724-9.

10. Ghys PD, Diallo MO, Ettiegne-Traore V, Kale K, Tawil O, Carael M, et al. Increase in condom use and decline in HIV and sexually transmitted diseases among female sex workers in Abidjan, Cote d’Ivoire, 1991-1998. AIDS 2002;16(2):251-58.

11. Katzenstein DA, McFarland W, Mbizo M, Latif AS, Machekano R, Parsonnet J, et al. Peer education among factory workers in Zimbabwe: providing a sustainable HIV prevention intervention. Paper presented at the 12th International Conference on AIDS, Geneva, June 28-July 3, 1998.

12. Padian NS, O’Brien TR, Chang Y, Glass S, Francis DP. Prevention of heterosexual transmission of human immunodeficiency virus through couple counseling. J Acquir Immune Defic Syndr. 1993 Sep;6(9):1043-8

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The New York Times December 14, 2006 Circumcision Halves H.I.V. Risk, U.S. Agency Finds By Donald G. McNeil Jr., who is a reliable conduit at the Times for all official pronouncements on HIV∫AIDS, SARS, Bird Flu, and similar alarms.

The New York Times

December 14, 2006

Circumcision Halves H.I.V. Risk, U.S. Agency Finds

By DONALD G. McNEIL Jr.

Circumcision appears to reduce a man’s risk of contracting AIDS from heterosexual sex by half, United States government health officials said yesterday, and the directors of the two largest funds for fighting the disease said they would consider paying for circumcisions in high-risk countries.

The announcement was made by officials of the National Institutes of Health as they halted two clinical trials, in Kenya and Uganda, on the ground that not offering circumcision to all the men taking part would be unethical. The success of the trials confirmed a study done last year in South Africa.

AIDS experts immediately hailed the finding. “This is very exciting news,” said Daniel Halperin, an H.I.V. specialist at the Harvard Center for Population and Development, who has argued that circumcision slows the spread of AIDS in the parts of Africa where it is common.

In an interview from Zimbabwe, he added, “I have no doubt that as word of this gets around, millions of African men will want to get circumcised, and that will save many lives.”

Uncircumcised men are thought to be more susceptible because the underside of the foreskin is rich in Langerhans cells, sentinel cells of the immune system, which attach easily to the human immunodeficiency virus, which causes AIDS. The foreskin also often suffers small tears during intercourse.

But experts also cautioned that circumcision is no cure-all. It only lessens the chances that a man will catch the virus; it is expensive compared to condoms, abstinence or other methods; and the surgery has serious risks if performed by folk healers using dirty blades, as often happens in rural Africa.

Circumcision is “not a magic bullet, but a potentially important intervention,” said Dr. Kevin M. De Cock, director of H.I.V./AIDS for the World Health Organization.

Sex education messages for young men need to make it clear that “this does not mean that you have an absolute protection,” said Dr. Anthony S. Fauci, an AIDS researcher and director of the National Institute of Allergy and Infectious Diseases.

Circumcision should be used with other prevention methods, he said, and it does nothing to prevent spread by anal sex or drug injection, ways in which the virus commonly spreads in the United States.

The two trials, conducted by researchers from universities in Illinois, Maryland, Canada, Uganda and Kenya, involved nearly 3,000 heterosexual men in Kisumu, Kenya, and nearly 5,000 in Rakai, Uganda. None were infected with H.I.V. They were divided into circumcised and uncircumcised groups, given safe sex advice (although many presumably did not take it), and retested regularly.

The trials were stopped this week by the N.I.H. Data Safety and Monitoring Board after data showed that the Kenyan men had a 53 percent reduction in new H.I.V. infection. Twenty-two of the 1,393 circumcised men in that study caught the disease, compared with 47 of the 1,391 uncircumcised men.

In Uganda, the reduction was 48 percent.

Those results echo the finding of a trial completed last year in Orange Farm, a township in South Africa, financed by the French government, which demonstrated a reduction of 60 percent among circumcised men.

The two largest agencies dedicated to fighting AIDS said they would now be willing to pay for circumcisions, which they have not before because there was too little evidence that it worked.

Dr. Richard G. A. Feachem, executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria, which has almost $5 billion in pledges, said in a television interview that if a country submitted plans to conduct sterile circumcisions, “I think it’s very likely that our technical panel would approve it.”

