Robert W. Anderson

English 276: Colonialism & Postcoloniality

Professor Roy

4 November 1998

AIDS-In-Difference

"It has been said that the Negro is the link between monkey and man--meaning, of course, white man."

--Frantz Fanon

 

Along with colonization, the West, and Great Britain in particular, engaged in the project of normalizing the heterosexual. In particular, the heterosexual family unit, headed by one woman, one man, and their children became the focus of Victorian sexual values and the various deployments of sexuality. The heterosexual family unit, and the white woman in particular, became the focus of many anxieties regarding sexuality. The category of the normal, heterosexual family defined itself in a negative way—in terms of that which it was not. It was not abnormal. It was not homosexual. And it certainly was in no way perverted. Yet, in order to cohere, the heterosexual family needed to inscribe perversion somewhere, and did so upon both the body of the homosexual and upon the body of the racialized Other. Mythologies about the potent, often dangerous, sexualities of the colonized came into being, particularly constructed as threats to the normal sexuality of whites, usually in the form of rape, of perversion, and of sexual acts deemed unspeakable. Traces of these discursive strategies remain in the various discourses on AIDS in Africa. Further, I will argue, African AIDS is a Euro-American media and medical construct often used to promote further disciplining of the normal, heterosexual family, primarily in the West, but also in Africa.

Michel Foucault places "the psychological, psychiatric, medical category of homosexuality" as being constituted in 1870 in the Western discourse on sexuality (43). The same category of the heterosexual would not make its debut until 1880, and in English, it came into being in 1892, not as the norm as it has become thought of now, but itself as a form of perversion. As originally defined, heterosexuality was considered a perversion because it did not have reproduction as its primary aim, but instead sexual gratification was its primary aim (Katz 54). Jonathon Ned Katz argues that it took the intervention of Freud and psychoanalysis to begin to normalize the heterosexual, somewhere in the 1920s but not fully completed until the 1960s (86-87). Similarly, homosexuality would begin to argue it, too, was normal soon after the heterosexual had consolidated herself/himself as normal. By the early 1980s, the categories of heterosexual and homosexual had been in existence for approximately 100 years, albeit an unstable, contested existence. Simon Watney notes that "it is clear that the relatively new emergence of the classificatory system of Western sexuality is by now as completely taken for granted and dehistoricized as Linnaean taxonomy" ("Missionary Positions" 89). Further, this classificatory system has been naturalized and "dehistoricized" upon Africa by the West.

In the discourse on AIDS in the West, particularly in the media, heterosexuality had naturalized itself to the point of near-invisibility. This was particularly the case early in the epidemic, when it appeared to be exclusively a gay disease. As soon as AIDS began showing up among heterosexuals in the West, people began to speak of a heterosexual community, or, more often, of AIDS in the so-called general population. Jan Zita Grover defines general population as follows:

general population Heterosexual is not a polite word. It is commonly used only in gay circles or in those liberal settings where there are a large number of professed nonheterosexuals present, in which case it functions as a self-conscious preface: "Well, I’m heterosexual, but . . . " In gatherings where lesbians and gays are not visibly present, the term is seldom used, because the presumed identity of everyone is heterosexual. The term thus plays its differentiating role only in the presence of its implicit or explicit opposite. Even then, it smacks of distaste. To employ it around other heterosexuals suggests that heterosexuality is not a given, but something to be accounted for, a cultural rather than a natural construction.

Because such troubling associations accompany the word, how much more diplomatic to employ a term that doesn’t raise the specter of sexual practices or identities at all. Hence, general population. As a term, it bespeaks neither sex nor revolution. Its very amorphousness guarantees widespread identification. Who, after all, would not regard him- or herself as part of the general population? (23)

The question, of course, begs the answer, "no one." But, in the discourse on AIDS, there are several categories of people, usually termed communities (the IV-drug using community, the gay community, the African-American community, etc.) who do not qualify as members of the general population. Not everyone gets to make the choice about whether than can be regarded as part of the general population or not, regardless of their own belief in the matter. And Africans are not considered, in this discourse, members of the general population, which is also code for white, Western, heterosexual. Not only has the Western heterosexuality positioned itself as natural, but also general. It’s generic—in fact, so generic, it’s almost unspeakable. Add the element of difference, however, anywhere in the equation, and a person falls out of the category general population: gay men, IV-drug users, African heterosexuals, hemophiliacs. The term general population starts to show itself as a very limited sphere of potential identities.

It would be misleading to speak of heterosexuality and homosexuality in binary opposition to one another, as the category of heterosexuality also contrasted itself against other forms of perverse desire and to the modes of desire (ars erotica?) of the people colonized by Europe. Even if the colonized peoples coupled in male-female family units, there remained a certain "not-quite/not-white"-ness about their sexual relations in the eyes of their European colonizers. Frantz Fanon wrote

As for the Negroes, they have tremendous sexual powers. What do you expect, with all the freedom they have in their jungles! They copulate at all times and in all places. They are really genital. They have so many children that they cannot even count them. Be careful, or they will flood us with little mulattoes. (157) As opposed to the original definition of the heterosexual, who is perverse because of his/her desire for sexual relations without reproduction as the primary goal, the danger Europe is afraid of with Negro sexuality, as articulated by Frantz, is that they are overzealous in their reproductive desires. Not only are they "really genital," but "they have so many children that they cannot even count them."

