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Looks like the Pope was right: bleak stories behind failed condom campaigns.
Priestly Pugilist & MercatorNet ^ | 2 April 2009 | Chinwuba Iyizoba

Posted on 04/08/2009 11:04:46 AM PDT by Balt

[Some time ago, your PP promised to weigh in on the flap regarding the Pope's comments on condoms which have been widely condemned as backward and stupid by just about everyone in every country. Instead, I'm going to let someone much more personally involved to do so.

But before reading, consider the plight of the Holy Father. His job is to eludidate the teaching of Christ and his Church. It is not in his job description to acomodate the teaching of Christ to the sensibilities of the modern world. At some point, those of us who are Christians have to ask ourselves where our alegiences lie. After all, if Christ had said to himself, "Well, these Jews might be offended if I claim to be Son of God, so I'll backpedal on that for a while so no one is upset," then he wouldn't have been killed and we wouldn't have been saved. If the truth isn't worth dying for, then it's certainly not worth offending people.

Chinwuba Iyizoba, an electrical engineer in Enugu, Nigeria, thinks the Holy Father's comments on condoms—that they are not helpful in the fight against AIDS—are right on, and suggests that rich, elitest white countries should try living in rural Africa for a while before blankenting the continent with condoms. His article, reproduced below with the kind permission of MercatorNet, should be read carefully by every lily white American Protestant who thinks the best thing we can do for the poor is help them not to breed is such unsightly numbers, and who believes the best weapon against disease is to eliminate the sick. —PP]

Sub-Saharan Africa has two-thirds of the world’s HIV/AIDS cases. So you would think that Western journalists and politicians might condescend to ask us what we think about how to fight AIDS. But they haven’t. A pity, because they would have found that many of us support Pope Benedict XVI’s scepticism about the effectiveness of distributing condoms.

A few days ago, The Lancet, a leading British medical journal which regularly pontificates about public health, slammed the Pope for making “a false scientific statement that could be devastating to the health of millions of people”. I wonder if the editor of The Lancet has ever visited rural areas of Nigeria or South Africa. If he did, he would begin to see why fighting AIDS with condoms is like extinguishing a fire with petrol.

First of all, many rural Africans are illiterate and proper use of condoms cannot be relied upon. In any case, many men think that it compromises sexual pleasure. “Would you eat sweets with a wrapper on?” is a common objection.

Secondly, social organisation in rural Africa is quite unlike sedate suburban life in Sussex, or wherever the editor of The Lancet lives. In villages here there is often a low standard of moral behaviour. Men don’t get married but they do want children, so using condoms does not even come into their minds. They sleep with whomever they like until they are very old and need someone to cook for them. A man might be sleeping with six different women in a year. And the women often don’t mind whether a man will marry them or not.

Day to day life is unlike the West. The huts are open and at night there is no electricity to supply light. Anything can happen. Thus rape of children as young as six is not uncommon. As most of these go unreported, the aggressors go scot-free. Even when the rapist is known, nothing much is done.

In South Africa, which has some of the highest rates of AIDS in the continent, researchers claim that half a million women are raped each year. Journalist speak of a “rape epidemic”. More than a quarter of all the females can expect to be raped at least once in their life, even in infancy. Half of the victims are under 18. It is hard to get hard figures, because most attacks go unreported. Tell me, how do you persuade a rapist to use condoms?

If condoms are so effective why is HIV still on the increase in Africa? One factor is certainly that people with condoms are emboldened to take more risks. Part of the counselling of people living with AIDS is “try not to spread it”—in a word, to live abstinence. But before they got the disease they were told “hey, no need to curtail your libido, just use condoms.” If personal control is not achieved before contracting HIV/AIDS it is often impossible afterwards. I overhead a chilling conversation once of a boy planning to sleep with a girl. “What if she has AIDS?” his friend asked. “Well then, I have seven years to live and I will enjoy myself to the limit,” he replied.

There are even more basic obstacles. Many villagers are unschooled and know little about modern science. Poisoning or sorcery is suspected when people fall ill. Western medicine is often seen as a last resort after traditional healers have failed. So doctors find it difficult to explain to HIV/AIDS patients the cause of their illness. It is not uncommon for them to go to their graves with the stubborn belief that an enemy cast a spell on them. The more serious and "treatment defying" an illness is, the more it confirms the malignant power of the sorcerer.

Villages are often cut off from distribution networks for goods and services because of difficult terrain. You can’t jump into your car and make a midnight trip to the pharmacist to buy a packet of condoms. In fact, you might be cut off from condom suppliers for weeks at a time. One doctor related to me a typical example. A youth in a village explained why he did not use condoms with his girl: “well, I had to convince and convince, and when she finally said yes, I could not risk going outside to buy condoms since she might change her mind before I came back.”

