Mr. President, let me comment on one other issue before yielding the floor. It has to do with medicine again. It has to do with an issue which is very close to my heart, which I first saw in 1981 before I ever thought about getting into…
Mr. President, let me comment on one other issue before yielding the floor. It has to do with medicine again. It has to do with an issue which is very close to my heart, which I first saw in 1981 before I ever thought about getting into politics or public policy or running for the Senate. I first saw this particular issue in the early 1980s. Nobody had seen it in this country until 1981. Nobody had seen it before 1981, which is not that long ago, 25 years ago, but since that time, it killed 1 person, 3 people, 10 people, 1,000 people, 1 million people, 5 million people, 10 million people, 20 million people--25 million people have died since I first saw it; that is, HIV/ AIDS, a tiny virus. You can't see it, touch it, taste it. We didn't have it in America. We didn't know what it was, and then it hit. Now 25 years later, 25 million people around the globe have died from that little, tiny virus. We don't have a cure for it yet. We don't have a vaccine for it yet, but we have made huge medical progress over the last 10 years.
Two days ago, the FDA announced that they had approved the world's first single-pill, once-a-day HIV/AIDS treatment. The bill combines three FDA-approved drugs into a single dose. The impact on HIV/AIDS patients will be profound.
It wasn't that long ago that patients had to take 20 pills a day and then 10 pills a day to control the virus, this little tiny virus, not to get rid of it totally but to keep it down so it doesn't have its ravaging impact on the human body. Some pills you have to take with food, some at 8 o'clock, some at 2 o'clock, some at 6 o'clock, some at 10 o'clock. Some people say it is not that big a deal; it is lifesaving. It is a big deal. If you are a patient having to do it or a physician taking care of a patient, it is impossible to comply with that regimen long term. It is inconvenient, it disrupts life, and now it is combined into one pill.
By the end of next week, people will be able to control the virus with one pill. Not everybody is going to switch to it, but it opens up huge opportunities.
It is good news not just in that it simplifies the prescription regimen of HIV/AIDS patients, but to quote a fellow doctor who is the current Acting Commissioner of the FDA, Andrew von Eschenbach:
Compliance with therapy is as important as the therapy
itself for a successful outcome.
To have a successful outcome, HIV/AIDS patients have to take at least 95 percent of their pills or the treatment doesn't take. It isn't as if you can take 2 or 3 of the 15 pills and it will work. You have to really take just about all the pills. Only one pill a day increases the likelihood of a patient meeting that threshold. That one pill will do the trick. Not only does improved compliance keep HIV/AIDS patients healthy, but it helps slow down that emergence and transmission of strains of virus that have become drug-resistant. The drugs you take over a period of time--the virus is smart, it is cagey, it moves around, and it will develop resistance to those drugs as it comes in. As it gets accustomed to the drugs, the virus will change.
Scientists hail this as a medical breakthrough for good reason. Wednesday's announcement approving the new pill was timely. Yesterday, the CSIS Task Force on HIV/AIDS hosted a conference to examine the sustainability of United States-led efforts in combating the virus. I have cochaired the CSIS task force along with my colleague, Senator Russ Feingold. I had the opportunity, as did Senator Feingold, to deliver opening remarks to that conference.
Looking back over the 25 years, as we did yesterday, I recalled the same story I just told: 25 million people have died on our watch, over my lifetime as a physician. As recently as 5 years ago, less than $1 billion was spent by the world. If we put together all the world's resources, today it is more than eight times that--eight times that--in just 5 years.
Today about 40 million people worldwide, including a million people in this country--a million Americans--are HIV positive. That means they have the virus in them, and it can be detected. Over half of all people living with HIV/AIDS or HIV in the world live in a continent I go to every year, and that is the continent of Africa.
Ten years ago, in 1996, I went to Sub-Saharan Africa to Tanzania, to Kenya, in that whole central eastern region of Africa where I do medical mission work. That became an annual trip after 1996. Nothing quite prepares you for walking through a village in an AIDS-afflicted part of Africa. You see older people, and then you see very young people, but you don't see--there is like a big doughnut hole there--you don't see middle-aged people walking around. Why? Because that virus has ravaged traditionally the most productive part of society. They include teachers, police, law enforcement, wage earners, the people who are out moving, herding the animals, the people who are out growing the crops, the people who make up the strongest and most productive fabric of society.
The deadly disease has left countless children as orphans. It has disrupted the social framework of many communities. It has challenged the infrastructure and stability of many nations in ways that are totally unprecedented and we just haven't seen in history.
I outlined my vision at the conference yesterday for sustaining momentum and winning this war on HIV/AIDS, and already, with the successful development and approval of this single-pill therapy, we have seen how one piece of the vision that I put out yesterday--unity-- is reaching across differences and we can reshape our approach to HIV/