Africa: Treatment Access Update, 06/16/01

Africa: Treatment Access Update, 06/16/01

Africa: Treatment Access Update Date distributed (ymd): 010616 Document reposted by APIC

+++++++++++++++++++++Document Profile+++++++++++++++++++++

Region: Continent-Wide Issue Areas: +health+ +US policy focus+


This posting contains several documents relating to developments on treatment access following Africa Action's letter last week protesting remarks by USAID Administrator Andrew Natsios that used racist and ignorant arguments to justify denying AIDS treatment to Africans.

Despite growing public pressure, including a demonstraton by Africa Action and colleagues outside USAID and articles in the New York Times, Washington Post, and Boston Globe (see brief quotes below), Mr. Natsios has yet made no public reply. Unconfirmed reports say that while he acknowledges "insensitivity", he has not changed his views. The e-mail address provided for Mr. Natsios on the USAID web site no longer works, but comments can still be submitted to the public inquiry address:

Along with the refusal of some countries to include mention of specific vulnerable groups such as sexworkers, men who have sex with men and drug users in the General Assembly declaration, treatment and funding for the Global Fund will be key contentious issues raised but not resolved in the meetings and demonstrations in New York beginning next weekend.

Fortunately, there are also some signs that African countries are not waiting for "leadership" from New York or Washington, as noted in the reports below of plans for free AIDS treatment in Botswana, a new AIDS treatment facility in Uganda, and the vote by Kenya's parliament for a law making it easier to import or manufacture cheaper drugs.

NOTE: More next week on Africa Action's campaign for Africa's Right to Health. See for recent letters to President Bush and Secretary of State Powell.

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The New York Times, June 11, 2001 "Refusing to Save Africans," by Bob Herbert

"Giving the back of his hand to the suffering of millions, a key Bush administration official is opposing any extensive use of the life-extending anti-AIDS drugs in Africa, insisting that the health care infrastructure is too primitive and that Africans, in most cases, are incapable of following the regimen."

"Africans may be dying by the millions from AIDS, but the brutal stereotyping of the Dark Continent lives on, encouraged by U.S. government officials who should know better.

Mr. Natsios's primary response to the epidemic that is roaring like a fireball across southern Africa is to just say no."

Washington Post, June 15, 2001 "Dead Wrong on AIDS," by Amir Attaran, Kenneth A. Freedberg And Martin Hirsch, all of Harvard Medical School

"As the administration's man in charge of international assistance, including helping Africans with AIDS, Natsios should know better. His views on AIDS are incorrect and fly in the face of years of detailed clinical experience.

Take the issue of whether AIDS should be dealt with by prevention or treatment. In backing prevention to the total exclusion of treatment, Natsios favors only modest changes in the strategies that USAID has relied on for the past 15 years, which by themselves have clearly failed to stem the pandemic. This is why expert consensus now agrees that prevention and treatment are inseparable."

"Harvard physicians are now treating patients in Haiti, and others are achieving similar treatment successes in Cote d'Ivoire, Senegal and Uganda."

"Two facts are clear.

The first is that, in Abidjan and Johannesburg, as in Manhattan, AIDS prevention and treatment must go hand in hand. And we can accomplish this if the Bush administration contributes adequately to an international trust fund for that purpose (it has so far promised only $200 million, or just 72 cents per American).

The second fact is that Andrew Natsios, by virtue of his unwillingness to acknowledge the first fact and his willingness to distort the true situation in Africa before Congress, is unfit to lead USAID and should resign."

Boston Globe, June 15, 2001

"Has 'The West Wing' influenced Bush Administratio policy on AIDS in Africa?," by John Donnelly

"That's the question AIDS activists are asking after two senior US officials have said that distribution of cocktails of anti-AIDS drugs would be complicated by Africans' inability to tell time. Comments made by Andrew Natsios, the head of the US Agency for International Development, and an unnamed senior Treasury official quoted in the New York Times, closely parallel an episode of NBC-TV's acclaimed 'West Wing' series aired on Oct. 25, 2000. In the episode titled 'In This White House,' a fictitious US official, involved in negotiations between an African head of state and a pharmaceutical company, asserts that taking the drugs is a 'complicated regimen that requires 10 pills to be taken every day at precise times.'

