HIV/AIDS: The Liberian Experience!

I have used the Liberian drums above to illustrate the call to arms in the fight against HIV/AIDS. Within the traditional Liberian culture, the drum was not only used to entertain, but to also call the people to arms. A certain sound of the drum indicated that something awful had happened.


The current news from Liberia about the spread of AIDS/HIV epidemic is not only alarming, it is of unimaginable proportion. According to the Minister of Health of Liberia, Dr. Peter Coleman, and Dr. Isabelle Simbay, head of the National Aids Control Program (NACP), over 100,000 Liberians have currently tested positive for HIV. The infected patients were primarily between ages 15-29. The report also indicated that there was a 20 percent increase over a two-month period.

The NACP report shows that HIV/AIDS cases were substantially under-reported during prior years. According to the UNAIDS/WHO report on the incidence of HIV/AIDS in Liberia, from 1986 to 1997 the following HIV/AIDS cases were reported:

  1. In 1986, two HIV cases were reported;
  2. In 1989, three persons tested positive;
  3. In 1991, fourteen cases were reported;
  4. In 1993, four persons tested for HIV;
  5. In 1994, twelve persons tested for HIV;
  6. In 1996, eighteen persons tested positive;
  7. and in 1997, 48 patients tested positive.
These earlier test were restricted to antenatal (testing for birth defects) dignosis on women, and men who sought clinical help for STD or sexually transmitted diseases. The reports showed the following:
  1. In 1993, 4% of the women who went for prenatal test, tested positive for HIV;
  2. and in 1998, 8% of the men who went to be treated for STD, tested positive for the HIV virus.
Th new report indicates that 3.2 percent of the Liberian population (assuming the population is currently 3.1 million) has tested positive for the Human Immunodeficiency Virus, the virus that causes AIDS. It further indicates that 3 out of every 100 Liberians are infected with HIV. On a global basis, (assuming the current global-HIV infection is 34 million), three-tenths of one percent of the infected people with HIV live in Liberia.

For a nation that is currently recovering from a devastating seven-year civil war, and a government that cannot provide the most basic health needs of its people, the news is devastating, but not unexpected. The seven-year civil war had all the ingredients for this health nightmare. Most of the 60,000 rebel fighters, who were "child soldiers" were forced to ingest drugs to carry out the will of the war lords. Thousands are currently addicted. Added to this factor were thousands of soldiers from various West African states who brought, "God knows what!" and infected the Liberian women and children. AIDS/HIV is a global problem, and no nation is immune from its infection; however, Liberia did not have to acquire this overwhelming health crisis.

The response of the Liberian Government to the current health crisis is loaded with half-measures.

  • The Government has promised to pass an AIDS law, making it "attempted murder" for an AIDS patient to knowingly have sex with an uninfected person;
  • and an AIDS commission is to be formed to deal with the crisis.
The global experience indicates that education "safe sex", and health services are the current solutions to this health crisis. All the "gallows", the "hangman's noses", "firing squads" and long jail terms will not stop the Liberian people from engaging in risky sex. Education, and an improvement in the standard of living (health care, safe drinking water; sanitation; electricity) will help.

The treatment and management of AIDS/HIV poses an enormous health and economic problem for the Liberia people. A report by UNAIDS/WHO shows that the treatment of an individual AIDS/HIV case in the Congo Republic and Kenya was well over $1,000 per year. If this figure is extrapolated in the Liberian case, we are talking about $100 million annually.

This is another war that will claim the lives of thousands of our people. The traditional infectious diseases, malaria, yellow fever, and cholera, will only quicken the death of thousands of HIV-infected Liberians, whose immune system have already been compromised by AIDS.

Approximately two-thirds of all the global cases of AIDS/HIV has been reported in Africa. In 1998, it is reported that 1.5 million people died from the disease. Liberia has joined the fray.

My view is that the Governnment should immediately take the following measures to begin a national struggle against HIV/AIDS:

  1. Symbolically, the goal of testing all Liberians should begin with the testing of all government officials, starting with the President, the Cabinet, Judges, and Legislators. The message will be heard loud and clear among Liberians , that if the President and high government officials are tested, everybody should be tested;
  2. Mass education on AIDS/HIV should be implemented;
  3. the Government should set up AIDS/HIV clinics around the country, and appeal to the international community for assistance; and
  4. there should be immigration restrictions on the entry of emigrants who have tested positive for HIV/AIDS; and all persons entering Liberia should either be tested or should show medical records showing that they are HIV negative. Most nations of the world already have strict guidelines governing the entry of HIV/AIDS patients in their country.

A covered article published by Time Magazine (February 12, 2001, Volume 157, No. 6), and supported by AIDS ststistics from UNAIDS indicates that since AIDS was discovered as a deadly virus in the 1970s, over 17 million Africans have died from the virus, and about 8.8% of the adult-African population are infected with virus.

Here is a tabular presentation of Time Magazine/UNAIDS statistics:

Number of Africans Infected with the AIDS virus
South Africa 4,200,000
Ethiopia 3,000,000
Nigeria 2,700,000
Kenya 2,100,000
Zambibwe 1,500,000
Tanzania 1,300,000
Mozambique 1,200,000
Democratic Republic of Congo 1,100,000
Zambia 870,000
Uganda 820,000
Malawi 800,000
Ivory Coast 760,000
Cameroon 540,000
Rwanda 400,000
Burundi 360,000
Ghana 340,000
Botswana 290,000
Lesotho 240,000
Central African Republic 240,000
Namibia 160,000
Togo 130,000
Chad 92,000
Republic of Congo 86,000
Senegal 79,000
Sierra Leone 68,000
Guinea 55,000
Eriterea 49,000
Liberia 39,000
Dijibouti 37,000
Gabon 23,000
Guinea-Bissua 14,000
Gambia 13,000
Madagascar 11,000
Mauritania 6,600

The NACP and the UNAIDS statistics do not necessarily conflict. The NACP is on the front line and has the updated figures.

The above figures must be placed in proper perspectives to get a better picture of the incidence of AIDS in Africa. South Africa, for example, with a population of 40 million has 10% of its population infected with the AIDS virus; Nigeria which has a population of 123 million people has 2% of its population infected; and Liberia, which has a population of 3 million people has 1% of its population infected. Consequently, on a per capita basis (based on the UNAIDS figures), Nigeria, for example, has more people infected with the AIDS virus than Liberia. However, this analysis does not say very much about the actual state of AIDS cases in Africa, since there are high incidence of unreported cases in many African countries, coupled with the fact that the National Aids Control Program of Liberia indicates that on a per capita basis, Liberia has 3% of its population infected with the AIDS virus.

The 2001 CIA(Centeral Intelligence Agency) estimates,indicates that 2.8% of the adult population(1,832,060)of Liberia, between the ages 15-64, are infected. This estimate indicates that 51,298 Liberians are infected. In other words, 1 out of 62 people are infected.


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The Years The Locusts Have Eaten

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Links to the other pages associated with this web site:

History & Government of the Liberian People

Dedication of this website

The Liberian People

A day in the life of an indigenous-Liberian village.

Land & Economy of Liberia

Diet of the Liberian People

Home Page

The Liberian Civil War

AMISTAD: The History

Experiences of Liberians Studying and Working Overseas

1998 US State Department Report on Liberia

The 1984 Constitution of Liberia.


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