Another reason to change the world

Kelvin Kalasha, 30, is helped into his bath at the Mother of Mercy Hospice in Zambia by Tom Stoddart.

"Unlike in the rest of the world, where HIV is largely confined to 'high-risk groups' - mainly prostitutes, intravenous-drug users and gay men - in East and Southern Africa everyone is at risk. Outside Uganda the HIV epidemic is finally beginning to subside in a number of African countries. As a result, a growing number of African men and women are raising their voices and talking about AIDS as never before. The courageous man in this photograph is among the seed corn of that movement. His dignified refusal to accept shame and denial is a powerful remind that AIDS is neither an act of God nor a punishment for a sin, but a terrible disease that no one deserves." Helen Epstein.