South Africa's Aids Crisis and Solution

Since its identification approximately two decades ago, HIV has increasingly spread globally, surpassing expectations (1). The number of people living with HIV worldwide is estimated to be 36 million, with 20 million people having died from the disease, giving a total number of 56 million being infected (1). In 2000 alone, 5.3 million people were infected with HIV and there is potential for further spread. HIV infection rates vary all over the world with the highest rates in Sub-Saharan Africa (1). Responding to this epidemic has been a challenge as infection rates have increased worldwide despite tremendous public health efforts by nations (1). The identification of potential interventions to reduce the magnitude of the problem has

HIV/AIDS has been responsible for one of the worst epidemics in history. In her book “The Invisible Cure” Helen Epstein details why Africa in particular was so devastated by the disease, which countries failed and which succeeded in the struggle to contain the virus, and why this happened. Epstein highlights a particular phenomenon, that first took place in Uganda, but which can be translated to many countries and situations, and which she calls “the invisible cure.”

When it came to differing views between western beliefs and the native point of view, one of the bigger problems was the conflict about contraception and stopping the spread of HIV and AIDS. Southern Africa, were the Dobe Ju’/hoansi subside, has one of the highest rates of HIV/AIDS in the world. “[T] he world U/N. figures for June 2000 show a seropositive rate among adults of 19.54 percent in Namibia, 19.94 percent in South Africa, and a staggering 35.8 percent in Botswana (Lee 2003: 190).” Because of the epidemic the life expectancy in the area has also drastically dropped. Western medical professionals have made clear to most communities that condoms are the most effective protection from HIV/AIDs. Because of this many western clinics and organizations in Africa distribute condoms to the local people. Regardless of the

There are an immense amount of problems in Africa caused by the AIDS disease. Healthcare providers are available and located all over Africa. Even though they are available, they have only “enough medicine for long-term survival available for 30,000 Africans” (Copson, 3).

In The Invisible Cure, Helen Epstein talks about why HIV/AIDS rate is so high in Africa compared to the rest of the world. Through the book, she gives us an account of the disease and the struggles that many health experts and ordinary Africans went through to understand this disease, and how different African countries approached the same problem differently. Through this paper, I will first address the different ways Uganda and Southern African countries, South Africa and Botswana in particular, dealt with this epidemic, and then explain how we can use what we have learned from these African countries to control outbreaks of communicable disease elsewhere around the world.

Africa has a history of facing many challenges, including starvation, poverty, Ebola and AIDS. AIDS, however, has become Africa’s biggest hurdle. Botswana, located in Southern Africa, has been hit the hardest by the AIDS virus with over 23% of its population contracting AIDS. In order to help fix the AIDS epidemic in Botswana, multiple things need to be reviewed, such as understanding how AIDS spread throughout Botswana, where the region currently stands on the AIDS virus, and the three solutions on how to prevent the rise in the spreading of the virus within the area. According to the website Avert, studies have shown that the most effective ways to help stop the spread of AIDS includes testing centers, intervention centers, and the distribution of more protective measures.

Despite the government’s best efforts to downplay the HIV epidemic that was beginning in South Africa, the disease began to spread throughout the general population in the late 1980s. In 1988, cases of seroconversion started to appear in individuals outside of the MSM community; each year, between 1988 and 1994, saw a doubling of HIV prevalence. As of 1990, the dominant mode of transmission for HIV switched from homosexual to heterosexual intercourse, creating an epidemic among the citizens of South Africa. At the same time, the rate of mother-to-child transmission was on the rise. Throughout the escalation of the HIV epidemic in South Africa, the apartheid government took a hard line stance on HIV and AIDS, calling it a ‘black disease’ and refusing to invest resources to combat the spate. Rather, it continued to use fear tactics and stereotyping to reinforce the ‘typical’ HIV-infected individual, targeting MSM and black populations in country-wide campaigns. Any attempts at preventing the spread of disease were usually thwarted by a lack of infrastructure in the local governments and provinces, with each area attempting a different strategy to combat HIV infection.

