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French study offers hope in quest for Aids cure

A small French study of 14 HIV patients who have remained healthy for years after stopping drug treatment offers fresh evidence that early medical intervention may lead to a "functional cure" for AIDS, researchers said this week.

French study offers hope in quest for Aids cure

The research, published in the US journal PLoS Pathogens, comes on the heels of a report last week that a baby in Mississippi appeared to be cured of HIV after aggressive antiretroviral drug treatment delivered within 30 hours of birth.

Experts agree that while parallels between the two studies are intriguing, the phenomenon is rare – and warn that most of the 34 million people infected with HIV worldwide would develop full-blown AIDS if they stopped taking drugs to repress the human immunodeficiency virus.

Myron Cohen, a well-known US expert on HIV and chief of the Center for Infectious Diseases at the University of North Carolina, described the French study as "provocative".

"It provokes us to think. Who in the universe of people treated early can come off treatment? They showed us some clues, but it is a question that demands more science," he told AFP.

The study involves 14 adults, a group known as the VISCONTI cohort, which stands for Viro-Immunologic Sustained Control After Treatment Interruption.

They were treated for HIV with a range of antiretroviral drugs, each within 10 weeks of infection, and stopped treatment around three years afterward on average.

The group has been able to keep viral loads under control for a median of 7.5 years without drug treatment, said the study.

The individuals do not have the genetic characteristics of another rare group of people – fewer than one percent of the population – who appear able to spontaneously stave off HIV without medicine and are known as "natural" or "elite controllers".

Those in the VISCONTI group, described as "post-treatment controllers," have not completely eliminated HIV from their bodies. They continue to maintain it at a low level in their cells and have not become sick.

Researchers cautioned, though, that the mechanism that explains why these patients can fight HIV without drugs remains unclear. Several immunologic tests have not found a singular cause for their continued control of the virus.

"These individuals reflect what a functional cure may represent because they have been actually controlling the infection for many years now," said lead researcher Asier Saez-Cirion of the Institut Pasteur in Paris.

"I think this is proof of concept that this may be achieved in individuals," he said in a phone interview with AFP. "And that this happened thanks to early treatment onset".

All of those in the study live in France and currently range in age from 34 to 66. They were infected with HIV in the 1990s and 2000s.

Since they were handpicked for the study after they appeared to be able to control HIV upon stopping treatment, it is unclear what percentage of the population they may represent.

Preliminary research on them was presented at the International AIDS Conference in Washington last year. Scientists are continuing to study the group for clues about how and why their bodies act the way they do.

After an acute infection, HIV establishes viral reservoirs in cells that allow it to hide and return, even after prolonged treatment, meaning that most patients who stop taking medication see the infection return.

"These reservoirs are what stand between us and a cure for HIV," said Rowena Johnston, amfAR (The Foundation for AIDS Research) vice president for research.

"The control of HIV infection even after therapy is stopped is an interesting phenomenon that hints at what antiretroviral therapy might be able to achieve over and above its use as ongoing treatment," she told AFP.

According to Christine Rouzioux, who is part of the French research team, the early treatment "may have limited the establishment of viral reservoirs" and helped to preserve the patients' immune responses.

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NORWAY

Over one in ten children live in low-income households in Norway

The proportion of children who live in low-income households has increased steadily since 2011, rising to just over one-in-ten, according to a report from Statistics Norway.

Over one in ten children live in low-income households in Norway
Photo: Annie Spratt on Unsplash

The report found that there a total of 115,000 children belong to households in low-income groups. This is around 11 percent of all children in Norway.

“Studies show that people born into low-income families have in increased risk of being left behind in several areas of living, among other things, growing up in low-income shows a connection with negative health outcomes. It has been shown that young people’s mental health is affected by belonging to a low-income family,” the report states.

In its article on the data, Statistics Norway defines “persistent low income” households as having “under 60 percent of [national] median average [income] over three years”.

Children with an immigrant background have accounted for more than half the children from persistent low-income groups since 2013. This is despite only accounting for 18 percent of all children. Nearly 40 percent of children with immigrant backgrounds belong to low-income households, according to the Statistics Norway figures.

“This has a clear connection with the fact that households with a weak connection to the labour market are exposed to low income,” the report said.

Families with a Syrian background had the highest proportion of low-income households with almost nine-out-of-ten children coming from low-income families. Meanwhile, the largest group of children in number are those with a Somali background with over 11,000 of these children living in low-income households. Children with an Eritrean background saw the largest jump.

READ ALSO: Immigrants in Norway more likely to be affected by loneliness 

The report indicated that the reason behind these groups having large numbers of children belonging to low-income households was because the average number of people in the household with an occupation was less than one between 2017 and 2019.

Those with Lithuanian and Polish backgrounds saw decreases of children in low-income households. Children from these countries, as well as Sri Lanka, India and Bosnia-Herzegovina averaged 1.5 people employed in the household in the same period.  

Single parents are much more likely to be found in low-income groups, as are families with three or more children. 

The areas with the largest municipalities were most exposed to low income. Sarpsborg, in southern Norway, overtook Drammen as the municipality with the largest proportion of low-income children with 19.1 percent.

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