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(单词翻译:双击或拖选)
Bill Gates says in these tough economic times, more efficiency is needed in HIV/AIDS treatment and prevention programs. At the same time, he says more people need to be on anti-retroviral drugs. The billionaire philanthropist spoke1 Monday at the 18th International AIDS Conference in Vienna.
As global economies faltered2, many donor3 nations scaled back the size of their increases in AIDS spending. Critics say the flatlining in funding comes at a time when great progress is being made in the epidemic4. Gates says he’s disappointed in the funding levels.
“The turbulence5 has driven up government deficits6 and many countries responded by freezing or even reducing their investments in global health. We have to do everything we can to change that,” he says.
The Microsoft founder7 and co-founder of the Bill and Melinda Gates Foundation says when it comes to HIV/AIDS, he’s still very much an optimist8.
Aids 2010
Bill Gates
“This decade saw remarkable9 progress,” he says. “We all celebrate the five million people receiving antiretroviral treatment, up from just half-million just 6 years ago. We all celebrate that since 2001 the rate of infection has fallen 17 percent. It’s not enough, but it’s certainly a move in the right direction.”
He says over the years, scientists, activists11 and those living with HIV/AIDS have defied what skeptics said could be achieved. Now he says the skeptics doubt much progress can be made with current funding limitations.
“If we push for a new focus on efficiency, in both treatment and prevention, and we continue to innovate13, to create new tools, we can drive down the number of infections dramatically and start writing the story of the end of AIDS,” he said.
Gates says, for example, that circumcision and prevention of mother to child transmission of HIV are both cheap and effective. He says both bring an immediate14 cost benefit to countries’ health systems. But Gates says he was once a doubter himself.
“I have to admit when it comes to circumcision I used to be a skeptic12. I said, yes, the studies showed that it reduces transmission by nearly 60 percent, but I was doubtful a large number of men would sign up for it. I’m glad to say I was wrong. Wherever there are clinics available men are volunteering to be circumcised in huge numbers - far more than I expected,” he says.
However, he says millions of men in sub-Saharan Africa are yet to benefit from the practice.
“In Russia, the epidemic is largely spread by injecting drug users. And areas where they receive clean needles, testing and other services, the infection rate rose 15 percent over five years. Where they didn’t, it skyrocketed 105 percent. Clearly these services make a difference. Yet Russia has cut the budget for them to zero and shifted the money into programs for the general population,” he said.
The right tools
Gates warns that even if everything is done with the current tools to fight HIV/AIDS, new infections would only be cut by half.
“Millions of people would continue to transmit the virus and we would not have enough money to treat everyone who needs it. Fortunately, we don’t have to assume that in the future we’ll be limited to fighting HIV with the tools we have today,” he said.
Gates says he expects new tools to include better anti-retrovirals, microbicides and eventually a vaccine15.
1 spoke | |
n.(车轮的)辐条;轮辐;破坏某人的计划;阻挠某人的行动 v.讲,谈(speak的过去式);说;演说;从某种观点来说 | |
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2 faltered | |
(嗓音)颤抖( falter的过去式和过去分词 ); 支吾其词; 蹒跚; 摇晃 | |
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3 donor | |
n.捐献者;赠送人;(组织、器官等的)供体 | |
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4 epidemic | |
n.流行病;盛行;adj.流行性的,流传极广的 | |
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5 turbulence | |
n.喧嚣,狂暴,骚乱,湍流 | |
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6 deficits | |
n.不足额( deficit的名词复数 );赤字;亏空;亏损 | |
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7 Founder | |
n.创始者,缔造者 | |
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8 optimist | |
n.乐观的人,乐观主义者 | |
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9 remarkable | |
adj.显著的,异常的,非凡的,值得注意的 | |
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10 odds | |
n.让步,机率,可能性,比率;胜败优劣之别 | |
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11 activists | |
n.(政治活动的)积极分子,活动家( activist的名词复数 ) | |
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12 skeptic | |
n.怀疑者,怀疑论者,无神论者 | |
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13 innovate | |
v.革新,变革,创始 | |
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14 immediate | |
adj.立即的;直接的,最接近的;紧靠的 | |
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15 vaccine | |
n.牛痘苗,疫苗;adj.牛痘的,疫苗的 | |
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