Addressing the HIV/AIDS Pandemic

A U.S. Global AIDS Strategy for the Long Term

May 17, 2004

Council Special Report
Concise policy briefs that provide timely responses to developing crises or contributions to current policy dilemmas.

Overview

The Bush administration’s $15 billion AIDS initiative has received much attention for its boldness and size.

But, according to this indispensable Council Special Report, it will not succeed unless it is folded into a broader and longer-term commitment to developing basic health systems in affected countries. To successfully battle AIDS--one of the most pressing threats known to mankind--the effort must also go beyond health to address social and economic factors that drive the spread of the disease.

More on:

Infectious Diseases

Public Health Threats and Pandemics

Health Policy and Initiatives

President Bush’s pledge is commendable from a humanitarian and human rights perspective. Still, the report, produced in consultation with experts from more than 30 private and government health organizations, concludes that the long-term costs of treatment ($9 billion to $12 billion a year) will run well into the middle of the twenty-first century and allocation of responsibilities need to be spelled out to the public, Congress, and the entire international community. “A humanitarian catastrophe of incomparable proportions, the pandemic is also a threat to global economic and geopolitical stability and a critical strategic threat to the United States,” the report asserts.

The report makes seven specific recommendations to make the U.S. anti-AIDS program sustainable and successful, including launching a long-term effort to build politically and financially sustainable basic health systems in the affected countries; being guided by the best available scientific evidence and being “ideology-free” in selecting and administering prevention and treatment programs; and pursuing a comprehensive approach to HIV/AIDS, paying particular attention to the factors fundamental to the pandemic’s spread, such as the vulnerability of women and girls.

More on:

Infectious Diseases

Public Health Threats and Pandemics

Health Policy and Initiatives

Top Stories on CFR

Iran

Steven Cook, the Eni Enrico Mattei Senior Fellow for Middle East and Africa Studies at CFR, and Ray Takeyh, the Hasib J. Sabbagh senior fellow for Middle East studies at CFR, sit down with James M. Lindsay to discuss Iran’s unprecedented attack on Israel and the prospects for a broader Middle East war.

Economics

CFR experts preview the upcoming World Bank and International Monetary Fund (IMF) Spring Meetings taking place in Washington, DC, from April 17 through 19.   

Sudan

A year into the civil war in Sudan, more than eight million people have been displaced, exacerbating an already devastating humanitarian crisis.