Diana Fuss raises the question of whether we can use the Euro-American psycho-medical categories of heterosexual, bisexual, and homosexual when discussing sexuality in Africa.

Is it really possible to speak of "homosexuality," or for that matter "heterosexuality" or "bisexuality," as universal, global formations? Can one generalize from the particular forms of sexuality under Western capitalism to sexuality as such? What kinds of colonizations do such discursive translations perform on "other" traditions of sexual differences? It is especially important, confronted by these problems, to focus attention on the ethnocentrism of the epistemological categories themselves--European identity categories that seem to me wholly inadequate to describe the many different consolidations, permutations, and transformations of what the West has come to understand, itself in myriad and contradictory fashion, under the sign "sexuality." (159) These raise significant epistemological questions when we consider how we know what we know about AIDS in Africa, particularly since African AIDS is typically constructed as being heterosexual. If we cannot speak of heterosexuality as being adequate to describe African sexuality, is it even possible to speak of heterosexual AIDS in Africa?

And yet, it is the heterosexual nature of AIDS in Africa that is causing anxiety in the Western world. If AIDS can be transmitted via heterosexual sex in Africa, can it not also be transmitted through heterosexual sex in Europe and North America? Therefore, differentiation between Pattern One, or Euro-American AIDS, and Pattern Two, or African AIDS is established, and the vectors of transmission of each pattern are sought after. This quest returns us to the colonial mythologies of the unruly, African sexuality, and other colonial mythologies. For example, Cindy Patton notes that

[researchers’] efforts were directed toward explaining how in the West, and among whites, active homosexuals passed the virus to passive homosexuals, while in Africa and among prostitutes and people of color in the U.S., women engaging in anal intercourse passed the virus to heterosexual men. The collision of homophobia and racism provided the anus with a curious but pivotal gender: the female anus was thought capable of doing what the male anus was not. ("Inventing ‘African AIDS’" 91) Alternately, the heterosexual anus was thought capable of doing what the homosexual anus was not—transmit HIV to the penis. Medical researchers and the Western media were in search of sexual practices engaged in by heterosexual Africans that were somehow essentially different from the heterosexual practices of Euro-American white people, and failing to find any, ascribed to HIV two different Patterns, and therefore, modes of transmission. Cindy Patton notes that The possibility of large-scale heterosexual transmission in the U.S. was initially dismissed (1984) because, scientists alleged, anal intercourse was the sole route of sexual spread, and unlike African heterosexuals, Euro-American heterosexuals were not believed to engage in this "primitive form of birth control." No data was ever offered in support of this belief and no one mentioned that anal sex might be a pleasure indulged in by heterosexuals worldwide. ("Inventing ‘African AIDS’" 91) As it turns out, anal sex is not a pleasure unique either to North American homosexuals or African heterosexuals, statistics showing that approximately 1/3 of American heterosexuals also engage in the practice. Patton further notes that "Euro-American heterosexuality is ‘not at risk’ as long as local AIDS is identified as homosexual and heterosexual AIDS remains distant ("From Nation to Family" 222)." Not only is Euro-American heterosexuality "not at risk" from AIDS, in its own constructions of itself, but it is "not at risk" of being mistaken for that which it is not, both homosexuality or non-white heterosexuality, because it figures itself as being immune to HIV.

One might wonder, with all this wrangling over which heterosexuals can and can’t get AIDS, why the possibility of African homosexuality, bisexuality, or other alternative modes of erotic pleasures is ignored. The discourse on AIDS, because it adheres to the Western conception of binary sexuality (homo/hetero), leaves itself no options but to consider African AIDS heterosexual by ruling out the possibility of African homosexuality. As I noted before about heterosexuality defining itself negatively, this again is a negative definition of heterosexual African AIDS. By virtue of the fact that it isn’t homosexual, it must be heterosexual. In this construction, there are no other options. Yet, the denial of the possibility of homosexuality in Africa is not unique to the Western discourse on AIDS. These denials take place on all sides, by colonized, by neo-colonial, and by colonialist alike. For example, African nationalist Frantz Fanon denies the possibility of a Negro homosexuality not once, but twice, in addition to other declarations, which, at least prima facie, appear homophobic. First, in a footnote, Fanon remarks

