Stefan Hippler

Silently into the grave – Why those with Aids don’t want to know the truth

No, no, it’s fine. Everything’s okay. Whenever we ask Maggie* how she is doing, she always gives the same answer. But we can see that she is getting thinner and weaker by the day. It’s obvious that she struggles to clean the rooms in our guesthouse, she visibly strains just shaking pillows or emptying the bins. And yet she insists: Don’t worry about me. Maggie has worked at the Mediterranean Villa for two years. She is 48 years old. Her husband died in 2004, and since then she has had to find her own way with three children. The two older daughters don’t work, the youngest smokes Tik – crystal methamphetamines – which is all the rage in Cape Town’s drug scene. It’s disastrous for the whole family. While the mother works, the daughter sells all the household’s possessions to buy more drugs. But the money is never enough to gratify her addiction. Maggie’s daughter enters a vicious cycle of crime: she steals, she is arrested, mother bails her out, she does not reform, is arrested again, etc. And Maggie works and earns the money needed to bail her out.

But soon Maggie won’t be able to do that any more, because there is a disorder about which she doesn’t want to talk. She also doesn’t want to see a doctor. All our efforts at persuading her are futile. She makes excuses: “Let it be, it’s fine, I have no time for doctors, it’s just the stress.” Both of us know that it isn’t stress, but the stigma. It’s the dread of being marked out and ostracised if her neighbours in the township should know what ails her. That disease: HIV/Aids. It’s always others who get infected – neighbours, strangers, outsiders. The stigma is remorseless. It draws on ignorance, rumours, credulity and moral failure. It leads to the exclusion of the affected. “Don’t touch me”. “Use another toilet.” One hears such phrases every day. And sometimes: “You’re not one of us any more.”

It’s like a social death penalty – and that happens in a culture which proclaims the principle of ubuntu. A keyword in Africa’s mutually supportive societies, it can be defined as one being human only through other people.
Aids. Maggie won’t even say the word. Her husband’s death certificate also doesn’t say what exactly caused his death. He just was very ill. Nobody needs to know more. And that’s why so many people refuse to go to a doctor. “No problem; it’s not that bad.” Always the same excuses, the same pleading, the same silent complaints, and sometimes also tears – and it goes on like this for weeks. Finally, in November 2006, I prevail and take Maggie to the doctor for a blood test. She refuses to accept the result. No, she doesn’t have this sickness; she isn’t ill. The doctor puts her off work for six months. She gets weaker and weaker, her body is falling apart; it’s too late for the medications which could extend her life. Soon, on a sunny January morning, she dies. The fear of stigmatization killed Maggie – a fate shared by many thousands of her fellow HIV-positive South Africans.

* name changed

Translation from:
Gott – Aids – Afrika
Hardcover: 207 pages  –  Publisher: Kiepenheuer & Witsch GmbH (August 31, 2007)
Language: German  –  ISBN-10: 3462039253  –  ISBN-13: 978-3462039252
Gott – Aids – Afrika
Paperback  – Bastei – Luebbe  –
Language: German  –  ISBN-10: 3404606159  –  ISBN-13: 978-3404606153

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, Medical and Research, Networking, Politics and Society, Reflection, Society and living environment, Aids, bartholomaeus grill, book, cape town, Catholic, catholic church, Church Matters, gott-aids-afrika, hiv, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, moral theology, oekonomia, people living with the virus, pope, sexuality, south africa, stefan hippler, theology, Theology

Bartholomaeus Grill

Nothing new in the South  – HIV: the biggest weapon of mass destruction of our time
A reflection in 2007

An infection by a lethal virus every six seconds. Every day 8,000 Aids deaths. In 2006, five million new infections. Worldwide almost 40 million HIV-positive people. These figures are frightening; they exceed the powers of our imagination. These are the annual statistics from the United Nations. In the West they may be noted with resignation or they are just ignored. The pandemic does not register as a threat there because the numbers of infections – 275,570 reported cases in Western Europe’s 22 countries in December 2006 – are small in global terms. The threat of Aids death has lost its shock value in the West because of a false notion that antiretroviral medication can cure the disease. Those not affected by it tend to trivialize or even evade the pandemic.

First it was the “gay cancer”. Then it came for the prostitutes and the drug addicts. Eventually it came for the blacks. In between, in the 1980s, a shock wave took hold briefly when it was realised that actually everybody was in danger. Nevertheless, in the collective consciousness of the rich parts of the world, Aids – the Acquired Immune Deficiency Syndrome – has remained a curse which afflicts others: the deviants, the failed, the poor, the Africans. Like the medieval Black Plague, the Aids pandemic is inexplicable – it seems to rage in another place, at another time. And because, to paraphrase Albert Camus, a dead man weighs something only if one has seen him dead, history’s millions of Aids-corpses are “nothing but the smoke of the imagination”.

