The world continues to lose more than a million lives each year to the HIV epidemic, and nearly two million individuals were infected with HIV in 2017 alone. The new Sustainable Development Goals, adopted by countries of the United Nations in September 2015, include a commitment to end the AIDS epidemic by 2030. Considerable emphasis on prevention of new infections and treatment of those living with HIV will be needed to make this goal achievable. With nearly 37 million people now living with HIV, it is a communicable disease that behaves like a noncommunicable disease. Nutritional management is integral to comprehensive HIV care and treatment. Improved nutritional status and weight gain can increase recovery and strength of individuals living with HIV/AIDS, improve dietary diversity and caloric intake, and improve quality of life. This book highlights evidence-based research linking nutrition and HIV and identifies research gaps to inform the development of guidelines and policies for the United Nations' Sustainable Development Goals. A comprehensive approach that includes nutritional interventions is likely to maximize the benefit of antiretroviral therapy in preventing HIV disease progression and other adverse outcomes in HIV-infected men and women. Modification of nutritional status has been shown to enhance the quality of life of those suffering HIV/AIDS, both physically in terms of improved body mass index and immunological markers, and psychologically, by improving symptoms of depression. While the primary focus for those infected should remain on antiretroviral treatment and increasing its availability and coverage, improvement of nutritional status plays a complementary role in the management of HIV infection.

Access the latest information available in the challenging area of HIV/AIDS management with Sande's HIV/AIDS Medicine, 2nd Edition. Authored by a veritable "who's who" of current global experts in the field, this medical reference book will provide you with all the practical, indispensable guidance you'll need to offer your patients the best possible care. Access reliable, up-to-the-minute guidance that addresses the realities of HIV/AIDS management in your geographical region, thanks to contributions from a global cast of renowned expert clinicians and researchers. Locate the clinically actionable information you need quickly with an organization that mirrors the current state of the AIDS epidemic and the different needs of Western vs. developing-world patients and clinicians. Diagnose AIDS manifestations confidently by comparing them to clinical images. Improve patient outcomes with the latest findings on the management of AIDS as a chronic illness. Efficiently review essential data through numerous at-a-glance tables. Get the most relevant information available on pediatric HIV and AIDS issues; anti-retroviral drugs, including integrase inhibitors; and the use of second- and third-line anti-retroviral drugs in resource-poor settings. Stay current on the latest actionable information, such as using antiretroviral therapy in patients with tuberculosis and drug-resistant tuberculosis; antiretroviral therapy; immune reconstitution inflammatory syndromes (IRIS); and implementation of the HPV vaccine. The very latest in HIV/AIDS management from global experts with a concise approach and a clinical/practical focus.

Originally published in 1998 Sexual Behaviour and HIV/AIDS in Europe is detailed study comparing the major population surveys on sexual behaviour and HIV/AIDS carried out in Europe at the time of publication. Leading European researchers explore the differences and similarities between European countries in patterns of sexual behaviour and responses to the HIV/AIDS epidemic. As well as providing an empirical and methodological base for future research, the comparative analyses lead researchers, policy makers, health-educators and the media to new insights and a deeper understanding of issues that are of central concern in many countries. The chapters include discussion of data on sexual initiation, homosexual and bisexual behaviour, sexual practices, sexual partners, risk behaviour, STDs, preventive practices, the normative context, knowledge of HIV/AIDS, and attitudes towards people with HIV/AIDS. The book results from a major European Concerted Action, funded by the European Union Biomedical and Health Research programme (BIOMED), and coordinated by the Centre d'Etudes Sociologiques of the Facultes Universitaires Saint-Louis, Brussels, Belgium. It follows Sexual Interactions and HIV Risk, published in 1997.

