… now when will the UN admit that the Millennium Development Goals (MDG, for short) are also the Emperor’s New Clothes, and utterly unverifiable either when they were stated at the millennium in 2000, or when they are supposed to be achieved, in 2015? How could the UN know how many people worldwide live on one dollar per day? And how will the UN know if and when this number is cut in half? Of course it is worth trying to improve peoples’ lives around the plane — but it is ridiculous to mount a big public information campaign based on such evangelical and unknowable nonsense. And it will be worse if the UN just tries to claim victory in a few years’ time.
The NY Times is reporting today that “The United Nations’ AIDS-fighting agency plans to issue a report today acknowledging that it overestimated the size of the epidemic and that new infections with the deadly virus have been dropping each year since they peaked in the late 1990s. The agency, UNAIDS, will lower the number of people it believes are infected worldwide, to 33.2 million from the 39.5 million it estimated late last year”. [Of course, that’s still a lot — but it’s also still just an estimate…]
The NYTimes article says that “The statistical changes reflect more accurate surveys, particularly in India and some populous African countries. Some epidemiologists have criticized for years the way estimates were made, and new surveys of thousands of households in several countries have borne them out. In only a few countries, such as Kenya and Zimbabwe, do the figures reflect widespread behavioral changes, such as decisions by many people to have sex with fewer partners. Excerpts from the report were given to the news media in advance for release this evening, but an embargo on it was broken by other news organizations. Despite the revised estimates, the epidemic remains one of the great scourges of mankind”
The NYTimes reports that “Although new infections have dropped, the number of people with the disease is growing because more people infected with H.I.V. are living longer, thanks to antiretroviral drugs. With the world’s population growing, the agency believes that the percentage of adults who re now infected remains roughly constant, at about 0.8 percent. ‘This is not a surprise’, said Daniel Halperin, an expert on H.I.V. infection rates at the Harvard School of Public Health and co-author of an article published three years ago arguing that estimates of infection rates were too high. [At least, it’s not a surprise to him.] ‘The writing was on the wall years ago’, he said. ‘But’, he added, ‘this doesn’t mean the epidemic is going away, everything is fine and now forget about it — not at all. There are still about 10 countries in southern Africa that are real nightmares’.”
But — as with most UN campaigns — the real aim was to get the donors to respond, and this is the fear now, the NYTimes reports: “In the past, global health officials have treated the epidemic as a cyclone spiraling ever upward with no end to new infections in sight. But better surveys, particularly a household survey in India, have driven the figures down. Until recently, most national estimates were made by giving anonymous blood tests to some young women who came into public health clinics because they were pregnant or feared they had a sexually transmitted disease; those results were expanded with statistical models. But epidemiologists have realized that such a method — usually applied in big urban clinics because it was more efficient — oversampled prostitutes, drug abusers and people with multiple partners, and ignored rural women. Then the statistical extrapolations exaggerated those errors … AIDS advocates fear that any suggestion that the epidemic is lessening in intensity will cause fatigued donors to contribute less. In September, for example, the Global Fund to Fight AIDS, Malaria and Tuberculosis received pledges of only $9.7 billion, well short of the $15 billion to $18 billion it had hoped to raise…”
The NYTimes article reporting that UNAIDS is about to revise its figures is here.