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Copyright 2000 P.G. Publishing Co.  
Pittsburgh Post-Gazette

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June 4, 2000, Sunday, TWO STAR EDITION

SECTION: EDITORIAL, Pg. E-3

LENGTH: 797 words

HEADLINE: THE PRESIDENT AND THE PLAGUE;
PART OF CLINTON'S LEGACY IS THAT HE DIDN'T DO MUCH TO ALLEVIATE AIDS WORLDWIDE

BYLINE: ANN MCFEATTERS

DATELINE: WASHINGTON

BODY:


When the book is written on President Clinton's presidency, aside from the X-rated parts, there will be a very short chapter on AIDS.

It will be short because the administration has not done much about curbing this modern-day plague. That in itself is significant because those who know most about AIDS are worried that even though many, and probably most, Americans have stopped worrying about the spread of AIDS, the global problem is getting worse.

This past week, just before playing golf in Portugal, Clinton talked with European leaders about new initiatives to combat AIDS. As he has mentioned earlier this year, he wants to spend $ 50 million on a Global Alliance on Vaccines and Immunizations to distribute vaccines in the developing world to try to halt AIDS, tuberculosis and malaria. But there are no one-shot vaccines for those diseases.

He also wants to provide a tax credit over the next 10 years to create $ 1 billion worth of "market incentives" for the pharmaceutical companies. That implies the pharmaceutical companies, which are incredible money-makers already, are not trying now to expand profits by finding new drugs for such dreaded diseases.

Despite the protests in Seattle and Washington, Clinton wants the World Bank to spend more money on loans.

He also wants Congress to provide a "very big increase" in U.S. spending on HIV (the human immunodeficiency virus) and AIDS prevention, treatment and care.

The European Commission was moved to note, somewhat dryly, that if AIDS, malaria and tuberculosis had the same fatality rates in industrial countries as they do in developing countries, there would be a lot more interest in prevention.

Former President Ronald Reagan, even close aides conceded, had no real interest in the issue of AIDS and no real understanding of what a massive problem it would become. Former President Bush also did not publicly worry much about AIDS.

But even Reagan did not hold an elaborate State Dinner for an African leader who has said that HIV does not cause AIDS. Clinton recently broke (very expensive) bread with Thabo Mbeki, the leader of South Africa and successor to the stately Nelson Mandela. Mbeki now says that he said no such thing, or was misinterpreted. But Mbeiki has not encouraged distribution of the AZT drug, which can help prevent the spread of AIDS from an infected mother to her baby. And he has told Clinton that he thinks African solutions to this problem are needed, not Western medicines.

Meanwhile, the statistics are staggering. As many as one pregnant woman in three, in certain areas of Africa, are HIV-positive. In 10 years as many as one-fourth of South Africa's people may be dead from AIDS. In some African nations, the outlook is even worse.

When asked about all this, Clinton said blandly that Mbeki has been misunderstood. Privately, State Department aides say that this is a tricky diplomatic problem and that the United States has sent experts to South Africa to foil Mbeki's weird science.

They insist that he was urged to be more open to the drugs that may help curb this dreadful curse that preys malevolently on the innocent. As many as 10 million children in Africa have been orphaned by AIDS; if the trend persists, within 10 years the number of orphaned children in Africa will equal the entire population of schoolchildren in America. All this on a continent where the average income is less than $ 1 a day.

It is not that there is nothing being done in the urgent world of fighting AIDS, a diagnosis which still is most often a death sentence. Major drug companies are beginning to give discounts on drugs that help AIDS victims in developing countries. Congress expects to ask the World Bank to establish a trust fund to help the effort to stop the spread of AIDS in Africa.

What is distressing, in this economic boom time, is that there has been no all-out war declared on this scourge. While AIDS is admittedly a daunting challenge, when mobilized, America is amazing. America decided to go to the moon and did it. America decided to win the Cold War and did it. Clinton's era is almost over, and he missed his eight-year chance on the AIDS front to make a difference.

The elaborate dinner for Mbeki, who has positioned himself as Africa's leading voice, was symbolic of a new era in U.S.-Africa relations, especially in trade. Despite enormous potential, Africa now accounts for only 2 percent of global trade. What a shame if one-fourth or more of the people alive in Africa today will die of a senseless sickness before they ever see any fruits of a more enlightened relationship.

Ann McFeatters is National Bureau chief for the Post-Gazette and The Blade of Toledo, Ohio. Her e-mail address is amcfeatters@nationalpress.com.

LOAD-DATE: June 6, 2000




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