This book delves into this almost unchartered territory, documenting the lived experiences of sex workers in Bangladesh, considering the complex realities of their day-to-day lives and the ways they negotiate their working conditions and relationships. Despite being the most common form of female deviance and criminality globally, we know very little about sex work in Asia and the global south. Drawing on feminist frameworks, it shows that the experiences of sex workers vary widely depending on the ways they enter the sex trade, their modes of operation, and relationships with significant others. Towards a Southern Approach to Sex Work contributes to feminist scholarship on sex work, by offering a much needed southern perspective, drawing on culturally specific data. It argues that the lived experience of sex workers comprises both victimhood and agency, deception and resilience, and that it is the management of these relationships that enable sex works to avoid social marginalization and alienation. An accessible and compelling read, this will appeal to students and scholars of criminology, sociology, gender studies, south Asian studies, cultural studies, social theory and policy makers. In addition, it will engage all those interested in learning more about how the sex trade operates in Bangladesh.

This book provides an overview of the current epidemiology of the HIV epidemic among young people in Eastern and Southern Africa (ESA) and examines the efforts to confront and reduce the high level of new HIV infections amongst young people. Taking a multi-dimensional approach to prevention, the contributors discuss the many challenges facing these efforts, in view of the slow progress in curbing the incidence of HIV amongst young people, focusing particularly on the structural and social drivers of HIV. Through an examination of these issues, chapters in this book provide valuable insights on how to mitigate HIV risk among young people and what can be regarded as the catalysts to mounting credible policy and programmatic responses required to achieve epidemic control in the region. The contributors draw on examples from a range of primary and secondary data sources to illustrate promising practices and challenges in HIV prevention, demonstrating links between conceptual approaches to prevention and lessons learnt from implementation projects in the region. Bringing together social scientists and public health experts who are actively engaged in finding effective solutions, the book discusses 'which interventions works', 'why they work', and the limitations and gaps in our knowledge to curb the pandemic amongst young people. As such it is an important read for researchers focusing on HIV/AIDS and public health. The Open Access version of this book, available at https://www.taylorfrancis.com/books/e/10.4324/9780429462818 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

This book explores the thoroughly human dimension of the health care and prevention responses to the HIV crisis in the UK, and the impact that such initiatives had on the progression of the epidemic. This book presents a compelling account of the unfolding of the epidemic and the initiatives that made all the difference in the care and prevention of HIV in the UK from the early 1980s to the present time. Drawing on interviews with people with HIV, doctors and nurses involved in their care, leaders of AIDS charities, activists, and politicians, it identifies and describes the models of care developed in response to the onset of the HIV epidemic, and its impact on NHS and voluntary organisations. It goes on to explore the political responses, the evolution of HIV stigma, and the personal impact of the early high mortality rates. Finally, it discusses recent organisational changes in the provision of care and prevention services. In doing so, this volume identifies the lessons learnt from the care and prevention of HIV, both in relation to HIV infection and other conditions, such as COVID-19, and discusses future challenges. This book will be of great value to those working in services dealing with HIV, charities, and Clinical Commissioning Groups and GP organisations, as well as social historians and medical sociologists.

In 1999, investigators announced that a single dose of nevirapine, a new antiviral drug, could stop the spread of the AIDS virus from infected mothers to their newborn babies. It was a discovery that ""changed the face of AIDS globally"" but it came at a high price, after years of scientific research, political conflict, social unrest and the loss of many thousands of lives. This book is the historical account of pediatric AIDS from the first reported cases in the early 1980s to the first effective treatments in the 1990s and then to the prevention of HIV infections altogether. It tells the story through the experiences of individual children infected with HIV, their families and the physicians who treated them, as well as the scientists who sought to understand the virus, discovered nevirapine's unique properties, and worked tirelessly to get it to the patients who needed it.

Public Policy Lessons from the AIDS Response in Africa examines how the interplay between national state dynamics in Africa and the global political arena has shaped the global AIDS response, and in this context develops a framework for analysing public policy action more broadly in contemporary Africa. By applying comparative political sociology to AIDS public action, this book identifies four political models that are applicable to public initiatives. Fred Eboko goes on to test these in other domains - namely, the malaria and tuberculosis health subsectors, and the education and environment sectors. By articulating global and national connections and contributing a critical perspective grounded in African scholarship and French political science, the author builds a bold and ambitious framework with the potential to enable coherent and effective public policy action in Africa. This book will be of interest to scholars and students of public health, global health, political science, and development studies, as well as policy-level practitioners in the areas of global health and development.