that I had no opportunity to establish the overt presence of homosexuality in Martinique. This must be viewed as the result of the absence of the Oedipus complex in the Antilles. The schema of homosexuality is well enough known. We should not overlook, however, the existence of what are called there "men dressed like women" or "godmothers." Generally, they wear shirts and skirts. But I am convinced that they lead normal sex lives. They can take a punch like any "he-man" and they are not impervious to the allures of women--fish and vegetable merchants. In Europe, on the other hand, I have known several Martinicans who became homosexuals, always passive. But this was by no means a neurotic homosexuality: For them it was a means to a livelihood, as pimping is for others. (180) At first, Fanon invokes an epistemological strategy of the closet, by bringing forth an image the European might associate with homosexuality, the men who "wear shirts and skirts." However, he manages to safely reinscribe them within heterosexuality’s bounds because "they can take a punch like any ‘he-man’" and they are attracted to women. Masculinity becomes a signifier of heterosexuality; even if it is masculinity somewhat compromised, particularly in comparison to the "he-man." Further, by assuming that an attraction to women is in binary opposition to an attraction to men, Fanon denies Martinican men the possibility of either bisexuality or an alternative erotic social structure not based on compulsory heterosexuality. In a paranoiac maneuver, Fanon contradicts himself at the end of the footnote, noting that there are, indeed, homosexuals from Martinique, but they are not of the "neurotic" type found in Europe. They become passive homosexuals (one presumes this means they get fucked, rather than do the fucking) for money, not pleasure—in essence, passive Martinican homosexuals are really heterosexuals prostituting themselves for European money. This stands in contradiction to both his denial of Martinican homosexuality earlier in the footnote, and to an earlier statement, "there are, for instance, men who go to ‘houses’ in order to be beaten by Negroes; passive homosexuals who insist on black partners" (177). If both the Martinican and the white homosexual who insists on a black partner are passive, who’s having sex here? The implication in this statement is that the black partner is the active homosexual, at least if Fanon subscribes to an active/passive binary. What Fanon is denying is not the possibility of Martinican men participating in male-male sex, both as "active" and "passive" partner, but that Martinican men participate in male-male sex with one another.

As I noted earlier, Fanon is not the only person to deny the possibility of male-male sexual behavior in Africa between Africans. The Euro-American media and medical officials, as well as neo-colonial governmental officials, also deny that homosexuality exists in Africa, or at least within the Africa of their purview. Cindy Patton notes that "black male-male relationships are invisible, and ‘homosexuality’ is illegal under laws governing white conduct. White male-male relations are unlawful and black male-male relations invisible in the eyes of the South African government" ("Inventing ‘African AIDS’" 90). Unlike Fanon, the possibility of White-black male-male relations is completely ignored by the South African government in its attempt to respond to the problem if HIV/AIDS in its mines. However, again like Fanon, black male-male sexual formulations have been rendered invisible. Yet, Patton writes,

there are gay-identified black South Africans, and numerous forms of male-male sexuality in the Southern African cultural traditions, some existing before colonial regimes and continuing in the countryside, and some existing in the townships, reformed or created in resistance to colonialism. ("Inventing ‘African AIDS’" 89) Of course, there have been African governments that are all too eager to pin the blame for AIDS on homosexuals. Malcolm D. Gibson points out that "Zimbabwe’s most visible personality, President Robert Mugabe, persists in perpetuating myth and misinformation by painting homosexuals as the chief culprits in the spread of the disease in Zimbabwe" (352). This can be read as a mimicry of the Western scapegoating of homosexuality on the one hand, but it has the curious quality of admitting there are homosexuals in Zimbabwe, that their existence is proved by the fact that there are persons with AIDS in Zimbabwe. Again, this is a mimicry of Western understandings of HIV/AIDS: in the West, a positive result on an HIV test is read as proof of perversion of some sort, be it promiscuity, hidden homosexuality, or intravenous drug use. It is possible that, like Fanon, Mugabe is only considering white men as being homosexual in Zimbabwe, but Gibson’s statement doesn’t indicate this.

The denial that homosexuality exists in Africa is understandable from the point of view of figures such as Fanon and the African neo-colonial governments. The West had, for a long time, ascribed to Africa a range of perversions, and often connected primitiveness with homosexuality. What is problematic is the West’s shift from connecting primitive homosexuality in Africa to denying the possibility of an African homosexuality altogether in both the medical and media discourses on HIV/AIDS. While the safer sex mantra in the West has shifted from characterizing homosexuals as a risk group to trying to teach safer sex to all, particularly targeting "men who have sex with men" (a phrase which includes bisexual men and straight men who engage in rough trade, as opposed to the limited category of homosexual), this shift in phraseology has not occurred in the discourse on Africa. Heterosexuals are considered at risk, rather than "men who have sex with women" and "women who have sex with men." The question becomes why has the West invisibilized the African man who has sex with other African men?

