克林顿国务卿为纪念世界艾滋病日发表讲话.doc

Secretary Clinton on Observance of World AIDS DayWashington, D.C.SECRETARY CLINTON: Thank you all very much. Oh my goodness. Thank you. I think we could just end the program right now. (Laughter.) Florence, thank you. Thank you for continuing to be a smiling advocate on behalf of an AIDS-free generation. And congratulations on those two sons of yours, who are the strongest evidence of what we can achieve. Im very grateful to you for sharing your energy, your story, and your passion with us today.I am so pleased to have this opportunity to unveil, formally, the blueprint for an AIDS-free generation. And this could not have happened without Dr. Eric Goosby. Ive known Eric a long time. When I decided to accept the Presidents offer to become Secretary of State, I knew there was only one person that I would hope to recruit to become our Global AIDS Ambassador. Because Eric has both the firsthand experience, going back to the very beginning of his medical training and practice in San Francisco, to the vision he has as to continue to push us to do even more than we think we possibly can, and the drive to actually deliver that. Hes a unique human being, and we are so grateful for his service. And I want to return the favor, my friend, and thank you publicly for everything you have done. (Applause.)Also sitting in the front row is the man who has been leading the governments research efforts from the very early days of the epidemic, Dr. Tony Fauci. Thank you for being here and thank you for everything you have done. (Applause.)From USAID, we have Dr. Ariel Pablos-Mendez, who has also been, along with everyone at USAID and the Centers for Disease Control and Prevention and other government agencies, one of those public servants who has dedicated his or her life to this work.So I am grateful to everyone in our government who has done what has made all the difference. We could not be making this announcement had it not been for the countless hours in laboratories, at bedsides, in the field, everything that people have contributed.And also let me thank Michel Sidibe, who has also been on the frontlines, and from UNAIDS, an absolutely essentially organization in playing the irreplaceable role in this fight. Thank you so much, Michel. (Applause.)And Dr. Dlamini-Zuma, the first woman to chair the African Union Commission, a longtime public servant, government official, activist in South Africa. The AU is a critical partner in our work against HIV/AIDS, and I dont think theres anyone who is better positioned to lead the AU at this time. And the fact shes the first women to lead the AU in its 50-year history is an additional benefit. Thank you so much, my friend. (Applause.)And to Senator Enzi and Congresswoman Lee and Congressman Bass, who truly have been leaders, but also represent members of Congress on both sides of the aisle. This is a program that really has had bipartisan support the leadership of President Bush in creating PEPFAR, the commitment and leadership of President Obama. This is something that I think has really made a difference for Americans and for America. It represents our very best values in practice.So to all the members of Congress, the advocates and activists, the scientists, people living with HIV, thank you for joining us as we take this next step in the journey we began years ago, but which we formally announced a year ago, to change the course of this pandemic and usher in an AIDS-free generation.Now, make no mistake about it: HIV may well be with us into the future. But the disease that it causes need not be. We can reach a point where virtually no children are born with the virus, and as these children become teenagers and adults, they are at a far lower risk of becoming infected than they are today. And if they do acquire HIV, they have access to treatment that helps prevent them from not only from developing AIDS, but from and passing the virus on to others.Now earlier this year, at the International AIDS Conference here in Washington, I described some of the steps we have taken to achieve an AIDS-free generation. And today, I want to step back and make two broad points about this goal.First, lets remember why, after so many years of discouraging news, this goal is now possible. By applying evidence-based strategies in the most effective combinations, we have cut the number of new infections dramatically. Just last week, UNAIDS announced that, over the past decade, the rate of new HIV infections has dropped by more than half in 25 low-and-middle-income countries, most of them in Sub-Saharan Africa. Just listen to these numbers: In Zimbabwe, a 50 percent reduction; in Namibia, a 68 percent