Activists jeered South Africa's health minister on Sunday as a national AIDS conference got under way amid mounting anger at a tepid government response to the disease, which activists say kills 600 South Africans a day.
Protesters holding up signs reading "Save Our Youth, Save Our Future, Treat AIDS Now" heckled Health Minister Manto Tshabalala-Msimang as she opened the conference attended by some 2,500 delegates in the port city of Durban.
PHOTO: AFP
"Shame on you" rang out in the auditorium as the minister -- blamed by AIDS activists for delaying the introduction of life-prolonging anti-retroviral drugs -- said South Africa would set its AIDS policies "without influence from foreign agendas."
"Some say that providing anti-retrovirals is as simple as administering aspirin. Far from the truth," Tshabalala-Msimang said to boos from the audience. "The provision of anti-retroviral drugs in the public health sector is a subject which must be considered soberly, and the government is doing so."
The four-day Durban conference is the first national AIDS meeting in South Africa, which has the single highest AIDS caseload in the world with some 4.7 million people infected.
Economists say the epidemic is a significant threat to the future of the nation, Africa's economic powerhouse, with average life expectancy estimated at just 45 years by 2005.
Critics say South Africa has moved too slowly on HIV/AIDS and the government's refusal to permit public sector hospitals to use anti-retroviral drugs, the only medicines proven effective against AIDS, has stoked anger.
President Thabo Mbeki's government has questioned the drugs as expensive, potentially dangerous and difficult to take, arguing that priority must go to fighting the widespread black poverty that remains nine years after the end of white rule.
Mbeki did not attend Sunday's meeting. But Deputy President Jacob Zuma, who heads the National AIDS Council, repeated that new drug treatments would be introduced -- albeit only when the country was ready for them.
"We need to ensure that the necessary infrastructures are in place," Zuma said.
Peter Piot, head of the UN AIDS body UNAIDS, hinted that South Africa was dangerously out of step with the rest of the world when it came to AIDS treatment policy.
"Throughout the world the debate is not whether to offer anti-retroviral treatment, but how to do it," Piot said in a video address to the meeting. "For heaven's sake, let's not wait until we have the perfect solution."
The Treatment Action Campaign, the nation's biggest activist group, this week backed civil disobedience as a way to force the government's hand, while protesters marched through Durban on Sunday to make their voices heard.
"If they want proof it works, I am proof. I am alive," said 26-year-old Zinhle Thabetha, one of about 100 HIV-positive people getting anti-retroviral treatment through a local non-governmental organization.
Activist anger was further amplified last week when the Medicines Control Council, an independent state regulator, announced it might withdraw temporary approval for Nevirapine, an anti-retroviral drug used to prevent transmission of HIV from mother to child, because it doubted the research used to back up the drug's efficacy.
At Sunday's opening session, scientists said they were flabbergasted regulators would consider removing one of the few medical options available to fight HIV in the country and vowed to fight the decision.
"The AIDS epidemic has been bedeviled by unscientific, irrational, unreasonable and downright perverse attitudes," said Dr. Jerry Coovadia, the conference chairman.
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