I wrote earlier that heterosexuality defines itself in a negative way—as opposed to that which it is not, rather than characterizing what it is. And two of its definitions of itself are that it is not homosexuality and it is not perversity. In this discourse, AIDS has become a sign by which normal heterosexuality proves itself, and furthermore, it serves to discipline normal heterosexuals. The figure of the gay male with AIDS is familiar to the West and close at hand, and the mechanisms by which Western media and medical discourse have scapegoated him are familiar. The message, reiterated, becomes "don’t be homosexual, you’ll get AIDS and die." (And who, honestly, hasn’t seen something similar scrawled on a bathroom wall, including at a University campus, recently?) But AIDS is also used to discipline heterosexuality into normality. African AIDS must be heterosexual in order to function properly to discipline Western heterosexuality away from perversity. Therefore, the causes of African AIDS are alternately explained as prostitution, as promiscuity, and as (hetero)sexual practices so bizarre they are indescribable in Western medical terms. The message here is "don’t be promiscuous, don’t become a prostitute, missionary position only" (in more ways than one—more on that later).

Positioning African sexuality as heterosexual not only posits a tri-partite scheme of sexuality (homo-, hetero-, and bisexual), but all the Western categories of sexuality posit a binary gender structure of man/woman. Heterosexual, as it is used, implies that relationships form primarily between men and women, as people are categorized. Homosexual implies relationships form primarily between men or between women. And bisexual implies a person who forms relationships with either gender, the binary nature of gender as it is understood in the West built into the term itself. Diana Fuss questions whether the Western specification of sexuality can apply to African sexuality, but it’s also important to question whether the Western categories of gender can be accurately applied to Africa in any meaningful sense. By projecting an exclusively heterosexual model of sexuality onto Africa through the discourse of AIDS, the West also projects a binary model of gender onto Africa, but this message is so covert, that it goes utterly without saying. In fact, alternative structurings of gender do not occur to anyone in the discourse on AIDS.

Frantz Fanon, in his comments, shows without intending to that gender is far more complex than it is given credit for. He speaks about the Martinican men who dress in "skirts and shirts" but who can also "take a punch like any ‘he-man.’" He is quick to rescue them from homosexuality, in a rhetorical maneuver that at the same time identifies cross-gender expression with homosexuality. He refers to these men, significantly, as "godmothers" of the community rather than godfathers. By claiming they "lead normal sex lives" (presumably, Fanon means that heterosexual is equivalent to normal, although the claim is contestable territory), is Fanon claiming they lead "normal sex lives" as men or as women? The categories shift around here, particularly if one is attempting to uphold a binary gender structure.

Leslie Feinberg, in her study of transgender expression throughout history, finds numerous examples of transgender expression in Africa, including in areas of Africa most impacted by AIDS. Feinberg writes "women and trans spiritual leaders continue to coexist in this century. Although South African Zulu diviners are usually women, some are male-to-female diviners. Among the Ambo people of southern Angola, even in this century, women – including trans women – serve the deity Kalunga" (45). She also writes that

African spiritual beliefs in intersexual deities and sex/gender transformation among their followers have been documented among the Akan, Ambo-Kwanyama, Bobo, Chokwe, Dahomeans (of Benin), Dogon, Bambara, Etik, Handa, Humbe, Hunde, Ido, Jukun, Kimbundu, Konso, Kunama, Lamba, Lango, Luba, Lulua, Musho, Numba, Ovimbundu, Rundi, Shona-Karonga, Vendu, Vili-Kongo, and Yoruba. (44) "Transgender in religious ceremony is still reported in the twentieth century in west Africa," Feinberg notes (44). Importantly, west and South Africa are two of the regions hardest hit by heterosexual AIDS, although the evidence of transgender expression in these regions significantly questions the categories of gender as well as sexual orientation. Largely religious and ritualistic, these expressions of gender open the question Fuss opens and extends it further: can we understand African gender and sexuality through models provided by the West?

Furthermore, the West’s neat sexual taxonomies get confused if the possibility of AIDS through African homosexuality is entertained. Benedict Anderson writes:

These "identities," imagined by the (confusedly) classifying mind of the colonial state, still awaited a reification which imperial administrative penetration would soon make possible. One notices, in addition, the census-makers’ passion for completeness and unambiguity. Hence their intolerance of multiple, politically "transvestite," blurred, or changing identifications. Hence the weird subcategory, under each racial group, of "Others"--who, nonetheless, are absolutely not to be confused with other "Others." The fiction of the census is that everyone is in it, and that everyone has one--and only one--extremely clear place. No fractions. (165-166) The epidemiological statistics on AIDS, even in the West, allow for a person to have "one—and only one—extremely clear place." An African with AIDS can only be that—an African. She or he cannot also be homosexual, or worse, bisexual, or some other category of erotic organization that is unspecified in Western psycho-medical terms. Furthermore, the possibility of alternative gender organizing is not allowed under the Western medical models with regard to AIDS. The "African with AIDS" is imagined to be a coherent identity by the medical establishment. Absolute clarity of identity is required in order for the categories specified to cohere.

