On September 15, 2001, a joint editorial simultaneously published in thirteen medical journals, pointed an accusing finger at the increasing pressures coming from the pharmaceutical industry. During past decades, a key role in trial design and conduct was played by independent clinical investigators working in academic medical centres. They were also able to vouchsafe the quality of their research, which might not, however, be the case in the future.
On 16 January 2004, the United Nations Secretary-General and Nobel Peace Prize winner Kofi Annan launched a Global Media Aids Initiative, with the aim of convincing the press, radio, television and Internet to join the fight against what has been called the "forgotten disease of the forgotten continent". Throughout the world, over 40 million people have the Hiv virus. In 2003 there were 5 million new infections and 3 million deaths were caused by Aids.