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Statement by Mark Malloch Brown Administrator United Nations Development Programme and Chairman of the Committee of Co-sponsoring Organizations of UNAIDS

In Email

Security Council

New York, 10 January 2000

Mr. Vice-President, Mr. Secretary-General, Jim Wolfensohn, Ambassadors, Ladies and Gentlemen,

Mr. Vice-President, on behalf of all of us in the UN community, thank you for being here in this room, on this issue at this time.

You have heard the statistics and also what can be said, in words, of the human impact: HIV/AIDS in sub-Saharan Africa amounts to 23.3 million of the 36 million affected individuals worldwide, 69 per cent of the total number of HIV/AIDS cases.

At a time when the industrialized world has relaxed in the face of a declining incidence of new HIV infections, Africa is under siege: many times more people are being killed from the disease in sub-Saharan Africa each year than in the world's wars. This is a new security frontline and I congratulate Richard Holbrooke for the vision to go beyond old definitions to bring to this table a discussion of the world's most dangerous insurgency.

HIV/AIDS has a qualitatively different impact than a traditional health killer such as malaria. It rips across social structures, targeting a young continent's young people, particularly its girls; by cutting deep into all sectors of society it undermines vital economic growth – perhaps reducing future national GDP size in the region by a third over the next twenty years. And by putting huge additional demand on already weak, hard to access, public services it is setting up the terms of a desperate conflict over inadequate resources.

Today this is Africa's drama. Unmet it becomes the world's. So there is real resonance that at this first Security Council meeting of the new millenium it is health – not war and peace – that brings us here. But it does so because of the proposition that, in this new globalised century, one will beget the other. And that in the final years of the last, we have woefully neglected the new causes of conflict.

View this as a three-front war: the classrooms and clinics of Africa, the families of Africa; and, third, international action – the critical support needed to back Africa's frontline.

An extraordinary depletion of the region's human capital is underway. There are estimates that the number of active doctors and teachers in the most affected countries could be reduced by up to a third in the coming years.

Yet schools and clinics are not only at the heart of any defensive strategy for dealing with the consequences of the epidemic, they spearhead the offensive for cultural and behavioral change. We see the possibilities. In Uganda, there is now a real prospect of an almost AIDS-free generation of high school age children. Countries are strung out along a continuum from effective action at one end to at least acknowledgement and awareness at the other. Yet even with better national awareness, in too many places individual ostracism, and hence denial, still prevail confounding good tracking and management of the disease.

Behavior change requires uncompromising, often painfully embarrassing, honesty. For there is too often a lethal cultural double standard when it comes to AIDS of: too much unsafe sex; and too little willingness to talk about it or face its consequences. Change must begin by confronting the region's troubled inheritance: extensive migrant labor, social norms and gender inequality making it hard for women and girls to deny men sex - leading to HIV incidence rates among girls three or four times higher than boys.

Let me propose to this council a set of actions:

  • First, support Africa's frontline efforts to combat the disease. We can see that where promoting awareness leads to honest discussion leads to behavior change, that the momentum can be broken. But there is no substitute for the region's own opinion makers, from statehouse to community media to town and village, leading that campaign.
  • Second, promote inter-country co-operation so that Uganda's best practice is effectively transferred to countries doing less well. And best practice means a strong national plan and full community mobilisation.
  • Third resources. The US, with 40,000 new cases annually, spends approximately $10 billion annually from all sources for prevention, care, treatment and research, whereas approximately $165 million is spent on HIV/AIDS related activities in Africa where there are 4 million new cases a year. We must mobilize more.
  • Fourth, a coordinated response. I currently chair the committee of UNAIDS co-sponsoring organizations – UNICEF, UNDP, UNFPA, UNESCO, WHO, the World Bank and UNDCP. Together we and the bilaterals, the private sector and NGOs must do more at the country and global levels. We applaud the formation of the International Partnership Against HIV/AIDS in Africa which is a foot in the door to private-sector supported affordable care.
  • Fifth, UNICEF, WHO and the World Bank together with UNAIDS and a number of innovative foundations have begun to innovate new public-private partnerships that by guaranteeing a market for affordable vaccines will incentivise drug company research and development. The African market for international pharmaceuticals now accounts for less than 1.5 per cent of the industry. This "pull" must be combined with the "push" to increase basic public health research spending.
  • Sixth, we cannot lapse into a global two-tier treatment regime: drugs for the rich; no hope for the poor. While the emphasis must be on prevention, we cannot ignore treatment – despite its costs. We must work with the co-operation of the pharmaceutical industry to bring down treatment costs.
  • Seventh and finally, we cannot break this epidemic in isolation from the broader development context. Weak government, poor services and economic failure translate directly into failed vaccine and contaminated blood supply chains. More broadly it means the failure of schools, families, workplaces and economies to be able to meet the challenge. In this region where official development finance is drying up, I find myself fighting to reverse UNDP's own projection that our programme resources for Africa next year will be only a third of what they were five years ago. Amidst the good news of more help for HIV/AIDS, progress on debt relief, and some improvement in private sector flows, the overwhelming fact is the region's basic development needs are not being met. There is a money gap and a governance and capacity gap. Neither the finance nor the institutions and policies are adequately in place.

