Progress on AIDS in South Africa points to way forward

South Africa has more people living with HIV-AIDS than any other country in the world, a staggering seven million.

But, in the past generation, it has gone from being the poster child for the pandemic’s relentless and unstoppable devastation to a symbol of hope and living proof that HIV-AIDS can be slowed, and maybe even stopped.

In 2000, the last time Durban hosted the International AIDS Conference, there were 4.2 million infected in South Africa, and the rate was doubling every five years.

There were 80,000 babies a year being born with HIV-AIDS, thousands of new orphans weekly, virtually no one on treatment, other than those in research projects, and the government of Thabo Mbeki flirted with fringe groups who argued that AIDS didn’t exist.

Today, as the country prepares to host the 2016 International AIDS Conference, which begins Monday in Durban, the overall number of infected is up, but the number of newly infected has slowed dramatically, from 800,000 a year to about 200,000.

The number of annual deaths has also plummeted, from 450,000 to fewer than 200,000. In the process, life expectancy, which had dipped below 50 (and to 28 in the hardest hit region, KwaZulu-Natal), climbed back up to 62.

Last year, only 5,000 babies were born with HIV-AIDS. Put another way, 1.5 per cent of babies are now born with the virus, down from 30 per cent a generation ago.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below