“…Expanded treatment also reduces the pandemic's psychosocial, economic and political effects -especially significant for high-prevalence epidemics in subsaharan Africa. By turning HIV from a fatal condition into a manageable, if difficult, chronic illness, ART reduces stigma (Wolfe et al, 2008) and enables disclosure (Skogmar et al, 2006) and this in turn encourages testing, and others' early, successful treatment (Chesney and Smith, 1999). ART means less strain on health services, more people working, more parents looking after children, fewer orphans.…”