Dr. Mark Dybul, executive director of President Bush’s $15 billion Emergency Plan for AIDS Relief, said in a statement that his agency “will support implementation of safe medical male circumcision for H.I.V./AIDS prevention” if world health agencies recommend it.

He also warned that it was only one new weapon in the fight, adding, “Prevention efforts must reinforce the A.B.C. approach — abstain, be faithful, and correct and consistent use of condoms.”

Researchers have long noted that parts of Africa where circumcision is common — particularly the Muslim countries of West Africa — have much lower AIDS rates, while those in southern Africa, where circumcision is rare, have the highest.

But drawing conclusions was always confounded by other regional factors, like strict Shariah law in some Muslim areas, rape and genocide in East Africa, polygamy, rites that require widows to have sex with a relative, patronage of prostitutes by miners, and men’s insistence on dangerous “dry sex” — with the woman’s vaginal walls robbed of secretions with desiccating herbs.

Outside Muslim regions, circumcision is spotty. In South Africa, for example, the Xhosa people circumcise teenage boys, while Zulus do not. AIDS is common in both tribes.

Nelson Mandela’s autobiography, “Long Walk to Freedom,” contains an unnerving but hilarious account of his own Xhosa circumcision, by spear blade, as a teenager. Although he was supposed to shout, “I am a man!” he grimaced in pain, he wrote.

But not all initiation ceremonies are laughing matters. Every year, some South African teenagers die from infections, and the use of one blade on many young men may help spread AIDS.

In recent years, as word has spread that circumcision might be protective, many southern African men have sought it out. A Zambian hospital offered $3 circumcisions last year, and Swaziland trained 60 doctors to do them for $40 after waiting lists at its national hospital grew.

“Private practitioners also do it,” Dr. Halperin said. “In some places, it’s $20; in others, much more. Lots of the wealthy elite have already done it. It prevents S.T.D.’s, it’s seen as cleaner, sex is better, women like it. I predict that a lot of men who can’t afford private clinics will start clamoring for it.” (S.T.D.’s are sexually transmitted diseases.)

Male circumcision also benefits women. For example, a study of the medical records of 300 Ugandan couples last year estimated that circumcised men infected with H.I.V. were about 30 percent less likely to transmit it to their female partners.

Earlier studies on Western men have shown that circumcision significantly reduces the rate at which men infect women with the virus that causes cervical cancer. A study published in 2002 in The New England Journal of Medicine found that uncircumcised men were about three times as likely as circumcised ones with a similar number of sexual partners to carry the human papillomavirus.

The suspected mechanism was the same — cells on the inside of the foreskin were also more susceptible to that virus, which is not closely related to H.I.V.

Condemned Libyan nurses cleared in Nature

December 8th, 2006


Their fate still in balance, but top scientists show children infected earlier through poor hygiene

Might outside Nobel reviewers reject HIV itself?

From the point of view of an HIV∫AIDS dissenter debunker denialist skeptic cynic heretic critic (a troublemaking type of which we would certainly thoroughly disapprove, if we were not forced to agree with these black sheep in science when they challenge the claim that HIV causes immune problems, since the literature backs them up in every respect we have checked) the developments in the Libyan Attempted Baby Murder by HIV court case get curiouser and curiouser.

The case is a cliffhanger. Will the court condemn the Egyptian doctor and five nurses for purposely infecting hundreds of babies with HIV and hepatitis, or will it see reason and abandon this superstitious witchhunt in favor of admitting that the Benghazi hospital practiced poor hygiene?

A retrial of the six health workers ended in Tripoli last month. The prosecutor demanded the death penalty after five Libyan experts in H.I.V. and AIDS stood by their 61-page report, written in 2003, that found that the infections of the Libyan children had resulted from an intentional act.A Libyan court is expected to deliver a verdict on Dec. 19.

The six medical workers, who have protested their innocence and said their confessions were made under torture, arrived in Libya in March 1998. They have been detained since 1999.

Which way it goes has wider ramifications than some people may realize. If Quaddafi does finally step in and tell the court to back off when it renders a verdict on December 19, and let the group go free after seven years in the Libyan prison system, not renowned for its pleasant conditions, this will be a triumph for science and common sense.

Or will it? Judging from the sketchy reports of the BBC and Reuters, the knights of science have shown that the viruses in the babes are all too old a vintage to have arrived after the Bulgarians came to help out in the hospital, so they could not have been responsible for the mini epidemic.

