The Treatment Action Campaign (TAC) is a South African HIV/AIDS activist organisation which was co-founded by the HIV-positive activist Zackie Achmat in 1998. [1] TAC is rooted in the experiences, direct action tactics and anti-apartheid background of its founder. [1] TAC has been credited with forcing the reluctant government of former South African President Thabo Mbeki to begin making antiretroviral drugs available to South Africans. [2]
The Treatment Action Campaign (TAC) was launched on 10 December 1998, International Human Rights Day. Zackie Achmat, whom The New Yorker calls "the most important dissident in the country since Nelson Mandela", [3] joined with a group of ten other activists to found the group after anti-apartheid gay rights activist Simon Nkoli died from AIDS even as highly active antiretroviral therapy was available to wealthy South Africans. [3] Shortly thereafter, prompted by the murder of HIV-positive activist Gugu Dlamini, HIV-positive and HIV-negative members of the new group began wearing the group's now-famous T-shirts with the words "HIV Positive" printed boldly in front, a strategy inspired by the apocryphal story of the Danish king wearing the yellow star marking Jews under Nazi occupation. Achmat also became famous for his pledge to not take antiretroviral medicines until all South Africans could obtain them. [4]
Quickly outgrowing its start among a small group of Cape Town activists, a number of whom had political roots in the Marxist Workers Tendency of the ANC, [5] TAC became a much more broadly based group, with chapters in many regions of the nation and a largely black and poor constituency. [6] [ page needed ] The group campaigns for greater access to HIV treatment for all South Africans by raising public awareness and understanding about issues surrounding the availability, affordability and use of HIV treatments.[ citation needed ]
The Treatment Action Campaign produces Equal Treatment, a magazine dedicated to HIV and health issues.
The TAC first confronted the South African government for not ensuring that mother-to-child transmission (MTCT) prevention was available to pregnant mothers. [7] It won this case on the basis of the South African constitutional guarantee of the right to health care, and the government was ordered to provide MTCT programs in public clinics. TAC also assisted the government by defending it in the case brought against the government by the pharmaceutical industry. TAC entered the case as an amicus curiae, submitting a brief in favour of the government's position. Although the withdrawal of the pharmaceutical companies from this case resulted in a government victory, the government showed no interest in providing access to the generic antiretroviral medications that its victory allowed.[ citation needed ]
Indeed, far from embracing their common victory against the patent rights of multinational companies who were not making affordable drugs available, President Thabo Mbeki began promoting the AIDS denialist view that HIV might not cause AIDS, and that AIDS medications were more toxic than helpful, inviting foreign AIDS denialists to advise his government. [8] [6] [ page needed ]
According to TAC's founder, two million South Africans died prematurely of AIDS during the term of former President Mbeki, [9] and many of these deaths could have been prevented by timely implementation of access to anti-HIV drugs.
Following their legal victories, and facing continuing refusal by the government to make antiretrovirals available, TAC began a campaign for universal access to AIDS treatment through the public health system. In a national congress in 2002, the group decided to confront the government on this issue, first enacting a thousands-strong march on Parliament in February 2003, and then beginning a civil disobedience campaign in March 2003. After assurances from people within the government that a treatment plan would be forthcoming, TAC suspended its civil disobedience campaign.
In the summer of 2003, TAC obtained and leaked an internally circulated government report showing that treatment would be cost-effective by reducing costly hospitalisations within the public-sector health system; however, the government did not endorse the report and condemned the leak. In August 2003, at its next annual congress, TAC voted to resume civil disobedience. TAC members also voted to recommend that Achmat take his medications, which he agreed he would do. At the same time, TAC began a Treatment Project to distribute medications to its activists and to other community members.
Shortly after the Congress, and before the civil disobedience campaign resumed, the Cabinet voted to begin roll-out of antiretroviral access through public-sector health clinics. In the South African system, the Cabinet can overrule the President, and it appeared to have done so in this case.
Although the Cabinet voted to reaffirm that South African AIDS policy is based on the evidence that HIV causes AIDS, former President Thabo Mbeki continued to support the AIDS denialist position, as did his Minister of Health, Manto Tshabalala-Msimang. The Minister of Health put special emphasis on nutrition as an alternative to antiretroviral treatment. As the top health official of South Africa, she was a particular target of TAC activism. Tshabalala-Msimang was removed as Health Minister in September 2008 after President Mbeki left office, a move hailed by the Treatment Action Campaign. [10]
Although antiretroviral access is now official policy, its implementation has been spotty. TAC continues to protest and sue the government (working with the AIDS Law Project) in order to continue to influence the speed of and approach to the rollout. [11] [12]
At the XVI International AIDS Society Conference in Toronto, 13–18 August 2006, TAC had a significant presence. Many TAC staff presented in seminars and chaired sessions, most prominently TAC Secretary Sipho Mthathi and Treasurer Mark Heywood. Heywood was a panelist in a plenary session co-chaired by CNN's Sanjay Gupta entitled "Time to Deliver: The Price of Inaction". Towards the end of the session, supporters of TAC, many of whom were wearing the distinctive "HIV POSITIVE" T-shirts, took to the stage behind the panel and silently held placards containing messages such as "Fire Manto", in reference to the Health Minister, who was in attendance. [13]
TAC members and supporters also took over the South African government's booth in the exhibitor's area. [14] The booth contained bowls of lemons and garlic, which the Health Minister has claimed contribute to fighting HIV. TAC members passed around these items mockingly, and toyi-toyied inside the booth, attracting attention to the South African government's expenditure on the elaborate booth and lack of corresponding commitment to the national treatment plan.
