原创力文档responding to aids, tuberculosis, malaria, and emerging infectious diseases in burma dilemmas of policy and practice应对艾滋病、结核病、疟疾和新兴传染病在缅甸困境的政策和实践.pdfVIP
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responding to aids, tuberculosis, malaria, and emerging infectious diseases in burma dilemmas of policy and practice应对艾滋病、结核病、疟疾和新兴传染病在缅甸困境的政策和实践
Policy Forum
Responding to AIDS, Tuberculosis, Malaria,
and Emerging Infectious Diseases in Burma:
Dilemmas of Policy and Practice
*
Chris Beyrer , Voravit Suwanvanichkij, Luke C. Mullany, Adam K. Richards, Nicole Franck, Aaron Samuels, Thomas J. Lee
n 2004 the Global Fund to Fight
AIDS, Tuberculosis, and Malaria
I(“Global Fund”) awarded program
grants to Burma (Myanmar) totaling
US$98.4 million over fi ve years—
recognizing the severity of Burma’s
HIV/AIDS and tuberculosis (TB)
epidemics, and noting that malaria
was the leading cause of morbidity
and mortality, and the leading killer of
children under fi ve years old [1]. For
those individuals working in health in
Burma, these grants were welcome,
indeed [2].
In that same year, Burma’s DOI: 10.1371/journal.pmed.0030393.g001
authoritarian military regime—the
State Peace and Development Council Figure 1. Distribution of Reported Malaria Deaths in Southeast Asia, 2003
(SPDC)—was accused of severe and Burma accounts for about 7% of malaria cases reported in Southeast Asia, including India, yet over
half the malaria deaths in the region occur in this country.
ongoing human rights violations, and Source: WHO, SEAR [75]
United Nations Secretary General Kofi
Annan appointed a Special Rapportuer
project implementation areas, and In the same month, the executive
on Human Rights, signaling a high
having added additional procedures to director of the World Food Programme
level of concern about the junta’s the procurement of medical supplies. visited Burma and called for a
governance. Given these occurrences,
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