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Education And Debate

The politics of AIDS in South Africa: beyond the controversies

BMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7387.495 (Published 01 March 2003) Cite this as: BMJ 2003;326:495

Rapid Response:

Re: See what one wants...

Nicholas Bennett wrote:

"I wonder though why Mr Tyler quotes from Des Jarlais but omits the
following:

""'We studied CD4 cell counts and percentages from 1984 to 1992 among
1,246 HIV-seronegative injecting drug users in New York City, a population
at very high risk for exposure to bloodborne pathogens. Severe CD4
lymphocytopenia was rare, and there was no evidence of an increase over
time. Of 229 subjects with longitudinal data, only four met the
surveillance definition for "idiopathic CD4 lymphocytopenia" (ICL).'
Hardly glowing evidence of support for the drug-AIDS hypothesis!

"The question dissidents have to answer is why these antibodies so
effectively predict the progression to fulminant immune failure. Why don't
HIV-negative people with the same risk factors have the same immune
decline?"

"Lang et al actually say:

"'The three groups were 37 HIV seroconverters, 304 prevalent HIV
seropositives remaining free of the acquired immunodeficiency syndrome
(AIDS), and 69 men who developed AIDS during observation. Six months
before seroconversion, CD4 levels were similar among HIV seroconverters
and 356 seronegative controls. Within 18 months of seroconversion, mean
CD4 levels fell to the level of the prevalent seropositives at study
entry.'

"I do not think these are very good arguments for the drug-AIDS
hypothesis. Lang et al actually is excellent evidence for HIV infection
leading to immune failure.

"The question dissidents have to answer is why these antibodies so
effectively predict the progression to fulminant immune failure. Why don't
HIV-negative people with the same risk factors have the same immune
decline?"

END OF BENNETT QUOTE

Nicholas Bennett blithely excludes a very important factor that
explains why the Hiv + group's CD4s decline: the tremendous psychological
stress and depression caused by the stigma "Hiv +" itself.

Dr. Matthew Irwin has written:

"Many of the symptoms of AIDS are either directly caused, or made
much worse, by the severe, chronic psychological stress, social isolation,
and negative beliefs created by the diagnosis."

"The [HIV] diagnosis itself can bring about a self-fulfilling
prophecy because of the powerful negative beliefs it creates. Stress,
social isolation, and negative beliefs can create the same type of
immunodeficiency that is commonly blamed on HIV."

"Being diagnosed HIV-positive is perhaps one of the greatest
stressors one can imagine. Not only does it raise the constant and extreme
fear of a relentless deterioration and death, but it also creates a social
isolation that pervades all aspects of people's lives. Social isolation,
alone, has been associated with a 100% to 200% increase in mortality in
several studies. The amount of psychological stress in people diagnosed
HIV positive is likely to be much greater than the stress in the people in
these studies."

"Studies...have shown that severe, chronic stress results in a
syndrome remarkably similar to AIDS...characterized by a reduction of the
number of T-lymphocytes, with special targeting of CD4, helper T cells.
Severe stress has also been linked to...AIDS defining conditions,
including pneumonia, tuberculosis, dementia, wasting, and death. Stress
has been demonstrated...to cause brain damage and neuronal atrophy,
resulting in a dementia that mirrors 'HIV dementia'..."

Preceding from "Aids and the Voodoo Hex," "Problems with Hiv
Science."

Dr. Lawrence Badgley has written:

"T4 white blood cell counts are intimately related to mental focus.
One of my patients was without symptoms and went to another doctor for an
'AIDS test.' The doctor did the test, which was positive, as well as the
T4 helper cell count, which was 494 and normal. Upon learning that his
antibody test was positive, the patient went into a tailspin of depression
and fear. One week later he returned to the doctor because of his anxiety,
and his T4 helper cell count was taken again. After one week of depression
and no other symptoms, his T4 cells count fell over 50% to 234."

"This intimate relationship of the mind and body raises a question
about the true nature of the AIDS epidemic. It is not far-fetched to
postulate that much of the immune system depression among AIDS-test-
positive patients might be the result of doctors telling them that it is
likely they will get AIDS and die. The brain is a giant immune system
gland that operates on hope, joy, and optimism. The gland turns off in
response to mental attitudes of fear and depression."

Preceding from "Healing Aids Naturally"

By pretending the psychological factor doesn't exist, those who
maintain that Hiv causes Aids ignore the self-fulfilling prophecy nature
of the diagnosis. Failing to take this factor into account invalidates a
great deal of "Aids Science." The mind-body connection is real; we are not
just vessels full of chemicals. The drug-Aids hypothesis also ignores this
very strong causative factor. Disease is multifactorial and the mental
component is very powerful.

Competing interests:
None declared

Competing interests: No competing interests

13 April 2005
Marcel Girodian
Writer
US