Making a much needed return to my blog, with some thoughts about World AIDS Day.
I'm not here to quote general stats, facts or figures about AIDS and HIV prevalence. There are plenty of authorities on this subject, and online resources. I often direct people to UNAIDS:
http://www.unaids.org. It is an excellent source of factsheets, data, and background reading.
When I was in 6th grade, my family left Houston to move overseas, as my dad undertook public health work with the UN, including AIDS program initiatives. Our first move was to Congo.
At a very young age, I became acutely aware of the devastation that HIV/AIDS has caused in Africa, particularly in what is commonly referred to as "Sub-Saharan" Africa. I also became aware of the fact that at the age of 11, I already had more knowledge about basic HIV transmission (sex, dirty needles, etc) than most of the adults in some of the communities where we traveled. I remember acting in a play, and learning children's songs, that spoke about "S.I.D.A" and warned of its danger.
Fast forward to 2009, and sadly, some things have not changed. In fact, some things look worse (as excerpted from UNAIDS website, Sub-Saharan Africa fact sheet)
- Sub-Saharan Africa remains the region most heavily affected by HIV worldwide, accounting for over two thirds (67%) of all people living with HIV and for nearly three quarters (72%) of AIDS-related deaths in 2008.
- An estimated 1.9 million [1.6 million–2.2 million] people were newly infected with HIV in sub-Saharan Africa in 2008, bringing to 22.4 million [20.8 million–24.1 million] the number of people living with HIV.
- With an adult HIV prevalence of 26% in 2007, Swaziland has the most severe level of infection in the world. Lesotho’s epidemic seems to have stabilized, with a prevalence of 23.2% in 2008.
In the Western world we enjoy education, public health systems, and access to condoms/medications/treatments that are lacking in other regions. Although we are not free from stigmatizing those who live with this disease here in the US, we often do not face the same levels of taboos or ostracism that those living with HIV face in other countries, which can sometimes be life-threatening or resulting in physical harm. Compound this with brutal poverty levels, rampant war, and other factors, and you get the figures shown above. African solutions are still needed desperately, and I feel they must start from within the hot zones.
I was happy to observe today on social networks such as Twitter and Facebook, that there was an outpouring of sharing messages, personal stories, stats, programs, fundraisers, testing sites and other knowledge. Some lives were saved today.
However, I also noticed an attitude of "otherness" when discussing the situation "over there in Africa." Any tweet today that had the word Africa in it, in fact, lit up red. I know this was intended to somehow highlight solidarity and awareness of the scourge of AIDS in Africa, but as I tweeted earlier, "AIDS =/= Africa. Africa =/= AIDS". As one of my twitter friends pointed out, a discussion about African honeybees became red. And as I observed, so did African universities, African sports, African food, African entrepreneurship...African people. Things and people that should be celebrated, discussed and shared with the world, outside the cloak of this disease.
The most recent conversations I have had with multiple women my age about their reasons for NOT requiring the use of condoms with their sexual partners, happened here in the US, not in Africa.
Ignorance and need for openness is not defined by national borders.
We must not ignore or hush up the struggles of African people. These struggles are the world's struggles. But we should also seek to not box in HIV/AIDS as an African problem. It is a human problem. Every new infection is everyone's failure.
We should not view everything about Africa today through a red lens.