December 14, 2001

The Editor
New York Times
229W 43rd Street
New York NY 10036-3959

Dear Sir/Madam

RE: EDITORIAL OF 12 DECEMBER 2001 ON GLOBAL AIDS FUND

I was disappointed to read your editorial in the December 13, 2001 issue of the New York Times entitled “..The Global Fund Confronts AIDS..” which contained an irresponsible reference to South Africa as being the “most notorious example” of countries that deny they have an HIV/AIDS problem.

This statement has no factual basis and is inherently incorrect. It is unbecoming a newspaper of your standing to publish editorials containing unsubstantiated statements. The facts speak for themselves.

The South African Government has never denied that it has an HIV/AIDS problem. On the contrary, the comprehensive range of cross-cutting activities that the government is involved in, bears testimony to a government that is deeply seized with addressing not just the HIV/AIDS epidemic but also the factors that fuel its spread, such as social deprivation, unemployment and widespread poverty.

The South African HIV/AIDS Program has been designed, funded and implemented under government leadership with funding increasing more than ten times since 1994 when the current Administration took over. In 1998, the government established the South African Partnership Against AIDS with leaders of all sectors of civil society. In fact, UNAIDS has been reported as regarding South Africa’s HIV/AIDS Program as one of the best in Africa.

Our Treasury Department has identified the strengthening of programs to address the impact of the HIV/AIDS epidemic as one of the priorities of the 2002 budget and has increased the allocation for provincial programs five-fold from R110 million in 2000 to a total of R513 million over the next two financial years. The Department of Health’s allocation for HIV/AIDS was approximately R20 million in 1994 and has increased more than ten-fold to R212 million in 2001.

The South African AIDS Vaccine Initiative, established in 1999 and heavily funded by government, will embark on the first clinical trial during 2002 using a vaccine candidate that targets the specific viral strain prevalent in Southern Africa.

South Africa played a critical role in focussing attention on the need for developing countries to access affordable drugs for the public health crises we face, which resulted in the pharmaceutical companies’ settlement of its law-suit against the government. The World Trade Organization’s recent declaration that the TRIPS Agreement should not be a barrier to governments in dealing with public health needs, is an indirect tribute to South Africa’s challenge of an accepted “principle” that the protection of intellectual property rights outweighs the needs of the public. We will soon publish regulations that will enable us to procure cheaper drugs to treat among others the complications of HIV/AIDS.

At this point in time, however, the government cannot afford the cost of providing the “cocktail’ anti-retroviral therapies commonly used in the developed world to treat HIV-positive persons. Nonetheless, we are putting in place the supportive infrastructure that will be required when we can afford to provide such drugs.

As you can see, there are many readily available examples that can be cited to underscore the government’s acknowledgement of and commitment to addressing the HIV/AIDS epidemic had your researcher taken the trouble.

The challenge presented by the magnitude of the HIV/AIDS epidemic requires that we all work together in a constructive manner if we are to be successful in our efforts.

Your recent series of articles on HIV/AIDS in Hlabisa, South Africa (11/25/2001 to 12/01/2001) reflected an appreciation of the complex context in which HIV/AIDS thrives. Before singling out South Africa in the way that you have done in your editorial, I encourage you to similarly acknowledge the efforts of my government to address the HIV/AIDS epidemic in a sustainable manner.

Sincerely

H.E. Sheila Sisulu

South Africa’s Ambassador to the United States