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The Emergence of AIDS
Kinshasa Highway

Catherine Howard
Regina Mundi College, Cork

You may find that the most shocking fact concerning AIDS is not the millions infected and dying, it is not the sufferers who are discriminated against in areas such as employment, nor is it the horrible, inhumane way in which the disease finally takes their life. Unbelievibly, the most shocking fact concerning AIDS is how, nearly two decades ago, an unknown, unrecognised and virtually unstoppable disease crept from the shores of Lake Victoria only to explode in the population of North America.

AIDS (Acquired Immune Deficiency Syndrome) made its breakout from the African rain forest around 1979, after which it began relentlessly infecting the human race. However, the cause of the disease, HIV (Human Immunodeficency Virus) had long since been replicating inside the cells of a large number of people living on the shores of Lake Victoria. Somehow (the route is subject to speculation but remains unknown) HIV hitched a ride to the US, possibly aboard an aircraft, where it began attacking the male gay population of cities along the west coast. Otherwise healthy homosexual men were mysteriously being struck down by normally harmless parasitic infections. The common factor was found to be a suppressed immune system, thus accounting for the inability to fight off minor infections. Today, these infections are called "Opportunistic Illnesses", which are generally the actual cause of death in an AIDS patient and are also used as clinical endpoints, used to determine the progression from the point of HIV infection to the final stages of AIDS.

It was on June 5th 1981, that Dr. Micheal Gottlieb of the University of California at the Los Angeles Medical Center, had his paper on the strange disease published in the Centers For Disease Control's "Morbidity and Mortality Weekly Report". The paper described the illness that had been dubbed GRID (Gay Related Immune Deficency) and thus did not recognise (for it was then unknown) the fact that the disease did not have a sexuality preference and that many heterosexuals were infected also. In fact, it was not until several months later that the name was changed to AIDS.

While American doctors despaired at the state of affairs in the US, a devastating number of people had already died from AIDS in the towns and villages surrounding Lake Victoria, Africa. The northwestern shore of the lake is renowned for being one of the initial epicenters of AIDS after its emergence from the forest and the beginning of its infection of the human race. On the western shore lies a village called Kasenero, which is one of the first places on earth where AIDS appeared. In 1982, 17 Kasenero inhabitants developed AIDS. The village has since been practically eradicated by the disease.

But lethal microbes have a tendency, not to originate from busy city streets in the Western World, but from previously undisturbed ecologies. Therefore, out of the two simultaneous outbreaks, it was more plausible that HIV, found to be the causative agent of AIDS in 1985, had been flushed out of the rainforest due to a change in habitat, perhaps the felling of trees. Possibly, HIV/AIDS was carried aboard a trans-Atlantic flight after entering the worldwide web of air routes somewhere in Africa. But how did it make its way through rural Africa to a town or city large enough to support an airport?

Kinshasa Highway is a transcontinental road which cuts Africa in two. Originating in Mobasa, Kenya in the east, it passes through Kinshasa, the capital of Zaire and ends at Pointe-Noire on the west coast. It also passes by Entebbe on the shores of Lake Victoria. This road, many believe, is responsible for the emergence and spread of AIDS. It was once a wandering dirt track, practically impossible to travel along. In the 1970s it was paved and soon after boasted a heavy traffic flow. This encouraged the movement of natives out of their villages and into the big cities. The problem was that many of them were also carrying AIDS.
To cater for the travellers, particularly truck drivers, along the highway, small restaurants sprang up along its length. Some of these establishments also provided a bed for the night and others provided extras that discreetly went unadvertised. Doctors believe that 90% of all prostitutes working along the main African roads are infected with the AIDS virus.
Perhaps it is a sign of how advances in our evolution as a species are working against us. In order to create an adequate road system and efficient transport in an underdeveloped country, we unknowingly opened Pandora's Box and unleashed the greatest scourge the world has ever known.

Kinshasa Highway is the road that boasts the world's highest death toll, yet none of its victims have died on the road. They have perished at the hands of a lethal microscopic virus. So far, conservative estimates hold AIDS responsible for the loss of ten million lives and the fatalities of the AIDS epidemic looks set to overshadow those of World War 2.
Positioned sporadically along the highway are signs which read, "Reduce Road Carnage - Drive Safely". Few understand the irony.

Catherine Howard is a 16 year old Transition Year student in Regina Mundi College, Cork. This article was shortlisted for the Young Science Writers Competition 1997.

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