During the conference's closing ceremonies, United Nations Special Envoy for HIV/AIDS in Africa Stephen Lewis pointed out the failure of South Africa's response to HIV/AIDS, calling their actions more "[more] worthy of a lunatic fringe than of a concerned and compassionate state." [14] He also announced that earlier in the morning, Zackie Achmat and 44 others had been arrested for occupying provincial offices in Cape Town in protest of government's failure to treat prisoners with anti-retrovirals, and in particular the recent death of one plaintiff in the legal case against the government on this matter.
After the conclusion of the conference, TAC declared a Global Day of Action for Thursday, 24 August 2006. [15] Protests and marches were held in the U.S., Canada, Brazil, and China by TAC supporters and sympathisers. In South Africa, police used pepper spray on protesters at the Department of Correctional Services building in central Cape Town, though no one was seriously hurt. [16] Similar protests in Gauteng, Eastern Cape, Limpopo, and KwaZulu-Natal were not met with violence. Over 2000 people took part in the demonstrations. The TAC's objective was to deliver its five demands, which include the convening of a national meeting and plan for the HIV/AIDS crisis, the dismissal of the Health Minister, the immediate treatment of prisoners, respect for the rule of law and the Constitution, and the building of a people's health service.[ citation needed ]
The TAC has received support from many sectors of South African society, including Supreme Court Justice Edwin Cameron, [1] former President Nelson Mandela, [17] Anglican Archbishop of Cape Town Njongonkulu Ndungane, [18] Médecins Sans Frontières, [19] and the Congress of South African Trade Unions (COSATU). [20] In August 2006, U.S. President Barack Obama, then a Senator, visited TAC's Khayelitsha office and met with then TAC chairperson Zackie Achmat. During his visit, Obama emphasised the importance of HIV testing and urged the South African government to "awake" from AIDS denialism. [21]
TAC is supported by Ashoka, a nonprofit organisation that promotes social entrepreneurship. [22]
TAC has worked with and shown solidarity with a number of organisations and movements. This includes the Social Justice Coalition, the Anti-Eviction Campaign, the AIDS Law Project and COSATU. In October 2009, TAC issued a statement of Solidarity with Abahlali baseMjondolo condemning the attacks by ANC members on Kennedy Road informal settlement. [23]
Peter H. Duesberg is a German-American molecular biologist and a professor of molecular and cell biology at the University of California, Berkeley. He is known for his early research into the genetic aspects of cancer. He is a proponent of AIDS denialism, the claim that HIV does not cause AIDS.
Thabo Mvuyelwa Mbeki is a South African politician who served as the 2nd democratic president of South Africa from 14 June 1999 to 24 September 2008, when he resigned at the request of his party, the African National Congress (ANC). Before that, he was deputy president under Nelson Mandela from 1994 to 1999.
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).
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.
Abdurrazack "Zackie" Achmat is a South African activist and film director. He is a co-founder the Treatment Action Campaign and known worldwide for his activism on behalf of people living with HIV and AIDS in South Africa. He currently serves as board member and co-director of Ndifuna Ukwazi, an organisation which aims to build and support social justice organisations and leaders, and is the chairperson of Equal Education.
The Congress of South African Trade Unions is a trade union federation in South Africa. It was founded in 1985 and is the largest of the country's three main trade union federations, with 21 affiliated trade unions.
Matthias Rath is a doctor, businessman, and vitamin salesman. He earned his medical degree in Germany. Rath claims that a program of nutritional supplements, including formulations that he sells, can treat or cure diabetes, cardiovascular disease, cancer, and HIV/AIDS. These claims are not supported by any reliable medical research. Rath runs the Dr. Rath Health Foundation, has been closely associated with Health Now, Inc., and founded the Dr. Rath Research Institute.