But, in the straight mind, AIDS has become closely connected with homosexuality in the West. In order for the project of disciplining Western heterosexuality to work, not only must AIDS in Africa be heterosexual, but there must be no doubt about its heterosexuality, either. The possibility of African male-male sexuality must be rendered invisible, even if temporarily. If the discourse became tainted with the possibility of an African male-male sexuality, the possibility that African AIDS might be transmitted through homosexual sex is opened up, undermining efforts to discipline heterosexuality, both Western and African. Patton notes that she "remain[s] perplexed by Westerners’ insistence that there is no homosexuality in Africa—after all, it would have been much simpler to lay AIDS at the door of a single ‘perversion.’ Yet Western homosexual panic works overtime in AIDS discourse: homosexuality is more controllable if it can be retained as a category of Western bourgeois culture" ("From Nation to Family" 232). This disciplining has largely been the focus of AIDS prevention and safer sex education programs in Africa, particularly with its focus on monogamy over condom use; in the West, heterosexual African AIDS has been held out as a signifier for the possibility of an heterosexual Western AIDS. Cindy Patton notes that

this projected difference of African heterosexuality and the asserted absence of African homosexuality continue to drive not only the forms of epidemiologic research (for example, researchers have been more interested in finding bizarre and distinctive "African" sexual practices than in documenting transfusion-related cases) but also the forms of educational intervention whose focus in Africa is almost exclusively on promoting monogamy or, in more "sensitive" campaigns, "stable polygamy." ("From Nation to Family" 222) Rather than focus on educating about particular sexual practices that had been linked to the transmission of HIV and AIDS, safer sex, in this instance, has attempted to mold African sexuality into a heterosexuality more disciplined than the West’s. Rather than being missionaries preaching the Christian gospel during the colonial period, post-colonial Western safer sex workers in Africa are missionaries of the scientia sexualis. Sexuality is being rendered in a discourse of power, in order to shape African sexuality into a family-unit-based, monogamous heterosexuality. Foucault wrote, about the development of a scientific discourse on sexuality in the West: "Sexuality": the correlative of that slowly developed discursive practice which constitutes the scientia sexualis. The essential features of this sexuality are not the expression of a representation that is more or less distorted by ideology, or of a misunderstanding caused by taboos; they correspond to the functional requirements of a discourse that must produce its truth. Situated at the point of intersection of a technique of confession and a scientific discursivity, where certain major mechanisms had to be found for adapting them to one another (the listening technique, the postulate of causality, the principle of latency, the rule of interpretation, the imperative of medicalization), sexuality was defined as being "by nature": a domain susceptible to pathological processes, and hence one calling for therapeutic or normalizing interventions; a field of meanings to decipher; the site of processes concealed by specific mechanisms; a focus of indefinite causal relations; and an obscure speech (parole) that had to be ferreted out and listened to. (68) In the discourse on African AIDS and heterosexuality, "the imperative of medicalization" as well as "the rule of interpretation" by the epidemiological institutions is paramount. The medical institutions interpret the data collected about the transmission of HIV/AIDS in Africa, sometimes coming up with implausible interpretations, such as the above example about the power of the female anus to transmit HIV. Further, the medical and media discourses have created "a field of meanings to decipher the site of processes concealed by specific mechanisms," particularly through the persistent references to the as-yet-mysterious origins of AIDS and HIV. Also, this can be seen in the claims of mysterious sexual practices engaged in by Africans that are not practiced in the West.

The West engages in a "therapeutic or normalizing intervention" in Africa, through the discourses of safer sex, and particularly as they are articulated in Africa. Yet, this "intervention" also has the effect of disciplining African sexuality, and it deploys Western notions of sexuality in order to promote monogamy (or "stable polygamy"). Simon Watney writes

these measures amount to only one thing – monogamy, understood as the only effective prophylactic against HIV infection. Two points immediately stand out. First, if "Africa" is saturated with HIV as is suggested, monogamy as such is unlikely to provide any protection against transmission. The text is telling us that these "people" can and must die, but they should at least have the "decency" to do so within the moral conventions of Christian marriage. (Missionary Positions 84) The deployment of sexuality in Africa, particularly with regards to HIV/AIDS prevention, has focused on the family unit, much like the deployment of sexuality in the Western world. The desire of the West has been to shape African heterosexuality into its mirror image, even if it’s not quite right. Further, the West wants to instill its values on Africans, through a combination of methods including both traditional colonial ones such as the educating mission, but also through new technologies of power, including the deployment of a science of sexuality. The Western medical establishment has no problem completely ignoring any questions Fuss might raise about the appropriateness of using Western categories of sexuality for non-Western cultures.

