The AIDS calamity-Caution on withdrawing ART and claims of HIV cure.

I believe that the reason for rebound viral upsurge after a patient goes off ARV treatment should be attributed to the fact that most 'antibiotics' including antiretrovirals, in effect, suppress the immune system as they interfere with our own cellular function, as a side-effect. When a patient eventually goes off it, the immune system which has been battered cannot adequately cope with even the low residual viral load. It is important to note here that viral infections have never been cured with existing conventional therapy. In fact antibiotics are contraindicated in viral infections and when antiviral drug is recommended for treatment, adherence is expected for long enough to allow adequate immunity to develop- if not for life- for fear of this rebound effect. Good immune health is the key but because HIV principally attacks those cells responsible for our own immunity, it leaves the body weak and unable to contain the virus. Therefore, there is little chance of spontaneous cure with HIV as we know it with other viral infections; a virus usually generates strong immunity in the body that deals with the virus - viral infections, in this respect, are said to be 'self-limiting'.

Professor Anomah Ngu should be given enough resources to prove his case, of course, within the bounds of ethics by generating enough data that will allow us make scientific judgment. He is not required to explain to us or convince us on how his treatment works; if he does fine. Put simply, he needs to prove that his treatment has worked beyond reasonable doubts, with limited adverse effects. We do not have a clue as to how some drugs we are currently using work. At best, we only find solace in mere speculation. Being the seasoned researcher and clinician he is, Professor Anomah Ngu more than any one else, is better placed to know and practice this tenet: we should not allow an outcome to be attributed to 'chance', hence the need for more controlled standardized trials that will allow us say with a good degree of certainty that what happened actually did happen, when a new treatment was given to a patient. This is the only way to dispel any controversies surrounding any claims of cure and cure we badly need.

Dr. Oliver Verbe Birnso (B.Sc.;M.Sc.;MBBCh)
Medical Doctor/Clinical Pharmacologist-Toxicologist, Reg. No.5541 Cameroon Medical Council.

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