features - issue 82
GETTING THE DRUGS TO AFRICA
positive nation

HIV treatment access in Africa has become the big

campaigning issue for 2002. Martin Flynn investigates two new projects - in Botswana and Cape Town - which are already saving lives

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A recent UNAIDS study found that only one in a thousand HIV positive people in Africa (30,000 out of 30 million) are getting treatments. The rest are doomed unless we all do something about it very quickly.
The Botswana Project
Diamond-rich Botswana is one of the wealthiest nations in southern Africa but has the highest incidence of HIV infection in the world - with adult rates as high as 38 per cent. The Botswana government has now joined forces with the pharmaceutical giant Merck, Sharpe and Dohme, and the Bill and Melinda Gates Foundation, to set up a project to get HIV treatments started.
Behind the move are doctors and nurses from Harvard Medical School, Amsterdam and London's Chelsea and Westminster

Hospital. Organising the British end of the project are Lady Bright, who is deputy chairman of the St Stephen's Aids Trust and Linda Connor, the hospital's HIV education co-ordinator.
Lady Bright, affectionately known to all as Margot, explains:
"There are two major HIV treatment projects in Botswana. One is the 'Secure the Future' project from Bristol-Myers Squibb which has $100 million invested, and the other is the African Comprehensive HIV/Aids Partnership (ACHAP) which has put in a similar amount over five years."
Why is the money going to one of the richest countries in Africa, rather than elsewhere?
"The rate of HIV prevalence is higher than anywhere else. In some parts of Botswana it's over 50 per

cent of the adult population aged 15 to 49, who should be the main wage earners.
"Dr Chloe Orchin and nurse specialist Flick Thooley have gone out from London to help

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