Le sida achève de nous achever...

Le sida achève de nous achever...
Dommage qu'il soit trop tard, la planète étouffe , on étouffe et l'afrique est une enfant grandement blessée.

Si malgré tout ça peut vous apporter un peu de réconfort ...
(Ça signifie que vous êtes un peu moins lucide,pardon pessimiste, que moi.)

Extrait de : http://news.yahoo.com/s/ap/20051229/ap_on_he_me/botswana_treating_aids


Botswana Shows Success in Treating AIDS


By ALEXANDRA ZAVIS, Associated Press Writer Thu Dec 29, 2:19 PM ET

GABORONE, Botswana - Catherine had already buried two sisters because of AIDS

AIDS when she was diagnosed with the dreaded disease. After doctors broke the news, she stopped eating. "I thought

that was the end of my life," she said.

Three years later, the bubbly young woman in a floppy sun hat is sharing her marriage plans with fellow patients

as they wait for medicines that are bringing new life to one of the countries worst-hit by AIDS.

In 2002, Botswana became the first African country to offer free treatment to all who needed it. With more than a

third of adults infected, many doubted it could fulfill the promise.

But the largely desert nation now has half the estimated 110,000 people in immediate need on life-prolonging

anti-retroviral medicines, showing that treatment is possible on the world's poorest continent.
"If HIV was left to take its course, this country would be literally destroyed both economically and socially,"

said Segolame Ramotlhwa, operations manager for the national treatment program dubbed Masa, or New Dawn. "Not

treating is not an option."

AIDS has ripped through sub-Saharan Africa, killing 2.4 million people this year alone, according to U.N. figures.

In Botswana, life expectancy has plunged to 39 years, AIDS patients overwhelm hospital wards and funeral homes

offer 24-hour service.

Medicines that have turned the disease into a manageable chronic condition in wealthier nations remain out of

reach for most in Africa, home to more than 60 percent of the estimated 40 million people globally infected with

HIV, the virus that causes AIDS. The cost is prohibitive and few countries have the infrastructure to dispense

them on a large scale.

Botswana, which is slightly smaller than Texas, has the advantage of a small population of 1.7 million. Diamonds

have made the country comparatively wealthy, and most people live within five miles of a clinic.

But Health Minister Sheila Tlou says the most important difference is Botswana's commitment to fight the pandemic.

Its pledge to provide treatment drew critical support from donors such as the Bill & Melinda Gates Foundation and

major pharmaceutical companies, but the government is paying more than 90 percent of the cost itself.

"African countries say they have no money, but if a war is brewing, in the blink of an eye, that money would be

there," Tlou said. "So you need that commitment. Instead of spending money on Cadillacs, put money where the

people are."

The massive treatment effort is straining limited resources, though. Development funds have been diverted to

health, which accounts for a quarter of the national budget.

Some 52,000 patients are being treated free at 32 sites nationwide, while 7,300 others obtain their medicines

privately.

The results are visible. Patients who once arrived in wheelchairs and on stretchers now walk to clinics. Others

believed to be on their deathbeds are back at work.

The treatment is complicated, and missed doses can cause resistance to build. But churches and other groups help

ensure patients have a "buddy" to support them, and doctors say the rate of adherence tops 85 percent.

The availability of treatment also is encouraging more people to get tested on a continent where stigma remains

high.

Catherine was rail-thin and covered in sores, but she waited two years to find out if she had the virus that

killed her siblings.

"That time there was no treatment, so I didn't want to check," said the mother of two, still too ashamed to give

her last name. "There were many funerals because of this disease."

Authorities estimate that up to 35 percent of those infected here now know their status, far higher than in other

countries.

Understanding of the disease also is spreading. Patients once locked in silence now chat openly with each other in

waiting rooms, swapping details of their CD4 counts and viral loads.

But fear, ignorance and denial still keep many away until it is too late. Catherine's fiance reminds her to take

her pills but refuses to be tested himself.

When Cynthia Leshoma was first given anti-retrovirals, she was so depressed she swallowed all the medicine at once

and washed it down with cleaning fluid.

When she emerged from a coma three days later, she decided to turn her life around. She quit drinking, joined a

support group and learned to take her medicine. Earlier this year, she was crowned Miss HIV Stigma Free in a

beauty pageant that aims to change attitudes about the disease.

"In Botswana, we are lucky because the government is offering us medicine," said Leshoma, counting out pills on a

restaurant table after her cell phone tells her it is time. "People die because of stigma, not because of AIDS."

Hoping to get more people on treatment, Botswana started routinely offering HIV tests throughout the health system

in 2003. Now, so many patients agree to get tested that doctors worry whether they will be able to keep up with

demand.

More than 12,500 people are being treated at Princess Marina Hospital in the capital, Gaborone, a dry, flat city

full of strip malls. Patients line up before dawn for the daylong wait to collect monthly supplies of medicine.

"If everybody who needs treatment suddenly turned up, then we wouldn't cope," said Dr. Howard Moffat, the medical

superintendent.

He also said success has some downsides. Patients may not adhere to treatment plans once they start feeling

better, and the infection rate could climb even higher because treatment will reduce fear of the disease.

"Botswana has shown what can be done," Moffat said. "But it will need help for a considerable time to come."