In South Africa, AIDS is one of the top causes of death. South Africa has the biggest AIDS/HIV epidemic in the world because of violence against women, poverty, and lack of education. Given this, “Africans account for nearly 70% of those who live with HIV and are dying of AIDS” (Morgenstern, Dr. Michael).

The Human Immunodeficiency Virus (HIV) has been a major health concern due to its rapid ability to spread and high death rate. Although HIV can be found all around the world, it is most common in Africa. For decades, both sociologist and scientist have struggled to determine the specific causes that led to the wide spread of HIV in Sub-Saharan Africa. The novel The Invisible Cure: Why We Are Losing the Fight Against AIDS in Africa by Helen Epstein tells her journey as a molecular biologist trying to find a cure for HIV across Sub-Saharan Africa. Throughout her journey, Epstein is able to experience the various problems that the majority of people in the African continent face. The problems that Epstein encounters can easily be fixed, but because of the lack of effective government control in most areas they aren’t. Through cultural, political, and social factors, Epstein depicts the roots of the HIV outbreak and the possible cures that can be found within Uganda’s collective efficacy.

In the sub-Saharan Africa, the majority of the population suffers from HIV leading to AIDS. The culprits responsible for this epidemic include the lack of knowledge about the disease, disuse of condoms due to religious practices and the overall poor hygiene. If left untreated, the rampant surge of AIDS can terrribly impact the cost of their healthcare, the African economy and the welfare of the people. This implications justify immediately finding remedies to what ails the sub-Saharan population.

Although HIV is no longer the automatic death sentence it was in the 80’s, it remains a thorn even in our modern societies. For instance, HIV treatment is exponentially expensive, and can only be afforded by residents in developed countries. In fact, most third world nations are still in the 80’s as far as HIV treatment technology is concerned. Fatality rates particularly in Africa are astronomical to say the least (Rensburg 267). With prices, for

The AIDS crisis has been a very controversial issue in the history of South Africa beginning in 1982. During this time South Africa has made a government transition from apartheid to a democracy. Since many national issues needed to be address, the AIDS crisis was pushed aside, leaving a pandemic in the process. Many factors have contributed to the issues including: poverty, social instability, high levels of sexually transmitted infections, the low status of women, sexual violence, migrant labor, limited access to quality medical care, and a history of poor leadership in the response to the pandemic. After three decades of controversy in South Africa dealing with issues involving the government, medicine, and conflict the country is still feeling the after-effect today regarding the largest AIDS pandemic.

Although ninety-five percent of people living with HIV/AIDS are in developing countries, the impact of this epidemic is global. In South Africa, where one in four adults are living with the disease, HIV/AIDS means almost certain death for those infected. In developed countries however, the introduction of antiretroviral drugs has meant HIV/AIDS is treated as a chronic condition rather than a killer disease. In developing countries like South Africa, the drugs that allow people to live with the disease elsewhere in the world, are simply too expensive for individuals and governments to afford at market price.

Just as clearly, experience shows that the right approaches, applied quickly enough with courage and resolve, can and do result in lower HIV infection rates and less suffering for those affected by the epidemic. An ever-growing AIDS epidemic is not inevitable; yet, unless action against the epidemic is scaled up drastically, the damage already done will seem minor compared with what lies ahead. This may sound dramatic, but it is hard to play down the effects of a disease that stands to kill more than half of the young adults in the countries where it has its firmest hold—most of them before they finish the work of caring for their children or providing for their elderly parents. Already, 18.8 million people around the world have died of AIDS, 3.8 million of them children. Nearly twice that many—34.3 million—are now living with HIV, the virus [9].

Acquired Immune Deficiency Syndrome (AIDS) caused by the Human Immunodeficiency Virus (HIV) is one of many infectious diseases that plague the world today. According to the 2007 AIDS epidemic update put out by The United Nations Joint Program on HIV/AIDS (UNIADS) there were approximately 2.1 million AIDS related deaths and 33.2 million people infected with HIV world wide (UNAIDS/WHO Working Group, 2007). Despite its abundant resources and its well-developed financial sectors, South Africa has the largest HIV infected population in the world with approximately 5.7 million of its 44 million citizens living with HIV/AIDS (Global Health Facts, 2007). These 5.7 million cases alone account for over 28% of