And people are not just careless, they are ashamed. Here’s another story from the same doctor. A woman came to him for an antenatal check of her second child (the first was a year old). She discovered that she was HIV positive. She was terrified of what her husband would do to her. The doctors called the husband and tried to break the news gently. To their amazement he told them that he was HIV positive and had been on treatment for over a year—without telling his wife. Why? “Well, someone gave it to me,” he said. Many infected people deliberately spread the disease, thinking; “I can’t be the only one. Since someone gave me the disease, I will give it to someone else.”

Plus, there are other means of transmission of AIDS which are unfamiliar in the West. One treatment you will not find in Cleveland is medical scarification. A traditional healer in a village will make an incision over the affected area to discharge fluid or blood. The healer uses the same implement to cut different people, leading to the spread of HIV/AIDS and other infections. Traditional scarification for aesthetic or cultural reasons also exists and is no more hygienic.

It is true that in rural Africa HIV/AIDS spreads mainly through heterosexual relationships. But it is also transmitted by intravenous drug users. African villagers prefer injected drugs to tablets because, so they think, it is better value for money. So the local chemists (who are seldom trained pharmacists) oblige them. Sometimes they save money by reusing syringes and not swabbing the skin with disinfectant. The resulting infections sometimes create huge abscesses.

The Pan African Health foundation (PAHF), a non-profit HIV/AIDS prevention charity, is building a factory in Nigeria with a capacity of 160 million syringes a year. This will supply 20 percent of Nigeria’s needs and, when fully operational, most of sub-Saharan Africa. Inexplicably, American and British foreign aid agencies which doled out lavish donations for condoms to fight HIV/AIDS were not interested in supporting the foundation. The local state government finally gave some funding.

UNAIDS, the international agency which coordinates research and treatment for AIDS around the world, is a strong supporter of condoms. Its official position is that: “The male latex condom is the single, most efficient, available technology to reduce the sexual transmission of HIV and other sexually transmitted infections.”

Note the stress on the word “technology”. The condom is just a technology. And technology is not much good for changing behaviour.

The West is addicted to technology as a substitute for free will and moral effort. If you eat too much, you get gastric banding surgery. If you’re depressed, you take Prozac. If you’re a smoker, you wear nicotine patches. Here in Africa, this fantasy has collided with the reality of the AIDS crisis. There is no technology to tame sexual desire. There is only self-restraint and faithfulness to your partner. These will eventually rein in AIDS; condoms won’t.

by Chinwuba Iyizoba


TOPICS: Catholic; Current Events; Moral Issues; Religion & Science
KEYWORDS: aids; benedict; catholic; condoms

1 posted on 04/08/2009 11:04:46 AM PDT by Balt
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To: Balt
Well, okay, what's the solution because the Holy Father's appeal to monogamy in marriage and abstinence before marriage is clearly not in sub-Saharan Africa working either?
2 posted on 04/08/2009 11:15:54 AM PDT by meandog (The only "Bush" sounding surname worth a damn belongs to NASCAR's Kurt&Kyle Busch--not GEORGE!)
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To: Balt

BTTT!


3 posted on 04/08/2009 11:28:51 AM PDT by Salvation ( †With God all things are possible.†)
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To: meandog

Yes, it is. There was a post about one country that had advertised the pro-abstinence and pro monogamous theories, and there were much less cases of AIDS.

Don’t remember the name of the thread. Maybe someone else can post the link.


4 posted on 04/08/2009 11:30:55 AM PDT by Salvation ( †With God all things are possible.†)
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To: Balt

Wow! That is one the most well written articles I’ve ever seen.


5 posted on 04/08/2009 11:34:43 AM PDT by GulfBreeze
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To: meandog

Uganda experienced and maintained a tremendous decline in its AIDS and HIV rates with the ABC campaign - abstain, be faithful, condoms, in that order. It is very far from protecting everyone, but it made a bigger difference in part of sub-Saharan Africa than anything else that has ever been tried there.

People being what they are, if you change the risk calculation, behaviour changes too. If there are condoms, some will take a chance that their partner might have HIV. If there are medications that will keep an AIDS patient alive for twenty years, then some will dispense with condoms and some will even “bug-chase.”


6 posted on 04/08/2009 11:37:29 AM PDT by heartwood (Tarheel in exile)
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To: Salvation

AIDS victims in 1987:

Philippines 135 / Thailand 112 -
In 1991 the WHO predicted the Philippines would have 80,000 to 90,000 cases and Thailand 60,000 to 80,000 AIDS victims.

