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5 Seton Hall J. Dipl. & Int'l Rel. 149 (2004)
State Capacity and HIV Incidence Reduction in the Developing World: Preliminary Empirical Evidence

handle is hein.journals/whith5 and id is 273 raw text is: State Capacity and HIV Incidence
Reduction in the Developing World:
Preliminary Empirical Evidence
by Andrew Price-Smith, Steven Tauber, and Anand Bhat'
As the scourge of the HIV/AIDS pandemic continues its inexorable spread
throughout the developing world, it leaves in its wake a toll of enormous human
suffering, economic decline, and increasing socio-political destabilization.2 To date,
the contagion has resulted in approximately twenty-seven million deaths. With forty
million people currently infected, the virus represents a significant threat to the
health and welfare of the entire human species. Over five million people became
infected with HIV in 2003, and in that year, AIDS resulted in circa three million
deaths, up from two million in 1999. Moreover, the infection is spreading rapidly
from its current epicenter in Sub-Saharan Africa into other developing countries
such as India, Russia, Ukraine, China, and the Caribbean, which has the highest
levels of HIV seroprevalence outside of Africa.3
The public health and policy communities have struggled valiantly in their attempts
to contain the spread of HIV, with moderate levels of success in highly industrialized
nations such as Canada, Germany, France, the United Kingdom, and the United
States. However, to date, there has been persistent failures to contain the spread of
the epidemic throughout much of the developing world, particularly in Sub-Saharan
African countries such as South Africa, Zambia, Namibia, Swaziland, Zimbabwe,
and Botswana, where adult HIV seroprevalence levels range from approximately 20
percent to circa 39 percent, respectively.4
Drawing upon the axioms of classical dependency theory, certain scholars have
argued that the international political economy is structured in such a fashion that
Andrew T. Price-Smith is Assistant Professor of Environmental Science and Policy and Research Fellow at the
Center for Globalization Research Center at the University of South Florida-St. Petersburg. He is author of
The Health of Nations: Infectious Disease, Environmental Change, and their Effects on National Security and
Development (MIT Press, 2002) and co-author (with John L. Daly) of Downward Spiral HIVAIDS, State
Capacity and Political Conflict in Zimbabwe (United States Institute of Peace Press, 2004).
Steven Tauber is Associate Professor of Government and International Affairs, University of South Florida.
His research and teaching interests are in American politics, judicial politics, and racial and ethnic
politics. He has recently published chapters in edited books and articles in journals, such as Social
Science Quarterly, Political Research Quarterly, American Politics Quarterly, and Politics & Policy.
Anand Bhat is Undergraduate Research Assistant at the Globalization Research Center, University of
South Florida.
Seton HallJournal ofDiplomacy and International Relations

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