features - issue 85/86

AGAINST the GRAIN

positive nation

evident.
“As soon as you mention any reason to provide treatment, people add it to their 100 reasons why it should not be

provided, and we all know what those are - people won’t be adherent, they’ll become resistant, it’s not cost-effective. We can’t allow these excuses any more.
“But we must certainly monitor adherence and resistance carefully. So far, in the programmes I’m aware of, we have answered the first question - is it even possible to make treatment programmes work in the developing world? - and are answering the second - so far, adherence appears no better and no worse than in developed countries.
“The biggest excuse is the argument that there is no infrastructure. There is a medical infrastructure in nearly all countries. When I go to Africa, Thailand, wherever, social structures exist that can be used to provide both Aids education and treatment.
“As ever, it’s a question of the political will.”


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