On a Sunday morning in March 2023, people fishing off the coast of Ankazomborona in northwestern Madagascar discovered two corpses floating in the sea. Soon, alarmed villagers were combing the coast in pirogues for signs of mariners in distress. Rescuers eventually recovered 34 bodies, including three children. The dead were determined to have been passengers on a small boat that ran aground on its way to the French island of Mayotte, about 250 miles from Madagascar. Twenty-three survivors were also rescued but fled, fearful of being arrested for evading immigration laws.
During the past two years of Covid and other global crises, progress against the HIV pandemic has faltered, resources have shrunk and millions of lives are at risk as a result. This year, UNAIDS is challenging us to tackle the inequalities and inequities in HIV prevention and treatment. Inequity exists between countries and within countries. In Madagascar, only 15% of those infected with HIV know their status, while in the U.S.A., 87% of those infected know their status. Both countries are striving to reach at-risk populations.