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Truckers take India on fast lane to Aids

India's lorry drivers carry more than freight.   Their frequent use of young prostitutes is driving the country to the brink of an HIV/Aids epidemic

Dan McDougall in Delhi

Sunday November 27, 2005
The Observer


Hanging precariously on a frayed electrical cable, a solitary lightbulb is swaying gently over the corrugated iron hatch to Mr Pradesh's chai stand, barely illuminating his ancient stove as he adeptly switches over his battered copper kettles, with one eye firmly on his impatient line of customers.

It is a cold evening by Delhi standards.   Behind the tea-stall, in the heart of the Sanjay Gandhi Transport Nagar, the largest truckstop in Asia, hundreds of hard-faced lorry drivers huddle together under coarse grey blankets, their silvery breath clear in the night air.   The grimy patch of earth on which they are sitting is stained black with filthy puddles of oil and brake fluid.   Beyond, a vast line of lorries sits dormant, stretching as far as the eye can see.

Ferry endless cargos of freight

On the surface it is a bleak scene, yet there are few more visible signs of India's economic growth than the hive of activity around this transport stop on the outskirts of the Indian capital, which each day houses up to 7,000 long-distance lorry drivers who ferry endless cargos of freight the length and breadth of the country, shipping tea from Assam, computer parts from Bangalore and exotic flowers and vegetables from the far southern states of the subcontinent.

The men stop here to shower for the first time in weeks, sleep on hired rope beds and have routine maintenance carried out on their garishly adorned vehicles.   Here too there is also widespread evidence of the biggest health threat to the world's second most populous nation.

Sex for 30 rupees

With little else to do it is common for the resting drivers to buy sex, sometimes several times a day, from local women and teenage girls, for as little as 30 rupees, about 40p.   Doctors who operate clinics around the transport hub say that as many as 18 per cent of all the drivers passing through are now HIV-positive.

Echoing the deadly role that long-distance freight drivers played in spreading Aids in southern and east Africa in the Eighties, Indian drivers carry infection with them, passing it on to prostitutes and finally exposing their wives and, through them, their future children to the blight of the disease.

The problem here is on such a massive scale that UN agencies have concluded that India will become the world centre of the disease in the next decade.   By then, the UN estimates a million Indians will be sick with Aids-related illnesses; as many as 10 million will be infected with HIV.

Richard Feachem, executive director of the Global Fund to Fight Aids, firmly believes that India is on the cusp of a major Aids crisis.   'India is the ticking time-bomb of the global Aids pandemic and the number of infected lorry drivers means the disease will continue to spread to rural areas and destroy entire communities,' he said.   'It's not hard to figure out that India needs to recognise and admit to the scale and complexity of a crisis that could yet wreck its golden prospects.'

Dismissed UN estimates

Yet there are two very different views about HIV/Aids in India.   The National Aids Control Organisation (Naco), which co-ordinates the Indian government's response to the spread of the disease, has routinely dismissed UN estimates on HIV/Aids, stressing that India remains a low-prevalence country.

But the hive of activity at the Sanjay Gandhi Transport Nagar is the key reason why India is the cause for such alarm among health experts: virtually all the factors that have been behind the growth of the disease in Africa are present in abundance in India, according to Dr Bhanu Pratap, who operates a basic sexually transmitted diseases clinic at the transport hub.
'In southern Africa, one reason for the rapid spread of Aids was the mobility of the male workforce and the prevalence of the disease among lorry drivers.   This is Asia's largest transport hub and we are seeing an exact reflection of that phenomenon here and it is deeply worrying.   At present, between 15 to 18 per cent of the lorry drivers we examine here are HIV-positive.   If this figure is rolled out across the country we have a major threat to the nation's health.'
However, the long-distance drivers are just part of a larger peripatetic workforce.   It is common for men from rural areas to move to cities to work for a few months and then return home once they have earned some money.

Mobile men with money

Indian health experts call the phenomenon 'the three Ms' - mobile men with money.   Away from their families, these men visit prostitutes and are infected.   They then take the virus home and pass it on to their wives.

