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Is It Time To Scrap Condoms And Back AIDS Prevention Programs That Work?
Toogood Reports ^ | January 31, 2003 | Mary Mostert

Posted on 01/31/2003 6:01:06 AM PST by Stand Watch Listen

"We can't help you. Go home and die" is what President Bush said in his State of the Union Address many people with AIDS in Africa are told when they seek medical aid for their disease. The AIDS pandemic in Africa has sharply lowered the life expectancy of nations as entire regions are depopulated by a disease that has spread like wildfire. When I was living in South Africa in 1991-1992, AIDS was not even known to exist and the average life expectancy was 61 years for males and 67 years for females. By 1999, in only six years, the average life expectancy in South Africa was 52 years for males and 56 years for females and is getting shorter.

The president's comment reminded me of words I heard from Dr. Margaret Ogola, a Kenyan doctor I interviewed at the World Congress of Families in 1999 in Geneva, Switzerland who told me she believed the Westeners pushing condoms on Africa knew they spread the killer disease, rather than preventing it. Dr. Ogola noted that condoms in the African heat have "about a 30% failure rate" and "have not only caused disease but have also broken down delicate tribal taboos against promiscuous sexual behavior. She notes that Western propaganda has convinced millions of young Africans that sex with condoms that fail at least 30% of the time is "safe sex."

"The disbelief and shock in the reaction of young people when I tell them they have AIDS is heart-breaking, she said. "'But it was SAFE sex! ´ they tell me."

I doubt if President Bush is aware of the undercurrent of feeling among many Africans that the financially lucrative sale of condoms as a "prevention" for AIDS is in reality a form of biological warfare against blacks to reduce their numbers, but his determination to somehow stop the AIDS slaughter fits well into a speech warning the world about possible biological, nuclear or chemical war since, so far, 29 million people have died, worldwide, of AIDS. Forty-two million more people, worldwide, are infected with the incurable HIV virus. Most of them will not live beyond the age of 40. One third of Africa's 34 million orphans, or about one child in 20 overall, has lost his or her parents to HIV/AIDS.

Yet, in spite of these statistics, and the testimony of frontline doctors in Africa like Dr. Ogola, the Planned Parenthood Federation (PPF) still claims "The latex condom offers better protection against STDs (sexually transmitted disease) than any other birth control method." Planned Parenthood does not even consider abstinence prior to marriage as a "birth control" method. In fact, its president, Gloria Feldt in a speech entitled "Abstinence-Only Education is Irresponsible and Dangerous at Yale University said "Abstinence-only messages are not only unproven in their effectiveness, but may have harmful health consequences."

Dr. Ogola and other African health professionals tell me that they can get an unlimited supply of condoms from the Western nations, but cannot get ordinary medical supplies they need to keep people from dying of easily curable diseases. The notion of "saving the family" has been condemned outright by a powerful anti-family group at the United Nations. One UN delegate told representatives of United Families International "The family is an out of date concept."

This prompted United Families International (UFI) representative Jane Thomas to organize a pro-family youth group willing to raise a voice in defense of the family, since half of all new AIDS patients are between the ages of 15-24. She says, "The solutions are so simple and yet so remote to the people of Africa. Millions of dollars have been thrown at the AIDS crisis and it hasn't even made a dent. Abstinence can literally save millions of lives and the beauty of the solution is that it's free! If the truth about condoms is suppressed and the messages about abstinence are disregarded, near extinction of an entire continent is a real possibility. Indeed the truth is the only real hope for Africa."

Of course, United Family International, and its simple message of hope and life, did not draw much media or political attention. However, they went ahead, often funding their efforts out of their own pockets or some help from others, they developed a full-blown program which is called "Stay-Alive." UFI founding president, Susan Roylance, a seasoned veteran as a delegate at numerous United Nations Conferences around the world in the past seven years, helped get the program started.

As she explained it, many AIDS orphans are, themselves, infected with the virus at birth or through their mother's milk. Those that are infected, generally die by age six. Susan told me, "This leaves a window of opportunity" for those orphans between the ages of about six and twelve when they can be taught how to "stay alive" in their AIDS, condom and death riddled cultures of the 21st Century. The group has written the "Stay Alive Program" to teach young children how to live "long, healthy and loving lives, " a lesson of hope that children in the culture of death in AIDS riddled Africa are eager to learn. The program consists of eight lessons, beginning with: "I choose to be happy" - beginning with learning that "all choices have consequences and we "get" the consequence by making the choice that leads to that consequence.

