Dear Colleague:
As far as the HIV/AIDS hustlers at UNAIDS and UNFPA are concerned, Uganda
and the Philippines do not exist. Yet these two countries, by promoting
sensible and inexpensive prevention programs based on abstinence and
marital fidelity, have stopped the AIDS epidemic in its tracks. Over at
the UN, however, and at USAID, the focus continues to be on "safe sex"-the
costly pornographic sex ed and condom distribution schemes that only make
the problem worse. When will President Bush intervene to rescue his
HIV/AIDS plan from these profiteering zealots?
Steven W. Mosher
President
PRI Weekly Briefing
28 July 2005
Vol. 7 / No. 29
UNAIDS and UNFPA Want More of the Same for Asia
By Joseph A. D'Agostino
For 20 years, a huge amount of resources has been marshaled to combat the
AIDS epidemic worldwide. Condoms, sex education, and gender equality
re-education have been massively deployed in developed and undeveloped
countries alike. The result has been an equally massive explosion in the
spread of HIV and AIDS. But a curious effect of Original Sin is to make
people's minds immune to reality-and sometimes more prone to
self-interested arguments than to the truth-so what do the United Nations
Population Fund (UNFPA), other international agencies, and USAID propose
as the solution? More of the same.
It's just like the recent G8 summit: After 30 years and $50 billion in aid
to corrupt African governments, the situation in most sub-Saharan African
countries is worse than before, so the answer is: More of the same.
This month, UN agencies including the anti-HIV umbrella group UNAIDS
decried the continuing spread of HIV and promised to fight it with more of
the same proven techniques-techniques proven ineffective. Reported UNFPA
on July 6, "The number of people living with HIV has risen in every region
[of the world]. UNAIDS chief Dr. Peter Piot said the deaths and
infections were a testament to the world's failure to get prevention and
treatment to those who need it."
Massive AIDS epidemics used to be confined to extremely poor, extremely
chaotic sub-Saharan Africa. Now, big epidemics are developing in more
affluent, better organized parts of the world. "AIDS is truly a disease
of our globalized world," Piot said. "Whereas until recently AIDS was
largely a problem for sub-Saharan Africa, one out of every four new
infections is occurring in Asia today, and the fastest growing epidemic is
happening in Eastern Europe. The virus is running faster than all of us."
Uganda, with its strong emphasis on abstinence and marital fidelity led by
President Yoweri Museveni and his wife, is the only Third World country to
have greatly reduced its HIV infection rate, from 18% in 1992 to 5-7%
today. The Philippines has had great success in keeping her HIV infection
rate down: Though the first AIDS case in the Philippines was reported in
1984, the same year the first one appeared in Thailand, the adult HIV
infection rate in the Philippines in 2003 was less than 0.1%, one of the
lowest in the world, according to the CIA World Factbook. Even the United
States, with all her massive health care infrastructure and gargantuan
anti-AIDS efforts, has an adult HIV infection rate of 0.6%-six times that
of the Philippines.
In neighboring Thailand, which took the sex ed and condom route, the adult
HIV infection rate was 1.5% in 2003, or at least 15 times higher that the
Philippines despite Thailand's recent and likely temporary success in
reducing her rate. In Cambodia, it was 2.6%. The Asian AIDS epidemic has
reached critical mass and may soon explode.
Though the Philippine example is right there in the Asian region for
international AIDS potentates to see, the Seventh International Congress
on AIDS in Asia and the Pacific-at which Piot spoke-chose to point to
Thailand and Cambodia as models instead, to judge from UNFPA reportage on
the conference. "An estimated 8.2 million people in Asia and the
Pacific-including 5.1 million in India-are living with HIV," said UNFPA
July 6. An astonishingly high proportion of those, 1.2 million people,
were infected just last year. "Epidemics, often driven by drug use and
paid sex, are growing fastest in Indonesia, Nepal, Viet Nam and China,"
said UNFPA. "Cambodia has joined Thailand in reducing HIV prevalence."
