‘Geography is a problem’: slowing the silent spread of HIV in the Amazon

A team of doctors and volunteers are travelling by boat to treat and educate indigenous communities at higher risk of Aids

As the serpentine Amazon river meanders through a sea of jungle, a little red boat speeds across its muddy brown waters. Powered by two outboard motors, the vessel carries a cargo of volunteers, medics and nurses, an awning, and dozens of HIV screening tests.

The first stop is Nueva Vida Yahua, an indigenous village 40 minutes down the Nanay river from Iquitos. The women are dressed in red skirts and grass tops worn draped over their shoulders, the men in long grass skirts and headdresses made from blue macaw feathers.

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HIV and me: ‘I decided to fight: I always wanted the body of a wrestler’

What’s it like to live with HIV in different parts of the world? Here, as part of a 10-year project covering eight countries, seven people share a self-portrait and tell their stories

The collaborative photo-storytelling project Through Positive Eyes chronicles a very particular moment in the global Aids epidemic, when effective treatment is available to some but not all, and when the enduring stigma associated with HIV and Aids has become entrenched – a major roadblock to both prevention and treatment. Over 10 years, more than 130 HIV-positive people across five continents have taken part, many of whom picked up cameras for the first time in their lives. Here they tell their stories, in words and in photographs.

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Prisoners may be denied life-saving HIV treatment in UAE, campaigners say

Human Rights Watch warns non-national detainees were denied drugs and kept isolated by staff who ‘knew nothing about HIV’

Prisoners in the United Arab Emirates who are HIV-positive but not from the country may have been denied regular access to life-saving treatment, Human Rights Watch has warned.

On Monday the organisation claimed that non-national prisoners in at least one major UAE jail have seen delays, interruptions or a complete freeze on their access to antiretrovirals – drugs that suppress the activity of the HIV infection.

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‘They paid a guy to kill me’: health workers fight homophobia in Uganda

A lesbian activist in a rural town has developed a new strategy to reach those most at risk of HIV

Maria Nantale is enjoying a beer at a rickety wooden bar after a long day’s work. “Forty people tested today,” she reflects. “Found three positives. One of them is in denial. She has run away.”

Twice a week, from dawn until dusk, Nantale holds an “outreach” in the town of Mbale, population 76,000. The aim is to combat HIV among those most at risk: LGBT Ugandans, drug addicts and sex workers.

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Welsh rugby legend Gareth Thomas reveals HIV diagnosis

Ex-British Lions captain believed to be first UK sportsman to go public about living with virus

Welsh rugby star Gareth Thomas has revealed that he is HIV positive.

Mr Thomas, who came out as gay in 2009, is thought to be the first UK sportsman to go public about living with the virus, and has revealed that he was driven to suicidal thoughts as a result of his diagnosis.

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‘We won’t refuse someone in need’: the paramedics taking on Nairobi’s slum | Rod Austin

In Kenya’s Kibera, where government ambulance teams daren’t go, a local has taken matters into her own hands

No day is the same for Evalyne Nyangweso, entrepreneur and owner of an ambulance service dedicated to an unforgiving community prone to poor health, disease and high crime rates.

Operating in Kibera, Africa’s largest slum, where traditional ambulances daren’t go and even police tread carefully, Nyangweso and her crew are the first responders to medical emergencies.

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UN Aids target to end epidemic by 2030 at risk as funding falls for first time

Report finds significant financial boost needed to meet targets to eradicate disease

The pace of reducing new HIV infections is slowing and progress in accessing treatment is decreasing, putting UN targets to end the Aids epidemic by 2030 in doubt.

The UNAids report, published on Tuesday, showed mixed progress, with certain countries making solid gains but others experiencing rises in both new infections and Aids-related deaths.

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Contraceptive injections do not increase risk of contracting HIV, study finds

Research also finds scale of crisis among African women higher than expected

A landmark study has ended 30 years of anxiety that hormonal contraceptive injections may increase women’s chances of infection from HIV.

But the study found a dramatically higher rate of HIV infection among women in southern Africa than was expected, which one leading campaigning organisation said signified a public health crisis”.

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Pakistan doctor arrested after 400 children diagnosed with HIV

Authorities investigating if Muzaffar Ghangharo, who has Aids, knowingly spread virus

A doctor has been arrested in Pakistan after more than 400 children and 100 adults tested positive for HIV, with authorities investigating whether he intentionally infected them.

Authorities say the outbreak in Larkana, southern Pakistan, apparently began when Muzaffar Ghangharo, who has Aids, infected patients in early April. He was arrested this month and police are trying to determine whether Ghangharo knowingly spread the disease.

