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Why Mbeki is right

Africa AIDS crisis is rooted in poverty

By Deirdre Griswold

Just what is Thabo Mbeki's crime?

The South African president gave a speech to the 13th International AIDS Conference in which he said that poverty was the most important factor in the AIDS epidemic now sweeping Africa. Immediately, the imperialist media monopoly told the world that Mbeki enraged the conferees by not putting more emphasis on the HIV virus as the cause of the dread disease.

It was a classic case of media spin. The World Health Organization had just released a devastating report on the magnitude of the AIDS crisis in Africa. A world meeting was taking place in Durban on this very topic. The attention of hundreds of millions would be riveted on South Africa just as the president was giving a speech to the world.

And what could his speech be about except the terrible legacy that capitalism has bestowed upon the peoples of Africa--a legacy of seemingly intractable poverty after centuries in which not only were the resources of the continent torn from the earth to enrich foreign masters, not only were the people worked to death by brutal overseers, but they were stolen and sold as slaves.

In South Africa, this colonial history continued until late in the 20th century in the infamous system of racist apartheid.

Because of this legacy, and because of the continuing grip of imperialist monopolies on the world economy, the vast majority of the people in Africa today have no access to health care, let alone to the expensive medications used in the West to treat AIDS and reduce its rate of transmission. Most people have no access to condoms. There is very limited education of any kind, let alone sex education.

All this is the legacy of colonialism and oppression, which also forces husbands to leave their wives and work in the mines and factories while living in hostels most of the year--another factor in spreading AIDS.

The result is that millions in Africa are already infected, and many millions more are expected to die of the disease unless an unlikely breakthrough produces a cheap cure or method of vaccination. The economic damage is already being felt as millions of people in the prime of life fall sick from a lingering disease requiring intensive care.

A speech on the vast suffering the legacy of poverty has caused was bound to touch the hearts and minds of a multitude around the world. After all, Mbeki is president of a country where the people's epic struggle against apartheid had great international support. And what he had to say to the world is that, considering all the great riches that have been amassed in the Western countries, it really would take them very little to turn around the situation in Africa.

Centuries of capitalist
looting set the stage

Call it reparations, call it material solidarity, call it what you will, the cost of providing basic health care, sanitation, clean water, and schooling for all those who suffer today because their ancestors were worked to death by colonial masters, or were kidnapped in chains, comes to very little compared to the huge amounts the empire now spends on arms.

Poverty in Africa is not intractable at all. There are plenty of material resources to do the job. The problem is that most of the world's wealth--including the best land and mineral wealth of Africa--is controlled by imperialist corporations.

The bourgeoisie, by its very nature, is focused first and foremost on enriching itself, and uses "charity" and "aid" only as weapons of control.

Laying out these facts before the world is a powerful indictment of imperialism. So the capitalist media brought their much-practiced weapons of cynicism and arrogance to bear on this leader of a Black country.

His detractors have tried to belittle Mbeki because he consulted, among others, some U.S. doctors who believe AIDS is not caused by HIV but by conditions of poverty. Not long ago, there were many different theories about the cause of AIDS and its route of transmission.

Today the great bulk of the medical profession agrees that it is caused by the HIV virus, and can only be contracted through an exchange of bodily fluids.

But is it so strange that, on taking the helm of a country wracked by such overwhelming problems, and knowing that it would be impossible to find the funds to treat AIDS medically in the way it is done in wealthy countries, Mbeki looked around at all the alternatives?

He had a right to be skeptical of what the "experts" were telling him, especially since so many of those experts were representatives of drug companies that want to sell their wares at inflated prices.

So Mbeki checked it all out. He made a personal study of the subject. Nelson Mandela, in his closing remarks to the conference, called Mbeki "a man of great intellect" who "continues to place this issue on the top of the national and continental agenda."

That is certainly more than any of the leaders of the imperialist countries have done. Most of them find it difficult to even mention AIDS.

Did Mbeki tell the conference that HIV doesn't cause AIDS? Not at all, although one could get that impression from the media hype. But according to New York Times medical writer Dr. Lawrence K. Altman, what made the participants at the conference "bitterly disappointed" was that Mbeki "did not acknowledge forthrightly that HIV causes AIDS, emphasizing instead social factors like poverty as a major force behind the epidemic."

Even Altman then goes on to admit that "while a virus causes AIDS, social conditions feed the epidemic."

This campaign to demonize Mbeki for his emphasis on poverty reeks of racism. Its undertones present him and African leaders in general as untutored and unwilling to take on the "real issue"--the "risky sexual behavior" of the people.

But that behavior wouldn't be risky if condoms were available. It should be obvious that, with so many now sick and dying, the people would quickly adapt to self-protection if they could get it. But how can people living on a few hundred dollars a year afford condoms?

The media spin on the AIDS conference is intended to dissipate the shock and anger toward the big drug companies that followed the WHO report describing Africa's unfolding catastrophe.

The AIDS movement and all concerned need to understand the broader social and political questions here and give unqualified solidarity to the African peoples' struggle for economic justice, which Mbeki rightly located at the center of the AIDS issue.

This article is copyright under a Creative Commons License.
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