and conter off this from my own engaging misery is delusional daughter it was always very high. price to be way too fussy to date access to drugs and to treat them and and do you any age of course who is spot off your jaw be off your sponsibility to make sure that they experience you are there pots off their would they may be used on the other but that's the case he had off eastern europe as a whole but as far as i understand the securing cheaper prices is more challenging for richer countries than for poorer countries and or middle income countries particularly here and it's to europe where some of the countries including russia are considered to be a relatively well off to be offer at the assistance of hammer adoption or cheaper prices what needs to be done tension or a universal access for this part of that well off that is a clear and is a trial and to spatially eastern europe today spain the highest prices globality in

general for access to aids drugs and why is that. good that i'm in that they may not spray you know and a lot experience shows they had that's not the impossible situation to change it seems like a book procurement to buy twenty it's some dime museum going to buy me a war well that has some experience seems to me up to the roof if that's possible i was recent the umbrella has. been allowed it was a us negotiate for for flood don't depart i saw feeling to help provide. it is a problem dangerous to be face and you need the system much capital but just how man to stand because one would think that when countries especially when they join forces they they should have known difficulty negotiating with the big pharma and yet it seems that they have to figure that out i mentioned that your colleague mentioned before seventy five dollars per person for an annual course of treatment

that's like a fraction then very very small fraction of what they say countries having right now so what's the problem why this free you off your go to paying death going to desirable so penalize be be meeting come home to the food being up a meeting go we have a different perspective on the scene could describe does not take into consideration on the people because he stabbed through it and maybe when you had to talk about the aids you had dark from the mouth of the bald people that very few in it able because the food they have difficult dark says every seen you know it's your duty to meet for aids and so they had to most would a been so sides in their way that seems to work today and tim is off the international doctor again not allies the disco days and who exactly is in charge of that international architecture who decides that this country should be given

a discount on on prices or you know assistance for harm reduction and that particular country does not qualify who decides that we'll talk about pricing and the dutch is a policy shill. but if we talk about pricing and the ball to haul do war disorganised to be been defeating off the prices and so international should do shows define who they are but to defy my seawitch because they have the their freedom to apply your norwich and your no i have a difficult to stay on this stand do i a pharmaceutical company or fair a lower price for. people use a dizzying offering good to excess and not just to people we use aids eastern europe to arc says the day ends you had to talk about a global epidemic in my view the right to excess better prices should be to everyone independent who had to leave but that's not the whole scenes who are saying the governments themselves slow be hard enough to ensure this accessible

pricing because so one could imagine that for example corruption comes into place here and sometimes maybe in some of those countries that you mention eastern europe central asia corruption is also very high and you can you cannot exclude certain people perhaps driving a personal benefit from keeping the prices up is that a factor i don't have the knowledge for this to my usual. i mean not to the bias international no but that affects the epidemic about golf course affects every scene but what he spoke i seethed at the end goal of a man to have that esteem in him he have access not doing to drugs to take in all the ads and so and make the deaths possible to the largest number possible if you see it since. i never saw it and i seem to be on expect that the government has a position against fasi that they didn't say i was in there that. you can't but

perhaps not putting enough of an effort to ensure universal access because you know that the universal access in russia for example is. still a bit of a challenge only a third of people who have the virus nature of a virus receive the therapy do you think that's mainly because of the pricing or are there other concerns i see pricing is definitely are you sure and you adding do or do it or you had it being used in europe spain does a job which is difficult for me you do understand this divide we are dark about people you've got that israel they leave they should have access to. once you have provided drugs that's to me is a right is a human rights issue and then me and to end this crisis i was so high you know of course it does become a major challenge but he's not going to be i scene where i see the spot you are a few days strategists to facilitate the excess body cell so he is vetting wotton

now there is a hard to beat here in russia about how serious the hiv aids isha is here at the hour. that it's a full if latched epidemic especially in siberia and the here also the government says it is concerning but the activists are being i'm gili alarmist where do you come out on this eastern europe today has defied us to growing epidemic in general . demeanor you'd see. some extensional if you it to be fair to say that eastern europe today is the face of the global reads epidemic it is no question about it but. it's a very good on the situation it democrats they vary a lot inside the same to you may have a very different situation than you do use decays ever to add into what they can give an example i used to see it seems to be that thing some pit those who seem to be going their right direction. infections id going dull but that's not de alledge

