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Photo of an AIDS ribbon Looking back, looking forward - 20 years of international conferences on HIV/AIDS
 
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Toronto named host of the 2006 International AIDS Conference

On December 1, 2003, World AIDS Day, the International AIDS Society officially announced that Toronto will host the XVI International AIDS Conference, to be held August 13-19, 2006.

AIDS 2006 will bring 15,000 to 20,000 of the world's leading scientists, health care workers, activists and community leaders together to share current knowledge on HIV/AIDS.

This will be the third time that the conference has come to Canada, a distinction that recognizes Canada's leadership on HIV/AIDS issues. The Canadian Strategy on HIV/AIDS, which integrates efforts to deal with the medical, scientific, economic, and social impacts of HIV/AIDS, is one example of Canada's global leadership. Another example is the recent decision by the Canadian government to amend the Patent Act in order to allow the production and export of generic HIV/AIDS medications to developing nations.

Toronto, with its long history of supporting communities responding to HIV/AIDS, was selected by the International AIDS Society and its partners: the International Council of AIDS Service Organizations, the Global Network of People Living with HIV, the International Community of Women Living with HIV, and UNAIDS.

The Toronto conference will showcase the best science and community-based interventions from Canada and around the world. The web site for the Toronto XVI International AIDS Conference is http://www.ias.se/aids2006.

20 years of international conferences

When the International AIDS Conference convenes in Toronto in 2006 it will be the third time that it has met in Canada since the inaugural conference in 1985. In 1989, the conference met at Montreal, with the theme AIDS: the scientific and social challenge. Conference sessions examined topics that ranged from the search for an AIDS vaccine to the impact of AIDS on family life. In 1996, the conference returned to Canada when Vancouver served as the platform for the announcement of major scientific breakthroughs in the treatment of HIV/AIDS.

The International AIDS Conference is a key element in the global fight against HIV/AIDS. The conference, which has met throughout North America, Africa, and Asia, brings together professionals from around the world to share their knowledge and experiences.

HIV/AIDS thrives through ignorance, and sharing information has proven to be the single best defense against the disease.

Looking back at past conferences…

HIV/AIDS is a global epidemic, and can only be fought on a global scale.

In the lead-up to the XVI International AIDS Conference in Toronto, it is interesting to look back at the last conference held in Canada, and to review the theme of that conference and of those that have been held since 1996.

1996 - Vancouver: One World, One Hope

The XI International AIDS Conference, held in Vancouver, was the second international conference on HIV/AIDS to take place in Canada. The first was held in Montreal in 1989. The theme of the Vancouver conference, One World, One Hope, was the most optimistic yet, and highlighted the discovery of protease inhibitors. A protease inhibitor is an antiretroviral drug that interferes with the HIV production process once it has already infected a cell. These drugs block an HIV enzyme called protease. For the first time in the history of the epidemic, scientists spoke of the possibility of eradicating HIV from the bloodstreams of infected people. This new knowledge marked a turning point in the AIDS epidemic.

In order to address a perceived lack of attention to HIV prevention at international AIDS conferences, the Canadian Public Health Association coordinated an HIV prevention symposium as a satellite to the Vancouver conference. Together with CPHA's partner organizations, Health Canada, the U.S. Centers for Disease Control and Prevention, and the Joint United Nations Programme on HIV/AIDS, a program was developed to profile international best practices, including models of successful HIV/AIDS prevention programs and policies. The success of the symposium in Vancouver prompted the partner organizations to hold another satellite session at the 1998 International AIDS Conference.

The Vancouver conference attracted a mix of activists, demonstrators, physicians and business representatives. Many would say that the 1996 Conference on AIDS brought more than optimism. The medical breakthrough triggered a sense of global solidarity and a much greater sense of responsibility to share new treatments with those developing countries that carry the largest burden of the epidemic.

1998 - Geneva, Switzerland: Bridging the Gap

The sense of global solidarity continued with the XII World AIDS Conference. Representatives from more than 177 countries gathered in Geneva, Switzerland to discuss much more than treatment. The theme of the XII International AIDS Conference, Bridging the Gap, was chosen to highlight the differences between the developed and the developing world with respect to epidemiology, prevalence and management. The Geneva conference presented such topic discussions as politics, human rights, economics and ethics.

While past conferences focused on prevention and treatment, gaps widened between the established market economies in the "north" - where access to advanced medical treatments is relatively within reach - and the resource-poor countries in the "south", where more than 90% of those infected live with little hope of receiving new treatments. The Geneva conference theme was an evolution in approach, since it called attention to the need to "bridge the gap" between north and south and to make advances in understanding, prevention and treatment relevant to the vast majority of people living with HIV.

