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Friday, July 25, 2003

HIV spreading widely in India

 
17:50 25 July 03
 
NewScientist.com news service
 

The number of people living with HIV/AIDS in India has shown a steep rise, prompting experts and government officials to call for urgent action.

The latest figures show that up to 4.58 million Indians may have the devastating virus. The statistics were released by India's National AIDS Control Organisation on Friday, the eve of India's first-ever national convention to address the issue.

The estimated number of HIV-positive Indians at the end of 2002 was 15 per cent higher than the 3.97 million cases the year before.

"HIV/AIDS in India is not only confined to high-risk groups and in cities, but is gradually spreading into rural areas and the general population," Meenakshi Datta Ghosh, NACO project director told reporters in New Delhi.

"India is the home to the Asia's largest epidemic," warns Peter Piot, executive director of UNAIDS. Writing in The Hindustan Times, he adds: "About four million Indians now have HIV, and 300,000 more become infected each year. Yet the nation is still coming to terms with the perception that the disease is limited to prostitutes and sex workers."


Male majority

The majority of infections - over 60 per cent - are among males, says Ghosh. This is fairly typical of relatively low level HIV/AIDS epidemics, says Karen Stanecki, senior adviser on demographic data at UNAIDS in Geneva, Switzerland.

"This is because in low-level concentrated epidemics you have a higher prevalence among sex workers and their clients, and injecting drug users," she told New Scientist. Men tend to be injecting drug users more often than women.

Stanecki points out that the proportion of cases in India's one billion strong population is still small, but she says the figures indicate a "steady rise". More prevention programmes need to be implemented or strengthened to stem the epidemic, she says.

 
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Antenatal clinics

The new figures come from a sentinel surveillance programme, which surveys antenatal clinics, sexually transmitted infection clinics and a number of sex-worker and injecting drug user populations.

Stanecki says that antenatal clinics are known to be a "good surrogate" for sampling a general population.

The survey showed in particular that HIV/AIDS rates among pregnant women have risen. "The HIV prevalence rates among pregnant women have crossed the one percent mark in states like Andhra Pradesh, Karnataka, Maharashtra, Manipur, Nagaland, and Tamil Nadu," says Ghosh.

 

Shaoni Bhattacharya


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8:50:46 PM    comment []

INDIA VERSUS CHINA:


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Go to Page RECENT COLUMNS
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FURTHER READING
 To read the Foreign Policy article, see www.foreignpolicy.com.
 
 More information on population growth in China and India, is available from the Population Reference Bureau.
 

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ABOUT DAVID WESSEL
David Wessel, 49, The Wall Street Journal's deputy Washington bureau chief, writes Capital, a weekly look at the economy and the forces shaping living standards around the world. He also appears frequently on CNBC.

 
David has been with The Wall Street Journal since 1984, first in the Boston bureau and then the Washington bureau, where he was chief economics correspondent. During 1999 and 2000, he was the newspaper's Berlin bureau chief. He also has worked for the Boston Globe, where he shared a Pulitzer Prize for a series of stories on the persistence of racism in Boston, and at the Hartford (Conn.) Courant and Middletown (Conn.) Press.

 
He is the co-author, with fellow Wall Street Journal reporter Bob Davis, of "Prosperity: The Coming 20-Year Boom and What It Means to You" (Random House/Times Books, 1998), which argued that the next 20 years will be better for the American middle class than the previous 20 years.

 
Write to him at capital@wsj.com.

 

India May Be Primed to Narrow
Its Economic Gap With China

China increasingly is seen abroad as a huge economic success and a major competitive threat. Its export prowess is lifting millions of Chinese out of poverty and frightening manufacturers and factory workers not only in the U.S., but everywhere from Malaysia to Mexico to Madrid.

India -- despite its impressive call centers, software firms and pharmaceuticals factories -- is viewed as a less successful economy and a less formidable competitor. The Chinese have order, discipline, modern telephones and roads, less poverty and faster economic growth. The Indians have democracy, chaos, lousy phones and roads, more poverty and slower growth.

