Millennium Development Goals

Goal 6: Combat HIV/AIDS, malaria and other diseases

  • Target 7: Have halted by 2015, and begun to reverse, the spread of HIV/AIDS

HIV/AIDS

  • over 37.8 million are living with HIV and over 20 million have already died since the first AIDS cases in 1981
  • 4.8 million people became newly infected with HIV in 2003
  • in the hardest hit countries, life expectancy will fall to 30 years by 2010
  • In 1999, an estimated 860,000 African children lost their teachers to AIDS
  • 13 million children in Africa have lost at least one parent to AIDS, by 2010, this will rise to an estimated 25 million.

Key obstacles:

  • funding for treatment and for research
  • poor co-operation between donors
  • the relatively high cost of drugs
  • a lack of political will and commitment plus follow through
  • attitudes towards the disease and those who suffer from it.
  • Target 8: Have halted by 2015, and begun to reverse, the incidence of malaria and other major diseases

Malaria

  • about 100 countries in the world have malaria, almost half of which are in sub-Saharan Africa. There are now more than 2.4 billion people are at risk
  • there are an estimated 200-500 million malaria cases each year with about 90% occurring in sub-Saharan Africa
  • malaria kills between 1.1 and 2.7 million people each year, of whom about 1 million are children under 5 years in sub-Saharan Africa
  • economic losses due to malaria in Africa are estimated to be about US$12 billion per year.

Key obstacles

  • interventions costs e.g. it would cost US$22.5 million to provide all under 5's in a country of 20-30 million people with insecticide treated nets
  • malaria is now resistant to many drugs and the new range are very expensive.

TB

  • every 15 seconds someone dies of TB
  • more than 8 million people become sick with TB each year and each one can infect between 10 and 15 people in one year just by breathing
  • TB is a disease of poverty, 92% of cases and deaths occur in low income and lower middle-income countries.

Key obstacles

  • TB is spreading faster than TB control efforts
  • the emergence now of HIV-associated TB and multi-drug resistant TB
  • more needs to be done to target services to control TB amongst poor people.