From Publishers Weekly
Starred Review. Award-winning South African journalist Steinberg, a gay white man, conceived this book to understand the AIDS crisis in his country and, to a limited degree, in himself: though HIV testing and treatment are readily accessible, he wondered, why did so many abstain? Steinberg journeys to the poor black village of Ithanga, where antiretrovirals (ARVs) are available, but electricity and running water are not. He examines the disease through the pseudonymous Sizwe Magadla, a 30-year-old shopkeeper who has resisted testing. Sizwe becomes Steinberg's interpreter and explains the village's traditional health-care system in which witchcraft thrives and Western medical missionaries challenge healers and herbalists. Steinberg traces Sizwe's growing awareness of the myths and realities of the three letters—one persistent belief, that whites created and deployed HIV as a means to regain power, echoes the legacy of apartheid still overshadowing the country—and his attempts to reconcile cultural beliefs with increasingly unassailable medical facts. Steinberg becomes intertwined with his subject, but balances critical distance and compassion with gleanings from his own psychological barriers to HIV testing that further deepen the concern and understanding he accords to Sizwe's story.
(Feb.) Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Journalist Steinberg wonders how, in a rapidly evolving socioeconomic situation such as South Africa’s, it is possible to record more than a thousand new HIV infections per day. He notes that, despite the best efforts of government and the international organization Médecins Sans Frontieres (MSF, or Doctors without Borders), one in eight South Africans has AIDS. Where, he asks, is the disconnect? Why aren’t more South Africans taking advantage of the medical resources available to them? Are there, indeed, enough resources to go around? To answer those and further questions, Steinberg embedded himself in a small village in the rural district of Lusikisiki in Eastern Cape Province and shadowed a young man, a shop owner named Sizwe. The resulting profile of him, his family, friends, and the local MSF facility is a real eye-opener. Besides a portrait of what life is like for the people negotiating this transitional period, Steinberg offers a candid glimpse into Sizwe’s private thoughts and fears, which likely mirror those of many of his countrymen. --Donna Chavez
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