They are positive lessons that teach not only how to prevent AIDS, but how to become self-reliant, have a strong, loving family, and how "Choosing not to "have sex" until you are married reduces your chance of getting HIV/AIDS. The last two lessons give the children hope of living long, loving, healthy lives by protecting themselves and their future families by "deciding to stay disease-free."

This is the kind of program that Planned Parenthood, which has enjoyed hundreds of millions of dollars of your tax money for many years, has condemned as "unproven" and even possibly "harmful!" Yet Uganda, the only African nation showing a marked reduction in new AIDS cases, achieved that by introducing Focus on the Family's "True Love Waits" abstinence program in 1994 and adopting United Family International's program when it became available.

Perhaps President Bush needs to invite President Yoweri Museveni of Uganda to Washington to tell Congress what really has worked, stop to flood of condoms and back programs that tell the truth.



TOPICS: Culture/Society; Editorial; Foreign Affairs
KEYWORDS: abstinence; africa; aids; amin; black; condoms; education; hiv; hivaids
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1 posted on 01/31/2003 6:01:06 AM PST by Stand Watch Listen
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To: Stand Watch Listen
It all boils down to personal responsibility, which lefties hate.

Self control, you either have it or you don't.
2 posted on 01/31/2003 6:05:35 AM PST by taxed2death
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To: Stand Watch Listen
So does this mean we can keep the $15B that GWB pledged and put it to better uses? (Which would be just about anything other than a false war against AIDS in Africa).
3 posted on 01/31/2003 6:23:44 AM PST by Camerican
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To: Stand Watch Listen; Clint N. Suhks; Remedy; Dr. Eckleburg; editor-surveyor; xzins; mhking
Condoms failing even worse there. And the young people flock to them like lemmings.

Are toxic drugs and condoms what Africa really needs?

Look at the article. The usual suspects from the U.N. and the Left: "the family is outdated", "abstinence may be harmful", etc.

Ever notice that the Left always kill the ones they love? And they keep returning to the scene of the crime, to "help" even more people.
4 posted on 01/31/2003 6:55:08 AM PST by George W. Bush
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To: Stand Watch Listen
If something works, the left will try to improve it so that it doesn't.
If something makes sense, the left will try to twist it so that it doesn't. Or ignore it.

A question I ask people, "If you knew that the person you were going to have sex with had AIDS, would you bet your life on a thin piece of latex?"
5 posted on 01/31/2003 6:58:52 AM PST by Darksheare (<----- Dropping in from some random hole in space-time.)
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To: Camerican
The money Bush is pledging is for medicines, not condoms. The article refers to the huge number of orphans. The Aids drugs will enable parents to live long enough to raise their children, rather than these children becoming orphans.

As the article points out, the Ugandan model for reduction in infection works and it does not involve using condoms.

6 posted on 01/31/2003 7:08:02 AM PST by happygrl
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To: Stand Watch Listen; newgeezer
Aids: "God is not mocked".
7 posted on 01/31/2003 7:10:04 AM PST by biblewonk
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To: happygrl; xzins; Dr. Eckleburg; Clint N. Suhks; editor-surveyor
Don't be too certain that those AIDS drugs are going to help anyone. Look at these studies comparing survival rates among medicated Westerners to poor people in Africa with dirty water and malnutrition and no medical care.

Here is some real data from Uganda and the actual death rates and longterm health effects there.

