Prevalence of HIV in Sub-Saharan Africa Essay

“Since the beginning of the AIDS pandemic, 1.7 million Americans have been infected with HIV and more than six hundred and fifty thousand have died of AIDS.” (U.S. Centers for Disease Control and Prevention). AIDS is a serious disease that needs to be treated from an early stage so that it helps long-term health from deteriorating. There are many scientists that have tried to form a vaccine for AIDS to help people around the world that suffer with it. Helen Epstein worked as a scientist in Africa in search of an AIDS vaccine. “AIDS INC” is a chapter from her book The Invisible Cure where Epstein observes different prevention programs in Africa. Its hard for the individuals in Africa to trust scientists coming from other countries and talk openly with them and that contributes toward social cohesion. Despite the fact that social cohesion has many different definitions Epstein focuses on talking openly with

“I have spent the last four years watching people die.” In his 2005 Massey Lectures, Stephen Lewis, a Canadian politician and humanitarian, caught the attention of millions with these words. Within these lectures, he shared his experiences of watching Africans suffer through the AIDS pandemic, and critically examined how the neglect of global communities and their discrimination contributed to its failure to resolve. While the rest of the world seemed to be unresponsive to an AIDS-ravaged continent, Mr. Lewis found himself passionately involved in the crisis and began to take action. Since his involvement with the United Nations in 1984, Stephen Lewis has tirelessly advocated for African citizens affected by HIV and AIDS, ensured that health care and treatment is provided to victims, and reached out to African citizens with education and counseling through his organizations. Through all of this, Stephen Lewis has proven to be one of Canada’s most influential humanitarian advocates for impacting the HIV and AIDS pandemic in Africa.

I enjoyed week four’s readings because they looked at the historical context leading up to what we today recognize as ignorant discrimination against individuals with HIV/AIDS. What stood out most to me, particularly in the Kiruthu et al article, was how the way we in the West centered (and continues to centre) ourselves affects the way we perceive the world. In the Smith and Whiteside article, the authors illustrated a widespread belief that too much money was going toward combating HIV/AIDS and not to other – in their words – more important medical, social, and economic issues that took precedence over the dwindling incidence of AIDS. They said this, the authors point out, as a mere 6% of money spent globally

HIV/AIDS has been responsible for one of the worst epidemics in history. In her book “The Invisible Cure” Helen Epstein details why Africa in particular was so devastated by the disease, which countries failed and which succeeded in the struggle to contain the virus, and why this happened. Epstein highlights a particular phenomenon, that first took place in Uganda, but which can be translated to many countries and situations, and which she calls “the invisible cure.”

In The Invisible Cure, Helen Epstein talks about why HIV/AIDS rate is so high in Africa compared to the rest of the world. Through the book, she gives us an account of the disease and the struggles that many health experts and ordinary Africans went through to understand this disease, and how different African countries approached the same problem differently. Through this paper, I will first address the different ways Uganda and Southern African countries, South Africa and Botswana in particular, dealt with this epidemic, and then explain how we can use what we have learned from these African countries to control outbreaks of communicable disease elsewhere around the world.

HIV has affected people all across the world. HIV comes with physical and mental symptoms. The body symptoms include skin flaking off, being dry, skin peeling off (Saliba 23) , fingernails falling off (32), and weight loss (14). Mentally it is hard to sleep, people become weak, and are tired all the time (23). People all across the world are infected with this disease, and the problem with this is the fact that most do not even know they have it. The most people who are infected each year are African Americans, gays, or bisexuals. 10,315 African Americans were infected in 2015. The U.S.A. has estimated about 1.1 million are infected with the disease. Equally to about 12,333 deaths happened in 2014 from AIDS related diseases, and 6,721 deaths from AIDS directly. Although there are a large amount of people getting infected, on the other hand eighteen percent of the population with HIV is declining since 2008-2014 (“U.S. Statistics”). In the world about 33.2 million people worldwide have HIV, with 22.5 million people in sub Saharan Africa are living with this condition, one out of nine people who live in South America have HIV or AIDS (Saliba 8).

In 2015, specifically in LA downtown, I met Sara who is an African American girl who was suffering from HIV virus. She told me her sadly story when she was having sexual things with random people just because of having money. She didn’t have any knowledge about this virus. So, because of that, she got the HIV virus, and she thanked god that she treated so long to be clean. So, some people in this world don’t know what the AIDS means. So, the AIDS is a dangerous virus that attack cells human’s immune system, and if the people who didn’t treat themselves in the hospital, they probably are going to die. It is dangerous because this virus happens when the human’s immune system badly damaged and it becomes impressible to opportunistic infections. When the number of the human CD4 cells decrease below 200 cells per cubic millimeter of blood, it is considered to have progressed to AIDS. People who have the AIDS virus need medical treatment to prevent death. Overall, it takes time to treat around one year, and without treatment it is typically survive about three years (AIDS.gov). According to Tony L. Whitehead that between June 1981 and October 1995 in United states that U.S Centers for Disease Control and Prevention got report of 501, 310 cases of AIDS. In addition, there were sixty-two percent of groups who have died, and although African American was represent only 12 percent of the United States, African American was represent 34 percent among them. In only five years, the