The African must surely feel like those people in Camus’ novel The Plague who are quarantined in the coastal city of Oran. A giant sightscreen surrounds their continent; they suffer and die unnoticed. But the virus transcends fortress walls and state borders. Unlike the medieval city, the expanding citadel of affluence, the European Union, cannot close its fortified gates and hope to be spared. Aids is another phenomenon of globalisation; at least the virus takes on its characteristics. It travels around the word like jet planes, data streams, cash flows or waves of immigration; it is fast, unpredictable and knows no frontiers.

The pandemic connects the North and the South, but also separates the two hemispheres. The HIV-infected in affluent countries reach older age thanks to better therapies; Aids has become a chronic illness. In developing countries, immune deficiency is fatal; it claims ever more lives and depresses life expectancy. For those who are literate the threat diminishes. Those who cannot afford to acquire costly medicines die. “The truth about Aids is a universal truth about the world today,” as the Swedish author Henning Mankell wrote.

The epidemic is spreading almost uncontrollably and at a high-speed in countries such as Kazakhstan, Estonia, Russia and the Ukraine. The rate is even more dramatic in India, where 2,5 million are infected. The new economic superpower has one of the world’s highest numbers of infected, steadily catching up with South Africa, which still tops the table in the death statistics. But those governments that remain indifferent or uncertain can observe in South Africa and its neighbours what will befall their societies if they fail to take swift counteraction. In the southern African region, the pandemic has already entered its devastating phase. There are images of overcrowded hospices, endless funeral processions, overflowing cemeteries. The general rate of infection in Swaziland is 39%, and 56% of pregnant women are infected – these are distressing world records. The average life expectancy in Botswana has dropped to 34,9. In Zambia, twice as many teachers die every year than are being trained at colleges. In Malawi families go hungry because of shortages of agricultural labour. The army of Aids orphans has swelled to 12 million.

Aids exacerbates misery. Aids leads to exploding health costs. Aids consumes growth. Aids undermines development. As the virus destroys the immune system of the human body, so does the epidemic contaminate the fabric of society. In the end, villages will fall silent, just as they did in Europe during the Black Plague, when Petrarch of Verona reported: “No more can you hear voices, sorrow, cries of pain, weeping.”

The American secret service, the CIA, in spring 2001 called HIV/Aids the “biggest threat” to democracy, security and stability in Africa. Then came the autumn, the 11^th of September, and since then the biggest threat is something quite different: global terrorism. But billions of people feel no threat from terrorism. They are threatened by poverty, hunger, disease. From their point of view, the most dreadful weapon of mass destruction is called Human Immunodeficiency Virus (HIV). Since its discovery in 1981, about 25 million have fallen victim to the pathogen. You don’t have to be Cassandra to prophesy that in 30 years the epidemic will have extinguished more lives than the Second World War. These are depressing prognosis, but they don’t seem to concern the world powers much.

Stephen Lewis, former UN special envoy for Aids, explained in 2002 during a trip to Ethiopia: “On September 11, 2001, 3,000 people died in a horrific terrorist act and within a few days, the world was talking about hundreds of billions of dollars to fight terrorism. But in 2001, 2,3 million Africans died of Aids and you have to beg and plead to find a few hundred million dollars to spend.” The angry Canadian ex-diplomat accuses the smug, satiated rich regions of the world of mass murder by complacency. In that light the global hysteria that greeted a few thousand cases of SARS or the panic about bird flu seem absurd.

Beyond Africa, the pandemic’s social, economic and security “collateral damage” is not understood. It shatters nation-states and ruins economies. It aggravates crises and conflicts. It jeopardises the stability of entire regions. But it seems as though the world’s elite will not learn from Africa’s experiences. They have more important things on their minds than to deal with the most devastating catastrophe of our time. Their indifference, as Stephen Lewis puts it, is obscene.

Translation from:
Gott – Aids – Afrika
Hardcover: 207 pages  –  Publisher: Kiepenheuer & Witsch GmbH (August 31, 2007)
Language: German  –  ISBN-10: 3462039253  –  ISBN-13: 978-3462039252
Gott – Aids – Afrika
Paperback  – Bastei – Luebbe  –
Language: German  –  ISBN-10: 3404606159  –  ISBN-13: 978-3404606153

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, Medical and Research, Networking, Politics and Society, Reflection, Society and living environment, Aids, bartholomaeus grill, book, cape town, Catholic, catholic church, Church Matters, gott-aids-afrika, hiv, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, moral theology, oekonomia, people living with the virus, pope, sexuality, south africa, stefan hippler, theology, Theology

Stefan Hippler:

Was that it? – What I expected from being a priest and how I became an Aids activist in Africa

I remember it as if it was yesterday. It was in July 1986, shortly after my ordination to the priesthood. I was driving from Koblenz to Trier, in south-western Germany. Suddenly a strange anxiety gripped me: was this all there was?

