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“The only thing necessary for these diseases to the triumph is for good people and governments to do nothing.”

Socio-Economic Issues

Main topics can be found within the left column; sub-topics and/or research reports can be found near the bottom of this page.  Thank you

    
     

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The combination of both HIV/AIDS and Hepatitis C (these diseases) will eventually change the structure of families to the way governments conduct business. With these diseases (they) are causing a reduction in the work force and resulting in a massive brain drain for current and future generations. As more people become ill with either disease, they become less productive and their economic resources are spent on medical care. Because they are only focusing on basic needs (shelter, food, and medicine) they are not purchasing non-essential or luxury goods and services. This change in purchases causes a dramatic change in the economic structure of their respective society. The resulting effect on non-infected people will be that they will have to pay more money for goods and services, and will have to pay higher taxes if they want the government to maintain the same level of services as it did in the past.

A report from the CIA states that these diseases will have:

·                     A destabilizing Political and Security Impact- In our view, the infectious disease burden will add to political instability and slow democratic development in Sub-Saharan Africa, parts of Asia, and the former Soviet Union, while also increasing political tensions in and among some developed countries.

·                     The severe social and economic impact of infectious diseases and the infiltration of these diseases into the ruling political and military elites and middle classes of developing countries are likely to intensify the struggle for political power to control scarce state resources. This will hamper the development of a civil society and other underpinnings of democracy and will increase pressure on democratic transitions in regions such as the FSU and Sub-Saharan Africa where the infectious disease burden will add to economic misery and political polarization.

·                     Family Structure. The degradation of nuclear and extended families across all classes will produce severe social and economic dislocations with political consequences.

·                     Microeconomic Impact-The impact of infectious diseases at the sector and firm level already appears to be substantial and growing and will be reflected eventually in higher GDP losses, especially in the more advanced developing countries with specialized work force needs.

·                     Threats to Deployed Military Forces--Deployed US military forces have historically experienced higher rates of hospital admission from infectious diseases than from battlefield combat and noncombatant injuries. In addition to disease transmission between deployed troops and indigenous populations, warfare-related social disruption often creates refugees and internally displaced persons that can pass infections along to US military forces. Allied coalition forces may themselves bring infectious diseases into an area for the first time and transmit them to US forces and the indigenous population.

ADDITIONAL ARTICLES:

Document Name & Link to Document Description File Size /pdf

10-yr. Strategy for increasing Capital Flows to Africa

Africa’s economic isolation has deep implications for world stability, commerce, and indeed, humanity

501 kb pdf

2000--US Census Status and Trends of HIV Epidemic

A team of internationally recognized technical specialists in epidemiology, modelling, economics, demography, public health, and international development was formed to monitor the dynamics of the HIV/AIDS pandemic and various regional epidemics

 

2004 World Population Data Sheet

Looking at the trend over that period, 14 African countries are estimated to have had a decline in their HIV/AIDS prevalence, led by Kenya and Uganda. In contrast, 24 African countries are believed to have shown either no decrease or a rise in HIV/AIDS prevalence.

 

O6 AIDS epidemic Update

(Large report, increase download time)

 

Promising developments have been seen in recent years in global efforts to address the AIDS epidemic, including increased access to effective treatment and prevention programmes. However, the number of people living with HIV continues to grow, as does the number of deaths due to AIDS. A total of 39.5 million [34.1 million–47.1 million] people were living with HIV in 2006—2.6 million more than in 2004. This figure includes the estimated 4.3 million [3.6 million–6.6 million] adults and children who were newly infected with HIV in 2006, which is about 400 000 more than in 2004. Pdf 2245 kb
A REVIEW OF SOCIAL SCIENCE RESEARCH ON HIV/AIDS In studying economic and political settings connected with high prevalence of HIV/AIDS, social scientists have come to the conclusion that there is a clear link between levels of HIV/AIDS and poverty throughout the world. Whilst an impressive amount of research has been undertaken to study the impact of the epidemic, less has been achieved in mitigating its effects of deepening poverty and the rolling back of development gains.  
A Spatially Explicit Modelling Approach to Socio-economic Development in South Africa South Africa finds itself at a development cross road: optimism for ‘high road’ development is bisected by a wasteland of poverty and overpopulation. Intervention policies are largely ‘faith-based’, even in the face of rising uncertainties surrounding population growth, HIV/Aids and resource availability.  Added to this are the complexities of disparate spatial development and social scenarios, mass urbanization and immigration. Pdf 223 kb
Addressing the HIV/AIDS Pandemic
At the dawn of the new millennium, there are few threats more 
dangerous to mankind than the global HIV/AIDS pandemic. 
Infecting 40 million people and already accounting for 25 million 
deaths, it could well become the worst health crisis in modern 
history. While centered today in sub-Saharan Africa, it is 
spreading rapidly in India, China, Central Asia, and Russia.

