Every year since 1988, December 1 has been a day for the world to remember those who have been infected, affected, and fallen by HIV/AIDS. Our church remembers this day on the first Sunday of December. Moses, our youth pastor from Uganda, spoke on this topic on Sunday, and we were flooded with statistics galore. You've probably heard a lot of these statistics...seen them on the news, read about them in Time magazine, CNN, etc. Statistics are just that...numbers. It's good to have statistics, but statistics don't tell the stories. People do that. But they are still compelling. Here's a few statistics that Moses shared with us...
Since 1980...
a total of 25 million have fallen to this disease. and we're still counting...
to date, 33 million are infected with this disease.
2 million of these are under the age of 15
In 2008 alone, 2.7 people were newly infected with the disease.
EVERY DAY, 7,397 people contract the disease.
that's 308 people every hour
5 people every minute
In 2008, 2 million people died of the disease.
Of the 33 million people living with the disease, 22 million of those are found South of the Sahara....that is 67% of the entire total.
90% of the whole total of children with the disease live in that same area.
Women constitute HALF of the world's HIV cases. This means there are about 16.5 million women infected with the disease, excluding girls below age 15.
In Africa, Swaziland has the highest HIV rate, with 25.9%
In East Africa, Kenya has the highest rate with 7.9%
Rwanda/Burundi has the lowest in E. Africa with 3.0%
150,000 Rwandese are infected with HIV
78,000 Rwandan women are infected.
19,000 Children....and 220,000 AIDS orphans in Rwanda
These statistics educate us and open our eyes, and they are shocking...but hearing stories from those infected, those affected, and knowing some of your friends harbor this illness, and some have died from it...it hits you harder than any statistic ever could. Last month, one of our KICS drivers died from this disease. He drove us to all of our fieldtrips last year, and was the personal driver of a student of mine. Manny was strong, robust, looked like he was in tip-top shape. Today, the face of AIDS has really changed. It's not the sunken-in, shriveled up faces we are used to seeing on our TV screens.Thankfully, due to the success of ARVTs (anti-retro viral treatments), people are living longer and healtheir lives. It's a great thing. But also, unfortunately, it has caused the disease to spread as well, because many who think they are "cured" because they are on medecines...they don't fully realize or they don't think they can spread this disease, merely because they appear and feel healthy. A sad mistake.
There's another stigma here against actually going for the testing and finding out your status and beginning the meds. Many people would rather wait it out and not-know their status, than discover they are positive. That was Manny. Manny thought he was ok. We did too. But he got sick all of a sudden, and contracted tuberculosis, and never came out of the hospital. He discovered in the hospital he was positive.
I am proud of our church here for their role in educating the community about this disease. In East Africa, often times the Church is who stands in the way of people finiding out their status. I know many Africans who have said they were encouraged by church leaders and elders not to go for testing, because either they didn't want the church to have a bad reputation, or the church didn't want to carry on the responsibility of supporting them....OR, the largest reason is because many church leaders say they don't beleive in that "white man's medicine", and that if you take the medicine, your faith is weakened and it means you don't truly believe in God's healing power! It's true. What a sad, twisted understanding of our Father's power to heal.
This was the case with Mama Sandra, the mother of 5 small children under 10 years old. She's a member of our church, and she gave her testimony on Sunday to a hushed congregation. Mama Sandra was forced into an arranged marriage years ago. She had 5 children with her husband, before he left her. After he left, he became very sick, but never would go for testing. Finally, when he was on his deathbed, he admitted to her that he had AIDS. After he died, Mama Sandra went for testing and discovered she was also positive. Next came the unthinkable. ALL 5 of her children tested positive for HIV. They are under 10 years old. They immediately began treatment. But after 2 years of feeling good with the medecine, Mama Sandra's elders in her previous church convinced her to stop her treatment so God could fully heal her body. She became very weak, almost to the point of death, before she began the ARVs again. Now, she is doing well, along with her children, but still is struggling to make ends meet, and to regain her lost dignity. She has a community of supporters behind her, and she holds on to her faith. She has good days and bad days. When I heard her speak, I couldn't help but think about the times when I've said I'm having a bad day, and how it pales in comparison to hers. Perspective. We have a lot of be thankful for! Even on our "bad" days.
The ARVs are free in East Africa, but as we all know, free doesn't necessarily mean free. You need transportation to get to the meds, especially if you live way out in the villages. And many people don't have that money. And what about condoms. Number one, they are expensive. People can use that money for food instead. Number two, they aren't good quality here. Number three, many Africans think they are "taboo," and they think the condoms themselves will actually harm them. And Number four, the conservative Penacostal church here will not advocate for their use or distribution. Another hurdle to get over...breast-feeding. Try telling an HIV-positive African woman who just delivered a healthy baby... that she can't breast-feed that baby. Huh!?! It sounds absurd to them. Breast milk is free! And it's natural. What will people think? Breast milk nourishes the child. It's the most natural thing for these women. But also the biggest reason that HIV is passed on to infants. So, even if you help the woman to finally understand that she absolutely cannot breast feed her newborn, then what else is she supposed to feed it? Powdered milk is extremely expensive here and not readily available.
So you can imagine some of the bumps in the road on the way to educating individuals about this disease. It's more complicated than just screaming about how AIDS kills. People need to understand the whys and hows, and they need to understand love and acceptance too. AIDS is real. It infects, affects, hurts, and kills. It is not prejudice. It has visited every continent, every race, tribe, color. Statistics are hard to read and sobering. Just like Mama Sandra's story. But there is a great hope too. People are alive today. The medicine is improving, getting stronger...and most importantly people are becoming more and more educated. For that we can celebrate. And for the rest...we can hold on to hope!