Page 34 - DIVA_1_2012
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can   forget   about   that   straightawayl
                                                                                This   is  a  new   challenge    for   us!
                           'l
                                                                                Q:  I  presume    you   are   looking
                                                                                for   funds    and   partners    for   this
                                                                                paediatric    HIV   project?


                                                                                Yes,  we  are!  Here   as  well,   we  will
                                                                                try   to  convince   our   partners.    In   this
                                                                                case,  South   Africa   is  a  good   partner
                                                                                because   they   have   a  huge   problem
                                                                                with   many   children   affected,    and
                                                                                they  have   very   good   research   teams.
        some   groups   in   India   and   Brazil.   We
                                            Q:   Whatisthenextdiseasethat
                                                                                Q:  Are   you   pleased    to   see   what
        have   a  very  large   network    of  scienti-  you   are   going   to   look    into?  has   been   achieved
        fic   and   academic    groups   all   over   the                                           so   far?
        world.
                                            At   the   beginning    of  the   year   we  de-
                                                                                I  am   very   happy   to  see  concrete   re-
                                            cided   to  work   on  paediatric    HIV,
        Qi  Where    does   the  moneycome                                      sults.   You   may   note   that   the  'first
                                            with   tlie   same   rationale    as  the   other  malaria   treatment
       from?                                                                                      we  made    avai-
                                            neglected    diseases   we   work   on.   New
                                                                                lable   -ASAQ,    developedwith    Sanofi
                                            drugs   have   been   developed    for   HIV,
       We   try   to  have   a   sustainable    com-  but   because   there   are  very   few   chil-  -  has been used by  over  130   million
                                                                                patients.
       mitment,    a  multi-year    commitment,  dren   affected    in   Europe   and   the    We   are   happy   about   that.
       from   our   donors.   They   are  divided
                                            United    States,   there  is  a lack  of  pala-
                                                                                Q:  Where    do   you   want   to   see
       into   two   major   groups:   public   and
                                           table,    easy-to-administer,    low-cost  your    organization
       private   donors.   Some   governments  formulations    for   young   children.  from    now?    five   years
       have   accepted   to  invest   money   in
                                           While   you    probably   have   several
       DNDi,   among   them   tlie   UK,   Swiss,
                                           million   people    infected   in  Africa,  I  want   to  continue
       French,    Spanish,    and   Dutch    Go-  you   have   very   few  in   Europe   -  -   and  treatments.    to  deliver   new
       vernments,    and  we   are  also   worl6ng                                         Up   to   now,   we   have
                                           here   you   can  manage   with   very   so-  mainly    improved    existing
       on  funding    from   emerging    and   ne-  phisticatedtreatments.    InAfricayou                 treat-
       glected-disease    endemic    countries  cannot.   When   you   have   hundreds    of  ments,   but   the   next   challenge,   star-
       such   as  Brazil   and   India.                                        ting  with   the   new  portfolio,    is  to  add
                                           children    affected   in   one   district,    you  new   drugs   -  -   what   we  call   new   che-
                                           need   to   have   adapted   formulations.
                                                                               mical   entities.   They   are  more   ambi-
       The   second   group   is  comprised    of
                                                                               tious   and   they   could   really   support
       private   donors   mainly   large   foun-
                                           This   is  the   new   project   in   our   port-  elimination   programmes.
       dations   such   as  the   Bill   &  Melinda
                                           folio.   We   will   not   invent   or  discover
       Gates   Foundation,    Doctors   Without
                                           new   drugs;   we  use  existing   drugs
                                                                               Back  to  sleeping   sickness:   if  only   we
       Borders-Me.decins    Sans  FrontiAres,  and   develop   paediatric    formula-
       some   other   small   foundations    and                               had   a   very   simple   treatment,    com-
                                           tions.  HIV   for  young  children  (i-3  bined   with   an  easy   test   to  detect   the
       individual    donors.   So   it's   a   mix   of
                                           years   old)   is  very   severe.   Following
                                                                               disease   at  stage   1.  Today,   diagnosis
      public   and   private   money.
                                           the   transmission    from   mother   to  is  difficult    and   treatment    is  difficult.
                                           child,  5o%   of  them  will  die   before
                                                                               ff   we  can  develop   a  simple   test   and
      Q:   In   these   times   of   economic
                                           the   age  of  2.   There   are  strong  recom-  deliver   an  oral   treatment,
      turmoil    has   it   been   difficult    to  mendations    from   WHO   to  start   the         and   com-
      raise    money?                      treatment    as   soon   as  possible.   Un-  bine   these   two   things   with   good   sur-
                                                                               veillance   programmes,
                                           fortunately,    what   is  available   today             I  am  confi-
                                                                               dent   that   we  can   tackle   the   disease.
      Clearly,   it   has   been   difficult    because  is  not   adapted   to   the  situation.    As  an  This   is  the   dream!
      some   of   our   partners    have    been  example,   one  of   the  recommended
      obliged   to  abandon   or  reduce   their
                                           drugs   is  in   the   form   of   a  synip,   but
      contributions.    The   fact   is  that   from                           Leaving  Dr  Pecours   office   after  an
                                           the   solvent   contains   4o%  alcohol.  hour,   we  can  only    hope  that   his
      the   very   beginning,    we  decided   to
                                           So  it   has   a  bad  taste   and   you   need   to
                                                                               dreams   wil7  come   true.   And   that
      diversify    -  -   to  have   several   donors
                                          keep.  it   refrigerated    all   the   time.   For
                                                                               DNDi    wil7   obtain    the   necessary
      in   order   to  achieve   a balance.
                                          a village   in   Malawi,    for   instance,    you  resources    to  achieve   its   dream.
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