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ECONOMICS OF AIDS
A Globe and growing epidemic
by
Punarjit Roychowdhury
Sriparna Ghosh
(Dept. of Economics, Asutosh College, Kolkata)
Overview
AIDS has already taken a terrible human toll, not only among those who have died
but among their families and communities. Despite well over a decade of intensive
efforts, the AIDS epidemic continues to spread rapidly in the developing world,
threatening to halt years of hard-won human economic development in numerous
countries. UNAIDS data shows that nearly 33 million people all over the world are
victim of AIDS. Though usually perceived as an issue of health care systems, AIDS is
equally an issue of economic development. AIDS is the final and fatal stage of
infection with the human immunodeficiency virus (HIV).
In developed countries, HIV/AIDS has not developed into an epidemic, and the
incidence ,i.e., the number of new infections, has stabilized or even gone down
among the groups or communities most severely hit initially. In the developing
countries on the other hand the incidence of AIDS/HIV appears to be increasing
almost everywhere, and most rapidly in some of the poorest countries in sub-Saharan
Africa. (In Swaziland, for instance, around 40% of population suffers from HIV).
Evidence also points out that while the incidence of the infection was massive among
the urban people initially, the spread of the disease is occurring today mainly among
the poor, while the incidence of HIV is declining among the better-off.
The last few years have also witnessed a dramatic increase in the number of
new infections among some of the poorest and most vulnerable group-such as sex
workers and injecting drug users-in many parts of Asia and the former Soviet bloc
economies.
1
and through transfusion of poorly screened blood) continue to take their in human
suffering, they are of marginal importance for understanding the major socio-
economic causes and consequences of the disease as it ia only through transmission
through heterosexual intercourse that AIDS can develop into a genuine epidemic,
affecting a large part of the population.
It is of immense importance to mention in this context that according to reports
of the World Bank that there is a strong correlation between low and unequal
distribution of income and high rates of HIV infections. For instance, the percentage
of population affected with HIV in Botswana is around 30% , and its HDI ranking is
also very low reflecting its poor economic conditions. Also a strong correlation is
observed between the spread of HIV and the extent of inequality between genders
(say, as measured by male-female literacy rates). Poverty and gender inequality
make a society more vulnerable to HIV because women who is poor(absolutely and
relative to men) will find harder to control sexual decision making by saying no to sex
or insist that her sex partner abstain from sex with other partners. Lack of
employment opportunities m ay also force women to engage in sexual relationships
for survival. Men on the other hand are buyers of sex, and when men’s income
increases relative to that of women, men’s desire for commercial sex increases and
thereby the risk of HIV transmission(under conditons of high illiteracy). High rates of
migration, triggering of massive poverty and unemployment, also is another factor
causing massive transmission of HIV.
Rapid social and political change may facilitate the spread if AIDS in a number of
ways. Poverty, insecurity, drug use and criminality may spread, thereby increasing
the risk of HIV being transmitted by new channels.
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However in long term perspective AIDS may improve the real wages of the
survivors. A shortage of labour may be created and its bargaining position may be
improved. In agriculture, man-land ratio changes, and a change in cropping pattern
and higher wages for agricultural workers-and a tendency towards mechanisation-
may follow.