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Medical Forum / Diseases and Disorders / AIDS / December 2004

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Benin HIV screening 2002 - A catastrophe for WHO & UNAIDS

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PaulKing - 27 Nov 2004 20:54 GMT
Benin HIV screening 2002 - A catastrophe for WHO & UNAIDS
I just received the 2002 "VIH & Syphillis surveillance report" from Benin
which the WHO and the Benin government don't want publishing!
The note that accompanied this document stated
"This document from the Ministry of Health should not be published as the
HIV diagnosis figures have diminished considerably since the last survey
(2001). The WHO have accepted that this document should be printed, but
must remain confidential for the time being. These "good" results will
certainly be corrected upwards for the next report. The authorities in
Benin are worried that their AIDS funding will be diminished if the
epidemic is not as serious as normally declared".
This came from a friend who works for a NGO in Benin, wishes to keep his
job (privately helping patients with nutrition, supplements & real info)
and remain anonymous!
*    Benin has a population of 6,769,914 (2002)
*    The WHO directives stipulate at least 250-500 people for their surveys.
*    For the 2002 report 17,850 people were screened from pre-natal and
maternity clinics. (Elisa + confirmation)
*    In 2002 there were 173 males & 165 females HIV+ of the 334, (2002)
total
*    The medical profession was the highest infected group (4,4%) followed
by
"shopkeepers" (3,6%) those on "benefit" (3,4%) & "others" (3,3%)
*    The diplomatic (funding) problem is that "HIV prevalence" went down
from
4,1% in 2001 to 2,4% in 2002
A large PDF document in French, parts 1 & 2 are on:
1.    http://www.altheal.org/statistics/benignstats1.pdf
(Pages 1-37) 6,7mo
2.    http://www.altheal.org/statistics/benignstats2.pdf
(Pages 38-72) 5,6m
Alex - 07 Dec 2004 01:03 GMT
> Benin HIV screening 2002 - A catastrophe for WHO & UNAIDS
> I just received the 2002 "VIH & Syphillis surveillance report" from Benin
[quoted text clipped - 27 lines]
> 2. http://www.altheal.org/statistics/benignstats2.pdf
> (Pages 38-72) 5,6m

This never made any sense at all. Why would HIV run rampant in
East Africa, and Southern Africa, but be subdued or nonexistent
in West Africa?

Alex
GMCarter - 07 Dec 2004 09:42 GMT
snip
>This never made any sense at all. Why would HIV run rampant in
>East Africa, and Southern Africa, but be subdued or nonexistent
>in West Africa?

Good question. The science that seeks to delineate specific answers is
called "epidemiology." When one looks at the spread of infectious
diseases, patterns emerge. Africa is a rather large and fairly diverse
continent.

You may as well as "why the heck does histoplasmosis only show up in
the Southwest of the U.S. and not the Southeast or the Northwest?"

        George M. Carter
Alex - 07 Dec 2004 15:54 GMT
> snip
> >This never made any sense at all. Why would HIV run rampant in
[quoted text clipped - 5 lines]
> diseases, patterns emerge. Africa is a rather large and fairly diverse
> continent.

So what makes West Africa diffferent from Central Africa,
and Southern and Eastern Africa?

Alex
GMCarter - 07 Dec 2004 22:48 GMT
>> snip
>> >This never made any sense at all. Why would HIV run rampant in
[quoted text clipped - 8 lines]
>So what makes West Africa diffferent from Central Africa,
>and Southern and Eastern Africa?

Distance. Cultures. In any event, AIDS is hardly subdued or
nonexistent in western Africa. Also, in Senegal, for example, they
addressed the epidemic earlier and more vigorously and not just with
abstinence only nonsense. Other countries did not fare as well.

But why don't you do your own research and find out. Better yet, go
there.

        George M. Carter
Alex - 09 Dec 2004 01:18 GMT
> >> snip
> >> >This never made any sense at all. Why would HIV run rampant in
[quoted text clipped - 10 lines]
>
> Distance. Cultures.

Distance? How can HIV go from Uganda to Manhattan,
and bypass Ghana for 20 years?
Isn't HIV supposed to have been around Africa for a long time?

Different cultures?? Really? Be specific. How is Ghana different
culturally than Uganda?
Keeping in mind, that much of the population of Central
and Southern Africa has it's origin in West Africa. The idea
of matrilineal culture extends all the way from West Africa
to Tanzania.

The truth is that it doesn't make any sense that HIV in Africa
will run rampant in the general, hetero community, but would
do so nowhere else in the world.
Just as it doesn't make sense that HIV will be endemic in
East, Central and Southern Africa (and some would say
be around for centuries), but barely gets a look in, in
West Africa.

Alex
GMCarter - 09 Dec 2004 11:56 GMT
snip
>Distance? How can HIV go from Uganda to Manhattan,
>and bypass Ghana for 20 years?

Who says it did?

Also, ever hear of a jet? Newfangled thing.

>Isn't HIV supposed to have been around Africa for a long time?

Debatable.

>Different cultures?? Really? Be specific. How is Ghana different
>culturally than Uganda?