reduction; and in Malawi, a 73 percent reduction in the rate of new infections.So as we continue to drive down the number of new infections and drive up the number of people on treatment, eventually we will be able to treat more people than become infected every year. That will be the tipping point. We will then get ahead of the pandemic, and an AIDS-free generation will be in our sight. Now, we dont know how long it will take to do this everywhere, but we know that we can do it.And that brings me to the second point: Weve set the goal. We know its possible. Now we have to deliver. That may sound obvious, but it isnt, because the history of global health and development is littered with grand plans that never panned out. And that matters, because if we make commitments and then fail to keep them, not only will our credibility be diminished, but people will lose heart. They will conclude, wrongly, that progress just isnt possible, and everyone will lose faith in each other. That will cost lives. And in the fight against HIV/AIDS, failing to live up to our commitments isnt just disappointing, it is deadly.Thats why I am so relentlessly focused on delivering results. In July, I asked Eric Goosby and his team to produce a plan to show precisely how America will help achieve an AIDS-free generation. As I said then, I want the next Congress, the next Secretary of State, and our partners everywhere to know how we will contribute to achieving this goal. And the result is the blueprint we are releasing today. It lays out five goals and many specific steps we will take to accomplish those goals.First, we are committing to rapidly scaling up the most effective prevention and treatment interventions. And today, I can announce some new numbers that show how far weve already come. This year, through PEPFAR, we directly supported nearly 5.1 million people on antiretroviral treatment. (Applause.) That is a 200 percent increase since 2008.Now, think for a moment what this means. What did Florence say was the only hope she could give her fellow women living with HIV? She said it was the ARVs. And this year, the American people gave that hope to more than 5 million of their fellow citizens on this earth. And through them, we gave hope to their families and communities, and I think that should make every American profoundly proud.Now, our second goal is that the blueprint says we have to go where the virus is, targeting the populations at the greatest risk of contracting HIV, including people who inject drugs, sex workers, and those trafficked into prostitution, and men who have sex with men. (Applause.)When discrimination, stigma, and other factors drive these groups into the shadows, the epidemic becomes that much harder to fight. Thats why we are supporting country-led plans to expand services for key populations, and bolstering the efforts of civil society groups to reach out to them. And we are investing in research to identify the interventions that are most effective for each key population.As part of our effort to go where the virus is, we are focusing even more intently on women and girls, because they are still at higher risk then men of acquiring HIV because of gender inequity and violence. So we are working to ensure that HIV/AIDS programs recognize the particular needs of women and girls, for example, by integrating these efforts with family planning and reproductive health services. (Applause.) We are also working to prevent and respond to gender-based violence, invest in girls education, address gender inequality, and take other steps that have been proven to lower their risk of contracting the virus.Third, we will promote sustainability, efficiency, and effectiveness. Weve already saved hundreds of millions of dollars by switching to generic drugs in our treatment regimen. And we will continue to ensure that we get the most out of every dollar spent.Fourth, we will promote a global effort to achieve an AIDS-free generation, because this must be a shared responsibility. That means our partner countries must step up to the responsibilities of country ownership. And we look to our partner countries to define the services their people need the most, set priorities, and convene funding partners to coordinate. Donors must meet their funding commitments while also doing more to support country ownership.To drive all these efforts, the United States will continue to support the Global Fund, we will invest in global health diplomacy, and use our diplomatic leverage to support our goals and bring others to the table.And I have to say I was so impressed when I was in South Africa this summer. I went to Cape Town. We Eric and I went together, Ambassador