| By Jon Basil
Utley WorldNetDaily.com
Although President Clinton has declared AIDS, particularly in Africa,
to be a national security threat to the U.S., it turns out that
AIDS in Africa -- which doesn't even require an HIV test to diagnose
-- may be a very different condition than AIDS in America.
Evidence shows that "AIDS" in Africa is just a new description
of many age-old diseases common to nations in misery and war with
starvation, wrecked economies and ruined public health services.
HIV tests, essential to any diagnosis of AIDS in the United States,
aren't even given in Africa, except to tiny samples of the population.
For Africa, there is the "Bangui Definition." Decided
upon at a World Health Organization meeting in October, 1985, it's
almost never mentioned in major media alarms about exploding AIDS
cases.
The meeting was organized by an official of the Centers for Disease
Control in Atlanta, Joseph McCormick. He explains in his book, "Level
4, Virus Hunters of the CDC," "... no virus tests suited
to widespread use, yet existed. ... We needed a set of guidelines
... The definition has proven useful in areas where no testing is
available."
Indeed, the definition served to explode the number of "AIDS
cases." Panic stories began to abound of entire populations
at risk with 30 or 40 percent rates of infection and "22.5
million victims now infected with HIV." (Boston Globe, Oct.
10, 1999)
To have AIDS, according to the Bengui Definition, the patient must
have two of these three symptoms: "prolonged fevers for a month
or more, weight loss over 10 percent, or prolonged diarrhea,"
combined with any one of several minor symptoms -- chronically swollen
lymph nodes, persistent cough for more than a month, persistent
herpes, itching skin inflammation or several others.
But many of these symptoms show up from other African diseases,
now vastly spread because of the political chaos. Poor sanitation,
poverty, malnutrition and parasitic diseases were always common
and are now endemic. In America, AIDS is a name for 30-odd diseases
found together with a positive test for HIV antibodies. Consequently,
being HIV positive is the requirement for a diagnosis of AIDS in
the U.S.
In addition, there's even a credibility problem with such HIV testing
as it is done. The U.S. Government's CDC report, "HIV, AIDS,
and Reproductive Health," explains on page 99 "the high
rate of false-positive screening tests" and the need for subsequent
confirmatory tests. It also states, "All HIV testing is subject
to error and laboratory workers with less experience have high rates
of false results."
False positive test results with the common HIV ELISA tests can
come from many causes, including pregnancy and diseases endemic
to poverty-stricken Africa, such as malaria, tuberculosis and leprosy.
The Western Blot is a more precise follow-up test, but expensive
and rarely done in Africa.
Test results derived from small, infected groups are extrapolated
to include whole populations in Africa. In 1994, an article in the
Journal of Infectious Diseases concluded that HIV tests were useless
in central Africa because the prevalence of these microbes caused
a 70 percent false positive rate.
Transmission to infants from infected mothers' milk is reportedly
widespread, but can't really be checked until 15 months after birth,
when the infant develops its own antibodies.
There does, however, exist a strict tally of AIDS cases actually
reported to the World Health Organization. The Nov. 26, 1999, "Weekly
Epidemiological Record" reports a cumulative total of 794,444
cases of AIDS in Africa since 1982.
"It's also a money game, and Africans learned to play it,"
says Michael Fumento, author of "The Myth of Heterosexual AIDS"
-- "going to places with high rates and then extrapolating
positive test results over the entire nation, because that's where
the money is. If diseases are diagnosed as traditional, few Westerners
care, but if they are described as AIDS, money and help come flowing
in from Western nations."
For example, tuberculosis deaths have now been reclassified as
AIDS deaths in many African statistical reports. It's the same disease,
but now it qualifies for help.
These facts are amazingly unreported in America. Tom Bethell, Washington
editor of the American Spectator, writes in a recent article titled,
"Inventing an Epidemic," how Newsweek, the New York Times
and other major media write long, learned reports, but somehow never
mention the absence of HIV testing in arriving at infection statistics.
