/ 20 January 2005

‘Firms not ahead of the Aids curve’

Businesses in Africa, Asia and Russia are too slow in tackling the HIV/Aids epidemic and averting the economic damage it causes, according to the results of a major global survey published on Thursday.

Companies in most countries rarely draw up written policies to tackle HIV/Aids until 20% of the national population is infected, according to the survey of 9 000 business leaders worldwide.

The response is a case of ”too little, too late”, given the benefits such policies could have, Kate Taylor, the Geneva-based director of the World Economic Forum’s (WEF) Global Health Initiative, said in London.

Despite the fact that 14 000 people contract HIV/Aids on average every day, concern among businesses has dropped sharply in the last 12 months, with 71% of companies having no policies at all in place to tackle the disease.

Over 65% of business leaders surveyed could not say or estimate the prevalence of HIV, the virus that causes Aids, within their own workforce, the survey found.

It also revealed that across sub-Saharan Africa, even in countries with an HIV prevalence of 10-19%, only around seven percent of companies have formal HIV/Aids policies in place.

”There is an even greater gap between prevalence and policies in China, Ethiopia, India, Nigeria and Russia,” the report said.

These are the so-called ”next wave” countries, which are predicted to experience the highest numbers of new HIV/Aids cases worldwide by 2010.

David Bloom, professor of Economics and Demography at the Harvard School of Public Health, which jointly published the study with the WEF and the United Nations agency UNAids, said he feared the epidemic was outpacing efforts to fight it.

In areas where the prevalence of HIV/Aids is above 20%, such as in southern Africa and central Africa, there is a big increase in firms reporting they are concerned with HIV/Aids, he said during a pre-publication briefing in London.

Seventy-two percent of companies in those regions now have formal and informal policies to combat the scourge, Bloom added.

”Firms act when the epidemic is right in their face,” Bloom concluded.

”It looks like firms are not ahead of the Aids curve.”

The report ends by recommending that businesses better understand their risk exposure and learn to manage this from local good practices.

A key priority, in both high and low prevalence countries, is to establish a policy based on non-discrimination and confidentiality, it concluded.

Campaigners welcomed the example of Anglo American, the international mining and natural resources company, which estimates an HIV prevalence rate of 24% in its 130 000-strong southern African workforce.

Over the last two years, the company has implemented extensive voluntary counselling and testing for HIV infection, coupled with anti-retroviral therapy for employees whose HIV infection leads to Aids, the WEF’s Taylor said.

Over 90% of the 2 200 Anglo American employees who have accessed and remained on treatment are well and have returned to normal work.

”Our growing experience shows that effective action on HIV/Aids is synonymous with good business management and leads to more profitable and sustainable operations,” said Brian Brink, senior vice president for health at Anglo American.

”Importantly, companies should encourage all workers to know their HIV status, making it as routine as monitoring blood pressure or cholesterol,” Brink said in a statement distributed by WEF. – Sapa-AFP