CAPITAL EXCHANGE
Reader comments -- and David Wessel's answers -- about the Capital column. Published Tuesday mornings.

Submit comments to Mr. Wessel at capital@wsj.com

So now come a couple of academics, a Chinese-born political scientist at Massachusetts Institute of Technology and an Indian-born Harvard Business School professor with a provocative argument: The future belongs to India.

China's success and global reputation reflect the huge foreign investment in factories, buildings and machinery. Foreign direct investment in China is more than 10 times India's. In part, China benefits from a larger and wealthier diaspora. China also welcomed foreign companies, partly to avoid creating its own class of capitalists. "China was sold to multinationals to allow it to sidestep entrepreneurs," Harvard's Tarun Khanna says in an interview, acknowledging that may be changing now.

Still, "you would be hard-pressed to find a single homegrown Chinese firm that operates on a global scale and markets its own products abroad," Mr. Khanna and colleague Yasheng Huang write in Foreign Policy magazine.

India shunned foreign investment for a time and, even after changing its mind, failed to attract much of it. But the professors note it has something that China doesn't: "companies that compete with the best that Europe and the U.S. have to offer," such as software company Infosys Technologies Ltd. and pharmaceuticals maker Dr. Reddy's Laboratories Ltd. India lacks the physical hardware of a modern economy, but it has more of the software of a modern economy -- courts, financial system and the like -- than China.

Their bottom line: "India's homegrown entrepreneurs may give it a long-term advantage over a China hamstrung by inefficient banks and capital markets."

The argument, not surprisingly, is making them very popular in India. Their article has been widely described or reprinted in the Indian press, not always with permission. (Note to India: Intellectual-property rights matter.) The Chinese, Mr. Khanna hears, are translating it and distributing it discreetly.

But do they have the story right? No simple generalization about countries so large and diverse can ever be truly accurate. And no comparisons between them obscure the reality that both have done much better since shifting economic strategies (in 1978 in China, in 1991 in India).

COMPETING GIANTS
  CHINA INDIA
Population 1.28 billion 1.05 billion
People in poverty 10% 25%
1990s economic 9.6% 5.5% growth rate
Foreign invest.* $44.2 billion $3.4 billion
Phones per 247.7 43.8 1,000 people*
Diaspora 55 million 20 million
*2001

Source: Foreign Policy magazine

The question boils down to this: Can India close the gap with China over the next 20 years so that more of its people prosper and it overshadows China as a global competitor?

Professors Khanna and Huang think so. Other observers are skeptical. "They're wrong in suggesting China is taking the wrong route," cautions Sunil Dasgupta of the Brookings Institution, a Washington think tank. "It's already richer than India. India is going to be playing catch-up for the next 20 years."

But Joydeep Mukherji, who tracks India and China for Standard & Poor's in New York, thinks the professors are onto something. Taking a number-cruncher's approach, he finds the Chinese miracle less impressive than its press clippings. Shave a bit off the official statistics for exaggeration, and China has grown perhaps 7% a year for the past decade or so. India has grown 6%. But China, as a nation, saves about 40% of income, and invests that plus what foreigners invest. India saves about 24% domestically, and draws relatively little foreign investment.

So China, to make it simple, is like a business that invests $40 and earns $7 a year. India invests $24 and earns $6 a year. "A huge amount of money in China is wasted," Mr. Mukherji says, particularly investments made in China by the Chinese government. "For a country that's so big and saving so much, China is unusually dependent on foreign investment." That is key to its success, but also underscores how poorly its domestic investments fare. About half the loans made by China's banks will never be paid back; a lot of Chinese savings has been squandered.

"India gets more bang for its buck," Mr. Mukherji says. Its banks have less than half as many bad loans as China's. "The bottom line for me: If India can raise its savings and investment rate modestly, then it can raise its growth rate quickly."

That "if" so often creeps into conversations about India, and it's an important qualifier. Mr. Huang and Mr. Khanna may yet prove to be lousy forecasters. But they wisely cast a skeptical eye on the durability of the Chinese economic miracle and call attention to India's sometimes-unappreciated potential to grow and compete.

Updated July 24, 2003 1:41 p.m.


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