From: AliveAndWell.org

New Study Shows AIDS Drugs Equally Effective as Poverty and Malnutrition

by Rodney Richards, PhD

edited by Christine Maggiore

(From Alive & Well Emailer 6/21/02)

If antiretroviral drugs are responsible for dramatic improvements in survival among HIV positives taking the treatments, we should expect to see dramatically reduced survival among HIV positives with no access to the wonder drugs. Surprisingly, this is not the case. In the March 8, 2002 issue of the medical journal AIDS, scientist from the Medical Research Council and the Uganda Virus Research Institute in Uganda (MRC/UVRI) report that untreated "HIV infected" Ugandans are surviving "considerably longer than has been expected."(1)

In fact, this is an understatement. The untreated Ugandans in the above study are actually surviving just as long as their medicated HIV positive counterparts in the developed world, according to data published in the April 1, 2000 issue of The Lancet. (2) This latter study was conducted by the Collaborative Group on AIDS Incubation and HIV Survival Group (Collaborative Group) which analyzed data from 13,030 individuals with known dates of seroconversion from Europe, North America, and Australia to estimate time from seroconversion to AIDS and death.

Specifically, "median time from seroconversion to death was 9.8 years"(1) in the Ugandan study, as compared to 10.1 years for aged matched individuals in the Collaborative Group study; and median time from seroconversion to AIDS was 9.4 and 9.3 years for the two studies, respectively (see note 1).

Even more miraculously, for individuals infected at ages15-24 in these studies, 10-year survival was substantially better in antiretroviral-free Ugandans than it was in their medicated counterparts living in Europe, North America, and Australia (78% vs 66%, see note 2).

Could it be that these particular rural Ugandans are living in abundance with good nutrition and the necessary resources to provide for an environment conducive to fending off the opportunistic infections waiting to take advantage of their failing immune systems?

The authors give us the answer in a separate report, which was published two months earlier in the British Medical Journal (BMJ). "Most of the population" in their study area "lives in poverty; food is often in limited supply, there is no electricity, and there is poor access to any, let alone clean, water. Malaria is endemic, and infections other than HIV, especially bacterial infections, are common."(3)

Interestingly, the BMJ publication doesn't even talk about time to AIDS or death. Rather it focuses on symptoms in these "HIV infected" individuals and paradoxically concludes that "disease progression associated with infection with HIV-1 seems to be rapid in rural Uganda." Only in the world of HIV/AIDS can "rapid" disease progression be correlated with "considerably longer" survival. The apparently schizophrenic conclusions in these two publications, which are derived from the same patient population, are discussed further in note 3.

Rather than comment on the contradictory nature of observable facts, the authors of the Ugandan study attempt to divert attention from the extraordinary survival rates observed in their subjects by emphasizing these rates are "comparable to survival times in industrialized countries prior to the widespread use of antiretroviral therapy." Technically true, but only because survival times have not changed since the widespread use of antiretroviral therapy in industrialized countries!

The Collaborative Group study analyzed data for 13,030 individuals who seroconverted in the pre-HIV-era (before 1983), the prophylaxis-era (1983-1987), the AZT-era (1987-1990), the monotherapy-era (1990-1993), and the combination therapy-era (1993-1996). Contrary to all expectations, the authors inform us that they "found no evidence of a difference in survival or time to the diagnosis of AIDS for individuals who seroconverted in 1983-96."(2)

No difference in survival time or progression to an AIDS diagnosis for people who became HIV positive from 1983-1996, despite all the dramatic improvements in therapies during these years? How can this be?

Prior to AZT treatment, we were told that prophylaxis against PCP (pneumocystis carinii pneumonia) and MAC (mycobacterium avium complex) dramatically slows progression to AIDS and death, after the release of AZT in 1987 we were told AZT dramatically slows progression to AIDS and death further still. Then in 1993, we were told combination therapy dramatically slows progression to AIDS and death even further!

In fact, and in stark contrast to all that we’ve been told about the drug therapies, the only group in the Collaborative Group study that actually did enjoy significantly better survival were those individuals who seroconverted to HIV positive before 1983, before there were any AIDS treatments or prophylaxis in use!

So is it fair to say that AIDS prophylaxis, AZT, and combinations of AIDS drugs did nothing for those receiving treatment? Technically, it is not fair to say prophylaxis, mono-therapy, and combination therapy did nothing, since those who seroconverted in years when these drugs were immediately available actually did significantly worse! The authors offer a nonsensical rationalization to account for this glaring anomaly: "The apparently better survival for individuals seroconverting before 1983 may be an artefact, because these individuals seroconverted before the discovery of HIV-1 as the causative agent for AIDS."

