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MBEKI’s MUDDLE South Africa’s Aids Debate


 

Durban, South Africa: What was Mbeki going to say? That’s what the press and

the crowd packed into the Kingsmead Cricket stadium were buzzing about as they

waited May 9th under an African sky threatening rain for South Africa’s second

democratically elected President Thabo Mbeki to address the opening ceremony

of the 13th international AIDs conference.

The ten thousand strong AIDS ‘community" had been outraged by

earlier comments attributed to the Head of State now hosting the first world

AIDS meeting ever held in a non western country. Was Mbeki with them or

against them? It was a question that grew out of a simmering controversy that

began month earlier when the South African President spent a few nights

conducting personal research on the Internet. It led him to the views of a

handful of dissident doctors and researchers who had been challenging the

conventional scientific wisdom about the origins of the AIDS virus for years.

He quickly began wondering aloud if South Africa’s AIDS fighting program

was on the right track. Staring down the barrel of drug costs that could

bankrupt his treasury and plans for economic development, he provoked a debate

about the proper strategies to pursue that is still reverberating globally.

Critics quickly elevated his stance into a heresy after he invited some

of those dissidents to take part in a presidential advisory panel (which also

included many mainstream researcher.) The 30 member group was charged with

investigating some critical issues, including the accuracy of Aids tests, the

safety of certain highly toxic anti-viral drugs like AZT which has been

relatively effective in blocking transmission of the disease from mother to

child, and the charged issue of what causes AIDS. Does HIV lead to Aids, as

most scientists insist, or are there other causes and contributing factors? It

will make its report at the end of the year.

Mbeki never openly denied an HIV-Aids link but his aggressively inquiring

attitude appeared to many as if he that’s what he was doing. Such questioning

was viewed as a distratcion, evidence that he was in denial about an infection

that the UN says is present in ten percent of the country’s population, or

some 4.2 million people, more than in any other comparable country.

For daring to challenge the consensus, Mbeki fell, in the words of a high

level White House AIDs official I spoke with, "off the program."

Soon he turned into a pariah and subject for ridicule in the world press,

trashed by 60 Minutes in the US and criticized by one of South Africa’s

leading intellectuals Dr. Mamphela Ramphele for "irresponsibility

bordering on criminality."

5000 researchers and scientists world-wide issued a "Durban

Declaration" to rebuke him, insisting that that HIV causes Aids, full

stop. End of story. His defensive press secretary dismissed their statement as

fit for the "dustbin." Local political pressure was then brought to

bear on those behind the declaration to cancel a planned press conference that

could turn embarrassing. Feelings polarized. Over coffee in my hotel, an HIV

positive ACT UP militant from Brooklyn New York snarled, "Mbeki should be

impeached and arrested."

Later he would join a small chorus of activists who booed and chanted at

the President when he was introduced as part of a televised gala extravaganza

that included a stage show, musical numbers, dance routines, scores of African

drummers, and fireworks that rivaled what I had just seen in New York on July

4th.

I have known and respected Thabo Mbeki for over thirty years. I have

reported on him as an ambitious but pragmatic politician more comfortable in

the mainstream than the margins. He never was a bomb thrower of any kind, and

has been a centrist, not a leftist. His whole career has been marked by consensus

building, and not making waves. I think he is sincere and brave to pursue his

inquiry and stand by his views. At the same time, he is obviously on the

defensive and seemingly unable to understand why he is loosing sympathizers

like myself on this issue, who thought he was being picked on unfairly until I

came here.

I had last seen him at his own inauguration in South Africa a year

earlier. (I was one of his least well visible foreign guests; Libya’s Khadaffi

was the best known.) At that time he spoke of his hopes for an African

Renaissance after being elected by a bigger majority than the one that one

that put Nelson Mandela into power five years earlier. The event was a

celebration of a peaceful transition of power, a sign that a new well educated

generation had taken over. Mbeki had been the darling of South Africa’s

business community for years, a champion of the type of neo-liberal economics

that pleases cheerleaders for globalization. A close friend of the Clinton

Administration, Mbeki was considered a man "we" could work with.

After laboring for years in Mandela’s shadows, it was now his turn at

bat.

But this AIDS controversy threatens to shred an image carefully woven

over decades in exile and at the top levels of the ANC command. Unlike

Mandela, the global icon whose charisma could often be mesmerizing, Mbeki is

given to more studied scholarly pronouncements. Where Mandela combined moral

appeals with legalistic precision, Mbeki is more the pipe smoking

intellectual, known for tough strategic thinking and hard line backroom

political horse-trading. More importantly, whereas Mandela , a tall man, was

known for bringing people together, Mbeki, a far shorter one, now seems to be

driving them apart.

Why? He has never been known as leader led by emotions, ideologies, or

irrationality. His successes in the past were due to his unfailing ability to

size up a situation, and neutralize potential enemies.

But on this issue, at least, he seems to have blown it-and for reasons

that are still being hotly debated and speculated upon. At an event aimed at

breaking "the silence" this President stirred a noisy debate not

about AIDS but about his own ideas.

When Mbeki bounded to the stage the crowd hushed, not sure of what to

expect. Even ACT UP quieted down. But those who wanted him to disavow his

earlier concerns would soon be disappointed.

First, he welcomed the delegates and acknowledged the Conference’s

importance. But then, when he appealed for tolerance for other points of view,

he was talking , unmistakably, about his own. "The question which I and

the Government raised was akin to criminal and genocidal misconduct," he

complained. He assured the delegates and those watching at home that South

Africa is deeply concerned with HIV/AIDS and is committed to ‘a national

action plan,’ a plan incidentally premised on the assumption that HIV is a

cause of AIDS. He certainly was not in denial nor oblivious to the issue.

