Top Catholics question condom ban 

 By Elisabeth Rosenthal International Herald Tribune 
 Saturday, April 16, 2005



ROME Now that the iron rule of Pope John Paul II over the Catholic Church has 
ended, a number of high-ranking church officials are starting publicly to 
question the Vatican's longstanding prohibition on condoms, in the hopes that 
it can be modulated under a new papacy. 
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The tears of grief and calls for sainthood for John Paul have left scant room 
for mention of his most controversial position: his absolute opposition to the 
use of condoms to prevent the transmission of HIV, a stance that doctors and 
health activists say has led to countless deaths and millions of AIDS orphans 
in Africa and Latin America. 
.
John Paul said that the focus of his papacy was the poor, the outcast, the sick 
- urging the world, just this past February, "to use every means available to 
put an end to this scourge" of AIDS. 
.
But because of his no-condoms policy, AIDS activists will remember him as a man 
who did not live up to this message. A poster of the pope distributed by 
ACT-UP, the AIDS advocacy group, reads simply: "This pope helps spread HIV." 
.
Even if a new pope ushers in changes, no one expects that the Catholic Church 
will alter its theological opposition to contraception. 
.
But, as the pope fell ill and his influence waned, a number of church officials 
began tentatively - but publicly - suggesting that the church should accept 
condoms to stem the spread of AIDS, as a pro-life medical intervention. 
.
"I feel that it is our moral duty to allow condoms under the current 
circumstances, to prevent the transmission of a death-dealing virus," said 
Kevin Dowling, the archbishop of Rustenburg, South Africa, an impoverished 
diocese of miners and poor women who sell their bodies to feed their children, 
where HIV rates in prenatal clinics approach 50 percent. 
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"I stand in a corner with the most disadvantaged and vulnerable people on earth 
and they are being exposed to an appalling risk," the archbishop said in an 
interview this week, after John Paul's funeral. 
.
"I see these young women and their babies, and the desperation and the 
suffering, and I think what would Jesus want? There's no way he could condemn 
someone like this." 
.
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Although the South African Conference of Bishops has already rejected his 
position, he said, "We hope that the cardinals are reflecting now on what kind 
of church we want to be and how we are responding to the problems of the modern 
world. I'm awaiting the first statements of the new pope, whoever it is." 
.
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International health officials, who have long clashed with the church over its 
no-condom policy, say they have seen hints of movement recently. While the 
church preaches abstinence as key to preventing the spread of AIDS, medical 
groups and governments worldwide regard condom use as the only method that 
reliably prevents sexual transmission of the virus. 
.
.
"We are now starting to see a lot of debates about condoms among the clergy," 
said Dr. Peter Piot, head of Unaids, noting that he was "surprised" this 
February to have been invited as the guest of honor at a Vatican conference on 
health care. 
.
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Piot said there was no way to estimate how many people had become infected with 
HIV because of the Catholic prohibition on condom use. 
.
But, he said, "When bishops in Latin America or Africa speak out against 
condoms, that must have a serious negative impact." 
.
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In much of the developing world, Catholic charities and local churches do the 
lion's share of HIV/AIDS work, from medical treatment to hospice care - giving 
the Vatican a powerful forum for its views. 
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Following John Paul's example, Catholic cardinals and bishops have spearheaded 
the worldwide fight against AIDS, promoting sympathy and understanding toward 
victims of the virus - but also repeating the Vatican's conviction that condom 
use is immoral. 
.
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Last year, a prominent cardinal announced that condoms would not prevent AIDS, 
because their pores were large enough to admit the AIDS virus - a statement 
that earned the church harsh criticism from the United Nations because of its 
scientific inaccuracy. 
.
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On the ground, the church has repeatedly advised Catholic charities against 
recommending condom use or distributing condoms, although some have ignored the 
edict. 
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"What happens in practice depends a lot on local authorities," said Dr. Laura 
Ciaffi, HIV adviser to M�decins Sans Fronti�res-Switzerland. 
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"In some places they let us give people the choice, even if they won't 
distribute condoms themselves," she added. "In other places, it is much more 
difficult and patients who are religious won't accept condoms because of the 
message of the church." 
.
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In the past few months, a few prominent Vatican officials have suggested that 
condoms might be acceptable in what theologians called "complex moral 
situations" - for example, when one member of a married couple was HIV positive 
and did not want to transmit the virus to a spouse. 
.
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In an interview with an Italian news agency in February, Cardinal Georges 
Cottier of Switzerland said that "the use of condoms in some situations can be 
considered morally legitimate," particularly to stem the spread of HIV/AIDS in 
Africa. While he repeated the church's stance that condoms should not be used 
as contraception and encourage immoral behavior, he said that the risk of death 
from AIDS was a more important consideration. 
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Similarly, Cardinal Javier Lozano Barrag�n, the Vatican's top health official, 
told the National Catholic Reporter magazine late last year that it might be 
allowable for a woman married to a man with HIV to use condoms "in self 
defense," just as the church found it acceptable to use deadly force to fend 
off an attack. 
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"What seems to be happening is that these practical applications are getting 
more discussion and going on at a higher level," said Brian Johnstone, a 
professor of moral philosophy at the Alfonsian Academy in Rome. 
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"A lot of high-level people are suddenly speaking out, saying that condoms 
could be justified in certain difficult situations." 
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For priests in the field, particularly missionaries in the developing world, 
the church's policy has caused moral dilemmas. In the past, those who dared to 
openly challenge the Vatican suffered public rebuke. 
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In 2000, Father Valeriano Paitoni, a priest who has won numerous awards for his 
two decades of work with HIV/AIDS patients in S�o Paulo, ran afoul of the 
church for publicly confessing that he handed out condoms at his three 
shelters. 
.
He was publicly punished with a "letter of condemnation" by Cardinal Cl�udio 
Hummes, archbishop of that city, who is now a leading contender to replace John 
Paul II. 
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In Rustenburg, South Africa, Dowling has made the policy decision that the 
diocese's huge network of HIV clinics would give people complete counseling - 
including a talk about the virtues of abstinence and faithfulness, but also 
instruction in how and when to use condoms. Church clinics do not provide 
condoms, the bishop said, although they are readily available at caf�s and 
pharmacies in the area. 
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"I'm committed to the church's ideals of abstinence and faithfulness, but the 
ideals we represent don't apply to the current reality here," he said, noting 
that some people "would not or could not" be abstinent. "We decided we at least 
had to give women the chance to choose a lifesaving method." 
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In Italy - where the vast majority of Catholics use contraception - some 
priests are already handing out condoms, trying hard to keep their work under 
the church's radar. 
.

Luigi Ciotti, a Catholic priest, is founder and president of Gruppo Abele, a 
charity that runs drop-in centers for prostitutes and drugs addicts in Turin. 
In 2003, it passed out 6,614 condoms. 
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But when called for an interview, Ciotti's spokeswoman refused, insisting that 
his role as group president was a lay function. 
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"Many priests and bishops live with great perplexity and great anxiety because 
they are immersed in the reality of the AIDS situation," said Father Leonardo 
Zega, a priest in Rome and the former editor of the Famiglia Cristiana, a 
weekly magazine. 
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"The position of the church couldn't change with this pope, but it is a moral 
question that will have to return to the center of debate with his successor." 
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