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Now, in Our World, we travelled to the Ukraine to investigate why the | :00:05. | :00:15. | |
| :00:15. | :00:19. | ||
country has the fastest growing AIDS worst HIV epidemic in Europe. | :00:19. | :00:26. | |
Initially fuelled by rampant drug use, infection has been rising here | :00:26. | :00:30. | |
I'm more than anywhere else on the earth. -- by more than anywhere | :00:30. | :00:40. | |
else. Today, many go untreated. They have to fight off police | :00:40. | :00:50. | |
| :00:50. | :00:59. | ||
intimidation and steep social millions of dollars have been poured | :00:59. | :01:05. | |
into fighting this epidemic. I am in the Ukraine to find out why people | :01:05. | :01:08. | |
here with HIV are more likely to die of AIDS than their counterparts in | :01:08. | :01:18. | |
| :01:18. | :01:55. | ||
to find, but alcohol and cheap drugs are everywhere. I have come to see a | :01:55. | :01:59. | |
former drug addict who is HIV-positive, living in this town, | :01:59. | :02:09. | |
| :02:09. | :02:38. | ||
substitute with her boyfriend. Since then, she has spent two years in | :02:38. | :02:42. | |
prison and lost more than a dozen of her school friends to drugs and | :02:42. | :02:52. | |
| :02:52. | :02:52. | ||
Apology for the loss of subtitles for 44 seconds | :02:52. | :03:36. | |
accidentally by being diagnosed with hepatitis, but local clinic did not | :03:36. | :03:46. | |
| :03:46. | :03:46. | ||
Apology for the loss of subtitles for 44 seconds | :03:46. | :04:27. | |
of the world 's fastest-growing HIV academic. -- epidemics. Globally, | :04:27. | :04:30. | |
infection and mortality rates have been falling for years, but not in | :04:30. | :04:40. | |
| :04:40. | :04:47. | ||
Ukrainians are living with HIV, fewer than one in six receives | :04:47. | :04:55. | |
treatment. By contrast, some sub-Saharan Africa in countries like | :04:55. | :05:05. | |
Botswana and Rwanda managed to provide 80% of their infected | :05:05. | :05:15. | |
| :05:15. | :05:22. | ||
pharmacy near the president's office are fearing that access to | :05:22. | :05:27. | |
anti-retroviral drugs could soon be even more difficult. The government | :05:27. | :05:37. | |
| :05:37. | :06:00. | ||
wants a new law to force control on a patient's pressure group. He | :06:00. | :06:04. | |
accuses the health Ministry of embezzling money that should be used | :06:04. | :06:12. | |
to treat patients. He believes that anti-retrovirals are bored at hugely | :06:12. | :06:22. | |
| :06:22. | :06:50. | ||
inflated prices and that officials outskirts of the town. -- me to | :06:50. | :07:00. | |
| :07:00. | :07:00. | ||
Apology for the loss of subtitles for 44 seconds | :07:00. | :08:34. | |
strength to carry on from her family and from doctors at one key facility | :08:34. | :08:44. | |
| :08:44. | :08:44. | ||
Apology for the loss of subtitles for 44 seconds | :08:44. | :09:41. | |
clinic in central Kiev for checkups clinic, it opens the Ukraine's first | :09:41. | :09:45. | |
HIV clinic in 1989, only six years after the first cases of AIDS were | :09:45. | :09:55. | |
| :09:55. | :10:01. | ||
Ukrainians who actually get anti-retroviral treatment. The | :10:01. | :10:05. | |
clinic supplies 1800 outpatients with the drugs and trains doctors | :10:05. | :10:15. | |
| :10:15. | :10:16. | ||
not want to be identified has little faith in his doctor in his | :10:16. | :10:26. | |
| :10:26. | :10:53. | ||
most serious cases. For many, this is their refuge and last hope. This | :10:53. | :10:57. | |
small clinic isn't enough. This is a country where the death rate is | :10:57. | :11:03. | |
still climbing, even though it has come down in most of the world, | :11:03. | :11:13. | |
| :11:13. | :11:22. | ||
including the worst hit region, uncertain. The head doctor explains | :11:22. | :11:27. | |
her clinic occupies a valuable piece of real estate in the city centre. | :11:27. | :11:37. | |
| :11:37. | :12:07. | ||
For two years, she has come under century Hurley centre of Orthodox | :12:07. | :12:12. | |
Christianity in the Slav world. -- early centre. In a television | :12:12. | :12:16. | |
interview, the Archbishop of them honestly made it clear what he | :12:16. | :12:26. | |
| :12:26. | :12:26. | ||
Apology for the loss of subtitles for 44 seconds | :12:26. | :13:13. | |
thought of his neighbours. -- Church and state are closely | :13:13. | :13:19. | |
entwined, as they are a cross the border in Russia. Although the | :13:19. | :13:24. | |
monastery is a Ukrainian Orthodox, it is under the control of someone | :13:24. | :13:34. | |
| :13:34. | :13:34. | ||
Apology for the loss of subtitles for 44 seconds | :13:34. | :14:20. | |
Do you take that message across But the clinic will be split in two | :14:20. | :14:25. | |
and relocated in separate parts of the cattle. One is his refurbished | :14:25. | :14:34. | |
building on the outskirts of the city. It has seven birds and is a | :14:34. | :14:38. | |
long way away from the train station and it makes access more | :14:38. | :14:48. | |
| :14:48. | :14:54. | ||
difficult. The move is to take But some in Ukraine refused to be | :14:54. | :15:02. | |
marginalised and are fighting back. Liza Yaroshenko was born HIV- | :15:02. | :15:06. | |
positive and lost her mother to AIDS when she was six years old. | :15:06. | :15:10. | |
