It's now more than three years since I met Pepile, but I still think of her often.
Samkelisiwe embraces her mother in the
TB ward of Ngwelezane Hospital, Natal, South Africa. Their picture is one of over 1000 taken by Positive Lives, a collaboration
bringing together photographers, charities and people living with HIV
She died of
Aids soon after I met her.
I'll be thinking
of her even more than usual over the coming weeks as the BBC launches a two-week season of programmes and online coverage
devoted to the HIV epidemic.
Pepile was
seven years old, and had been infected when her neighbour raped her. He thought that he would be cured of Aids if he had sex
with a young girl.
She lived,
and died, in South Africa, the country where there are more people living with HIV/Aids than anywhere else in the world.
Globally,
the number of those infected is now more than 42 million; by the end of the decade it will have grown by another 45 million.
Half of the people living with HIV/Aids are women; more than half are under the age of 24.
Stark statistics
Enough numbers?
Here are some more: the populations of India, Russia and China make up half of the world's total population.
In all three
countries, there are already clear signs of an Aids epidemic taking hold.
The race against
what the UN Secretary-General Kofi Annan has called "the genocide of a generation" is a marathon, not a sprint.
Nearly
a million people are believed to be infected in Russia; more than a million in China, between four and five million in India.
Every time
I see those numbers, I think of Pepile. Her father and brother had already died of Aids by the time I met her: the estimate
now is that there are 14 million children around the world who have lost one or both of their parents to Aids.
Hitting
the poor
Perhaps you
live in a country where Aids is under control. Lucky you.
But do you,
or people you know, travel to countries where it is widespread? Do people from those countries come to where you live? Globalisation
means that viruses can cross borders just as easily as people can.
It is, of
course, the poorest countries that suffer most. But whereas in the past it was the weakest who died in epidemics-usually the
very young and the very old-Aids is different.
It kills young
adults: the producers, the parents, the farmers. If factory workers die, production falls. If parents die, children are orphaned
and their education brought to a halt. And if farmers die, food production suffers, and those who are left behind go hungry.
Funds for
the fight
In 1999, the
world's richest countries made available about $300 m to fight HIV/Aids.
Within three
years that figure had risen 10-fold to $3 billion. By 2005, it's estimated that at least $10.5 billion will be needed.
The money
is needed to buy drugs, to enable people with HIV/Aids to live longer. It is needed to pay for education-to teach girls how
to say no to unwanted or unprotected sex.
And it is
needed to pay for health care, because all the available evidence shows that where basic health care is deficient, Aids spreads
more quickly.
Wake-up
call
There is,
as yet, no known cure for Aids. But there are known ways to slow its spread and to reduce its capacity to destroy communities.
The race against
what the UN Secretary-General Kofi Annan has called "the genocide of a generation" is a marathon, not a sprint.
When political
leaders talk about it openly and honestly, when the world's richest countries wake up to the scale of the disaster, and when
individual men and women learn how to change their behaviour to minimise the risk of infection - then, and only then, might
we able to say that the race is being won.
Have your
say
This BBC News
Interactive and BBC World Service website - www.bbcnews.com/aids - will be offering a host of interactive debates, features,
personal stories and information in the weeks running up to World Aids Day on 1st December 2003.
This is your
chance to put your own questions to world experts and celebrities involved in the battle with HIV, and to share your experiences
with our audience around the world.
We will be
tackling issues ranging from the race to bring anti-HIV drugs to poor countries with impoverished health systems, to the mammoth
task of changing sexual practices in communities where many people simply don't believe Aids exists.
We will be
asking whether the world's leaders are doing enough-and what more they could and should be doing.
[BBC
Online]