The new director of the Africa Initiative, Wilmot James, joined Brown in 2023 as a professor of the practice of health services, policy and practice, bringing years of experience in biosecurity, global health governance, and pandemic preparedness. He also currently serves as a senior advisor at Brown’s Pandemic Center in the School of Public Health.
Born in South Africa under apartheid, James has served as a member of parliament and shadow minister of health in South Africa. He currently serves as an advisor to the G7-led Global Partnership’s Signature Initiative to Mitigate Biological Threats in Africa (SIMBA), is a member of the science council to the late Paul Allen’s Fund For Science and Technology, chairs the Wellcome Trust’s Climate-Health Impact Awards Advisory Committee and serves on the boards of BEACON, Resolve to Save Lives, and the Mirror Biology Dialogue Fund.
The following question-and-answer session has been edited for clarity.
Your background is in sociology; how did you end up in the public health arena?
When Nelson Mandela became president of South Africa in 1994, the country was hit — at its moment of freedom — by the AIDS epidemic; they were unprepared and did not know what to do about it.
Mandela was a Victorian gentleman; he didn't want to talk about sex. But when you are speaking of HIV and AIDS, you have to talk about sex. So he didn’t do well leading in that area; he was reticent and shy.
I was dean of the humanities at the University of Cape Town at the time, and I went with the vice-chancellor of the university, Mamphela Ramphele, a physician and anthropologist, and we spoke with Mandela about it.
He listened to us and said, “I hear what you are saying, and I will talk to my minister of health.” Her name was Nkosazana Dlamini-Zuma, and unfortunately, she did little. After Mandela stepped down, Thabo Mbeki, who claimed that HIV did not cause AIDS, was elected president. He based his policies on misinformation found on the internet. Among other things, his administration blocked access to antiretroviral drugs and promoted unproven alternatives instead.
Mandela tried to get him to change course.
Harvard did a study on the consequences of the lack of access to antiretroviral drugs in South Africa and estimated that Mbeki’s policies caused over 300,000 preventable deaths. One of them was Nelson Mandela’s son, Makgatho Mandela. So I know firsthand the importance of public health policy and the dangers of misinformation.