Members of the Council, at this first Security Council session of the century you have brought Development into your chamber. You have elevated it from long-term economic and social issue to current danger, a vulnerability to be addressed as a matter of political priority. HIV/AIDS is a particularly cruel manifestation of the wider Development challenge. It vividly demonstrates the broader point: no other challenge can perhaps so shape the overall direction of this new century – either towards a globalisation for all; or back to a century of walls and fences.

Thank you.

Tiêu điểm




Ngày 1 tháng 12 năm 2017


Michel Sidibé
Tổng Giám đốc UNAIDS
Phó Tổng thư ký Liên Hợp Quốc

Kỷ niệm ngày Thế giới phòng chống AIDS năm nay, chúng ta cùng nhau nêu bật tầm quan trọng của quyền về sức khỏe và những thách thức mà những người sống với HIV và người có nguy cơ cao lây nhiễm HIV còn đang phải đối mặt trong việc thực hiện quyền về sức khỏe.


Vì một hà nội vui sống, thiết kế không gian công cộng

Hà Nội ngày 17/10/2017 - Với mục tiêu cải thiện môi trường sống của người dân, đồng thời đưa văn hóa nghệ thuật đến với cộng đồng, hướng đến một tương lai đô thị tốt đẹp hơn, Chương trình Định cư Con người Liên Hợp Quốc (UN-Habitat) đã xây dựng dự án "Huy động nguồn lực cộng đồng và sự tham gia của giới trẻ trong kiến tạo không gian công cộng xanh, an toàn tại Quận Hoàn Kiếm" (sau đây gọi tắt là dự án Không gian công cộng) thuộc chương trình Block by Block của Văn phòng Trung ương UN-Habitat và công ty Mojang, nhà sáng lập ứng dụng Minecraft.


Trừng phạt khắc nghiệt đối với trẻ em vi phạm pháp luật không ngăn chặn được tình hình tội phạm người chưa thành niên tiếp tục gia tăng

Độ tuổi chịu trách nhiệm hình sự của trẻ em là một chủ đề gây nhiều tranh cãi trên thế giới. Ở Việt Nam, vấn đề này đang được tranh luận trong quá trình sửa đổi bổ sung Bộ Luật Hình sự. Một số người tranh luận rằng phương thức tiếp cận "cứng rắn với tội phạm" là cần thiết để trừng phạt trẻ em nhằm phòng ngừa tình trạng phạm tội tiếp diễn.

Tuy nhiên, nghiên cứu quốc tế chỉ ra rằng do trẻ em còn đang trong giai đoạn phát triển, việc gán cho trẻ em và đối xử với trẻ em như những tội phạm ở độ tuổi nhỏ có thể tác động tiêu cực nghiêm trọng đến sự phát triển và khả năng cải tạo, phục hồi thành công của trẻ.


New Year Greetings from the United Nations Resident Coordinator a.i. in Viet Nam


On the occasion of New Year 2017, on behalf of the United Nations family in Viet Nam I wish to reiterate our appreciation and express our warmest wishes to our partners and friends throughout the country. We wish our partners and their families in Viet Nam peace, prosperity, good health and happiness in the coming year.

As we enter the second year of the Sustainable Development Goals era, we look forward to continuing our close cooperation for the sake of Viet Nam’s future development; one which is inclusive, equitable and sustainable, with no one left behind.

Youssouf Abdel-Jelil
United Nations Resident Coordinator a.i. in Viet Nam


Thông điệp của Tổng Thư Ký LHQ Ban Ki-moon nhân Ngày thế giới phòng chống AIDS, 1 tháng 12


Ngày hôm nay, 35 năm sau khi AIDS xuất hiện, toàn thế giới đã có thể tự hào khi nhìn lại các nỗ lực phòng chống dịch. Nhưng chúng ta cũng phải hướng về phía trước với quyết tâm và cam kết chấm dứt dịch AIDS vào năm 2030.

Thế giới đã đạt được những bước tiến thực sự to lớn. Số người được điều trị HIV đã tăng cao hơn bao giờ hết. Kể từ năm 2010, số trẻ em bị nhiễm HIV do lây truyền từ mẹ đã giảm một nửa. Cứ mỗi năm số người tử vong do AIDS lại giảm thêm. Và những người nhiễm HIV đang ngày càng có tuổi thọ dài hơn.

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