On the Fence: The Impact of Education on Support for Electric Fencing to Prevent Conflict between Humans and Baboons in Kommetjie, South Africa.

Few studies test whether education can help increase support for wildlife management interventions. This mixed methods study sought to test the importance of educating a community on the use of a baboon-proof electric fence to mitigate negative interactions between humans and Chacma baboons (Papio ursinus) in a residential suburb of the City of Cape Town, South Africa. An educational video on the welfare, conservation and lifestyle benefits of a baboon-proof electric fence was included in a short online survey. The positioning of the video within the survey was randomised either to fall before or after questions probing the level of support for an electric fence. The results showed that watching the video before most survey questions increased the average marginal probability of supporting an electric fence by 15 percentage points. The study also explored whether the educational video could change people's minds. Those who saw the video towards the end of the survey were questioned again about the electric fence. Many changed their minds after watching the video, with support for the fence increasing from 36% to 50%. Of these respondents, the results show that being female raised the average marginal probability of someone changing their mind in favour of supporting the fence by 19%. Qualitative analysis revealed that support for or against the fence was multi-layered and that costs and concern for baboons were not the only relevant factors influencing people's choices. Conservation often needs to change people's behaviours. We need to know what interventions are effective. We show in the real world that an educational video can be effective and can moderately change people's opinions and that women are more likely to change their position in light of the facts than men. This study contributes to the emerging literature on the importance of education in managing conservation conflicts and the need for evidence-based interventions.

Small-livestock farmers' perceived effectiveness of predation control methods and the correlates of reported illegal poison use in the South African Karoo.

The use of poison against predators is pervasive and negatively impacts biodiversity and ecosystem health globally. Little is known about the correlates of poison use as a lethal control method on small-livestock farmland. We used a mixed-methods approach to investigate commercial farmers' experience with and perceived effectiveness of predation control methods, reported poison use and its correlates in the Central Karoo. Farmers perceived lethal methods to be cheaper and more effective than non-lethal methods in protecting their livestock from predation. They reported more experience with lethal methods, and over half reported having used poison. This is higher than other estimates in southern Africa and consistent with other survey-based evidence from the Karoo. Reported poison use was positively related to perceived efficacy, declining on-farm employment and perceived threats of predators. It was negatively related to terrain ruggedness. Our findings provide an understanding of the context and motivations shaping this illegal behavior.

Promoting conspiracy theory: From AIDS to COVID-19.

Conspiracy theories (evidence-free, improbable narratives about powerful agents conspiring to harm people) circulated widely during the acquired immune deficiency syndrome (AIDS) and COVID-19 epidemics. They travelled over time and space, adapted to local conditions and anxieties, and were promoted for commercial and political purposes. Russian conspiracy theories claiming the viruses were United States bioweapons appeared in both epidemics. So did 'cultropreneurs' who, as a marketing strategy for their 'alternative' therapies, promoted conspiracy theories about scientific medicine. Pro-science activists sought to counter medical misinformation and debunk faux cures, but their task was harder in the 'post-truth' social-media driven context of COVID-19. Conspiracy theories about vaccines are an ongoing challenge for public health.

Political discourse, denialism and leadership failure in Brazil's response to COVID-19.

The COVID-19 pandemic posed challenges for healthcare systems and political leaders across the globe. In this case study of Brazil, we argue that leadership failings at the highest level contributed to Brazil's relatively high and escalating death rates during 2020. Drawing on an analysis of a large amount of textual documentation drawn from media reports, we emphasise the role and consequences of President Jair Bolsonaro's political discourse and prioritisation of the economy. We focus on the first wave that swept across the globe between January and late June of 2020, arguing that Bolsonaro underplayed the seriousness of the epidemic, leveraged misinformation as a political strategy, promoted pseudoscience, and undermined the Ministry of Health. He also confronted subnational governments for adopting lockdown measures - a move that enabled him to blame regional governors for the short-term economic costs of COVID-19 related restrictions. We suggest that his denialist approach to climate change paved the way for his subsequent denialism of the seriousness of COVID-19 and for his undermining of social distancing, mask-wearing and other preventative responses supported by science. These sobering findings highlight the role that national leaders can play in undermining scientific approaches to both public health and the environment.

Beauty or beast? Farmers' dualistic views and the influence of aesthetic appreciation on tolerance towards black-backed jackal and caracal.