 

 
Adolescents through the Lifecourse: Variation in Cultures of Sexuality and Risk in Rural South Africa Within the context of South Africa’s severe HIV epidemic, young people face a disproportionate risk.  With more than 10% of those aged 15-24 infected, the epidemic impacts heavily on this age group.  Factors associated with heightened sexual risk in young people include women having an older partner, multiple partnerships, especially for men, and inconsistent condom use. Pdf 194 kb
Adult Mortality in the Era of HIV/AIDS: Sub-Saharan Africa The strong age-specific impact of HIV on mortality is reshaping the population structure of African countries with substantial epidemics.  The survival of adults in the worst effected countries is substantially reduced which will eventually depopulate certain tiers of the age pyramid, reducing the number of adults available to reproduce, and this together with the impact of HIV on fertility itself, will substantially alter the age distribution of severely impacted African populations for many decades to come Pdf 611 kb
African AIDS: Impacts of Globalization, Pharmaceutical Apartheid, and Treatment Activism Worldwide, but especially in Africa, a disproportionate number of infections occur in late teenage and young adult years.  Although HIV/AIDS in African affects both men and women, women how have a higher overall infection rate than men, and women contract the virus at a munch younger age, 5-10 years earlier, because of numerous co-factors, including cross-age sex between younger teenage women and older, already infected men, the effects of young age and STD’s on vaginal susceptibility to viral transmission, and lack of power of younger women to negotiate safer sex practices. 385 kb pdf
Africa: The Socio-Economic Impact of HIV/AIDS It is at the level of the family and community that the fullest impacts of the HIV pandemic is unraveling.  One such ramification is AIDS related poverty among households.  Across the African continent, the most vulnerable people are the most economically active.  As these active people die, families are struggling to cope not just emotionally, but also economically.  Poverty is increasing as bread-winners die and scarce savings are utilized in the period of ill health.  As savings dwindle, families begin to fragment economically.  One implication of this fragmentation of families is the rising numbers of orphan children on our continent. Pdf 1104 kb

African Microenterprise AIDS Initiative- Preventing the spread of HIV/AIDS by empowering women in Africa

Disadvantaged African women require both economic empowerment and HIV/AIDS education to significantly reduce their susceptibility to the HIV virus.  Their lack of resources and understanding constrains them to high-risk sexual behavior

 

Age and AIDS: a Lethal Mix for South Africa’s Crime Rate Barring a miracle whereby an inexpensive cure is found for AIDS, the coming decades will be harsh on South Africa.  AIDS will decimate the country’s pool of young workers, and place substantial pressure on an already overburdened public health system.  Decreasing levels of productivity and a reduction in the country’s gross national product will follow.  The disease is also hitting South Africa at the worst possible time when the number of juveniles as a proportion of the general population will be at a high point.  This, and the resulting surge in the number of orphans, will create a sustained upward pressure on crime rates throughout the country 173 kb pdf

Agriculture & AIDS

the Ministries of Agriculture generally continue to consider HIV/AIDS as a health issue and do not perceive that the spread of the epidemics in rural populations is linked to their vulnerability resulting in part from a failure in development. It is only recently that some MOAs have considered their role in relation to HIV/AIDS and they still see their involvement as implying additional tasks without additional resources

 

AIDS & democracy in South Africa

What are the implications of HIV/AIDS for democracy?  How does democracy affect the spread of HIV/AIDS and the extent of its impacts?  What type of democracy and what type of policies are best suited to responding to this epidemic?

Pdf 184 kb

AIDS & democracy: What do we Know?

