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PEPFAR: el esfuerzo global contra el VIH/SIDA que transformó la atención médica en África

Durante muchos años, el esfuerzo global contra 🧲 el VIH/SIDA se asoció con el sonido de taxis que llegaban constantemente durante todo el día.

PEPFAR, en 2004, no había 🧲 tratamiento eficaz y asequible en ningún lugar entre Sudáfrica y el Sahara, no había pruebas rápidas de HIV de alta 🧲 calidad ni laboratorios gubernamentales de calidad, y había pocas camas para los pacientes con SIDA.

En la actualidad, hay una batalla 🧲 por el financiamiento en el Congreso que podría poner en peligro el futuro del programa de VIH/SIDA.

Los opositores argumentan que 🧲 el financiamiento del VIH/SIDA podría estar indirectamente apoyando el aborto en el extranjero, pero la Administración Biden y los defensores 🧲 de PEPFAR afirman que no hay evidencia de que lo haga. Después de que un puñado de congresistas conservadores amenazaran 🧲 durante meses con bloquear el financiamiento a menos que se adjuntaran restricciones, se logró un compromiso a fines de marzo 🧲 que extiende el financiamiento por un año.

Sin embargo, los defensores del programa advierten que sin la renovación completa de cinco 🧲 años, su futuro sigue siendo incierto, ya que el debate político sobre el aborto y los derechos reproductivos solo se 🧲 está volviendo más beligerante.

Cambiando Vidas en África

Antes de PEPFAR, en la mayoría de los casos, la clínica de enfermedades infecciosas 🧲 de Nkengasong en Abiyán, Costa de Marfil, no podía ofrecer a las familias más que simples cuidados paliativos en los 🧲 últimos momentos de sus seres queridos.

A menudo, las familias tenían que reunirse alrededor de un esqueleto humano con un tinte 🧲 de carne sobre su cuerpo, brindándoles el mejor confort posible. El sonido del llanto de los parientes del Morearty señalaba 🧲 otra muerte por el VIH/SIDA, una de las millones en África a mediados de la década de 2000.

Impacto del Programa 🧲 PEPFAR

25 millones
Unos 25 millones de vidas salvadas en África subsahariana y otras regiones vulnerables gracias a los esfuerzos de prevención 🧲 y tratamiento de PEPFAR.
R$110 mil millones
El programa estadounidense ha invertido más de R$110 mil millones en atención del VIH, fortaleciendo 🧲 los sistemas médicos locales y apoyando programas sociales destinados a frenar la infección.
5.5 millones
Unos 5.5 millones de vidas de niños 🧲 salvadas gracias a los esfuerzos de prevención y tratamiento de PEPFAR.
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    Sony has seemingly recognized the inevitability of Microsoft’s acquisition of Activision Blizzard going through, and has signed an agreement with 💶 Microsoft to keep Call of Duty available on PlayStation for the next 10 years.

    The news was announced on Sunday by 💶 Microsoft’s gaming head Phil Spencer. “We are pleased to announce that Microsoft and PlayStation have signed a binding agreement to 💶 keep Call of Duty on PlayStation following the acquisition of Activision Blizzard,” Spencer tweeted. “We look forward to a future 💶 where players globally have more choice to play their favorite games.”

    A Microsoft spokesperson subsequently confirmed to The Verge that the 💶 deal would last for a term of 10 years, and covers Call of Duty only — not any other Activision 💶 Blizzard games. That puts it on a par with agreements Microsoft had previously signed with Nintendo, Nvidia, and others.

    Microsoft president 💶 Brad Smith also commented, saying, “From Day One of this acquisition, we’ve been committed to addressing the concerns of regulators, 💶 platform and game developers, and consumers. Even after we cross the finish line for this deal’s approval, we will remain 💶 focused on ensuring that Call of Duty remains available on more platforms and for more consumers than ever before.”

    The signing 💶 of the deal marks the end of a long stalemate, during which Microsoft made repeated public offers to keep Call 💶 of Duty on PlayStation, while Sony dismissed these and instead attempted to use its leverage with regulators to sink Microsoft’sR$68.7 💶 billion acquisition of Activision Blizzard completely. “I don’t want a new Call of Duty deal. I just want to block 💶 your merger,” PlayStation boss Jim Ryan reportedly told Activision executives on the day of a meeting with European Union regulators 💶 in February.

    PlayStation’s strategy was to use Call of Duty to convince regulators the merger would kill competition in the console 💶 market, because Microsoft would withhold the games from PlayStation or release inferior versions there. But this strategy was none too 💶 successful. EU regulators were satisfied with the assurances offered by Microsoft, while the U.K.’s Competition and Markets Authority eventually conceded 💶 it was in Microsoft’s interest to keep Call of Duty available to PlayStation’s huge audience, and switched tack in its 💶 opposition of the deal to concerns around cloud gaming.

    Only the U.S. Federal Trade Commission ultimately ran with Sony’s argument, but 💶 when its case was tested in court, it lost. Evidence presented in the case included an emailed admission from Ryan 💶 that he had no concerns about PlayStation losing access to Call of Duty “for many years to come.”

    The signing of 💶 the agreement with Microsoft means Sony has effectively ended its opposition to the acquisition, and now expects it to be 💶 completed — perhaps as soon as Tuesday, July 18, the deadline by which the deal is supposed to be closed. 💶 In theory, two regulators remain opposed to the acquisition. But the FTC has failed to persuade an appeals court to 💶 extend an emergency block on the deal, while the CMA has entered into negotiations with Microsoft to find a path 💶 forward in the U.K., with an extended deadline of Aug. 29. It’s possible Microsoft and Activision will now extend their 💶 own deal deadline to give this process time to complete.

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