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- From: Billi Goldberg <bigoldberg@igc.apc.org>
- Subject: CDC Summary 11/16/92
- Message-ID: <1992Nov16.164329.6674@cs.ucla.edu>
- Note: Copyright 1992, Dan R. Greening. Non-commercial reproduction allowed.
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- Date: Mon, 16 Nov 92 07:50:06 PST
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-
- AIDS Daily Summary
- November 16, 1992
- The Centers for Disease Control (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. Copyright 1992,
- Information, Inc., Bethesda, MD
- ************************************************************************
- "'Molecular Knife' Believed to Destroy Part of HIV" Associated Press
- (11/10/92)
- La Jolla, Calif.--Researchers have developed a tiny "molecular knife"
- that cuts and eradicates part of HIV, and they will soon test the
- treatment on AIDS patients, a researcher said Tuesday. Dr. Flossie Wong-
- Staal, a researcher at the University of California--San Diego who
- earned a national reputation during her tenure at the National Cancer
- Institute, presented her research at the 30th annual New Horizons in
- Science briefing, sponsored by the Council for the Advancement of
- Science Writing. The process she explained kills the original disease-
- fighting white blood cell and permits new virus particles to spread to
- more cells and kill them. A research team headed by Wong-Staal and
- Northern Illinois University's Dr. Arnold Hampel designed the
- "molecular knife" to cut and destroy genetic instructions used by HIV,
- thus short-circuiting the virus' ability to multiply and spread
- throughout the body. The scientists used the enzyme knife in HIV-
- infected human white blood cells grown in test tubes. Consequently,
- the virus made only 10 to 30 percent as many copies of itself as it
- normally would have done. Wong-Staal said tests on AIDS patients "will
- start within the year" to discover if the treatment is safe, and later
- to determine if it is effective in stopping or slowing the progression
- of AIDS. Wong-Staal, Hampel and their colleagues obtained the
- molecular knife, or hairpin ribozyme, from a potato plant virus, then
- used chemical reactions to make it attach onto and slice RNA in HIV,
- lessening the virus' ability to reproduce.
-
- "AZT Remains a Mainstay in AIDS Fight" Los Angeles Times (11/15/92), P.
- A33 (Hostetler, A.J.)
- Although AZT is not the miracle drug AIDS patients once hoped for, in
- the last five years, the drug has become a prominent treatment for HIV
- infection, according to researchers. AZT was the first Food and Drug
- Administration-approved treatment for AIDS and gave scientists their
- first hope that the disease could be treated. However, it cannot
- single-handedly fight HIV, said researchers in a retrospective look at
- AZT in the Annals of Internal Medicine. In 1985, the first suggestions
- of AZT's ability to fight HIV emerged from its makers at Burroughs
- Wellcome Co. After scientists proved it could prolong the lives of
- AIDS patients two years later, AZT became the first drug to win federal
- approval to treat HIV. Dr. Sandra Nusinoff-Lehrman, one of the
- Burroughs Wellcome researchers who developed AZT, said, "To know that
- eight years later that there are people alive that otherwise wouldn't be
- is a very positive experience." Nevertheless, others say it is time
- for science to progress and develop other treatments. David Gold of
- the Gay Men's Health Crisis said of AZT, "It is not the compound that
- has made HIV infection a chronic, manageable disease, and that's a
- great disappointment." In the Annals review, Gavin McLeod of the New
- England Deaconess Hospital and co-author Dr. Scott Hammer said that the
- hastened FDA approval of AZT allowed physicians to learn much about the
- drug's side effects and proper dosage once it was in use.
-
- "Man With HIV Defends Biting Federal Officer" Washington Post
- (11/16/92), P. B3 (Goldstein, Amy)
- An HIV-positive man arrested after biting a U.S. Secret Service officer
- on the thumb five months ago has spent a month in jail, has been
- committed temporarily to a Washington, D.C.-area psychiatric hospital,
- and has been evicted from his apartment. Regardless, Wilbert Michael
- Yeager said that the bite was justified. Yeager was accused of
- intending to kill by trying to transmit HIV deliberately on May 29 when
- he bit a Secret Service officer. Court documents say he was arrested
- after a struggle near Dupont Circle that began when two members of the
- Secret Service uniformed division asked him to stop blocking traffic.
