While completing a recent medical elective in the Central African coun
try of Malawi, medical student Dale Needham learned firsthand that HIV
/AIDS represents a true pandemic in Africa. By the end of 1993, Malawi
had the continent's highest per capita number of cumulative reported
AIDS cases. Although Canadian physicians have had their own struggles
helping patients with HIV/AIDS, many more battles are being fought in
countries like Malawi, where financial resources are limited. In Afric
a, HIV-positive people of all ages suffer incredibly from diseases suc
h as protein energy malnutrition, tuberculosis and cryptococcal mening
itis. Primary health care programs, eduction in the primary schools an
d community awareness and support are partial answers to the pandemic.