Ideological blinders have led to millions of preventable AIDS deaths in Africa. Dr. Edward C. Green, former director of the Harvard AIDS Prevention Project, describes how Western AIDS "experts" stubbornly pursued ineffective remedies and sabotaged the most successful AIDS prevention program on that ravaged continent. Drawing on 30 years of conducting research in Africa, Southeast Asia, and other parts of the world in international health, Green offers a set of evidence-based and experience-rich solutions to the AIDS crisis. He calls for new emphasis on promoting sexual fidelity, the only strategy shown by research to work. Controversial but important findings for health researchers, international development specialists, and policy makers.

Facing a Pandemic traces the history and spread of the HIV/AIDS virus in Africa and its impact on African society and public policy before considering new priorities needed to combat the pandemic. The central argument is that the theological motif of the image of God invites a prophetic critique of the social environment in which HIV/AIDS thrives and calls for a praxis of love and compassion.

Of the more than 40 million people around the world currently living with HIV/AIDS, two million live in Latin America and the Caribbean. In an engaging chronicle illuminated by his travels in the region, Shawn Smallman shows how the varying histories and cultures of the nations of Latin America have influenced the course of the pandemic. He demonstrates that a disease spread in an intimate manner is profoundly shaped by impersonal forces. In Latin America, Smallman explains, the AIDS pandemic has fractured into a series of subepidemics, driven by different factors in each country. Examining cultural issues and public policies at the country, regional, and global levels, he discusses why HIV has had such a heavy impact on Honduras, for instance, while leaving the neighboring state of Nicaragua relatively untouched, and why Latin America as a whole has kept infection rates lower than other global regions, such as Africa and Asia. Smallman draws on the most recent scientific research as well as his own interviews with AIDS educators, gay leaders, drug traffickers, crack addicts, transvestites, and doctors in Cuba, Brazil, and Mexico. Highlighting the realities of gender, race, sexuality, poverty, politics, and international relations throughout Latin America and the Caribbean, Smallman brings a fresh perspective to understanding the cultures of the region as well as the global AIDS crisis.

The global battle against the ravages and spread of AIDS is set against the life and death of Nkosi Johnson, a young South African boy who, despite having been born with the ailment, became a dramatic symbol of the struggle against the disease and the strength of the human spirit in the face of tragedy. Reprint.

This study is supported by the World Forum Foundation, the University of Namibia and the Centre for Social Justice and Social Change of the University of Western Sydney. It represents a first step to corroborate research into HIV/AIDS with current knowledge about the outcome of experiences during early life, in the Namibian context. Using quantitative and qualitative data, the study provides an insight into what it means to be young, orphaned, infected or affected in other ways by HIV/AIDS.

Based on three village case studies from different parts of Kenya, this co-authored study explores the relationship between HIV/AIDS and land rights focusing on women as a socially vulnerable group. The study compares affected with non-affected households and HIV/AIDS emerges as a significant but not primary cause of tenure insecurity.

Dawning Answers charts the legacy of the global HIV/AIDS epidemic to the theory and practice of public health. Richly detailed chapters describe how advances in techniques and startegies to monitor health events, develop public policy, set funding priorities, mobilize communities, support the adoption of safer behaviors, ensure access to needed prevention and treatment services, and involve affected populations in public health research, intervention, and evaluation, all owe a substantial debt to those who have adapted, redefined, and extended these techniques and startegies in response to HIV/AIDS. The book offers thoughtful analyses from experts in various fields and disciplines. Although most of the examples reflect the U.S. experience, relevant examples from other countries are cited, and an entire chapter is devoted to the evolving impact of HIV/AIDS on global health and development. Devastating as the losses from AIDS have been, the many public health lessons learned as a result of the epidemic have positively influenced other domains of public health and will continue to exert an influence on new approaches to health assessment, policy development, and assurance.

An international team of eighteen doctors, philosophers, and lawyers present a fresh and thorough discussion of the ethical, legal, and social issues raised by testing and screening for HIV and AIDS. They aim to point the way to practical advances but also to give an accessible guide for those new to the debate.

This volume features a collection of the most important articles on the social, ethical and legal implications of a variety of problems caused by AIDS. The wide range of articles selected for inclusion were chosen on the basis of three criteria: their theoretical depth and coherence, their impact on the subsequent debate and on the social and ethical relevance of the problems addressed. Sections in the book include: physicians and patients, AIDS and the law, HIV testing, clinical research in developed countries, clinical research in developing countries and dying with dignity

AIDS is not solely a medical issue but also has profound implications for social and family relationships. Traditionally when a person is ill, the family is seen to provide emotional, practical and social support. Experience has shown, however, that AIDS disrupts this conventional pattern of support. On the one hand AIDS, like any other serious illness, affects family members both from day to day and in the long term. What distinguishes AIDS from so many other illnesses is the associated social stigma and the fact that HIV may be transmissible, or may have been transmitted, within a relationship. Most psychological and social research has concentrated on the impact of AIDS on individuals. Only recently has attention turned to the effect of AIDS on the family. This is the first book to address AIDS in the family and draws on the work of experienced researchers and practitioners from around the world. It is most fitting that the book should first be published in 1994, the United Nations International Year of the Family. Recognizing the role of the family may mark a change in emphasis in future social research and policy in relation to HIV and AIDS.

