Laura Bush: AIDS
fight in Africa must address malnutrition, malaria

First lady Laura Bush picked vegetables and handed out mosquito nets Tuesday to emphasize that fighting AIDS in Africa also means tackling some of the continent's even more widespread afflictions: malnutrition and malaria.

''It's often overlooked that one of the essential things in the treatment of AIDS or HIV is good nutrition,'' she said after touring a garden whose produce is used to supplement the meals of AIDS patients at a Dakar hospital.

Mrs. Bush gave mosquito nets to AIDS patients as a doctor explained that insect-borne malaria--the biggest killer in Senegal--is even more dangerous for those who are HIV-positive.

The first lady and her daughter Jenna are on a four-nation African tour in which Mrs. Bush is expected to focus on how the United States can help a poverty-stricken continent provide health care and economic opportunity. Mrs. Bush is also visiting Mozambique, Zambia, and Mali on her third trip to Africa.

They were accompanied on Tuesday's visit by Senegal's first lady, Viviane Wade, and her daughter. The four women picked eggplants and kale at the Fann Hospital garden in this West African capital. AIDS patients at the hospital tend the garden, receive instruction on how vegetables can boost their nutrition, and are allowed to sell excess produce for income.

Malnutrition is a serious problem in Senegal and the surrounding region, where poverty often determines food choices. In parts of West Africa, fruits and vegetables disappear during the dry season, and diabetes is becoming increasingly common in the region.

Last month, President Bush called on Congress to authorize an additional $30 billion to fight AIDS in Africa, a figure that would double the U.S. commitment to the continent. The current program, which provided $15 billion for five years, expires in 2008.

Bush's Emergency Program for AIDS Relief has supported treatment for 1.1 million people in 15 countries, he said in calling for the program's renewal. His wife did not discuss how the additional funds should be targeted.

The AIDS garden and the mosquito net program have both been recipients of U.S. funding. The U.S. government has allocated $16.7 million to antimalarial programs in Senegal this year, and plans to continue at a similar level through 2010.

There are between 300 million and 500 million malaria cases each year in Africa and 1 million deaths. In some African countries, the disease accounts for up to half of all hospital admissions.

''We just eradicated malaria in the United States in about 1950. We know malaria can be eradicated, and so we stand with you as you try to eradicate malaria in Senegal,'' Mrs. Bush said.

Still, some international organizations have complained that the Bush administration has only truly committed to maintaining current funding levels at a time when the crisis is growing.

David Bryden of the Global AIDS Alliance lobbying group said the House has approved more than $5.4 billion in AIDS spending next year--a level that would about equal the president's proposal over five years. ''If the Congress accepts his proposal, it would be a disaster, because the epidemic is expanding,'' Bryden said.

Still, West Africa generally has a lower prevalence of AIDS than eastern and southern Africa, and Senegal is often held up as an example that the disease has not doomed the continent.

The country has one of the lowest rates in the region. A range of reasons have been given, including an organized education effort by the government, a strong culture of conservative Muslim values, a tradition of male circumcision, and its distance from the southern African countries where AIDS first took hold in Africa.

In Senegal, the AIDS debate often takes a backseat to more pressing questions of poverty and joblessness. The former French colony is one of the world's poorest countries, and thousands of its young men risk their lives annually on fishing boats bound for Europe. (AP)