
Courage to deliver? Government’s response to AIDS
The question is simple, the answer is not. How do you explain the fact that South Africa has one of the best AIDS plans in the world, but also the fastest growing epidemic?

The question is simple, the answer is not. How do you explain the fact that South Africa has one of the best AIDS plans in the world, but also the fastest growing epidemic?
"We are burying about three truck drivers a day because of AIDS, and at this rate we will have no drivers left by 2003," says Paul Matthew, acting chief executive office of the Road Freight Association'€™s training board. But even though forecasts for the trucking industry are dire, Matthew says it'€™s a "slow process" getting employers to put money into fighting the epidemic.
When she realised she was HIV positive, Faghmeda Miller'€™s first thoughts were: "I have shamed my family, they are going to shun me". But the church needs to be able to offer hope and acceptance to people living with AIDS.

Driving to the Sipetu and Mary Theresa hospitals in the Eastern Cape is not for the fainthearted, but every month hundreds of people brave the potholes, mud (when it's raining) and distances in excess of 50km to bring their severely malnourished children for treatment. More than a year ago most of the mothers would have probably returned home alone, but a simple, cost-effective intervention has seen a huge decrease in the death rates of malnourished children. The developing world is now looking towards the Mt Frere and Sipetu communities, one of the most under-resourced regions in South Africa, for answers on how to treat severely malnourished children.

When Sipetu Hospital's matron, Eugenia Ngewu, stood up to pray asking for an end to malnutrition in their community, she had little Thulani (5) in mind. He arrived at Sipetu and was immediately diagnosed with Kwashiorkor, a form of severe malnutrition.
There has been an alarming increase in the proportion of adolescent patients at drug treatment centres countrywide, according to Charles Parry of the Medical Research Council. In Cape Town, for example, the proportion of patients under 20 drug treatment centres in Cape Town has more than doubled since 1996 from 6% to 15% in 1999.
Pharmacists will be doing a year's community service by 2001, and the health department may also draft physiotherapists, occupational and speech therapists and psychologists into service.

The Directorate of Public Prosecution may reinstate murder charges against the killers of AIDS activist Gugu Dlamini following public outcry.
For the first time the Medical Research Council honoured two black researchers for their contributions to medical research. The role of the MRC in the coming years is to do research to provide the most up-to-date scientific evidence to allow the public and policymakers to make informed choices.

Breastfeeding is still the best option - even for HIV positive mothers, according to the findings of a recent study by researchers at the University of Natal, Durban which has caught the attention of international AIDS researchers.

South Africa, Mozambique and Swaziland this week launched a R40-million, five-year programme aimed at controlling the spread of malaria. The control of malaria has also been complicated by the development of drug-resistant strains, forcing up the drug treatment costs. However, last year the World Health Organisation tested another drug in the Ndumo area that may be a useful addition to treatment options.

The betrayal of Phiwe and Muzi is made all the more difficult because government has no apparent plans for AIDS orphans.

Rather than preach about the dangers of HIV, condom-promotion should show that when people are comfortable with, and in control of, their sexuality, condoms do not result in unsatisfactory sex.