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The Spokesman-Review Newspaper
Spokane, Washington  Est. May 19, 1883

Bush to seek $30 billion for AIDS

Michael A. Fletcher Washington Post

WASHINGTON – President Bush will call on Congress today to provide $30 billion toward battling the global AIDS crisis over the first five years after he leaves office, according to senior administration officials, a doubling of the current U.S. commitment.

The increase in the President’s Emergency Program for AIDS Relief (PEPFAR) would provide lifesaving treatment to 2.5 million people, administration officials said Tuesday night – some 1.4 million more than are currently served by the program.

The program’s original five-year mandate, which provided for $15 billion in U.S. funding, expires in September 2008. Bush’s plan would extend that for five more years.

Bush will issue his request this afternoon, the officials said. At the same time, the president will announce that first lady Laura Bush will travel to Africa in late June and visit AIDS-related services funded by the program in Zambia, Mali, Mozambique and Senegal, officials said.

AIDS advocates hailed word of the president’s plans.

“We think a doubling is definitely in order,” said Paul Zeitz, executive director of the Washington-based Global AIDS Alliance. “I would call it bold action. Is it enough? No. Do we have to have better policies? Yes. But PEPFAR is still a breakthrough and has had a significant impact.”

Globally, some 40 million people suffer from HIV/AIDS, a number that has been fast increasing despite growing prevention efforts.

Bush announced the program, the largest foreign-aid effort directed at a single disease in U.S. history, in his 2003 State of the Union address. Through last September, it was paying for anti-retroviral treatment for 822,000 people in the “target countries” – 12 African nations, Guyana, Haiti and Vietnam.

The program also pays for drugs for 165,000 people elsewhere in the developing world, and it has provided short courses of medicine to more than 500,000 pregnant women, a strategy that has prevented about 100,000 infections to newborns, program officials say.

Many advocacy groups, while praising the ambitious reach, have criticized the program for its congressionally-imposed emphasis on abstinence education. Nearly 7 percent of the money is tied to abstinence education. Also, some have been critical that only a fraction of the money is funneled into multinational efforts to battle AIDS.