Rich Galen

I have been in Kenya since Saturday night on a trip sponsored by the ONE Campaign. I am with seven other political pros - pollsters, advisors, message masters, and me. Later today we move on to Tanzania for about three days before heading home.

We are not spending much time on photo safaris in Massai Mara National Park. We have been to a research center run by the U.S. Army and followed young Kenyans who went to a rural village to do in-home HIV testing.

We have met with an Army Lt. Col. who is a physician and microbiologist, and a woman Ph.D. who works in Kisumu, Kenya helping to oversee the U.S. Centers for Disease Control (CDC), anti-AIDS, anti-malaria, and anti-TB programs here.

We went to a hospital in Nairobi which specializes in treating infectious diseases - mostly HIV and TB.

Why this concentration on HIV/AIDS? Because seven percent of Kenyans are HIV positive.

I know what you're thinking:

"We know how AIDS is spread - by sexual contact or IV drug use. Why don't they take responsibility for their actions?"

That's true. But put aside the sexual aspects of the disease and consider this: According to a massive 2007 conducted by the CDC "23.6 million people or 7.8% of the [American] population have diabetes."

The report also estimates an annual cost to the U.S. from diabetes at $174 million "$116 billion for direct medical costs and $58 billion for indirect costs (disability, work loss, premature mortality).

Think about this:

"We know what causes Type II diabetes - bad eating habits and obesity. Why don't they take responsibility for their actions?"

Maybe we can just climb down off those high horses (and I include myself) on which we are riding.

Modern anti-retroviral drugs (ARVs) are being distributed to over 400,000 Kenyans limited only by the amount of money the U.S. provides for the project. The major program is called "The President's Emergency Plan for AIDS Relief" - PEPFAR - which was initiated by President George W. Bush in his 2003 State of the Union Address and has enjoyed appropriate bipartisan support ever since.

In addition to that, PEPFAR (along with the Global Fund) provides drugs to reduce the transmission of HIV from mothers to their unborn children - a program which has a 98 percent success rate.

During a visit to the hospital in Narobi, we spoke with a man in his 40s who said that without AVRs "I would have died in 2002." Instead he and his wife had had a child (HIV negative) to go along with his two daughters who were born before he was diagnosed.

Rich Galen

Rich Galen has been a press secretary to Dan Quayle and Newt Gingrich. Rich Galen currently works as a journalist and writes at