Rather than focusing on 13,030 examples demonstrating a complete lack of benefit to any of the anti-retrovirals used alone or in combination up to 1996, the authors instead present this data as a summary of survival "before the widespread use of HAART," apparently putting forth the implication that with HAART, survival rates are most certainly improved. Yet the authors offer no data of their own or even a reference to a single publication showing us how patients who seroconverted in the HAART-era are actually doing with regard to survival rates.

Today, nearly two years after the Lancet article on the Collaborative Group study, the PubMed data base still does not list any published comments on the results of the Collaborative Group study, and I am still unaware of any publication that reports data for survival or time to AIDS in persons with known dates of seroconversion after 1996, in the era of ostensibly better HAART therapy.

Even if such data were to become available, and even if the data were favorable to HAART, the fact remains that the 513,486 AIDS patients reported to the CDC(4) prior to 1996 needlessly consumed billions of dollars worth of useless antiretrovirals that seriously compromised the quality, and perhaps even the quantity, of their lives.

Do these half-million individuals, their families and loved ones deserve to know that the promised benefits of these drugs aggressively promoted by the pharmaceutical industry, our public health institutions, and uncritical journalists, were nothing more than illusions? That the only thing real that resulted from their dedicated compliance to consuming these chemicals were compromised quality of life and debilitating side-effects? Or do we continue to divert attention from their senseless pain and suffering by shining the light of hope on the new unproven toxic drugs of the HAART-era?

While the results of the Collaborative Group study tell us why untreated HIV positive Ugandans are surviving just as long as their treated counterparts in the developed world (the drugs are demonstrably worthless, at best), they don’t reveal why HIV positive Americans and Europeans who have full access to food, water and health care do not fare better than their impoverished Ugandan counterparts. Is there anything that can explain the remaining part of this paradox?

The Ugandans enrolled in the above studies did have access to regular check-ups, diagnostic testing, and free medication for routine health-care, which might have contributed to survival. However, when the researchers studied matched HIV positives outside of the study cohort who did not have access to these amenities, survival times were no different. The authors characterize this fact as a "disappointing" finding for which "we do not have a good explanation."(1) It would seem from this that access to health-care and medicine is of little use to malnourished people with no access to food or clean water.

Could it be then that the HIV positive Ugandans in these studies are not surviving surprisingly long, but rather, that the HIV positive subjects in developed countries on antiretrovirals are actually dying surprisingly fast? Perhaps the anti-retrovirals are not worthless but are actually as harmful as poverty and malnutrition.

To check this hypothesis, I propose a study that would give some of the Ugandans in the above studies access to food and clean water and then assess their survival rates. If such a study were under taken, I predict we would see the median survival among untreated HIV positive Ugandans significantly surpass that of their medicated counterparts in the developed world. Can such a study be conducted? It’s not unethical to give Africans food, is it?

Summary: Median time from seroconversion to AIDS and death in poor, starving rural Africans (without access to health care, purified water or electricity) living in the Masaka District of Uganda (where malaria, dysentery and measles are endemic) is no different than that observed in Europeans, North Americans, or Australians who have full access to proper nutrition, health-care, "life-prolonging" anti-retrovirals, and prophylaxis against opportunistic infections.

Conclusion: These observations are consistent with the hypothesis that anti-retrovirals are killing people as effectively as poverty and malnutrition.

+++++

Notes:

1. Progression to AIDS and death in the Collaborative Group study was significantly correlated with age at seroconversion. Therefore, the authors report disease progression according to age groups. Median time to AIDS ranged from 11.0 to 5.0 years for those aged 15-24 to 65+, respectively; and median time and death ranged from 12.5 to 4.0 years for those aged 15-24 to 65+, respectively. Based on the age distribution of subjects in the Ugandan study (1), age matched median time to AIDS and death is calculated to be 9.3 and 10.1 years, respectively, in the Collaborative Group study.

2. This data is approximated from the graphs in the respective publications. See Fig. 2 in the Ugandan study, and Fig, 1 in the Collaborative Group study.

