Speakers, sights show AIDS costs
By CARMEL RICKARD
Special to the National Catholic Reporter Durban, South
Africa
The worldwide fight against HIV/AIDS has once again highlighted
that we are all the keepers of our brothers and sisters, South
Africas former president Nelson Mandela declared as he officially closed
the 13th international AIDS conference held in Durban, South Africa, earlier
this month.
Mandelas reference to the story of Cain and Abel followed a
week of intense debate about the responsibility of the First World to help
developing countries deal with treatment and prevention of HIV/AIDS. The role
churches have played came in for both praise and criticism - praise for the
heroic work dealing with AIDS patients and for a recent pastoral statement by a
regional clergy group, and criticism for some churches insistence on
abstinence, not safe-sex practices, as the best way to stem the epidemic.
It was the first biennial AIDS conference to be held in the Third
World, and the venue had a marked impact on the proceedings.
Scientists say South Africa has the fastest-growing HIV/AIDS
infection rate in the world, and the province of KwaZulu Natal, where the
conference took place, is the region worst hit. According to medical
statistics, for example, 33 percent of all women attending antenatal clinics
have the infection.
Putting a face on a disaster
Many of the foreign journalists covering the conference used the
opportunity to report, firsthand, on the devastation caused by rampant
HIV/AIDS. They sent back heart-rending stories of children heading families of
even younger siblings left orphaned by AIDS and gave a face to what has been
merely statistical information about the spread of the epidemic in Africa.
In one conference session, a judge of South Africas highest
court held delegates spellbound as, tears flowing down her face, she told of
close friends who had died of the infection.
Judge Yvonne Mokgoro of the Constitutional Court, a Catholic who
is prominent in her home community of Mafikeng, was the opening speaker at an
official satellite conference on AIDS and the law.
She said that HIV/AIDS is an epidemic that calls for an
extraordinary response. It is a war that we are
fighting, she said. We have to take drastic steps.
The elegant, normally highly composed Mokgoro could not keep back
tears as she recalled the story of a man she knew well who was fired from his
job because he had AIDS. When his young, pregnant wife arrived home from work
on the day he was dismissed, she found him hanging by his neck from the
rafters of their single-room house, with a suicide note next to him
addressed to his beloved wife.
His wife has since died of AIDS, and their child, now 4, is
HIV-positive.
Mokgoro, whose court will hear its first HIV-related case in
August, said it was important that lawyers and judges be educated to understand
the many issues relating to HIV/AIDS and human rights.
Referring to the theme of the conference - Putting Third
First - she said the global tragedy of HIV/AIDS demanded that the world
accept a rearrangement of its priorities. We need to put the Third
[World] first, she said, instead of always putting the First
[World] first, no matter how devastating the outcome.
This theme was strongly pushed by many delegates and local people
campaigning for cheaper and more accessible HIV/AIDS drugs who made it a major
focus of the week.
Early in the conference, Ronald Bayer of New Yorks Columbia
University said global inequalities meant that it was no longer the limits of
medicine that defined how effective the fight against infectious disease would
be, but rather the inability to afford treatments because of
resources.
Officials from Médecins Sans Frontières, the
doctors association that provides medical assistance in developing
countries, added, Our physicians are enraged. They are becoming hospice
workers because there are no drugs to treat people.
At the start of the conference, several thousand marched through
the city center streets calling for affordable treatment for people with AIDS,
for women who have been raped and for pregnant women who are HIV-positive.
Heading the protest was a group of religious and political
leaders, among them Archbishop Denis Hurley, former head of the Southern
African Catholic Bishops Conference, and the Anglican Archbishop of Cape
Town, Njongonkulu Ndungane.
The marchers complaint about the high cost of treatment
particularly in the Third World and the effect of its unavailability was taken
up by many speakers.
Director of the U.N. program for HIV/AIDS, Peter Piot, said
spending on HIV/AIDS had to be increased dramatically to meet even the most
basic need for care, prevention and treatment.
Piot also added his weight to the campaign to cancel the debt owed
by the poorest countries, saying this was the only way these countries could
begin to fight HIV/AIDS. This campaign -Jubilee 2000 - has the full
backing of the Catholic and Anglican churches in South Africa who say it is
economically and morally essential, and that cancellation of debt has strong
biblical roots.
Commenting after the conference on the role played by the churches
in fighting the epidemic, Mary Crewe, director of the Centre for the Study of
Aids at the University of Pretoria, South Africa, said the churches and other
faiths were both a help and a hindrance.
Doing valiant work
Many churches were doing valiant work caring for the dying and for
AIDS orphans, but there was also great hostility directed at the
churches from the AIDS community, who viewed the churches as part of the
problem, Crewe said.
The churches have a great deal of power, and their refusal
to talk about HIV/AIDS and sexual behavior in a compassionate, nonjudgmental
way has alienated many. Young people are saying that if the churches continue
their present stand on sexual behavior and condoms, they will lose the right to
pray for the dead, Crewe said. They say, The churches cannot
come and pray for us when we die if they have not given us the means to stop
getting infected.
Crewe said the churches needed to stop their obsession with
abstinence and with condemning condoms. It is quite unrealistic to keep
preaching that all that is necessary is to say no.
A welcoming home
What good is saying no to a young woman whose migrant worker
husband already has HIV/AIDS? she asked. South Africa has the
highest rape statistics in the world. What difference will saying no make to
the women who are raped?
Research clearly shows that a young mans highest risk
of contracting HIV/AIDS is when he marries, because within marriage the couple
would not worry about safe sex, Crewe said. Given the
incredibly high infection rate among young women, this is a recipe for rapid
transmission even within marriage.
She welcomed a major pastoral letter, issued on the eve of the
conference by KwaZulu Natal church leaders on the role the church should be
playing in response to the pandemic.
The letter has the support of an unprecedented range of church
leaders including those from the religious mainstream such as the Catholic,
Anglican, Greek Orthodox, Dutch Reformed, Salvation Army and Methodist
churches, as well as more charismatic and Pentecostal churches - and,
unusually, the African traditional churches.
A spokesman for the church leaders said their statement was drawn
up partly in response to the problem that many people infected with HIV/AIDS
experienced the church as hostile. Judgmental sermons are common, and people
with HIV/AIDS are often blamed for their condition by other members of their
congregation. This is little different from the broader community, where
several people who disclosed their status have been killed.
In their letter, the church leaders say that along with a healthy
diet and exercise, faith in God and peace of mind will help people with the
virus to live longer. However, peace of mind is hard to achieve in communities
where fear forces people to conceal their illness.
The church should be a welcoming home for people with AIDS
by ensuring that they are aware of Gods love for them, the leaders
urge. Consequently, churches should educate their congregations not to
reject people with AIDS, but rather accept and support them, even encouraging
employers to keep them employed as long as possible.
Of all institutions, say the church leaders, the church is perhaps
best equipped to offer education, advice, support and practical care. It
also has the strength that faith in God brings.
Among the tasks for which the church is uniquely placed, they say,
is the education and training of family members on how to care at home for
people with AIDS and for AIDS orphans.
The signatories - among them six Catholic bishops and archbishops
of dioceses in the province - say as Christians they believe that lifestyles
and behavior can change and add that the church must help young people in
particular to do so by providing open, honest and challenging
education about sex and relationships. Adult members must provide
living examples of faithful lives and not just utter fine words.
They also say that the church can play a crucial role in changing
society to stop the economic and sexual exploitation of women by men. We
can also help men to realize it is only when women are respected and valued
that men themselves will be truly fulfilled.
National Catholic Reporter, July 28,
2000
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