- Yeager bit one of the officers, breaking the skin and causing him to
- bleed, police said. Yeager was held without bail for 30 days at the
- D.C. jail until a Superior Court judge released him on his own
- recognizance. He said that two weeks later, he was committed to St.
- Elizabeth's, the city's public psychiatric hospital, for three weeks.
- During that time, he lost his apartment because he was behind on his
- rent and could not attend an eviction hearing. Yeager mentioned that a
- grand jury declined to charge him on the most serious account, assault
- with intent to kill, although he faces trial next month on lesser
- charges, including disorderly conduct, assaulting a police officer, and
- resisting arrest. The Secret Service would not reveal whether the
- officer, John Stockwell, has undergone HIV testing.
-
- "Man Charged With Exposing at Least 5 Children to AIDS" New York Times
- (11/16/92), P. A15
- A Roseburg, Ore., man has been charged with attempted murder for
- allegedly exposing at least five children to HIV infection by having
- unprotected sex with them, authorities announced Saturday. The
- indictment, which was filed Friday in Circuit Court, charges Adam Brown
- with attempted murder, sodomy, rape, reckless endangerment, and other
- charges, according to Bill Marshall, a senior deputy district attorney.
- Brown, who was incarcerated in lieu of $50,000 bail, was expected to be
- arraigned on Monday, said Marshall. The indictment said Brown sexually
- abused nine children, having unprotected sex with five of them, knowing
- that he was HIV-positive the whole time. The officials indicated that
- some of the nine children were enrolled at a day-care center, the name
- of which was not disclosed. Brown, who was a lay minister at a church
- not related to the center, used his position to gain trust at the
- center, said the officials. Related Story: Philadelphia Inquirer
- (11/16) P. A10
-
- "Helping Children Who Live With AIDS" Washington Post (11/16/92), P. A1
- (Goldstein, Amy)
- A social worker who works in the pediatric AIDS program at the National
- Institutes of Health helps children and their families cope with the
- deadly disease. Lori Wiener is experienced in exploring the elusive
- inner world of children and easing their pain and their parents'.
- Wiener has formed an intimate community of families, which are scattered
- across the country but related to one another by experiences most
- others will never know. She has developed a telephone network for the
- children so they can call other children with the AIDS across the
- country. For the infected children's parents, siblings, and
- grandparents, Wiener offers group therapy by conference call. Wiener
- assists the children and their parents, two-thirds of whom are HIV-
- positive themselves, shape the way they will be remembered; some make
- videotapes or write poems. Wiener said, "The day the parent and child
- can cry in each other's arms about the fact they may die ... is a very
- difficult, painful day. But you broke ground." In the six years Wiener
- has served at NIH, she has worked with more than 300 young people with
- the disease, encompassing everyone from babies to teenagers from 37
- states. On every birthday and on the anniversary of every death, she
- calls or writes the family a letter. Wiener promotes friendships among
- the children, many who are forbidden by parents to talk about their
- condition with friends at home. In addition, she encourages parents
- with AIDS to make a videotape to give to their children after they have
- died.
-
- "An AIDS Activist Who Helped Women Get Help Earlier" New York Times
- (11/15/92), P. 9 (Navarro, Mireya)
- One HIV-positive woman has made a difference at a New York correctional
- facility by educating other women about AIDS. At first Katrina Haslip
- would not disclose her condition to anyone at the Bedford Hills
- Correctional Facility, where she was held. However, last month when
- the Centers for Disease Control revealed plans to expand the AIDS
- definition, she felt she had nothing to hide. She has addressed her
- infection at conferences, protests, and in one-on-one outreach work.
- She has met in private with CDC officials and chastised them in public,
- as she pushed for the new definition to be approved. She says it will
- help get women tested and diagnosed early, when treatment is more
- effective. The government's proposed definition will add pulmonary
- tuberculosis, invasive cancer of the cervix, and recurrent bacterial
- pneumonia to the list of 23 other AIDS-related conditions. It would
- also include any HIV-positive patients with a CD4 cell count of 200 or
- fewer cells. This means that Haslip, who has been confined to a
- hospital bed in New York City for a month with bacterial pneumonia and
- has a CD4-cell count of six, would be added to the national AIDS
- caseload in January, when the new definition is expected to be enacted.
