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 actually b

The Basic Instinct of Socialism

This year I finally decided to stop beating around the bush and start calling myself a democratic socialist. I think the reason for the long hesitation is the very long record of horrifying atrocities carried out by self-described socialist countries. Of course, there is no social system that doesn't have a long, bloody rap sheet, capitalism very much included . But I've never described myself as a capitalist either, and the whole point of socialism is that it's supposed to be better than that. So of course I cannot be a tankie — Stalin and Mao were evil, terrible butchers, some of the worst people who ever lived. There are two basic lessons to be learned from the failures of Soviet and Chinese Communism, I think. One is that Marxism-Leninism is not a just or workable system. One cannot simply skip over capitalist development, and any socialist project must be democratic and preserve basic liberal freedoms. The second, perhaps more profound lesson, is that there is no s

Varanus albigularis albigularis

That is the Latin name for the white-throated monitor lizard , a large reptile native to southern Africa that can grow up to two meters long (see pictures of one at the Oakland Zoo here ). In Setswana, it's called a "gopane." I saw one of these in my village yesterday on the way back from my run. Some kids from school found it in the riverbed and tortured it to death, stabbing out its eyes, cutting off its tail, and gutting it which finally killed it. It seemed to be a female as there were a bunch of round white things I can only imagine were eggs amongst the guts. I only arrived after it was already dead, but they described what had happened with much hilarity and re-enactment. When I asked why they killed it, they said it was because it would eat their chickens and eggs, which is probably true, and because it sucks blood from people, which is completely ridiculous. It might bite a person, but not unless threatened. It seems roughly the same as killing wolves that