This guide to the legal aspects of AIDS has been thoroughly revised. Written by experienced legal professionals under the auspices of Britain's major AIDS charity, it addresses areas of the law affected by AIDS, including: insurance, housing, employment, children and young people, and immigration. It examines all the legal needs of people with AIDS and HIV infection. The book includes a section on the medico-legal aspects of AIDS (such as antibody testing and the subject of informed consent) and a chapter on the legal and practical steps towards setting up a voluntary or charitable organization. Concise and accessible, this guide should be useful to counsellors, health and social workers, lawyers, welfare agency advisors and anyone who needs a legal rights guide to AIDS.

As the HIV epidemic moves into its fourth decade, it is clear that the global response has failed to adequately address the needs of a wide range of vulnerable populations and groups. Chief among these are gay, bisexual and other men who have sex with men, and transgender persons, who globally face the disproportional burden of HIV infection. This volume rethinks HIV prevention and health promotion for sexual and gender minorities - in both the industrialised societies of the West, as well as in the developing nations of the Global South. The chapters it contains offer a critical analysis of past and present HIV research employing categories to designate gay and other men who have sex with men, transgender persons, and/or other persons and communities with diverse gender and sexual identities. Contributors question the politics of many of the existing classifications and categories in HIV research and argue for a more sophisticated analysis of gender and sexual diversity in order to tackle the social and political barriers that impede the design of successful HIV prevention and health promotion approaches. This book was originally published as a special issue of Global Public Health.

In 1989, the First International Symposium on Cytokines in Hemopoiesis, Oncology, and AIDS was held in Hanover, FRG. Since then there has been an explosion of knowledge in this field. New cytokines have been discovered, on which data are presented in this book, and receptors have already been cloned for many cytokines. In clinical application, some cytokines such as TNF have almost completely left the stage, but this may not be for ever. Enormous progress has been made in the field of hemopoietic growth factors, for which clinical studies from phase I to phase III have been conducted, and some of which have even been registered for routine use. In spite of this rapid development our knowledge of how to clinically exploit the effects of cytokines is very limited and lies far behind the advances made in basic research. Even for the hemopoietic growth factors, questions regarding the effect of adjuvant therapy on survival and or on general outcome in chemother apy have still not been answered. Discussion and exchange between those involved in basic science and clinical research is still urgently needed. We hope to successfully contribute to this process by continuing the series proceedings of the International Symposia on Cytokines in Hemopoiesis, Oncology, and AIDS. Hannover, in July 1992 Mathias Freund Hartmut Link Reinhold E. Schmidt Karl Welte List of Contributors Abbadessa, V. Istituto die Clinica Medica III, Centro Interdipartimenta de Ii Ricerche in Oncologia Clinica, 90100 Palermo, Italy Abecassis, M."

The disease that came to be called acquired immunodeficiency syndrome (AIDS) was first identified in the summer of 1981. By that time, nearly 100,000 persons in the United States may have been infected with human immunodeficiency virus (HIV). By the time the routes of transmission were clearly identified and HIV was established as the cause of AIDS in 1983, over 300,000 people may have been infected. That number has continued to increase, with approximately 1,000,000 Americans believed to be infected in 1991. The epidemic is of great public health concern because HlV is infectious, causes severe morbidity and death in most if not all of those infected, and often occurs in relatively young persons. In addition, the cost of medical care for a person with HIV disease is high, and the medical care needs of HIV-infected persons place a severe burden on the medical care systems in many areas. Understanding and controlling the HIV epidemic is a particularly difficult challenge. The long and variable period between HIV infection and clinical disease makes it difficult both to forecast the future magnitude of the epidemic, which is important for health care planning, and to estimate the number infected in the last several years, which is important for monitoring the current status of the epidemic.

AIDS and drug addiction is a topic of great and growing concern. AIDS first appeared among intravenous drug users in Europe in 1984, three years after the first cases were seen among homosexuals. This epidemic has spread more rapidly among intravenous drug users than in any other risk group. The high rates of HIV-1 seroprevalence among drug users in France, Italy, and Spain account for 85% of the total number of AIDS in intravenous drug users in Europe. It is anticipated that HIV-infected drug users will soon place a heavy burden on both drug treatment facilities and specialized health care units. The HIV-1 epidemic will also cross the former iron curtain. This contribution covers the wide and complex scene of drug problems and addiction as a whole. It gives researchers an opportunity to obtain background information on the spread of HIV and AIDS among intravenous drug users as well as on the clinical and psychological effects of HIV-1 infection and AIDS in Europe. The topics reviewed include surveys of intravenous drug use, HIV prevalence, detoxification, risk reduction, changing health behaviors, evaluating AIDS interventions and the impact of methadone maintenance treatment. This monograph will be of value to all clinicians, researchers, and policy makers who are concerned with the connection between intravenous drug use and AIDS.

The untold story in the AIDS crisis is that of the mobilization of the gay community. Bearing Witness is a compelling study of how a community-based initiative--Gay Men's Health Crisis in New York--neutralized the immobilizing power of homophobia and fear of AIDS. From his unique perspective as both a sociologist and volunteer at Gay Men's Health Crisis, Philip Kayal illuminates the social and political meanings of volunteerism by showing how gay/AIDS volunteerism is radical political and religious work.

