Through an in-depth examination of the interactions between the South African government and the international AIDS control regime, Jeremy Youde examines not only the emergence of an epistemic community but also the development of a counter-epistemic community offering fundamentally different understandings of AIDS and radically different policy prescriptions. In addition, individuals have become influential in the crafting of the South African government's AIDS policies, despite universal condemnation from the international scientific community. This study highlights the relevance and importance of Africa to international affairs. The actions of African states call into question many of our basic assumptions and challenge us to refine our analytical framework. It is ideally suited to scholars interested in African studies, international organizations, global governance and infectious diseases.

HIV/AIDS is a catastrophe globally but nowhere more so than in sub-Saharan Africa, which in 2008 accounted for 67 percent of cases worldwide and 91 percent of new infections. The Institute of Medicine recommends that the United States and African nations move toward a strategy of shared responsibility such that these nations are empowered to take ownership of their HIV/AIDS problem and work to solve it.

This book addresses conflicts and institutional changes of global health governance in the fight against HIV and AIDS.

This second edition of the book provides up-to-date information on new drugs, new proven HIV prevention interventions, a new chapter on positive prevention, and current HIV epidemiology. This definitive text covers all aspects of HIV/AIDS in South Africa, from basic science to medicine, sociology, economics and politics. It has been written by a highly respected team of South African HIV/AIDS experts and provides a thoroughly researched account of the epidemic in the region.

The fourteen interviews in this book form an unprecedented wealth of material on authors’ responses to HIV/AIDS in South Africa and Zimbabwe. They comprise a valuable archive which documents and contextualises the variety of views and opinions of different authors on their often ground-breaking choices in writing about HIV/AIDS. Each author ranks among the first to publish fiction on HIV/AIDS in their respective countries. These interviews are of particular merit as these issues have not been discussed at length with any of the authors before. Collectively they offer a unique range of approaches and opinions in response to the HIV/AIDS pandemic in southern Africa. Their significance lies in their specific literary, as well as their broader social, cultural and political perspectives on a disease which continues to spread despite extensive NGO, medical and government intervention. In both South Africa and Zimbabwe, government responses have failed to address the urgent need for new political and economic solutions to the challenge of HIV infection. Responses among the population have varied from widespread silence, shame and fear to political activism and outspoken critiques of government inaction. Writers give voice to this silence and contextualise the disparate reactions amongst diverse peoples. Globally, AIDS killed approximately 2 million in 2008. In 1998, AIDS was the largest killer in southern Africa, nearly double the one million deaths from malaria and eight times the 209,000 deaths from tuberculosis. It has long been the case that of those dying globally of AIDS, the majority live in southern Africa. When the associated social and cultural implications of infection with HIV are considered, fictional representations contribute significantly to our understanding of the impact of HIV/AIDS on communities and individuals, and provide a much-needed basis for ‘humanising’ an epidemic which is unimaginable statistically. It has been said that the feelings and reactions that HIV/AIDS inspires are often ‘too unreal for words,’ and it is this very notion, that certain diseases are taboo, unmentionable, and hardly even named as such, that makes verbalisation of this epidemic a modern imperative.

Publisher Description

The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.