- Thailand promoted the use of condoms in massive campaigns

- Catholic Philippines promoted ‘Abstinence’ and ‘Be faithful’.

- The prognosis of the WHO was wrong for both countries:

1999: Philippines 1,005 / Thailand 755,000 AIDS victims Source: British Medical Journal, volume 328, April 10th 2004
http://www.bmj.com/cgi/content/extract/328/7444/891 http://www.splendoroftruth.com/curtjester/archives/2009/03/pope-still-cath.php

Current (2007) statistics:

Phillipines: (abstinence promoted) Population 91.4 Million

HIV/AIDS sufferers = 8,300 2007 AIDS Deaths = less than 200

Thailand: (condoms promoted) Population = 66.1 Million

HIV/AIDS sufferers = 610,000 2007 AIDS Deaths = 30,000 Source: HIV Insite operated by UCSF

Also see United Nations Site: http://www.unaids.org/en/CountryResponses/Countries/philippines.asp http://www.unaids.org/en/CountryResponses/Countries/thailand.asp
http://www.freerepublic.com/focus/religion/2224293/posts?page=13


7 posted on 04/08/2009 11:44:43 AM PDT by chase19
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To: chase19

September 29, 2003
The White House Initiative to Combat AIDS: Learning from Uganda
by Joseph Loconte
Backgrounder #1692

[...]

The ABC Model

The Bush Administration is basing its AIDS initiative on the success of Uganda, which has experienced the greatest decline in HIV prevalence of any country in the world.2 Studies show that from 1991 to 2001, HIV infection rates in Uganda declined from about 15 percent to 5 percent. Among pregnant women in Kampala, the capital of Uganda, HIV prevalence dropped from a high of approximately 30 percent to 10 percent over the same period.3 How did Uganda do it?

The best evidence suggests that the crucial factor was a national campaign to discourage risky sexual behaviors that contribute to the spread of the disease. Beginning in the mid-1980s, the Ugandan government, working closely with community and faith-based organizations, delivered a consistent AIDS prevention message: Abstain from sex until marriage, Be faithful to your partner, or use Condoms if abstinence and fidelity are not practiced.

The link between Uganda’s “ABC” approach and the dramatic reduction in the country’s HIV/AIDS rate is now widely acknowledged. Based on research data collected over the past decade, several lessons can be drawn from the success of Uganda’s strategy:

* High-risk sexual behaviors can be discouraged and replaced by healthier lifestyles.

* Abstinence and marital fidelity appear to be the most important factors in preventing the spread of HIV/AIDS.

* Condoms do not play the primary role in reducing HIV/AIDS transmission.

* Religious organizations are crucial participants in the fight against AIDS.

The White House correctly insists on basing U.S. AIDS policy on these lessons and the best available research about effective prevention and treatment programs. “The Ugandan model has the most to teach the rest of the world,” says Edward Green, a senior research scientist at Harvard and author of Rethinking AIDS Prevention. “This policy should guide the development of programs in Africa and the Caribbean funded under the President’s initiative.”4 Jeff Spieler, chief of the research division in the U.S. Agency for International Development (USAID) population office, states, “It just happens to be where the evidence is pointing.”5
Contin:
http://www.heritage.org/Research/Africa/BG1692.cfm


8 posted on 04/08/2009 11:50:56 AM PDT by chase19
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To: meandog
...Holy Father's appeal to monogamy in marriage and abstinence before marriage is clearly not in sub-Saharan Africa working either?

It works whenever it is tried.

9 posted on 04/08/2009 11:52:22 AM PDT by Petronski (For the next few years, Gethsemane will not be marginal. We will know that garden. -- Cdl. Stafford)
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To: Balt

Excellent article. Thanks.


10 posted on 04/08/2009 12:05:25 PM PDT by chase19
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To: Balt; chase19

Excellent post and follow-up. Even without the statistical data to support the Pope’s teaching, it should be self evident to all regarding our own obligations to promote a culture of life and salvation. I have never liked the relativsts argument that condom and sex ed are necessary because ‘they’ (whoever they is at any given time...teenagers, homosexuals, minorities, etc) are going to do it anyway.


11 posted on 04/08/2009 12:49:01 PM PDT by cthemfly25
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To: chase19
Ghastly. Thanks for looking that up.

I've seen speculation that Western AIDS activists have been taking lessons from epidemics in homosexual areas and among prostitutes, despite their inapplicability to heterosexual HIV spread in Africa.

Since gay activists dominate AIDS prevention advocacy, their zealous ideology is hard to shake.

12 posted on 04/08/2009 3:32:48 PM PDT by Dumb_Ox (http://kevinjjones.blogspot.com)
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