'What's the problem?' asks Josh Lyman, the deputy chief of staff character played in the series by actor Bradley Whitford. There is a long pause in the Roosevelt Room. Finally, communications director Toby Ziegler (actor Richard Schiff), says, 'They don't own wrist watches. They can't tell time.' "


Prof. Tih Pius Muffih, Cameroon

[Posted June 15, 2001 on UNGASS-BTS listserv; archive is available at]

Permit me to react to Mr. Natsios' interview in the Boston Globe where he said the money raised by a new global fund to fight AIDS should be used almost entirely for prevention services, not for antiretroviral drugs, because attempting to get the drugs to Africans any time soon would not be worth the effort. Why? His answer is, "because of the difficulties posed by lack of roads, shortages of doctors and hospitals, wars and other problems." That is not all!! Probably Mr. Natsios intended to tell the whole enlightened world that human beings living in the dark continent of Africa have learnt nothing since the slave trade and of course have themselves to blame for not being among the privileged ones that were sold into slavery to America. For that helped those slaves to learn how to read western time and how to follow Western regimens. I happen to be the Supervisor of several hospitals where antiretroviral drugs have been introduced. The problem we face is not the lack of knowledge of time or compliance as it is with the cost of the drugs. Many of our patients cannot afford the cost of a year's treatment and this makes it difficult to start them on the drugs. Those who are able to pay have no problem following up the treatment. Many patients in our hospitals understand what the virus that causes AIDS is, and also understand that AIDS is a deadly disease. They take their drugs as prescribed. We have doctors, few as they are, who are not only willing to follow up the patients but also to train nurse-screeners to administer treatment correctly.

I want to assure Mr. Natsios, that Africans have been taking malaria drugs, antibiotics, etc which all need compliance. Africans are human beings with brains like Americans. Africans merit a fair treatment, equity, equality, and social justice. A second problem is that of testing and monitoring the patients for their viral load and CD4 cell counts. However, when you read the consensus statement on antiretroviral treatment for AIDS in poor countries by 128 individual members of the Faculty of Harvard University of March 2001, there is evidence that treatment in areas without access to CD4 counts or viral load testing, should be based on HIV seropositivity and AIDS-defining clinical signs and symptoms. This powerful group of intellectuals and professional giants do declare, that I quote:- "As signers of this consensus statement, we believe that the objections to HIV treatment in low income countries are not persuasive and that there are compelling arguments in favor of a widespread treatment effort." If there is compliance with the antiretroviral drug regimens in America, why does Mr. Natsios believe that Africans will not comply? Sub-humans? Prevention is highly recommended but this does not imply that effective treatment for AIDS should be denied Africans for whatever reason.

Prof. Tih Pius Muffih, MPH, Ph.D. Director of Health Services Cameroon Baptist Convention Health Board PO Box 9, Nso Bui Division Northwest Province Cameroon Email:


UN Integrated Regional Information Network

[The following items are from the "africa-english" service of the UN's IRIN humanitarian information unit, but may not necessarily reflect the views of the United Nations. For further information,contact e-mail: or Web: . If you re-print, copy, archive or re-post this item, please retain this credit and disclaimer. Reposting by commercial sites requires written IRIN permission.]

UGANDA: Kampala chosen for major AIDS training centre

[IRIN-CEA: Tel: +254 2 622147 Fax: +254 2 622129 e-mail: ]

NAIROBI, 12 June (IRIN) - Africa's first major treatment and training centre for HIV/AIDS is scheduled to open in the Ugandan capital, Kampala, early next year, according to a press statement on Monday from the Academic Alliance for AIDS Care and Prevention in Africa.

