After the Conference and the Party 2 August 2012

After the Conference and the Party 2 August 2012

The HEARD team are home from the XIX International AIDS Conference in Washington and hopefully are reflecting on what we did and learnt. I am currently in the UK, and was in DC the longest (from Wednesday 18th to Saturday 28th July). This was my last official meeting as Treasurer and Governing Council Member of the International AIDS Society (IAS). On Saturday 21st July we had a breakfast Finance Sub-committee meeting at the absurd hour of seven thirty am, followed by the Executive and Council Meetings (until three pm). The IAS members’ meeting was the following week. I completed my duties as Treasurer by presenting the 2011 Financial Report.

I have learnt a number of lessons attending conferences over the years. The paramount order of business is to get a suitable room at the hotel. The one I spent the first night in faced a busy street and was very noisy, with buses stopping outside from about four o’clock. I spoke to the receptionist and spent an hour the next day looking at rooms before identifying the one that I would call home for the next nine nights. I do not for example; want a room with two king-size beds, I only use one at a time. I walked around the hotel with the concierge, a thick set Liberian gentleman called Shakespeare. He let me into rooms until we identified the best option. I did not in fact make him carry the luggage but he did not seem to appreciate this. I ended up on the seventh floor. It was fortunate that we were at the conference all day because the hotel was being renovated. The work was going on immediately above me, drills and jackhammers from nine o’clock to five o’clock, sleeping during the day would have been impossible.

A second lesson is that airlines do not look after your luggage! When I last went to South Africa, the handle of my case was destroyed. I only remembered that I needed a new one towards the end of my stay in Durban. I dashed to the luggage shop and chose what I thought would be a sturdy case. Arriving back in Norwich I discovered it was missing a wheel and I had a fairly bad tempered exchange with Linda, one of the grounds staff in Norwich. The bag has since been collected and company will decide whether to replace it or repair it. Packing for the Washington trip was not a problem because we have plenty of cases in the house in Norwich. However the return connection from Washington via Amsterdam to Norwich was tight and we were further delayed due to thunderstorms. My bag was not on the carousel at the airport, but I kind of expected this. The person on duty was, unfortunately, Linda.

I walked over to her and said, “So, if you don’t destroy my bags you lose them.”

She responded, “I will get the forms, Mr Whiteside.”

It is rather alarming that I had made enough of a (bad) impression on her that she knew my name, although not my title! As I had anticipated the bag came in on the next flight and was delivered to the house.

I attended bits of two pre-conferences. The first on Social and Political Sciences, where I presented Thinking Politically …With a Focus on the Politics of AIDS Exceptionalism vs. Taking AIDS out of Isolation: Reflections from South Africa, it was surprisingly painful to put this talk together as it brought back the dark days of denialism. The second was the International AIDS Economics Network (IAEN) pre-conference. HEARD was one of the co-sponsors and organisers of this meeting. It is always a pleasure to be surrounded by other economists as it makes one feel ‘normal’. Another spiritual event was the special AIDS service at the Washington National Cathedral, a magnificent mock gothic building. Every faith, sexual orientation and gender was represented (except I think for the scientologists).

There were numerous presentations and meetings at the International AIDS Conference. Of particular interest was a ‘round table’ event organised by the International AIDS Alliance at the British Embassy on the importance of human rights approaches to HIV and AIDS. My conference highlight was facilitating Swazi special interest meetings, held in the IAS offices. We had no idea how many people would turn up: it was billed as an opportunity to hear what was going on in Swaziland for people who work in, do research on, or simply care about the country. To our surprise and delight the room was full for both meetings. It saw the birth of the Swaziland AIDS Research Network (SARN). Unfortunately I was not able to attend the second meeting because I was chairing the rapporteur session (which I did in Vienna in 2010). This is the last formal assembly of the conference before the closing ceremonies. A key attribute required of the Chair is they be able to keep people to time. I can and did. I even made a few jokes. It was fun.

