Laurie Garrett Profile picture
Dec 1, 2022 13 tweets 10 min read Read on X
It's World AIDS Day: time to take stock. Because there is no #HIV #vaccine and women can't compel men to use condoms, people continue to get newly infected. And because the majority of them live in poor parts of the world, the undeclared #pandemic is very expensive.
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2/AIDS
Inside the USA federal spending on HIV/AIDS $7.6 billion/year.
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3/AIDS
Of that, about $780 million goes to the @CDCgov for prevention programs -- and much of that is passed onto the States.
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4/AIDS
The USA spends a nearly equal amount fighting HIV/AIDS overseas, thru @PEPFAR -- funding for which grew from $2.2B in FY 2004 to $7B in FY 2022; includes bilateral HIV efforts + $1.6 billion for multilateral, mainly the @GlobalFund .
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5/AIDS
Hard to guess how much private $ is spent on HIV/AIDS in USA. A 2017 study reckoned >370,000 HIV+ people were in the country; about 7,000 of them died/year. Costs beyond Fedl funds were >$30K/yr/persn: total US burden $10.7B above official nos.
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ncbi.nlm.nih.gov/pmc/articles/P…
6/HIV
Total global spending for HIV/AIDS hit $21.5 billion/year by the end of 2020. @UNAIDS reckoned that needed to top $29 B/yr by 2025. As of today private + govt pledges to @GlobalFund have only reached $15.7billion, spread over the coming 5 years.
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indicatorregistry.unaids.org/export-to-pdf/… Image
7/HIV
The #Biden administration has asked #Congress to increase funding for #HIV/AIDS, #TB, #malaria and #COVID19 -- at home and abroad. But #Republicans have blocked COVID support, and seem disinclined to up foreign aid for global health, as well.
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whitehouse.gov/briefing-room/…
8/HIV
At least 20 million people worldwide now live, infected with HIV.
In wealthy countries death rates peaked in 1995, at around 16 deaths/100K population/yr -- now below 1.4/100K/yr. We haven't brought deaths down to that level in SS Africa.
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9/HIV
@UNAIDS says the issue is subjugation of women:
“In areas of high #HIV burden, women subjected to intimate partner violence face up to a 50% higher chance of acquiring HIV. Across 33 countries from 2015-2021 only 41% of married women aged 15-24 could make their own..."
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10/HIV
"...decisions on sexual health. The only effective route map to ending AIDS, achieving the sustainable development goals and ensuring health, rights and shared prosperity, is a feminist route map."
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unaids.org/en/resources/p… Image
11/HIV
And, says @UNAIDS, too many children aren't getting treated for #HIV :
"In 2021, children accounted for only 4% of all people living with HIV but 15% of all AIDS-related deaths. Closing the treatment gap for children will save lives."
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12/HIV
In 2021, @UNAIDS says, 650,000 people died of AIDS & 1.5 million newly acquired #HIV.
“What world leaders need to do is crystal clear. In one word: Equalize. Equalize access to rights, equalize access to services, equalize access to the best science and medicine."
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13/HIV
On this World AIDS Day we need to consider what these #HIV numbers tell us about the future of the #COVID19 #pandemic and the lessons of costs and global inequalities. What will the global sickness, death and financing burdens of COVID be in 2025? 2030? 2040? Image

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More from @Laurie_Garrett

Sep 23
Donald Trump is now addressed the UN General Assembly. He notes the teleprompter isn't working and, "whoever is responsible for this teleprompter is in big trouble."
He reads from printed text on the podium.
"This is the Golden Age of America." Image
2/ His remarks open by listing his accomplishments domestically since taking office. "In my first term I built the best economy in the history of the world...and this time it's even better."
"The number of illegal aliens entering our country has reached zero...If you come illegally into the U-S you're going to jail...or perhaps further. You know what that means."Image
3/Trump at UNGA
Says the U.S. was a laughing stock, but not anymore. My administration has negotiated one historic trade agreement after another."
I have ended 7 un-endable wars. I ended 7 wars. " Cambodia/Thailand, Congo/Rwanda, Armenia/Azerbaijian, Albania/Kosovo.
"And I did it in just 7 months. There's never been anything like it."
The UN "did nothing. I never even received a phone call from the U-N."Image
Read 18 tweets
Sep 22
Canadian PM Mark Carney is addressing the Council on Foreign Relations right now. He opened by describing the very positive relationship Canada and the US shared -- until now.
And looking at Trump impacts on the global geopolitical landscape.
"So, what do we do about it? We think we can thrive for three reasons"
1.) we have what the world wants:
- energy
- we are top % in world's critical minerals
- we are a leading developer of AI and quantum talent
- we have sophisticated pension funds and investors
- we have a govt that can act decisively
2.) Our public square is loud, diverse and free
3.) We recognize what's going on. A rupture. Sharp change.
- build strength at home, cut taxes, increased X-province trade, doubling defense spending, especially in AI
- defend out values
- build alliances abroad
- diverse trade agreements, espec. w/EU
- joining SAFE -- EU defense
- comprehensive approach w/Mexico trade
- we are largest contributor per capita to Ukraine
- support 2-state solution in ME
- forming buyers' clubs for REEs & critical minerals

