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DATE=1/26/2000 TYPE=BACKGROUND REPORT TITLE=IVORY COAST / AIDS NUMBER=5-45311 BYLINE=LAURIE KASSMAN DATELINE=ABIDJAN CONTENT= VOICED AT: INTRO: The United Nations is refocusing world attention on the scourge of AIDS in Africa. Last year alone, more than two-million-500-thousand people worldwide died of AIDS, 85 percent of them in Africa. More than 23-million Africans are infected with the AIDS virus, H-I-V. V-O-A Correspondent Laurie Kassman in Abidjan spoke with the head of Ivory Coast's anti- AIDS program about the fight to curb the epidemic. TEXT: The statistics are staggering. Roughly ten percent of Ivory Coast's 15-million inhabitants are infected with the AIDS virus. Nearly one-fifth of those infected are teenagers and pregnant women. The country's public health service estimates that more than 12 percent of the population will be H-I-V- positive by the year 2005 and about two-thousand will die each week from the virus. More than 420-thousand have already perished in Ivory Coast since the first cases were reported in 1985. Medical researchers say prostitutes and their clients, soldiers on foreign missions, and sexually active teenagers are at highest risk. /// OPT /// Why has AIDS spread so much in Ivory Coast? Medical researchers point to Abidjan's active port and its open-door policies that attract foreign commerce and international visitors. AIDS officials also say the numbers are higher than in neighboring countries because reporting methods in Ivory Coast have been more accurate. /// END OPT /// The challenge now is to curb the epidemic. That task belongs to Adama Sanogo, who directs Ivory Coast's National Program to Fight AIDS. As a former military doctor he knows first-hand just how devastating the disease can be. Dr. Sanogo says Ivory Coast's army has lost the equivalent of one battallion to the AIDS virus in the past five years -- more than 400 men, or ten soldiers a month. /// SANOGO ACT ONE - IN FRENCH - FADE UNDER /// Everyone agrees on the need to change individual behavior but the problem is it takes time and, he says, time is running out. The Ivory Coast has implemented a massive information campaign about the dangers of AIDS and how to prevent it. But the campaign has mostly concentrated on the urban areas. Dr Sanogo tells V-O-A a top priority for him now is to extend that program into the countryside. The information campaign uses different organizations, from social to religious groups, to get the message out. But information campaigns and treatments all cost money, something in short supply these days. The country's resources are limited. Like its neighbors, Ivory Coast depends heavily on foreign financial and technical assistance, which often still is not enough. A U-S sponsored AIDS research project, run by the Atlanta-based Center for Disease Control, has been tracking and studying the epidemic in Ivory Coast for the past ten years. The project, RETRO, as it is called, also tests AIDS treatments for infected pregnant women to try to stop the infection from spreading to their unborn children. /// OPT /// RETRO Director Terence Chorba remains optimistic despite the relentless cycle of despair and death. /// OPT // CHORBA ACT /// The ultimate goal that we all have in mind-the dream is that the day will come when the story of H-I-V is the story of smallpox -- that we can develop a vaccine that we can use on a population basis to put an end to this epidemic. /// END ACT // END OPT /// Doctors from the RETRO project also help Ivoirian counselers provide advice on safe sex and other preventive methods to Abidjan's women -- especially the high-risk prostitute population. One positive result has been a sharp increase in the sale of male condoms -- ten times higher today than ten years ago. But Dr Sanogo insists the real barrier is psychological -- getting people to change their sexual behavior. His new slogan is "We're tired of AIDS, let's change our ways." /// SANOGO ACT TWO - IN FRENCH - FADE UNDER /// Everyone needs to find his own solution. Dr. Sanogo says nobody can impose a solution on his neighbor, but we can help someone make the right choice by giving him all the information he needs to make that decision. Information campaigns also target teenagers, who represent more than one-third of the population and another high risk group. Dr. Sanogo says his goal is to protect Ivory Coast's youth from falling victim to AIDS. Otherwise, he says, the country's future will be lost too. (Signed) NEB/LMK/JWH 26-Jan-2000 07:34 AM EDT (26-Jan-2000 1234 UTC) NNNN Source: Voice of America .





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