20 years ago, HIV/AIDS was a death sentence in Africa. Today, the it is considered by many to be a manageable condition like diabetes, thanks in no small part to an extraordinarily successful U.S. public health initiative.
globally the previous year. Antiretrovirals, or ARVs, had been available in wealthy countries since the mid-1990s."Many hospitals tell people: 'You've got AIDS. We can't help you. Go home and die.' In an age of miraculous medicines, no person should have to hear those words," he said.
"It was saying 'there is a huge problem out there, so where can we make the biggest impact?'" says Salim Abdool Karim, director of the Centre for the AIDS Program of Research in South Africa and one of South Africa's most influential public health leaders. After intense international criticism and aggressive civil society protest and litigation, the government's inaction shifted around the time that PEPFAR launched. It turned into one of theAn unmitigated success story
Public health workers say that the aggressive rollout of testing and treatment helped change the treatment curve. It was also one of the first countries in Africa toBut health workers here say it's no time to get complacent and prevalence rates remain stubbornly high. "Part of the challenge of still seeing new HIV infections is that not everybody is aware of the benefits of treatment," he says.
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