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Either way, the off-again, on-again messaging has created waves of confusion, including in South Africa, which has the largest PEPFAR portfolio in the world. At a a press conference on Wednesday, health minister Dr. Aaron Motsoaledi said, "So far, we haven't received any letter from the American government. Tried to contact the embassy of the US. We couldn't get them.
Their website now states that they "regret to announce that, due to an immediate 'stop-work order' issued by our funder, we cannot provide any services until further notice.
Other groups have sounded the alarm as well. And the confusion isn't limited to South Africa. In Uganda, Dr. Adolf Alinaitwe , a clinical HIV researcher at the Joint Clinical Research Centre, says, "I for one have received many calls from my patients asking what their fate is. Motsoaledi dreads what stopping the distribution of antiretroviral drugs, or ARVs, would mean.
When you are on ARVs and you stop, there will be serious trouble. HIV was once a death sentence. But antiretroviral medications, taken as a single tablet each day, now allow people to live reasonably healthy lives.
She says the drugs kill the virus at different points of its life cycle and keep it from making copies of itself. They're so effective that HIV transmission has plummeted between sexual partners and from mothers to children. When Cu-Uvin started out as a medical doctor, all her HIV-positive patients were dying in their 20s and 30s.