'Farber [is] a lucid and courageous witness to the power-play behind the first "scamdemic," . . . [Her] work is journalism at its best—solid, lucid, and humane, attacking wrongs that few dare touch, and thereby helping right them.' —Mark Crispin Miller, bestselling author and professor of media studies at NYU On April 23, 1984, in a packed press conference room in Washington, DC, the secretary of health and human services declared, 'The probable cause of AIDS has been found.' By the next day, 'probable' had fallen away, and the novel retrovirus later named HIV became forever lodged in global consciousness as 'the AIDS virus.' Celia Farber, then an intrepid young reporter for SPIN magazine, was the only journalist to question the official narrative and dig into the science of AIDS. She reported on the 'evidence' that was being continually cited and repeated by health officials and the press, the deadliness of AZT, and Dr. Fauci’s trials on children, infants, and pregnant mothers. Throughout, Faber’s reportage was largely ignored. She was maligned, maliciously attacked, and ultimately cancelled. Now, forty years after her original reporting, Farber’s Serious Adverse Events: An Uncensored History of AIDS is reissued with a new foreword by Mark Crispin Miller, shining much-needed light on her groundbreaking work once again. More relevant than ever, this book serves as an essential foundation to understanding its catastrophic sequel: COVID-19. Serious Adverse Events makes clear that the tactics employed at the height of HIV/AIDS—the fearmongering, cancel culture, and “woke� takeover of science, medicine, and journalism—persist today. The response to COVID-19 isn’t new: it is a well-trod and dangerous path in the social landscape.  'Groundbreaking work.'—Bob Guccione, Jr., founder of SPIN magazine

Social work practitioners active among those most directly involved with persons with AIDS/HIV need guidance and support. This volume offers both in a balanced analysis of key issues relating to their practice. The authors clearly and authoritatively establish that the demographics of the AIDS/HIV crisis are undergoing change rapidly and alarmingly.

Although there have been significant advances in education about AIDS and modifications in sexual practices among gay men resulting in a lowered rate of new infection, other groups are shown to be evidencing explosive levels of infection. Not only are the population parameters of AIDS defined, but the fundamental issues of social service delivery are addressed as are the special needs of the newly at-risk groups. Women, adolescents, substance abusers, minorities, and the mentally ill are all in the demographic patterns describing AIDS/HIV diffusion. The most compelling AIDS care issues are directly focused on and practical guidance is given to social work practitioners. AIDS/HIV poses a sometimes daunting challenge threatening to overwhelm service providers. This book will be of value due to its sensitive, insightful, experience-based guidance at the level of practice. It will also prove a useful resource for all in the caring professions who will appreciate its timely explanation of the complexities involved in framing effective responses to current and emerging needs associated with AIDS/HIV.

This book considers the change in rhetoric surrounding the treatment of AIDS from one of crisis to that of 'ending AIDS'. Exploring what it means to 'end AIDS' and how responsibility is framed in this new discourse, the author considers the tensions generated between the individual and the state in terms of notions such as risk, responsibility and prevention. Based on analyses public health promotions in the UK and the US, HIV prevention science and engaging with the work of Foucault, this volume argues that the discourse of 'ending AIDS' implies a tension-filled space in which global principles and values may clash with localised needs, values and concerns; in which evidence-based policies strive for hegemony over local, tacit and communal regimes of knowledge; and in which desires compete with national and international ideas about what is best for the individual in the name of 'ending AIDS' writ large. As such, it will appeal to scholars of sociology and media studies with interests in the sociology of medicine and health, medical communication and health policy.

Urban Action Networks is a study of how communities organize in response to threats to their lives and well being. As HIV/AIDS wreaked havoc on the worlds of some of the most marginal and disenfranchised people in New York, they came together to create a shared response, forming a new organizational field within which their various efforts were coordinated. This book traces the interorganizational processes by which the groups negotiated shared meanings, collective strategies, and a complex, shifting set of relations with local and national government. It covers the first decade of AIDS, when the organized community groups actively set the agenda. How the communities of the most affected people organized, reorganized, and redefined the social and political context of HIV/AIDS offers an encouraging glimpse into the way in which marginal communities can convert shared needs into collective action.

