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AIDS breakthrough: vaginal gel helps block virus

A drop of microbicide gel is photographed as it is squeezed from an applicator at the Baragwanath hospital in Soweto, South Africa, Friday Oct. 28. (AP / Denis Farrell)
A drop of microbicide gel is photographed as it is squeezed from an applicator at the Baragwanath hospital in Soweto, South Africa, Friday Oct. 28. (AP / Denis Farrell)

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Date: Tuesday Jul. 20, 2010 11:39 AM ET

Researchers at the International AIDS Conference in Vienna are claiming a huge victory, saying they have developed a vaginal gel that can significantly reduce a woman's risk of contracting HIV.

Women in South Africa who volunteered to test the gel cut their chances of contracting the virus by 50 per cent after one year of use and 39 per cent after 2 1/2 years, compared to a gel that contained no medicine.

The researchers also discovered that the gel cut in half the chances of getting HSV-2, the virus that causes genital herpes.

Scientists call the gel a breakthrough in the search for a way to help women whose partners refuse to use condoms.

"We are giving hope to women," Michel Sidibe, the executive director of the World Health Organization's UNAIDS program, said in a statement. A gel could "help us break the trajectory of the AIDS epidemic," he said.

Mitchell Warren, executive director of the AIDS Vaccine Advocacy Coalition, called it a "historic day for HIV prevention research."

"We congratulate the trial sponsors, scientific collaborators, and partners who conducted this trial, and especially want to thank the nearly 900 South African women whose altruism and commitment as trial volunteers made this effort possible," Warren said in a news release.

The gel is colourless and odourless and spiked with the AIDS antiretroviral drug, tenofovir. It's inserted into the vagina using an applicator that resembles a tampon applicator before and after intercourse.

The trial of 889 women in both an urban community and a rural community showed that the women largely used the gel as directed, suggesting the product should work in the real world.

Women who used the gel more consistently were much less likely to be infected. A survey revealed that 99 per cent of the women said they would use the gel consistently if they knew for sure that it prevented HIV.

The gel also seemed safe; the only observed side effect was mild diarrhea. What's more, researchers say the gel is cheap: The microbicide is cheap to produce, and the gel itself cost only pennies. Even the applicator is inexpensive, at just 32 cents each.

Nearly 20 years of research have gone into development of a vaginal gel that could be controlled by a woman. Researchers made their breakthrough after finding that in studies in monkeys, tenofovir appeared to protect against both vaginal and rectal HIV infection.

Margaret Chan, director general of the WHO, described the findings as "exciting".

"We look forward to seeing these results confirmed. Once they have been shown to be safe and effective, the WHO will work with countries and partners to accelerate access to these products," she said in a statement to the Vienna conference.

About half the people living with HIV in the world are women. In sub-Saharan Africa, more women are infected than men.

The researchers say they are optimistic that with further work, they can improve the microbicide gel's efficacy even further. Researchers are already working on another trial larger of the gel which will involve 5,000 women in South Africa, Malawi, Uganda and Zimbabwe, to further test the gel's safety and efficacy.

With reports from the Associated Press

Comments are now closed for this story

Kevin
said

Ok that's "nice" that they gave something for the "heterosexuals" ladies. How about the Gay men who want something to ensure their safety beyond duct tape and lectures from the Christian right or the morality police? Can they make ...ooo..do I dare utter the word "anal" sex worry safe? Don't get too high and mighty heteros...some of you do it and prefer it as well.


Conservative Mike
said

For North Americans at least, I have discovered an absolute 100% have to prevent sexually transmitted HIV - abstinence! And getting to really know a person before having relations with them!If you have suspicions of your sexual partner and his or her past history, refrain from having sexual relations with that person! A novel idea, obviously this doesn't include the unfortunate victims of rape crime, but for the rest of us, a fool-proof way to avoid sexually transmitted diseases and it doesn't involve messy vaginal gel... Worked for me (and I am happily married with two kids BTW). I happened to do a bit of thinking and actually got to know the person before I went any further with my partner, so you do need to do a bit of that, another novel idea for people in the 21st Century. I'll expect my royalty cheque in the mail...


Steve in PEI
said

John, in sub-Saharan Africa, women typically don't have a lot of say when it comes to sex. Their husbands get HIV having unprotected sex with prostitutes, who themselves have little control over their own fate, and bring it home to their wives, who can't refuse sex or make their husbands wear a condom. These are not equal societies - therefore, there cannot be equal blame. Those who have more of the power have to take more of the responsibility.Obviously the common denominator is lack of female empowerment. In lieu of massive social change that may take generations, the idea of this research is to have a more immediate effect on the rates of HIV transmission by giving women something affordable that they can control to protect themselves.


Joe Canadian
said

First off John .... the men in these countries refuse to wear condoms, so the women have no choice - do a little research before you spout off. Second, it is much much harder for a man to catch AIDS from a woman .... again a little research would help here. Too bad the prevention rate isn't 100% but I guess it is better than nothing.


loop
said

maybe just send some condoms instead?


CYL
said

OK Ladies: affordable & comfortable HIV protection. Use more lube, have more fun. What a promotion for the gel companies.


Darin
said

A reduction of only 50%? This is a breakthrough?

It obviously doesn't help with AIDS infection through dirty needles or contaminated blood supply. Nor is it likely to help with cases of being raped (since the victim is unlikely to be permitted to apply the gel first). So, as long as we're just talking about consensual sexual relations, why not just stick to the only 100% method out there? Abstinence until in a committed, life long, monogamous relationship. It's the only way to be sure.


fanyana
said

I am not happy with the idea because I want the cure for it not the blocking, what about those that are already diying from it? let us not tryg to play with it, let's cure it


John
said

While that is a good advancement, I really do not appreciate the connotation that women are the helpless victim of men who are spreading HIV. Guess what? If women weren't spreading it too, the men wouldn't have it


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