The beautiful scenery of the countryside of Hunsrück and the Eifel flew by, and it felt as if I was confined to a golden cage. My priestly future seemed to be limited to a few precise, definable coordinates. A parish, service to the Church, pastoral duties – I saw my life flashing before me. In the end, a small obituary would say: “Well done, thou faithful and loyal servant…”, and with it a catalogue of parishes and other stations of importance, and a note of appreciation from the bishop of Trier. But I managed to shake off this sense of confinement and lack of direction, and reported to my first post as curate in Münster-Sarmsheim. I was ready to follow the promise I had made at my ordination, to experience the glorious freedom of God’s children.

At the same time I was also intensively engaged in the peace movement – much to the distress of my Episcopal superiors. I took part in a sit-in at the American nuclear depot in Hasselbach, and was promptly arrested, along with a couple of high-profile protesters. The officials of my diocese were less than impressed when they watched the TV footage of their vicar being bundled into a police van. And so just six months into my priesthood my career, in as far as there is such a thing in the Church, was already on a slope.

When the first Gulf War broke out in the early 1990s, I was serving as vicar in Andernach. My parish of St Peter’s became a regional refuge of spiritual resistance, and again the superiors were irritated by my peace activism. At the same time it bothered me, as a young priest, to be preaching Sunday sermons at my congregations without having been exposed much to real life – I felt that I needed real life experience before I could act as a proper pastor. So I applied for a year’s leave. The sabbatical turned out to last five years during which I didn’t always work in the vineyard of the Lord, but also in other pastures. A McDonald’s drive-in restaurant taught me how to prepare burgers. After the Berlin Wall fell, McDonald’s offered me a lucrative managerial post in eastern Germany. I turned it down: I wanted life experience, not a career.

Instead I went to work for 18 months on a finca in Spain to learn various farming skills, such as harvesting and the processing of almonds. After that I returned to Germany to work as a care assistant in a hospital ward for final-stage cancer patients. And then I was joining as a volunteer of he organisation Pax Christi to care for refugees in Croatia. In Mostar I began to fully understand the horrors of war. My next station was Frankfurt, working at the international airport in the social services department which attends to stranded refugees and asylum applicants. My primary function was to take care of unaccompanied refugee children. That experience marked a turning point in my life. I quickly learned that Germany’s Constitution (or “Basic Law”) ended at passport control – as not infrequently did human rights.

I had to witness how children would be traumatized as they were arrested at machinegun-point by border patrols and then be put into a sort of Ikea-jail in Terminal 2. Or how a two-year-old refugee boy was refused entry as a security threat to the Federal Republic, even as his mother was granted an asylum seeker permit inside Germany. Or how some people in their despair attempted to commit suicide. After such experiences I began to think of Germany in some aspects as not better than as a banana republic. That time-tested my view of humanity, and by extension of God. On reflection I am thankful for these experiences – without them, I would not be the person I am today.

The key event was my massive clash with the then-minister for the interior, Manfred Kanther. The conflict centred on seven Sudanese men who protested against their expulsion with a weeks-long hunger strike. On three occasions the Constitutional Court ruled, at the last-minute, against their deportation. But then Kanther ordered the seven to be put in leg irons, placed on a chartered jet and flown to Khartoum. During their eight-week hunger strike I had become particularly friendly with one of the seven, a quiet, reticent young man, whose claims to having been tortured in Sudan appeared to be highly credible. But having been tortured was not good enough grounds for securing asylum, so I had decided to shield the poor guy by way of adult adoption. But he and his six friends were now back in Sudan. A reporter for the magazine stern (which once attracted attention for publishing the fake diaries of Adolf Hitler) established through instant research that they had just been economic refugees. Minister Kanther must have been delighted, because the article seemed to vindicate him.

I decided to fly to Sudan to determine the facts of the matter myself. My employer, Caritas, also had an interest in the matter: if we were proved right, we would at least be able to claim a moral victory. I succeeded in locating and visiting all seven of the deported men, and could now verify that stern’s account did not correspond with the facts. For example, the reporter worked a pure miracle by interviewing, without the aid of modern technology, the mother of one of the seven from a distance of 400km!

My research did not please the Sudanese officials, and even less so their German counterparts. When I landed two weeks later in Frankfurt, border patrol units surrounded the aeroplane. My companion to Sudan and I were detained. At the station I noticed an Interpol wanted poster…for me! I realised that the situation was serious: I was being investigated for suspected human trafficking and formation of a criminal ring! An attorney secured my release. Shortly after a telephonic message from Caritas: “Your employment is terminated with immediate effect.”