Beyond the problematic of employing Western notions of sexuality to assess the heterosexuality of African AIDS, there is the problem of assessing the level of HIV/AIDS infection in Africa altogether. By most accounts, both medical and media, AIDS is assessed by a variety of indirect means, never through actual numbers, ostensibly because African nations cannot be relied upon to report accurately. The New York Times reports that

accurately gauging the impact of the epidemic is difficult. Few companies know how many of their workers are infected. And no one admits having AIDS, so experts must guess how many of the deaths of young working people due to tuberculosis, malaria, and vague complaints like "bad chest" are really AIDS-infected. (McNeil 14) Further, along these lines, The Lancet reported that undoubtedly, there is under-reporting of cases in all countries but it is probably true that in most, if not all areas, HIV-related morbidity and mortality are not among the major health concerns when placed in the context of the million deaths from malaria that are estimated to occur in Africa annually and the even larger numbers of deaths from diorrhoea and respiratory infections. ("Editorial" 22) Each of these examples show, in the discourse on AIDS, Foucault’s "rule of interpretation" with regards to the data being examined. Western epidemiologists and reporters "know" that the numbers being given as the HIV rates of African nations cannot be correct, as they are "undoubtedly" are in the West. This plays into all sorts of colonialist stereotypes about the colonized, as well: the African cannot be trusted to tell the truth about her or his situation, and that truth must be told for her or him.

What is not mentioned in these facile claims of the untrustworthiness of the African to tell the truth about AIDS is the role international health organizations play: certain African governments, such as Uganda’s, offer subsidies for schooling to the children of mothers who test positive for HIV. This would tend towards encouraging greater accuracy, as the women who test negative "were seen to weep openly when they were told," according to Nellie Mathu (667). This is a horrible set-up, in fact, which has the effect of encouraging women to "get infected, get subsidy" (Mathu 667).

Another problem with the statistics is that when reporting African cases, the West tends to interpret the statistics from a major metropolitan center, such as Nairobi, as being indicative of the statistics of the entire nation, in this case, Kenya. Yet, no one would imagine taking the HIV rates of San Francisco, Los Angeles, Chicago, and/or New York as being indicative of the nationwide epidemic. Douglas A Feldman writes that "except for villages in southwestern Uganda, northwestern Tanzania, and now northern Rwanda (near the Ugandan border), AIDS is primarily an urban disease in Africa. This is perhaps one of the most baffling questions facing anthropologists who will work in the area of AIDS in Africa" ("Cofactors in Africa" 50). Given that "AIDS is primarily an urban disease in" the United States and other Western countries, what must be "most baffling" to Feldman would be the fact that HIV in Africa ("HIV-1") is similar to HIV in North America and Europe ("HIV-2"). In fact, these similarities have been cause for panic and puzzlement, leading researchers to search for connections between African heterosexuality and North American and European homosexuality. The designation of HIV-1 and HIV-2, respectively, is used to construct a division within the medical understanding of the disease’s epidemiology. At the same time, researchers hold that the diseases are spread the same and that the risk factors are identical, as are the modes of prevention. Some epidemiologists posit that gay and bisexual men and Africans are subject to a microbial intestinal protozoa that makes them particularly at risk for HIV because they start out immunosuppressed (Feldman, "Cofactors in Rwanda" 47-48). As earlier, the link between African and homosexual male, in the medical discourse, is anal (and, it’s always implied, perverse). At the same time, however, the two patterns must be differentiated, in spite of any similarities claimed, and these similarities and differentiations always serve the same purpose—to distance Western heterosexuality from the perverse, be it African or queer.

As I noted earlier, there are multiple problems with reading the HIV statistics from Africa. The Western media, for example, believes the numbers to be under-reported, and there are a good number of reasons why this would be so. Many of the sub-Saharan African nations depend upon tourism for a certain amount of their gross national product. Furthermore, in cities such as Nairobi, some of this tourism income takes the form of Western sailors and military men who come into port looking for women. Malcolm D. Gibson writes that

skittish African governments, like others around the world, hid the facts about acquired immune deficiency syndrome because of political and economic concerns. They feared losing much needed revenue, particularly from tourism. In some cases, the fear was real. In Kenya, for example, some hotels experienced 50 percent cancellation rates. As a result of these fears, African governments, and, in turn, the media initially denied the existence of AIDS. (349) These fears have had very real impacts, particularly on neo-colonial governments that are dependent upon the West for capital. The West cannot extricate itself from culpability in any sense, either from overestimating the number of Africans infected or from African government’s underestimating those same numbers.

Fears of miscegenation and reverse colonization run through much of the commentary on African AIDS, especially as a heterosexually transmitted disease. Particularly, it is often implied in medical literature on African AIDS that it could have the same impact in North America and Europe as it’s having in Africa and among gay and bisexual men in the West. Furthermore, the potential threat to Western heterosexuality, rather than the very real threats to Africans or homosexuals, are the rallying points for further research on AIDS in Africa. Douglas Feldman, for example, writes "it appears inevitable that if risk reduction interventions are not carried out, non-IV drug using heterosexual spread of the virus in North America and Europe may eventually become the most prevalent form, especially in inner cities" ("Cofactors in Rwanda" 51). While this remains a looming fear, it’s also one that’s incredibly uncertain, one source reporting that "the risk of a heterosexual epidemic of HIV infection and AIDS in North America and Europe on the scale of the current African epidemic cannot be predicted with any certainty" (Piot 110). AIDS once again manifests itself as a postmodern disease, full of complications, contradictions in signification, and rendering Western medical discourse uncertain, at least for normative, Western heterosexuality. Furthermore, as noted above, there’s a very significant concern in the West that heterosexuality will be colonized by AIDS, either through the vectors of bisexual men to women to heterosexual men, or through direct heterosexual contact with in Africa.