At the Sanjay Gandhi Transport Nagar, Dr Pratap tends to long lines of lorry drivers, some bearing classic symptoms of STDs, eyes yellow with hepatitis and syphilis.   Pratap says not enough is being done to get to the heart of the crisis:
'Aids inflicts long-term damage on economies and societies.   Most victims die at the prime of their parental lives, children drop out of school, skills are lost, poverty increases, the ratio of dependants to active people rises and swaths are cut through institutions such as police forces, schools and health services.   This all costs money but not enough is invested in the fight against the disease, in education and medication.'
He added:
'The key problem, aside from ignorance, is reaching the prostitutes.   Some operate in brothels, others at home or even in cinemas.   Another major issue is how do you get a powerless, battered wife to make her husband use a condom?   How do you get any married couple to use one in a country where sterilisation is the commonest form of birth control?'
Sex counsellors conclude the lorry drivers who pass through the Sanjay Gandhi Transport Nagar have on average 150 to 200 sexual encounters a year with the prostitutes, some as young as 12.   In an area where there are too many people to live off the land, a single sex act can earn a woman enough to feed her family for a day.

22-year-old driver:  I'm young, why change my habits?

Amit, a 22-year-old driver working on the 1,200-mile run between Delhi and Calcutta, candidly tells me he has been paying for sex 'every two or three days' since he had started as a driver at 18.   He also admitted he had twice developed garmi - a Hindi word meaning 'heat' that is a euphemism for gonorrhoea and syphilis - which is common among drivers who eventually contract HIV.   'I've refused to take the blood tests for Aids as I'm not worried.   If I was going to get the disease I would have it by now.   I've had other diseases and recovered quickly.   I'm young, so I don't see why I have to change my habits.'



Guardian Unlimited © Guardian Newspapers Limited 2005







January 28 / 29, 2006
Nicholas Kristof's Brothel Problem
Women from desperate families pushed into prostitution
By ALEXANDER COCKBURN
I 'd got so used to Nicholas Kristof's January visits to prostitutes in Cambodia that it was a something of a shock to find him this January in Calcutta's red light district instead.

As readers of his New York Times columns across the past three years will know, Kristof heads into south east Asia around this time — a smart choice, weatherwise — to write about the scourge of child prostitution.   One can hardly fault him for that, even though Kristof's bluff, busy-body prose is particularly irksome as he takes his pet peeve out for an annual saunter, the way A.M. Rosenthal did for years with female circumcision in Africa.

So far as I know, Rosenthal never actually bought a young African woman to save her from circumcision.   Maybe they aren't for sale.   In 2004, Kristof did buy two young Cambodian women — Srey Neth for $150 and Srey Mom for $203 — to get them out of the brothels in Poipet, and took them back to their villages.

There was something very nineteenth-century abut the whole thing, both in moral endeavor and journalistic boosterism, though presumably there was a twentieth-first century footnote as to whether Kristof billed the Times for the purchase money and transport expenses or listed the girls as a charitable deduction on his own tax return, which could have led to sharp interrogation by some cynical IRS auditor.

In January of 2005, Kristof was back in Cambodia to report that while Srey Neth was doing well, learning to be a hair stylist, Srey Mom was back in the brothel, probably because she needed the drugs.   Even in 2005 some of us had our doubts, since Srey Mom wouldn't leave the brothel until Kristof sprang not only the $203 but also some extra cash for her cell phone and some jewelry she'd hocked.   Mind you, most girls would put cell phones ahead of moral renaissance.

I smell an HBO movie in the offing.   The New York Times certainly knows it's on to a good thing.   Having ponied up the extra dollars necessary to become an elite NYT e-subscriber with access to the op-ed columnists, I can now click on pictures of the Cambodian girls and Kristof's videos of himself engaged in good works.

I did click on "prostitution", at the foot of a Kristof column, and found myself looking at a cheery promo piece published in the NYT in early January about a brothel for women customers that Heidi Fleiss is planning to build in Nevada.   Maybe there'll be rooms with teenage boys to slake the appetites all those school teachers who seduce their students, and then Kristof can schedule a buy-out for them too, perhaps in January of 2007, if Heidi gets her license from the state of Nevada by then.   She told the Times reporter she'd already sold the HBO rights.

