Importance for second line

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noori saleem

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Aug 10, 2011, 4:33:28 AM8/10/11
to APACHA INDIA, drbbr...@yahoo.com, tansacs pd, NACO PD, IPACHA India, aids-...@yahoogroups.com, Aids India, aids-beyo...@googlegroups.com

Respected Sir / Madam,

Greetings from South India Living With HIV/AIDS.

We bring to your humble knowledge that the ART Center at Tambaram Sanitarium is not
supplying Second LINE ART Drug in time. The PLHIV who are receiving the second Line ART through this center, are given limited dosage and directed to collect the Second line ART after a short period of time
in the same month. Though the Second line ART is made available for PLHIV -who are all ON
– ART like me, the regular dosage is not given for during this month. Instead they are given only a part and advised to come back within 15 days to re – collect the left out ART Drug. We went to the Tambaram Sanitarium ART Center on this month of August, for it was our turn to collect 2nd line ART. But, we were getting Second line for Fifteen Days only. We asked to them, that they haven’t received all the drugs from NACO, but only single combination is available. Now, we don’t have Second line ART drug to continue my next dose.  This being the condition, how can we adhere to ART Promptly? What will be your action & Responsibility if drug resistance over comes me. It is better for us to go to NACO and self immolate, if we do not get my Second line drugs in time. This poor adherence will lead to the path of our death at the earliest. NACO spends crores of revenue on HIV Prevention Programmes, but failed to address such issues like securing ART Regimens without shortage to all PLHIV like me.
The Second line drugs have not been Stream lined and issued to the PLHIV, but the PLHIV registration for the second line at Tambaram Sanitarium ART Center is on the go. Many PLHIV will face Death due to shortage of Second line ART. The Drug issued on irregular basis may also not work as expected, because they may become resistant to the PLHIV who are in Second Line currently. Currently here child pediatric second line ART drug is being openly distributed for the adult, additionally they recommended to take more pills to compensate the adult drug .the combination of drug which is currently given ABACAVIR LOPINAVIR and RITONAVIR, TENOFOVIR and LAMIVUDUING. Above said combination of drugs only now distributed, this is for your kind immediate attention. In connection to this already we have informed to NACO not yet received any reply. We hereby humbly recommend you to study the issue and arrive at a solution without any delay. We request you humbly to consider the pathetic condition of the PLHIV who are on second line ART at Tambaram Sanitarium ART Center. Failing to resolve immediately shall result in loss of many precious lives of women & men living with HIV who are currently on Second Line ART Regimen.

Note: these same issues in the all ART Centre in Tamilnadu.

Thanking you

With Regards

S.Noori

Jaya

Kotteswari

Saravana Kumar

Hema -  ( Madurai) and

South India Living with HIV/AIDS.

Dr B B Rewari

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Aug 10, 2011, 4:42:24 AM8/10/11
to noori saleem, APACHA INDIA, tansacs pd, NACO PD, IPACHA India, aids-...@yahoogroups.com, Aids India, aids-beyo...@googlegroups.com
Dear all

Presently the second line drugs supply is being maintained by the clinton foundation, who are working with the supplier to give drugs as promised. This is being discussed daily with them and shall be sorted at the earliest. Progamme is equally concerned about adherence issues and development of resistance

thanks
 
Dr B.B.Rewari
  MD,FRCP, FICP,FIACM,FIMSA
WHO National consultant
Care , Support and Treatment
National Programme Officer (ART)
National AIDS Control Organisation
New Delhi-110001,
Tel; 011-23731954, 43509999(O)



From: noori saleem <sip...@gmail.com>
To: APACHA INDIA <apach...@gmail.com>; drbbr...@yahoo.com; tansacs pd <tansa...@gmail.com>; NACO PD <naco...@gmail.com>; IPACHA India <ipach...@gmail.com>; aids-...@yahoogroups.com; Aids India <aids-india...@yahoogroups.com>; aids-beyo...@googlegroups.com
Sent: Wednesday, 10 August 2011 2:03 PM
Subject: Importance for second line

Erlinda Senturias

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Aug 22, 2011, 2:00:17 PM8/22/11
to aids-beyo...@googlegroups.com
Dear Noori,
 
Thanks for your information.  Has the situation improved?
 
May I use your story for the workshop on universal access on August 24?
Sincerely,
 
Erlinda N. Senturias

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Richard Stern

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Aug 23, 2011, 7:41:17 PM8/23/11
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With all the Global Fund money available for India, it is surprising to me  that it is the Clinton Foundation that supplies th

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