Ground-breaking gamechanger for women's health

At the International AIDS Conference in Vienna promising results were shared from a clinical trial of a microbicide to be used by women for HIV prevention.  This is great news indeed.  Since the beginning of the epidemic, one of the frustrating things has been that a woman has no way to protect herself from HIV infection without depending on her partner in some way.  All three methods of HIV prevention require some degree of cooperation from her guy:

• condom use - ultimately it's his call; 
• mutual monogamy between two HIV-negative partners  - again, she can be as monogamous as she wants, but it won't necessarily protect her if he is not - and vice versa, of course, though sadly the monogamy deck is stacked against her in many cultures and countries where there is high HIV prevalence; and 
• abstinence  - well, we all know how that goes! - not only is it exceedingly challenging between two people with any sort of chemistry and hormones, it's really a non-starter for many woman (and of course, in the case of rape, coerced and otherwise involuntary sex).  In places like Africa, where HIV prevalence is high, partner communication is low, and pressure for married couples to make babies is strong, the notion of refusing sex or insisting on condom use, even if she perhaps suspects he may be infected or at risk, in a marriage setting just won't fly

So where does that leave a woman in Johannesburg where HIV infection is 18% (or anywhere else for that matter)?  Up the creek without a paddle in terms of taking control of her health and life, with any sort of viable option to protect herself from HIV infection.  An effective microbicide could change that.

Clinical trials for microbicides (vaginal gels that can be applied to neutralize the virus and protect from infection) have been going on for years have had mixed results, at best. The news of this study is ground-breaking and could change the HIV prevention landscape.   In this particular clinical trial in South Africa, prevention of transmission os not 100% failsafe, only significantly reduced.  Researchers want to improve the efficacy, continue with additional trials, and if viable, get this thing to market ASAP.

Fabulous news! (Sometimes I miss practicing public health).

La Nouvelle Observatrice - Sports Section: USA vs. Ghana

USA played Ghana over the weekend for a disappointing 2-1 loss for our stars and stripes.  It was a great game, and I will give some of my novice observations here, albeit likely sub-consciously lifted from the commentator, and subtly influenced and validated by JS.

Ghana played a very tight game for a well-deserved win.  Our guys in the US are strong, solid, experienced players, and I have nothing but respect and admiration for their level of performance.  Maybe they "woulda, coulda" won the match, but admittedly not "shoulda" won because there were no horrific faulty calls, their one goal was a penalty kick, and Ghana played them strong.

First, our guys....I'm impressed with Feilhaber, who while not a starter was subbed in after the first half and really played hard and well.  He really showed up for the World Cup, and given more of a chance might have had an impressive performance. He had some good time with the ball and worked for the team.  Dempsey was also strong; and sports some very cute facial scruff.  Altidore has what it takes, and played well; Jozy Altidore is a good soccer name.  Bornstein was solid, but I sensed under-performing.  Edu and Buddle registered on my not-very- finely-tuned screen.  Donavan is a superstar.  Clearly, he is the celebrity of the team.  Most of that is deserved - he is amazing, he carries the day, he is a Soccer God.  But more importantly, it's nice to see his confident humility off the field.  I don't know much about him before, but it seems his arrogance has mellowed, and his maturity bloomed since the last World Cup in 2006.  He's good, he's really good, and he knows it - but he seems to recognize his own (and more broadly, one's own) fallibility, and that nothing, not even a winning streak fueled by innate talent cultivated with tough training, is a given.  I really hope things work out with his wife from whom he is currently separated, but perhaps reconciling (See Bianca).  Nice sportsman, Donavan!  And perhaps a nice soccer Love Story to boot - my kind of World Cup!

Now, Ghana...It's nice to see Africa with a strong showing on the home continent.  Africa, it seems, has an uphill battle, with just about everything.  Every win for Africa is all the more meaningful, because it is not only what Africa has achieved, but also what it has overcome.  It is a sweeter victory.  As mentioned, Ghana played a beautiful game. As a casual fan, I was impressed with their control of the ball and of the game, their tight, accurate passing and plays, and very nice technical skills.  It was interesting to hear from the commentator that Ghana has the youngest team playing in the World Cup, with an average age of 25.  To use a virility metaphor, this may be indeed the key to their success.  Team Ghana, it seems has the power, the explosiveness and the stamina of a young 25 year-old stud; yet despite their youth, surprisingly also has the discipline, control, patience, form, and self-possession of a more seasoned and skilled lover a few decades older.  That lovely balance is hard to find both on and off the soccer field.