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Carney/2
"Old Multilateralism" -- how we used to work.
Now, substantial change underway, espec. for REEs, essential minerals, energy.
When you think about Canada, think of a strong soveriegn nation.
We understand what's going on. We have the resources the world needs. We're a reliable partner...with any part of the world.
Carney/3
LIVE now Carney is talking on stage w/CFR Pres. Froman
Q - 2/3rds Canadian population lives w/in 100 km of US border -- how much can you reorient economy?
Carney: 1st, recog. the need to do it. To be masters in our own house.
Don't want to look at Truth Social daily to see changes in US poilicy
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Read 21 tweets
Aug 31
On Friday, when most of America wasn't paying attention, heading out for the holidays, Trump signed an Exec Order transferring ALL control over foreign aid from State to OMB.
This will destroy American overseas programs. Here's why (MORE)whitehouse.gov/presidential-a…
2/US programs for everything from #famine relief & #HIV care to safe pregnancy efforts & building electricity grids have won America friends in the world & saved 100s of millions of lives. They were nested in the State Dept so our diplomats on the ground can oversee them.
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3/ By moving foreign aid out of State & into OMB, programs for saving starving children, rescuing families from catastrophes, teaching kids to read, stopping epidemics -- ALL of that now falls under the control of Russell Vought.
Who is Vought?
MOREtrumpwhitehouse.archives.gov/people/russell…Image
Read 22 tweets
Jul 19, 2024
As #JoeBiden hunkered down in Delaware & Party leaders scrambled to figure out how #Democrats can win the election, I kept thinking of March 31, 1968. On that day the White House put out word of a mysterious speech LBJ would give from the Oval Office.
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@BeschlossDCImage
2/
In a world without Internet or 24-hour news cycles the buzz in Washington about the event failed to reach the American people until that night. America assumed LBJ’s address would be about the widening war in Vietnam. On live television, a very haggard-looking LBJ began:
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3/
"Good evening, my fellow Americans:
Tonight, I want to speak to you of peace in Vietnam and Southeast Asia.
No other question so preoccupies our people. No other dream so absorbs the 250 million human beings who live in that part of the world."
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Read 16 tweets
Jul 9, 2024
While #Trump claims no direct connection to #Project2025 it's clear han no #Republican in national power has denounced the Heritage Foundation 887-page manifesto. I put a few hours into scrutinizing the Project's plans for @HHSGov & health agencies. (pages 449-502)
🧵unfolds: Image
2/Health & Human Services @HHSGov must “respect for the sacred rights of conscience” for Federal workers & healthcare workers broadly who object to #Abortions contraception, gender reassignment & other issues.
“Radical actors inside & outside govt are promoting..."
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3/ “...harmful identity politics that replaces biological sex w/subjective notions of 'gender identity' & bases a person’s worth on his or her race, sex, or other identities. This destructive dogma, under the guise of 'equity,' threatens American’s fundamental liberties..."
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Read 17 tweets
Jul 5, 2024
When a society attacks its toiling scientists, ranking the opinions of quacks, religions & charlatans above those of scientific insight and discovery, it is a sorrowful time.
Scientists who have been persecuted for their work...
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2/
-Muhammad ibn Zakariyā Rāzī or Rhazes of Baghdad (860 - 932 AD) beaten into blindness for introducing medical advances from non-Arab countries
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-Michael Servetus (1511-1553) made discoveries in blood circulation. Burned at the stake by Calvin in Geneva
-Henry Oldenburg (1619-1677) promoted sharing scientific insights, labelled a spy, held in the Tower of London
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Read 11 tweets

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