Resistance to a local thug and rapist

This January Kristof's been in India.   From Nagpur on January 15 he announced grandly that "The central moral challenge we will face in this century will be to address gender inequality in the developing world", before relating a rousing tale about how Usha Narayane had rallied women into resistance to a local thug and rapist, eventually cutting off his penis and chopping him up into tiny pieces.

Then he was off to file on January 22 from Calcutta's red light district an interview with Geeta, kidnapped with all sorts of exciting trimmings for Times readers ("Then the aunt locked her in a soundproof room in a brothel with an Arab man who bought her virginity.")

On January 24, another Kristof column issued from Calcutta about how to battle sex trafficking, with suggestions for fiercer policing, campaigns against the sales of virgins, inspection of brothels for prisoners and so on, and a suggestion that Bush, on his impending visit to India lead "dignitaries and TV cameras through a red-light slum and down a fetid alley to the sewer-side offices of New Light.   The entourage could then spotlight reformers like Ms. Basu"

True to form, India hoists the western pundit's inanity to matchless levels.   As Vijay Prashad, a columnist for the Indian weekly Frontline (and CounterPunch contributor) wrote to me from Chennai, after reading Kristof's column, "Imagine writing a column on the methamphetamine crisis in rural America without any mention of the death of the family farm."   And indeed it is virtually unimaginable that Kristof can write about prostitution in India today and of the lot of women without one single word about the larger socio-economic context.

India has endured more than a decade of virtually unimaginable rural torment amidst the imposition of the neo-liberal "reforms", endlessly hailed by New York Times reporters and editorially endorsed.   With withdrawal of subsidies, collapse of farm credit and of markets there is a gigantic rural crisis, affecting millions of families.

Dozens of women hanging about the highway

As The Hindu newspaper's chronicler of these rural catastrophes, P. Sainath, (with whom I traveled around India last year) wrote to me this week, "Take Anantapur district in Andhra Pradesh which saw the maximum numbers of farm suicides for any district in India (over 3,000 during the years of the NYT's poster boy of the reforms, Chandrababu Naidu [at that time the state's chief minister], every single NGO and social organization dealing with women's issues worried about how bad was the rise of prostitution as the agrarian crisis bit deeper and deeper.

"If you drove from Anantapur in Andhra to India's 'Silicon Valley' in Bangalore in the neighboring state of Karnataka, as I often did and do, you could see dozens of women hanging about the highway waiting for pick ups, mostly truck drivers.   This was simply not seen on those roads ten-twelve years ago."

This border area, Sainath says, is also the victim of WTO-related policies, which have killed its silk and sericulture sector.   At the very same time, other neo-liberal policies destroyed hundreds of industrial units in Anantapur.   The shutdowns went on through the 1990s.   Many other units either folded or saw major retrenchment.   A huge rise in child labor accompanied the process.   And a big drop in wages further hit purchasing power.   Where workers (as in A.P. Lightings) wanted the chance to run their own units, they were told it was impossible.   No credit would be given.  

Meanwhile, close to 70 per cent of oil mills dealing with groundnut also shut down.   And while employment growth in rural Andhra Pradesh fell to 0.29 per cent during this period — lower than in the rest of the country — Anantapur fared even worse.

The pressures resulting from such policies have systematically pushed women from desperate families into prostitution.   "Women and young girls are without a doubt the worst victims of the agrarian crisis," Sainath emphasizes.   "Particularly women with landless labor , or small farm and lower caste backgrounds.   The last 10 years have been a nightmare for so many of them.   Wherever I go in rural India, every activist I ever speak to almost inevitably brings up the subject of trafficking himself or herself.   They're all worried about the rise in debt-related or bonded prostitution."

Recently Brinda Karat of the CPI-M, Member of Parliament and leader of the largest women's oganization in the country, the All-India Democratic Women's Association (AIDWA) publicly declared that "There is a huge increase in prostitution and trafficking of women and children around the country.   Violence against women has also increased."

