TAC won't back off about Manto

President Thabo Mbeki hailed his embattled health minister as a heroine and likened critics to "wild animals," causing new dismay among Aids activists demanding the dismissal of a woman dubbed Dr Beetroot for her promotion of food as a remedy for the disease.

Nobel laureate Archbishop Desmond Tutu weighed into the increasingly polemical debate about South African Aids policy, lamenting that "too many died unnecessarily because of bizarre theories held on high," in a thinly veiled reference to the president and his health minister.

In a speech late on Friday Tutu said that the heroes and heroines killed in the anti-apartheid struggle - if they were alive today - would be shocked by the devastation of HIV/Aids which kills 900 South Africans - the equivalent of three jumbo jet crashes - every day.

"They would be distressed by the latest episodes in the saga of a Health Department that has been less than efficient and has presided over the vast deterioration in health standards of our land," said Tutu, often regarded as the moral conscience of the nation.

For years, Mbeki has been accused of downplaying the extent of the Aids crisis. He has steadfastly stood by Health Minister Manto Tshabalala-Msimang, the target of national and international condemnation for her mistrust of antiretroviral medicines and her unorthodox views on the virus that has infected an estimated 5.4 million South Africans - the highest number in the world.

But his weekly ANC Today newsletter took this support to new heights. Mbeki said that history would honour the minister as "one of the pioneer architects of a South African public health system constructed to ensure that we achieve the objective of health for all our people, and especially the poor."

"In our tradition as the ANC we do not normally celebrate our heroes and heroines publicly, such as Manto Tshabalala-Msimang, until they have died," he wrote in the online newsletter issued on Friday.
"Violating this tradition, I have now written about Manto Tshabalala-Msimang as I have because some, at home and abroad, who did nothing or very little to contribute to the immensely difficult and costly struggle to achieve our liberation, have chosen to sit as judges."

The two have known each other for 45 years and went into exile from the apartheid government together in 1962. Tshabalala-Msimang's husband is the treasurer of the African National Congress.

Dismissal

Nathan Geffen, policy coordinator of the Treatment Action Campaign, said on Saturday that the activist movement was undeterred and would continue to press for the health minister's dismissal. The movement has given Mbeki until Sept. 7 to respond to its detailed reasons why she must be sacked.

Geffen said the minister's failings included: the slow provision of drugs to prevent HIV-positive mothers passing on the virus to their child; delays in giving treatment to people with Aids; and her department's failure to provide proper levels of staffing and expertise.

"The failure to manage the HIV crisis has had a knock-on effect on the management of the entire health system," Geffen told The Associated Press, citing the spread of drug resistant TB - closely associated with Aids - as an example.

He said Tshabalala-Msimang's support for promoters of untested remedies as well as her own public pronouncements had led to confusion and undermined confidence in scientific medicine.

At repeated news conferences, the health minister has made plain her mistrust of antiretroviral medicines. She has espoused the value of lemons, garlic, olive oil and beetroot - earning her nicknames like Dr Garlic and Dr Beetroot. South Africa's stand at the international Aids conference in Canada last year included garlic and other foodstuffs, prompting international scientists to write an unprecedented joint letter of protest to Mbeki.

Tshabalala-Msimang was sidelined for months due to ill health earlier this year.
During that time, deputy health minister Nozizwe Madlala-Routledge joined forces with civil society and Aids activists to draw up an ambitious five-year plan to halve the number of new infections and provide care and treatment to 80% of those in need by 2011.

Vendetta

But Mbeki last month dismissed Madlala-Routledge, ostensibly because she went on an unauthorized trip to an Aids vaccine conference in Spain and did not work as part of a team. But Aids activists said Madlala-Routledge was victim of a political vendetta orchestrated by her boss, the minister.

The government insists that its Aids campaign will not be derailed by the dismissal of the deputy minister and has accused Tshabalala-Msimang's critics of character assassination.

The Sunday Times newspaper has alleged that the minister had a liver transplant in March because of years of alcohol abuse - accusations denied by the minister who successfully sued in the courts for the recovery of her medical records on which some of the allegations were based.

Mbeki's weekly column slammed the newspaper intrusion into her private life and the allegations that the 66 year-old jumped the waiting list.

"It is obvious that those who deliberately manufactured and peddled these lies did so to argue that Manto Tshabalala-Msimang should not have been treated, and should have been allowed to suffer and die," he wrote.

"Some in our society, and elsewhere in the world, seem determined to applaud this truly frightening behaviour, which, in reality, belongs to wild animals," he said.