The state-of-the-art centre would train medical personnel from across the continent on the latest treatment options and bring the highest standard of care to patients, the statement said.

At least 80 clinicians from across Africa would be trained each year, according to Nelson Sewakambo, Dean of Medical Studies at Makerere University, where the centre is to be located. "Our goal is to strengthen medical infrastructure, replicate it across Africa and bring the latest medicines to bear on treating this disease so that African doctors and nurses can offer modern AIDS care to their patients," he added.

Dr Thomas Quinn, an American doctor involved in the Alliance, said Uganda had been chosen for the centre because President Yoweri Museveni's leadership on HIV/AIDS had helped make it the most successful African country in the fight against the disease. The strain of HIV prevalent in Uganda would also respond to the drugs used against the virus in the US, the BBC quoted him as saying.

"This new centre is an important step for Africa as we seek to control the AIDS pandemic and improve the quality of care," said President Museveni. "This new approach will complement the work our own doctors are doing and can have a positive impact across Africa."

An estimated 820,000 people are living with HIV/AIDS in Uganda, and there are some 25 million HIV-infected people on the African continent.

The new clinic, to be located at Makerere University Medical School, will be funded by the Pfizer Foundation pharmaceutical company and operated by the Alliance in partnership with the university, according to Monday's press statement.

"The Academic Alliance is a ground-breaking effort because it is the first large-scale AIDS training and treatment program aimed at improving care for patients who typically have no resources or access to even rudimentary medical help," said Dr Merle A Sande, co-director of the Alliance and Chairman of the Department of Medicine at the University of Utah, USA.

One of the goals of the clinic would be to put more patients under treatment with anti-retroviral drugs (ARVs), which are combined with anti-fungals and other medicines that fight AIDS-related opportunistic infections, according to Associate Dean of the Makerere School, Dr Samuel Luboga. The centre would use diagnostic technology to monitor patients on ARVs and determine what kind of treatments are most appropriate for Africa, he said.

Negotiations were ongoing with companies that manufacture ARVs so that it would have supplies on hand when the clinic opened, according to Monday's press statement.

The Alliance was working closely with the Ugandan medical and public health community and would actively seek assistance from the Ugandan Minister of Health, local organisations, the staff and faculty of Makerere University Medical School and Mulago Hospital, the national hospital of Uganda, the statement added.


AFRICA: IRIN HIV/AIDS Weekly issue 31, 2001, June 15, 2001

IRIN-AIDS Weekly - Tel: +27-11 880 4633 Fax: +27-11 447 5472 Email:

BOTSWANA: Diamond giant leads the way

Botswana's giant diamond company Debswana has announced that all companies wishing to do business with it will be required to support the firm's progressive HIV/AIDS policy, the 'Botswana Gazette' reported.

"The companies will be responsible for providing a safe working environment both physically and mentally through empowering their employees with knowledge to avoid risks and protect themselves from contracting HIV/AIDS," explained Debswana's spokesman Jacob Sesinyi. The companies will have to demonstrate that they have a work place policy and programme on HIV and AIDS both at the home base company and on site at the Debswana premises which includes a statement on non discrimination based on HIV status, confidentiality and privacy, the ability to work and criteria for ill-health retirement.

Meanwhile, Botswana is to provide free antiretroviral drugs (ARVs), President Festus Mogae announced on Monday. "We have not yet started the full antiretroviral programme, but we hope it will be running by the end of the year," Mogae told reporters.

The diamond-rich country has already begun handing out free drugs to prevent HIV-positive pregnant mothers passing the virus to their unborn children, AFP reported. "We have been told we have a good chance of prevention in the majority of cases," Mogae said. He added that a campaign would be launched soon for people to adopt Botswana's 60,000 to 80,000 AIDS orphans, with the government paying for the childrens' upbringing, AFP reported.

SOUTH AFRICA: Still no to ARVs

By contrast, South Africa has no plans to provide ARVs, Health Minister Manto Tshabalala-Msimang told parliament on Tuesday. She said her ministry's position remained unchanged, even though pharmaceutical companies dropped a law suit against the government in April, allowing it to import or manufacture cheap versions of the drugs, AFP reported.