Are you saying they're the same?

>Keeping in mind, that much of the population of Central
>and Southern Africa has it's origin in West Africa. The idea
>of matrilineal culture extends all the way from West Africa
>to Tanzania.

Oh! All cultures in Africa are matrilineal and therefore HIV doesn't
cause AIDS. Phew. Glad we cleared that up.

>The truth is that it doesn't make any sense that HIV in Africa
>will run rampant in the general, hetero community, but would
>do so nowhere else in the world.

What makes you think it hasn't?

>Just as it doesn't make sense that HIV will be endemic in
>East, Central and Southern Africa (and some would say
>be around for centuries), but barely gets a look in, in
>West Africa.

Barely gets a look? Huh?

        George M Carter
Alex - 10 Dec 2004 22:23 GMT
> snip
> >Distance? How can HIV go from Uganda to Manhattan,
> >and bypass Ghana for 20 years?
>
> Who says it did?

The WHO/UNAIDS.

> Also, ever hear of a jet? Newfangled thing.

Ever hear of a linear argument?

I asked you why the difference between West Africa and Central Africa.
You replied with  "culture, distance".
I replied with asking why HIV could travel from Uganda to Manhattan,
but not to Ghana. And what the cultural difference between Uganda
and Ghana would be.

I'm still waiting for the answer.

> >Isn't HIV supposed to have been around Africa for a long time?
>
[quoted text clipped - 4 lines]
>
> Are you saying they're the same?

HOW are they different? And of course especially,
how are they diffferent in that one would enable a
heterosexual epidemic of HIV, where the other
didn't?

> >Keeping in mind, that much of the population of Central
> >and Southern Africa has it's origin in West Africa. The idea
[quoted text clipped - 3 lines]
> Oh! All cultures in Africa are matrilineal and therefore HIV doesn't
> cause AIDS. Phew. Glad we cleared that up.

You're not answering the question. Ann Coulter would be proud.

What is so different about the cultures of Uganda and Ghana
that 30% of the population of Uganda is supposed to have
been HIV positive at one point, and HIV in Ghana never
budges beyond "4%". If that.

> >The truth is that it doesn't make any sense that HIV in Africa
> >will run rampant in the general, hetero community, but would
> >do so nowhere else in the world.
>
> What makes you think it hasn't?

The fact that there are no heterosexual epidemics
of HIV anywhere else in the world, other than the
one alleged in Africa.

Alex
Death - 11 Dec 2004 01:30 GMT
"Alex" <avdeelen.REMOFE@wanadoo.nl> wrote in message

> The fact that there are no heterosexual epidemics
> of HIV anywhere else in the world, other than the
> one alleged in Africa.

