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
@HIVPolicyLab @BenjaminMMeier @sharifasekalala @SECTION27news @mpactglobal @mplngr @KashishAneja_ @EllieGraeden @LawrenceGostin Countries with criminalized legal environments: fewer PLHIV know their HIV status + there is more un-suppressed #HIV virus. Same sex crim: 11% lower knowledge + 8% lower suppression. Sex work: 10% + 6%, Drug: 14% both. Criminalizing all 3=aprox 18%–24% worse biomedical outcomes/4 Image
@HIVPolicyLab @BenjaminMMeier @sharifasekalala @SECTION27news @mpactglobal @mplngr @KashishAneja_ @EllieGraeden @LawrenceGostin Rights-protective legal environments: national laws on non-discrimination, independent human rights institutions and gender-based violence were associated with significantly higher knowledge of HIV status (9%, 3%, 16%) and higher viral suppression among PLHIV (11%,3%,16%). /5 Image
In sum: biomedical health outcomes (how effectively HIV virus been suppressed in a country) are linked to the legal environment. As @HIVLawCom found “the legal environment can play a powerful role in the well-being of people living with HIV and those vulnerable to HIV” /6 Image
Thanks to @HIVPolicyLab partners @GlobalSexWork @IDPCnet @ILGAWORLD @UNAIDS @gnpplus for data contributions

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Matthew Kavanagh

Matthew Kavanagh Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @MMKavanagh

21 Jun
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
21 Jun
#Covax is failing. Big picture: even as delivers doses, it won’t deliver goal of EQUITY.
Short term: By June was to reach just 3% of LMIC pops. Delivered only 1/4 of that (88 of 337m forecast).
We need to talk about why & learn real-world, politically-informed lessons
🧵[thread]
The goal: at a high level, COVAX as a pillar of ACT-A aimed to “ensure that every country gets fair and equitable access to eventual #COVID19 vaccines…. By acting as an insurance policy.” At this point, it's clear this model has not been successful /2
Not #VaccinEquity: Dec 2, 11, 21 of 2020 UK, US & EU authorized #COVID19 vaccine.
6mos later, so many ways (data, stories, lives) to see inequity outcome of current vaccine prod & distrib systems.
Here's 👇from @fibke:% pop vs % vax does NOT approach equity /3
Read 21 tweets
12 Jun
Breaking: South Africa’s vaccine roll out yet again in crisis b/c high-inc-based company failed to deliver vaccines. Millions of JNJ vax may have to be tossed out, so no vax for millions of seniors & vulnerable supposed to be vaccinated 2 wks ago. this has to be addressed...
...this is happening b/c USG-funded production of JNJ vax substance at Emergent which failed quality.
Aspen, the SAfrican company, has NOT gotten tech transfer to make the vax, instead they’re filling and finishing substance from JNJ (from Emergent)😞

nytimes.com/2021/06/11/us/…
...so now SAfrica has just 300,000 doses!!... it’s so clear, SA needs stop counting on AZ or JNJ or Pfizer. instead...
Read 4 tweets
9 Jun
@R_H_Ebright @amymaxmen @VanityFair pretty striking to have a once-eminent professor reduced to schoolyard name-calling in defense of problematic journalism... Not sure where that gets you, but ok here's what I read...
@R_H_Ebright @amymaxmen @VanityFair Article quotes trump admin official saying it “smelled like a cover-up” (innuendo). Any evidence of a cover-up? None given. Instead, evidence shows pretty clearly what Trump appointees were pushing didn’t pass basic basic scientific rigor so career experts refused advance it.
@R_H_Ebright @amymaxmen @VanityFair Article questions WHO’s independence because (innuendo) WHO didnt appoint US officials. From a government that had announced withdrawal from the WHO? That’s just silly.
Read 8 tweets
4 Jun
Read 👇 Dear Journalism:Does this pass muster @VanityFair? Innuendo, implications, Eban teases as breaking story. Zero new evidence. Lots of fmr Trump admin people saying there's a cover up, with no evidence. How is this not just spreading misinformation?
vanityfair.com/news/2021/06/t…
YES we need more info on #COVID #Origins. Yes a lab leak is a possibility, but as many have said it has not been high on priority b/c there is quite literally no evidence for it. Eban doesn't find any either. But she does fall for all sorts of canards...
For example, Eban falls for the one about how @WHO didn't appoint US officials suggested for the independent expert team. This has been being shopped around by Trump admin folks for months. Eban takes the bait, reports it as if it's a shocking piece of new information. But...
Read 23 tweets
4 Jun
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
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(