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专家表示,援助削减导致关键HIV药物短缺,这是一个“警告”Shortages of crucial HIV medicines due to aid cuts are a ‘warning’, say experts

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根据对40个国家的调查,援助削减影响了世界各地的艾滋病毒药物和检测供应,一些提供者报告说他们的关键药物缺货。

Aid cuts have affected HIV drug and test supplies across the world, with some providers reporting they are out of stock of key medicines, according to a survey of 40 countries.

提供艾滋病毒护理的组织透露,超过一半(55%)的组织在过去一年内缺货,艾滋病毒检测和暴露前预防(PrEP)(人们为降低感染艾滋病毒风险而服用的处方药)严重短缺。感染艾滋病毒的风险。

Organisations providing HIV care revealed that more than half (55%) had run out of stock within the past year, with a critical scarcity of HIV tests and pre-exposure prophylaxis (PrEP) – a prescription medicine that people take to reduce the risk of getting HIV.

国际计划生育联合会(IPPF)是一个由170多个国家致力于性健康和生殖健康、权利和正义的组织组成的网络,该联合会的调查显示,在接受质询时,40%的成员表示他们的产品已经用完了所有库存,60%的成员至少有一种产品库存较低。

The survey by the International Planned Parenthood Federation (IPPF), a network of organisations in more than 170 countries dedicated to sexual and reproductive health, rights and justice, showed that at the time of questioning, 40% of its members reported they had run out of all stock of a product and 60% had at least one product at low stock levels.

IPPF非洲地区办事处高级顾问Mallah Tabot表示:“这些短缺是一个警告,表明当资金变得不确定且社区依赖的供应系统变得脆弱时会发生什么。

Mallah Tabot, a senior adviser at IPPF Africa’s regional office, said: “These shortages are a warning of what happens when funding becomes uncertain and the supply systems communities depend on grow fragile.

“我们不能仅仅因为没有产品而让数十年来抗击艾滋病毒的进展毁于一旦。这并不是一个遥远的风险--它已经发生了。

“We cannot let decades of progress against HIV be undone simply because products aren’t available. This is not a distant risk – it is already happening.

她补充说:“世界上许多国家的艾滋病毒感染率正在上升,生命正在丧失。”

“HIV infections are rising in a number of countries around the world and lives are being lost,” she added.

回应调查的40个成员协会的调查结果显示,艾滋病毒快速诊断检测是所有受访者中受影响最严重的产品。

Findings from the 40 member associations that responded to the survey revealed that HIV rapid diagnostic tests were the most critically affected product across all respondents.

几乎每个做出回应的成员协会都提供检测,但17个协会报告库存较低,另有5个协会报告没有可用性,这意味着超过一半的协会无法在护理点提供持续的艾滋病毒检测。

Testing is provided by almost every responding member association, yet 17 reported low stock and a further five reported no availability, meaning that more than half cannot offer sustained HIV testing at the point of care.

口服和注射用PrEP也很稀缺,有12个成员协会报告库存较低或根本没有。如果无法可靠地获得这些基本商品,向IPPF成员协会寻求医疗保健的人们的护理将会出现缺口和中断。

Oral and injectable PrEP were also scarce, with 12 member associations reporting low stock or none at all. Without reliable access to these basic commodities, there will be gaps and interruptions in care for people seeking healthcare from IPPF member associations.

总体而言,来自阿拉伯世界、亚洲和大洋洲、欧洲、美洲和加勒比地区的受访者表示,包括避孕套和抗逆转录病毒疗法在内的供应不可靠。

In general, respondents from the Arab world, Asia and Oceania, Europe, the Americas and the Caribbean said supplies, including condoms and antiretroviral therapy, were unreliable.

IPPF艾滋病毒顾问洛里·米勒(Lori Miller)表示:“我们的合作伙伴已经具备提供综合艾滋病毒预防、检测和治疗所需的条件--诊所网络、数字基础设施、卫生人员队伍和社区信任,以帮助需要护理的人--但不可靠的供应让他们失望了。”去年,全球估计有4090万人感染艾滋病毒,记录了57万人与艾滋病相关的死亡,另外新增了120万人感染艾滋病毒。

Lori Miller, an HIV adviser for IPPF, said: “Our partners already have what it takes to deliver integrated HIV prevention, testing and treatment – the clinic networks, digital infrastructure, health workforce and community trust to reach people with care – but unreliable supplies are letting them down.”An estimated 40.9 million people were living with HIV worldwide last year, when there were 570,000 Aids-related deaths recorded, alongside 1.2 million new HIV infections.

2025年,世界各地的艾滋病毒应对措施因削减而中断,这可能会阻碍多年的进展。与2024年相比,当年的援助支出下降了约23%,导致联合国在6月警告艾滋病毒疫情有死灰复燃的风险。

In 2025, HIV responses around the world were disrupted by cuts that threatened to stall years of progress. That year, there was a fall in aid spending of about 23% compared with 2024, leading the UN to warn in June of the risk of a resurgence of the HIV epidemic.