Ah yes, Africa.
The land where the down low rape women and babies to cure aids.
````````````````````````````````````````
Analysis: Infant rape captures AIDS crisis

United Press International - November 24, 2001
R.W. Johnson

DURBAN, South Africa, (UPI) -- Although South Africa enjoys one of the
highest incidences of rape in the world --- exact figures are always a
matter of controversy since feminist groups at least double the official
figures to allow for unreported rapes, while the government indignantly
tries to cut the figure down -- few things have galvanized such universal
outrage across all racial groups as the recent gang rape of a 9-month-old
baby by six men in the Northern Cape. So great is the public outcry that
four of the men have not been able to get lawyers to represent them, though
it also seems that four of them do not deny the crime. The baby was badly
physically injured by the assault, but is now out of intensive care. The
psychological trauma it suffered will take many years to know.
In particular, the case has dramatized the fact that many rapes in South
Africa are committed against minors, often because it is believed in this
AIDS-stricken country that only sex with a virgin will free one of the HIV
virus. With around 20 percent of sexually active adults now HIV positive,
AIDS deaths already at 5,000 a week and set to triple within five years, the
subject of HIV infection is becoming a national trauma. Everyone knows
people who have died or who are dying of AIDS and in practice it seems that
nothing is being done to make South African men wear condoms -- indeed
President Thabo Mbeki publicly doubts whether HIV causes AIDS at all and
refuses to distribute anti-retroviral drugs even to pregnant women (whose
babies would thereby be saved) or to rape victims.

All the statistics show that women catch HIV far more easily than men and
because men tend to be attracted to younger women, the HIV rates among
teenage girls are far higher than among boys. Knowledge that this is so has
seeped into townships and rural areas simply because the sight of young
women in their early 20s dying of AIDS has now become quite common. This in
turn has made girls of younger and younger ages vulnerable to men who
believe that only sex with a virgin will cleanse them of the spell of AIDS.
And it must be emphasized that AIDS is often seen as the result of black
magic. At the rural clinic in Izingolweni (southern KwaZulu-Natal) which I
visited last week Sister Irene Bopela told me that "Typically men come here
saying their family has been bewitched. What this actually means is that the
man has become HIV positive while in town and then, on returning to the
rural area, has infected his wife and has, in rapid succession, had two or
more children. Then they realize that the whole family is dying and they say
they have been bewitched. It is far easier than facing up to the man's
guilt."

According to the figures released last year by the Minister for Safety and
Security, Steve Tshwete, there are detailed recorded cases of 8,683 children
under 18 being raped in the first six months of 1999. Mr Tshwete has, since
then, refused to release any further figures but no one doubts that far more
cases went unrecorded and that numbers will have increased since then.
However, even on the official police figures the number of child rape cases
dealt with more than doubled between 1994 and 1998 -- as the AIDS phenomenon
really took off.

Stephanie Schutte, a counsellor for Childline in the Western Cape, has no
doubt that the two phenomena are related: "The belief is that the
cleanliness and pureness of the child will strip the virus away. Women in
the community are telling us that both boys and girls are being raped
because of this belief." But according to Deborah Valeka, who works for Life
Line in Khayelitsha squatter camp on the Cape flats, the idea predates AIDS.
"It has often been believed that if you sleep with a virgin or someone
younger than yourself this will cure sexually transmitted diseases. Now it
is just being applied to AIDS too." Valeka believes that squatter camps
(shanty towns) are especially dangerous places for children. "Children are
alone at home while the mothers work and the men, who are often unemployed,
have nothing to do", she points out.

The most compelling statement came from Joan van Niekerk, director of
Childline. While admitting that the reasons why perpetrators committed the
crimes they did were often uncertain and that far more go undetected and
unpunished than vice versa, she suggested that "sometimes there is a complex
mix of myths and motivations. For example -- "I'm HIV positive and angry --
and I want to take revenge on and infect as many people as possible." But,
she pointed out, more and more of the victims she sees are children too
young to arouse normal sexual lust. "Some have been as young as 2 years old.
The younger the child the more likely there is to be serious physical damage
and the more likely the open wound exposure to semen. We know of township
youth who specifically target virgin girls and separate them physically from
their peer groups -- for instance, when walking home from school -- and gang
rape them. ... It is difficult to know where the myth about sex with a
virgin will cure AIDS came from -- some believe that it was from traditional
healers (witchdoctors)."

Van Niekerk's initial point is surely right. How can a baby of 2 -- let
alone a baby of 9 months -- excite sexual lust in an adult male? And such
crimes were, after all, unknown in traditional African society and were
certainly far, far rarer even 10 years ago.

What one is dealing with here is the fact that South Africa has, in a very
short space of time, become the most AIDS-hit country in the world -- in
KwaZulu-Natal province the adult infection rate is now 32 percent and
rising. According to Brian Williams, an AIDS researcher with the World
Health Organisation who has made a special study of the town, in
Carletonville near Johannesburg -- the world's biggest gold-mining center --
the HIV rate among women aged 30 is now 55 percent. That is to say, over
half of all women there will fail to live to age 35. These are not
prostitutes, among whom death rates are far higher, but simply young
township women infected by men who frequent the numerous prostitutes who
swarm round any mining town and then go on to sleep with their normal girl
friends or wives. I have been out to Carletonwille with Williams and can
attest to his figures.

These are terrifying figures and life expectancy is plunging. The result is
a popular panic about AIDS -- at the same time that a president who is
apparently in denial over AIDS causes the government to deliberately
obfuscate what is happening. The result is widespread popular confusion in a
situation where many men are in any case notoriously unwilling to wear
condoms. Indeed, many African men cite President Mbeki -- "If even the
president thinks HIV doesn't cause AIDS why should I wear a condom since it
will make no difference to AIDS even if I am HIV positive?" However, such
deliberately obscurantist attitudes merely ensure that a HIV-positive man
infects his partner: they are no comfort to someone who fears they may soon
die of AIDS. Increasingly, such people seek desperate and "instant" measures
such as child rape. After all, what have they got to lose ? If they're right
they save their lives, if they're wrong they never serve more than a
fraction of their sentence if they are caught. In other words the child rape
problem, horrific though it is, is simply part of a larger problem about the
AIDS pandemic in South Africa. Only when the government faces up the problem
properly, accepts that it faces a national emergency and avails itself of
the world's help to fight it, are we likely to see a real change.
Alex - 11 Dec 2004 03:03 GMT
> "Alex" <avdeelen.REMOFE@wanadoo.nl> wrote in message
> >
[quoted text clipped - 4 lines]
> Ah yes, Africa.
> The land where the down low rape women and babies to cure aids.

The "down low"?

I thought that was an American phenomenon? And yes, I am
well aware of the attempt to explain HIV+ testing children born
to HIV- testing parents as "child rape", instead of looking at
contamination in hospital, much less the validity of HIV tests
themselves.

But it is telling that this is the argument of choice down
at the trailah pahwk where you live. And South African
mainstream, of course.

Alex

> ````````````````````````````````````````
> Analysis: Infant rape captures AIDS crisis
>
> United Press International - November 24, 2001
> R.W. Johnson
Death - 11 Dec 2004 04:56 GMT
"Alex" <avdeelen.REMOFE@wanadoo.nl> wrote in message

> I thought that was an American phenomenon?

Why ask me, ask someone who gives a sh.t about you
or what you thought.
 
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