OxBlog

Sunday, July 11, 2004

# Posted 6:07 AM by Patrick Belton  

NATHAN HALER AND OXFRIEND GREG BEHRMAN has an important and timely piece on AIDS in this morning's International Herald Tribune:
AIDS threatens global security: A subversive plague
By Greg Behrman

On Sunday, epidemiologists, scientists, public health experts and leaders of nongovernmental organizations will convene in Bangkok for the 15th International AIDS Conference. They will debate the costs and the prevention strategies; they will report on progress in the science. Yet one of the most important dimensions of this pandemic will be almost entirely overlooked: that it is fast becoming one of the greatest threats to U.S. and global security.

In the past 20 years, approximately 60 million people have been infected with HIV; 20 million have died. Eight thousand people - nearly three times 9/11's death toll - die of AIDS every day. By 2010, experts predict 100 million infections worldwide and 25 million AIDS orphans.

AIDS has taken its greatest toll in sub-Saharan Africa, and it is there that the pandemic presents the most immediate threat to global security. AIDS is killing the most productive and needed people: doctors, government officials, teachers. The disease is not only devastating families and communities; it is eviscerating national economies.

All seven southern African countries have adult infection rates above 17 percent, and in two it is 35 percent. Some employers train two or three workers for every job, such are the chances that a worker will become infected and die. Some African armies are believed to have infection rates as high as 50 percent.

The implications for global security are profound. AIDS can reverse the strides many African countries have made toward democratization. Warlords, corrupt dictators and rogue leaders might seize power in weakened states. Lawlessness and disorder can breed violence and conflict.

By 2010, 25 percent of U.S. oil imports are expected to come from Africa, so the United States will be increasingly drawn in to participate in combat and peacekeeping missions there.

In 2002, the White House National Security Strategy declared that for the first time, weak states pose a greater danger to U.S. national security than strong states. What is making states weak today? In sub-Saharan Africa, it is AIDS.

Somalia, Sudan and Kenya have already provided harbor for terrorists. As the disease tears the sub-continent's states apart, terrorists will find more refuge in the rubble. Though there are more Muslims in Africa than in the entire Middle East, Islamic radicalism is still the exception rather than the rule. But the instability and suffering that AIDS is spreading through the continent might well feed radicalism.

Across Europe and Asia, the pandemic's next wave poses longer-term challenges to security. The peril is greatest in Russia, where AIDS is growing faster than anywhere in the world. There are roughly 1 million infections in Russia, and the number is expected to climb to 5 to 8 million by 2010 - a level at which AIDS could generate instability. To Russia's south, India will soon become the country with the highest absolute number of infections in the world. Its HIV-infection tally now stands at around 5 million, and by 2010 that number may reach 20-25 million.

In many ways, India is Africa five to 10 years ago. With large numbers of migrant laborers, widespread prostitution, a flimsy health infrastructure and a mind-boggling state of denial among government elites, AIDS is poised to leap to Africa-like proportions. This in the world's largest democracy, a nuclear power and a key U.S. strategic ally in a volatile region.

Secretary of State Colin Powell recently declared that HIV/AIDS is "the greatest weapon of mass destruction on the Earth." Yet the global community has not met AIDS with the resources, priority and urgency that the gravity of the threat requires. AIDS is the greatest moral crisis of our time, and it is a vital threat to U.S. and global security.
Greg's recent book, which really is a must-read, is The Invisible People: How the U.S. Has Slept Through the Global AIDS Pandemic, The Greatest Humanitarian Crisis of Our Time.
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