A team of international scientists who reconstructed the history of the virus from samples from the Libyan children has shown that a subtype of H.I.V. began infecting patients at Al Fateh Children’s Hospital in Benghazi before the foreign medical team arrived.“The evidence shows the chain of infection started a few years before the arrival of the foreign staff accused of causing it deliberately,” Dr. Tulio de Oliveira, a molecular virologist at Oxford University, said in an interview.

This makes sense even to HIV∫AIDS critics who don’t believe HIV causes any problem to babes anyway. ounds as if the Libyans will have to back down, at least if Quaddafi reads Nature.

But what will be the outcome of the Libyan affair, if this happy ending is achieved? If justice is served the nurses and the Egyptian will be compensated for the six year prison term already served. But something else is going to happen: HIV science will be made to look more expert and correct than ever.

That is, unless the same calibre of scientist decided to join in a similar review commission for HIV∫AIDS. Then, perhaps, the same conclusion might be reached, that the many thousands of pages of HIV∫AIDS papers which have so far failed to demonstrate any good reason to suppose that HIV causes AIDS, and forty three reasons why not, are based on “supposition” and “conjecture”:

There has been mounting international pressure on Libya to hear independent scientific evidence.International experts say the scientific report used in the trial was nothing but ‘conjecture’ and ’supposition’.

Last month 114 Nobel Laureates wrote an open letter to Colonel Gaddafi urging the appropriate authorities to hear independent science-based evidence, and reaffirming the need for a fair trial.

Perhaps 114 Nobel laureates can be assembled to write to Dr Anthony Fauci to urge that an independent review commission be appointed. They would have to be drawn from other fields, since scientists in the field appear to have a religious conviction that HIV causes AIDS even in the absence of confirming evidence, other than data collected and analyzed on that very assumption.

With one already in the bag, Kary Mullis, the inventor of PCR, a breakthrough which has saved well over a hundred lives by springing innocent convicts from prison, it seems possible that Walter Gilbert might revisit his earlier public uncertainty that HIV was the right answer. Now that he has presumably got to know Jim Watson well by working at Cold Spring Harbor, perhaps the two of them can discuss the matter and decide to reopen the case.

That would leave 111 to go, but once these names are on the page it seems that a counter Durban Declaration could get going, and perhaps even rapidly build and complete once other scientists take a second look and muster their courage to sign, even though Dr Fauci would object strenuously to this “dangerous” line of thinking.

If the nurses are executed, there will be a strong parallel with the behavior of the NIAID in condemning millions to the idea that HIV is the cause of AIDS illnesses around the word, without review. In the latter case, the number of lives past and present at stake in the case of HIV vs Debunkers amount to at least 65 million and going strong. 25 million are dead, hundreds of thousand in this country from what debunkers insist is mismedication aimed at HIV.

Allegations by the accused that their confessions were obtained only after torture led to an investigation of the officers involved and the judgement was overturned by the supreme court. But despite admissions by one of the policemen that dogs and electric-shock equipment were used in the interrogations, all 10 policemen involved were acquitted.In May, two years after the accused were first sentenced to death, a retrial began. Francois Cantier, director of the organisation Lawyers Without Borders in France, which is advising the defence, has said the accused, exhausted by the ordeal, have lost all hope. At a recent hearing, he said, they shouted for the nightmare to be over, even if it meant dying….

Whether international pressure and diplomatic manoeuvrings influence the outcome may never emerge, but the final fate of the accused may not become public for days or even weeks after the defence gives evidence this week. For the families of Benghazi, there is at least the knowledge that lessons have been learned from the tragedy and that their children are now getting the best care possible. With aid from Europe, the US and elsewhere, Benghazi hospital is being transformed and the city will have a world-class infectious disease centre. Its staff have been trained extensively in the best techniques to control and prevent the spread of HIV.

The Palestian prisoner, Ashraf al-Hazouz, who is unlikely to work again as a doctor because of damage to his fingers sustained during his interrogation, was interviewed after being refused bail at the beginning of the retrial in May. “We are also victims like those children, but we hope that this tragedy will end soon,” he said.

With Qaddafi reportedly offered $3 billion reparations if he lets the five nurses and one doctor go, by the same arithmetic the West should be willing to pay whatever small sum it takes to mount a review commission on HIV to save 60 million lives, on the chance that the leading scientist in the field, the thousands of academics and professionals who support him from Nobel prize winners to top quality journalists, authors of some 25 books, and HIV positive people willing to put their lives on the line are not wrong in saying that the scientific literature tells them so.

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