Nightmarish

It's not as if the position of women and girls was wonderful earlier.   To the contrary.   The situation of women in India is very often nightmarish.   But, as Sainath says, "they are unquestionably a lot worse off than they were.   With hunger rising in the rural poor, women are by far the worst off.   The woman in a traditional Indian family always eats last.   After she's fed her husband, the children and the aged parents, if any.   (In the case of children, the boy is nourished better than the girl, and first.)   So when the cake shrinks, as it has in the last 12-15 years, the women eat less and less and less.   However, their physical stress and activity have increased in that same period."

A very conservative estimate from the UN's Food and Agriculture Organization indicates that India contributed nearly three-fourths of the new hungry added on to the ranks of the already hungry between 1995-97 and 2000-02.   Other estimates paint a far bleaker picture.   Out of this frightful destitution come thousands and thousands of women and girls forced to prostitute themselves as a last defense against starvation for themselves and their families.

Against this grim and steadily darkening backdrop, it is indeed possible to identify heroic souls in Calcutta and Mumbai and elsewhere trying to ameliorate the lives of prostitutes, or at least give their children a chance.   There are also very large and dedicated organizations such as AIDWA, mentioned above, though Kristof probably wouldn't want to usher Bush through its portals since its leader, Brinda Karat last year became the first woman member of the Politburo of the CPI-M. the largest communist party in India.

Heroic souls, and also practical ones.

As I related in a CounterPunch Diary last year, Sainath's friend Sudarshan invited me to APNE-AAP, a foundation he runs, in Kamathipura, Mumbai's red light district along the Falkland Road.   The Foundation has some rooms in an old school, and these are now filled with cheerful kids.

The idea is precisely to give children of prostitutes a chance to get out of the life, get some education, get a chance.   It's the dearest dream of the prostitutes, many of whom haven't much hope of living past 35, taken off by AIDS or TB.

The woman working at the drop-in house get the prostitutes ration cards, take them to hospital, run savings accounts — over 200 when I was there — for them where they can squirrel away ten rupees (25 cents) or so a day for their kids.

Without such help the prostitutes get turned away by hospitals and kindred bureaucracies.   Already there are 150 kids who've graduated, and 65 currently in attendance.   Only one graduate has gone into her mother's line of business.   I liked the atmosphere, mercifully free of social worker sanctimony.   Manju Vyas, the woman running the place, a Hindu from Kashmir, was humorous and enormously impressive.

We walked over to a huge old brothel built by the British a hundred years ago for their garrison.   Back then the prostitutes were Tibetan or Japanese.   These days they're from Nepal or Bangladesh.   The middlemen procuring the girls from their parents get 20,000 rupees (about $500) or more from the madams.

The rooms in the brothel are about 10 foot by 10 foot, with two tiers of beds and families of four or five cooking and chatting.

When a customer shows up and forks over his 50 rupees, they presumably stand outside.

The girls greeted us in friendly style and some of them covertly slid over their ten rupees to the APNE-AAP women, out of sight of husband, or pimp, or madam.

It costs residents 50 rupees a day to rent a bed.   Five rupees buy you a bucket of water.   Electricity costs 150 rupees a month.

Sure, Kristof could promote a photo-op of Bush chatting with the kids, as he chirps about "what can be done to help sex trafficking victims like Geeta", and that "It's time to emancipate them".

Western viewers might get a warm glow, spared a wide-angle shot of all those tens of thousands of women newly forced into prostitution by the neo-liberal system whose leading advocate and enforcer is the United States.

If Kristof wants to confront the prime promoter of prostitution in India and many other countries besides, he doesn't have to leave the east coast of the United States.

He can take his video camera into the World Bank and confront its current president, Paul Wolfowitz.

Of course it's not as dramatic as buying Cambodian girls, or as colorful as retailing Geeta's ravishing by the Arab.









 
 






































































































































































































































































































































































































































































































































































 
 





 
For archive purposes, this article is being stored on TheWE.cc website.
The purpose is to advance understandings of environmental, political,
human rights, economic, democracy, scientific, and social justice issues.