Historically, the fields of public health and human rights have remained largely separate. The AIDS pandemic, however, made it clear that a complex relationship exists between the two fields. Women and children have proven to be extremely vulnerable to infection with HIV due to their inability to protect themselves in intimate relationships, their sexual exploitation, and their lack of economic and educational alternatives. On the other hand, coercive government policies aimed at controlling the AIDS pandemic often infringe on the rights of individuals known or suspected of having AIDS, and decrease the effectiveness of public health measures. Protecting and promoting human rights is becoming one of the key means of preserving the health of individuals and populations. A penetrating analysis of the close relationship between public health and human rights, this book makes a compelling case for synergy between the two fields. Using the AIDS pandemic as a lens, the authors demonstrate that human health cannot be maintained without respect for the dignity and rights of persons, and that human rights cannot be deemed adequate and comprehensive without ensuring the health of individuals and populations. In the course of their analysis, Gostin and Lazzarini tackle some of the most vexing issues of our time, including the universality of human rights and the counter-claims of cultural relativity. Taking a cue from environmental impact assessments, they propose a human rights impact assessment for examining health policies. Such a tool will be invaluable for evaluating real-world public health problems and is bound to become essential for teaching human rights in schools of public health, medicine, government, and law. The volume critically examines such issues as HIV testing, screening, partner notification, isolation, quarantine, and criminalization of persons with HIV/AIDS, all within the framework of international human rights law. The authors evaluate the public health effects of a wide range of AIDS policies in developed as well as developing countries. The role of women in society receives special emphasis. Finally, the book presents three case histories that are important in the HIV/AIDS pandemic: discrimination and the transmission of HIV and tuberculosis in an occupational health care setting; breast feeding in the least developed countries; and confidentiality and the right of sexual partners to know of potential exposure to HIV. The cases challenge readers with some of the complex questions facing policy-makers, scientists, and public health professionals, and exemplify a method for analysing these problems from a human rights perspective. Gostin and Lazzarini have written a book that will be a valuable addition to the libraries of public health teachers and practitioners, legal scholars, bioethicists, policy makers, and public rights activists.

Whether, with whom, and when to have children are among the most precious of our private decisions. Increasingly, however, the interest of others in these decisions raise difficult questions about the role of government and health professionals in influencing reproductive choice. Nowhere is this tension felt more keenly than in the context of HIV and AIDS. This book takes on the tough issues related to HIV and childbearing: Is there a moral right to have children? What are the limits of persuasion? Are there constitutional constraints on interference with reproduction? What are the precedents with restricting the childbearing behavior of women who use drugs? The book includes original work by doctors, lawyers, ethicists, and public health professionals. Also included are the experiences of HIV-infected women and their health care providers. Interviews were conducted over a two-year period with HIV-infected women and with health care providers from four cities to examine what issues of childbearing in the context of HIV mean to them. The book is divided into four sections on medical and public health issues, legal issues, ethical and social issues, and comments from the community. It concludes with recommendations for clinical practice and public policy. Public policy makers, health care providers, practitioners in bioethics, pediatrics, health law, and obstetrics/gynecology will find this book invaluable when dealing with issues related to HIV and childbearing.

HIV/AIDS and HIV/AIDS-Related Terminology: A Means of Organizing the Body of Knowledge offers an adaptable and extensive framework for organizing the ever-expanding number of resources on the HIV/AIDS epidemic. It lays down the groundwork upon which future blocks of information can be placed. As new information becomes available, it can be integrated into this system without rearranging the information already stored. This saves the time and money associated with revising a less flexible existing system. The book s instructions for use and taxonomic classification system make it easy to use. HIV/AIDS and HIV/AIDS-Related Terminology is designed for use in any setting where HIV/AIDS healthcare or information services are provided. It acts as a guide to available resources and illustrates how to acquire the most up-to-date information. At the same time, it moves beyond the more general focus on the clinical, legal, and medical ramifications of HIV/AIDS to the development of an interdisciplinary cataloging system that includes all issues and topics associated with the disease. This invaluable reference tool leaves no rock unturned. It addresses every conceivable facet of the epidemic, from the psychological to the religious and from the economic to the social. Any organizations or institutions concerned with the collection, creation, management, and dissemination of HIV/AIDS-related materials will find this book an essential for their libraries. Practical and comprehensive, HIV/AIDS and HIV/AIDS-Related Terminology addresses a full range of topics, including: prevention and education epidemiology and transmission treatment funding opportunities health policy HIV/AIDS and the fine artsHIV/AIDS and HIV/AIDS-Related Terminology is the first book to provide a method for grappling with the vast scope of information on the HIV/AIDS epidemic. Its organic structure is designed to accommodate new knowledge as it becomes available, while it maximizes access to existing information in a variety of formats.

