Islamic nations hurt selves by turning blind eye to AIDS

"I just pray that God ends my life . . . before more symptoms show. I don't want to create problems for my family."

Before his HIV-positive diagnosis in 2001, the Egyptian engineer who spoke these words thought that AIDS was a faraway disease that afflicted only foreigners. He had no idea that the global AIDS pandemic had reached his desert home. Now he says he would rather kill himself than be rejected — along with his family — by neighbors and friends, who regard HIV as synonymous with sin and shame.

To Americans, suicide may seem like a disproportionate response to a diagnosis of HIV/AIDS. But as the disease spreads across the Islamic world, such stories are not uncommon. In parts of Iran, nearly 60 percent of those infected with HIV kill themselves within a year of diagnosis.

In Kerman, in southern Iran, an enraged father not long ago took an ax and chopped his 23-year-old to pieces for bringing AIDS into his family.

A generation into the world HIV epidemic, it is still impossible to describe the magnitude of the AIDS problem in the Islamic world with any accuracy. According to the Joint United Nations Program on HIV/AIDS, there are about 61,000 people infected with HIV in Iran; 180,000 in Indonesia; 150,000 in Pakistan. In the Islamic countries of Africa, the numbers are far higher: Mali alone has 420,000 infected people. But the latest U.N. data are telling for its lack of information — a handful of cases here, empty columns there. And absence of information has too long been interpreted as absence of infection.

This much is clear: The disease is spreading quickly, and without proper prevention and treatment, many more Muslims will become infected and die.

AIDS is not new to the Islamic world; the first cases were recorded in the mid-1980s. But few countries have mounted comprehensive infection-surveillance programs, much less taken the appropriate steps to help prevent or treat the disease. One major reason for this has been the ludicrous tendency of many of these nations to insist that their people do not engage in premarital sex, adultery, prostitution, homosexuality or intravenous drug use — or to suggest that such activities occur so infrequently that the risk of the disease gaining a foothold is low.

This, coupled with the lack of infection control, is allowing HIV to spread from high-risk to lower-risk groups. In Tamanrasset, Algeria, for instance, 1 percent of women reporting to a prenatal health clinic for routine checkups tested positive, indicating that the disease already had become established enough in the community to infect married women with no known risk factors.