"We have no plans to introduce the wholesale administration of these drugs in the public sector," the minister said. "ARVs are not a cure for AIDS.In addition, the department remained concerned about the toxicity of the drugs, the availability of laboratory services, and "infrastructural and educational constraints", particularly in rural areas, she said.

"I would, however, like to assure this house that this position is not ideological," the minister said. "Obviously we will continue to explore all the options available to us." Tshabalala-Msimang also failed on Tuesday to give an expected go-ahead to South Africa's nine provinces to launch programmes using Nevirapine to reduce mother-to-infant HIV transmission. She confirmed that 18 sites had been identified countrywide "within a research framework" intended to answer questions related to drug resistance and toxicity, but did not say when the programmes would start.

AFRICA: IRIN HIV/AIDS Weekly issue 31, 2001, June 15, 2001

KENYA: Legislation promises cheaper drugs for AIDS patients

The Kenyan parliament on Tuesday unanimously passed a bill which looks set to reduce the cost of essential AIDS treatment significantly. The Industrial Property Bill will allow the government to import or manufacture cheaper copies of brand-name drugs, including the antiretrovirals (ARVs) used in the drug cocktail used to fight AIDS, according to campaigners for the affordable availability of drugs.

Indra van Gisbergen, a lawyer for the Kenya Coalition for Access to Essential Medicines, told IRIN on Thursday that at least 50 percent of the antiretrovirals used in Kenya were currently under patent. Only 1,000 to 2,000 AIDS patients were currently receiving ARV treatment locally, but the new legislation should lead to much wider access to AIDS drugs, she said. Although the expected price falls were unlikely on their own to be enough to provide ARVs to the poorest AIDS patients in Kenya, access among the middle classes would be greatly improved, van Gisbergen said. "This is a breakthrough," she added.

However, there has been scepticism among drugs manufacturers this week regarding the real benefits the legislation was likely to bring. Director-General of the International Federation of Pharmaceutical Manufacturers' Associations (IFPMA), Harvey Bale, was on Wednesday quoted by Reuters news agency as saying that the legislation was "a political event that will not make any difference to the health care being received by the Kenyans." Bale, whose organisation represents industry associations in 60 countries, told Reuters that some 80 percent of the drugs currently in use in Kenya to fight AIDS were unpatented, and that the remaining medicines were being sold by the companies locally at the same price as copied versions.

SOUTH AFRICA: Hospitals face AIDS crisis

Hospitals in South Africa's most AIDS-prevalent province, KwaZulu-Natal, are being overwhelmed by a growing number of AIDS patients, the country's leading medical journal said in its latest issue. The South African Medical Journal (SAMJ) reported that urban and rural clinics in the province were stretched to "breaking point", with HIV-positive patients filling 80 percent of beds in some rural clinics. SAMJ visited hospitals where patients were forced to share beds and in some instances compelled to sleep under beds because of shortages. Most AIDS patients were women between the ages of 24 and 35, many of whom had contracted the disease in the last 10 years.

KwaZulu-Natal, one of the country's most populous but poorest regions, has more than one in three pregnant women suffering from the disease. "People are dying prematurely because we are so stretched. Medical patients who don't have HIV/AIDS are being severely compromised because we have to discharge them prematurely ... The system just can't cope," Jim Muller, acting head of three of the province's leading hospitals, told the journal. Drugs were in short supply or non-existent, surgical procedures abandoned because of limited resources, and hospital staff overworked. Based on interviews with healthcare workers, SAMJ reported that doctors have essentially become terminal-care workers.

HIV-positive children in need of a respirator were dying because of pressure on resources. "If the kids are HIV-positive, we don't ventilate and the kids die. That's become general practice," said Kimesh Naidoo, a paediatrician at Grey's Hospital. At the remote Hlabisa District Hospital in northern KwaZulu-Natal, 75 percent to 80 percent of patients are HIV-positive, half of whom had full-blown AIDS. "Nobody seems to be planning for the AIDS epidemic ... It's a catastrophe waiting to happen," Hlabisa's principal medical officer, Sean Drysdale, told the SAMJ.

