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- THE WEEK, Page 21HEALTH & SCIENCEAfrican Apocalypse
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- AIDS could devastate the crowded continent within 20 years
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- Africa's exploding population is already one of the world's
- great environmental and human disasters, and the problem could
- get much worse in the next few years. Yet when British
- biologists predicted that the number of Africans could actually
- begin to shrink within two decades, the reaction was unalloyed
- horror. The reason for the decline, said the biologists: a
- dramatic increase in deaths due to AIDS. Places like Uganda,
- Rwanda, Malawi and Tanzania, in Central and East Africa, hard
- hit by the epidemic, would be the most severely affected. The
- scientists note that Uganda will have 20 million people within
- 15 years, in contrast to 24 million if the epidemic hadn't
- happened.
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- Though the projections are far gloomier than those issued by
- the World Health Organization and the Harvard School of Public
- Health, they cannot be easily dismissed; the researchers, Roy
- Anderson of the Imperial College of Science and Technology in
- London and Robert May of Oxford, are highly respected. There
- are, however, legitimate questions about the study: for example,
- it presumes a higher level of sexual contact between older
- infected men and younger women than may actually occur. But even
- if it's accurate, some public-health officials would rather not
- know. Such gloomy talk, they fear, will persuade African
- governments to give up on much-needed family-planning programs.
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- In France, more than 1,000 AIDS cases are being attributed
- to four former health officials, one of whom is accused of
- selling blood products that he knew were contaminated for
- transfusion into hemophiliacs. The others are charged with
- failure to use proper blood-screening tests -- largely because
- the tests were developed outside France. Hearings began last
- week, and a verdict is expected by fall.
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