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Thursday July 22 8:39 AM ET

AIDS Destroys Children's Lives In Africa
Full Coverage
Africa AIDS Epidemic


By Rosalind Russell

NAIROBI (Reuters) - The AIDS epidemic has devastated the lives of children
across Africa leaving eight million as orphans and crushing rates of child
survival, the United Nations children's agency UNICEF said Thursday.

A staggering 48 percent of the world's HIV/AIDS cases are in eastern and
southern Africa, and the virus has overtaken war as the number one killer in
the region, the agency said at the African launch in Nairobi of its annual
``Progress of Nations'' report.

UNICEF's Deputy Executive Director Stephen Lewis told reporters that the
devastation the virus had reaped across Africa was a ``modern incarnation of
Dante's inferno.''

``Never has Africa faced such a plague,'' he said. ``One wonders how the
continent will cope.''

Lewis said AIDS had killed 1.4 million people in the region in 1998 and the
spread of the epidemic was accelerating. By the end of next year, another two
million children would be orphaned and the numbers would continue to rise
exponentially.

The orphans, especially girls, were left shouldering adult responsibilities
such as caring for the sick as well as younger brothers and sisters, and were
vulnerable to abuse, exploitation and malnutrition, the agency said.

Mother-to-child transmission of the HIV virus during pregnancy or through
breastfeeding has eroded all the hard won infant and child survival gains of
the last 20 years, Lewis said.

If the spread of the virus is not contained, AIDS could increase under-five
mortality by more than 100 percent in those regions worst affected by the
disease.

But there are some glimmers of hope.

A new drug, nevirapine, still under trial in Uganda, could cut
mother-to-child transmission rates by up to 50 percent -- at a cost of just
$4 for the full treatment. Other AIDS treatments such as AZT cost hundreds of
dollars and are way beyond the means of most Africans.

Lewis said UNICEF was excited about the implications of nevirapine, which the
agency believed could save millions of lives.

Nevertheless, UNICEF said education rather than new treatments was the only
effective way to halt the spread of the deadly virus.

Lewis urged African leaders to take the lead in breaking the ``conspiracy of
silence'' surrounding the disease in a continent where myth and ignorance
have fuelled its rampant spread.

``The disease must become an obsession among the leadership,'' he said. ``A
leader who fails to speak out against HIV/AIDS fails the people of his
nation.''

He also criticised what he said was a ``massive distortion of priorities'' by
Western governments which had failed to respond to the crisis.

``It is morally indefensible, morally unconscionable, that the West is
prepared to spend upwards of $40 billion to fight a war in the Balkans and
less than one percent of that to save the lives of tens of millions of women
and children in Africa,'' Lewis said.



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