AEGiS-ST: SA Enters the Aids 'Graveyard Shift' Sunday Times (Johannesburg)Important note: Information in this article was accurate in 2004. The state of the art may have changed since the publication date.
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SA Enters the Aids 'Graveyard Shift'

Sunday Times (Johannesburg) - August 1, 2004
Adele Shevel


Deaths among 25 to 40-year- olds now exceed deaths among those aged over 55, suggesting South Africa is in the "graveyard shift" in the battle against HIV/Aids, says Clem Sunter, a director of the SA Business Coalition against HIV/Aids.

Meanwhile, research shows that businesses have been virtually oblivious to the impact of the Aids pandemic.

Brad Mears, chief executive of the SA Business Coalition Against HIV/Aids (Sabcoha), says: "The fact that we now have higher mortality among our working population has a potentially catastrophic effect on South Africa's ability to work."

Mears says business is experiencing a shortage of skills among semi-skilled and skilled workers. "You can't replace institutional memory", he says, referring to people in the workplace who lose their lives and are replaced by workers with less experience.

The mining, manufacturing and transport sectors have been most affected. Sean Jelley, CEO of HIV/Aids management firm Lifeworks, says the rump of the employee base is between 25 and 45. "HIV prevalence is greatest in the age group between 30 and 39."

He says investment lost because of HIV/Aids is significant and hard to replace. "You often have to replace the deceased staff with younger people and the costs of training are significant."

The uptake of more people in the younger age group may soak up excess capacity among the pool of the unemployed, "but you're losing skilled people and replacing them with unskilled and that's a huge cost".

He says indications are that prevalence of HIV/Aids among the unemployed is higher than among the employed.

"Prevalence among contract employees tens to be higher than among permanent employees."

Sunter says the shift in prevalence "means whereas in the late 1990s the workforce was being infected but this was not affecting productivity, now people are exhibiting full-blown Aids and that is when it starts taking its toll".

He says big business has moved into treatment, but small and medium businesses have been slow to respond.


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