It is essential to note from the outset the paucity of substantive data and primary research on the topic of HIV/AIDS and democracy.  The vast majority of sources discussed in this paper are theoretical or conceptual pieces which speculate—with varying degrees of expertise—on the possible, probable, or expected impact of HIV/AIDS on security and democracy, as well as the impact of insecurity and antidemocratic forces on accelerating the spread of HIV, or of democracy and governance on slowing that spread.                                                                         

Pdf 94 kb

AIDS, Economics and Terrorism in Africa After years of denial, there is now little debate about the economic impact of AIDS in countries with high prevalence rates.  AIDS kills people in the most productive years of their lives and leads to dramatic increases in private and public health care spending while tax revenues decline.  Foreign investors are less likely to invest in areas with high HIV prevalence because AIDS decimates human capital and reduces public investment in education. 158 kb pdf
AIDS Erupts as National Security Issue - Epidemics Threaten Russia, China and India Five years ago, the Clinton Administration identified AIDS as a national and global security threat, declaring that it has the potential to destabilize governments. Today, the threat has grown as governments across sub-Saharan Africa teeter on the brink of collapse while those in developed and developing states differ greatly in their reactions to the devastating disease from denial to the suggestion of aggressive action.  
AIDS and Older Persons: The View from Thailand Although little attention has been paid to older adults in the context of the global AIDS epidemic, they not only can contract HIV themselves but, far more commonly, they experience multiple consequences as in their role as parents of younger adults who become ill and die from AIDS.  Older persons also make significant contributions to the well-being of younger adults who suffer from AIDS by playing a major role in care giving to their infected sons and daughters and by assuming the role of foster parents for their grandchildren who are left behind as AIDS orphans emphasizing the consequences for and the contributions by older persons in their role as AIDS parents. 360 kb pdf

AIDS Becoming Youth Epidemic

Young people are increasingly responsible for the spread of HIV/AIDS around the world because of poverty and a severe lack of information and prevention services, the United Nations said Wednesday.
Every 14 seconds a person aged between 15 and 24 is infected with the virus. They now account for half all new cases of the disease, the U.N. Population Fund said in its annual State of the World's Population report

 

AIDS Epidemic Grows Unchecked "AIDS has become the biggest threat to the continentís redevelopment... essential services are being depleted at the same time as state institutions and resources come under greater strain...the risks of social unrest and even socio-political instability should not be underestimated." Eastern Europe and Central Asia, covering much of the area that formed the Soviet Union and its East European satellite countries, has experienced the fastest rise in levels of HIV infection.  

AIDS/HIV Disease and Socio-Culturally Diverse Populations

Culture embodies the values, attitudes, beliefs and practices of a group as well as its roles and structures, communication styles, technology, art, and artifacts. The numbers of reported cases of AIDS/HIV disease are dramatically increasing in some ethnic and minority groups.

 

AIDS: How a Killer Plague Can Be Stopped

The facts about AIDS are overwhelming. The disease is spreading rapidly from country to country. Morgues are working round the clock to keep up with the demand. Millions of orphans are left behind by their dead parents. Cemeteries are filled and overflowing. Coffin makers are running out of wood. Ignorance, superstition and fear abound. Governments are paralyzed by the sheer enormity of the death toll. Medical services are swamped and unable to cope.

 

AIDS Impact Model (AIM) Approach

The toolkit considers the questions (AIDS) and offers some discussion and guidelines for activists determined to increase political commitment for effective HIV/AIDS policies and programs.

774 kb PDF

AIDS impact on children—Lagging Policy response & impact.

The number of the reported cases increased from 2 in 1985 to 56,000 in 1999.  AIDS has become the leading cause of mortality among adults and one of the first in children, and the mortality associated with the disease has reduced life expectancy at birth from 65 years to 55 years in 2000.

Pdf 590 kb

AIDS impact on children—Overview of the Impact & best responses.

This paper reviews the community and public policy interventions introduced so far to moderate the impact of the disease on children and families and discusses the advantages and limitations of such interventions.  The main problem of the measures introduced so far is their nearly exclusive focus on prevention and the health sector.  While this approach is understandable in the early phase of the epidemics, its ability to protect child well-being appears now limited.

Pdf 261 kb

AIDS impact on children—Poverty and AIDS.

AIDS is a very long wave event.  The true death toll cannot be estimated until the full waveform of the epidemic has been seen.  It may be as long as 50 years before we can say that the world epidemic has peaked and/or begun to decline.

