Have now and there wasnt this consensus around doing those things. Those are two things that have come together that i hope will get carried forward in the next few years to really reach those goals. Anyone want to add on optimism or post 2015 . Let me just say that in my incoming address at the close of the Conference Also tried to share in that optimism but also back away a little bit from putting ourselves in a position where our concerns are 2030 and saying really what do we want to do by durban, which is two years from now. If we just keep the pace were going at, we should add at least, you know, 4 million or so more people on to treatment between now and then. That would be actually where we are plus a little better. And it seems to me that what we need to do with this every twoyear global convening is to start to use it more as an accountability tool and really to use it more as a formal way to measure where we are and what weve achieved. I feel just for myself the new goals, th
The importance of really targeting resources to where the virus is, to where people need treatment. Where transmission is ongoing. Given what the Global Funding climate looks like and given the fact that we are beginning to bear down on this. I have to thank you, because i was at many of the sessions and have read so much that has come out of the conference. That was the best summary of everything that happened. You got the best summary right here. Thanks jan, and Baxter Kaiser incurred for hosting us. And congratulations, chris. Youre a sent to being president for the next two years and and moving towards durban, which is very exciting. I was really struck by the emergence of opinion. Justin sitting and listening to , to Michelle Sidi bay. Degree to which is a very mature in advance consensus around what needs to happen is remarkable. This is not a community the set in deep controversy and division. I was at times a little irritated. This is really a sign of success. It, awas embedded
The media. Very inflammatory headlines. W. H. O. Says all gay men should be on prep. Nobody said that. Read the guidelines there. I think a real advance. In addition to the recommendation, theres an important recommendation for Community Distribution to reduce overdose deaths, which have actually in countries where theres good coverage of arbs, overdose death has been begun to replace hiv as the leading cause of death win people who inject opia opiates. There was good news on prep, which was the results released the Clinical Trial came out in 2011. Bob grant was the lead investigator. This is the open label extension. So this is really the question of the effectiveness of the prep when its not a placebo trial, when people know what they are taking. The good news is the effectiveness was higher than in the trial. About 50 overall. But looking at blood levels and at people who actually took the drug, it turns out, first of all, that the efficacy was 100 as measured in people who took it
Government, as wellintentioned as they are, and i do believe that they are wellintentioned, i just simply do not think that they have the capacity. I think that there needs to be something to augment their capacity. I think that there needs to be some kind of coordination unit. Ive heard here today that the World Health Organization has the lead. Maybe, maybe not. I think something with a bit more of an operational edge to it is called for. That may be some kind of a i do not know what that could be, but more is needed. I think that if we leave the situation up to the ministries of health when you have a unique situation where you have three poor countries that have a communicable, infectious, and lethal disease, they clearly do not have the capacity to contain it. And is the world willing to allow the Public Health of the world to be in their hands while they try to contain the disease . That is the essential question. Finally, dr. Glover, you had worked on the outbreak of ebola, what