 |
|
Friday, September 24. 2004
Which countries receive too little media attention given their AIDS prevalence? We know how much press attention countries receive overall (at least as based on citations in the Kaiser Daily HIV / AIDS Report, published since 1999 and probably the most widely read AIDS news resource). We also know how many people have HIV in each country (as cited by UNAIDS). If we combine these two data types, we can determine "media citations per million cases", giving an idea of relative media attention a country receives. Here is a table of the 40 developing countries with the highest incidence of AIDS ranked from "most neglected by the media" to "least neglected by the media":
| People with HIV | Kaiser Citations | Citations per million cases | | Madagascar | 140,000 | 6 | 43 | | Sudan | 400,000 | 20 | 50 | | Colombia | 190,000 | 10 | 53 | | Nigeria | 3,600,000 | 208 | 58 | | Chad | 200,000 | 12 | 60 | | Dem. Republic of Congo | 1,100,000 | 72 | 65 | | Central African Republic | 260,000 | 20 | 77 | | Burkina Faso | 300,000 | 24 | 80 | | Burundi | 250,000 | 20 | 80 | | United Rep. of Tanzania | 1,600,000 | 133 | 83 | | Ethiopia | 1,500,000 | 126 | 84 | | India | 5,100,000 | 449 | 88 | | Cameroon | 560,000 | 57 | 102 | | Mozambique | 1,300,000 | 144 | 111 | | Malawi | 900,000 | 111 | 123 | | Zimbabwe | 1,800,000 | 224 | 124 | | Cote d'Ivoire | 570,000 | 79 | 139 | | Myanmar | 330,000 | 47 | 142 | | Ukraine | 360,000 | 57 | 158 | | Lesotho | 320,000 | 63 | 197 | | Mali | 140,000 | 28 | 200 | | Ghana | 350,000 | 76 | 217 | | Russian Federation | 860,000 | 189 | 220 | | Angola | 240,000 | 56 | 233 | | Zambia | 920,000 | 236 | 257 | | Kenya | 1,200,000 | 309 | 258 | | South Africa | 5,300,000 | 1461 | 276 | | Guinea | 140,000 | 46 | 329 | | Haiti | 280,000 | 100 | 357 | | Brazil | 660,000 | 237 | 359 | | Rwanda | 250,000 | 97 | 388 | | Viet Nam | 220,000 | 103 | 468 | | Swaziland | 220,000 | 105 | 477 | | Namibia | 210,000 | 102 | 486 | | China | 840,000 | 445 | 530 | | Cambodia | 170,000 | 102 | 600 | | Thailand | 570,000 | 468 | 821 | | Botswana | 350,000 | 291 | 831 | | Uganda | 530,000 | 489 | 923 | | Mexico | 160,000 | 159 | 994 |
Nigeria and Democratic Republic of Congo are particularly notable members of this list, representing 10% of the world's cases of HIV between them but garnering only 1% of press citations.
Full spreadsheet with these data is available here.
Friday, September 17. 2004
 After several years in gestation, a new World Bank report on AIDS treatment options in India was recently released. HIV/AIDS Treatment and Prevention in India specifically addresses ART, and which policies the Indian government should adopt regarding the procurement and provision of AIDS medicines.
While the press coverage of the report tended to focus on projections of infection ("five million new cases a year in India in 2033"), the main story of the report (and underlying model) is really something else: ART will succeed or fail depending on what happens to condom usage. If ART promotes condom usage (because of tying treatment and prevention programs), then ART will lessen new infections. If ART discourages condom usage (because of disinhibition effects), then ART will increase new infections.
While AIDS economists can pick at the model, and while the Bank is a lightening rod for most policy reports such as this, the key messages regarding the interplay between treatment and prevention shouldn't be overlooked. In addition, the report serves as a well-presented primer on ART policy in environments with low but growing prevalence of HIV -- which is to say, most countries of the world. Kudos to the authors: Mead Over, Peter Heywood, Julian Gold, Indrani Gupta, Subhash Hira, and Elliot Marseille.
Monday, September 13. 2004
 In The Tipping Point, Malcolm Gladwell describes how ideas spread through society, following "epidemic-like" dynamics. At one point he includes a provocative passage about AIDS, and what would have happened had we not discovered the virus. I include it here as food for thought:
"Not long after The Tipping Point came out, I happened to talk to an epidemiologist, a man who had spent the better part of his professional life battling the AIDS epidemic. He was a thoughtful fellow, and frustrated in the way that someone would be who has had to deal, on a daily basis, with such a terrible disease. We were sitting in a cafe talking about my book, which he had read, and then he said something startling: "I wonder if we would have been better off if we had never discovered the AIDS virus at all?" I don't think he meant that literally, or that he regretted the countless lives that have been saved or prolonged by anti-HIV drugs and the AIDS test. What he meant was this: that the AIDS epidemic is fundamentally a social phenomenon. It spreads because of the beliefs and social structures and poverty and prejudices and personalities of a community, and sometimes getting caught up in the precise biological characteristics of a virus merely serves as a distraction; we might have halted the spread of AIDS far more effectively just by focusing on those beliefs and social structures and poverty and prejudices and personalities."
|
|