Susan Sontag has explored the metaphorization of AIDS, looking at how the Western medical establishment has used metaphoric themes of invasion, of war, and of conquering, either in describing the behavior of the virus, or in describing how the virus can be overcome (another military metaphor). Sontag calls these military metaphors, but they are also metaphors of colonization. In fact, any virus is often described in terms that serve as metaphors of Western colonization: the replacement of the cell’s DNA with the virus’ own, the penetration of the cellular wall, and the virus directing the cell to replicate itself, rather than perform its normal functions. All three are good examples of how one might see viral infection, in general, as metaphoric for colonization of the cell by the virus.

Beyond the metaphors of the virology of HIV/AIDS, however, Susan Sontag elucidates some of the more disturbing colonial metaphors associated with AIDS, particularly involving Africa. Sontag notes that

the AIDS epidemic serves as an ideal projection for First World political paranoia. Not only is the so-called AIDS virus the quintessential invader from the Third World. It can stand for any mythological menace. In this country, AIDS has so far evoked less pointedly racist reactions than in Europe, including the Soviet Union, where the African origin of the disease is stressed. Here it is as much a reminder of feelings associated with the menace of the Second World as it is an image of being overrun by the Third. (150) If one compares this to Fanon’s statement about the fears the West holds about being "flood[ed] . . . with little mulattoes," one can see that these fears are not new, but are old notions encoded in new forms. These are fears of reverse colonization, of the West being overwhelmed by the Third World, either epidemiologically, as is the case with AIDS, or, in earlier rhetoric, demographically. The virus, which in general is described in terms of invading a cell, is now described as invading the First World from the Third. However, the First World would not be concerned with this invasion if it were only North American homosexual men who were at stake. Sontag reminds us that AIDS is such an apt goad to familiar, consensus-building fears that have been cultivated for several generations, like fear of "subversion"--and to fears that have surfaced more recently, of uncontrollable pollution and of unstoppable migration from the Third World--that it would seem inevitable that AIDS be envisaged in this society as something total, civilization-threatening. And raising the disease’s metaphorical stature by keeping alive fears of its easy transmissibility, its imminent spread, does not diminish its status as, mainly, a consequence of illicit acts (or of economic and cultural backwardness). (151-152) The anxiety of reverse colonization occurs at its highest point in the threat to the general population, which is code for the Euro-American heterosexual, non-IV drug using, non-prostitute population. The potential for "easy transmissibility" to Western heterosexuals, the uncertainty that Western heterosexuality is immune to AIDS, is the primary cause for concern. In fact, not only is there a lack of concern for Africans and Western homosexuals with AIDS but, as Sontag points out, an active blaming of these groups, particularly for being perverts. That Africans and homosexuals are perverts goes without saying, in the straight mind. AIDS and HIV infection merely prove to the straight mind what they already knew. And yet, the specter of miscegenation, of AIDS crossing over into the general population looms very large in the medical and media discourse.

The processes of blame can be seen in now discredited, but still prevalent in the popular imagination, scientific narratives of the origins of AIDS. The most common narrative says that AIDS originated by crossing over from the green monkey in central Africa to Africans (the means of this crossing over are often obscured, but some perverse sexuality is often implied—either that, or the narrative hints at the Africans eating the green monkeys), from Africans to Haitians, from Haitians to North American homosexuals, from homosexuals to bisexuals, and from bisexuals to heterosexual women (or, the general population). Other narratives seek the origins in African swine fever, and Alex Shoumatoff imagines that AIDS originated at Lake Victoria in Uganda, the origin of the Nile River (131-133). These narratives display the variety of anxieties and phobias Western heterosexuality has about both homosexuality and Africa. The logical leaps required to make the green monkey narrative cohere require one to subscribe to certain prejudices about Africa and homosexuality. As I noted, one must believe that Africans are uncivilized and would either eat monkeys without cooking them, or that they’d have sex with monkeys. To the Western mind, as Fanon shows us over and over, this is not a logical leap at all, but the psychology of colonialism. Another particularly vexing part of this narrative involves the denial of African homosexuality: if the narrative is to hold true, how did HIV cross into the North American homosexual community, if Africans are not homosexual? Of course, the logical leap would be to argue that the sexual restrictions that bar African homosexuality do not seem to bar Haitian homosexuality.

