Durban Declaration

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The Durban Declaration is a statement signed by over 5,000 physicians and scientists in 2000, affirming that HIV is the cause of AIDS, seventeen years after the discovery of the Human Immunodeficiency Virus. [1] The declaration was drafted in response to HIV/AIDS denialism, and particularly to address South African president Thabo Mbeki's support for AIDS denialists. [2] It was written several weeks before the 2000 International AIDS Conference, held in Durban, South Africa from July 9 to 14, 2000, and was published in the journal Nature to coincide with the Durban conference. The declaration called the evidence that HIV causes AIDS "clear-cut, exhaustive and unambiguous". [3]

Contents

Each person who signed the document was required to have a Ph.D. or M.D.-equivalent degree. To avoid the appearance of conflict of interest, scientists "working for commercial companies were asked not to sign." The signatories included eleven Nobel prize winners. [3]

Reaction

Michael Specter, writing in the New Yorker , called the Durban Declaration "one of the saddest documents in modern scientific history," reflecting concern that Mbeki's embrace of AIDS denialism was a disastrous response to South Africa's AIDS epidemic. [4] Mbeki's government reportedly pressured South African scientists not to sign the document, [5] and initially dismissed the Durban declaration. Health minister Manto Tshabalala-Msimang called it "elitist", [4] while Mbeki's spokesperson said it belonged in a "dustbin". [5]

Several AIDS denialists criticized the Declaration in a letter to the editor of Nature , casting the issue as an abridgement of their rights to free speech and an intolerance of "alternative" viewpoints. [6] In response, Nature later published a letter detailing inaccurate claims made by AIDS denialists in their attacks on the Declaration, [7] and a second satirical letter from two AIDS researchers, stating: "We are staunch believers in the right to free speech, but is Nature the appropriate place to militate in favour of the pre-Copernican model of the universe or the existence of phlogiston?" [8]

In 2008, independent estimates by public health experts attributed over 300,000 preventable South African AIDS deaths and nearly 200,000 new HIV infections to government policies based on the AIDS denialist assertions criticised by the Durban Declaration. [9] [10]

Related Research Articles

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<span class="mw-page-title-main">Peter Duesberg</span> German-American molecular biologist (born 1936)

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HIV/AIDS denialism is the belief, despite conclusive evidence to the contrary, that the human immunodeficiency virus (HIV) does not cause acquired immune deficiency syndrome (AIDS). Some of its proponents reject the existence of HIV, while others accept that HIV exists but argue that it is a harmless passenger virus and not the cause of AIDS. Insofar as they acknowledge AIDS as a real disease, they attribute it to some combination of sexual behavior, recreational drugs, malnutrition, poor sanitation, haemophilia, or the effects of the medications used to treat HIV infection (antiretrovirals).

<span class="mw-page-title-main">Treatment Action Campaign</span> South African HIV/AIDS activist organization

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<span class="mw-page-title-main">Manto Tshabalala-Msimang</span> South African politician

Mantombazana "Manto" Edmie Tshabalala-Msimang OMSS was a South African politician. She was Deputy Minister of Justice from 1996 to 1999 and served as Minister of Health from 1999 to 2008 under President Thabo Mbeki. She also served as Minister in the Presidency under President Kgalema Motlanthe from September 2008 to May 2009.

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References

  1. "The Durban Declaration". Nature. 406 (6791): 15–16. 2000. doi:10.1038/35017662. ISSN   1476-4687. PMID   10894520. S2CID   205007392.
  2. Aiken, Jonathan (2000-07-01). "International scientists, doctors reaffirm HIV causes AIDS". CNN. Archived from the original on 2013-01-19. Retrieved 2008-10-14.
  3. 1 2 "The Durban Declaration". Nature. 406 (6791): 15–6. 2000. doi:10.1038/35017662. PMID   10894520. S2CID   205007392.
  4. 1 2 Specter, Michael (2007-03-12). "The Denialists". New Yorker . Retrieved 2008-10-14.
  5. 1 2 Sidley P (July 2000). "Mbeki dismisses "Durban declaration"". BMJ (Clinical Research Ed.). 321 (7253): 67. doi:10.1136/bmj.321.7253.67/a. PMC   1127750 . PMID   10884240.
  6. Stewart GT (September 2000). "The Durban Declaration is not accepted by all". Nature. 407 (6802): 286. doi: 10.1038/35030200 . PMID   11014164. S2CID   37171159.
  7. Delaney M (November 2000). "Why are AIDS dissidents still making 15-year-old, long-refuted claims?". Nature. 408 (6810): 287. Bibcode:2000Natur.408..287D. doi: 10.1038/35042743 . PMID   11099014.
  8. Wain-Hobson S, Weiss RA (October 2000). "If free speech costs lives that's a high price to pay". Nature. 407 (6806): 834. Bibcode:2000Natur.407..834W. doi: 10.1038/35038262 . PMID   11057643.
  9. Chigwedere P, Seage GR, Gruskin S, Lee TH, Essex M (October 2008). "Estimating the Lost Benefits of Antiretroviral Drug Use in South Africa". Journal of Acquired Immune Deficiency Syndromes. 49 (4): 410–415. doi: 10.1097/QAI.0b013e31818a6cd5 . PMID   19186354. S2CID   11458278.
  10. Nattrass N (February 2008). "Estimating the Lost Benefits of Antiretroviral Drug Use in South Africa". African Affairs. 107 (427): 157–76. doi: 10.1093/afraf/adm087 .