Over the past few years, ever since the advent of HIV and AIDS, there has been increasing discussion of the concept of sexual health. This upsurge is especially noticeable not only in the field of health education and promotion but also in academic sources. The recent discourse on sexual health is paralleled by an upsurge in the debate on sexual rights. This book examines the social construction of sexual health in India through an analysis of HIV and AIDS messages. The broad objective of the chapters is to trace the growth and evolution of the concept of sexual health from a health communication perspective and to understand the role of the state in determining its form and structure. The methodology used includes comparative analysis of HIV and AIDS policies, document analysis on HIV and AIDS, poster and short films analysis, in depth and open-ended Interviews and case studies. The book shows that Sexual Health is constructed in various modes in India. The models that are elaborated are the Medical model that constructs HIV scientifically and in terms of a compromised immune system; the Epidemic model that identifies risk behaviours and transmission routes and the Moralistic model. Social constructions of AIDS as plague or punishment against society are advanced by moralists who equate HIV with taboo social and sexual behaviour and the political constructions highlights public health in the face of obstacles to treatment and the delivery of services to people living with HIV. Bringing together current research and discussions on the three areas of policy, practices and theoretical perspectives related to the use and social construction of sexual health through HIV and AIDS communication approaches with specific reference to India, this book will be of interest to academics in the field of health communication, HIV and AIDS, and South Asian Studies.

Since the time AIDS and HIV infection were first discovered, no medical cures have been developed. It became clear early on that education would be the cornerstone in the fight against AIDS, and that assessment remains true in the 1990s. This book describes how to tailor HIV education and prevention efforts to specific communities, including how to identify those most at risk, what types of interventions are most appropriate to those communities, how to engage those most at risk, and the role of participatory evaluation in determining the effectiveness of community education efforts.

This edited collection brings together the social dimensions of three key aspects of recent biomedical advance in HIV research: Treatment as Prevention (TasP), new technologies such as Pre-Exposure Prophylaxis (PrEP), and the Undetectable equals Untransmittable (U=U) movement. The growth of new forms of biomedical HIV prevention has created hope for the future, signalling the possibility of a world without AIDS. In this context, the volume discusses the profound social, political and ethical dilemmas raised by such advances, which are to do with readiness, access, equity and availability. It examines how HIV prevention has been, and is, re-framed in policy, practice and research, and asks: How best can new biomedical technologies be made available in a profoundly unequal world? What new understandings of responsibility and risk will emerge as HIV becomes a more manageable condition? What new forms of blame will emerge in a context where the technologies to prevent HIV exist, but are not always used? How best can we balance public health's concern for adherence and compliance with the rights of individuals to decide on what is best for themselves and others? Few of these questions have thus far received serious consideration in the academic literature. The editors, all leaders in the social aspects of HIV, have brought together an innovative and international collection of essays by top thinkers and practitioners in the field of HIV. This book is an important resource for academics and professionals interested in HIV research. Chapters "Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland's PrEP Journey", "How the science of HIV treatment-as-prevention restructured PEPFAR's strategy: The case for scaling up ART in 'epidemic control' countries", "Stigma and confidentiality indiscretions: Intersecting obstacles to the delivery of Pre-Exposure Prophylaxis to adolescent girls and young women in east Zimbabwe" and "The drive to take an HIV test in rural Uganda: a risk to prevention for young people?" are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Mongers in Heaven is an exploration of "Monger Culture." Mongers, as defined by the author in relation to sexual tourism to Costa Rica, are tourists and expatriates who have developed a unique culture of simulation, lying, marriages, gender games, and sexual liberation. Schifter-Sikora analyzes the relatively new phenomenon of American senior citizens mass-traveling to Central America in search of sex and love from prostitutes. The social and economic impact of their travel, as well as the increase in new HIV infections in the U.S. and the Central American countries, is at the core of Schifter-Sikora's analysis. The author also makes a unique psychological analysis that includes both the sex worker and her American client and their mutual aspirations and disappointments. The study features unique quantitative data on this population of sex workers and clients and the group's reasons for and expectations of sexual tourism. Also under analysis by Schifter-Sikora, is Jean Baudrillard's theory of simulation and simulacra, here in relation to the disappearance of the "real" in sexual tourism. American sex tourists are creating a sexual culture where truth is no longer relevant or desired. Costa Rican sex workers, for their part, hope for the traditional "real" that the Americans are escaping from. Both groups are turning a former Banana Republic into a sexualized fantasy land where women who charge are lovers and prospective wives, and those who do not are seen as the real prostitutes.