Although she tries to live like any 14-year-old, she knows these pills | :15:10. | :15:20. | |
| :15:20. | :15:29. | ||
Liza has an awful lot of different pills to take and she has to take | :15:29. | :15:39. | |
| :15:39. | :15:45. | ||
them at the same time every day. Last December, Liza became the | :15:45. | :15:49. | |
youngest person to address the Ukrainian Parliament. She asked MPs | :15:49. | :15:57. | |
to ensure proper funding for HIV patients. But she claims a few | :15:57. | :16:07. | |
| :16:07. | :16:07. | ||
Apology for the loss of subtitles for 44 seconds | :16:07. | :16:50. | |
staff members at her school were I took an overnight train to Odessa, | :16:50. | :17:00. | |
| :17:00. | :17:07. | ||
which over a decade ago was the Even when programmes have been | :17:07. | :17:09. | |
introduced to help addicts and prevent HIV, the authorities are | :17:09. | :17:19. | |
| :17:19. | :17:23. | ||
In this clinic, patients are prescribed artificial opiates like | :17:23. | :17:28. | |
methadone, which is safer than injecting street drugs. Sebina, one | :17:28. | :17:35. | |
of the patients is grateful. Now, my life has changed. It has changed | :17:35. | :17:43. | |
because of the methadone? Yes. When I'd come to the methadone therapy, | :17:43. | :17:53. | |
I was broken. My soul was broken. And now I am like a phoenix. | :17:53. | :17:59. | |
are like a phoenix, you have been reborn? Yes. Because this programme | :17:59. | :18:07. | |
has given me so much. So much. Sebina and others claim they have | :18:07. | :18:17. | |
| :18:17. | :18:18. | ||
been harassed by law-enforcement. They say it is because police make | :18:18. | :18:21. | |
money from the addicts. It is an easy allegation to make, but is | :18:21. | :18:25. | |
there any proof that the police are mixed up in this business, they are | :18:25. | :18:32. | |
selling drugs? They sell heroin, opium and other drugs. And I know | :18:32. | :18:42. | |
| :18:42. | :18:46. | ||
it's in 100 people, I know it. Because my brother was working in | :18:46. | :18:52. | |
this department. Your brother was a police officer? He was. | :18:52. | :18:54. | |
Substitution therapy remains controversial and is banned in | :18:54. | :19:00. | |
neighbouring Russia. Are Ukraine's law enforcers so dishonest they are | :19:00. | :19:02. | |
blocking a programme which has successfully cut HIV infection | :19:02. | :19:11. | |
rates in many other countries? In Kiev, I speak to the interior | :19:11. | :19:21. | |
| :19:21. | :19:35. | ||
Once part of the Soviet Union, Ukraine has, over the past 20 years, | :19:35. | :19:43. | |
struggled to assert its independence. If the western half | :19:43. | :19:46. | |
of this country of 46 million is drawn to the European Union, the | :19:46. | :19:56. | |
| :19:56. | :19:59. | ||
eastern regions back close ties to In an echo of recent legislation in | :19:59. | :20:05. | |
Russia, there are plans to ban so- called homosexual propaganda. Some | :20:06. | :20:14. | |
fear it will further stigmatise Ukraine's male, gay community. This | :20:15. | :20:17. | |
newly-created Committee for tackling HIV and AIDS, is having | :20:17. | :20:24. | |
its first meeting in the Parliament. I grab the chance to ask the deputy | :20:24. | :20:30. | |
chairwoman about the draft law. Won't it make one high risk group | :20:30. | :20:40. | |
| :20:40. | :21:01. | ||
We have to find out the risk group. Such attitudes are widespread, some | :21:01. | :21:03. | |
would say dangerous given the Government spends nothing in | :21:03. | :21:13. | |
| :21:13. | :21:46. | ||
The global fund helped finance backed by the form Microsoft boss, | :21:46. | :21:53. | |
Bill Gates, is spending $92 million a year in tackling AIDS here. But | :21:53. | :21:56. | |
they are no longer channelling it through the Government, fearing the | :21:56. | :22:00. | |
money was being stolen or wasted. It is now going through and a non- | :22:00. | :22:09. | |
Government organisation called the AIDS Alliance instead. This group | :22:09. | :22:12. | |
works on the frontline of the epidemic, among drug-users and sex | :22:12. | :22:22. | |
| :22:22. | :22:46. | ||
The Alliance has a mobile testing Tonight, they are paying a house | :22:46. | :22:49. | |
call, taking boxes of clean syringes and condoms to the flat of | :22:49. | :22:59. | |
| :22:59. | :23:13. | ||
Vladimira now gives addicts like this a chance to exchange syringes | :23:13. | :23:23. | |
| :23:23. | :24:00. | ||
Despite the corruption, the stigma and the lack of Government support, | :24:00. | :24:02. | |
there is hope that the next generation will be better equipped | :24:02. | :24:12. | |
| :24:12. | :24:19. | ||
Viktoria is now trying to raise awareness in her hometown, but a | :24:19. | :24:29. | |
| :24:29. | :24:44. | ||
diagnosis of HIV need not be a Liza and Viktoria, people with | :24:44. | :24:52. | |
first-hand experience are pioneers of this new consciousness. I asked | :24:52. | :25:02. | |
| :25:02. | :25:16. | ||
Liza that if being HIV-positive But foreign money is running out | :25:16. | :25:18. | |
fast, funds for prevention and medicines are only guaranteed until | :25:18. | :25:26. | |
2016. The death toll is still rising, but tackling the epidemic | :25:26. | :25:31. | |
is not high on the political agenda. The rest of the world may be | :25:31. | :25:34. |