Although ninety-five percent of people living with HIV/AIDS are in developing countries, the impact of this epidemic is global. In South Africa, where one in four adults are living with the disease, HIV/AIDS means almost certain death for those infected. In developed countries however, the introduction of antiretroviral drugs has meant HIV/AIDS is treated as a chronic condition rather than a killer disease. In developing countries like South Africa, the drugs that allow people to live with the disease elsewhere in the world, are simply too expensive for individuals and governments to afford at market price.

Did you know “AIDS is the leading cause of death in Africa” (Quinn, online). Twenty percent of Africa’s population has died from AIDS. Poverty is a big problem in Africa. Men have been forced to become migrant workers in urban areas. And antiretroviral treatment at this time is not available to African people. AIDS is a big problem in Africa today that is now requiring help from the world.

HIV is the virus that causes Acquired Immunodeficiency Syndrome, commonly known as AIDS. HIV/AIDS has become one of the most destructive global pandemics in history. In 1990, the World Health Organization estimated that over one million people were living with AIDS, and in less than ten years, HIV had exploded worldwide (Perlin & Cohen). Johanna Tayloe Crane, a medical anthropologist, dedicated her career to studying the way political and economic inequalities influence how HIV/AIDS is researched and treated for in Africa. Crane complied over ten years of ethnographic research to study a HIV research partnership between a US university and Ugandan universities and clinics. Her book, Scrambling for Africa: AIDS, Expertise, and the Rise of American Global Health Science, unpacks both the American and Ugandan researcher’s and clinicians’ perspectives about the research partnership and critiques the U.S. response to the AIDS epidemic in Africa. Her findings reveal the paradox of health institutions and their global health research partnerships benefit from the inequalities they are trying to readdress. These global, economic, and scientific inequalities have allowed Global Health Science research partnerships to establish their own authority over Africa’s HIV/AIDS epidemic.

In the 1980's the HIV/AIDS epidemic devastated many communities, growing panic over the incurable disease that many people were dying from. In the past, there wasn't a lot of information on how HIV/AIDS was contracted or spread, and thus the epidemic instilled much fear over fatal sexually transmitted diseases. In today’s times I fear that our communities have become distance from HIV/AIDS and other STDs because of large advancements in modern medicine the United States have been able to achieve. Americans don’t seem as worried as they once where about contracting devastating STDs and this is a luxury other areas of the world don’t have. I am aware that in sub-Saharan Africa there are millions of people who are living with HIV, and although more and more adults and children are reported to die each year from this devastating illness (nearly one million in Africa alone) the population grows still, estimating to grow into the millions by 2050( Population Reference Bureau, 2013). This Illness is so disheartening to hear about as it can even be passed down to the infected individual’s children.

Sub-Saharan Africa is the region of the world that is most affected by HIV/AIDS. The United Nations reports that an estimated 25.4 million people are living with HIV and that approximately 3.1 million new infections occurred in 2004. To put these figures in context, more than 60 percent of the people living with the infection reside in Africa. Even these staggering figures do not quite capture the true extent and impact that this disease causes on the continent. In 1998, about 200,000 Africans died as a result of various wars taking place on the continent. In that same year, more than 2 million succumbed to HIV/AIDS (Botchwey, 2000).

In my studies I have found that HIV/AIDS is one of the largest growing epidemics among African American’s. Along with the stigmas individuals have to face, there lay the unspoken thought process of “It wouldn’t or couldn’t happen to me”. Poverty, severe drug abuse, unprotected sex, and lack of education are just a few contributing factors to the growing numbers related to this infectious disease among the African American communities. When you add all these factors into one community the results is just that of the soaring number of individual infected from young to old.

HIV is a virus that is spread almost all over the world. Although in some places health care isn’t as developed and therefore it spreads more in those regions. Sub-Saharan Africa holds more than 70%, 25 million, of all HIV positive people in the world. Second highest is Eastern Europe together with Central Asia with 1.3 million. It is spread over most of the world, including Asia and the Pacific, the Caribbean, Central and South America, North Africa and the Middle East and Western and Central Europe (“The Regional Picture”).

South Africa currently has the largest number of people in the world living with HIV/AIDS (avert.org, 2014). In the worldwide population, there are 37 million people with HIV and 25.8 million of those people live in Sub-Saharan Africa (AMFAR.org, 2015). This total is 70% of the total population diagnosed and 88% of the HIV population are children (amfAR.org, 2015). The Foundation for AIDS Research estimates that 1.4 million people were infected in 2014, and Sub-Saharan Africa accounted for 66% of the AIDS mortality rate in 2014 (amfAR.org, 2015). Many political,