At the Conference, HEARD organised two side presentations at the IAS office. Mine Step Forward the Economists: the changing dynamics of AIDS Funding – was attended by just five people! Kay’s (HEARD’s Research Director) turnout was slightly better (seven). Media events included doing interviews for the Centre for Strategic and International Studies and for a film Positively Beautiful.   The second interview was under lights. Given my lack of hair and the heat I needed make-up to reduce the glare! This worked so well I made sure I powdered my head for the Rapporteur Session, sadly I doubt anyone noticed. I have now got a reputation for rushing about and asking who has make-up available! All HEARD’s outputs presented at the Conference are on http://www.heard.org.za/heard-resources/aids-conference-2012

As I was also present at the meeting as a DFID Senior Research Fellow I had the opportunity to work with my colleagues from London and South Africa. This was a real learning experience as they produced both a ‘Telegram’ and an excellent ‘Back to Office’ Report. I am lifting from my contribution to the report for my reflections on the meeting.

There were two major tensions. First biomedical science now rules. There was little discussion of behaviour change. Second participants heard much about the cost of response and what the funding gap is, but there was no reality check on how the gap might be filled and what to do if it is not. The central theme was moving to ‘an AIDS free generation’. I understand this to mean everyone who needs it is on treatment (thus people living with AIDS, but not dying from the disease) and there be zero new infections. One quick and obvious win will be to eliminate mother to child transmission. Mead Over of the Centre for Global Development has consistently pointed to the concept of an ‘AIDS Transition’ where the number of new infections falls below the number of AIDS deaths. Until this happens the number of people living with HIV and AIDS will increase (as will the need for resources).

Funding was a hot topic. There was an excellent debate at the World Bank offices on the motion: Continued AIDS investments by donors and governments is a sound investment, even in a resource-constrained environment on Monday (which I missed as I was at the British Embassy). It was well attended and put many of the issues out in the open. Here is the podcast. One argument was money is not a constraint! We live in a rich world. Others responded that low and middle income countries do not have access to this money, sadly, true. Interestingly capacity constraints were not mentioned. Bernhard Schwartlander of UNAIDS noted: “The lives of more than 80% of the people who receive AIDS treatment in Africa, depend every morning on whether or not a donor writes another check.”

Much has been written about the Conference. I can especially recommend the blog of Laurie Garrett of the Council for Foreign Relations in New York.

In summary it was worthwhile and fun. The fact that the IAS has been able to bring the conference back to the US (due to the lifting of the travel ban for HIV positive people) was mentioned frequently, and is significant. This was the conference where economists should have stepped forward but did not. Hopefully they will be present, vocal and listened to in Melbourne the site of the XXIAC in 2014. My prediction is that Melbourne is the conference where behavioural science should be prominent and probably won’t. Despite this I do have a sense that we are beginning to win the battle against the epidemic. The challenges will be, as always, to prevent new infections; treat people already infected; and provide for those who are impacted, the orphans, the elderly, and address the needs of the health care services.

At the end of the conference there is always a party for the IAS staff, volunteers and Governing Council Members. It started at about eight o’clock and finished at one o’clock the next morning. Generally these are great fun and this was no exception although I was a little taken aback when my neck was nuzzled by an unshaven male. Clearly I was sending a wrong message.

This posting would not be complete without mention of the Olympic Games which are going on in London. It very much reminds me of the mood we experienced in South Africa at the time of the Soccer World Cup. A major sporting event, it is an opportunity to have a party, and unite in supporting one’s own teams, while making all the visitors feel comfortable and welcome. Britain had not done all that well in terms of winning medals at the time of writing but there is time. On Wednesday I saw two women win the first British gold medal for rowing. Cyclist Bradley Wiggens (who had just won the Tour de France) took gold in the final trials, an amazing achievement. The speed at which they ride is a dangerous 50kph. All the venues are great, and because they are spread out across London and the South East there is a sense that it is more than just one city hosting the games. The train from Norwich to London goes past the Olympic site and I have watched with interest as the building began and was completed. I do hope that this provides a sporting legacy for the country.