Pdf 128 kb

AIDS impact on children—The Current & future impact on children

The impacts infant and child mortality rates will double over 15 years, life expectancy will dramatically decline as more children acquire HIV, millions of orphans will be created as adults die and these children will kept in poverty and be less likely to attend school and receive the normal socialization of childhood.

Pdf 380 kb

AIDS impact on children—Impact of HIV/AIDS on Children: Light and Shadows in the successful case- Uganda

The analyses of the socio-economic impacts of HIV/AIDS on children in Uganda, with specific focus on their health, education and social welfare, and on the current and future policy/program responses in the field of prevention, treatment and mitigation.

Pdf 235 kb

AIDS impact on children—The impact on a Growing HIV/AIDS Epidemic on the Kenyan Children

HIV prevalence in Kenya increased from 5.3 percent in 1990 to 13.5 percent in 2002 with the number of children under 5 years living with HIV growing from 32,000 in 1990 to 106,000 in 2000.

Pdf 81 kb

AIDS impact on children—The socio-economic Impact of HIV/AIDS on children in a Low Prevalence Context

The main features of this adequate policy (in Senegal)  consist of a timely response, an eagerness to anticipate on new developments, the strategic involvement of religious and political leaders, effective STD-control programs, and the construction of strong responses at the community level.

Pdf 92 kb

AIDS in prison-problems, policies presentation

Slide show of the various problems found in a prison system dealing with HIV/AIDS

159 kb PDF

AIDS is cutting African Life Span to 30-year Low

In AIDS-ravaged parts of southern Africa adult mortality is higher than it was 30 years ago, the World Health Organization said Thursday.
 
In 14 African countries, the United Nations agency said in its annual World Health Report, child mortality is higher than it was in 1990, with more than300 children out of every 1,000 born in Sierra Leone dying before the age of 5.

 

AIDS needn't wipe out millions

Should we make Aids a notifiable disease? If so, what do we do with the existing stigma of the disease, fed by ignorance? What will that do to insurance policies and premiums? These are important questions that will need answers.

When the Medical Research Council issued results of a similar study last year and declared that 20% of adult deaths were caused by Aids, the government ordered a new investigation.

Given the stance it has taken at various times about the causes and impact of Aids, it was clear its hope was that Stats SA would produce "better" results.

 

AIDS orphans & vulnerable children An evidence-led response

Power Point Presentation-an evidence-led response

 

AIDS Pandemic reduces Life Expectancy in Africa by 20 years

Life expectancy in some African countries has fallen by 20 years in the past decade, mainly due to the HIV/Aids crisis.

Child and adult mortality rates in more than a dozen sub-Saharan countries have increased in the past 10 years, even as life expectancy in developed countries is improving.

The WHO report uses a simple comparison to highlight the issue: a girl born in Britain today can expect to live to 80.6 years. A girl born in Sierra Leone is unlikely to make it past her 36th birthday.

 

AIDS takes an economic & Social Toll

While wreaking havoc on the present generation, the disease jeopardizes the future as well, undermining African economies and societies in ways that often are not immediately apparent.

 

AIDS takes its toll in infant mortality

Health officials and undertakers this week said that although Aids is not a notifiable disease by law, they believed that most of the 372 babies could have died of Aids-related illnesses.

 

AIDS task team About to Complete its' Work

South Africa also continued to apply itself, despite resistance from some industrialised countries, to securing an appropriate World Trade Organisation (WTO) agreement to facilitate developing countries' access to essential medicines for major health problems including HIV/AIDS, TB and malaria

 

AIDS Threatens SME

The future success of Small and Medium Enterprises (SME) and the livelihood of many South Africans could soon be off the economic radar screen if business fails to deal with the destructive HIV/AIDS threatening the SME.

 

AIDS to Hit Work Force

South Africa's economy will be hard hit in 2003 as hundreds of thousands of HIV-infected workers develop full-blown Aids, and few companies have prepared for this.

 

AIDS, Hunger, Terror Threaten World Security

Warning that the world is living in fearful times and that fear is a bad advisor, he said: "True security must be based on the proven principles of human rights. Some, in fact an increasing number, of states implicitly or explicitly believe that security and a rigorous respect of civil and political liberties are mutually exclusive. But we also have a right to security when faced with the ambitions of states, whether our own or others. We cannot compromise our hard-won human rights to give states a free hand in fighting terrorism.