UNFPA didn't mention the Philippines, perhaps because of the low incidence
of HIV infection combined with the emphasis that a traditional Catholic
culture puts on chastity. Even UNFPA admits that Filipinos have a very
low rate of condom use. What else can explain HIV's failure to spread
there but abstinence, marital fidelity, and low rates of immoral ,
dangerous behavior?
It's clear what's causing HIV rates to increase among Thai young people.
Sex education and the "relaxed" attitudes towards sexual activity promoted
by it and by contemporary popular culture are killing more and more Thai
youth. Says a July 12 UNFPA report about Thailand, "In the past while
open discussions about sex were taboo, it has been introduced in the
school curricula in 1978, 1981 and more recently has been revised in 2001
within the broader context of reproductive health and sexuality, HIV/AIDS,
safe sex, contraceptive use, pregnancy and parenthood. . . . When compared
with preceding generations, younger people tend to be more permissive in
their outlook towards sex. It is not uncommon that they have more than
one sexual partner either before or after marriage. There is also a clear
trend towards the first sexual encounter occurring at an earlier age
(approximately 14-18 years). . . . Premarital sexual activity,
gender-based violence and alcohol and drug abuse among adolescents have
led to increases in unplanned pregnancies, HIV infection and abortions in
this group."
The authors of the report do not suggest a return to traditional morality
to combat these upward trends in AIDS, illegitimacy, and abortion among
Thai youth. Instead, they recommend more sex ed and condom promotion-the
same things that helped generate these phenomena.
For the record, condoms, even when used by adults, offer little protection
against the HIV virus over time. They offer even less protection in the
hands of teenagers. For pregnancy, their failure rate is 15% per year of
sexual activity. Those aren't good odds when you're trying to avoid a
disease that is 100% fatal.
The United Nations lives in an Orwellian alternate reality in which
"everyone" is at risk of HIV. But how about celibates or faithful married
couples who don't use drugs? These are risk-free categories into which a
lot of people fall.
The UN is also opposed to exerting the kind of social pressure that
encourages safe behavior and promotes stable family life. For example,
the December 2003 UNAIDS/World Health Organization AIDS Epidemic Update
asserts, "Stigma devalues and discredits people, generating shame and
insecurity. In the context of AIDS, it can fuel the urge to scapegoat,
blame and punish certain people (or groups) in order to detract from the
fact that everyone is at risk. . . . It stems from the association of
HIV/AIDS with sex, disease and death, and with behaviours that may be
illegal, forbidden or taboo, such as pre- and extramarital sex, sex work,
sex between men, and injecting drug use. Stigma is harmful, both in
itself (since it can lead to feelings of shame, guilt and isolation of
people living with HIV), and because it prompts people to act in ways that
directly harm others and deny them services or entitlements-actions that
take the form of HIV-related discrimination."
But isn't HIV/AIDS associated with sex, disease, and death? Aren't pre-
and extramarital sex, prostitution, sodomy, and IV drug use the behaviors
almost entirely responsible for the spread of HIV? Apparently, reality
doesn't matter. If thieves and racists can be stigmatized for the harm
they do to society, then why not prostitutes, sodomites and drug addicts?
UNFPA has a plan for the Philippines. This year, it committed $26 million
in family planning money through 2009 to the Catholic nation. Part of
this money will be used to de-stigmatize those dangerous behaviors listed
above, the very stigmatization that has protected the country's
population. Moreover, prominent Filipino politicians are pushing HB 3773
in the Filipino parliament, a bill which would greatly increase sex
education, family planning, and coercive population control efforts by the
national government. That's the plan: Replace a successful model with a
failed one.
Then when an HIV/AIDS epidemic erupts in the Philippines, the UNFPA can
prescribe more of the same.
Joseph A. D'Agostino is Vice President for Communications at the
Population Research Institute.
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