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Africa Action: Africa's Right to Health Date distributed (ymd): 010623 APIC Document

Africa Policy Electronic Distribution List: an information service provided by AFRICA ACTION (incorporating the Africa Policy Information Center, The Africa Fund, and the American Committee on Africa). Find more information for action for Africa at

+++++++++++++++++++++Document Profile+++++++++++++++++++++

Region: Continent-Wide Issue Areas: +political/rights+ +economy/development+


This posting contains several short documents on the launch of the Africa's Right to Health Campaign by Africa Action: the press release distributed yesterday announcing the June 24 launch press conference; the text of the two-page campaign brochure; and summary information on the Stop Global AIDS Now march and rally taking place today in New York, for which Africa Action is a co- sponsor.

More campaign resources are now available on the campaign page: In addition to formatted versions of the brochure, and links to background information, you will find the three letters sent to President Bush by community leaders this month, a link to the cover story on "Global Apartheid" by Salih Booker and William Minter, in the July 9 issue of The Nation magazine, and a self-test for Acquired Morality Deficiency Syndrome (AMDS), to check if you (or your leaders) have dangerously high levels of this threat to global health.

On the campaign page you can also click to send "It's time to deal with AIDS" messages to USAID Administrator Andrew Natsios or to the G-8 representatives at the United Nations. You can use the messages on the page or write your own.

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June 22, 2001

FOR IMMEDIATE RELEASE Contact: Salih Booker 202-546 7961; Aisha Satterwhite 212-785 1024


SUNDAY, JUNE 24TH at 2pm UN CHURCH CENTER 777 UN PLAZA (at 44th Street and 1st Ave), 8th Floor, Boss Room


Focus Is on Addressing Structural Issues Underlying Africa's Health Crisis

Group to escalate campaign to fire Andrew Natsios, head of US Aid agency

On Sunday, June 24, the eve of the UN General Assembly Special Session on HIV/AIDS, Africa Action will host a news conference at 2pm at the United Nations Church Center in New York City to launch its new campaign for "Africa's Right to Health." Speakers will include Fernando Ferrer, President of the Bronx Borough of New York City; Nkululeko Nxesi, Director of the National Association of People With AIDS (NAPWA) in South Africa; Charlotte Mjele, from the Society for Women and AIDS in Africa (SWAA), Rev. Dr. Wyatt Tee Walker, President of Africa Action's Board of Directors, and Salih Booker, Executive Director of Africa Action.

Earlier on Sunday morning, Dr. Walker's Canaan Baptist Church and dozens of other churches from Africa Action's Religious Action Network, will highlight the plight of Africa's 12 million AIDS Orphans at special Sunday services.

The "Africa's Right to Health Campaign" will focus on the international obstacles that deny Africans the resources they need to respond effectively to the AIDS pandemic and the wider health emergency.

The campaign aims to achieve: (1) the cancellation of Africa's massive external debt burden, which drains much-needed resources from African governments; (2) affordable access to drugs and treatment for the 25 million Africans who are currently living with HIV or AIDS; (3) an end to World Bank and IMF policies that have undermined Africa's public health care systems and exacerbated poverty; (4) an end to discrimination on the basis of race, gender or HIV status; and (5) the promotion of a public discourse on reparations (so the West will understand its obligation to invest in Africa's health).

Executive Director Salih Booker stated, "It is no accident that Africa is the continent most affected by HIV/AIDS. The spread of the pandemic and the world's failure to respond reveal a system of global apartheid in which the right to health is determined largely by race." Africa Action will continue to press for the firing of USAID Director Andrew Natsios, whose racist remarks about Africans have provoked protests in the US and Africa and are widely seen as part of a strategy to deny treatment to Africans living with HIV and AIDS. For campaign updates visit

Africa Action is the oldest and largest advocacy organization on African affairs in the United States. Fighting for freedom and justice since 1953.


