NPR

Why An Imperfect HIV Vaccine Could Be Better Than None At All

Public health interventions and antiviral drugs have put HIV on the ropes in the U.S. But it's unlikely that infections can be wiped out without a vaccine.
An experimental vaccine against the AIDS virus is being tested in South Africa. Scientists hope it will succeed where others have failed.

When Health and Human Services Secretary Margaret Heckler announced that scientists had discovered the virus that caused AIDS at a press conference in 1984, the disease was still mysterious and invariably fatal.

Perhaps with a vaccine, AIDS could be ended like smallpox or contained like polio, two scourges that yielded to intense public health interventions. Heckler suggested that experimental vaccine trials were just two years away.

We now know that HIV is rarely curable, though it can be managed with antiviral medicines. And more than 30 years later, HIV vaccine research has produced mainly a string of failures.

Onlyone major HIV vaccine trial has shown anyprogress to date. In that study, done in Thailand, a two-stage vaccination approach called RV 144 in HIV infections after several years. These results were hailed as proving the concept that an HIV vaccine could be protective, but the results weren't strong enough to pursue regulatory approval.

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