Various species of wild, adaptable, medium-sized carnivores occur outside of protected areas, often coming into contact with people and their domestic animals. Negative human-carnivore interactions can lead to antagonistic attitudes and behavior directed at such species. In the South African Karoo, a semi-arid rangeland, the predation of small-livestock by mesopredators is common and farmers typically use a combination of non-lethal and lethal methods to try and prevent livestock losses. We used ethnographic field observations and semi-structured interviews as part of a mixed methods approach, including the quantitative and qualitative analysis of farmers' narratives to illustrate the nuanced ways in which sheep farmers relate to the two mesopredators that consume the most livestock on their farms; black-backed jackal and caracal. Overall, farmers attributed negative characteristics to jackal and caracal but farmers' narratives provided evidence of complex perceptions in that the animals were admired as well as disliked. Both species were seen as charismatic due to traits such as their physical appearance, their "cunning" nature and their remarkable adaptability to human activities, including lethal control. Aesthetic appreciation was an important predictor of tolerance towards both species whereas negative attitudes were associated with the perception that mesopredators should only occur within protected areas. Attitudes towards jackals also appeared to have been affected by cultural representations of them as "thieves". We showed that perceiving mesopredators as beautiful increased the average marginal probability of a farmer tolerating them, and that this strong relationship held when controlling for other covariates such as livestock predation. We advocate the importance of understanding the cultural and aesthetic aspects of predators and considering existing positive dimensions of human-wildlife relationships that may encourage increased farmers' tolerance, which might promote coexistence.

Understanding Preferences for Humane and Cruel Treatment of Pest Rodents in Site C, Khayelitsha, South Africa.

The cruel treatment of pest rodents is a neglected area of study. This paper uses a representative survey from Khayelitsha (Cape Town) to show that a minority of residents preferred rodent control to be humane but that most did not care how rats are killed and almost a fifth said they would be 'happy' if the rats suffered. Agreeing that animal welfare is important and having become used to the presence of rats raised the probability of support for humane rodent control and decreased support for cruel rodent control. Being concerned that rats might be linked to witchcraft increased the probability of a pro-cruel stance. These results were robust to the inclusion of measures of rodent presence in the household and socio-economic status. This highlights the importance of values (notably concern about animal welfare) and cultural beliefs - in this case concerns that rodents might be linked to witchcraft - in predicting whether respondents are likely to have a pro-cruel stance on rodent control or not. Promoting the humane treatment of pest animals in this context thus requires engaging with local culture.

Culling recolonizing mesopredators increases livestock losses: Evidence from the South African Karoo.

Populations of adaptable mesopredators are expanding globally where passive rewilding and natural recolonization are taking place, increasing the risk of conflict with remaining livestock farmers. We analysed data from two social surveys of farmers in the Karoo, South Africa, where black-backed jackals (Canis mesomelas) and caracals (Caracal caracal) have re-emerged as a threat to sheep farms in the context of falling agricultural employment and the expansion of natural areas. We show that irrespective of measurement approach, lethal control of mesopredators in this fragmented socio-economic landscape was associated with increased livestock losses the following year. Terrain ruggedness was positively, and number of farmworkers negatively, associated with livestock losses. Our study provides further evidence that lethal control of mesopredators in this context is probably counter-productive and supports calls to develop, share and financially support a range of non-lethal methods to protect livestock, especially where natural recolonization of mesopredators is occurring. A graphical abstract can be found in Electronic supplementary material.

Changing Donor Funding and the Challenges of Integrated HIV Treatment.

Donor financing for HIV prevention and treatment has shifted from supporting disease-specific ("vertical") programs to health systems strengthening ("horizontal") programs intended to integrate all aspects of care. We examine the consequences of shifting resources from three perspectives: first, through a broad analysis of the changing policy context of health care financing; second, through an account of changing priorities for HIV treatment in South Africa; and third, through a description of some clinical consequences that the authors observed in a research study examining adherence to antiretroviral therapy (ART) and sexual health among adolescents. We note that AIDS responses are neither completely vertical nor horizontal but rather increasingly diagonal, as disease-specific protocols operate alongside integrated supply chain management, human resource development, and preventive screening. We conclude that health care programs are better conceived of as networks of policies requiring different degrees of integration into communities.

Understanding the origins and prevalence of AIDS conspiracy beliefs in the United States and South Africa.

