Doctors, Nurses and the South African AIDS Epidemic

描述：这是一项建议，主要基于80多名医生和护士已经进行的广泛口述历史，为撰写南非艾滋病流行历史提供部分支持。哥伦比亚大学口述历史办公室的其他学者可以获得录音采访档案的笔录。经过多年反对种族压迫政权的斗争，1994年南非出现了民主，受到广泛欢迎。具有讽刺意味的是，就在政治解放的时刻，一场灾难性的艾滋病毒流行病的种子已经播下。面对建设新社会的艰巨任务，大多数人不愿意承认这种新生的流行病。克里斯·哈尼（Chris Hani）是一位长期反对种族隔离的活动家和斗士，他是少数几个预见到南非困境的人之一。1990年，他对非洲人国民大会的政治同志们说：“我们面临着一项崇高的任务——重建我们的国家。我们不能允许艾滋病的流行破坏我们梦想的实现。”仅仅十年后，南非医学研究委员会记录了艾滋病开始肆虐这个国家的程度。据报告，2000年该国25%的死亡可归因于艾滋病；25至35岁的妇女死亡人数多于60至69岁的妇女；2000年有65,000名5岁以下儿童死亡，而1993年为17,000名。2004年，估计有500多万南非人感染了艾滋病毒。在夸祖鲁-纳塔尔省，30% - 40%的育龄妇女感染艾滋病毒并不罕见。这本书将追溯卫生保健工作者长达十年的经历，他们在由于经济和政治原因无法获得有效的抗逆转录病毒治疗时，面对艾滋病毒/艾滋病的全面影响；他们在面对否认和污名的情况下努力提供护理，他们努力为患者扩大临床选择。2003年秋，南非政府决定开始将抗逆转录病毒治疗扩大到可能延长生命的广大人群，这一决定的影响将在此结束。

DESCRIPTION: This is a proposal to provide partial support to write a history of the AIDS epidemic in South Africa based primarily on more than 80 already conducted extensive oral histories of doctors and nurses. Transcripts of the archives of taped interviews will be available to other scholars at the Columbia University Oral History Office. The emergence of democracy in South Africa in 1994 after years of struggle against a racially oppressive regime was widely hailed. Ironically, at the very moment of political deliverance, the seeds for a. catastrophic HIV epidemic had already been sown. Confronted with the enormous task of building a new society, most were unwilling to acknowledge the nascent epidemic. Chris Hani, a long-time activist and combatant against apartheid, was one of the few who foresaw the country's dilemma. In 1990, he told his political comrades in the African National Congress, "We have a noble task ahead of us-reconstruction of our country. We cannot afford to allow the AIDS epidemic to ruin the realization of our dreams." Just ten years later, the South African Medical Research Council documented the extent to which AIDS had begun to ravage the nation. It reported that 25% of all deaths in the country in 2000 could be attributed to AIDS; more women between 25 and 35 years of age had died than women between 60 and 69; that 65,000 children under the age of 5 had died in 2000, compared to 17,000 in 1993. In 2004 it was estimated that more than 5 million South Africans were infected with HIV. In KwaZulu Natal it is not unusual for 30 - 40% of childbearing women to be infected with HIV. This book will trace the decade long experience of health care workers who confronted the full impact of HIV/AIDS when effective antiretroviral therapies were out of reach because of economic and political reasons; their efforts to provide care in the face of denial and stigmatization, their struggle to expand the clinical options available to their patients. It will conclude with the impact of the determination of the South African government in the fall of 2003 to begin the process of extending antiretroviral treatment to the vast numbers whose lives might be prolonged.