14
Monday, January 22. 1990 / University Daily Kansan
/
Playing with History
Area children use the train at Central Park for a jungle gym during the warm weather yesterday. Sunny skies followed Friday's freezing rain.
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NEW YORK — By the end of the 1990s, AIDS may not be curable, but it is likely to become a manageable chronic disease that does not shorten life expectancy, a leading government AIDS researcher said yesterday.
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"I have a good deal of confidence . . . that we can look forward to the 1990s as the kind of a decade where that goal can be realized," said Anthony Fauci, director of the national program to test and evaluate new anti-AIDS drugs. He spoke at the New York-Italy Medical Symposium in New York.
Learning to manage and control AIDS is not the same as curing it. The treatments of the 1990s probably will have to be continued for life in people infected with the human immunodeficiency virus, or HIV, that causes AIDS, he said.
Fauci is the director of the National Institute of Allergy and Infectious Diseases in Bethesda, Md., one of the National Institutes of Health. The institute operates a national AIDS drug-testing program
Fauci said he based his optimistic prediction for the 1990s on the growing understanding of the workings of the AIDS virus, the success in AIDS research and the emerging philosophical shift in the way government makes new drugs available.
in which about 10,000 people are subjects in experimental tests at 46 medical centers across the country.
Until now, AIDS drugs have been developed largely by screening available substances for possible antiviral activity, he said. The increasing understanding of how the virus infects cells, kills them and reproduces is leading to new drugs aimed directly at each of those steps in the virus' growth, Fauci said.
"Already there are several drugs ready to go into clinical trials that have been specifically tailored to HIV." Fauci said.
Fauci said researchers scored several successes against AIDS during the 1980s.
First, they improved care of the sick. In 1985, less than 40 percent of people diagnosed with AIDS survived 18 months after diagnosis. By 1987.
that number was 60 percent, Fauci said.
Second, researchers discovered that treatment could be helpful in people who were infected with HIV but had not yet become sick. For example, drugs to protect against pneumocystis carinii pneumonia, an often fatal AIDS complication, now can sharply reduce its frequency.
Third, the government has decided to relax its grip on experimental drugs in cases where the drugs offer hope to people whose lives are threatened and who have few options, Fauci said.
He was referring to the "parallel track" program, in which promising experimental drugs are made available to patients who need the drugs before their effectiveness has been conclusively determined.
The responsibility for accepting the increased risks associated with such drugs "is going to shift to the individuals taking the drugs," he said.
Budget cuts painful on both sides
"This is a philosophical change that needs to be integrated into our way of thinking," he said.
By John Hanna
The Associated Press
TOPEKA — Budget Director Michael O'Keefe takes the nicknames in stride. There's a relatively new one, "Dr. No," and an old favorite, "the Prince of Darkness."
Gov. Mike Hayden and Winston Barton, secretary of social and rehabilitation services, get the same treatment. Hayden has been called "Mike the Knife," and one editorial cartoon depicted Barton as a carnivorous Winnie the Pooh with an evil grin.
Analysis
The public tumult is over the current budget for a group of welfare programs that provide money for shelter, food and medical needs for sick, handicapped and poor Kansans.
Advocates for these groups say that the programs are necessary for survival.
The Hayden administration sees an another side of the problem. It's one of numbers — estimates that don't hold true and shortfalls that have to be made up without increasing other numbers too much.
"I've been down this road before," Barton said last week. "No matter where you cut, any little program, people get mad."
Budget debates are governed by a constitutional mandate and conventional wisdom. The state cannot have a budget deficit, and the budget should leave some money in the state's general fund at the end of a fiscal year.
Specifically on the chopping block is the Social and Rehabilitation Services budget, which, Hayden is quick
to point out, has grown more than $100 million in the past fiscal year.
O'Keefe, Barton and Hayden have repeated said that something must be done to control the SRS budget, to increase the state's more and more of the state's money.
In the case of the current SRS budget, the assumptions and projections provided to the 1989 Legislature were simply wrong, the result of what Barton says are honest mistakes.
"I am on heart medicine, thyroid medicine and have breathing problems and a bad back," Myrtle Thompson of Wichita, who also has two handicapped sons, wrote in a letter to the Wichita Eagle.
"Without medicine or food and shelter, there will be a lot of deaths." Thompson wrote. "I hope I'm not one of them."
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