Middle East

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HIV in the Middle East and North Africa — Behind a Veil? | 

Brain scientists say we can really only think about one thing at a time.

And when it comes to AIDS, I think it’s fair to say we tend to think of Sub-Saharan Africa as the place where the HIV pandemic continues to spread. As this report from NPR’s Linda Thrasybule illustrates, such simplistic thinking is both incorrect and dangerous.

Tariq Mahmood AFP Getty Images

By Linda Thrasybule

HIV epidemics are emerging among men who have sex with men in the Middle East and North Africa, researchers say. It’s a region where HIV/AIDS isn’t well understood, or studied.

More than 5 percent of men who have sex with men are infected by HIV in countries including Egypt, Iran, Lebanon, Morocco, Sudan and Tunisia, according to a recent study in PLoS Medicine. In one group of men in Pakistan, the rate of infection was about 28 percent. (For reference, in 2008, rates of HIV infection among men who have sex with men in the U.S. ranged from 16 percent among white men up to 28 percent of black men, according to the CDC.)

Risky behavior, low condom use, injectable drug use and male sex workers are some of the factors that could cause HIV rates to rise in the region, the researchers say. On average, the men who have sex with men group had between four and 14 sexual partners within the past six months, with consistent condom use falling below 25 percent.

Lack of HIV surveillance and low access to treatment and prevention are a concern for researchers, who believe the window of opportunity to prevent the epidemic from spreading across the region is growing smaller.

Read more here at NPR’s Shots blog

Guardian: Time to abandon the democracy vs dictatorship debate? | 

Flickr, People's Open Graphics

Mussolini praises Mubarak

The Guardian has published this very thought-provoking article arguing we need to stop thinking so simplistically when it comes to pushing for political progress in other countries.

Well, who would argue with that?

But David Booth, with the Overseas Development Institute, actually appears to be suggesting donors and development organizations stop demanding dictatorial or authoritarian regimes convert to open and free democratic governance — especially in Africa. Booth says:

We should be thinking more actively about alternative ways of improving governance based on the “local reforms” and practical hybrid institutions that we are finding here and there in several countries (Ghana, Malawi, Niger), and more comprehensively in at least one (Rwanda).

Malawi? Wasn’t the British ambassador just kicked out for describing it as a dictatorship? Here’s a BBC columnist asking if Malawi is slipping back into dictatorship. Continue reading