This book tells the story of the HIV epidemic in South Africa, and asks why, after more than three decades, it has not normalised. Despite considerable efforts to prevent infection, and ambitious targets set to end the epidemic by 2030, HIV infections are increasing among young women and treatment uptake and adherence have been uneven. Focusing on the years preceding and following treatment access, this book addresses why an end to AIDS may be misplaced optimism. By examining public discourses and private narratives about infection, illness and death, this work reveals the contradictions between the lived experiences of AIDS suffering on the one hand, and biomedical certainties on the other. Based on long-term ethnographic research in rural villages of the South African lowveld, and within HIV prevention interventions in South Africa more generally, this book offers an intimate perspective on the social and cultural responses to the epidemic.
This book tells the story of the HIV epidemic in South Africa, and asks why, after more than three decades, it has not normalised. Despite considerable efforts to prevent infection, and ambitious targets set to end the epidemic by 2030, HIV infections are increasing among young women and treatment uptake and adherence have been uneven. Focusing on the years preceding and following treatment access, this book addresses why an end to AIDS may be misplaced optimism. By examining public discourses and private narratives about infection, illness and death, this work reveals the contradictions between the lived experiences of AIDS suffering on the one hand, and biomedical certainties on the other. Based on long-term ethnographic research in rural villages of the South African lowveld, and within HIV prevention interventions in South Africa more generally, this book offers an intimate perspective on the social and cultural responses to the epidemic.
In this book, France's leading medical anthropologist takes on one of the most tragic stories of the global AIDS crisis—the failure of the ANC government to stem the tide of the AIDS epidemic in South Africa. Didier Fassin traces the deep roots of the AIDS crisis to apartheid and, before that, to the colonial period. One person in ten is infected with HIV in South Africa, and President Thabo Mbeki has initiated a global controversy by funding questionable medical research, casting doubt on the benefits of preventing mother-to-child transmission, and embracing dissidents who challenge the viral theory of AIDS. Fassin contextualizes Mbeki's position by sensitively exploring issues of race and genocide that surround this controversy. Basing his discussion on vivid ethnographical data collected in the townships of Johannesburg, he passionately demonstrates that the unprecedented epidemiological crisis in South Africa is a demographic catastrophe as well as a human tragedy, one that cannot be understood without reference to the social history of the country, in particular to institutionalized racial inequality as the fundamental principle of government during the past century.
This book explores the impact of Covid-19, and the associated state lockdown, on rural lives in a former homeland in South Africa. The 2020 Disaster Management Act saw the state sweep through rural areas, targeting funerals and other customary practices as potential "super-spreader" events. This unprecedented clampdown produced widespread disruption, fear and anxiety. The authors build on path-breaking work concerning local responses to West Africa's Ebola epidemic, and examine the HIV/AIDS pandemic, to understand the impact of the Covid crisis on these communities, and on rural Africa more broadly. To shed light on the role of custom and ritual in rural social change during the pandemic, Covid and Custom in Rural South Africa applies long-term historical and ethnographic research; theories of people's science, local knowledge and the human economy; and fieldwork conducted in ten rural South African communities during lockdown. The volume highlights differences between developments in Southern Africa and elsewhere on the continent, while exploring how the former apartheid homelands-commonly, yet problematically, represented as former "labor reserves"-have since been reconstituted as new home-spaces. In short, it explains why rural people have been so angered by the state's assault on their cultural practices and institutions in the time of Covid.
