By Gerald M. Oppenheimer
On April twenty seventh, 1994, the folks of South Africa voted of their first democratic election, bringing down the curtain on forty six years of Apartheid. yet, on the very second of transition, the seeds of a grave epidemic had already been sown. AIDS has indelibly marked the period because the Apartheid's finish, exacting an important toll on South Africa's Black neighborhood. because the epidemic's onset, extra thean a million males, girls and youngsters have died. Shattered goals? is an oral historical past of ways physicians and nurses in South Africa struggled to journey the tiger of the world's so much catastrophic AIDS epidemic. in accordance with interviews - not just from the nice city centres of Johannesburg, Cape city and Durban - yet from provincial centres and rural villages, this booklet captures the adventure of wellbeing and fitness care staff as they faced indifference from colleagues, competition from superiors, unforeseen resistance from the country's political leaders, and fabric shortage that was once either the legacy of Apartheid and a outcome of the worldwide strength of the foreign pharmaceutical undefined. In 2003, after years of sour debate and protracted agitation at the a part of therapy activists, the nationwide govt dedicated itself to creating anti-retroviral medications to be had to these whose lives hung within the stability. Now halting rollout of drug therapy has all started, it really is extra the most important than ever to trap the studies of these who, as caregivers, were witness to the unfolding South African epidemic and who're now capable of supply those new drugs to a small yet becoming variety of their sufferers.
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Extra info for Shattered Dreams? An Oral History of the South African AIDS Epidemic
Sample text
The dominant Afrikaner culture was deeply conservative and religious. Homosexuality was viewed as sinful and as threatening to the moral fiber of the society the National Party sought to build. Under the common law in South Africa, homosexual activity between men was illicit, always subject to harassment by the police. ’’6 In the wake of that legislation, gays adopted protective maneuvers to avoid arrest. Dennis Sifris, a gay doctor and early AIDS treater in Johannesburg and, like Miller and Johnson, a private practitioner today, recalled that era, a time when he was still in his 20s.
He noted: We were at least able to offer AZT to our patients who could afford it, because there was a big social mix. Then the hospital decided that the hemophiliacs who were innocent victims of this epidemic would get AZT. So I reacted to that. Why are the hemophiliacs getting AZT free when my patients are not? Outraged, Sifris gave an interview which made clear his dismay at the discriminatory hospital policies. ’’ Shortly thereafter, Sifris resigned. The Forgotten Epidemic 41 His place was taken by Miller, who faced a similar battle.
30 Ironically, just as amnesia would set in regarding the gay AIDS epidemic in South Africa, these dire and alarming predictions would be all but forgotten by those who took up the burden of AIDS treatment in the mid- and late 1990s. 2 Facing AIDS Denial, Indifference, and Fear First Signs The second South African epidemic emerged slowly, like water seeping languidly to the surface. Raziya Bobat, a pediatrician born in Durban in 1954 and trained in its ‘‘nonwhite’’ medical school, encountered her first AIDS patient in 1987 at King Edward VIII Hospital at about the same time as the first Black cases appeared in the Transvaal.
