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FEATURES 
It’s worse than you imagined
There are a lot of myths about why
Aids is widespread in Africa. But the facts, says Hugh Russell,
are more bizarre
Lusaka
The funeral processions trundle past my garden gates at any and
every hour of the day. Sometimes they are rather grand affairs,
with a purpose-built hearse and an ornate coffin gleaming through
its transparent walls. But more often — in fact, almost invariably
— the coffin, of plain unvarnished wood, is carried in the back
of an ancient pick-up and attended by mourners who squat perilously
on the sides of the vehicle as it rattles over the potholes. Another
couple of pick-ups or trucks follow, each carrying up to 40 mourners.
The women sing.
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At the cemetery the huge humps of newly dug reddish earth, the rickety
wooden crosses and the litter of dying flowers are like something
out of a Hammer horror movie. But the place is alive with people,
as the various cortèges come and go. It’s said that people often get
confused and attend the wrong burial. This is Aids in Africa.
At a local sports club the secretary showed me a fly-blown photograph
on the notice-board. It was a picture of the club’s rugby XV from
14 years ago. Two of the team were white — Brits, the secretary told
me, who had gone home long ago. Of the 13 Zambians, 11 were dead.
Of the remaining two, one he wasn’t sure about, and the other was
still alive, and in fact turned out on a Saturday afternoon when he
could find the time.
I needed some tiles for my bathroom, and went to the local tile centre
which, by some quirk of planning, is situated to the rear of an undertaker.
To reach the display you have to pass through the undertaker’s showroom,
and at first I sniggered to myself as I strode past the ranks of coffins.
Then I noticed that at least half of them were only three to four
feet long, or less.
The UN secretary-general’s special envoy for HIV/Aids in Africa, one
Stephen Lewis, reported in a Sunday newspaper on a visit he made not
long ago to a paediatric ward here. While he was on the ward, he said,
children with Aids were dying at the rate of one every quarter of
an hour. Forgive me if I repeat that: one every quarter of an hour.
This is Aids in Africa. It’s rarely called Aids, of course. Cause
of death is given as malaria or pneumonia or TB and, strictly speaking,
that may be true. But the ruthless syndrome lies behind almost all
the fatalities.
Nelson Mandela recently spoke of Aids ‘decimating’ southern Africa.
Would to God that he was right. Statistics vary, of course, but even
the most optimistic figures show that a far greater proportion than
one in ten of the population is threatened. At an educated guess,
one in five of us here in Zambia is HIV positive. But in the age-group
most at risk — 15 to 40 — that figure comes down to one in three.
In the 14th century the Black Death was operating at about the same
average. Of course, that plague moved swiftly. Aids takes its time,
which is why we call it, with grim humour, the ‘slow puncture’.
In 1993 our neighbour Botswana, the place that used to be Bechuanaland
and which today is one of the most economically successful countries
in Africa, had an estimated population of 1.4 million. Today that
figure is well under a million and heading downwards. Doom-merchants
predict that Botswana may soon become the first nation in modern times
literally to die out.
This is Aids in Africa. But why? Why has the syndrome got such a vice-like
grip on us while its hold in Europe and America is, comparatively
speaking, tenuous? What’s God got against Africa?
Let’s kill off a few canards first. We are not more gay than you.
I know it’s politically incorrect to speak of Aids as having links
with homosexuality, but of course in Europe and the US it does. Here
in Zambia we have relatively few active gays. We have relatively fewer
needle-sharing junkies, too.
Nor can the blame be laid on anal intercourse, another alleged cause
of the spread of Aids. It may be common enough in Europe; in fact,
judging by some dinner-table conversations in suburbia these days,
it’s practically mandatory. But not so here. What’s more, Zambian
law says that buggery is illegal, and you go to jail for it, as a
sad German tourist found out to his cost a year ago.
Is it, then, that Africans are simply more immoral, that African society
is just too casual? No, of course not. Society here is a complex web
of tradition, custom, superstition and folklore, and the average Zambian
sticks rigidly to the tribal code.
But perhaps that’s part of the problem. Perhaps it is in this strict
adherence to custom that Zambians and other Africans make themselves
particularly vulnerable to the virus. Let me tell you about three
of those customs. The last will make you wince.
1. Ritual cleansing. This is not, sadly, some kind of elaborate bath.
It has to do with the laying of ghosts. The belief is that when a
husband dies his ghost will ‘follow’ his widow; and it will drive
her mad unless she is ‘cleansed’. Traditionally, cleansing requires
the widow to have sex with a close male relative — perhaps her husband’s
uncle. Once this is done — often with a fee payable to the lucky uncle
— the widow is deemed cleansed, and the ghost will disturb her and
the family no more. Of course, if the husband died of Aids, and his
widow also has the syndrome, then she will probably pass it on to
Uncle.
In some districts this form of cleansing has been banned by the local
chief who is, understandably, worried about his ever-decreasing population,
or argued out of existence by persistent missionaries and health workers.
Then the widow has another option. She can hop on a minibus and travel
to a different part of Zambia, where she is a stranger. There she
will make herself as attractive as she can, then slip into a local
bar. She will pretend to be drunk, find a drunken man, and have quick
casual sex with him. By making love to a stranger, she will ensure
that the ghost of her husband leaves her and follows the man — as
indeed may the Aids virus. The ghost will in turn drive the strange
man mad. This belief is so entrenched that when a young man shows
signs of mental unbalance his friends and family will nod wisely and
remark that he must have slept with a widow.