2000 - Durban, South Africa: Break the Silence

The economic and medical gap between North and South remained a principal theme of the conference in Durban. For the first time in the 20-year history of the global HIV pandemic, the International AIDS Conference was held in a developing country. Holding the conference in South Africa, which has one of the highest HIV infection rates in the world, brought home the message that it is not enough to create treatment programs that are available only in the developed world. Information and treatments must be shared with the developing world to be effective.

Over 12,700 delegates from around the world, including 4000 African delegates and 1500 fully sponsored people living with HIV/AIDS, were in Durban for one of the largest conferences ever held in Africa. This conference also had record numbers of youth and adolescent delegates.

Research presentations covered all aspects of HIV/AIDS clinical science, epidemiology, socio-behavioural science, government policy and community-based interventions, and care and support for people living with HIV/AIDS. Further evidence was presented that HIV disease progression was being dramatically delayed for those with access to highly active antiretroviral therapies (HARRT). However, the lack of access to treatment in developing countries was one of the recurring and urgent themes coming out of the Durban conference.

The XIII World AIDS Conference theme, Break the Silence, became an understatement. By the end of the week the entire country, the majority of the African continent, and a good portion of the world were engaged in discussion about HIV/AIDS.

2002 - Barcelona, Spain: Knowledge and Commitment for Action

The theme of the XIV International AIDS Conference was Knowledge and Commitment for Action. This theme was selected to reinforce the need for everyone at all levels - including scientists, the HIV/AIDS community, the public and private sectors, and people working in the field - to work together to review the knowledge gained through science and experience, and to use this knowledge to commit to action.

Over the years, knowledge gained from the basic and clinical sciences has been dramatically important, and has contributed greatly to increasing the life expectancy and quality of life of infected persons. Prevention efforts have succeeded in reducing the rate of new infections in many populations around the world, though there is still much work to be done in this area. The pandemic is expanding in many parts of the world, particularly among the poor and other vulnerable populations, and access to new diagnostic and therapeutic strategies is limited to an extremely small percentage of at-risk and infected people.

Canadian participation at the Barcelona Conference was remarkable in its breadth and scope. The Canada Booth, co-ordinated by the Canadian HIV/AIDS Information Centre, Canadian Public Health Association on behalf of Health Canada and its partners in the Canadian Strategy for HIV/AIDS, and the Canadian International Development Agency, was visited by thousands of participants. Canadians demonstrated their commitment to sharing knowledge and taking action by leading many workshops and satellite meetings, on topics that ranged from vaccines, to prevention, to treatment development. Meanwhile, at the G8 Summit held in Kananaskis, Alberta, then Prime Minister Jean Chrétien announced several initiatives that Canada would support in Africa, including the contribution of $50 million for Africa-based HIV/AIDS research towards the development of an HIV vaccine.



How you can help prepare for 2006
Canadians can help fight HIV/AIDS by finding out more about the disease. Here are some good places to start:

2004 - Bangkok, Thailand: Access for All

The XV International AIDS Conference will be held in July 2004 and will link community and science in galvanizing the world's response to HIV/AIDS through increased commitment, leadership and accountability. It is also the first international AIDS conference to be held in Southeast Asia, where HIV/AIDS is emerging as a pandemic.

It is important that this Conference is to be held in Southeast Asia, since Asia is home to more than one third of the world's population, and more than one quarter of the world's new infections occur there. On the other hand, Asia, and in particular Thailand, offers lessons learned about extraordinary local responses for effective interventions in the prevention and control of HIV/AIDS.

The conference's theme is Access for All, and to embody this, a program is being developed that will reflect all facets of the current HIV/AIDS pandemic and ensure that all voices, all experiences and all concerns are represented. A variety of sessions are planned to present the latest developments in the scientific, political and community arenas.

A special focus will be placed on examining progress on providing HIV/AIDS treatments to people in the developing world. The Bangkok conference will build on the momentum created in Durban, which led to the United Nations' commitment to prevention, treatment and care on a truly global scale.

Preparing for 2006 with Canada at the centre

The designation of Toronto as the site for the XVI International AIDS Conference means that, for the next three years, Canada will be at the centre of the global struggle against HIV/AIDS. This offers an unparalleled opportunity to learn about cutting-edge medical research, activism and community building.

 
  Date published: January 1, 2004
  CreditThis article was prepared by the Canadian Public Health Association, the CHN HIV/AIDS affiliate.

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