Abstract
In President George W Bush's 2003 State of the Union Address, he announced two wars: one in Iraq, and one on AIDS in Africa. At the time, activists regarded the programme, President's Emergency Plan For AIDS Relief (PEPFAR) as an “empty promise”, a cynical public relations exercise promoted by a president that they didn't trust. However, by 2012, PEPFAR had supplied 5 million patients with antiretroviral drugs, protected a million infants from HIV transmission from their mothers, tested 50 million people for infection, and, according to one expert, “likely saved some countries—even an entire continent—from economic ruin”.
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