"The Deadly Ideas of Neoliberalism" explores the history of and current collision between two of the major global phenomena that have characterized the last 30 years: the spread of HIV/AIDS and other diseases of poverty and the ascendancy of neoliberal economic ideas. The book explains not only how IMF policies of restrictive spending have exacerbated public health problems in developing countries, in particular the HIV/AIDS crisis, but also how such issues cannot be resolved under these economic policies. It also suggests how mounting global frustration about this inability to adequately address HIV/AIDS will ultimately lead to challenges to the dominant neoliberal ideas, as other more effective economic ideas for increasing public spending are sought.

In stark, powerful terms, Rowden offers a unique and in-depth critique of development economics, the political economy dynamics of global foreign aid and health institutions, and how these seemingly abstract factors play out in the real world - from the highest levels of global institutions to African finance and health ministries to rural health outposts in the countryside of developing nations, and back again.

Despite major advances in HIV treatment, many areas require more study, in order to create efficacious, potent antiretrovirals that can suppress viral load completely and durably without toxic side effects, to define unknown drug targets and fine-tune known targets, and to better understand the interplay between viral and host factors. In "HIV Protocols, Second Edition", expert researchers provide clear, state-of-the-art methods for the study of HIV. Directed toward three specific goals, this text aims to document up-to-date protocols for select aspects of HIV biology, to bring together both virological and immunological approaches in a single, convenient volume, and to present a comprehensive account of a range of techniques not available in any existing HIV protocol book. As a volume in the highly successful Methods in Molecular Biology (TM) series, the chapters include brief introductions to the subject, lists of the necessary materials and reagents, step-by-step, readily reproducible laboratory protocols, and Notes sections containing priceless tips on troubleshooting and avoiding known pitfalls. Comprehensive and cutting-edge, "HIV Protocols, Second Edition" is an ideal guide to the wide array of techniques used in fundamental or applied research into the biology and pathogenesis of HIV-1.

Following the development of anti-retroviral therapies (ARVs), many people affected by HIV in the 1980s and 1990s have now been living with the condition for decades. Drawing on perspectives from leading scholars in Bangladesh, Canada, Hong Kong, New Zealand, Switzerland, Ukraine, the UK and the US, as well as research from India and Kenya, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life. Contributions consider the impacts of stigma, barriers to intimacy, physiological sequelae, long-term care, undetectability, pleasure and biomedical prevention (TasP and PrEP). With the increasing global availability of ARVs and ageing populations, this book offers essential future directions, practical applications and implications for both policy and research.

Urban Action Networks is a study of how communities organize in response to threats to their lives and well being. As HIV/AIDS wreaked havoc on the worlds of some of the most marginal and disenfranchised people in New York, they came together to create a shared response, forming a new organizational field within which their various efforts were coordinated. This book traces the interorganizational processes by which the groups negotiated shared meanings, collective strategies, and a complex, shifting set of relations with local and national government. It covers the first decade of AIDS, when the organized community groups actively set the agenda. How the communities of the most affected people organized, reorganized, and redefined the social and political context of HIV/AIDS offers an encouraging glimpse into the way in which marginal communities can convert shared needs into collective action.