 

AIDS impact on economy

Macroeconomic research issues: There seems to be a consensus that accurate effects at the macroeconomic level are difficult to ascertain. Various people made suggestions as to how estimates could be improved:

 

Allocating HIV Prevention Resources 2002

The primary goal of HIV prevention is to prevent as many infections as possible. This requires allocating HIV-prevention resources according to cost effectiveness principles: those activities that prevent more infections per dollar are favored over those that prevent fewer. This is not current practice in the United States, where prevention resources from the federal government to the states flow in proportion to reported AIDS cases.

 

An ILO study on the socio-economic impact of HIV on infected persons finds that the HIV-positive face the maximum discrimination within their families

In 2002, ILO (India) initiated a study to understand the socio-economic impact of HIV/AIDS on infected persons and their families, particularly women and children. The findings of this report, which was published recently, are both meaningful and significant because of the sensitivity with which the study was carried out. Conducted in collaboration with the network of people living with HIV/AIDS (PLWHA), the study underlines the adverse economic impact of HIV/AIDS, and the trauma arising from stigma, discrimination and ostracism.

 

Anti-AIDS Effort in Central China Focuses on Former Plasma Donors

The epidemic in Central China took root between the late 1980s and the late-1990s when entrepreneurs paid poor farmers in Henan province for plasma — the liquid portion of blood that provides critical proteins for blood clotting and immunity. The farmers, who were not tested for HIV, hepatitis B, hepatitis C, or other blood-borne infections, gave blood to collection centers, which pooled the blood of several donors of the same blood type, separated the plasma, and injected the remaining red-blood cells back into individual donors to prevent anemia.

 

ASSA AIDS and Demographic Models

(Large report-increased download time)

The Actuarial Society of South Africa (ASSA) felt that it was desirable for people to have access to a non-proprietary programme which users could alter to suit their needs. In 1996, ASSA therefore released the ASSA500 model.

 

Assessing the Value of American Investment in Medical Research

How does a venture capitalist decide where to invest his money? He compares the potential for return against the risk, and when the return appears to be significant and the risk isn't too great, he invests. As our country makes decisions about its future investment in medical research, it might apply a similar standard.

 

An assessment of trends in Child Mortality-Tanzania

Comparing the results of the TRCHS 1999 with the TDHS 1996 suggests that child mortality in Tanzania has increased.  Yet, five-year trends within the TRCHS suggest the opposite.  How should these trends be interpreted?

95 kb pdf

Barcelona Report on HIV prevalence and impact Power Point Presentation with several grafts and diagrams 820 kb
BONELA POLICY PAPER ON HIV/AIDS AND EMPLOYMENT In a broad sense, HIV/AIDS affects the workplace in many aspects: it affects productivity; it can increase business costs, and affect the national economy. Productivity is reduced because of increased absenteeism and low employee morale. Business costs are increased because of increased benefits, increased amounts of sick pay, as well as the cost of replacing workers as others become too sick to work, or die.   

Case Study Executive Summary

 

DCSA established its workplace and community HIV/AIDS project in 2001 to address the increasing financial burden associated with HIV/AIDS. DCSA also decided to provide prevention, care, support and treatment services to employees, their dependants and the community as part of DCSA.s obligation to these stakeholders based on the principles of corporate social responsibility (CSR). This is also an extension of DaimlerChrysler's signing of the UN Global Compact on CSR.  

Causes & Consequences of AIDS.

Presentation of the economic issues of HIV/AIDS in Africa

Pdf 1,119

Challenges associated with increased survival

Increasing numbers of women are being infected with HIV, resulting in substantially higher numbers of infected parents.

174 kb PDF

Changing Burden of Disease in Southern Africa: A brief note on the evidence and implications

As the AIDS epidemic has matured, it has clearly had devastating and appreciable demographic and epidemiological effects. Here, three pieces of evidence are cited which demonstrate that higher levels of HIV transmission result in a qualitative difference in the burden of disease.

 

Childcare & work

This report suggests that interventions to increase the availability of formal day care in poor urban areas have the potential to raise labour-force participation rates of mothers residing in poor neighbourhoods

PDF / 283KB

Children and Armed Conflict

A guide to international humanitarian and human rights laws

233 kb pdf

Chronic Hepatitis C-Epidemiology and Economic Burden

Death rates due to Hepatitis C Virus are expected to increase