2. The secret society. Like the masons only more so, this component
of African life is so secret that no one ever talks about it, and
many deny that it still operates. But I’m assured by health and social
workers here that it does. This is how it comes about. In the villages
of rural Zambia, boys who reach the age of 12 or 13 undergo a ritual
that initiates them into manhood. It’s the usual sort of thing — circumcision
plus lectures on adult behaviour and a few tattoos. As a result of
this experience, the boys of any one year form a special bond, which
will last a lifetime. They call it their secret society. In future
years, when one such boy visits the home of another, he will be offered,
and be expected to accept, the sexual use of his host’s wife. This
is not considered adulterous, as long as the husband is present throughout.
Not quite like the masons, perhaps.
As I said, the secret society is not talked about openly today, but
the spread of Aids among seemingly moral and faithful married couples
speaks volumes on its behalf.
3. Dry sex. I warned you that this one would make you wince. Again,
it’s not something that’s talked about much, but many here believe
that the practice is a major factor in the spread of the virus, particularly
when prostitution is involved.
Dry sex is what it sounds like. For reasons that baffle me and perhaps
most European men, many Zambian and other African men prefer to make
love to a woman when she is, or appears to be, unaroused. A truck-driver
told me that he liked his partner to be ‘dry and tight’ because it
made her feel like a virgin. He found a moist vagina distasteful —
‘like she’s making water’, as he put it. To satisfy him, his girls
had to be difficult to penetrate.
Perhaps the most extraordinary thing is that the women go along with
this. The reason, I’m told, lies in the fundamental relationship between
the sexes in southern Africa: the woman will do anything to make her
man happy. To ensure that she is in a suitable condition when her
man wants to make love, she boils up a concoction of roots, leaves
and herbs, a secret recipe handed down from mother to daughter. The
resulting brew has an astringent quality that both dries and firms
vaginal tissue.
Prostitutes who service truck-drivers and other travellers at the
truck stops and border posts are said to use the same technique, which
means they can present themselves to their clients in a satisfactory
state several times a night. Just how painful sex becomes for the
woman can be imagined. And with the pain come abrasions, splits and
other injuries, which result in a greatly increased likelihood of
the transmission of the Aids virus.
Our vice-president Enoch Kavindele, about whom I have been rude in
the past, recently advised men who are not already circumcised to
get it done soonest, as a protection against Aids. The advice sounded
almost comic. But if it was designed to avoid split and bleeding foreskins
suffered during dry sex, it makes sense. Good thinking for once, Enoch.
Health workers and other concerned people are well aware of how deeply
these three fatal customs are woven into the fabric of Zambian society.
Intensive efforts are being made to eradicate them, but like so many
things in African society, any change at all is a long time coming.
True, ritual cleansing, in its sexual guise, is slowly becoming less
common. Instead a new format has been devised, by which the widow
is formally covered with mealie meal and then declared ‘cleansed’.
But to the more tradition-minded woman, rolling around in some dusty
maize flour is a pallid substitute for sleeping with her dead husband’s
uncle. As for the dry-sex habit, health workers hand out plenty of
advice to the prostitutes and their truck-driving clients. But prostitutes
will, of course, do whatever their clients are willing to pay for,
and truck-drivers, kings of the road in southern Africa, are not the
types to have their sexual mores easily reversed. And the secret societies?
What secret societies?
The fact is, those working to reduce the incidence of Aids in southern
African countries are hoeing a hard row. In Zambia occasional posters
and wall paintings shout the message. Schoolchildren are talked at
interminably. Contraceptives are widely available to purchase, although
even the cheapest is often beyond the means of a man who can afford
to eat only perhaps once every two days.
In his State of the Union message President Bush promised trillions
of dollars to fight HIV/Aids in Africa. Those of us with satellite
television saw him do it. But his words were virtually ignored by
our local newspapers, perhaps because our editors suspect that the
White House has other things on its mind at present.
More American cash will, of course, buy more anti-retroviral drugs,
which could save many lives and extend others. What’s more, many firms
now supply their products to the region at cost. But even at cost
they are still out of reach of people who have nothing. And, as the
Weekly Telegraph reported recently, racketeers are now snapping up
the drugs at their low African price and smuggling them back to Europe
to sell at a vast profit.
Africa Wins Again, as the cynics here, and possibly those in Washington,
will say. And another thing: here, even if the anti-retroviral drugs
became available to the general populace, it is difficult to imagine
how the necessary strict medical supervision of the patient could
be carried out in the framework of our ramshackle social system.
There’s some hope for a few of us — a very few. If you’ve got a slow
puncture and you’re rich enough, you can fly down to South Africa
for expert treatment. Several prominent Zambians are said to do just
that. The rest — almost everyone, in fact — sit and wait for the inevitable.
Meanwhile, the funeral processions continue to trundle past my gates
with ever-increasing frequency, and one is haunted by the feeling
that the worst is yet to come.
Is there anything you can do to help? You can, of course, donate to
the various charities that work in the field, and watch your cash
go sluicing down the sink that we call ‘donor aid’. But there’s something
else you can do, which costs nothing and which, cynics would say,
is liable to be just as effective. It’s something that Zambians, citizens
of a self-proclaimed Christian country, do all the time. You can pray
for us.
©
2003 The Spectator.co.uk
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