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New York Times, May 8, 2005
The
Pope and AIDS
By NICHOLAS D. KRISTOF
SÃO PAULO, Brazil
Let's hope that Pope Benedict XVI quickly realizes
that the worst sex scandal in the Catholic
Church doesn't involve predatory priests. Rather,
it involves the Vatican's hostility to condoms,
which is creating more AIDS orphans every day.
Nobody does nobler work throughout the developing
world than the Catholic Church. You find priests
and nuns in the most remote spots of Latin
America and Africa, curing the sick and feeding
the hungry, and Catholic Relief Services is
a model of compassion.
But at the same time, the Vatican's ban on condoms
has cost many hundreds of thousands of lives
from AIDS. So when historians look back at
the Catholic Church in this era, they'll give
it credit for having fought Communism and helped
millions of the poor around the world. But
they'll also count its anti-condom campaign
as among its most tragic mistakes in the first
two millennia of its history.
"The Catholic Church helps increase AIDS
in the world," said Roseli Tardelli, a
Catholic who is editor of the AIDS News Agency
in Brazil. She added: "That's wrong. God
doesn't like it."
Now that more than 20 million people worldwide
have died of AIDS - a toll greater than three
Holocausts - there is growing pressure within
the church to reconsider its position on condoms.
"If I were pope, I would start a condom
factory right in the Vatican," one Brazilian
priest told me. "What's the point of sending
food and medicine when we let people get infected
with AIDS and die?"
In his office, that priest keeps a small framed
condom behind glass, with a sign: "In
case of emergency, break the glass."
Rosana Soares Ribeiro, the coordinator of a Catholic-run
AIDS orphanage in São Paulo, says she
feels that it's more important to save lives
than to obey church rules. So she tells the
H.I.V.-positive teenagers in her care to use
condoms when they have sexual relationships.
"My life belongs to God, and God would not
want me to allow somebody to be infected with
the virus," she said. "So God will
forgive my violation of church rules."
The countries that have been most successful
in controlling AIDS, such as Thailand, Brazil,
Uganda and Cambodia, have all relied in part
on condoms to reduce transmission.
The Vatican has horribly undercut the war against
AIDS in two ways. First, it has tried to prevent
Catholic clinics, charities and churches from
giving out condoms or encouraging their use.
Second, it argues loudly that condoms don't
protect against H.I.V., thus discouraging their
use.
In El Salvador, the church helped push through
a law requiring condom packages to carry a
warning label that they do not protect against
AIDS. Since fewer than 4 percent of Salvadoran
couples use condoms the first time they have
sex, the result will be more funerals.
Fortunately, the Vatican's policies are routinely
breached by those charged with carrying them
out. In rural Guatemala, I've met Maryknoll
sisters who counsel prostitutes to use condoms.
In El Salvador, I talked to doctors in a Catholic
clinic who explain to patients how condoms
can protect against AIDS. In Zimbabwe, I visited
a Catholic charity that gave out condoms -
until the bishop found out.
"What would Jesus do?" said Didier
Francisco Pelaez, a seminarian in São
Paulo. "He would save lives. If condoms
will save lives, then he would encourage their
use."
Even some senior Vatican officials are catching
up with reality. One step came when Cardinal
Javier Lozano Barrágan, the Vatican's
top health official, said last year that condoms
might be permissible if a husband had H.I.V.
and his wife did not.
I wish the cardinals could meet a 17-year-old
Catholic girl in São Paulo named Thais
Bispo dos Santos. She is H.I.V.-positive, goes
to Mass each Sunday, wants to have an intimate
relationship and marry, and feels betrayed
by the leaders of the church she loves.
"Because of their age, they should be wiser,"
she said of the cardinals, adding: "I
resent that they don't think of people like
me, teenagers with AIDS or H.I.V."
So if Pope Benedict wants to ease human suffering,
then there's one simple step he could take
that would save vast numbers of lives. He could
encourage the use of condoms, if not for contraception,
then at least to fight AIDS. That choice between
obeying tradition and saving lives is stark,
and let's all pray he'll make the courageous
choice.
E-mail: nicholas@nytimes.com
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