Multibillionaires Warren Buffett and Bill Gates have decided that their chosen cause to fight in the world is the population explosion, particularly in the Third World. The AIDS Industry beat them to that punch years ago. As long ago as May of 1988 the New York Times was reporting that doctors were considering giving AZT to healthy children testing HIV-positive and even unborn fetuses. Thus the horizons of AIDS medication finally enveloped every moment of existence, from pre-birth to death. The ethical concerns for everyone involved in the discussion, from policy flacks to activists , focused on the privacy issues for pregnant women who needed to be tested for HIV, not on the fact that giving the drug to unborn children had not been tested and might have dangerous consequences. That is to be accepted as an unfortunate necessity of treating the disease. To this day, ethicists and socially minded journalists debate mandatory HIV testing of pregnant women. But the drugs started pouring into the bodies of HIV-positive children long ago. Once Glaxo-Welcome published a (prematurely terminated) study showing that their drug decreased transmission rates from infected mother to child, ethical considerations had to take a back seat to stopping the dreaded HIV. Jump to Africa. A new report by the CDC's Dr. Alan Greenberg estimates that HIV infection rates are far in excess of previous speculation. And there is a flurry of discussion at the 1Oth International Conference on Sexually Transmitted Disease and AIDS in Africa on how best to prevent transmission from mother to child. The method of choice? AZT, of course. Sensible scientists, white collar ethicists and concerned activists alike look to the saving grace of chemotherapies to save Africans from their fate. They don't look to the evidence that AZT leads to increased death rates, deformities and developmental retardation in neonates. Nor do they look to positively impact the factors that lead Africa to have a three-fold higher mother-to-child transmission rate than Europe. In fact, AIDS activists have abandoned any hope of affecting meaningful progress in bettering social conditions that cause disease and death both here in the US and around the globe. That vitamin A deficiency leads to significantly higher rates of perinatal transmission, and vitamin supplementation can reduce HIV transmission to a greater extent than AZT is both a matter of record and a fact to ignore by those dedicated to saving the children of both Africa and the US. Rather than rattle the federal cages for meaningful nutrition programs or comprehensive prenatal care, activists are content to endorse the export of female condoms to Brazil and Uganda, which has just ordered "several million." It is far, far easier to lobby on behalf of the pharmaceutical industry than it is to get wealth out of the hands of the likes of Gates and Warren and distribute its rewards to those who are dying without it. With millions of pregnant women "eligible" to receive AZT to prevent HIV transmission, this will mean millions of children will be at greatly increased risk of birth defects and death from the toxic effects of exposure to that chemotherapy, one that does not target HIV-infected cells but kills all cells equally. Globally, the vast majority - essentially all - of the women receiving this gift will be poor, minority, lower class, under- or uneducated US and Third World women and their unsuspecting children. It is just more icing on a cake that everyone from Reagan to Clinton & Co. have been serving to the lower class for years. Under the ruberic of "AIDS control" they do it with the blessing activists who find it easier to export and hand out pills than to work toward changing the global status quo. Bill and Warren are in luck if they want to put a cap on the number of babies churned out by the world's underclass. The AIDS industry is way ahead of them, and nobody seems to be concerned about stopping the machine.