San Francisco Chronicle (09.10.01) - Wednesday, September 12,
In Johannesburg, Evette Harrison's maid would often comfort
her employer's infant by having the child suck her breast. For
some white South Africans, it was simply part of growing up in
Africa, where traditional child-raising methods have resisted
change. Harrison, who lives in a small farming community in
rural KwaZulu-Natal province, gave little thought to the
practice - until she began to worry that it might expose her
baby to HIV. "When I saw my domestic worker's breast in my
baby's mouth, my first thought was of AIDS," Harrison
recalled. "I was absolutely terrified that Fransina might be
infected and could have passed on the virus to my baby."
What Harrison did next is illegal, but it has become a
widespread practice among white "madams" who employ black
women to care for their offspring. "I took Fransina to our
family doctor for a blood test and asked him to give the
results to me directly," she said. The tests confirmed her
worst fears. Her domestic worker was HIV-positive. Happily for
Harrison, her baby tested negative. But she dismissed her
maid, giving her six months salary and sending her home to her
family.
Harrison's fear is an increasingly common response by white
South Africans, who have been relatively unaffected up to now
by the AIDS pandemic devastating its black citizens. The
hysteria has had tragic consequences for tens of thousands of
unskilled black women, for whom domestic service offers the
only hope of regular employment. Maids are an integral part of
South African life. Most white parents today were brought up
by "ousies," or housemaids, as were their parents and
grandparents. Employers go to great lengths to ensure that
their servants are HIV-negative. At least 30 doctors in and
around Johannesburg are being investigated for divulging the
HIV status of patients to third parties -usually employers.
Dr. Ruben Sher, a pioneering South African HIV researcher,
confirmed that there has been at least one documented case in
which a child contracted HIV after the mother, who had
postpartum depression, handed her baby to a wet nurse to be
breast-fed. But in cases such as Harrison's, where no milk was
delivered, the chance of passing the virus is almost zero. "If
the domestic worker is not lactating and is just using the
breast as a comforter, there is very little risk. The only way
it can be transmitted is if there are sores on both the baby's
mouth and on the woman's nipple," Sher said.
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