BMJ 2002;324:1034 ( 27 April )

Letters

Global voices on HIV/AIDS

    Unfairness of social and economic structures affect AIDS in Africa
    We all have AIDS
    Pasteurised human breast milk should be considered
    Heterosexual transmission of HIV in Africa is no higher than anywhere else
    Important facts about global fund were missed

Unfairness of social and economic structures affect AIDS in Africa

The first 150 words of the full text of this article appear below.

EDITORThe fact that health is fragile and determined less by health services than by the relative fairness of social and economic structures was missing from the debate on global AIDS.¹ Sub-Saharan Africa contains 10% of the world's population and bears 70% of the global burden of HIV/AIDS. It also exists on 1% of the global economy and, with the recent economic slump, this figure is falling. In January Zambia heard that the mining group AngloAmerican is pulling out of copper production (which accounts for 75% of the country's export earnings). The mines are likely to close in the next 10 months, putting 9500 miners and 1600 other workers out of work. These men will migrate in search of new workone of the many social factors contributing to the epidemic.

HIV has gained the biggest foothold in poor countries with rising unemployment and declining health and educational services. Over the past . . . [Full text of this article]

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