The African AIDS epidemic has sparked fierce debate over the role of religion. Some scholars and activists argue that religion is contributing to the spread of HIV and to the stigmatization of people living with AIDS. Others claim that religion reduces the spread of HIV and promotes care and support for the sick and their survivors.
Religion and AIDS in Africa offers the first comprehensive empirical account of the impact of religion on the AIDS epidemic. Jenny Trinitapoli and Alexander Weinreb draw upon extensive fieldwork in Malawi, including hundreds of interviews with religious leaders and lay people, and survey data from more than 30 other sub-Saharan African countries. Their research confirms the importance of religious narratives and institutions in everything related to AIDS in Africa. Among other key findings, Trinitapoli and Weinreb show that a combination of religious and biomedical approaches to prevention reduces risk most effectively; that a significant minority of religious leaders encourage condom use; that Christian congregations in particular play a crucial role in easing suffering among the sick and their dependents; and that religious spaces in general are vital for disseminating information and developing new strategies for HIV prevention and AIDS mitigation.
For anyone wishing to move beyond the rhetoric and ideology that plague debates about one of the most challenging crises of our time, Religion and AIDS in Africa is the authoritative account. It will change the way readers think about religious life and about AIDS in the region.

Historicamente, las organizaciones basadas en la fe (OBF) han desempenado una funcion importante en la prestacion de servicios sociales y de salud en paises en desarrollo; sin embargo, poco se ha investigado sobre su papel en la prevencion y la atencion del VIH, particularmente en America Latina. Este trabajo describe la participacion de las OBF en el abordaje de la epidemia del VIH/sida en Belice, Guatemala y Honduras. Los autores describen la variedad de actividades que desarrollan las OBF, y analizan las ventajas y los desafios de dicha participacion, asi como las posibles acciones que las OBF pueden adoptar para mejorar su labor, tanto en forma independiente como en colaboracion con otras organizaciones, tales como los ministerios de salud.

The "Encyclopedia of AIDS" covers all major aspects of the first 15 years of the AIDS epidemic, including the breakthroughs in treatment announced at the International AIDS Conference in July 1996. The encyclopedia provides extensive coverage of major topics in eight areas: basic science and epidemiology; transmission and prevention; pathology and treatment; impacted populations; policy and law; politics and activism; culture and society; and the global epidemic.
With more than 300 entries written by 175 specialists and illustrated with more than 100 photographs and charts, the "Encyclopedia of AIDS" is an essential reference work for students at the undergraduate and graduate levels, professionals in a wide variety of medical, service, and care fields, academics, researchers, journalists, and general readers.

This volume contains a selection of key contributions to the discussion on the psychological and social implications on HIV infection. It contains up-to-date and authoritative papers by senior practitioners and researchers in the field of the psychological and social aspects of HIV infection. The book will appeal to those involved in providing care for people with HIV infections, be they physicians and nurses or psychologists, social workers and psychiatrists, as well as those involved in preventing the spread of the HIV infection.

From the start of the HIV epidemic, the psychological and social aspects of the AIDS infection have been recognized. What could have been regarded simply as an infectious disease was soon acknowledged as a global problem that raised important issues about its transmission and prevention; economic, ethical and legal questions regarding the mental health consequences and the need for access to medical and social care.

Introduces AIDS, explaining what it is, how it cannot be spread by casual contact, and how to act around someone who has it.

Stating that HIV/AIDS is a colossal public health problem is a vast understatement. Its effects extend to all reaches of the globe and its toll is enormous. , The most recent statistics on HIV infections, people living with HIV/AIDS, and AIDS-related deaths are jolting. Current realities, historical data, and future projections clearly indicate that much more action is needed to prevent new infections and curb the effects of HIV/AIDS. Rather than a single global strategy for HIV/AIDS prevention, programs must be developed and implemented with an awareness of local, regional, national, and international conditions. Our hope for this book is that additional insight into HIV/AIDS prevention can be garnered and the ideas generated here will spur new efforts and improve existing ones. The chapters in this book explore how health communication researchers and practitioners continue to play critical roles in lessening the spread of HIV and the devastating impacts of HIV/AIDS locally, regionally, and globally. The book's three sections-general prevention, global context, and specific contexts-address a range of topics. Chapters range from formative research to message construction and processing (e.g., difficulties in communicating statistical information, understanding risk messages), address geographical regions from Africa and Asia to Central America and the Caribbean, and examine specific contexts from university students to later-life adults as well as African Americans and persons living with HIV/AIDS. Because there is currently neither a cure for HIV/AIDS nor a vaccine to prohibit infection, the concluding chapter reinforces the book's main premises-behavior change as the key to prevention and health communication work as crucial to achieving such change.