The human immunodeficiency virus (HIV) originated from cross-species transmission of the simian immunodeficiency virus from primates to humans. Yet a significant minority of people in the United States (US) and South Africa believe that HIV was deliberately created by scientists as a bioweapon. Scholars in the humanities emphasise the historical context, socially situated character and psycho-social dimensions of such aetiological narratives. This is important, but so is the role of individual agents participating in the cultic milieu in which oppositional ideas such as HIV conspiracy theories are borrowed across national, ideological and political divides. This article discusses the origins of the legend of 'HIV as bioweapon' and summarises the available evidence on the prevalence of acquired immune deficiency syndrome (AIDS) conspiracy beliefs in the US and South Africa. This is followed by a discussion of the history of biowarfare and racial oppression which renders the legend (and its local South African variants) believable for many people. The article then moves beyond socio-historical analysis to argue that analytical space needs to be created to critique the political leaders who promoted AIDS conspiracy beliefs.

The impacts of AIDS movements on the policy responses to HIV/AIDS in Brazil and South Africa: a comparative analysis.

Brazil and South Africa were among the first countries profoundly impacted by the HIV/AIDS epidemic and had similar rates of HIV infection in the early 1990s. Today, Brazil has less than 1% adult HIV prevalence, implemented treatment and prevention programmes early in the epidemic, and now has exemplary HIV/AIDS programmes. South Africa, by contrast, has HIV prevalence of 18% and was, until recently, infamous for its delayed and inappropriate response to the HIV/AIDS epidemic. This article explores how differing relationships between AIDS movements and governments have impacted the evolving policy responses to the AIDS epidemic in both countries, including through AIDS programme finance, leadership and industrial policy related to production of generic medicines.

AIDS conspiracy beliefs and unsafe sex in Cape Town.

This paper uses multivariate logistic regressions to explore: (1) potential socio-economic, cultural, psychological and political determinants of AIDS conspiracy beliefs among young adults in Cape Town; and (2) whether these beliefs matter for unsafe sex. Membership of a religious organisation reduced the odds of believing AIDS origin conspiracy theories by more than a third, whereas serious psychological distress more than doubled it and belief in witchcraft tripled the odds among Africans. Political factors mattered, but in ways that differed by gender. Tertiary education and relatively high household income reduced the odds of believing AIDS conspiracies for African women (but not men) and trust in President Mbeki's health minister (relative to her successor) increased the odds sevenfold for African men (but not women). Never having heard of the Treatment Action Campaign (TAC), the pro-science activist group that opposed Mbeki on AIDS, tripled the odds of believing AIDS conspiracies for African women (but not men). Controlling for demographic, attitudinal and relationship variables, the odds of using a condom were halved amongst female African AIDS conspiracy believers, whereas for African men, never having heard of TAC and holding AIDS denialist beliefs were the key determinants of unsafe sex.

Poverty, sexual behaviour, gender and HIV infection among young black men and women in Cape Town, South Africa.

This article contributes methodologically and substantively to the debate over the importance of poverty, sexual behaviour and circumcision in relation to HIV infection, using panel data on young black men and women in Cape Town, South Africa. Methodological challenges included problems of endogeneity and blunt indicator variables, especially for the measurement of sexual behaviour. Noting these difficulties, we found that the importance of socioeconomic and sexual-behavioural factors differed between men and women. While we found a clear association between the number of years of sexual activity and HIV status among both men and women, we found that past participation in a concurrent sexual partnership increased the odds of HIV infection for men but not women. Women, but not men, who made the transition from school to tertiary education (our key indicator of socioeconomic status) were less likely to be HIV-positive than those who made the transition from school to unemployment. Both poverty and sexual behaviour matter to individuals' HIV risk, but in gendered ways.

A cut above the rest: traditional male circumcision and HIV risk among Xhosa men in Cape Town, South Africa.

BACKGROUND: Randomized clinical trials have shown that medical male circumcision substantially reduces the risk of contracting HIV. However, relatively little is known about the relationship between traditional male circumcision and HIV risk. This article examines variations in traditional circumcision practices and their relationship to HIV status. METHODS: We used data from the fifth wave of the Cape Area Panel Study (n = 473) of young adults in Cape Town, South Africa, to determine attitudes towards circumcision, whether men were circumcised, at what age, and whether their foreskin had been fully or partially removed. Probit models were estimated to determine the association between extent and age of circumcision and HIV status. RESULTS: There was strong support for traditional male circumcision. 92.5% of the men reported being circumcised, with 10.5% partially circumcised. Partially circumcised men had a 7% point greater risk of being HIV positive than fully circumcised men (P < 0.05) and equal risk compared with uncircumcised men. Most (91%) men were circumcised between the ages of 17 and 22 years (mean 19.2 years), and HIV risk increased with age of circumcision (P < 0.10). CONCLUSIONS: Efforts should be made to encourage earlier circumcisions and to work with traditional surgeons to reduce the number of partial circumcisions. Data on the extent and age of circumcision are necessary for meaningful conclusions to be drawn from survey data about the relationship between circumcision and HIV status.