The Face of AIDS film archive at Karolinska Institutet, Sweden, consists of more than 700 hours of unedited and edited footage, shot over a period of more than thirty years and all over the world by filmmaker and journalist Staffan Hildebrand. The material documents the HIV/AIDS pandemic and includes scenes from conferences and rallies, and interviews with activists, physicians, people with the infection, and researchers. It represents a global historical development from the early years of the AIDS crisis to a situation in which it is possible to live a normal life with the HIV virus. This volume brings together a range of academic perspectives - from media and film studies, medical history, gender studies, history, and cultural studies - to bear on the archive, shedding light on memories, discourses, trauma, and activism. Using a medical humanities framework, the editors explore the influence of historical representations of HIV/AIDS and stigma in a world where antiretroviral treatment has fundamentally altered the conditions under which many people diagnosed with HIV live. Organized into four sections, this book begins by introducing the archive and its role, setting it in a global context. The first part looks at methodological, legal and ethical issues around archiving memories of the present which are then used to construct histories of the past; something that can be particularly controversial when dealing with a socially stigmatized epidemic such as HIV/AIDS. The second section is devoted to analyses of particular films from the archive, looking at the portrayal of people living with HIV/AIDS, the narrative of HIV as a chronic illness and the contemporary context of particular films. The third section looks at how stigma and trauma are negotiated in the material in the Face of AIDS film archive, discussing ideas about suffering and culpability. The final section contributes perspectives on and by the filmmaker as activist and auteur. This interdisciplinary collection is placed at the intersection of medical humanities, sexuality studies and film and media studies, continuing a tradition of studies on the cultural and social understandings of HIV/AIDS.

Contemporary feminist theory has moved into posthuman terrains as feminist theorists utilise human/nonhuman relations and a motley crew of nonhuman entities to reinvigorate feminist critique of nature/culture dichotomies. But what place is left for sex/gender relations in this move beyond the human? Materialities of Sex in a Time of HIV is written on the cusp of feminist theory of materiality and the analysis of an object at the heart of various sex/gender manifestations - the vaginal microbicide. Vaginal microbicides are female-initiated HIV prevention methods (currently tested in clinical trials) designed as creams, rings, gels and sponges that women can insert vaginally before having sex to protect themselves against HIV infection. The microbicide is developed as a tool for women's empowerment in the HIV epidemic, but what happens to feminist ideals when they materialise through biomedical practice? This book provides an analysis of the field of microbicide development to articulate the complexity of its promise and material effects; and utilises the microbicide as an analytical ally in a provocative debate with contemporary feminist theory.

Brazil has occupied a central role in the access to medicines movement, especially with respect to drugs used to treat those with the human immunodeficiency virus (HIV) that causes the acquired immune deficiency syndrome (AIDS). How and why Brazil succeeded in overcoming powerful political and economic interests, both at home and abroad, to roll-out and sustain treatment represents an intellectual puzzle. In this book, Matthew Flynn traces the numerous challenges Brazil faced in its efforts to provide essential medicines to all of its citizens. Using dependency theory, state theory, and moral underpinnings of markets, Flynn delves deeper into the salient factors contributing to Brazil's successes and weaknesses, including control over technology, creation of political alliances, and instrumental use of normative frameworks and effectively explains the ability of countries to fulfill the prescription drug needs of its population versus the interests and operations of the global pharmaceutical industry Pharmaceutical Autonomy and Public Health in Latin America is one of the only books to provide an in-depth account of the challenges that a developing country, like Brazil, faces to fulfill public health objectives amidst increasing global economic integration and new international trade agreements. Scholars interested in public health issues, HIV/AIDS, and human rights, but also to social scientists interested in Latin America and international political economy will find this an original and thought provoking read.

Originally published in 1997, Aids and Adolescents provided an insight into a wide range of adolescent issues which were rarely compiled in one volume at the time. Much of the HIV epidemic response had been at the individual level in the hope that this narrow focus would provide the key to containment and resolution of spread. However, over the ten years since the epidemic had taken hold, it was clear that paradigms were limited, input was uncritical and large cohorts were overlooked. In this text a series of contributions have been compiled to explore adolescent issues ranging from sexual behaviour and health education campaigns to HIV prevention and HIV/AIDS care. The chapters begin by giving an overview of adolescent problems, such as homelessness, pregnancy and gender, and explore why these problems are so often overlooked. We then move on to an examination of the facts and fictions associated with adolescent risk, challenging some of the basic current notions underpinning approaches to the subject at the time. Also included are particular focused studies of Australian adolescents' beliefs about HIV and STDs and also the American adolescents' perceptions of drug injection. Finally, the volume gives a focused view of those with HIV infection, with a review of findings of the time, neuropsychological and psychological factors. This overview provided some comments on merging issues and future directions. Today it can be read in its historical context.