Now South Africa's President, Thabo Mbeki, has raised a political
firestorm by questioning the conventional "wisdom" about
African AIDS -- supposedly infecting 10 percent of South Africa's
population -- and has brought the wrath of the AIDS establishment
upon himself. He argues that African AIDS may not be the same disease
as in the U.S. Mbeki also said he is surprised how people claiming
to be scientists "are determined that scientific discourse
and inquiry should cease, because 'most of the world' is of one
mind."
In questioning the reason for what appears to be gross exaggeration
of AIDS statistics, experts bring up the old legal term of "Cui
bono" -- who benefits? The list is very long.
In money terms, first there is the pharmaceutical industry. If
AIDS in Africa is now a national security threat, as President Clinton
has declared, American money will be appropriated for the very expensive
AIDS drugs to spend in Africa -- billions of dollars of potential
profits. If Washington doesn't appropriate funds, there's the fear
that African nations might buy generic, foreign-made copies of U.S.
drugs.
Then there is the public health establishment. More billions can
go for salaries, offices, staffing, travel and long reports. The
World Health Organization budget has skyrocketed along with African
AIDS statistics. Many public health officials are well meaning,
seeing AIDS fears as the only way to get money to help the misery
afflicting so much of Africa. In America, government AIDS money
is spread far and wide. Federal spending now tops $10 billion and
is increasing yearly even as case loads fall.
One of the most pernicious effects of the scare tactics is the
wish to "prove" that AIDS is a heterosexual disease that
"anybody can get," distracting from its most recognized
form of transmission -- intravenous drug needle sharing and unprotected
anal sex.
As Bethell writes, "The failure of American AIDS to 'explode'
into the general population led the authorities to look for the
phenomenon elsewhere. New AIDS cases in the U.S. began falling before
the introduction of 'protease inhibitor' therapy, and from 1997
to 1998 dropped from about 60,000 to 48,000. Of teenagers diagnosed
in 1998, only 68 were classified as 'heterosexual contact.' Among
women, AIDS diagnoses fell from 13,000 in 1997 to 11,000 in 1998.
... If the very high AIDS spending by the U.S. government is to
be sustained, the emergency would have to be drummed up elsewhere,
... so Africa beckoned."
Also, writes Bethell, the CDC's McCormick was interested in trying
to prove that AIDS was a heterosexual disease, contagious from regular
sex, and claiming, "There's a one to one sex ratio in Zaire."
However, contradicting the highly-publicized "heterosexual"
AIDS infection rates in sub-Saharan Africa, HIV is difficult to
contract. Under normal, healthy conditions, the chances of an infected
man transmitting the virus to an unprotected woman are less then
2 in 1,000, according to the World Bank. And the August 15, 1997,
"American Journal of Epidemiology" reported that male-to-female
transmission of HIV is extremely difficult, requiring on average
one thousand unprotected sexual (non-anal) contacts, and female-to-male
requires on average 8,000.
Although helping alleviate the human misery in Africa is widely
regarded as a worthwhile endeavor for Western nations, it now seems
likely that this help is being engineered by vested interests that
participate, however nobly, in gross distortion of statistics.
WorldNetDaily called the White House AIDS policy director's office
three times, specifying the question about how AIDS statistics were
arrived at without HIV tests. Calls were not returned.
The New York Times public affairs office did send copies of articles
about the scarcity of AIDS testing in Africa, but none of them questioned
the relationship between scarce testing and high numbers of supposed
HIV positive cases.
The Centers for Disease Control in Atlanta referred questions about
African AIDS statistics to UNAIDS, the United Nations AIDS operation.
UNAIDS sent extensive material about AIDS testing methods, but didn't
answer the questions about African AIDS statistics.
Jon Basil Utley, formerly a foreign correspondent in South America
for Knight Ridder newspapers and associate editor of the Times of
the Americas, is the Robert A. Taft Fellow at the Ludwig von Mises
Institute. He has also been a long-time commentator for the Voice
of America.
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