One in six adults in sub-Saharan Africa will die in their prime of AIDS. It is a stunning cataclysm, plunging life expectancy to pre-modern levels and orphaning millions of children. Yet political trauma does not grip Africa. People living with AIDS are not rioting in the streets or overthrowing governments. In fact, democratic governance is spreading. Contrary to fearful predictions, the social fabric is not being ripped apart by bands of unsocialized orphan children.
AIDS and Power explains why social and political life in Africa goes on in a remarkably normal way, and how political leaders have successfully managed the AIDS epidemic so as to overcome any threats to their power. Partly because of pervasive denial, AIDS is not a political priority for electorates, and therefore not for democratic leaders either. AIDS activists have not directly challenged the political order, instead using international networks to promote a rights-based approach to tackling the epidemic. African political systems have proven resilient in the face of AIDS's stresses, and rulers have learned to co-opt international AIDS efforts to their own political ends.
In contrast with these successes, African governments and international agencies have a sorry record of tackling the epidemic itself. AIDS and Power concludes without political incentives for HIV prevention, this failure will persist.

Alex de Waal is Executive Director of the World Peace Foundation and a research professor at Tufts University. During 2009-11 he served as senior advisor to the African Union High Level Implementation Panel for Sudan and Program Director at the Social Science Research Council. His academic research has focused on issues of famine, conflict and human rights in Africa including. He was awarded an OBE in the UK New Year's Honors List of 2009, was on the Prospect/Foreign Policy list of 100 public intellectuals in 2008, and the Atlantic Monthly list of 27 'brave thinkers' in 2009.

Table of Contents
1. A Manageable Catastrophe
2. Denial and How it is Overcome
3. AIDS Activists: Reformers and Revolutionaries
4. How African Democracies Withstand AIDS
5. The Political Benefits of AIDS
6. Power, Choices and Survival