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This is an archive article published on November 17, 2002

‘20 million HIV victims by 2010? These are wild projections’

What do you make of the hype over AIDS numbers in India?People have been talking of nothing else since I came here. Everyone asks the same t...

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What do you make of the hype over AIDS numbers in India?
People have been talking of nothing else since I came here. Everyone asks the same thing: Will India have 20 million HIV/AIDS victims by 2010? I think these are wild projections. The Indian situation cannot be compared to Africa’s. There are health systems in place here and Indian government is aware of the seriousness of the problem. In some states like Andhra Pradesh and Karnataka, remarkable interventions have been planned.

Having said that, I feel that India does not need to downplay the problem either. The prevalence rate of HIV in India is not very high; it’s estimated to be around 0.7 per cent. And I have no cause to doubt that figure. But if you look at it in terms of the country’s population, it becomes a huge figure.

I think a lot of people are making a big noise with the objective of jostling the government into dramatic action. But it doesn’t seem to be working out that way. Given the government’s reaction, I don’t think such statements go down very well with them.

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How exactly does the world community view the extent of this problem in India?
The world is watching India very closely. Apart from high-profile people like Bill Gates making statements and investing in healthcare in India, world leaders are concerned about the African experience being repeated in Asia. I was appointed as a UN Special Representative for HIV/AIDS in Asia. This is where a large chunk of the world population lives. So naturally there is concern.

Despite the hype about AIDS, patients still get thrown out of the hospital. Don’t you think the real solution lies in improving healthcare infrastructure, instead of concentrating on specific diseases in isolation?
You are absolutely right. In any case, the government cannot do everything. They should concentrate on areas like strengthening healthcare infrastructure and let the NGOs do advocacy and raise awareness. The corporate sector needs to be involved in making HIV victims self-reliant. Established sectors like the Railways can also help in this area.

You seem to be quite convinced that the government is actually doing something, and the AIDS figures are exaggerated.
I definitely think that the Indian government is far more involved than they appear to be. They need to talk about some of the things they are doing. You see, in a large country like India, the exact numbers will never be known. But at least there is a realisation that the disease is spreading. The Indian government needs to talk about what they are doing a bit more loudly.

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