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AIDS Between Science and Politics$
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Peter Piot

Print publication date: 2015

Print ISBN-13: 9780231166263

Published to Columbia Scholarship Online: November 2015

DOI: 10.7312/columbia/9780231166263.001.0001

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Hyperendemic HIV in Southern Africa

Hyperendemic HIV in Southern Africa

The Heritage of Apartheid

(p.28) 2 Hyperendemic HIV in Southern Africa
AIDS Between Science and Politics

Peter Piot

, Laurence Garey
Columbia University Press

This chapter begins with a discussion of the severe AIDS epidemic in Southern Africa. The region accounts for over one third of all people living with HIV in the world, and the nine countries with the highest prevalence in the world are in Southern Africa. Given these sobering statistics, as well as a continued high spread of HIV, the situation can be characterized as “hyperendemic.” The remainder of the chapter covers the vulnerability of women to HIV in Southern Africa; the drivers of hyperendemic HIV; the impact of apartheid and its ramifications on current sexual behavior, and hence the spread of HIV; the role of government policy in curbing HIV infection and death; and progress in the AIDS response in Southern Africa.

Keywords:   HIV infection, HIV deaths, Southern Africa, female vulnerability, risk factors, apartheid, hyperendemic HIV, AIDS epidemic, sexual behavior

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