Books Accuse UNAIDS of Inflating HIV Prevalence Estimates to Increase Donor Funding
August 31, 2007
UNAIDS in two recently published books has "come under stinging attack" and been accused of "allowing politics to trump science in its efforts to combat" HIV/AIDS, AFP/Yahoo! News reports. According to AFP/Yahoo! News, the books have "sparked a wide-ranging debate" among HIV/AIDS advocates about how to fight the spread of the disease and "raised questions about UNAIDS' leadership."
Most experts agree that HIV/AIDS caseload estimates "remain a guess best used to show trends in each country," according to AFP/Yahoo! News. "There is a fine line between deliberately lying with the numbers or using the upper range of estimates that are based on slim assumptions and unrepresentative data," Chin said in an e-mail to Agence France Press. Both Chin and Rao agreed that the debate should focus more on how to spend resources than on the number of people living with HIV/AIDS.
In another recently published book, "The Invisible Cure," Helen Epstein, who studied HIV/AIDS in Africa, wrote that UNAIDS either misunderstood or ignored data in the mid-1990s that showed the practice of having multiple, long-term sexual partners was common in Eastern and Southern Africa and allowed HIV to spread quickly through the region. According to Epstein, rather than encouraging people to be faithful to one partner, UNAIDS focused on condom use and abstinence, which she says was less effective but more politically appealing.
Epstein added that the organization "overblew the prospects" for an HIV epidemic in Asia, where the virus is spread mainly through high-risk groups, whereas in Africa it is spread among the general population. "They got it almost perfectly wrong in some places," she said. Epstein added that UNAIDS previously focused more on potential HIV/AIDS outbreaks in other parts of the world rather than on addressing the disease in the most affected African countries.
Rao said he is concerned that if advocates believe UNAIDS is manipulating data, the agency's reputation and efforts to eradicate the disease could be damaged. "UNAIDS is not saying the data is wrong. It is accepting the data and trying to harmonize the facts," Rao said, adding, "That shows the openness that the organization has got on this issue. And it is prepared to correct its data (and) revise its data based on other sources of information" (Shea, AFP/Yahoo! News, 8/29).
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This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.