Mr Chairman,
I know you heard it this morning. I say it again. The tide is
starting to turn. Never has political commitment been stronger. HIV and
AIDS are concerns of all sectors, and all of society. The response must
be broad, yet focused.
There are some early positive signs. But we have so much more to do.
We know what to do, we know how to do it. The bottom line, for us all,
is that we MUST succeed. We must enable people to avoid being infected
with HIV and developing AIDS.
Heads of State, their Health and Finance Ministers, community
organizations, people with HIV, donors, as well as the UNAIDS
cosponsors, secretariat and other partners, are carrying a growing
responsibility to ensure this success.
The possibility of a reduction in prices of drugs has opened up new
opportunities, new initiatives and actions to stem the devastation
caused by the epidemic. It has also spurred very useful discussions on
several challenging and difficult issues we have to face if we are to
make progress.
But the choices governments have to make have not become any easier.
They still face an epidemic on a devastating scale which they have to
fight with woefully limited resources. They will have to maintain
resources for prevention when the pressure to focus on care will
increase. And they will have to make difficult decisions which will
influence who can receive care and who cannot.
This challenges us all to ensure that health systems enable people
with HIV and AIDS to access the care that they need. This means equity
of access, going beyond the elites. Responsive care for all – women
and children too. Wider access to reliable diagnostics, fewer and better
treated opportunistic infections. Less mother-to-child transmission.
Prompt and effective care for sexually transmitted illness. We in WHO,
working with other UNAIDS cosponsors, will help governments set and
implement standards for this care.
The World Health Assembly last week, passed a Resolution that can be
an important tool in our action to counter HIV/AIDS. It gives a clear
mandate to implement the proven, evidence-based strategies and
interventions that will have an impact on the epidemic.
The Resolution calls on Member States to match political commitment
to the fight against HIV/AIDS with resources that reflect the magnitude
of the epidemic. It opens the way for significant advances in equitable
access to drugs. Moreover, Member States are requested to strengthen
public education on HIV/AIDS and to pay particular attention to national
strategic plans directed at reducing the vulnerability of women,
children and adolescents.
As we rightly grasp the opportunities for finally being able to
provide improved care for more people living with HIV/AIDS, three words
force their way to the forefront: prevention, prevention, prevention.
Prevention has long since been agreed as the key to limiting the
epidemic from spreading. Nothing of what has happened over the past few
weeks has changed that. Our primary goal must always be to prevent men,
women and children from becoming infected with this incurable disease.
This is not a question of either/or. It is prevention and care
– reinforcing and strengthening each other.
Mr Chairman,
There are more partners in the field than before. The stakes are
higher. For us to progress, we must keep all partners on board. We must
maintain mutual trust. We must address the genuine concerns of all.
We must avoid splits between a focus on prevention and an emphasis on
care. All are involved, we must move forward together.
To do this, mechanisms matter. We are all working together to find
inclusive means for dialogue, debate and negotiation. This is never
easy, but I believe there now is more goodwill and commitment than ever.
Through the enhancing of care and strengthening its linkages to
prevention, we are about to give new directions and a new energy to an
expanded, revitalized response to the HIV/AIDS pandemic. There is an
increased spirit of global solidarity that will help us to take it
forward.
Thank you.