{"id":45,"date":"2005-05-03T11:58:21","date_gmt":"2005-05-03T16:58:21","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/politicshiv\/2005\/05\/03\/ugandan-miracle\/"},"modified":"2005-05-03T11:58:21","modified_gmt":"2005-05-03T16:58:21","slug":"ugandan-miracle","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/2005\/05\/03\/ugandan-miracle\/","title":{"rendered":"Ugandan &#8220;Miracle&#8221;?"},"content":{"rendered":"<p><a name='a75'><\/a><\/p>\n<p><a href=\"http:\/\/www.theglobeandmail.com\/servlet\/ArticleNews\/TPStory\/LAC\/20050430\/UGANDA30\/TPInternational\/?query=Ugandan+AIDS\">Toronto&#8217;s Globe and Mail reports that the Ugandan &#8220;miracle&#8221; may not be so miraculous after all<\/a>:<\/p>\n<blockquote>\n<p>But several recent studies suggest it wasn&#8217;t ABC that turned Uganda<br \/>\naround at all. Instead, they indicate that the infection rate declined<br \/>\nsharply for the simple reason that hundreds of thousands of<br \/>\nHIV-infected people died.<\/p>\n<p>&#8220;The Ugandan miracle is that a lot of people died and they&#8217;re not<br \/>\nthere [to count],&#8221; said James Rwanyarare, a Kampala physician and<br \/>\nopposition political figure who worked with some of the first Ugandans<br \/>\nto publicly disclose their HIV-positive status.\n  <\/p>\n<p>Other new research suggests condoms, more than anything else, stopped<br \/>\nthe spread of acquired immune deficiency syndrome. The research &#8211;in<br \/>\nparticular a study presented in Boston in February that followed 10,000<br \/>\nadults in the Rakai district for a decade &#8212; ignited a storm of<br \/>\ncontroversy here.<\/p>\n<p>&#8230;Yet researchers from Columbia University and Johns Hopkins University<br \/>\nfound that &#8220;the single greatest factor&#8221; in the decline in the number of<br \/>\nHIV-infected people in Rakai was the premature deaths of those who were<br \/>\ninfected earlier and subsequently died of AIDS. About 70 per cent more<br \/>\npeople died of AIDS in each year of that decade than the number who<br \/>\nwere newly infected.\n  <\/p>\n<p>&#8230;The U.S. study also found that although people reported a growing<br \/>\nnumber of sexual partners, and declining abstinence over the decade,<br \/>\nthere was no corresponding increase in the number of new HIV infections.<\/p>\n<p>In fact the prevalence rate fell. Participants in the study reported<br \/>\nmore condom use, which the researchers believe offset their high-risk<br \/>\nsexual behaviour. But the researchers said the emphasis on abstinence<br \/>\nand fidelity did not appear to have had an impact.<\/p>\n<\/blockquote>\n<p>If we&#8217;re basing our policy on AB and not C (which is arguably where the<br \/>\nUnited States would like to go [see the previous article]), what are we<br \/>\nin for?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toronto&#8217;s Globe and Mail reports that the Ugandan &#8220;miracle&#8221; may not be so miraculous after all: But several recent studies suggest it wasn&#8217;t ABC that turned Uganda around at all. Instead, they indicate that the infection rate declined sharply for the simple reason that hundreds of thousands of HIV-infected people died. &#8220;The Ugandan miracle is [&hellip;]<\/p>\n","protected":false},"author":709,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1107],"tags":[],"class_list":["post-45","post","type-post","status-publish","format-standard","hentry","category-politics-and-policy"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/45","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/users\/709"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/comments?post=45"}],"version-history":[{"count":0,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/posts\/45\/revisions"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/media?parent=45"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/categories?post=45"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/politicshiv\/wp-json\/wp\/v2\/tags?post=45"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}