Books

Peter Piot, No time to lose: a life in pursuit of deadly viruses, WW Norton & Company, New York 2012, 387 pages.

This autobiography tracks the progress of the HIV epidemic since its earliest days. Peter was the head of UNAIDS from its inception to 2008 – a total of 12 years. This is his story, from the early adventures in Zaire where he was part of the team engaged in the identification of Ebola virus, through to his stepping down from the executive directorship of UNAIDS. It is a fascinating book and an easy read. I took it to my gym and found myself losing track of time. Any book that does this for me has to be excellent. It is particularly engaging since I both know the history and was a part of it. Having finished the book and reflected on it I feel that it is a factual account of what went on and Peter could have put more of his personal story into it. There are gaps, for example the Commission on HIV/AIDS and Governance in Africa, set up by Kofi Annan is not mentioned. I was a member of this, which may be why I wanted to see it cited. The last 50 pages appear to have been written in a rush. Nonetheless this book is an important chronicle of the time of AIDS and deserves to be widely read. One thing that is clear is that we were all ‘making it up as we went along’, there is no way we could have done anything but this. Peter’s comments on the origin of the denialism in South Africa show how bizarre this period was. “Mbeki was an intelligent, indeed coldly rational man; and yet here he was impervious to my reason. What could be the origin of this denialism? I had thought maybe it was economic – the cost of treatment – but after that evening I was convinced that this could not be the case. Psychological, then. …”. Page 280.

Andrea Camilleri, The Track of Sand, Picador, London, 2011, 279 pages.

This is one of a series of books featuring Inspector Montalbano, a Sicilian detective. As always when reading a book that has been translated from a different language I wonder how important the original style of writing was and how important the translation is. The Scandinavian crime writers are a good example of this as they are extremely popular and include Swedish, Norwegian, Danish, and even Icelandic genres. This Montalbano series of books is great fun. It gives a sense of the complex society of Sicily and the characters are kindly portrayed. There is an awful lot of food and a little bit of love in the stories. This particular mystery centres on the body of a horse which appears in front of the inspector’s apartment. It is whisked away while he is trying to get his men to come and assist with the investigation. The story takes off from there and, pardon the pun, gallops to a thrilling end. I recommend these as something more than a light read.

Films

The Best Exotic Marigold Hotel a 2012 British film directed by John Madden. It has a starring cast of older actors Judi Dench, Bill Nighy, Maggie Smith and Tom Wilkinson are the ones I recognised. It is about British pensioners moving to a retirement hotel in India, run by an eager young Indian entrepreneur. He sells the Best Exotic Marigold Hotel, in Jaipur as a hotel “for the elderly and beautiful”. There are a series of stories: an impoverished widow; a gay High Court judge who grew up in India, and who is seeking his first love; a working class racist, retired housekeeper who needs a hip replacement operation (quicker and cheaper in India); and a couple of love stories. The acting was outstanding, the story plausible, and I really enjoyed the fact that I have spent time in Jaipur and so recognised the setting.

Salmon Fishing in the Yemen a 2011 British romantic comedy-drama film. This is the story of a sheikh who decides to introduce salmon into the Yemen as part of a ‘civilising’ and economic development process. His consultant asks the British government for help and the press secretary decides that this is a good news story and a time of really bad news from Afghanistan. The main character is the Scottish expert in salmon fishing who also has mild Asperger’s syndrome: “You can’t insult me because I don’t understand it.” It is also a love story and there are probably many metaphors in it. It has the potential to become a cult film. I am pleased to note that it has been a box office success. The Internet chat between the press secretary and the Prime Minister is beautifully captured on the screen and in the story.

The Girl with the Dragon Tattoo a 2011 American made thriller.