There is no question that AIDS has been, and continues to be, one of the most destructive diseases of the century, taking thousands of lives, devastating communities, and exposing prejudice and bigotry. But AIDS has also been a disease of transformation--it has fueled the national gay civil rights movement, altered medical research and federal drug testing, shaken up both federal and local politics, and inspired a vast cultural outpouring. "Victory Deferred," the most comprehensive account of the epidemic in more than ten years, is the history of both the destruction and transformation wrought by AIDS.
John-Manuel Andriote chronicles the impact of the disease from the coming-out revelry of the 1970s to the post-AIDS gay community of the 1990s, showing how it has changed both individual lives and national organizations. He tells the truly remarkable story of how a health crisis pushed a disjointed jumble of local activists to become a nationally visible and politically powerful civil rights movement, a full-fledged minority group challenging the authority of some of the nation's most powerful institutions. Based on hundreds of interviews with those at the forefront of the medical, political, and cultural
responses to the disease, "Victory Deferred" artfully blends personal narratives with institutional histories and organizational politics to show how AIDS forced gay men from their closets and ghettos into the hallways of power to lobby and into the streets to protest.
Andriote, who has been at the center of national advocacy and AIDS politics in Washington, is judicious without being uncritical, and his account of the political maturation of the gay community is one of the most stirring civil rights stories of our time.
"Victory Deferred" draws on hundreds of original interviews, including first-hand accounts from: Virginia Apuzzo, Reverend Carl Bean, Marcus Conant, M.D., John D'Emilio, Anthony Fauci, M.D, Fenton Johnson, Larry Kramer, Lawrence D. Mass, M.D., Armistead Maupin, Walt Odets, Torie Osborn, Eric Rofes, Urvashi Vaid, Timothy Westmoreland, and Reggie Williams.
" "Victory Deferred"] is a richly textured account of the rise of the AIDS sector, that though detailed and comprehensive, reads quickly. The thematic organization of the book works especially well. The clear chronology of the events reveals how competing models of service delivery, treatment activism and private-public cooperation were subsumed into a national AIDS movement. The book should prove excellent for teaching or recreational reading."--Jose Gabilondo, "Washington Post"
" A] fine history of the epidemic. . . . Andriote shines with chapters on less-covered but no less important subjects, including the multibillion-dollar 'AIDS industry' and private fund-raising groups. He brings together in one place many facts and figures heretofore unsynthesized."--Joe R. Neel, "Boston Globe"
"While many books have explored aspects of the impact of AIDS, "Victory Deferred" is among the most comprehensive. Andriote's adroit integration of the personal and the historical results is an illustrative, analytical account of the disease and its impact on the gay civil-rights movement. His depiction of the poignant struggles, heroic responses and resultant social and political gains emanating from AIDS is a perceptive document for our time--relevant to all readers, regardless of their sexual orientation."--John R. Killacky, "Minneapolis Star Tribune"
" A] well-researched and nuanced portrait of the many lives on which this grave disease has wrought both destruction and transformation."--"Publishers Weekly"
"Andriote combines broad strokes and telling details in this engaging history of the complicated war against both disease and bigotry."--"Library Journal"

When AIDS was first recognized in 1981, most experts believed that is was a plague, a virulent unexpected disease. They throught AIDS, as a plague, would resemble the great epidemics of the past: it would be devastating but would soon subside, perhaps never to return. By the middle 1980s, however, it became increasingly clear that AIDS was a chronic infection, not a classic plague.;In this follow-up to "AIDS: The Burden of History", the editors present essays that describe how AIDS has come to be regarded as a chronic disease. Representing diverse fields and professions, the 23 contributors to this work use historical methods to analyze politics and public policy, human rights issues, and the changing populations with HIV infection. They examine the federal government's testing of drugs for cancer and HIV and show how the policy makers' choice of a specific historical model (chronic disease versus plague) affected their decisions.;A photo essay reveals the strength of women from various backgrounds and lifestyles who are coping with HIV. An account of the complex relationships of the gay community to AIDS is included. Finally, several contributors provide a sampling of international perspectives on the impact of AIDS in other nations.