fell to an all-time IOW. I 10
South Africa's health care system ranked 151 in "attainment" and 175
in "efficiency" out of 191 countries listed in the World Health Organiza-
tion's World Health Report, 2000. 111 It came under international scrutiny
in 2000, by which time more South Africans were infected with HIV than
the inhabitants of any other country in the world-about
4.2 million peo-
ple or 20 percent of the adult population-and
at least one in two fifteen-
year-old South Africans seemed destined to die of AIDS. Previously, the
293