everywhere well everywhere would be i assume some of the siberian towns and salivate citizen they hear elsewhere there is a very high number of injecting drug users as well as other at risk groups what a.o.l. want to ask you about is there is also. i debate about how that what is the main mode of transmission in russia because. the epidemic any of the demick would be far more difficult to contain once it moves from gross to general population at large has that rubicon been crossed and russia from dirty needles into unprotected sex but it's a vented dynamic epidemic as we have seen knowing in eastern europe as a whole the. definite the. people death the injecting drugs they steal. in my

view unexceptable he skipped off to getting h. i.v. induced resume but it's not do you want to you know there are places in these regional where to intimidate or for the future off the them if. they have to bring you special costs and to me no areas where we had stopped to get the. data is that you skewed the top to five percent or. or familiar in the general population enough people that injecting drugs may be infected is a try these extremely high to me as it's a big head for leg in his off diffusion equal soft is epidemic can do serious now. having been following this issue for quite some time. what the russian officials would say to that is that in many of these regions if you mention they also have

wider availability of the testing so do you at this moment understand what is actually driving the numbers of the better testing or indeed the rise in the in the number of infections the rise in the number of infections definite three years did do the fucked up because seven debauch because this is well defined three and. death going dead i areas east new york often middle australia because it. rates the rise of the global in scope to do we have to start to seem often degrees in the number of infections. what made you look as a part of dorks mainly an epidemic that we had to biggest in sub-saharan africa outside africa we had seen in many regions in many places in many communities if the dems on their right slow because sub-saharan africa has long been the center of attention and as you pointed out that they also receives

a somewhat privileged access to both drugs and they attention of global public health policymakers one that explained that you had to be so that the right oh down now does that we did and i did so recent on that is on the conclude if you follow forty's to add the money goes international money that is a media elation she between the investment and dissolute and of course most off their money and then in a right to do so and should continue sub-saharan africa if you do and if you good the flow of money gordon then it did them if you had bones we have experienced the scenes of the hiv. it would be only stable when to finish the money should continue to be there but the problem is it's a global epidemic we need to find a new balance. for his sauces all so flowing through epidemics but he's this seen it used in europe india's reaction i've heard you make the point earlier that hiv

aids has turned into a syndrome of social exclusion discrimination they have the tools we have the drugs to deal with it by the occurrence they know the heart of the brain to use those tools fully as somebody who is credited for designing the program for universal access in brazil to access to therapy in brazil i wonder if you have some of the whys and how to break through that how to make at least on the policymaking level to see the stigma as not just a social concept but also something that prevents effective policy to point spears again. grew as you did his driving days epidemic today is basically a do the concomitant tipping demick off discrimination your body not to get done treat them in because in that idea shows like price we discussed but is not to primary actual people are not getting access because they don't have had the did

they i do not comfortable come to a health center because they may be discriminated they are not comfortable because you lost and allies it because they aren't funny. they have sex who is the same sex of the day is a gay male so we're not going through is this is is by law forbidding these is to act as fooling does it damage but event to people death to people discriminate they go on their own they don't but you speak on prevention they don't have access to drugs my second point you we have three decades of experience we have you live and we know what's worked is a combination of four factors one sport usually the ship that's clear that you needed to sayas that we saw that brought along. button issues. mainly. on the people including the most when able we saw discrimination be honest and off costs money

these are there for factors that must war if you want to bring this epidemic of the the laws for have to take a very short break now but we'll be back in just a few moments states and. apply to many plebs over the years so i know the game inside out it's. football isn't only about what happens on the pitch for the final school it's about the passion from the fans it's the age of the super money kill the narrowness in spending two to twenty million one player. it's an experience like nothing else on to it because i want to share what i think of what i know about the beautiful guy great so well all chance with. the thinks it's going to.

