India is all the rage in the world of AIDS. The latest reports from the
UN and WHO, estimating 3 to
5 million HIV infections there were the backdrop for two new articles
in JAMA. One of them reports a set of symptoms of "acute HIV
infection." The investigators didn't test for HIV like they do in the US,
though. In this study they looked for HIV p24 antibodies, which are
produced against one protein said to be unique to HIV. Antibodies to HIV
24 have been found to cross-react with other proteins, though, in
patients with leprosy and other mycobacterial diseases, and
even Sjorgen's disease and
systemic lupus. In addition, it has been
shown that modern Western blot tests have an increased rate of false positives
due to their reported increased sensitivity.
Tuberculosis is a mycobacterial disease as is leprosy. One might imagine
that the 1.5% of the Indian
population with active TB, in addition to the 2 million new cases
diagnosed annually, might be important considerations in terms of
cross-reactions. But not in this study.
In fact, the JAMA researchers were finding "HIV p24" (which needs to be
in quotes now, since it isn't unique to HIV) without finding other
HIV proteins, the ones they look for in the US. The assumption was that
p24 represented "new HIV infections," and the conclusion was drawn that
these people were, therefore, newly infected.
It's magic: without even testing for HIV, the epidemic is said to be
spreading.
The easily preventable causes of disease and death
todayin India are pushed aside to make way for specuation
about future disease. The economic
devastation which the world's financiers are subjecting the majority of
the population there to remain hidden from our easily-distracted
eyes.
AIDS is working just fine for those who need it.