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Medical Forum / Diseases and Disorders / AIDS / December 2004

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South Africa: Democracy and AIDS

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GMCarter - 29 Nov 2004 21:12 GMT
Date: Mon, 29 Nov 2004 20:14:45 +0000

SOUTHERN AFRICA: HIV/AIDS May be Undermining Democracy

Inter Press Service - November 26, 2004
Moyiga Nduru

http://www.aegis.org/news/ips/2004/IP041119.html
-------------------------------------------

PRETORIA, Nov 26 (IPS) - The figures speak volumes. Between 1999
and 2003 almost 1.5 million of about 20 million registered voters
in South Africa were removed from the voters' roll because they
had died - most, it appears, from AIDS-related diseases.

The impact of the HIV pandemic on electoral processes was
illustrated in a report issued this week by a Pretoria-based
think-tank, the Institute for Democracy in South Africa (Idasa).

Entitled 'HIV/AIDS and Democratic Governance in South Africa',
the 241-page document says there is evidence of a sharp increase
in mortality among registered voters between the ages of 20 and
49. In some cases, this increase is in the order of 200 percent.

"The evidence in this report should alert planners and policy
makers in South Africa to prevent similar scenarios," Kondwani
Chirambo, manager of Idasa's Governance and AIDS programme, said
at the launch of the report Thursday.

His colleague, Paul Graham - Idasa's executive director - added:
"This report is an attempt to understand how HIV and AIDS can
impact on electoral democracy."

According to the Joint United Nations Programme on HIV/AIDS
(UNAIDS), HIV prevalence in South Africa amongst 15 to
49-year-olds "rose from less than one percent to about 20
percent" over the past decade.

The pandemic is not only killing voters but also members of
parliament (MPs) in the 13-nation Southern African Development
Community (SADC), of which South Africa is a member.

In Zambia for example, 46 by-elections were held in the 20-year
period between independence in 1964 and the year in which the
first AIDS cases were reported (1984). Khabele Matlosa of the
Johannesburg-based Electoral Institute of Southern Africa (EISA),
who contributed to the report, said of these 14 were prompted by
the death of incumbents. Thirty-two had resulted from
resignations and expulsion.

However between 1985 and 2003, 102 by-elections took place.
Thirty- nine of these were as a result of death - almost three
times as many as in the previous and longer period. The causes of
the various deaths were not recorded, but 27 of the 39 people
concerned were in the age bracket most affected by AIDS-related
deaths.

The loss to constituencies was not simply one of political skill.
Idasa quoted the Zambian Electoral Commission as saying that each
by- election costs the country more than 200,000 dollars; because
by- elections are not budgeted for, resources have to be taken
from other activities - which are thus compromised.

In his native Lesotho, Matlosa noted, eight legislators had died
since 2002 - prompting by-elections. Of the eight MPs, three had
lost their lives in road accidents and five through illness. Each
by-election is said to cost around 167,000 dollars.

Neighbouring South Africa held 79 by-elections in 2001; in 2003
this number increased to 83. The largest number of polls (21)
took place in the KwaZulu-Natal province, followed by the
Northern Cape (9), Western Cape (9), Gauteng (8) and Free State
(8).

By May this year 60 by-elections had already been held in South
Africa. Chirambo said the report did not conclude that every
by-election was the result of AIDS, but that looking at general
health trends it was fair to infer that the epidemic had played a
role.

"The more important point is that by-elections that happen for
whatever reason - including illness and death - translate into
political and financial cost to South Africa's young democracy,"
he noted, adding: "The cost of losing MPs may be less in
financial terms but it could be high in terms of losing
experience and institutional memory."

Researchers also interviewed people living with HIV/AIDS. One of
them, a woman who gave comment during South Africa's April 2004
general elections, said: "I think (the politicians) talk about
HIV and they lie about it. They are just trying to get people's
votes and they have been talking about it for years now but they
have done nothing about it."

The woman came from the village of Nangoma in KwaZulu-Natal; this
province has become the epicentre of the pandemic in South
Africa, with an estimated HIV prevalence rate of 37.5 percent.
With data from the voters' roll, Idasa said it had established
that mortality amongst registered women voters aged 30 to 39
years in Nangoma had increased by 179 percent between 1999 and
2003.

This was higher than the national average (129 percent) but lower
than some other municipalities.

"While we do not know the cause of death in any individual case,
the overall mortality profiles we have generated are, arguably, a
veritable 'smoking gun' for AIDS-related mortality in South
Africa," researcher Per Strand said Thursday at the Pretoria
launch.

The release of the Idasa report coincides with a busy election
schedule in Southern Africa.