how does it feel to be a share of the greatest job in the world it's as close to being a king as any job there is one business model helps to run a prison now we just do or don't like i said nobody you know visitation and i don't no one comes anymore we don't have to sarge and many more it's cost effective that's what they want to do that as long as they don't give a damn if you did so it's a not very badly paying us to put it back into the louisiana incarceration rate is twice as high as the us sam bridge what secret is behind such success. here's what people have been saying. rejected and this actually does belong on still almost the only show i go out of my way to launch you know really what it is

that really packs a punch and leave it yap is the john oliver of r t america is doing the same thing we are apparently better than blues nothing. to see people you've never heard of lone redacted the night. president of the world bank very. seriously send us an e-mail. welcome back to worlds apart from the least the worst deputy executive director of the hearing aids dr laura's russia generally receives very negative press for the way deals with hiv aids but i think there's a few positive stories and one of them being how russia managed to contain the mother to child transmission in two thousand and sixteen the russian authorities report and ninety eight percent success rate and i wonder how do you explain this

because to me it seems like a positive discrimination going on they specifically have decided that on that particular group we're going to put all those factors that you mentioned before in place so do you think positive discrimination kind of work. do not call as i think it's going to be an issue so bad to death i don't think in sync but steve is misleading to call discrimination a family health forcing on the one particular girl on the stand and there are. definite today. there are actual fitted a shot should be a. school is to eliminate what the shut down as we show out some major major step to do is offer but he does it to do good though there is no question but of course it's. should i mention is very dynamic if you want to read you want to throw you feel. and i read you take the journey to dan duffy hiv you need to take seem a lot of attention to all groups that the risk to everybody that's been able to

reach i.v. that one of such groups would be of the secure community you mentioned before that . male male sex is banned in russia it's not bad but what is bad is the propaganda of what is referred to as nontraditional sexual orientation and i think it's also evidently clear that the elves are pretty committed to many countries is more vulnerable to this disease than in others i wonder how being you know caught they say media venue for themselves do you think the russian officials their actual public sector public health sector or other can use any other what other means it can use to reach that group specifically because since media and television programs on data frowned upon the you still need to have some tools to say we specifically to that the group definitely. did do the epidemic among. minda to have sex or is male game him is on doing crazy ever we had in the or in

the development in the developing warrant and who had to go to dave this epidemic site on the rise why is very few exceptions because do it left behind even in their western developed country yes definitely a death some measured usual today you have no no of course you have some recent developments maybe off the bread became available to the. very recent case shown that in some places it's tough to have. but the most off the police today we have seen does it the dems on the rise. i see. that i'm into a strong allies of death too i know if their ways that i see you we weep for are going to seem weighed on bio med school too and science you know but we've been to progress in the same way fighting system putting discrimination on don't. you see the tomorrow that's the cultists today some sex

relationship is ben i like that by law you know them indians is watch food in their pajamas you know is cindy is is in doing these these becoming madea martyr fundamental challenge death despite eventing us to move then duffy hiv so sites that do not think that being a homosexual min being allowed to have been is a pass on that injecting drugs a migrant up but he was on there did because sickness that they cannot but he does if a democrat don't does not work then that is a show you know exclusion and they try. they come to get in of a negative way hiv you want your group and the head thousands of harming just that particular group but that a wider society as well because a i don't think anyone can actually stop that. sooner or later the way that the disease always sprats from one group to the general population. let me

just tell you i have a view on dad that's not my primary concept you know my primary concern is diffusion office site a site is due to the index of growing up you know they option that you have here is to grow up into enough so side that to be not includes if. and they received death yourself. and you'll be exploded too in the future it's a very interesting film norman when we speak about discrimination on to the game in forty states the same as i mentioned in this same way the mention race is replace general far be it police and seems they do it in them. is not the show is not the respect to the general population that they show they usually use is we each kind of society to want to do well but i agree with you i think there are many ways to approach it and one thing that i noticed and they russia passed its own strategy of

dealing with hiv aids last year and while in in a couple of parts it actually a comment on the effectiveness of peer to peer intervention and i know that there have been actually some projects made came out for example in st petersburg which involved peer to peer intervention so i wonder if even if russia has this law that reach some described discriminatory when it comes to the distribution of information about same sex for relations i wonder if you see any scientific public health interest from the russian officials to work specifically on dab group because it is one thing you to pass moral judgments but it's another thing to do your job as a doctor and as as an official responsible for public health you still have have to address as they can't right i think is what something this will give us from deformation that the head yeah that is. you know you need some you have a good much as me and we. we can not to wait to fossil sites to be ideal.

