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The West's Moral Obligation to Assist Developing Nations in the Fight Against HIV/AIDS

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Abstract

The HIV/AIDS epidemic is increasingly a diseaseof the disadvantaged, a destroyer of nations,and a threat to global security and well-being.But this need not be so: the world has thescientific knowledge, technologicalinnovations, and financial resources tosignificantly reduce the spread and sufferingcaused by the disease. This paper argues thatthe wealthy nations of the world, led by theUnited States, have a moral obligation to offermuch greater assistance to developing countrieswhere the epidemic is most severe. UsingZimbabwe as a case study, this essay examinesthe immediate and underlying factors behind theepidemic in order to make realistic andaffordable policy recommendations that includenew investments in global health care, debtrelief, and long-term economic development. Bydemonstrating our ability to dramaticallyaffect the future course and consequences ofthis unprecedented epidemic, the paperconcludes that greater action is not only inthe interest of public health, but is also amoral imperative. By investing the necessaryresources to improve public health and toreduce global poverty, we promote and extendthe fundamental rights and values that weprofess to hold dear.

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References

  • Attaran, A. and Sachs, J. (2001) Defining and redefining international donor support for combating the AIDS epidemic. The Lancet 357(9249), pp. 57–61.

    Google Scholar 

  • Barks-Ruggles, E. (2001) Meeting the global challenge of HIV/AIDS. A Brookings Institution Policy Brief, no. 75. Washington, DC: The Brookings Institution.

    Google Scholar 

  • CDC (2000) U.S. HIV and AIDS cases reported through December 2000: year end report 12 (2). Retrieved June 2001 from http://www.cdc.gov/hiv/dhap.htm

  • Chavunduka, G. (1976) Traditional healers and the Shona patient. Gwelo, Zimbabwe: Mambo Press.

    Google Scholar 

  • Chikovore, J. and Mbizvo, M. (1999) Beliefs about sexual relationships and behavior among commercial farm workers in Zimbabwe. Central African Journal of Medicine 45(7), 178–182.

    Google Scholar 

  • CIA (2000) The global infectious disease threat and its implications for the United States, June 27, 2001. Washington: CIA. Retrieved August 2001 from http://www.odci.gov/ nic/pubs/other_products/inf_diseases_paper.html

    Google Scholar 

  • Copson, R. (2001) AIDS in Africa. Congressional research service issue brief for Congress. IB10050 (May 14).

  • Decosas, J. (1996) HIV and Development. AIDS 10(3), S69–S74.

    Google Scholar 

  • Global Policy Forum (2000) AIDS and debt: Africa's deadly combination. Retrieved July 20001 from http://www.globalpolicy.org/socecon/develop/aids/africa

  • Harvard consensus statement on ARV treatment for AIDS in poor countries (2001) Retrieved August 2001 from http://old.healthnet.org/programs/procaare-hma/procaare.200104/ msg00006.html

  • ILO (2000) HIV/AIDS: A threat to decent work, productivity and development. Retrieved August 2001 from http://www.ilo.org/public/english/protection/trav/aids/

  • IMF (2001a) Debt relief under the heavily indebted poor countries (HIPC) initiative: A factsheet. September 2001. Retrieved September 2001 from http://www.imf.org/external/ np/exr/facts/hipc.htm

  • IMF (2001b). The IMF's poverty reduction and growth facility: A factsheet. March 2001. Retrieved August 2001 from http://www.imf.org/external/np/exr/facts/prgf.htm

  • IPAA (2000) Summary booklet of best practices. Issue 2. Geneva: UNAIDS.

    Google Scholar 

  • Jackson, H. and Civic, D. (1994) Family coping and AIDS in Zimbabwe: A study. Harare: Journal of Social Development in Africa and the School of Social Work.

    Google Scholar 

  • Machekano, R., McFarland, W., Mbizvo, M., Bassett, M., Katzenstein, D. and Latif, A. (1998) Impact of HIV counseling and testing on HIV seroconversion and reported STD incidence among male factory workers in Harare, Zimbabwe. Central African Journal of Medicine 44(4), 98–102.

    Google Scholar 

  • Maposhere, C. (2001) HIV/AIDS Study in Masvingo, Chivi and Zvishavane Districts [Zimbabwe]. Harare: Oxfam.

    Google Scholar 

  • Mataure, P., Ray, S., Foreman, M. and Scalway, T. (2001) Men and HIV in Zimbabwe. Ruwa, Zimbabwe: SAfAIDS, Panos, and UNAIDS Zimbabwe.

    Google Scholar 

  • Mbizvo, M., Machekano, R., McFarland, W., Ray, S., Bassett, M., Latif, A. and Katzenstein, D. (1996) HIV seroincidence and correlates of seroconversion in a cohort of male factory workers in Harare, Zimbabwe. AIDS 10(8), 895–901.

    Google Scholar 

  • Mbizvo, M., Ray, S., McFarland, M., Machekano, R. and Katzenstein, D. (1994) Condom use and the risk of HIV infection: Who is being protected? Central African Journal of Medicine 40(11), 294–298.

    Google Scholar 

  • Medact and the World Development Movement (1999) Deadly Conditions? Examining the relationship between debt relief policies and HIV/AIDS. Retrieved August 2001 from http://www.wdm.org.uk

  • Meursing, K. and Sibindi, F. (1995) Condoms, family planning, and living with HIV in Zimbabwe. Reproductive Health Matters 3(5), 56–67.