This year alone, elections have been held in South Africa,
Malawi, Namibia and Botswana. Next week voters in Mozambique will
go to the polls to cast ballots for their legislators and
president - while in 2005, the electoral focus will be on
Zimbabwe, Tanzania, Mauritius and the Democratic Republic of
Congo.

"Most of SADC countries are going through electoral reforms. We
hope that they will take the issue of HIV/AIDS on board," Matlosa
said.

While Southern Africa only has two percent of the world's
population, the region has the unenviable distinction of being
home to 70 percent of all persons infected with HIV - this
according to a recent report by UNAIDS.

041126
IP041119

------------------------------------------------

Copyright (c) 2004 - Inter Press Service. All rights reserved.
Reproduced with permission. Reproduction of this article (other
than one copy for personal reference) must be cleared through the
Inter Press Service, IPS-ONLINE, World Desk via Panisperna 207
00184 Rome, Italy. Email: info@ips.org  http://www.ips.org

AEGiS is a 501(c)3, not-for-profit, tax-exempt, educational
corporation. AEGiS is made possible through unrestricted grants
from Boehringer Ingelheim, Elton John AIDS Foundation, the
National Library of Medicine, Bridgestone Firestone Trust Fund,
and donations from users like you. Always watch for outdated
information. This article first appeared in 2004. This material
is designed to support, not replace, the relationship that exists
between you and your doctor.

AEGiS presents published material, reprinted with permission and
neither endorses nor opposes any material. All information
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comments@aegis.org.
PaulKing - 30 Nov 2004 01:14 GMT
Funny how the mortality rate in South Africa is EXACTLY the same 2.2% PA it
was before so called 'AIDS'.

These mortality figures from 'AIDS' are pure and utter nonsense.
Alex - 06 Dec 2004 19:43 GMT
> Funny how the mortality rate in South Africa is EXACTLY the same 2.2% PA it
> was before so called 'AIDS'.
>
> These mortality figures from 'AIDS' are pure and utter nonsense.

Right on. What mortality figures? They don't show any kind of
national mortality figures at all. As if mortality figures and cause
of death data are even kept in these countries.

Alex
Black Darkness (Schwartzenegger) - 01 Dec 2004 22:51 GMT
>Date: Mon, 29 Nov 2004 20:14:45 +0000
>
[quoted text clipped - 10 lines]
>in South Africa were removed from the voters' roll because they
>had died - most, it appears, from AIDS-related diseases.

It appears. Not.

>The impact of the HIV pandemic on electoral processes was
>illustrated in a report issued this week by a Pretoria-based
[quoted text clipped - 4 lines]
>in mortality among registered voters between the ages of 20 and
>49. In some cases, this increase is in the order of 200 percent.

Really not much different than any other government of the
Stone Age.

Hence, sporting her fashionable dumpster pumps, George Mary
shares more of her political insights upon yet another twinkie
day in the big city.

The hair, George Mary. What the f.ck's up with that?

Blackie
Alex - 07 Dec 2004 22:56 GMT
> Date: Mon, 29 Nov 2004 20:14:45 +0000

This is really confusing...

> In Zambia for example, 46 by-elections were held in the 20-year
> period between independence in 1964 and the year in which the
[quoted text clipped - 3 lines]
> the death of incumbents. Thirty-two had resulted from
> resignations and expulsion.

And of course, without evidence whatsoever, it is assumed
that any death of a parliamentarian is because of "AIDS".
Instead of a heart attack, malaria, cancer, sickle cell, diabetes,
old age?

I mean, what else could someone in Africa die of, instead
of AIDS?

Anyway, how about the institution of multi-party democracy
in 1991? Could this possibly have had an influence on the
number of (by-) elections? How about the near doubling
of the population between 1980 and 2000? Which I think
should have an impact on the number of parliamentarians?

They continue:

> By May this year 60 by-elections had already been held in South
> Africa. Chirambo said the report did not conclude that every
> by-election was the result of AIDS, but that looking at general
> health trends it was fair to infer that the epidemic had played a
> role.

This doesn't even pass the giggle test. They don't even prove
that the people who were replaced in these by-elections
died. Let alone died of AIDS.

> "The more important point is that by-elections that happen for
> whatever reason - including illness and death - translate into
> political and financial cost to South Africa's young democracy,"
> he noted, adding: "The cost of losing MPs may be less in
> financial terms but it could be high in terms of losing
> experience and institutional memory."

This is an incredibly tortured argument, trying to show
that AIDS has a ("devastating"? - to use a power word)
impact on democracy.

The underlying argument is always the same. Our flawed
tests and surveys show huge HIV infection rates, therefore
every death, whether the actual cause of death is known or
not, can be chalked up to AIDS.

Alex
 
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