Defending the boundaries of science: AIDS denialism, peer review and the Medical Hypotheses saga.

This paper explores the boundary work undertaken by HIV scientists and activists against the journal Medical Hypotheses over its lack of peer review. Their action was sparked by the publication of an article by Peter Duesberg claiming that HIV does not cause AIDS and that antiretrovirals do more harm than good. Precisely because such 'AIDS denialism' can undermine HIV prevention and treatment interventions, as was demonstrably the case in South Africa under President Mbeki, the episode raised questions about when, in the interests of public health, the boundaries of legitimate scientific debate may be drawn to exclude unreasonable and unscholarly arguments. The paper argues that normative concerns motivated the complaints which resulted in the publisher withdrawing Duesberg's paper and imposing editorial policy changes on Medical Hypotheses. Concerns were raised about the implications for academic freedom of this boundary work in defence of peer review as a core practice in science. The paper concludes, however, that Duesberg's freedom to write what he likes remains intact, but that if he wants his work to carry the imprimatur of science, he now has to subject it to peer review.

Social grants, welfare, and the incentive to trade-off health for income among individuals on HAART in South Africa.

South Africa's government disability grants are considered important in providing income support to low-income AIDS patients. Indeed, anecdotal evidence suggests that some individuals may opt to compromise their health by foregoing Highly Active Antiretroviral Treatment (HAART) to remain eligible for the grant. In this study, we examined the disability grant's importance to individual and household welfare, and the impact of its loss using a unique longitudinal dataset of HAART patients in Khayelitsha, Cape Town. We found that grant loss was associated with sizeable declines in income and changes in household composition. However, we found no evidence of individuals choosing poor health over grant loss. Our analysis also suggested that though the grants officially target those too sick to work, some people were able to keep grants longer than expected, and others received grants while employed. This has helped cushion people on HAART, but other welfare measures need consideration.

Cultural obstacles to the rollout of antiretrovirals: an exploratorycross-country analysis.

This article begins with an econometric analysis of potential socioeconomic determinants of highly active antiretroviral treatment (HAART) coverage. It shows that 'cultural' factors such as language diversity pose challenges to HAART coverage, but that the most important drivers of HAART coverage are: region (notably, living in the hyper-epidemic region of southern Africa) and access to government and donor funding. These economic determinants, however, are underpinned by a further cultural dimension-namely public and donor attitudes towards HIV/AIDS funding. The second part of the article turns to the issue of 'donor culture.' It describes the sea change in attitudes which underpinned the growth in funding for HIV/AIDS and points to the growing backlash against HIV/AIDS funding in which claims are being made that HIV/AIDS has received a greater share of funding than warranted by its contribution to the overall disease burden, and that Africans themselves would prefer HIV/AIDS resources to be allocated to other development objectives. The article argues that neither assertion is supported by the available evidence and that opinion data from the Afrobarometer surveys suggest that high levels of support exist within Africa for continued spending on health and HIV/AIDS, even in the presence of other challenges.

Poverty, sex and HIV.

There is an ongoing debate about the relative importance of economic factors (notably poverty) and sexual behavior in driving the AIDS epidemic. This paper draws on relevant research and cross-country regression analysis to argue that the impact of economic determinants is dwarfed by contextual factors within Africa. The regression analysis suggests that controlling for per capita income, calories per capita and the ratio of female to male participation rates (none of which were statistically significant): being a Southern African country increases expected HIV prevalence 8.3 times; being in the rest of Sub-Saharan Africa 3 times; being a predominantly Protestant country 2.5 times; and being a predominantly Muslim country reduces expected HIV prevalence to 62% of the base case. Including the share of income going to the poor did not improve the model and was itself statistically insignificant. The analysis suggests that poverty may play a role in the HIV epidemic in some countries (and may well be a factor affecting the vulnerability of some people to HIV infection in all countries) but that its overall impact is dwarfed by social and behavioral factors.