Atlanta Journal-Constitution (10.15.03) - Wednesday, October
CDC has named Taiwan-born health expert Ray Yip director of a
new program to stem the spread of AIDS in China. With an
initial budget of $3 million, the China program is CDC's
response to requests for assistance from the Chinese Ministry
of Health and reports from a CDC team sent to the country in
2001 to assess the AIDS threat. China is the newest of 25
countries where CDC has set up offices under the Global AIDS
Program, funded by the US Congress. Yip and his deputy, Bessie
Lee, will officially open the China office on Monday, October
20.
More than 70 percent of China's HIV/AIDS patients are drug
users; most of the rest are farmers infected through blood-
selling schemes. Yip said HIV has not spread significantly to
the general population. HIV infection is still less than 1
percent among sex workers, but that rate is up tenfold from
about five years ago. Surveys have shown that Chinese sex
workers have a low rate of condom use and low awareness of how
to prevent STDs. "Once the infection rate of sex workers gets
to a critical level, like 3 or 4 percent, then it will be very
hard to control," Yip said.
Yip foresees a three- to four-year window of opportunity to
prevent an explosive AIDS crisis in China. CDC's China office
has a start-up staff of four public health professionals,
increasing to six next year. Working with the Ministry of
Health and some six provincial governments, the office will
improve prevention, treatment and surveillance of HIV/AIDS. It
will also mount prevention efforts in a few provinces still
relatively unaffected by the disease.
In addition to helping create surveillance models, set up labs
and handle other technical issues, Yip hopes to use China's
epidemiological data to convince leaders that there is still a
chance to get HIV/AIDS under control. "A lot of people think
it's too late in China," he said, "over a million infected.
They think the genie is out of the bottle. I actually
disagree. I think the genie is two-thirds in the bottle."