AIDS in the Twenty-First Century

TONY BARNETT is ESRC Professorial Research Fellow at the Development Studies Institute, London School of Economics, UK, and a Co-Director of the Mackinder Centre for the Study of Long Wave Events. His other publications on this subject include AIDS in Africa: Its Present and Future Impact (with Piers Blaikie, 1992), The Effect of HIV/AIDS on Farming Systems in Eastern Africa, Economics of AIDS and Access to Care in Developing Countries (edited with Jean-Paul Moatti and others) and HIV/AIDS in Eastern Europe and the Commonwealth of Independent States: Reversing the Epide

'...a unique and important book. It is accessible, innovative and far-sighted. This is the most important recent book to understand the longterm consequences of AIDS in Africa.' - Peter Piot, Executive Director UNAIDS 'Literally dozens of potential research questions emerge from almost every chapter. This book ought to be at the side of any social scientist wanting to conduct systematic work on HIV/AIDS.' - Dr Robert Mattes, Associate Professor, Political Studies, University of Cape Town, Journal of South African Studies 'The foundation text for postgraduate courses on AIDS and development, AIDS and politics and so on... the best reference book for those who are - or should be - grappling with the implications of AIDS in development planning, business and public affairs.' - Alex de Waal, London Review of Books '...the single best introduction to the global pandemic and its consequences. It is clear, thorough, and authoritative. ...this is a must-read for policy-makers, scientists, and the general public.' - Craig Calhoun, President, Social Science Research Council, USA '...a powerful book which needs to be read by all senior African politicians and policy makers. It is honest about the scale of the pandemic and the problems we face in addressing it but there is a real message of hope. We can beat this disease.' - KY Amoako, Executive Secretary, Economic Commission for Africa '...the book presents important ideas and presents eloquently and thoroughly the arguments of emerging thinking around the impact of the disease on society.' - African Security Review This is an outstandingly written book with a wealth of information that makes it priority reading for policy makers, students, and anyone who is concerned about or studying the relationship between poverty, inequality, and infectious diseases. A highly recommended book for all libraries.' - H.Robert Malinowsky, AIDS Book Review Journal 'This book should be read by every businessman, not only in Africa, throughout the world - because it uncovers in new and more meaningful ways the terrifying global, social and economic impact of HIV/AIDS...[It] breaks fresh ground by offering solid reasoning why the conventional wisdom that relates wealth and poverty to the extremes of HIV/AIDS prevalence needs to be revisited.' - African Business '...even the most casual reader will be struck by the global tragedy of AIDS...' - Harold W. Jaffe, New England Journal of Medicine 'The book is a very rich resource - a 'must read' for students, HIV/AIDS activists, social science researchers, public health experts, policy makers and programmers.' - Oluwole Odutolu, International Journal of Health Planning and Management 'This is an important and wide-ranging book which fills a series of gaps in current understandings of the origin and impact of HIV/AIDS.' - Catherine Campbell, Social Psychology, London School of Economics and Political Science, Development in Practice 'AIDS in the Twenty-First Century explains the background to the epidemic, and explores why Africa has been hit so hard and why some countries have been hit harder than others. Reading this book will shock you into an understanding of the long - perhaps century-long - impact we are all going to feel from this disease. - New Agriculturist On-line 'Aimed at a general audience, this is a valuable and well-written addition to the literature on the HIV/AIDS epidemic, commonly dominated by biomedical and epidemiological perspectives.' - John Bongaarts and Geoffrey McNicoll, Population and Development Review '...an extremely useful starting point for all students, scholars, policy makers, and practitioners interested in HIV/AIDS. It is a very good reference book to have on the shelf.' - Jelke Boesten, African Affairs

• PART 1: INTRODUCTION Disease and Denial The Disease and its Epidemiology PART 2: SUSCEPTIBILITY Epidemic Roots Case Studies Is Africa Exceptional? PART 3: VULNERABILITY AND IMPACT Introduction to Impact Individuals, Households and Communities Dependants: Orphans and the Elderly Rural livelihoods and Agriculture Private Sector Impact Development and Economic Growth Government, Governance and Security PART 4: RESPONDING TO THE EPIDEMIC Strategies, Tactics and Timing Globalisation and Inequality