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| Tuesday, September 14, 1999 Published at 10:19 GMT 11:19 UK World: Africa Africa on the Aids frontline ![]() More than 11 million people have died from Aids in the last 20 years At the end of his journey through central Africa, Greg Barrow reports from Lusaka on the changing face of Aids in the continent. The cartographers of the "Aids map" of Africa have had a busy time over the past two decades. Although HIV, the virus which leads to Aids, can be traced back as early as the 1950s, it only really emerged as a public menace in the late 1970s and early 1980s. Click here for a map of Greg Barrow's journey.
Botswana - Zimbabwe - Zambia Almost 20 years later, the focus has shifted to southern Africa. In the period during which countries like Uganda have taken successful steps to contain HIV, public ignorance, slow government intervention, and social upheaval, have helped the virus to establish deep roots in the south of the continent.
In Zimbabwe, it's estimated that around one quarter of the population is HIV positive. Aids is becoming a disease which is likely to have a severe impact on the economy. In Botswana, one of the wealthiest, and most stable nations in Africa, life expectancy is likely to drop dramatically over the next decade, from almost seventy years, to around forty; and in Zambia, there are grave social problems looming on the horizon, as the number of children orphaned by Aids, rises dramatically.
Botswana In Botswana's second city, Francistown, official figures collected on the basis of testing pregnant mothers at maternity clinics show that a staggering forty three per cent of the population is HIV positive. But even this is seen as a conservative figure as many women suffering from HIV infection may find it difficult to conceive, and would not, therefore, show up on the statistics. Privately, health oficials believe that Francistown is a place where close to half the population is HIV positive.
Francistown plays a particularly important role in the fate of the country and the whole region as it is the main truck stop on the route south from countries like Zambia, Zimbabwe and beyond. The young male truckdrivers gather here every night, crowding the bars and seedy nightclubs after a long drive south or north. "Are we going to eat tonight", they ask each other as they settle down for cool beer, and they're not referring to food. People know about Aids, but they just don't seem prepared to do anything about it. "You have a few beers, and you forget," says Pula Masimegha, an off-duty soldier enjoying a night on the town, "You come here, you meet a babe, you go back to your house, the lights go out, and you forget. We just have to keep our fingers crossed." But keeping your fingers crossed in Francistown is about as dangerous as Russian roulette.
There are many other drivers who are HIV positive, and they know. They think they are already dead, and they don't care, so they just continue as before."
Without the assistance of these respected, and revered, community leaders, there is little chance of persuading local people to wake up to the dangers of Aids. The Salvation Army community health projects in Chikankata have helped to change traditional practices which were jeopardising the whole survival of the surrounding communities. In the past, when a mad died, his wife would be given over to one of his brothers. A ritual cleansing would take place at the funeral involving sexual intercourse between the wife and her deceased husband's brother. If the husband had died of Aids - an increasingly likely scenario in Zambia - this traditional practice would afford an open route for the transmission of HIV infection. Now these rituals are dying out, as traditional leaders preach against them, and persuade the community that they are only helping the AIDS virus to thrive. Unfortunately, the change has come too late for Chikankata. It used to be a thriving community which was known for cattle rearing. Today the fields are empty and dry. "First of all we had drought, then the cows died from foot and mouth disease, and finally Aids arrived." says Elvis Simamvwa, director of the Salvation Army Mission, "Almost all of the able-bodied men have died of the disease, and there is nobody left to work the fields. It may be at least a decade before things recover and we go back to how it was in the old days." The real tragedy of Aids in southern Africa is that it could have been controlled if governments, communities, and healthworkers had reacted earlier. Now the countries of this region are being crippled by escalating health bills, businesses are buckling under the strain of losing workers, and the social landscape is being shattered. Africa, the continent which has the least resources to deal with the disease, is facing its biggest onslaught. The World Health Organisation estimates that seven out of ten people who are newly infected with Aids come from sub-Saharan Africa, and more than eighty per cent of all deaths from disease since the epidemic started in the late 1970s, come from this continent. The WHO believes that around thirty four million people in Africa are already infected with HIV. Only eleven and a half million have already died; the rest are either sick, or blissfully unaware of the deadly virus they carry in their blood. The role of these carriers, holds a deathly grip on the future of generations of Africans, some still alive, but many who are yet to be born. |
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