I was never one of the converted.
The official figures read that every third girl in my city had the HIV-virus. I
did not need to be a scientist to have figured out that something was amiss.
The United Nations and the World
Health Organisation are expected to admit soon that previously published global
estimates on the spread of the deadly virus, the number of AIDS sufferers and
those dying from HIV/AIDS around the world were previously overstated. There was already from Kenya, like Uganda and Zimbabwe
reports that the HIV infection rate was declining, but these were low key reports for such is not the news
that makes for national headlines or even for international ones.
High AIDS rates and the myth of
whole villages of Africans being wiped out have together created a massive industry
in the Western world, not just among journalists hungry to get a front-page
headline but most of all with departments in aid agencies eager to justify
allocations for HIV-AIDs work.
But there's more to smile about
than just the news that HIV is not as widespread as was widely assumed. The
bulk of the revision is down to revised figures from both India (which has slashed its figures by half to a new
total of six million) and sub-Saharan Africa. These new numbers are evidence of a much more managed
approach to AIDS and its treatment, which approach has led not just to the
reduction of the mystery surrounding the ailment, but also increased testing
and supply of anti-retro viral drugs.
These revised numbers confirm the
opinions of many experts who have long criticised the methods the UN uses for
measuring how widespread and virulent the HIV virus is, claiming that the
inflation deflected attention and funds away from worthier health causes and
distorted the efforts of the HIV industry, guiding it to push resources and efforts where they were less needed and leaving out more needy regions.
The fresh evaluation
of the global AIDS epidemic, states that 2.5million people were newly infected
with HIV this year. Only a few years ago, this number was about five million. The difference in the new numbers is largely
due to different testing methods. The old method was largely based on hospital
admissions, the numbers of pregnant women at pre-birth clinics and the
projection of infection rates among high-risk groups and the subsequent
projection of these numbers to the whole population. The improved system takes
on a much more balanced approach incorporating into the above figures the
results of direct household surveys.
But it is
most important not to be complacent. The real danger is that the
revelation of the exaggerated numbers now brings about a perception in health ministries
and international health agencies that it is time to take the foot of the pedal
on HIV-AIDS. Yet while the global AIDS numbers are falling,
huge regional differences exist. Africa remains the centre of
the epidemic. AIDS and related illnesses persist as a leading cause of death
across the continent, affecting men, women and children. Whereas in other parts
of the world treatment is made easier by the conditions concentration of
specific groups gay men, intravenous drug users and sex workers, the African
case involves the treatment of the whole population.
The element
that may be overlooked in most commentary is that these diminished numbers also
show that part of the strategy taken up have been successful, the increased
testing, the increased supply of anti-retrovirals (especially cheaper generic
ones) and the improvement of primary health care systems across large parts of
the world.
Whether it is abstinence that is your persuasion, or condoms or simply a regimen that demands the utmost fidelity, AIDS is as deadly as ever and although a positive test is no longer condemnation to an early grave, only the most reckless would take this news as a sign that personal habits should be relaxed. Be careful.
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