to bring dave hiv epidemic you don't you need to have to be but argue much now russia is a very peculiar country when it comes to values and their fact on public health if you actually look at the service it's pretty progressive on many social issues but there is a drive to promote these so-called traditional values and partially bad drivers motivated by public health concerns that idea here is that the you can drive the number of children being born you can decrease the disease so it's a very interesting combination and irony because on one hand you're trying to contribute to public health but on the other hand to your sort of on demining your ability to implement some of the liberal policies like carbon reduction for example you come from brazil i think brazil has also a very interesting mix of liberal versus conservative values how do you balance the two for a for pay for the benefit of all well i left

a bit as you have twenty years ago again my myin go the way that i see it seems two days very much international. but. from my experience in different parts of the ward they seem distension always exist in some place off course we use a much stronger emphasis on on on open policies on crucial and so in some basis goes in there with a ritual. and you. brought this. to h. i.v. when come to save you lifes. we need to find a way for what they see in these regions. in the us side so much driving dems are few international started that it's you off include joy or being good people together. i think we need to focus more on deists too and its

simplicity of aspects and uk but i broadly but they cannot there be more who is who discrimination on exclusion on you pushing this epidemic forward but the you know discrimination exclusion works not only on the national all public health level but also geo politically russia is now in a somewhat challenging geopolitical situation with the west with ukraine and there is also a drive to exclude it from a number of international fora but i think the aids issue of the hiv aids issue is a little bit different because i heard you say that you actually want to encourage as many russians to be present that they all start on conference next year as possible or why is that because it seems to me that the a chevy eight is a very issue very rare issue when russia is actually not being pushed out of the international community. c h o u v u and they sponsor stage i.v. maine as a best buy them from india seems that we can do better in the future the deal is

a drive us to fist opportunity you start to study where do. the global sites we face a challenge and to proportion that they j.v. minded that at this time from the begin to a now at the least thirty five you know people they die because it's really talking about the measure of jobs and to major events but to. have been watching some police we don't stop to change the deuced the discourse in some places in the west fundamentally because we are pollution a different way we brought people to the center. people leaving is h r u v people and the people who knew they would to each ivy and to us deists welcome a does this spawn so a sexual don't see it as a best find that if you are you out there you have to live in the doobies aides will be helping us to move forward their agenda stu why rush to to be able to for the last well i don't know that is

a that is that are many aspects is dynamic that aspects death to meet need to change that is no question we spoke about but you we need the russian federation to go to it to bring does know is a group of them well it is good to hear because there are lots and lots of very consequential issues like for example the arctic protection or counterterrorism where such cooperation is actually lacking that as i said i think the age of aids is one of the very few exceptions and i think they in there are all of the netherlands is very interesting here because now the u.s. is very interesting. about is very much connected to the whole situation around crimea because of the plane because of the war there and yet. there is still an effort to bring the russians together with the ukrainians sent together with other people from other countries in you said that you hold that base could be sort of spread to other areas but why do you think the people of the west a different on that because they're usually you know don't make exceptions when

come to each i.v. i see a martyr there i follow international so did i think you were you. and from the view as a u.n. aids as the united nations the new is aids we vest to heaven on death the primary job is to convene is to bring people together to being good nations and going to still get at the bidding does epidemic and do we have in more than sufficient david this that does a spouse will to do why you had these moments are you to take god to fact to stitch . saying dick will cinquanta off debts i mean looking for did the russian federation do the ship in modern never to bring us through to help us to bring visited them to bill i mean looking for the russian federation on expect. their recent as death you have been to his office offer you see a show and so forth and i mean looking for the russian federation to do. that

spot. to two brigades in the vault wrestlers or have to leave it there i really appreciate your being with us today and tara here is plain share your comments on our twitter facebook pages and i hope to sarah again same place same time here in the wilds of party. but also.

a fairly strong one. done by a well respected scientists. do chemicals that. really increase the risk of cancer. known to them in the. risk is. by independent scientists. and save my time as well as the others why is that. doing if you want to learn more you'll get a. flood. back. is a big business against health. yeah

i used in the school for the issue i'm going to open the most part of the i will out of the bottle. she goes for the grown ups you're militia rule to treat. them a little bit as before you go this don't deserve this don't be but i'll leave. the

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