The President's Emergency Plan for HIV-AIDS Relief (PEPFAR) has been mired in the Senate for months. Last week finally brought signs that a vote, and passage, could be near. The program would cost $50 billion -- that's $165 from each American to fight AIDS, or $1.3 billion from New York City alone. But will the money allocated for AIDS stop the spread of the virus in sub-Saharan Africa, where 76 percent of the world's HIV-AIDS deaths occurred last year?
Not if the dark dealings I've witnessed in Africa continue unchecked. In the fight against AIDS, profiteering has trumped prevention. AIDS is no longer simply a disease; it has become a multibillion-dollar industry.
In the late 1980s, before international experts arrived to tell us we had it all "wrong," we in Uganda devised a practical campaign to prevent the spread of HIV. We recognized that population-wide AIDS epidemics in Africa were driven by people having sex with more than one regular partner. Therefore, we urged people to be faithful. Our campaign was called ABC (Abstain, or Be Faithful, or use Condoms), but our main message was: Stick to one partner. We promoted condoms only as a last resort.
Because we knew what to do in our country, we succeeded. The proportion of Ugandans infected with HIV plunged from 21 percent in 1991 to 6 percent in 2002. But international AIDS experts who came to Uganda said we were wrong to try to limit people's sexual freedom. Worse, they had the financial power to force their casual-sex agendas upon us.
There's more food for thought in the middle, but he closes with this:
We, the poor of Africa, remain silenced in the global dialogue. Our wisdom about our own culture is ignored.
Telling men and women to keep sex sacred -- to save sex for marriage and then remain faithful -- is telling them to love one another deeply with their whole hearts. Most HIV infections in Africa are spread by sex outside of marriage: casual sex and infidelity. The solution is faithful love.
So hear my plea, HIV-AIDS profiteers. Let my people go. We understand that casual sex is dear to you, but staying alive is dear to us. Listen to African wisdom, and we will show you how to prevent AIDS.
There are some harsh indictments in there and if it weren't so late I might have something to say in that regard, maybe tomorrow.