"We want to involve not only the service wing of the churches but the church leadership and the congregations in the fight against AIDS," said Vijay Aruldas, general secretary of the Christian Medical Association of India (CMAI).

CMAI, a forum of 4,000 Christian health workers and 370 health-care institutions affiliated with Protestant and Orthodox churches, held its biennial general assembly in early November. At the assembly, CMAI set up a task force "to monitor progress" on AIDS abatement. Experts at the assembly stopped short, however, of advocating particular preventive practices, such as the use of condoms, which is controversial in some churches.

"Our policy is not to propagate condom usage," Aruldas said. "It is left to individual churches and institutions to decide on this." Although some churches mention condom usage in AIDS programs and even recommend it to high risk groups, most of the churches shy away from the subject, he said.

V. I. Mathan, a leading AIDS expert, told assembly delegates that in 1990, 200,000 people in India were infected with HIV, the virus that causes AIDS. By the end of 1999, an estimated 3.9 million people were living with it—making the country second only to South Africa in the number of people infected.

He stressed that the consequences of AIDS went beyond the strictly medical. "HIV infection brings with it an enormous social stigma. Health workers cannot do much about it. We need the churches and congregations to come forward to fight this," said Mathan.

P. S. S. Sundar Rao, director of Schieffelin Leprosy ...