You get up in the morning and breakfast with your three kids. One is already doomed to die in infancy. Your husband works 200 miles away, comes home twice a year and sleeps around in between. You risk your life in every act of sexual intercourse. You go to work past a house where a teenager lives alone tending young siblings without any source of income. At another house, the wife was branded a whore when she asked her husband to use a condom, beaten silly and thrown into the streets. Over there lies a man desperately sick without access to a doctor or clinic or medicine or food or blankets or even a kind word. At work you eat with colleagues, and every third one is already fatally ill. You whisper about a friend who admitted she had the plague and whose neighbors stoned her to death. Your leisure is occupied by the funerals you attend every Saturday. You go to bed fearing adults your age will not live into their 40s. You and your neighbors and your political and popular leaders act as if nothing is happening.

Across the southern quadrant of Africa, this nightmare is real. The word not spoken is AIDS, and here at ground zero of humanity's deadliest cataclysm, the ultimate tragedy is that so many people don't know - or don't want to know - what is happening.

As the HIV virus sweeps mercilessly through these lands - the fiercest trial Africa has yet endured - a few try to address the terrible depredation. The rest of society looks away. Flesh and muscle melt from the bones of the sick in packed hospital wards and lonely bush kraals. Corpses stack up in morgues until those on top crush the identity from the faces underneath. Raw earth mounds scar the landscape, grave after grave without name or number. Bereft children grieve for parents lost in their prime, for siblings scattered to the winds.

The victims don't cry out. Doctors and obituaries do not give the killer its name. Families recoil in shame. Leaders shirk responsibility. The stubborn silence heralds victory for the disease: denial cannot keep the virus at bay.

The developed world is largely silent too. AIDS in Africa has never commanded the full-bore response the West has brought to other, sometimes lesser, travails. We pay sporadic attention, turning on the spotlight when an international conference occurs, then turning it off. Good-hearted donors donate; governments acknowledge that more needs to be done. But think how different the effort would be if what is happening here were happening in the West.