Skip to main content

AIDS in Africa, ctd

Here's a followup on my post from the other day. Two recent articles in the NYT go after the sexual practices and lack of money behind the recent uptick in the infection rate throughout most of sub-Saharan Africa.
BWINDI, Uganda — In a nameless mud-walled bar, over a lunch of roast goat, bananas and Bell beer, a group of AIDS counselors gathers to discuss one question: Why is it so hard to practice safe sex here?

The AIDS crisis seems hopeless because of the new infection rate. For every 100 Africans put on treatment, 250 get infected. Globally, 7,400 people are infected every day.

In the 1980s, Uganda earned renown for pushing its infection rate to 6 percent from 18 percent. Many here still remember the pounding drums on the radio and the slogans “Practice ABC” and “zero grazing” — no extramarital sex.

But infection rates are creeping back up.

[...]

“Many people are just ignorant,” said Gervis Muhumuza, 44. “They have low education, and so many misconceptions. Minus the elite class in Kampala and a few others, nobody is using condoms.”

The 2006 Demographic and Health Survey of 11,000 Ugandans found that 99 percent had heard of AIDS, but only about a third had “comprehensive knowledge” — that is, they could correctly say whether it was spread by mosquitoes, by food or by witchcraft; whether it could be prevented by condoms; and whether a healthy-looking person could have it.
From the second story:
The last decade has been what some doctors call a “golden window” for treatment. Drugs that once cost $12,000 a year fell to less than $100, and the world was willing to pay.

In Uganda, where fewer than 10,000 were on drugs a decade ago, nearly 200,000 now are, largely as a result of American generosity. But the golden window is closing.

Uganda is the first country where major clinics routinely turn people away, but it will not be the last. In Kenya next door, grants to keep 200,000 on drugs will expire soon. An American-run program in Mozambique has been told to stop opening clinics. There have been drug shortages in Nigeria and Swaziland. Tanzania and Botswana are trimming treatment slots, according to a report by the medical charity Doctors Without Borders.
I definitely see the same problem with condoms around here. One of my Grade 8s is pregnant, and there's no telling who the father is. I have no idea what to do about it--I can't even convince them I'm not rich.

I wonder what the endgame is for the pandemic if help collapses and the disease continues to spread. One option is looking more and more likely for Swaziland. According to the United Nations Development Program, if the epidemic is not brought under control, "longer term existence of Swaziland as a country will be seriously threatened." Two percent of the Swazi population dies of AIDS every year.

See here for more.

Comments

Popular posts from this blog

Why Did Reality Winner Leak to the Intercept?

So Reality Winner, former NSA contractor, is in federal prison for leaking classified information — for five years and three months, the longest sentence of any whistleblower in history. She gave documents on how Russia had attempted to hack vendors of election machinery and software to The Intercept , which completely bungled basic security procedures (according to a recent New York Times piece from Ben Smith, the main fault lay with Matthew Cole and Richard Esposito ), leading to her capture within hours. Winner recently contracted COVID-19 in prison, and is reportedly suffering some lingering aftereffects. Glenn Greenwald has been furiously denying that he had anything at all to do with the Winner clusterfuck, and I recently got in an argument with him about it on Twitter. I read a New York story about Winner, which clearly implies that she was listening to the Intercepted podcast of March 22, 2017 , where Greenwald and Jeremy Scahill expressed skepticism about Russia actual...

The Setswana Grammar Manual

One of my few successes during my service here was formatting the Peace Corps South Africa grammar manual for Setswana, written mostly by Art Chambers, an SA16 volunteer.  For anyone wanting to learn Setswana, I reckon it's a pretty good primer, so I present it for free here .  If you think it sucks and you want to make changes, or you'd like to take a look at the raw TeX file, you can find it here .

On Refusing to Vote for Bloomberg

Billionaire Mike Bloomberg is attempting to buy the Democratic nomination. With something like $400 million in personal spending so far, that much is clear — and it appears to be working at least somewhat well, as he is nearing second place in national polls. I would guess that he will quickly into diminishing returns, but on the other hand spending on this level is totally unprecedented. At this burn rate he could easily spend more than the entire 2016 presidential election cost both parties before the primary is over. I published a piece today outlining why I would not vote for Bloomberg against Trump (I would vote for Sanders, Warren, Buttigieg, Klobuchar, or Biden), even though I live in a swing state. This got a lot of "vote blue no matter who" people riled up . They scolded me and demanded that I pre-commit to voting for Bloomberg should he win the nomination. The argument as I understand it is to try to make it as likely as possible that whatever Democrat wins t...