Campaign Brochure [for formatted version see or]


* Health is a fundamental human right.

Health, along with education, is also an indispensable component of development.

In the first decades after independence, African countries invested in health care. Average life expectancy in sub-Saharan Africa rose from 39.9 years in 1960 to 50.6 years in 1995.

Now, however, life expectancies in many African countries are dropping, driven by HIV/AIDS and a resurgence of malaria and tuberculosis.

Almost 2.5 million Africans died of AIDS in the year 2000.

Meanwhile, life-prolonging treatment in the 1990s cut AIDS deaths dramatically in rich countries.

Neither these treatments nor other resources needed to combat HIV/AIDS are available to the vast majority of people in Africa.

While the HIV virus affects people of all races, most of those dying of AIDS are black.

The spread of the pandemic and the world's failure to respond reveal a system of global apartheid in which the right to health--and to life itself--is largely determined by race, gender, class and geography.

* Africans are taking action.

In Africa, as elsewhere, stigmatization, stereotypes and denial have blocked effective responses to HIV/ AIDS. This is changing, slowly. At recent continent-wide meetings, people living with HIV/AIDS have demanded more urgent action from government leaders and experts.

African activists, medical professionals, and many government officials are now struggling to save lives and prevent new infections. They face immense challenges. The AIDS pandemic reflects--and deepens--economic inequality, civil conflict and, most critical of all, the subordination of women. Such factors must be addressed within each African country.

But there are also overwhelming obstacles that are imposed from outside. Corporate greed, foreign economic domination and global racism have helped lay the fire and now fan the flames of death.


* Access to treatment is key

People around the world are challenging the notion that HIV/AIDS treatment is too expensive for Africa and other poor regions. In 2001, worldwide protests forced drug companies to begin lowering prices and to drop their lawsuit that had tried to block South Africa's access to cheaper generic drugs.

But the companies and the Bush administration refuse to admit that treatment is an essential part of prevention. To them, aggressive patent protection is more important than African lives. In effect, they are saying that millions of Africans should just be left to die.

* Debt reduction has fallen short--It's time for cancellation

At a summit in Abuja, Nigeria, African leaders agreed on a target of spending at least 15% of their national budgets on health, two or three times current levels.

Their chances of meeting this goal are slim-unless the World Bank and IMF agree to full debt cancellation. Most African countries still spend more on repaying debts than on health care for their people.

These debts come from old loans, many to dictators long fallen. They came with strings attached-economic policies that have since failed. Yet the debt still looms as a giant obstacle to Africa's development and the fight for health.

* Economic colonialism

The rapid spread of HIV/ AIDS is linked to structural inequalities. Poverty and patterns of discrimination leave women vulnerable. Malnutrition reduces resistance to disease, including HIV/ AIDS. Migrant labor patterns (still in place from colonialism and apartheid) raise the risk of infection.

Policies imposed by the World Bank and other creditors forced African governments to cut spending on health. New "user fees" put medical care out of reach for millions, leading to an increase in sexually transmitted diseases. Yet the World Bank still holds more influence over Africa's economic policies than do African elected officials.

* Global racism or common humanity

It is no accident that Africa is the continent most affected by HIV/AIDS, and that minorities are the most affected within the United States. The pandemic starkly reveals the fault lines of deep inequality in the world order.

Vulnerability is linked to poverty, poverty to race, and race to the centuries-old history of the slave trade and colonialism. The rich countries' failure to act now is linked to the fact that the majority of those affected are poor, black and female.

The response to HIV/ AIDS will show whether common humanity will prevail over corporate greed. It will also show whether the world is ready to confront centuries of global injustice.

* Africa's Right to Health Campaign

End the injustices that gave rise to and now perpetuate the AIDS pandemic.

Remove international obstacles that deny Africans the resources they need to respond effectively to the pandemic and the wider health emergency it represents.

