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African Traditional Herbal Research Clinic STD's ... - Blackherbals.com

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Continued from page 46 – Tanzania: Aids at 30 - What Does<br />

the Future Hold for Us<br />

Although a recent research trial in Africa and Asia<br />

suggest access to medicine by a HIV positive individual<br />

can reduce transmission to an uninfected partner by up to<br />

96 per cent, field implementation is unlikely in the near<br />

term due to lack of funds and the fact that more than 90<br />

per cent of individuals living with HIV in Africa are<br />

unaware of their status.<br />

Fourth, Aids continues to stalk Africa in a tightly-knitted<br />

quadrangle that includes chronic poverty, tuberculosis<br />

and untreated sexually transmitted diseases (STDs).<br />

Already in Africa, TB, an ancient but eminently<br />

preventable and treatable disease, may be responsible for<br />

as much as half of all Aids deaths.<br />

Poverty remains a way of life in the continent. Cultural<br />

taboos, inability to pay for treatment and lack of<br />

functional health facilities remain impediments to timely<br />

care of STDs. The future does not look bright regarding<br />

the prospects of breaking the back of the formidable Aids<br />

Quadrangle in Africa.<br />

What does the future portend for Africa in the fight Aids<br />

The honest answer is not so good at this time. Perhaps in<br />

the future, the situation may change. Should Africa wring<br />

its hand and await the consequences The answer is a<br />

resounding no. Specific steps should be taken<br />

immediately by <strong>African</strong> governments to accelerate a<br />

coordinated effort against the HIV/Aids menace. I briefly<br />

discuss these steps.<br />

Africa should never celebrate modest victories in the<br />

fight against Aids as long as nearly seven million<br />

<strong>African</strong>s are living on an Aids death sentence that can be<br />

easily mitigated by available lifesaving medicines.<br />

Africa should never accept the death of one individual<br />

due to lack of access to available lifesaving medicines.<br />

Neither North America nor Europe will accept such a<br />

scenario. The <strong>African</strong> Union needs to articulate the<br />

financial, technical and logistics cost of providing<br />

lifesaving medicines to all <strong>African</strong>s in need; raise some<br />

portion of required resources within the continent; and,<br />

negotiate specific assistance from rich nations,<br />

multilateral agencies, foundations and high net worth<br />

well wisher individuals to meet the treatment needs of<br />

individuals qualified for care.<br />

No excuse is acceptable. Africa now needs to plan and<br />

lead the fight against Aids in the continent. No external<br />

organization or nation will lead this fight for Africa.<br />

Africa needs a continent specific Aids Operational Plan<br />

that matches rhetoric with action.<br />

The bold Africa Aids Operational Plan should <strong>com</strong>ple-<br />

-47- <strong>Traditional</strong> <strong>African</strong> <strong>Clinic</strong> October 2011<br />

ment the recently adopted United Nations General<br />

Assembly pledge to ensure that all babies are born free<br />

of HIV by 2015 and that their mothers live long enough<br />

to raise them to adulthood. The specific Africa Aids<br />

Operational Plan should also <strong>com</strong>plement the bold<br />

vision of Unaids of a future of zero new HIV<br />

infections, zero discrimination and zero Aids-related<br />

deaths.<br />

<strong>African</strong> governments need to implement <strong>com</strong>prehensive<br />

HIV prevention programs, with efforts to<br />

address all known risk factors on the table.<br />

Gender equity issues, sexuality issues, male<br />

circumcision issues, poverty, cultural norms and<br />

practices that may increase risk of HIV transmission,<br />

lack of access to health and education services, limited<br />

financial resources, political instability and<br />

conflict/post conflict situations should be on the table<br />

as continental leaders craft effective information,<br />

education and <strong>com</strong>munication campaigns against HIV<br />

transmission.<br />

This dialogue needs to occur at the highest political,<br />

economic, social, religious and traditional levels to<br />

ensure the adoption of credible preventive programs.<br />

Africa should spearhead the global HIV prevention<br />

revolution suggested by the United Nations. A<br />

coordinated HIV prevention revolution will be the<br />

strong foundation for effective testing/counselling,<br />

treatment, supportive and rehabilitative services<br />

throughout the continent.<br />

Africa now needs to begin a coordinated,<br />

<strong>com</strong>prehensive care and support initiative for its nearly<br />

15 million Aids orphans. Since the early 1990s when<br />

the issue of Aids orphans became apparent in Africa,<br />

especially in eastern and southern Africa, no concerted<br />

effort has being made at national, regional and<br />

continental levels to address the plight of Aids orphans.<br />

The <strong>com</strong>bination of unprecedented deaths of young<br />

adults from Aids and the rising incidence of Aids<br />

orphans put tremendous strain on the much vaunted<br />

extended family system in many parts of the continent.<br />

As noted in a book I had written with another<br />

colleague, Aids orphans are often likely to eke out<br />

meagre existence under the watchful gaze of<br />

increasingly infirm grandparents. I remain puzzled on<br />

why the plight of Aids orphans in Africa has not ignited<br />

a coordinated regional or continental operational<br />

response.<br />

Until new HIV infection dwindles to negligible<br />

proportions in Africa, a young woman or man newly<br />

diagnosed with HIV can live an additional 50 years due<br />

Continued on page 48

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