- She said that HIV-positive women coming out of prison need services to
- ease their transition and to avoid problems like homelessness. While
- in prison, Haslip helped found ACE, the AIDS Counseling and Education
- Program. She also developed ACE-OUT for women who are released from
- prison.
-
- "AIDSFRONT: Whatever Became Of..." Advocate (11/17/92) No. 616, P. 35
- (Delaney, Martin)
- Many promising anti-AIDS drugs have fallen by the wayside for various
- reasons. Hoffmann-La Roche Inc., which manufactures the Roche TAT
- inhibitor, has reported virtually no real progress with the drug for
- almost a year. Many people are beginning to believe that the company
- knows more than it's disclosing--possibly because the early test data
- didn't show promising signs. Two Kaposi's sarcoma drugs which have
- been promised for more than two years to enter first-phase human trials
- still have not done so. For cytomegalovirus (CMV) infection, an oral
- drug is greatly desired. Studies using an oral form of ganciclovir for
- the prevention of CMV will begin soon, but results are not expected in
- the near future and are far from definite. Moreover, N-acetyl-L-
- cysteine (NAC) has had promising data published about it for two and a
- half years. However, the most significant event is that a lot of
- misinformation was revealed about the drug at July's Eighth
- International Conference on AIDS in Amsterdam. A federal study
- appeared to report that the drug wasn't orally absorbed, when in fact
- the study was incapable of calculating this. Federal researchers and
- other interested parties are now rushing to launch at least one
- substantial study before the drug is subjected to bureaucratic abuse.
-
- "Activists Hit NIH Over Funding" Advocate (11/17/92) No. 616, P. 21
- (Coward, Cheryl)
- The revelation that the National Institute of Health redirected adult
- AIDS drug testing funds to pediatric AIDS research in 1991 and 1992
- left activists denying allegations that pediatric AIDS receives a
- disproportionate amount of federal attention and renewing their demands
- for more total AIDS research spending. NIH deputy director Jack Killen
- said the blame should be put on Congress for allowing the $11 million
- diversion of funds. In preparing the 1991 budget, Killen said Congress
- stipulated that $22.5 million of a $41 million NIH allotment for
- pediatric AIDS be designated for pediatric AIDS drug testing. However,
- Congress subsequently reduced the total NIH pediatric AIDS budget by $17
- million without eliminating the condition that $22.5 million of the $24
- million allocation be specifically for pediatric AIDS drug testing. To
- compensate for the shortfall, NIH officials transferred $11 million
- from the AIDS Clinical Trials Group, a program administered by the
- National Institute of Allergy and Infectious Diseases. The diversion
- was reported in an Oct. 5 Washington Post article which said that as a
- result of the shift, 40 percent of NIH's drug-testing budget is
- earmarked for pediatric AIDS, even though children account for only 2
- percent of the nation's AIDS cases. Jeff Levi, director of government
- affairs for the AIDS Action Council, a lobbying group, said that the
- article ignored three other NIAID clinical trial programs that are
- targeted only at AIDS drugs for adults. He said if all of the NIAID
- clinical trials programs are considered together, the percentage
- allocated for research into pediatric AIDS is "a lot less than 40
- percent--more like 20-25 percent."
-
- "News in Brief: New York" Advocate (11/17/92) No. 616, P. 24
- New York Gov. Mario Cuomo signed legislation Oct. 8 that calls for an
- advisory committee to be formed to monitor HIV-positive health-care
- workers. The bill, which will be enacted into law in February,
- establishes a panel that HIV-positive health-care workers may consult
- for advice if they wish. The committee can suggest that HIV-positive
- health-care workers restrict their practices, but it does not have the
- authority to compel them to do so. Proposals that required mandatory
- testing of all health-care workers and forced restrictions on the
- practices of those who test HIV-positive were rejected by Cuomo and the
- state legislature.
-
- "News in Brief: Illinois" Advocate (11/17/92) No. 616, P. 25
- An Illinois law in which some instances of HIV transmission are illegal
- was ruled unconstitutionally vague by Coles County judge Ashton Waller
- on Oct. 9. Waller made the ruling in the case of an HIV-infected
- Charleston man who was accused of rape. The law prohibits HIV-positive
- individuals from having "intimate contact with another," but Waller
- ruled that the ordinance's wording entails "too much guesswork" to
- ascertain exactly what behavior is prohibited.
-
-