Doctors, Nurses and the South African AIDS Epidemic

描述：这是一项为撰写南非艾滋病流行历史提供部分支持的建议，主要基于80多名已经对医生和护士进行了广泛的口述记录。哥伦比亚大学口述历史办公室的其他学者将可以获得录音采访档案的文字记录。在与种族压迫政权进行了多年的斗争后，1994年南非出现了民主，这一点受到了广泛的欢迎。具有讽刺意味的是，就在政治解救的那一刻，一场灾难性的艾滋病毒疫情的种子已经播下。面对建设新社会的艰巨任务，大多数人不愿承认这种新生的流行病。克里斯·哈尼是一位长期反对种族隔离的活动家和斗士，他是为数不多的预见到这个国家困境的人之一。1990年，他在非洲人国民大会上对他的政治同志们说：“我们面前有一项崇高的任务--重建我们的国家。我们不能让艾滋病疫情毁掉我们梦想的实现。”仅仅十年后，南非医学研究理事会记录了艾滋病已经开始在这个国家肆虐的程度。它报告说，2000年该国所有死亡中有25%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人。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，30%-40%的育龄妇女感染艾滋病毒并不少见。这本书将追溯卫生保健工作者长达十年的经历，当由于经济和政治原因无法获得有效的抗逆转录病毒疗法时，他们面临艾滋病毒/艾滋病的全面影响；他们在面对否认和污名的情况下提供护理的努力，他们为扩大患者可用临床选择而进行的斗争。报告最后将介绍南非政府在2003年秋季决心开始将抗逆转录病毒治疗扩大到可能延长其寿命的广大人口的进程所产生的影响。

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.