3. The Ugandan studies use the WHO Staging system to define disease progression. (WHO. Wkly Epidemiol Rec 1990; 65:221-8.) Unlike the Bangui definition of AIDS (WHO. Wkly Epid Rec 1986; 61:72-73.), which is based on clinical symptoms without an antibody test, the WHO staging system requires a positive anti-HIV test. It then attempts to gage disease progression according to four Stages. Stage 1: asymptomatic; Stage 2: mild symptoms, including weight loss of as little as 5%; Stage 3: weight loss greater than 10%, or treatable opportunistic infections; and Stage 4, which is synonymous with AIDS. Stage 4 includes many, but not all of the illnesses used by the CDC to define AIDS.

The staging system is progressive, hence when a person progresses to a higher stage, they cannot go back even if the condition is resolved. So when the authors report, "only 17% of participants remained symptom-free five years after seroconversion," this is not striking. In fact, the vast majority of participants may actually be symptom-free as we speak. A single bout of sinusitis, dermatitis, or bacterial infection, or even a 5% weight loss (in a month), over this 5 year period leaves the subject classified as symptomatic, regardless if they recover or not.

The fact that disease progression to Stages 2 and 3 is remarkably rapid, while disease progression to Stage 4 (AIDS), or death, is remarkable slow, leaves one wondering, "of what value is this Staging system?"

References:

1. Morgan D et al. HIV-1 infection in rural Africa: Is there a difference in median time to AIDS and survival compared with that in industrialized countries? AIDS. 2002; 16:597-603.

2. Collaborative Group on AIDS incubation and HIV Survival including the CASCADE EU Concerted Action. Time from HIV-1 seroconversion to AIDS and death before widespread use of highly-active antiretroviral therapy: collaborative re-analysis. Lancet 2000; 355:1131-37.

3. Morgan D et al. Progression to symptomatic disease in people infected with HIV-1 in rural Uganda: prospective cohort study. BMJ. 2002 Jan 26; 324:193-6.

4. CDC. Year end HIV/AIDS Surveillance Report 1995; Vol 7:No. 2.

I can't see why we should send AIDS drugs. We should provide clean water and sanitation and do research on multi-drug resistant malaria and TB and the other medical problems of the Third World, especially tropical countries. These AIDS drugs are as much a false hope as condoms have been.

Just a side note: the day after Bush's speech, the stock of Burroughs-Wellcome, the makers of the very toxiz AZT drug, surged 55%.
8 posted on 01/31/2003 7:18:43 AM PST by George W. Bush
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To: nina0113
ping
9 posted on 01/31/2003 8:16:00 AM PST by Steve0113
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To: George W. Bush
A very interesting post. Much to consider here. Thanks.
10 posted on 01/31/2003 8:19:31 AM PST by happygrl
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To: Camerican
So does this mean we can keep the $15B that GWB pledged and put it to better uses? (Which would be just about anything other than a false war against AIDS in Africa).

No, no, no. What we do with the 15 bil is give it to the guy who made it work in Uganda, & after he repeats his success in the rest of the continent, then we give him another 15 bil for his own personal use, because a guy who can convince a whole continent to practice responsible sexual behavior has earned it.

11 posted on 01/31/2003 8:30:36 AM PST by nina0113
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To: nina0113
And if he could convince America to practice responsible sexual behavior, then we should give him 150 bil for his own personal use.
12 posted on 01/31/2003 8:32:38 AM PST by nina0113
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To: George W. Bush; xzins; editor-surveyor; Clint N. Suhks
These people toss latex logs into the forest fire and say they're helping.

Of the world's orphans from aids, over 90% reside in Africa.

One child every minute dies of aids in Africa.

Over 50% of the pregnant women tested in subsaharan Africa test positive for aids.

In continental Africa, the total number of known infections is over 10% of the population. Statisticians say when that figure reaches 5%, a pandemic has passed into the exponential range and will increase with lightning speed.

Many Africans refuse to be tested because of the stigma attached; thus the numbers could be even higher.

I found this three-year-old story from Newsday on the web.

http://www.aegis.com/news/newsday/2000/ND000701.html

What hope is there?
13 posted on 01/31/2003 8:55:46 AM PST by Dr. Eckleburg
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To: George W. Bush
The usual suspects from the U.N. and the Left: "the family is outdated", "abstinence may be harmful", etc.