The confrontation with the might of the state, the falsehoods peddled by the press, the inhumane asylum policy – all this shook my set of values to their core. I prevailed in my legal case against stern, and after half a year the investigation against me was closed. Caritas welcomed me back on duty, but only after I had threatened them with a complaint in labour court. But Germany had become too restrictive for me; I knew I had no future there.

In 1997 my diocese allowed me to continue my pastoral service abroad, for which I remain grateful to my then-bishop, the late- Hermann Josef Spital. So I went to Africa – and arrived, to the shock of the parish sister, with another man, namely my Sudanese friend, whom I had adopted. It is obvious, she told me, what it means when two men live together. And right off I had another problem: the parish sister immediately informed my superiors in Bonn. In the end, a brief clarification was enough to smooth things over.

Now I began to meet a great challenge: the renewal of the stagnant German-speaking Catholic parish in the Cape. It had neither a church nor a presbytery, the parish register consisted of a hand-written list. I set about visiting families, asking for addresses and contacts, and then founded a parish council. I also bought a building called the Mediterranean Villa for the church, to serve as a presbytery, a parish centre, and also as a guesthouse, because I was also in charge of the pastoral care for German-speaking tourists. The proceeds from the lodgings were intended to cover the running parish costs and to finance social projects. Confirmation, Easter vigils and Christmas Mass were reintroduced, and slowly the somnolent parish found a new life. A decade later, the 400 square kilometre wide parish is running smoothly.

Besides my pastoral ministry I was also eager to develop social activities: outreach with parishes in black townships, partnerships and development projects with people who remained disadvantaged even in the new, democratic South Africa. Soon one matter occupied the focal point, and I couldn’t let it rest: HIV/Aids and its devastating consequences.

Why do I write at such length about all of this? Because one can understand certain thoughts I express in this book only against the backdrop of my life story. Perhaps only those who understand the harsh realities of everyday life will follow my doubts and questions, and empathise with the abyss which so demoralise me as a priest.

Only those who know my life’s journey will appreciate that behind my cries from the conscience I have an absolute desire for dialogue and, yes, a longing to be taken seriously. The texts in this book are not intended as a gratuitous critique of the Catholic Church, but as a serious enquiry which cannot be dismissed simply with reference to God’s will or the classic “It was always so; why should we do it any differently now?” This is more about the challenges of real life, about questions to which we must find answers. It’s about being confronted by the insights of natural science – and by the ancient sources of our Christian beliefs.

The suffering which has visited millions of people – and also millions of Christians, millions of Catholics – obliges us to enter into a new dialogue with St Augustine, for example. That Church Father’s principles concerning sexual morality and sin have been carved into the Catholic stone, so much so that they seem unassailable. I am not interested in dispensing with all that is old, conventional and traditional for the sake of modern wisdoms. I am looking for an honest inquest and dialogue which must be open for the New which God wants to give us again and again by trusting in the guidance of the Holy Spirit.. In doing so we must conquer our fears, with trust in God. Benedict XVI, the present pope, is a brilliant theologian. Those in the know suggest that after almost three decades in the Vatican he has lost touch with the realities of common life. I understand why that may be inevitable, but I wish that the highest authorities in our Church might listen to its specialists on the ground, instead of closing their minds from the start.

I offer no patented solutions. I also have no intention of rebuilding the Church, never mind shaking it to its foundation. But I would like the Church to consider my practical experiences and intellectual insights in its development of a theology of a people-friendly, loving God. The time in our Church when people would be condemned for thinking independently categorically should be over. I expect to receive the same spiritual respect I offer others, because that shows respect towards those people whose lives and sufferings this book deals with. They are all daughters and sons of God; they are all respected and loved unconditionally by Him.

Translation from:
Gott – Aids – Afrika
Hardcover: 207 pages  –  Publisher: Kiepenheuer & Witsch GmbH (August 31, 2007)
Language: German  –  ISBN-10: 3462039253  –  ISBN-13: 978-3462039252
Gott – Aids – Afrika
Paperback  – Bastei – Luebbe  –
Language: German  –  ISBN-10: 3404606159  –  ISBN-13: 978-3404606153

Filed under: General, HIV and AIDS, HIV Prevention, HIV Treatment, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, Medical and Research, Networking, Politics and Society, Reflection, Society and living environment, Aids, bartholomaeus grill, book, cape town, Catholic, catholic church, Church Matters, gott-aids-afrika, hiv, HOPE Cape Town Association & Trust, HOPE Cape Town Trust, moral theology, oekonomia, people living with the virus, pope, sexuality, south africa, stefan hippler, theology, Theology