July 29, 2004

South Africa and AIDS

I've posted before about the impact of the AIDS virus in Africa. About how 2-3 people have to be hired to perform the same job in middle management in South African companies because chances are statistically very good that only one of them will be around to get the job done. Or maybe I haven't posted about this. I have certainly harangued my wife about it. (By the way, the poor dear deserves your sympathy entirely because before I discovered blogging, she was the sole "beneficiary" of my rants.)

There was an article in the NY Times this morning about AIDS in South Africa. Its lead in was about how graves have to be recycled in Durban because of the high number of deaths and the small amount of cemetery space. It included some shocking statistics and I want to bring them out here so that all my readers, all eleven of you (and you know who you are), can share my concern:

*51 of the 53 municipal cemeteries are officially filled to capacity

*"Five years ago, we used to have about 120 funerals a weekend, but this number has now jumped to 600," Thembinkosi Ngcobo, who heads the municipal department of parks and cemeteries, said in an interview this week. "In order to cope with the current rate of mortality - we hope it is not going to increase - we will need to have 12.1 hectares every year of new gravesites." That is nearly 30 acres.

*Roughly one in eight South Africans is H.I.V.-positive

*in Durban, South Africa's third-largest city with about 3.5 million people, a survey two years ago of women at pregnancy clinics found about 35 percent were infected with H.I.V.

This is tragic. I just never contemplated the effects of the deaths vis a vis funerals and cemetery use. I'm glad that the NY Times brought these facts out.

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July 12, 2004

Nursing Shortage in Africa

Today, in the NY Times, there was heartrending article about the nursing shortage in Africa. In a nutshell, it appears that all of the nurses are setting off to practice their art back in Great Britain. Result? The health and medical systems of Malawi are on the verge of collapse. It is becoming a total ruin and a crisis.

The blame and the remedy are where the NY Times and I part company. The position of the author is right out in front: "It is the poor subsidizing the rich, since African governments paid to educate many of the health care workers who are leaving." Well, the blame is clear. It's all the fault of the prosperous Western regimes. The remedy proposed? Set up some system which will make it more difficult for these women to emigrate, to get out of Africa, to get out of hospitals where it is assumed, for instance, that "any woman they examine may be H.I.V. positive", where "a quarter of public health workers, including nurses, will be dead, mostly of AIDS and tuberculosis, by 2009, according to a study of worker death rates in 40 hospitals here".

Instead of setting up some bureaucratic Berlin Wall to keep these women slaving away for overtime pay of 20 cents an hour, let's turn the focus on corrupt regimes which are killing their people. We cannot force these women to stay. That is immoral if they can get out and especially if they can support themselves elsewhere. No, this is the free market of people -- the movement of people from bad regimes to comparatively better ones. The trick is to make it possible for these women to want to stay in their home countries, not to coerce them into it. That is where the hard work comes in. How to improve African countries. No one wants to focus on that when the easier and more politically attractive explanation is that it is all the fault of the West. Cheap blame will solve nothing.

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July 08, 2004

Zimbabwe, again

Long time readers may recall my post some time ago concerning Zimbabwe and the horrible political and social and economic situation there. I wrote about my disgust with the other African governments and their failure to even attempt to deal with this problem. Well, I came across this today in the NY Times: African Leaders Failing Zimbabwe, Prelate Says. Want to know why he said that?


Mr. Mugabe scored a diplomatic victory last weekend when the 53-nation African Union, meeting in Ethiopia, voted to table a sharply worded critique of Zimbabwe's civil-liberties record prepared by a committee on human rights. The report, which was leaked last week, accused the government of "failure at critical moments to uphold the rule of law" and of tolerating arbitrary arrests and human-rights violations.

Apparently, by the way, this report dates from 2002!

What a disaster.

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