Mark Arnold Wainberg, was a Canadian HIV/AIDS researcher and HIV/AIDS activist. He was the Director of the McGill University AIDS Centre at the Montreal Jewish General Hospital and Professor of Medicine and of Microbiology at McGill University. His laboratory primarily studies HIV reverse transcriptase, the molecular basis for drug resistance, and gene therapy. He received a B.Sc. from McGill University in 1966, a Ph.D. from Columbia University in 1972, and did his post-doctoral research at Hadassah Medical School of the Hebrew University.
State of Denial is a 2003 documentary film about AIDS in Africa, produced and directed by Elaine Epstein. The film highlights the errors of President Mbeki's government, which insists that there isn't enough evidence to show that HIV causes AIDS and refuses vital life-saving drugs to their people because of unknown long-term risks. The film follows the stories of HIV positive Africans and activists as well as their careers, interspersed with the harrowing statistics of the AIDS epidemic in Africa. It features various HIV positive patients coping with the disease in times when the use of ARV medicine was strongly discouraged by the South African government.
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. The declaration was drafted in response to HIV/AIDS denialism, and particularly to address South African president Thabo Mbeki's support for AIDS denialists. 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".
HIV/AIDS is one of the most serious health concerns in South Africa. The country has the highest number of people afflicted with HIV of any country, and the fourth-highest adult HIV prevalence rate, according to the 2019 United Nations statistics.
"Sing" is a song recorded by Scottish singer Annie Lennox for her fourth solo studio album, Songs of Mass Destruction (2007). It was released as the second single from the album on 1 December 2007 by RCA Records. Lennox was inspired to write the track after seeing South African activist Zackie Achmat at Nelson Mandela's 46664 HIV/AIDS concert. She wanted the track to be a source of empowerment for people without a voice of their own. It also gave rise to her SING Campaign which aimed to raise funds and awareness for issues surrounding HIV/AIDS. "Sing" was produced by Glen Ballard and interpolates the South African tune "Jikelele"; the music was given to Lennox by an activist group called The Generics.
Pride Chigwedere, a Zimbabwean national, is a Harvard trained physician-scientist working in global health. He is most notable for leading a team of Harvard researchers who demonstrated that South African President Thabo Mbeki's AIDS policies led to more than 300 000 deaths. While South Africa's policies were condemned by many, Chigwedere's contribution was in developing and applying methods to quantify the impact of the policies thus demonstrating the calamitous consequences of AIDS denialism. Generalized, he developed an approach for evaluating public health practice and highlighted the need to develop a framework for accountability in public health. Drawing from the analogy with medicine, he has proposed the concept of public health malpractice to capture negligence that causes harm as a useful first step towards accountability in public health. A response to Chigwedere's work by AIDS denialists led by Peter Duesberg was initially published by the non-peer-reviewed journal Medical Hypotheses followed by a retraction because of poor quality of data, undeclared conflicts of interest, and potential effects on global health.
Seth C. Kalichman is an American clinical community psychologist and professor of social psychology at the University of Connecticut, known for his research into HIV/AIDS treatment and HIV/AIDS denialism. Kalichman is also the director of the Southeast HIV/AIDS Research & Education Project in Atlanta, Georgia, and Cape Town, South Africa, and the editor of the journal AIDS and Behavior. He is the developer of the Sexual Compulsivity Scale.
Fig Trees is a 2009 Canadian operatic documentary film written and directed by John Greyson. It follows South African AIDS activist Zackie Achmat and Canadian AIDS activist Tim McCaskell as they fight for access to treatment for HIV/AIDS. It was also inspired by Gertrude Stein and Virgil Thomson's opera Four Saints in Three Acts. The film premiered at the 59th Berlin International Film Festival where it won the Teddy Award for Best Documentary.
Tine van der Maas is an Argentine-born South African nutritionist and HIV/AIDS denialist. Her family is originally of Dutch origin before immigrating to South Africa. She started treating people with AIDS in 1989.
South Africa's HIV/AIDS epidemic, which is among the most severe in the world, is concentrated in its townships, where many black South Africans live due to the lingering effects of the Group Areas Act.
Nicoli Nattrass is a South African development economist who is professor of economics at the University of Cape Town (UCT). She is the co-director of the Institute for Communities and Wildlife in Africa (iCWild) and was the founding director of the Centre for Social Science Research (CSSR).
In South Africa, HIV/AIDS denialism had a significant impact on public health policy from 1999 to 2008, during the presidency of Thabo Mbeki. Mbeki criticized the scientific consensus that HIV is the cause of AIDS beginning shortly after his election to the presidency. In 2000, he organized a Presidential Advisory Panel regarding HIV/AIDS including several scientists who denied that HIV caused AIDS.
Taghmeda Achmat, commonly known as Midi Achmat, is one of South Africa's most well known lesbian activists. Achmat co-founded the Treatment Action Campaign (TAC) with her partner and fellow activist Theresa Raizenberg on 10 December 1998.
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