Despite having the highest adult HIV prevalence worldwide at close to 40%, Botswana has managed to mount an effective response to AIDS over the past few years. “Botswana’s growing AIDS movement is the result of President Mogae’s leadership and openness on AIDS coupled with the active involvement of people living with HIV,” said Dr Peter Piot, UNAIDS Executive Director, who was speaking at a World AIDS Day commemoration today. “By breaking the silence on AIDS, President Mogae has not only galvanized the whole African continent, but become a true leader in the global AIDS fight.”