I'd like to challenge the assumption you gave in your post, RavenTDA.
I've seen pie charts online that demonstrate AIDS cases divided by location. Africa, in most of these, has over 50% of the chart. I'm assuming this was what you were working off of. There's a slight problem with that logic, though - at least, I've yet to see anything which negates it.
From what I've read, in America, a person is defined as having AIDS (Acquired Immuno-Deficiency Syndrome) when three things are true.
1) The person must be infected with the Human Immunodeficiency Virus. (HIV)
2) The person's T-Cell count must be dropped. I do not recall what the specific requirements on the drop are at this time.
3) The person must be infected with an 'opportunistic' disease - an illness that would never be able to strike a healthy person, but can strike those whose immune systems have been weakened by the HIVirus.
The original definition of AIDS for Africa was established in the 1985 Bangui documents, and is notable for the following traits:
1) The presence of an opportunistic disease is not required.
2) The T-Cell count is unimportant.
3) The presence of the Human Immunodeficiency Virus is not required.
Loosely, what the Bangui plan actually was is this:
1) Take a number of sample patients who may or may not have AIDS. Test them in a clinical setting.
2) Find out what symptoms are common among those who test positive for AIDS. (*)
3) Assign each symptom a point value.
4) If a person has over twelve points, 'congratulations', you've got AIDS.
Even aside from the footnote, the problem is that the symptoms used are common. 'Cough' is listed as a two-point symptom, although the document itself does mention it must be a persistent cough. 'Pneumopathy' (any lung disease) is another two points. (So apparently, if you've got a lung disease that makes you cough, you've got four.) Extended weakness is four points. The only symptom on the list actually associated with AIDS is Kaposi's Sarcoma, one of the opportunistic diseases. (It ranks a full twelve points - which makes perfect sense.)
Known malnutrition, cancer, or medical treatment that weakens the immune system automatically exclude the individual from an AIDS diagnosis by this standard. However, it's quite possible that even after excluding those, a combination of two or more diseases could trigger this: Malaria, for example, could theoretically provide nine of the required twelve points by itself. (Weakness - 4 points, continuous/recurring fever - 3 points, coughing - 2 points.)
In theory, lab testing is supposed to be done whenever possible - but I'd suspect, personally, that it's generally not done as much as it should be, and I'm sure that in some cases it can't be easily done - and the default fallback position is the one I loosely outlined above.
If anyone cares to look, there's a PDF version of the document here:
http://www.heart-intl.net/HEART/HIV/Com ... report.pdf
The symptom list and point values are on page 15.
(*)Apparently, many tests were done in prenatal clinics. From what I've read,
pregnancy can throw a false positive on these tests. See the problem?