Africa Action will fight for the following goals:

1. unconditional cancellation of Africa's illegitimate foreign debt,

2. equal access to drugs and treatment,

3. an end to IMF/ World Bank colonialism,

4. an end to discrimination on the basis of race, gender, and HIV status, and

5. promotion of a public discourse on reparations (the need for the West to invest in Africa's health care as an obligation- not charity).

Media attention comes and goes, but the deaths continue. Support the campaign. Join our networks and keep up by visiting


Africa Action: Incorporating the American Committee on Africa (ACOA), The Africa Fund, and the Africa Policy Information Center (APIC)

WASHINGTON OFFICE 110 Maryland Ave N.E. #508, Washington, DC 20002 Tel: (202) 546-7961; Fax: (202) 546-1545; E-mail:

NEW YORK OFFICE 50 Broad Street, #1701, New York, NY 10004 Tel: (212) 785-1024; Fax: (212) 785-1078; E-mail:




Before world leaders discuss HIV/AIDS at the United Nations and before the G8 Summit in Genoa, Italy . . . WE WILL BE IN THE STREETS DEMANDING ACTION:

DOLLARS: We call on the United States and other wealthy countries to invest multiple billions in grants to the Global AIDS FUND and to national AIDS plans in developing countries.

DEBT: We call on the World Bank and IMF to cancel 100% of the debt owed to them by all impoverished countries heavily impacted by HIV/AIDS.

DRUGS: We call on the United States and other wealthy countries to ensure access to lifesaving AIDS medications, including generically manufactured drugs, at the lowest possible cost.



We honor the people throughout the world who have lost their lives or their loved ones due to HIV/AIDS. We join in struggle with those that are fighting to end the AIDS epidemic.

We affirm the demand of people living with HIV/AIDS in the South for access to care, support, and treatment - treatment that has been proven to extend lives, help build up weak health care systems, and enhance prevention efforts.

We know this to be morally correct: that the lives of the millions of poor people with AIDS are no less valuable than those of people with AIDS living in wealthy countries. We know also that access to treatment is a right of people everywhere. It is both necessary and possible to extend medication to everyone who needs it.

We join people from the South in calling for complete cancellation of debt owed by poor countries to the International Monetary Fund, the World Bank, and individual governments, so they can devote their resources to health care and education.


Voice mail: 212-208-4533. Email: For an updated list of endorsers and campaign materials: For background information:


African Services Committee, the Health GAP Coalition, Global-AIDS-Alliance, ACT UP New York, American Jewish World Service, Jubilee USA Network, Africa Action in cooperation with allies in the Global South including National Association of People with AIDS - South Africa, and Treatment Action Campaign - South Africa.


