Matthew Kavanagh Profile picture
Jun 4, 2021 8 tweets 5 min read Read on X
Ahead of UN #HLM2021AIDS we're thrilled to work with partners at @gnpplus @Aidsfonds_intl @UNAIDS to share new policy briefs on urgency of law & policy reform
hivpolicylab.org/hlm2021
Thread on some of what we find👇...

[Stay tuned Monday for a new paper on empirical impacts] Image
Criminalization of same-sex relationships, drug use, sex work, and HIV exposure remain wide-spread despite clear evidence and global norms against. New UN targets: reduce the orange and yellow bars to 10%. Lots to do. Image
But there are many protective laws that also need adopting. Strong gender-based violence laws have been adopted by 114 countries, but more work to do on adoption & implementation. Image
Having strong, independent human rights institutions is key to allow PLHIV and KPs to report rights violations and seek redress... 39% of countries do, 61% dont have. Image
Non-discrimination laws, too, are more widely needed--just 23% of countries prohibit discrimination on the basis of sexual orientation, gender identity, and HIV status. Image
Law & policy change is possible... good news that countries like Angola and India have decriminalized same-sex relationships, New Zealand decriminalized sex work, Colombia decriminalized HIV exposure, and Portugal decriminalized drug use. Image
The continuing work of the @HIVLawCom continues to spotlight these issues--powerful to see #HumanRights moving into concrete, if aspirational, goals in the new #HLM2021AIDS draft text. Law reform is key. Image
Powerful #HIVPolicyLab partners gathering law and policy information to generate data and accountability include @apnplus @ILGAWORLD @GlobalSexWork

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More from @MMKavanagh

Jul 6, 2023
Interesting on ethics in #PandemicTreaty. But I'm baffled by @G_Owen_Schaefer @ZekeEmanuel et al take on Intellectual Property. Seems to misunderstand what’s happened in actual pandemics; if dont open monopolies, their other (good) countermasure ideas won't work... a thread. 1/12
They suggest IP is needed for “sustainability” principle & waiving IP = ethical problm b/c “policy makers would then face a tension between short-term human wellbeing, equity, and solidarity, & the long-term sustainability of incentives to respond to future pandemics"True? 2/12
It does not hold up. Why?
First big issue: their reasoning relies on the idea we need to solve problem of vaccine, drug, diagnostic makers lack of incentives. But in real life, these companies had plenty during COVID-19 in the form of 1)direct public investment and 2) profit
3/12
Read 12 tweets
Apr 3, 2023
Our NEW @Global_Policy article out as #PandemicAccord negotiators meet: "Vaccine Politics: law & inequality in COVID" shows COVAX failed b/c of a model misaligned with politics.Not $.Not tech.
Same approach,better funded ≠ equity next pandemic
🧵thread onlinelibrary.wiley.com/share/author/S… Image
I write w/@Renu_Singh_ about why the dominant law&policy paradigm proved incapable of securing equity.
Political analysis necessary to design effective pandemic response.
Greater use of law, inter-state negot, and intl agreements can engage intl & domestic political forces 2/16 Image
Well before a vaccine had been developed there was an unprecedented moment where heads of state and global leaders pledged they would ensure equitable access to a not-yet-created medical countermeasure. But of course... 3/16 Image
Read 16 tweets
Nov 10, 2022
HIV treatment as cautionary tale for economists.
1. no excuse. By 2005-7 Oster speaking/writing against treatment, antiretrovirals avail for 8 years.Finally reaching 1 mill ppl in Africa. Deaths long ago dropped in US/Europe (L) finally falling in E/SAfrica. She argues to stop... ImageImage
2. Entire basis for cost-effectiveness calculations based on 2 false ideas. The first was confusing price for cost and not understanding it was subject to govt action. Price=a choice. Generics reverse-engineered & govts used power to import. Cost fell 99% to >$200. Image
3. Second false idea: Treatment and prevention are either/or choice. Its just wrong. a)ARVS stop HIV transmission b)Treatment brings hope, encourages testing, opens a key gate for prevention. The "do education instead" idea was not viable, and that had been well shown by 2005...
Read 9 tweets
Jan 22, 2022
Is it “not clear that 'coloniality' is the cause” of COVID19 vaccine inequality? Maybe not for many (helpful article in that sense), let's discuss.
THREAD🧵#decolonizing starting w political economy: $trillions for North's corporate, R&D, university "capacity" has an origin.../1
First: colonialism was a system of resource extraction, slave trade, and global commerce that enriched the global North and has had long-running harm for Southern economies… inequality in resources is not naturally occurring/2
Empiricaly clear e.g. Nunn "the world’s current income differences could be explained by the divergent effects of European contact globallty, which resulted in a massive transfer of disease, food, ideas, and people.../3
science.org/doi/10.1126/sc…
Read 15 tweets
Aug 4, 2021
Article out: Legal environ & #pandemic response. After 5yr global #HIV push on testing&treatment, countries that criminalized gay relat, sexwork, drugs had less success. Rights-protective laws, better outcomes
Biomedical & structural interconnected
A🧵/1
gh.bmj.com/content/6/8/e0… Image
Measuring legal approaches in world: @HIVPolicyLab data show some countries highly criminalize, some less so (only 20% criminalize all). Meanwhile rights-protective legal approaches: 23% have strong non-discrim, 39% ind. human rights inst., 79% enforceable GBV laws. /2 Image
@HIVPolicyLab @BenjaminMMeier @sharifasekalala @SECTION27news @mpactglobal @mplngr @KashishAneja_ @EllieGraeden @LawrenceGostin We looked at success on the global #HIV 90-90-90 targets to achieve knowledge of status + viral suppression by 2020. Biomedical focus of last 5 year Global AIDS Strategy agreed at UNGA. Some countries exceeded, many did not. This allows for empirical comparison. /3
Read 7 tweets
Jun 21, 2021
Dear @JoeBiden @KamalaHarris @SecBlinken @SecBecerra time for you to act. Sharing tech is good public health, it's good diplomacy. NIH-Moderna vax already paid for. It could show the power and relevance of government, US in particular. How about you...
1. Democratize vaccine production. I know you've already said USDFC is investing, take the last steps... and also
foreignpolicy.com/2021/03/01/to-…
2. Use the authority you have. Not sure why you're NOT using the carrot and stick to get this done, but it's a bad look. Moderna has NO interest in these markets, has not even registered to sell there. You can use the Defense Production Act and...
lpeproject.org/blog/how-to-va…
Read 4 tweets

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