While science sought connections to African swine fever, of the anality of African sexuality, for microbes present in both Africans and North American gay men that would suppress the immune system, the only hard facts that could be relied upon was that HIV was transmissible, in either pattern, through sexual intercourse, through blood transfusion by infected blood, and from mother to fetus. Not only does this put heterosexuality at risk, but it makes reproductive sex, which is essentially heterosexual sex without a condom, incredibly risky for everyone involved: man, woman, and child. Not only does this threaten the institution of heterosexuality; it also threatens the entire Western family structure. Therefore, it is from this front that AIDS in Africa has been attacked.

Cindy Patton, in "From Nation to Family," writes that AIDS is reconstructing the map of Africa through epidemiology. The West, she argues, is characterizing all of Africa as being at risk, when it is only certain parts of Africa, certain cities in certain nations. In this article, Patton indicates that the Western medical researchers sometimes claim that the HIV rate in a major urban area is the HIV rate for the entire nation. If this were applied in the United States, our HIV statistics would certainly be higher, nationwide, if we only used New York and San Francisco, or any other major urban center, as basis for nation-wide statistics, or even for state-wide estimates. Clearly, different models of statistical analysis are being used for African regarding their rate of HIV/AIDS. Oftentimes, as I’ve noted, the Western researchers admit to inflating the figures because they believe them to be underreported. The effect this has had has been to position entire nations, in fact entire regions, of Africa as being in grave danger.

The border of the nation is dissolving into a larger category, "Sub-Saharan Africa" or, simply, "Africa." The maps of the impact of AIDS in Africa, in many ways, resemble Victorian British maps of other countries, using different pigments and dyes for different zones of infection rates. Africa, as a community, is being re-imagined, re-mapped, and re-imaged through epidemiological statistics and rates of infection. Benedict Anderson writes about nation-making through map-making that "like censuses, European-style maps worked on the basis of a totalizing classification, and led their bureaucratic producers and consumers towards policies with revolutionary consequences" (173). This is certainly the case with maps indicating the infection rates in Africa: the revolutionary consequences, in this case, being the dissolution of the nation-state in Africa in favor of the infection zone, at least in the imaginations of the Western media and medical establishments. Cindy Patton, responding to a map of the spread of African AIDS in the New York Times, notes:

The article’s spatialization of AIDS in its accompanying map of the continent simultaneously locates countries and underscores the irrelevance of their borders: in this Africa, disease transcends nation. Replacing what had been colonialism’s heart of darkness is the calculated horror of a new interior density, represented on the map by dark-to-light shadings corresponding to HIV attack rates. (219) These "dark-to-light shadings" recall the imperial maps Benedict Anderson discusses, using different pigments to imagine different colonies. The situation has changed, but the technologies for explanation remain the same. It is no longer political boundaries that are being imagined, but epidemiological boundaries of risk and safety. Communities of those at risk of getting infected are being drawn both conceptually and discursively, through the discourse on AIDS among gay men, prostitutes, and intravenous drug users, as well as geographically, as in the discourse on heterosexual AIDS in Africa.

Over one hundred years ago, the homosexual was first identified in the West. Shortly thereafter, the heterosexual was imagined into being as a parallel version of pervert. The association of heterosexuality with perversion has not been completely shaken, but it has been displaced onto the African heterosexual, and this can be seen most clearly in the media and medical responses to AIDS in Africa. Denials of the possibility of an African homosexuality exist on the parts of all those who are allowed to speak for the African with AIDS: the media, the medical establishment, and the government. Conceiving of the possibility of an erotic organization other than heterosexuality opens up an radical other to the Othering already being done to the African by the West, a possibility that would cause doubt in the in the moralizing mission. Africa, long considered to be the Dark Continent, a dangerous continent, is experiencing a new version of this old story, begun with colonization and never shaken in the post-colonial state. The West’s conception of Africa as one teeming entirety of danger and perversion is being reinscribed through the cartography of the AIDS epidemic in Africa. On the one hand, this cartography redraws new boundaries around epidemiological risk, and on the other hand, reinscribes those risk zones as ending at with the political boundaries, depending upon the map and the statistical methodology used in drawing it. Metaphors of the threat of the reverse colonization of the West by Africa are rife through much of the literature on African AIDS: AIDS as an invader from Africa, and so forth. Yet, through all the commentary on AIDS in Africa, particularly by that by the West, the voice of the African with AIDS is never heard. He or she is always spoken for, but can never speak on his or her own behalf. This is not particularly surprising, considering that the three institutions doing most of the speaking on AIDS in Africa are the Western media, Western science, and African governments. Both the Western media and Western science reserve for themselves the right of interpretation of data, which disallows the possibility that the infected individual could possibly have anything to say on her or his own behalf about AIDS or the circumstances under which she or he got infected. And the African governments, many of them neo-colonial in nature, are also used to speaking for their citizen-subjects, as many governments are used to doing. The African with AIDS cannot represent him- or herself, and therefore, he or she must be represented—in this case, however, it is not by institutions that necessarily have the well being of the African in mind.

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