This is the first of what, I hope, will be a trilogy of films since there were three books. It is based on the Swedish novel by Stieg Larsson and stars Daniel Craig and Rooney Mara. It is the story of journalist Mikael Blomqvist’s (Craig) commission for a wealthy Swede to find out what happened to his niece who disappeared 40 years earlier. The film builds and then introduces computer hacker Lisbeth Salander (Mara), who is the ‘Research Assistant’ and while being extremely capable on computers is gauche and uncomfortable with people. There are some violent and distasteful scenes, and it does not end happily for all the characters. I had been hoping to watch it for some time. The flight from Washington to Amsterdam is about seven hours and this film is nearly three hours long. Given that I was in economy class (well premium economy) I decided this was the chance I had been waiting for, although, frustratingly it took over an hour for my seat’s entertainment system to start working, it was reset about three times. An excellent series of books and the first film in series is fantastic; I will look forward to the rest.

Relativity

Relativity

I think Durban is one of the nicest cities in the world. I have lived there for nearly 30 years. Ailsa and I bought our first house there and it is the place the children were born. The university has been, for me, a good work environment. At the beginning of my career I was well mentored and then given space and support to start my own unit. HEARD is going well with an amazingly good research output, high staff morale, adequate funding and a throughput of talented young researchers. All this is in our annual report, which will be on the website very soon.

In the middle of April I was in Nairobi, Kenya for a meeting on Efficiency, Effectiveness and Sustainability which the International AIDS Society organised. I am an elected Governing Council member and the Treasurer up to the International AIDS Conference in Washington in July (see www.iasociety.org.) It was a quick trip, flying up on Wednesday evening and returning to Durban on Saturday – I flew on the late flight from Nairobi to Johannesburg on Friday evening, slept at the City Lodge at OR Tambo airport and caught a flight down to Durban at a sensible time.  I used air miles to upgrade the ticket so it was relatively painless. I had a colleague travelling at the same time as me so we chatted and went to the airport together. He will remain nameless given the story I am about to tell.

A while ago I noticed that my Yellow Fever vaccination was about to expire and so went and was re-immunised. Just as well, my companion had forgotten the card. The check-in staff would not let him on the plane without one, and they were quite adamant about this. He had to go across the airport to the clinic and get the shot, paying above the odds for it. Of course it takes time to become effective but this is generally overlooked. Indeed we were not even asked for the certificates! However the South African authorities can be very fierce about this!

I had two nights in Durban and on Monday the HEARD team flew to Johannesburg for the biannual donor and board meetings held at the aforementioned City Lodge. These went very well, with an excellent turnout for both, only one board member was not able to make it. From there I flew, in economy class, to Cape Town, a long two hour flight on a packed plane. This was for a Council on Health Research for Development meeting on the theme of Beyond Aid… Research and Innovation as key drivers for Health, Equity and Development, all the details are the websites at www.forum2012.org and www.cohred.org. This was most interesting.

There is no doubt Cape Town is stunning. I think it is the most beautiful city in the world. Driving in from the airport at about 6 pm the evening light was an amazing rosy shade. Coming round the side of the mountain on de Waal drive and seeing the centre of the city, the harbour with the huge gantries like a row of storks silhouetted against the south Atlantic, and in the distance, Robben Island, was breathtaking. I feel I have a champagne lifestyle on a soda water salary. I get to travel, stay in great hotels, see new and interesting places and meet all sorts of people.

The conference started on the Tuesday, so unfortunately I missed the first day. I was staying at one of my favourite hotels, The Cullinan, they describe themselves as ‘stylishly grand and perfectly majestic’ and I think this is fair. It is just a few minutes’ walk from the international convention centre. The relative merits of Durban and Cape Town are very different. I must admit to being tempted by Cape Town, as one of my friends said it has “the mountain factor”. This must have been the magnet that has drawn my extended family there. Friday was a public holiday, Freedom Day, marking the end of apartheid and the new democratic government. I spent most of it visiting family.