He acknowledged the health catastrophe facing Africa. But then took a

turn that left sections of the audience stunned. Instead of focusing on AIDS,

he delivered a lecture calling poverty Africa’s biggest killer. "We

cannot blame everything on a single virus," he said. "Poverty is the

underlying cause of reduced life expectancy, handicap, disability, starvation,

mental illness, suicide, family disintegration and substance abuse."

Quoting the World Health Organization, he argued that disparities in

wealth in the world was behind Africa’s affliction as that region of the world

suffering the most with an estimated 23 plus million people targeted for

death. He refused to buy the idea that a single virus with a single cause

could be responsible for the high number of deaths attributed to AIDS.

Poverty, and the diseases and malnutrition that accompany it is the world’s

biggest killer, he argued, and has rendered the continent so susceptible. The

endemic poverty feeds the AIDS pandemic, he said, weakening individual immune

systems on the one hand, and then making it impossible for countries such as

his to afford expensive anti-viral drug therapies now used widely in the West.

He is not totally wrong on these points, nor is this a new issue for him.

I remember covering Mbeki when he keynoted a conference on the grinding

poverty in South Africa ten years ago at Duke University. He was there to

endorse a well documented study by Mamphela Rampele and others showing how

deadly economic gaps in South Africa were the source of national misery and

Apartheid’s principal legacy. Yet today, poverty expert Dr. Rampele is on one

side of the AIDS debate here, Mbeki on the other.

He is not wrong in his desire to explore all options to fight AIDS, to

insure affordable drugs and an approach that recognizes the social and

economic nature of a crisis that can be solved just with the magic of

medicine. Pioneering Aids scholars like Jonathan Mann had made that point

clearly in his seminal writings. The deprivation of human rights and the

marginalization of people has helped fuel this global public health emergency.

As Albina du Bosrouvray, a philanthropist behind the FXB foundation, once

active in backing Mann and now supporting projects to help AIDS orphans, put

it in op-ed in a Durban newspaper " an overdue discussion about the

global dangers of the HIV-AIDS pandemic is slowly emerging."

The speech-however valid many of its observation may be-went over like a

lead balloon. "I was hoping and praying that he would find a way to

gracefully back out of this madness, " African American AIDS activist

Phil Watson told the Mercury, a local paper. "The House is on fire, and

Mr. Mbeki is sitting around trying to decide whether it was started by a

lighter or a match. He talks about a plan. He doesn’t talk about action."

The next day, an eloquent response was heard from Conference keynoter,

South African judge Edwin Cameron, himself HIV positive, who lashed out at the

President for creating "an air of unbelief amongst scientists, confusion

amongst those at risk of HIV and consternation amongst Aids workers." He

blasted Mbeki’s government for not doing enough to treat and support those

suffering from AIDS. Five thousand babies a day, he charged, are born

"unnecessarily" with HIV because of the government’s refuse to

provide drug interventions.

Mbeki’s response to this furor was to play it down and reiterate that

vigorous debate is good. "After15 years, we’ve still no solution. Nobody

has come up with a cure, so I think it is important that everyone should be

listened to," he said.

This flap reminded me of an earlier episode in South African history,

also involving a speech by a South African President in Durban. It involved

Mbeki’s long time enemy PW Botha who also had come to this city on the Indian

ocean to deliver a highly anticipated speech back in l989, when he was

expected to end apartheid with a ‘crossing of the Rubicon’ address. Botha blew

it then too, refusing to satisfy world opinion. He was later ousted by members

of his own party.

Thabo Mbeki is also alienating many of his own supporters by his

peculiarly intellectualized approach. Hours before his speech, a march led by

AIDs sufferers in the streets of Durban demanded access to treatment from the

government and lower drug prices from the giant pharmaceutical companies.

Mbeki was criticized openly in a fiery speech by Winnie Mandela-Matsikela who

is a fellow member of the ANC and a member or Parliament. People who spent

decades marching against white governments were now marching against a black

led one they elected.

This fight over AIDS issues mirrors other cleavages and discontents in

South Africa. Whatever honeymoon the ANC may have enjoyed under Mandela is

long gone. There is anger and resentments about unchanging realities, a

slumping economy and government that says many of the right things but has

serious problems delivering services.

There are also intriguing and contradictory theories that purport to

explain Mbeki’s stance. He is an Africanist, some say, contemptuous of being

told what to do by arrogant white westerners who have so failed to stop the

pandemic. He is just stubborn, say others, unwilling to concede his errors.

Still others argue that Mbeki will bankrupt his country if he starts importing

drugs that are so expensive to purchase and perhaps even impossible to

administer, given the poor health infrastructure and so is right to look for

alternatives.

There is even a rumor that he himself is HIV positive but is in denial,

unwilling to say so. Finally, there were suggestions that his stance is

actually a brilliant tactic to force pharmaceutical prices to come down or

even to insist that local companies, in which the ANC has an interest, to get

the lucrative business. There is no proof for any of these suppositions but

many have been swirling around the conference.

Mbeki, bewildered by the anger and lack of tolerance shown by his

critics., also seems unable to come up with a populist program for linking

health and human rights and inspiring a people who are dying in droves.

Paying lip service to the AIDS crisis won’t save lives or help South

Africans cope with an intensifying epidemic or the AIDS orphans crisis which

is just building steam.

Thabo: come out of your bunker and dialogue with your critics the way you

did so brilliantly years ago with the white power structure. The posturing and

polemics about AIDS on all sides is not helpful to you, South Africa, or the

world.

Danny

Schechter, editor of mediachannel.org, produced the South Africa

Now public television TV series years ago and directed five documentary

films about South Africa. He is the author of the newly published News

Dissector (electronpress.com)

 

 

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