Please note that this is not a complete list of every single known issue.
Back to top Lack of Action by Some African Leaders As many African countries have moved towards democratization, they have been rewarded with paying off the debts of their previously unelected regimes, often dictatorships backed by foreign nations, most of whom embezzled billions of dollars from their own country into private savings.
Obstruction by some major pharmaceutical companies detailed further below has also contributed to the hampered responses of many governments. While poverty is undoubtedly a crucial factor as to why health problems are so severe in Africa also detailed further belowpolitical will of national governments is paramount, despite disheartening odds.
Constraints such as social norms and taboos, or lack of decisive or effective institutions have all contributed to the situation getting worse.
Only through public outrage and international pressure was he forced to admit that there was a problem. For more details on this, see Bad Scienceby Ben Goldacre, Harper Perennial,chapter 10 in particular, also available on linewhere Goldacre describes a vitamin-pill entrepreneur, Matthias Rath, claiming anti-retroviral drugs were posionous, and Multivitamin treatment is more effective than any toxic AIDS drug.
Multivitamins cut the risk of developing AIDS in half. An ardent critic of medical drugs for HIV, she would cheerfully go on television to talk up their dangers, talk down their benefits, and became irritable and evasive when asked how many patients were receiving effective treatment.
She declared in that she would not be pressured into meeting the target of three million patients on anti-retroviral medication, that people had ignored the importance of nutrition, and that she would continue to warn patients of the sideeffects of anti-retrovirals, saying: We have been vindicated in this regard.
We are what we eat. Tshabalala-Msimang has also gone on record to praise the work of Matthias Rath, and refused to investigate his activities.
Goldacre notes a study in which 25 per cent of those on vitamins were severely ill or dead, compared with 31 per cent of those on placebo. There was also a statistically significant benefit in CD4 cell count a measure of HIV activity and viral loads.
These results were in no sense dramatic — and they cannot be compared to the demonstrable life-saving benefits of anti-retrovirals — but they did show that improved diet, or cheap generic vitamin pills, could represent a simple and relatively inexpensive way to marginally delay the need to start HIV medication in some patients.
Goldacre adds that Rath mentioned it in full-page advertisements, some of which have appeared in the New York Times and the Herald Tribune. He refers to these paid adverts … as if he had received flattering news coverage in the same papers.
The researchers from the Harvard School of Public Health were so horrified that they put together a press release setting out their support for medication, and stating starkly, with unambiguous clarity, that Matthias Rath had misrepresented their findings.
Bizarrely, he filed this complaint with the International Criminal Court at The Hague, accusing Achmat of genocide for successfully campaigning to get access to HIV drugs for the people of South Africa.
All have issued statements flatly denouncing his claims and activities.
The current and future generations are thus paying for this with their own lives. However, other nations in Africa have shown a more proactive response to the crisis.
Back to top Action by other African Leaders Some nations in Africa have shown a more proactive response to the crisis. Both prevention strategies and reactive approaches such as condom use have also been promoted. But it was the determined use of those existing advantages to generate a national response early on that can be credited with the fact that, at the end of the s, Senegal has one of the lowest rates of HIV infection in sub-Saharan Africa.
Uganda has also been another success story in fighting AIDS. UNAIDS warns that even when there are successes, complacency must not seep in, as there are signs that in Uganda young people today may be less knowledgeable about AIDS than their counterparts in the s. Botswana, Ethiopia, Tanzania, Senegal, and Zambia, have also tried to provide free HIV treatment as user fees have prevented people from receiving health services.
Some of these free treatments are funded by a combination of government resources and donor contributions, showing partnerships at work.
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