was there, along with the South African Minister of Health, who has been an exemplary leader. Lets give the Minister of Health of South Africa a round of applause. (Applause.)He has worked so hard with a great team and with President Zumas full support to really take on the responsibility of country ownership and management. And when we were in the clinic in Cape Town, we saw some really impressive developments, including a more efficient way to dispense the drugs that are needed. And it was a great tribute to what the South African Government has been able to do in the last four years.Now finally and this is really a call for the entire global health community science and evidence must continue to guide our work. For our part, the United States will support research on innovative technologies for prevention and treatment, such as microbicides and approaches that stave off opportunistic infections like TB. We will set clear, measurable benchmarks and monitor our progress toward them so we can focus our funding on what works. It is science that has brought us to this point; it is science that will allow us to finish this job.So with this blueprint, I firmly believe we have laid out a plan that every American president and secretary and Congress will want to build on. And I urge other countries to develop their own blueprints, because to reach and AIDS-free generation, we have to keep moving forward.So if we have any doubt about the importance of this work, just think of the joy and that big smile on Florences face when she told us about giving birth to her two healthy HIV-negative sons. And think of that same sense of joy rippling out across an entire generation, tens of millions of mothers and fathers whose children will be born free of this disease, who will not know the horror of AIDS. That is the world we are working for, and nothing could be more exciting, more inspiring, more deserving of our dedication than that.So I thank everyone across our government, because I know this was a whole-of-government effort. I thank you all for everything you have done, are doing, and will do to deliver on this important goal.And now its my great pleasure to welcome my friend and partner in the effort to the stage, the leader of UNAIDS, Michel Sidibe. (Applause.) 克林顿国务卿为纪念世界艾滋病日发表讲话克林顿国务卿：非常感谢大家。真不得了！谢谢大家。我想现在就可以结束这个活动了。（笑声）谢谢你，弗洛伦斯（Florence）。感谢你继续面带微笑地倡导整个一代人无艾滋病的目标。并祝贺你的两个儿子，他们最有力地证实了我们所能取得的成就。我非常感激你今天与我们分享你的能量、你的故事和你的热情。很高兴能借这个机会正式公布无艾滋病一代的蓝图，而没有埃里克古斯比（Eric Goosby）博士是不可能做到的。我认识埃里克很久了。当我决定接受总统的任命出任国务卿时，我就知道只有一个人是我要聘任担当全球艾滋病事务大使（Global AIDS Ambassador）的。因为埃里克从一开始学医以及在旧金山行医时起就不仅有亲身经验，而且还有继续推动我们尽可能取得更大成就的抱负以及实现这一抱负的干劲。他是一个极为难得的人，我们非常感谢他所做的工作。我的朋友，我想在大家面前感谢你所做的一切，以此作为回报。（掌声）在前排就坐的还有从艾滋病最早流行时便负责政府研究工作的托尼福西（Tony Fauci）博士。感谢你的光临，感谢你所做的一切。（掌声）还有来自美国国际开发署（USAID）的阿里尔帕布洛门德斯（Ariel Pablos-Mendez）博士，他与美国国际开发署及疾病控制和预防中心（Centers for Disease Control and Prevention）等其他政府机构的各位共事，是毕其一生致力于这项工作的公职人员之一。因此，我很感谢各位在政府机构中为取得所有这些成就做出的贡献。没有大家在实验室里、在病床边、在实地废寝忘食地工作，没有大家在这一领域中的诸多贡献，就不可能有这个发布会。此外，我还要感谢一直工作在第一线的米歇尔西迪贝（Michel Sidibe）以及联合国艾滋病规划署（UNAIDS），这个至关重要的组织在这场斗争中发挥着不可替代的作用。非常感谢你，米歇尔。（掌声）还有德拉米尼-祖马（Dlamini-Zuma）博士，她是非洲联盟委员会（African Union Commission）的首位女主席，长期以来在南非担任公职人员和政府官员，而且一直是一名社会活动家。非洲联盟是我们防治艾滋病毒/艾滋病的重要伙伴，我认为现在没有人比她更胜任非洲联盟的领导职位了。她是非洲联盟成立50年来首位女主席这一事实使她更具优势。非常感谢你，我的朋友。（掌声）感谢参议员恩兹（Enzi）以及众议员李（Lee）和巴斯（Bass），他们始终是真正的领袖，也是国会两党成员的代表。这是一个切实得到两党共同支持的计划布什总统（Bush）领导创立了美国总统防治艾滋病紧急救援计划（PEPFAR），欧巴马总统为这一计划做出了承诺并发挥了领导作用。我认为这是真正为美国人民和美国做出贡献的计划。它代表了我们所奉行的最优秀的价值观。因此，各位国会议员、维权人士和社会活动家、科学家以及艾滋病毒携带者，感谢你们与我们共同迈出这个旅程的下一步我们的旅程在多年前开始，但我们在一年前正式宣布要逆转艾滋病疫情并迎来无艾滋病的一代。毋庸置疑的是：艾滋病毒很可能会存在下去，但艾滋病毒所导致的疾病却不必如此。我们可以实现几乎没有儿童生来就感染艾滋病毒的目标，而且随着他们成长为青少年和成年人，他们感染艾滋病毒的风险将远远低于现在。即使他们感染上艾滋病毒，他们也可以获得治疗，不仅能避免引发艾滋病，还能防止他们将病毒传染给他人。在今年早些时候，我在于华盛顿举行的国际艾滋病大会（International AIDS Conference）上介绍了我们为实现无艾滋病一代的目标已经采取的一些措施。今天，我要概括说明有关这个目标的两大要点。首先，我们不要忘记，经过这么多年的挫折后现在有可能实现这一目标的原因何在。通过以最有效的综合手段应用有实证基础的策略，我们现在已经大幅降低了新发感染的数量。就在上周，联合国艾滋病规划署宣布，在过去十年中，25个中低收入国家的艾滋病毒新发感染率已经下降了一半以上，这些大多是非洲撒哈拉沙漠以南（Sub-Saharan Africa）地区的国家。听听这些数字：新发感染率在津巴布韦下降了50，在纳米比亚下降了68，在马拉维下降了73。因此，随着我们继续降低新发感染的数量并增加接受治疗的人数，我们最终将能使每年得到治疗的人数超过被感染的人数。这将是一个转折点。随后，我们将把艾滋病甩在后面，并将有望迎来无艾滋病的一代。我不知道要用多长时间才能在各地实现这一目标，但我们知道我们能够做到。由此我要谈到第二个要点：我们已经设定了目标。我们知道它可以实现。现在我们必须将它付诸实现。这听起来似乎显而易见，但其实不然，因为全球的健康和发展史上不乏从未获得成功的种种宏伟计划。这一点非常重要，因为如果我们做出承诺但却不履行承诺，不仅会使我们信誉扫地，而且会让人们灰心丧气。他们将得出错误的结论，认为进步根本不可能实现，致使人人都对彼此失去信心。而这将造成生命损失。在与艾滋病毒/艾滋病的斗争中，不履行我们的承诺不仅会令人失望，而且还会导致生命损失。正因为如此，我始终不渝地强调实效。7月，我要求埃里克古斯比和他的团队制定一项计划，明确说明美国将如何帮助实现整个一代人无艾滋病的目标。正如我当时所说，我希望下一届国会、下一任国务卿以及我们的各个合作伙伴都知道我们将如何为实现这一目标贡献力量。其结果便是我们今天要发布的这份蓝图。它阐明了五个目标以及我们为实现这些目标将要采取的许多具体步骤。首先，我们正致力于迅速普及最有效的预防和治疗措施。今天，我会宣布一些新的数字，这些数字显示我们已经取得长足的进展。今年，我们通过美国总统防治艾滋病紧急救援计划（PEPEAR）直接为将近510万人提供了抗逆转录病毒治疗。（掌声）自2008年以来，这一数字增加了200。现在，想一想这意味着什么。弗洛伦斯说她能给感染艾滋