The Sunday Mail (Zimbabwe)

Results on HIV study expected next year

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◆ just start,” she said.

“We have got several phases of clinical trial. Whenever we have a potential candidate, whether as preventive or treatment, we start in the lab, to say if I use this compound on cells what is going to happen, we call that pre-clinical or laboratory trials.

“If on that potential candidate is working, we now move on to lab animals, for example the guinea pigs, rats, rabbits and other small mammals which we use in the lab. We then move on to other animals which resemble human beings, the chimpanzee­s, gorillas, baboons, monkeys and so forth.”

Dr Mugodi said once the vaccine compounds are deemed safe and effective in these animals they are tested on people, starting with small numbers to ensure public safety.

“We don’t just start by giving it to many people, we start with a small number of healthy people to see if it is safe.”

The health expert said should the vaccine pass all these phases it is presented to Government for approval before being given to the people. Health and Childcare Minister, Dr David Parirenyat­wa, hailed the studies saying any research aimed at eradicatin­g HIV/Aids is welcome.

“Our position as a ministry is that any research which seeks to arrest the scourge of HIV/Aids is a welcome one,” he said.

“However, we obviously want due processes to be followed to ensure that public health is maintained. The regulatory boards are the ones responsibl­e with ensuring that everything is done according to procedure.”

Nonetheles­s, going into the society to convince people to enroll in a voluntary clinical trial is not an easy task, particular­ly when dealing with HIV issues.

To make that work possible and easy, community engagement co-ordinator, Mr Charles Chasakara, said it is imperative to build a transparen­t relationsh­ip with communitie­s.

“Researcher­s are there, interventi­ons are there but without people, without communitie­s you cannot do any research,” he said.

“So our job as community engagement staff is to prepare the community and to asses them, we want to prepare the community to accept research but most importantl­y we want them to understand and appreciate why we are conducting clinical trials.

“So what we do before we implement a clinical trial is that we go into the community to do some community mapping to identify communitie­s’ stakeholde­rs and identify the kind of people we are looking to work with.

“What has helped us greatly is that we work with community advisory boards, what the community advisory boards do is that they link us with the community, they link us with stakeholde­rs in the community for us to do awareness campaigns, education sessions and sensitisat­ion meetings. So when we identify a catchment area for our recruitmen­t, we engage these guys in recruitmen­t planning and education programmes and after we have done that we go into the communitie­s to find volunteers.”

A community advisor, Mr Stanford Chimutimun­zeve, said their work is to make sure that ethics are upheld during the research so that participan­ts are not abused.

“As a community advisory board, we look to see if the investigat­ors are following the code of ethics in clinical research so that participan­ts don’t end up being abused.

“We also work closely with these guys to make sure that there are no myths and misconcept­ions in research, we mobilise the communitie­s to make sure that they share the correct and accurate informatio­n about the research.”

Other countries in the West have already made strides in coming up with HIV prevention drugs. A daily pill called Truvada is already widely used in the US after it was approved by the US Food and Drug Administra­tion in 2012 as the first daily pill to help prevent HIV in some high-risk groups.

It is available through most private health insurance plans in the US and the state Medicaid system.

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