    Google Scholar 

  • Mingardi, A. (1999) The fox guarding the chicken coop: an interview with Jan Narveson. The Laissez Faire City Times 3(34). Retrieved August 2001 from http://zolatimes.com/ V3.34/narveson.html

  • Mutambira, J. (1991) Aspects of sexual behavior in local cultures and the transmission and prevention of HIV/AIDS. In: M. Mercer and S. Scott (Eds.), Tradition and transition: NGOs respond to AIDS in Africa (pp. 7–14). Baltimore: Johns Hopkins University School of Hygiene and Public Health.

    Google Scholar 

  • Runganga, A. and Aggleton, P. (1998). Migration, the family and the transformation of a sexual culture. Sexualities 1(1), 63–81.

    Google Scholar 

  • Sachs, J. (2001a) What's good for the poor is good for America. Economist 360(14 July), 32–33.

    Google Scholar 

  • Sachs, J. (2001b) Best possible investment in Africa. New York Times 10(February), A33.

  • Schwartlander, B., Stover, J., Walker, N., Bollinger, L., Gutierrez, J.P., McGreevey, W., Opuni, M., Forsythe, S., Kumaranayake, L., Watts, C. and Bertozzi, S. (2001) Resource needs for HIV/AIDS. Science 292(5526), 2434–2436.

    Google Scholar 

  • Sibanda, A. (2000) A nation in pain: Why the HIV/AIDS epidemic is out of control in Zimbabwe. International Journal of Health Sciences 30(4), 717–738.

    Google Scholar 

  • United Nations Fund for International Partnerships (2001). Global crisis ‐ global action: A global AIDS and Health Fund. United Nations Special Session on HIV/AIDS, 25‐27 June 2001, New York.

  • UNAIDS/WHO (2001) AIDS epidemic update: December 2001. Retrieved December 2001 from http://www.unaids.org/epidemic_update/report_dec01/index.html

  • UNAIDS/WHO (2000a) AIDS epidemic update: December 2000. Retrieved July 2001 from http://www.unaids.org/epidemic_update/index.html

  • UNAIDS/WHO (2000b) Report on the global HIV/AIDS epidemic: June 2000. Retrieved July 2001 from http://www.unaids.org/epidemic_update/index.html

  • UNAIDS/WHO (2000c) Zimbabwe: Epidemiological fact sheet on HIV/AIDS and sexually transmitted infections, 2000 update. Retrieved July 2001 from http://www.unaids.org/ hivaidsinfo/statistics/fact_sheets/

  • UNAIDS/WHO (2000d) France, Germany, U.K: Epidemiological fact sheets on HIV/AIDS and sexually transmitted infections, 2000 update. Retrieved July 2001 from http://www. unaids.org/hivaidsinfo/statistics/fact_sheets/

  • United States Department of Commerce: Bureau of Economic Analysis (2001a) National income and product accounts tables: Table 2.4: Personal consumption expenditures by type of expenditure. Retrieved September 2001 from http://www.bea.doc.gov

  • United States Department of Commerce: Bureau of Economic Analysis (2001b) National accounts data: GDP news release of August 29, 2001. Retrieved September 2001 from http://www.bea.doc.gov

  • Vos, T. (1994) Attitudes to sex and sexual behavior in rural Matabeleland, Zimbabwe. AIDS Care 6(2), 193–203.

    Google Scholar 

  • WOA (2001a) Confronting the AIDS pandemic in Africa. Washington Notes on Africa 27(2), 9.

    Google Scholar 

  • WOA (2001b) Countering decreases in U.S. development assistance. Washington Notes on Africa 27(2), 11.

    Google Scholar 

  • WOA (2001c) Much remains on debt cancellation for Africa. Washington Notes on Africa 27(2), 3.

    Google Scholar 

  • Wolfensohn, J. (2000; 10 January) Free from poverty, free from AIDS. Text of an address to the UN Security Council meeting on HIV/AIDS in Africa, 10 January 2000. Retrieved January 2000 from http://www.hivnet.ch:8000/africa/af-aids/viewR?608

  • World Bank (1998) Meeting the health care challenges in Zimbabwe. Operations evaluation department précis no. 176. Washington, DC: The World Bank/OED.

    Google Scholar 

  • World Bank (1999a) Intensifying action against HIV/AIDS in Africa: responding to a development crisis. Washington: World Bank, 1999.

    Google Scholar 

  • World Bank (1999b) Zimbabwe: Country brief. http://www.worldbank.org/afr/zw2.htm

  • World Bank (2000) Zimbabwe data profile.World development indicators database, July 2000. Retrieved July 2001 from http://www.worldbank.org/data/countrydata/countrydata.html

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  1. History Department, U.S. Naval Academy, U.S. Naval Academy, Annapolis, MD, 21402, U.S.A.

    Samuel H. Nelson

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  1. Samuel H. Nelson
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Nelson, S.H. The West's Moral Obligation to Assist Developing Nations in the Fight Against HIV/AIDS. Health Care Analysis 10, 87–108 (2002). https://doi.org/10.1023/A:1015622531388

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