All the usual SUSPECTS?

United Nations, World Health Organization, Homosexuals and Drug Companies

"Woe to those who call evil good, and good evil; Who put darkness for light, and light for darkness; Who put bitter for sweet, and sweet for bitter" (Isaiah 5:20).

14 posted on 01/31/2003 9:04:47 AM PST by Clint N. Suhks
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To: George W. Bush; xzins; editor-surveyor; Clint N. Suhks
Consider that there are entities in this world that will profit either way.

Billions to the global drug companies or the depopulation of Africa.

Heads they win; tails they win.

Time will tell. God help them all.

15 posted on 01/31/2003 9:05:50 AM PST by Dr. Eckleburg
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To: Dr. Eckleburg
I found this three-year-old story from Newsday on the web.

And this article supports none of your claims. Tuberculosis is African AIDS.

16 posted on 01/31/2003 9:20:27 AM PST by Clint N. Suhks
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To: Dr. Eckleburg
Of the world's orphans from aids, over 90% reside in Africa.

I don't doubt that Africa has many orphans. I expect it, given living conditions.

One child every minute dies of aids in Africa.

I don't think they can prove it. Where are the graves? Where are all the ELISA and Western blot tests to prove that they even had AIDS and not one of the endemic diseases of Africa?

Over 50% of the pregnant women tested in subsaharan Africa test positive for aids.

You mean "test positive for HIV"? But none of the tests we have actually determine the presence of HIV, only proteins said to indicate its presence. When you say "50% of the pregnant women tested", which test was used? How many confirmation tests were done?

I don't think there is any evidence. WHO and the AIDS industry just spits out these figures. Most AIDS in Africa is diagnosed by the patient having one or more of about a half-dozen diseases endemic to Africa and tropical countries in general. When random testing is done, it's a single ELISA, a notably inaccurate test. We don't accept its results for AIDS diagnosis here. Why should we accept the very spotty use it has in Africa as indicating some huge epidemic.

I want to see studies in which a substantial sample was tested by Western standards and in which malaria, TB and parasitic infections were eliminated. But that research doesn't exist.
17 posted on 01/31/2003 9:21:07 AM PST by George W. Bush
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To: happygrl; Camerican; George W. Bush; xzins; Dr. Eckleburg; Clint N. Suhks; Stand Watch Listen; ...
"The money Bush is pledging is for medicines, not condoms. The article refers to the huge number of orphans. The Aids drugs will enable parents to live long enough to raise their children, rather than these children becoming orphans."

Everything about this statewment is 180 degrees from the truth.

The 'medicine' is what is doing the killing. HIV positive people who refuse the Poison don't die, they don't even get sick; they live normal lives. - You don't have to like it, but this is the truth.

The killer drugs are making the pharmaceutical giants very rich (along with the doctors that go along) and they are providing a steady stream of 'AIDS' deaths. - AZT, and ddc kill every person that takes them for any extended period of time. They almost killed Magic Johnson until he got wise, and they kill new-born infants daily.

AIDS deaths = Drug deaths every time.

18 posted on 01/31/2003 9:26:02 AM PST by editor-surveyor (Best policy RE: Environmentalists, - ZERO TOLERANCE !!)
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To: Dr. Eckleburg; happygrl; Camerican; George W. Bush; xzins; Clint N. Suhks; Stand Watch Listen; ...
"Consider that there are entities in this world that will profit either way.

Billions to the global drug companies or the depopulation of Africa.

Heads they win; tails they win."

Now you're starting to catch on - This is exactly what is going on.

19 posted on 01/31/2003 9:32:11 AM PST by editor-surveyor (Best policy RE: Environmentalists, - ZERO TOLERANCE !!)
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To: George W. Bush
"I want to see studies in which a substantial sample was tested by Western standards and in which malaria, TB and parasitic infections were eliminated. But that research doesn't exist."

Nor will it ever exist. - If true science were to prevail, AIDS and the golden gravytrain that goes with it would evaporate like a morning fog on an August day.

20 posted on 01/31/2003 9:45:21 AM PST by editor-surveyor (Best policy RE: Environmentalists, - ZERO TOLERANCE !!)
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