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The Faces of AIDS
Supported by the ELCA’s Global Mission, I work with the
Evangelical Lutheran Church in Namibia AIDS Action
program. With the help of
USAID (United States
Agency for International Development) funding, our
program offers community education, outreach and
training, and works to support individuals and families
infected with or affected by HIV/AIDS. One family we
visited recently is headed by a widow who supports 22
people, including her 10 children and several
grandchildren. Because she is too young to receive a
government “old-age” pension from her own country, and
none of her children or grandchildren receive social
grants, the family must make its own way by working the
fields. She works in her neighbor’s fields for money or
food, while her children and grandchildren work their
own omahangu (millet, Namibia’s staple grain
crop) fields.
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Know your own HIV status.
Globally, 90 percent of people who are HIV-positive
do not know that they've been infected. Find out
where to go in your area for HIV counseling and
testing, by calling your local health department or
the Centers for Disease Control and Prevention,
(CDC) National AIDS Hotline, at 1-800-342-AIDS
(2437).
Learn how to protect yourself.
HIV is
transmitted in four body fluids: blood, breast milk,
semen, and vaginal fluids. And there are
four ways to contract HIV: Unprotected sex, sex
(anal, vaginal, or oral) without a condom with an infected person; from a mother to her
baby during pregnancy, birth or breastfeeding; by
sharing needles, knives or other tools for
injections, tattoos, piercing, or traditional
scarring; or through blood-to-blood contact. You can
also find more information from the
CDC Web site or
UNAIDS.
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Making it to tomorrow
This family and others like them are all too common
in Namibia and throughout southern Africa. Their
situation illustrates the devastating impact of
AIDS on communities. Parents and young adults, the most
productive members of any society, are most likely to be
infected by HIV. Nearly one in
five Namibians, ages 15 to 49, is HIV-positive,
according to UNAIDS. Many times these people are
their family’s sole breadwinner, supporting 10 to 15
family members on one salary.
When the HIV-positive breadwinner becomes too ill to
work, the person returns home to the village to be cared
for by his or her mother or other relatives. The loss of
income forces the family to make difficult choices,
often selling off its meager assets or taking younger
children out of school. Eventually, the sick person
dies, but not before the family’s assets are exhausted.
AIDS breaks down the social structures that have been
used to pass on skills and a sense of identity from
parents to children, further weakening the society’s
ability to withstand such an onslaught. How does one
person offer her children and grandchildren hope to
dream about the future when she spends all of her energy
securing enough food to make it to the next day?
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If only. If only it wasn’t AIDS. If only he wasn’t
from a place where even though one in five children is orphaned by
AIDS, people only die of “pneumonia.” If only he could tell just a few
more people and realize how he has been cutting himself off from the
human company he will need.
If only he had a community here like the community described in the
verses of James.
That community shares joys and sorrows. There are no secret diseases
because sorrows are the business of everyone.
Remember that when James was written, physical illness was thought to
be an outward sign of inward moral illness. Those who are sick are not
told to hide their illness so that they don’t corrupt their fellow
Christians.
On the contrary, sick folks are empowered in this letter
to call upon their congregations to come and pray over them. They are
not supposed to go to church but pretend everything is fine. They are
not supposed to sit at home and wait until someone notices how many
worship services they have missed. They’re not supposed to be meek and
patient and hope for a convenient moment for a member of the church to
come visit. They’re supposed to call up the leaders of the church and
ask for the prayer of the community.
It seems to me that one of the worst things that AIDS can do, if we
allow it, is rob the person suffering from it from a healing
community.
I don’t mean the curing community, the medical professionals who are
there to see to the physical wellbeing of a patient. They’re supposed
to be impassive, and refrain from passing judgment, at least in
public. I mean the healing community, the people who knew sufferers
when they were physically whole, and who will stay close at hand
during the illness to pray and comfort, to weep and eventually to
celebrate a resurrection. We have added a tragic dimension to AIDS any
time we feed the kind of shame that drives people to pretend.
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