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Why cities could hold the key to many of the world’s problems

From bike sharing to green energy, cities are often better at driving change than national governments

Who has the answers? The UN? Scientists? Entrepreneurs? Nation states? “Ordinary” people?

There is another subset of power, agency, ideas and progress that often gets overlooked in the search for solutions to the world’s problems.

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End to Aids in sight as huge study finds drugs stop HIV transmission

Paper says risk between male partners is zero if virus fully suppressed by antiretrovirals

An end to the Aids epidemic could be in sight after a landmark study found men whose HIV infection was fully suppressed by antiretroviral drugs had no chance of infecting their partner.

The success of the medicine means that if everyone with HIV were fully treated, there would be no further infections.

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‘Stigma does not go away’: Mumbai’s dedicated LGBT health clinic | Payal Mohta

After reports of transgender people being refused treatment, a new centre offers specialised services – and respite from discrimination

Vivek Sharma has travelled 20km from his home to the congested eastern suburb of Mumbai for his HIV treatment. But the journey is no hardship for the 23-year-old student.

“My file was shifted to this clinic. I am so happy that this has finally happened.”

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UN urged to declare full-scale crisis in Venezuela as health system ‘collapses’

Researchers warn of rise in infectious diseases amid spike in levels of malnutrition and infant and maternal mortality

The UN must officially declare a full-scale humanitarian emergency in Venezuela after the “utter collapse” of the health system, experts have said.

Warning of the return of infectious diseases and rising levels of malnutrition and infant and maternal death, a report published this week by Human Rights Watch and the Johns Hopkins Bloomberg School of Public Health calls on the UN secretary general, António Guterres, to declare a “complex humanitarian emergency”.

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Kenya steps up Aids battle as building starts on $100m drug factory

Nairobi facility will be largest of its kind in Africa, boosting Kenyan economy and supplying 23 countries

Construction has started on a multimillion dollar Aids drug factory that will become the largest in Africa when it opens later this year.

The $100m (£75m) facility will bring 1,000 jobs to Kenya and reduce the reliance of almost half of the continent’s countries on European imports.

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Social workers can do so much more than just pick up the pieces

At its best, social work can break cycles of crisis, and help people change their lives and communities

  • Guardian Jobs: see the latest vacancies in social care

Too often, social services are designed as rotating doors. They focus on individuals in crisis who, when the symptoms of the emergency have eased, are sent directly back to the stressful situation that caused all the damage – a painful, costly and tragic cycle.

There is little focus in formal social services on helping people to transform their environments to provide ongoing support and love, let alone engaging people to become advocates for their rights. Yet outside these limitations, social workers are supporting connections in communities designed to last people’s whole lifetimes. In many countries we call it “working beyond services”. There are countless examples around the world.

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‘I came to Peru to survive’: the Venezuelans migrating for HIV drugs | Dan Collyns

Darwin Zerpa is among those who have fled to Peru to get the antiretrovirals he needs. Now he counsels others with the virus

By day it is one of Lima’s grandest squares. By night the Plaza San Martín becomes a magnet for nightclubbers and bag-snatchers, as well as a haunt for male sex workers and their clients.

It is here just before midnight that 29-year-old Darwin Zerpa and other volunteers set up shop. Pulling up in an out-of-service ambulance and folding out a table on the pavement, they mark out a spot where passersby can get HIV finger-prick test results in less than 10 minutes.

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Ex-mercenary claims South African group tried to spread Aids

New documentary details unit’s disturbing obsession with HIV

A South Africa-based mercenary group has been accused by one of its former members of trying to intentionally spread Aids in southern Africa in the 1980s and 1990s.

The claims are made by Alexander Jones in a documentary that premieres this weekend at the Sundance film festival. He says he spent years as an intelligence officer with the South African Institute for Maritime Research (SAIMR), three decades ago, when it was masterminding coups and other violence across Africa.

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‘We kept the trauma to ourselves’: Christophe Honoré on the idols lost to Aids

The French writer-director talks about his highly personal new show, a ‘dance of the dead’ that pays tribute to artistic heroes including Jacques Demy

Director Christophe Honoré still looks pained at the memory of the protests against gay marriage that rocked France seven years ago. The adoption of same-sex marriage in the country, a flagship policy that President François Hollande had campaigned on, was supposed to have been a smooth process. It became law in 2013, but only after a protracted backlash that saw hundreds of thousands take to the streets – more overall than the recent gilets jaunes (yellow vests) movement.

“I realised there was still a cloud of suspicion hanging over gay citizens,” says Honoré, best known internationally for comedies and musical films including 2007’s Love Songs. “I felt hurt, but also responsible, because in my work I’d never thought that gay visibility might still be important. I felt like I’d failed, like I’d deserted the fight the generation before me had led.”

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