I do not think it is a race issue. It is a culture and political issue. China, Russia, and India are facing the same problems. China even more so. The government officials in China for years refused to recognize there is a problem. Health official in rural areas reuse needles. I read one report that showed an entire village was infected because the government went in to get blood and they used the same damn needles on the entire group. Russian hospitals in rural areas are doing the same.
Africa is hurting the because of the lingering effects of colonialism and the incompetence of the current rulers down there. Botswana is a country that has done an outstanding job fighting not only corruption but also combating AIDS and the population there is virtually black. Good leadership and education is the key.