My brother Derek Whiteside was away on business and so I took Lynn, my sister-in-law and my three nieces Emily, Sarah and Katie out for lunch in Hout Bay – to a restaurant called Dunes. It is a stunning setting looking out over the bay with a band of ultra blue water just beyond the breaking waves. In the last while the euphonious dunes have blown away and now the view is straight on to the beach. We were at the restaurant joined by distant cousin Neil Hodgson and his daughter Lisa. He is a captain with South African Airways. As I am silly about aircraft and flying it is always great to talk to him and I (a minority perhaps) find discussing airline routes and types of planes to be deeply interesting. From there I went to visit my Uncle Fred and Aunt June (also Hodgsons) who live in a retirement home in Pinelands. This is on the way to the airport which makes dropping on them very easy. We were joined by my cousin Linda and her daughter Hayley (who has nearly completed her PhD at the University of Cape Town) and her sister, my cousin Sandra who was visiting from Uitenhage. The most family I have seen in a very long time.

Perhaps this posting is not just about relativity but also about reflection. Fred was very senior in de Beers Diamond Company and I have always looked up to him as a role model. Nearly 20 years ago he had a hip replacement operation that went wrong. As a result now finds it difficult to get around. He has a mobility scooter for inside the flat and a more robust one for going out. I still see him as a role model because of his attitude and stoicism.

They moved into the home two years ago expecting to get a large apartment. That arrangement fell through and they ended up with two apartments on different floors. They lived a schizoid life until the space next to theirs became available. Now they have been able to consolidate and expand at the same time, and actually have a very nice warm set of rooms.

Part of the conference ‘package’ was an evening out at Groot Constania, the original wine estate in South Africa, the vines being planted by the first governor of the Dutch settlement of Cape Simon van der Stel. We were taken there by bus, the scenic winding route round the coast, which left me feeling quite ill! However I soon recovered. The food and wine were fantastic and the entertainment was provided by South African diva Yvonne Chaka Chaka. This is what I mean by a champagne lifestyle. Of course one of the questions is who pays, because at the end of the day someone has to. We were told that it was the World Bank, and yet they were hardly represented which was a great pity. Fortunately, after the copious quantities of alcohol and excellent food, we went back on the short straight route.

I learnt, at the meeting, that health is underfunded, but more worryingly the health people do not understand how to advocate for more funding. They think that the fact that their cause is noble, it’s sufficient and this, sadly, is not the case! We know from our work that ‘crowding-out’ is a real issue. If foreign money is given to health then governments will tend to reallocate domestic resources. This is good, basic and responsible public administration. It is not what donors intend! I shall have to reflect on the meeting and write up some notes, since I was there in an official capacity as a person from the Department for International Development, although I would not presume to speak for the organisation. What was interesting was to meet people from a different circle from the one I normally operate in.

Reviews

Music

There has been a lot of music in Durban recently. I went to the University Jazz Centre to listen to a folky duo from Cape Town Andrew James and the Steady Tiger, I was so impressed that I went to hear them again at St Clements, a cafe on Musgrave Road. Their style is great; both are excellent guitarists with mellow voices. I thought they spent far too much time tuning the instruments though and exchanged emails with them about this. Some of their music is on their website. On the Friday evening The Collective, a new venue in Durban, hosted The South Jersey Pom-Poms, which is lead by a colleague from the University.

Books

The suburb of Manor Gardens, which was beautifully and evocatively written about by Barbara Trapido in her book Frankie and Stankie (Bloomsbury 2003), is where we bought our second house. It was let to chaotic tenants for about four years and they left a month ago. When I first went to look at it my heart absolutely sank. There has been work going on and I went to check on progress on Saturday and then went to lunch at a new cafe in the neighbourhood. Exhibit owned by Eunice van der Vloet is a house with an art gallery, table chairs and a limited menu. It is an encouraging addition to the neighbourhood and I hope it prospers. Sadly the estate agents tell me Manor Gardens is a leafy green quirky suburb, and that is not what people want.

I have finally finished reading Catherine Hakim’s Honey Money: The Power of Erotic Capital, (Allen Lane 2011, 384 pages). I found it a thought provoking book. The two key points were: What is erotic capital and the idea of a male sexual deficit. It makes a number of rather challenging statements, but will certainly be of use in understanding behaviours and responding to AIDS.