By 2009, 5.2 million South Africans had HIV, representing 17% of the population (highest number in the world); legacy of past migration, including young migrant male workers, contributed to the high prevalence
Adversely affected the labour force and single-parents/orphans strained social services, also demand on health system was overwhelming
Claimed it was a western disease and their reports of racism and toxic retroviral drugs fueled alarmist sentiments, arguing malnutrition and poverty were more likely, necessitating increased attention
The central government's response was minimal, only complying with constitutional court orders