Innovative and challenging study that provides fresh insights on the anthropology of death and postcolonial politics.In 1898, just before she was hanged for rebelling against colonial rule, Charwe Nyakasikana, spirit medium of the legendary ancestor Ambuya Nehanda, famously prophesised that "my bones will rise again". A century later bones, bodies and human remains have come to occupy an increasingly complex place in Zimbabwe''s postcolonial milieu. From ancestral "bones" rising again in the struggle for independence, and later land, to resurfacing bones of unsettled wardead; and from the troubling decaying remains of post-independence gukurahundi massacres to the leaky, tortured bodies of recent election violence, human materials are intertwined in postcolonial politics in ways that go far beyond, yet necessarily implicate, contests over memory, commemoration and the representation of the past. In this book Joost Fontein examines the complexities of human remains in Zimbabwe''s ''politics of the dead''. Challenging and innovative, he takes us beyond current scholarship on memory, commemoration and the changing significance of ''traditional'' death practices, to examine the political implications of human remains as material substances, as duplicitous rumours, and as returning spirits. Linking the indeterminacy of human substances to the productive but precarious uncertainties of rumours and spirits, the book points to how the incompleteness of death is politically productive and ultimately derives from the problematic, entangled excessivities of human material and immaterial existence, and is deeply intertwined with the stylistics of postcolonial power and politics. Joost Fontein is Professor of Anthropology, University of Johannesburg. He was previously Director of the British Institute in Eastern Africa and Lecturer in Social Anthropology at the University of Edinburgh. His books include Remaking Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressing and innovative, he takes us beyond current scholarship on memory, commemoration and the changing significance of ''traditional'' death practices, to examine the political implications of human remains as material substances, as duplicitous rumours, and as returning spirits. Linking the indeterminacy of human substances to the productive but precarious uncertainties of rumours and spirits, the book points to how the incompleteness of death is politically productive and ultimately derives from the problematic, entangled excessivities of human material and immaterial existence, and is deeply intertwined with the stylistics of postcolonial power and politics. Joost Fontein is Professor of Anthropology, University of Johannesburg. He was previously Director of the British Institute in Eastern Africa and Lecturer in Social Anthropology at the University of Edinburgh. His books include Remaking Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressrskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressing and innovative, he takes us beyond current scholarship on memory, commemoration and the changing significance of ''traditional'' death practices, to examine the political implications of human remains as material substances, as duplicitous rumours, and as returning spirits. Linking the indeterminacy of human substances to the productive but precarious uncertainties of rumours and spirits, the book points to how the incompleteness of death is politically productive and ultimately derives from the problematic, entangled excessivities of human material and immaterial existence, and is deeply intertwined with the stylistics of postcolonial power and politics. Joost Fontein is Professor of Anthropology, University of Johannesburg. He was previously Director of the British Institute in Eastern Africa and Lecturer in Social Anthropology at the University of Edinburgh. His books include Remaking Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressing and innovative, he takes us beyond current scholarship on memory, commemoration and the changing significance of ''traditional'' death practices, to examine the political implications of human remains as material substances, as duplicitous rumours, and as returning spirits. Linking the indeterminacy of human substances to the productive but precarious uncertainties of rumours and spirits, the book points to how the incompleteness of death is politically productive and ultimately derives from the problematic, entangled excessivities of human material and immaterial existence, and is deeply intertwined with the stylistics of postcolonial power and politics. Joost Fontein is Professor of Anthropology, University of Johannesburg. He was previously Director of the British Institute in Eastern Africa and Lecturer in Social Anthropology at the University of Edinburgh. His books include Remaking Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressrskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressrskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressing and innovative, he takes us beyond current scholarship on memory, commemoration and the changing significance of ''traditional'' death practices, to examine the political implications of human remains as material substances, as duplicitous rumours, and as returning spirits. Linking the indeterminacy of human substances to the productive but precarious uncertainties of rumours and spirits, the book points to how the incompleteness of death is politically productive and ultimately derives from the problematic, entangled excessivities of human material and immaterial existence, and is deeply intertwined with the stylistics of postcolonial power and politics. Joost Fontein is Professor of Anthropology, University of Johannesburg. He was previously Director of the British Institute in Eastern Africa and Lecturer in Social Anthropology at the University of Edinburgh. His books include Remaking Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressrskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressg Mutirikwi: Landscape, Water and Belonging (James Currey, 2015), shortlisted for the African Studies Association 2016 Herskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Pressrskovits Prize.Southern Africa (South Africa, Namibia, Lesotho, Swaziland and Botswana): University of Johannesburg Press
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
This report presents three hypothetical case studies for how the AIDS epidemic in Africa could evolve over the next 20 years based on policy decisions taken today by African leaders and the rest of the world; and considers the factors likely to drive the future responses of African countries and the international community. The scenarios draw on the age-old tradition of story-telling, rather than using data projections, to explore the wider context of the AIDS epidemic, reflecting the complexity of the subject matter.