Accion Ciudadana Contra el SIDA, Caracas/Venezuela (ACCSI), ACT UP/Cleveland, ACT UP/East Bay, ACT UP/Paris, ACT UP/Philadelphia, AFL-CIO, AIDS Community Resource Network (ACORN), AIDS Research Alliance/Los Angeles, AIDS Treatment Access-Cuba, AIDS Treatment Data Network (ATDN), Africa AIDS Initiative, AmFAR, Arianna Huffington, Americans Mobilized Against the Spread of AIDS in Africa (AMASAA), Association for the Study of African American Life and History, Inc., Audre Lorde Project (ALP), BGAN Africa AIDS Project, Bailey House, Body Positive, Boston Global Action Network/African AIDS Project, Broadway Cares/Equity Fights AIDS, Canadian AIDS Society, Canadian HIV/AIDS Legal Network, Care International, Centre for Study of Global Trade System and Development, Church Ladies for Choice-NYC, Church Women United, Coalition of Labor Union Women, Connecticut Radical Queer Caucus, Conscious Movements Collective, Constituency for Africa, Dignity/USA, Disabled Global Action, Division for Church in Society-- Evangelical Lutheran Church in America, Doctors of the World-USA, Dutch Stichting AIDS Fonds, Elizabeth Varon, End AIDS Now!, FUNDAMIND/Buenos Aires, Family Health Project, Florida AIDS Action, Freedom Road Socialist Organization, Freedom Socialist Party, Freetown-New Haven Sister Cities, GNP+ North America, Gay Mens Health Crisis (GMHC), Global ACCTS, Global AIDS Action Network, Global Action on Aging, Global Exchange, Global Ministries (United Church of Christ/Disciples of Christ), Global Network of People Living with HIV/AIDS (GNP+), God's Love We Deliver, Goddard Riverside Community Center, Grupo Pela VIDDA/Rio de Janeiro, Brazil, Grupo de Apoio e Prevencao a AIDS, Harlem United Community AIDS Center, Heritage of Pride/NYC, Hope Africa in Nairobi, Kenya, Housing Works, Human Capital International, Institute for Agricultural Trade Policy, International Action Center (IAC), International Association For volunteer Efort-Liberia, International Council of AIDS Service Organizations (ICASO), International Gay and Lesbian Human Rights Commission (IGLHRC), International Harm Reduction Development/OSI, International Presentation Association of Sisters of the Presentation, International Socialist Organization, Jews Against Genocide, Jubilee Northwest Coalition in Seattle, Kathleen Chalfont, Lafayette Avenue Presbyterian Church, Latin American and Caribbean Council of AIDS Service Organizations (LACCASO), Latino Commission on AIDS, Life Force, Lower East Side Harm Reduction, Margaret Sanger Center International at Planned Parenthood of New York City, Maryknoll AIDS Task Force, Metropolitan Community Church of New York, Missionary Oblates of Mary Immaculate-U.S. Province, Mississippians With HIV/AIDS, Mobilization Against AIDS International, The Momentum AIDS Project, Mothers' Voices, NY Pride at Work AFL-CIO, NYC AIDS Housing Network (NYCAHN), National Association of People with AIDS/USA (NAPWA), National Minority AIDS Council (NMAC), National Organization for Women (NOW), National Summit on Africa/Africa Society, National Working Group on Patent Laws, Neighborhood AIDS Advocacy Group/Aisha Muhammad, The New York AIDS Coalition (NYAC), New York City Coalition Against AIDS in Africa (NYCRAA), New York City Gay & Lesbian Anti-Violence Project (AVP), New York Community Trust/Royal S. Marks Foundation Fund, The North American Taskforce on Prostitution, Oxfam, PATRONATO DE LUCHA CONTRA EL SIDA, INC. (PLUS), People's Health Coalition for Equitable Community, Positive Health Project, POZ Magazine, Partners In Health and the Institute for Health and Social Justice, Physicians for Human Rights, Q.U.E.E.R. (Queers United To Eradicate Economic Rationalism)/ Melbourne, Australia, Queers For Racial & Economic Justice, Radical Women, River Fund, San Francisco AIDS Foundation, Sierra Foothills AIDS Foundation, Sisters Mobilized for AIDS Research and Treatment (S.M.A.R.T. University), Solidarity Against the HIV Infection in India (SAATHII), South Africa Development Fund, St. Luke AME Church Good Samaritan HIV/AIDS Ministry, Student Committee Against Labor Exploitation (SCALE), Student Global AIDS Campaign, Survive AIDS (ACT UP/Golden Gate), Third Wave Foundation, Title II Community AIDS National Network, Treatment Action Group (TAG), UCC Wider Church Ministries, Union of American Hebrew Congregations and the Central Conference of American Rabbis, Union of New York Free Youth (UNYFY), United Church of Christ and Disciples of Christ Global Ministries Africa Office, Visual AIDS, WOFAK (Women Fighting Aids in Kenya), Women in Mourning and Outrage, Washington Office on Africa,


Message-Id: <> From: "APIC" <> Date: Sat, 16 Jun 2001 11:11:32 -0500 Subject: Africa: Treatment Access Update

Editor: Ali B. Ali-Dinar

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