[Marxism] An AIDS Skeptic in South Africa Feeds Simmering Doubts

Octob1917 at aol.com Octob1917 at aol.com
Wed Dec 1 10:50:46 MST 2004

Peter Mokaba is a member of Parliament, a senior official in the governing 
party and a fiery orator who rallied a generation of young blacks to the fight 
against apartheid.
But he now has a new, controversial calling: explaining why the world should
stop worrying about South Africa's AIDS epidemic.
"H.I.V.? It doesn't exist," Mr. Mokaba said this week as he settled into his 
honey-colored couch. "The kind of stories that they tell that people are dying 
in droves? It's not true. It's not borne out by any facts.
"Where the science has not proved anything, we cannot allow our people to be 
guinea pigs," he said, outlining his concerns about the AIDS drugs commonly 
used in the West. "Antiretrovirals, they're quite dangerous. They're poison 
"We cannot allow our people to take something so dangerous that it will 
actually exterminate them. However well meaning, the hazards of misplaced 
compassion could lead to genocide."
Mr. Mokaba, 43, has been dismissed as a misguided renegade for promoting AIDS 
theories that have been roundly rejected by the World Health Organization, 
the National Institutes of Health near Washington and scientists and officials 
here and abroad.
Peter Mokaba has incited a controversy by arguing that H.I.V. does not exist 
and AIDS drugs are poisons.
Officials in the governing party, the African National Congress, emphasize 
that Mr. Mokaba was defeated during a debate this month in which the party 
formally accepted "the assumption that H.I.V. causes AIDS." But critics say Mr. 
Mokaba's prominence - and the willingness of the leadership to debate his views - 
leaves little doubt that a small group of politicians still questions the 
basic assumptions about AIDS, even while the disease devastates the country. 
South Africa's AIDS skeptics came to prominence two and a half years ago when 
President Thabo Mbeki mused publicly about the safety of AIDS drugs and 
whether H.I.V. causes AIDS. He withdrew from the debate after critics said he was 
allowing people to assume they could engage in risky sexual behavior by 
suggesting that poverty, more than H.I.V., was the crucial factor in the spread of 
the disease.
But the questions that Mr. Mbeki raised still simmer within the ruling party. 
In its statement released last week, the party referred to the doctors, 
politicians and advocates who were demanding the widespread distribution of AIDS 
drugs as supporters of "pseudoscience."
This month, Mr. Mokaba started to promote his views within the party and 
among its allies in the Communist Party and the trade unions. His campaign has 
stirred a furor here in South Africa, where more people are infected with H.I.V. 
than in any other nation. One in nine South Africans, and one in four adults, 
are believed to be living with H.I.V., government officials say.
Some senior party officials have distanced themselves from Mr. Mokaba, 
emphasizing that South Africa's AIDS programs have been and continue to be based on 
the assumption that H.I.V. causes AIDS. Health officials have hastened to 
point out that the government allocated about $100 million in new spending on 
conventional AIDS programs this year. In recent weeks, former President Nelson 
Mandela and former Archbishop Desmond Tutu have pressed the government to do even 
more and to expand a pilot program that provides AIDS drugs to pregnant women 
infected with H.I.V. to reduce their risk of transmitting the virus to their 
But Mr. Mokaba, the former deputy minister of tourism, says growing numbers 
of people are eager to hear what he has to say. He does not deny that something 
is attacking the immune systems of many South Africans, but he believes it 
might be malnutrition or other common illnesses. He argues that H.I.V. does not 
exist and cannot be spread through sexual intercourse, that AIDS drugs are 
deadly and that the epidemic itself is a fiction created by multinational drug 
companies hoping to boost their profits by forcing poor countries to buy AIDS d
rugs and by financing researchers to terrorize the public with lies about AIDS.
"There's a small minority of very senior people in the party who support the 
dissident view," said Saadiq Kariem, the party's national health secretary, 
who has described Mr. Mokaba's campaign as "irresponsible." 
"The implications of this are enormous and disastrous," said Dr. Kariem, who 
is an epidemiologist. "People have already come to me and said, `If H.I.V. 
doesn't cause AIDS and AIDS isn't sexually transmitted, why am I wearing a 
condom?' "
In the history of South Africa, the white government long abused science to 
oppress the black majority. Apartheid-era scientists developed poisons to kill 
black people and tried to develop drugs to make them sterile. In that climate, 
Mr. Mokaba's argument meets with some acceptance. Even his critics say that 
drug companies have sometimes lowered their standards when testing medicines in 
third world countries.
Such concerns were heightened here this month when the drug company 
Boehringer Ingelheim of Germany announced that it was withdrawing its application to 
market the AIDS drug nevirapine in the United States. The drug, which reduces 
the risk of H.I.V. transmission from mother to child, is an important topic in 
South Africa. A judge has ordered South Africa to distribute nevirapine at 
public hospitals that have adequate staff and expertise. The government is 
appealing the ruling, saying the drug should be tested before it is distributed 
beyond the government's pilot programs.
Nevirapine is still prescribed legally in the United States. But officials at 
the Food and Drug Administration have raised questions about "procedural" 
problems with the data from the drug trial in Uganda, which was completed in 1999.
This week, officials from the National Institutes of Health emphasized that 
they believed nevirapine was safe and effective and that the Food and Drug 
Administration was concerned only about problems with paperwork and documentation 
in the trial. The United Nations and the World Health Organization issued a 
joint statement reiterating that their experts, too, were convinced that 
nevirapine was safe.
"There's no question that the drug works," said John Ring La Montagne, the 
deputy director of the National Institute of Allergy and Infectious Diseases, a 
branch of the National Institutes of Health. "We believe the studies were done 
to extremely high standards."
But the questions raised by the F.D.A. - and the debilitating side effects 
that sometimes accompany the use of AIDS drugs - have fueled worries about the 
safety of nevirapine here.
"I think it's completely explainable," Helen Schneider, director of the 
Center for Health Policy at the University of the Witwatersrand, said of the 
persistent questioning about AIDS. "There's a very recent history of direct 
conspiracy against black people in this country." Besides that, she said, "People 
can't cope. What you're seeing is this enormous struggle to come to terms with 
this problem."
Health officials emphasize that they are still running a conventional AIDS 
program that focuses on preventing the disease, distributing condoms, treating 
opportunistic infections and providing AIDS drugs to pregnant women in the 
pilot sites.
"In a practical way, the debate within the A.N.C. really does not affect what 
we are doing," said Dr. Ayanda Ntsaluba, the director general of South 
Africa's Department of Health.
"I would have been more concerned if I got the impression that we were being 
diverted from the current program at government," Dr. Ntsaluba said. "But a 
conscious decision has been taken to prioritize these programs, whatever debates 
are going on."
Smuts Ngonyama, a spokesman for the party, said Mr. Mokaba speaks for 
himself, not the party, although many members share his concerns about the safety of 
AIDS drugs. Mr. Ngonyama said he could not stop Mr. Mokaba from promoting his 
ideas, even though some people believe he is damaging the party's reputation.
"How can you have a situation where you must ban ideas?" Mr. Ngonyama said. 
"We are coming from a situation in this country where organizations were 
banned, newspapers were banned, people were banned. Are we returning to that stage 
Mr. Mokaba said he supported the government's decision to promote condoms 
because they prevent sexually transmitted diseases. But he said he would continue 
to spread his message despite the cries of outrage from his critics.
"Always when the truth emerges, there are people who doubt," Mr. Mokabasaid. 

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