New variant famine: AIDS and food crisis in southern Africa

New variant famine: AIDS and food crisis in southern Africa
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DOI:
10.1016/s0140-6736(03)14548-5
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发表时间:
2003-10-11
期刊:
影响因子:
168.9
通讯作者:
Whiteside, A
Whiteside, A
中科院分区:
医学1区
文献类型:
--
作者:
de Waal, A;Whiteside, A

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南部非洲正在经历一场规模和新奇程度都令人吃惊的粮食危机。人们熟悉的干旱和国家战略管理不善的罪魁祸首都牵涉其中。然而,这场危机与传统的干旱引起的易受饥饿影响的人的粮食短缺以及恢复和恢复的过程不同。我们认为,粮食危机的这些新方面主要是该区域艾滋病毒/艾滋病流行造成的。我们提出的证据表明,我们正面临着一个新的变种饥荒。我们使用了从饥荒理论中得出的框架来研究其含义。艾滋病毒/艾滋病造成了一类新的高度脆弱的家庭,即那些有生病的成年人或那些成年人已经死亡的家庭。受艾滋病影响和未受艾滋病影响的家庭的护理负担降低了农业生计的可行性。农村社区对干旱等外部冲击的敏感性增加,复原力下降。急剧恶化为严重饥荒的可能性增加,恢复的可能性减少。
Southern Africa is undergoing a food crisis of surprising scale and novelty. The familiar culprits of drought and mismanagement of national strategies are implicated. However, this crisis is distinct from conventional drought-induced food shortages with respect to those vulnerable to starvation, and the course of impoverishment and recovery. We propose that these new aspects to the food crisis can be attributed largely to the HIV/AIDS epidemic in the region. We present evidence that we are facing a new variant famine. We have used frameworks drawn from famine theory to examine the implications. HIV/AIDS has created a new category of highly vulnerable households-namely, those with Ill adults or those whose adults have died. The general burden of care in both AIDS-affected and non-AIDS-affected households has reduced the viability of farming livelihoods. The sensitivity of rural communities to external shocks such as drought has increased, and their resilience has declined. The prospects for a sharp decline into severe famine are increased, and possibilities for recovery reduced.