The clinical and experimental effects of cytokines have been realized for a long time. The clinical effects of tumor necrosis factor were noted almost 100 years ago. The basic biological effects of interferons and the hemopoietic growth factors have been known for more than 20 years. Given the basis of modern molecular biotechniques, information concern ing the mediators of cellular interactions is expanding almost exponentially. New principles in the regulation of cell growth, microenvironment, immune response, and malignancy are being discoverd right now. New therapeutic options are becoming available and have, in some areas, already crossed the threshold of clinical application. However, the way forward might be more complicated than we are in a position to recognize today. Some of the first optimistic expectations have not yet been fulfilled. Nevertheless, we are experiencing a revolution in medicine. To contribute to this process and to stimulate scientific communi in this field, we have initiated the international symposia on cytokines cation in hemopoiesis, oncology and aids. Major contributions from the first sym posium are published in this book. We thank all the authors for their contri butions, particularly those from the Hannover Medical School, who have worked hard to realize the congress and prepare these proceedings. We also thank the pharmaceutical companies whose support made this book possible. Finally we thank Professors Deicher, Poliwoda, and Riehm, heads of the Departments of Hematology and Oncology, Immunology, and Pediatric Hematology and Oncology, respectively, who encouraged us and gave us their firm support."

Biomedical Ethics Reviews is an annual publication designed to review and update the literature on issues of central importance in bioethics today. Ordinarily, more than one topic is discussed in each volume of Biomedical Ethics Reviews. This year, however, we have decided to devote the entire volume of Biomedical Ethics Reviews: 1988 to disussion of one topic, namely, AIDS. The ra tionale for this decision should be clear: AIDS is arguably the most serious public health threat facing our nation today, and the char acter of the disease is such that it creates special problems for ethicists, philosophers, theologians, educators, jurists, health care professionals, and politicians. Indeed, the questions that AIDS gives rise to are so numerous and complex that no one text could hope to treat them exhaustively. Still, if it is impossible, in anyone text, to deal with all of the perplexing difficulties that AIDS generates, it nevertheless remains true that each addition to the AIDS literature contributes to our collective knowledge, and in so doing, brings us one step closer to resolving at least some of the problems associated with the disease. We believe that the articles included in the present volume of Biomedical Ethics Reviews serve this purpose admirably, and we hope the reader will agree. James M. Humber Robert F. Almeder vii Contributors Ronald Carson * Medical Humanities Institute, University of Texas Medical Branch, Galveston, Texas David J.

Information forms the basis for education, and currently education is the only weapon available to stem the spread of HIV/AIDS and to foster empathy toward individuals already affected by the disease. HIV/AIDS and Community Information Services provides readers with insight into the information construct within the AIDS arena and how that construct affects the provision of information services to the HIV/AIDS affected population. It will serve as an irreplaceable reference as the number of individuals with AIDS increases, creating a greater demand for information and making that information increasingly difficult to provide.While directories exist to assist with practical approaches to accessing HIV/AIDS-related information, none had served as a comprehensive resource concerning the nature of that information or the provision of information services. HIV/AIDS Community Information Services fills that void. It fosters the enlightenment of the general public concerning the true nature of HIV/AIDS, guides readers in providing information services--both educational and recreational--to individuals affected by HIV/AIDS, and encourages the dissemination of instructional materials to those individuals at risk for infection. In doing so, contributors provide readers with information about: the relationship between AIDS and the body of information concerning the disease the complex nature of HIV/AIDS-related information available HIV/AIDS information services information as a means for empowerment suggestions for future programs, potential collaboration efforts, and innovative servicesAn essential guide for information professionals, librarians, health educators, counselors, members of community-based AIDS service organizations, and individuals affected by HIV/AIDS, HIV/AIDS Community Information Services foster the creation, accession, collection, organization, dissemination, and sharing of information concerning the HIV/AIDS epidemic and promotes the provision of services to individuals already affected by HIV/AIDS.

Over the past two decades, the epidemic of HIV/AIDS has challenged the public health community to fundamentally rethink the framework for preventing infectious diseases. While much progress has been made on the biomedical front in treatments for HIV infection, prevention still relies on behaviour change. This book documents and explains the remarkable breakthroughs in behavioural research design that have emerged to confront this new challenge: the study of partnership networks. Traditionally, public health research focused on the "knowledge, attitudes, and practices (KAP)" of individuals, an approach designed for understanding health-related behaviour like seat-belt wearing and cigarette smoking. For HIV and other sexually transmitted infections, however, there are at least two people involved in transmission. This may not seem like a big difference, but in fact it changes everything. First, it means that your risk depends on your partners - and on their partners, and their partners: it depends on your position in the network of partnerships. Consider, for example, the rise of infections among monogamous women. Second, it means that individuals are not free to simply change their behaviour - condom use, or abstinence, needs to be negotiated with a partner. both the epidemiology of risk and constraints to behaviour are therefore a function of the partnership network. And our ability to design effective prevention strategies depends on our ability to measure and summarize that network. Using the traditional research designs, you would not see this network at all - you would only see the unconnected nodes. They key to solving this problem lies in Network Analysis, before now a relatively obscure subfield in Sociology. For empirical studies of networks to become feasible, however, many problems had to be solved. This book documents the rapid progress that has been made. It brings together eight pioneering studies that have sought to map the networks that spread infection around the world. Each chapter reviews the questions that drove the study, the changes in methodology that were needed to implement the network survey, the mistakes and successes encountered, and the central findings that the network design made possible. An introduction provides an overview of network survey design, a glossary provides a summary of network terminology, and example questionnaires from each study provide a template for further research. This is a unique and valuable resource for the international public health research community.

This publication is a multi-authored investigation into HIV reporting in South Africa, and combines journalism with research to present an analysis that is at once broad in its scope and focused on the important issues. What is left unsaid: Reporting the South African HIV epidemic is a collection of work produced by the fellows of the HIV/AIDS & the Media Project, started by Helen Struthers and Anton Harber in 2003. It contains a selection of the best journalism and research produced by the Media Project Fellows, which gives an important insight into the history and key issues of South African health politics and media reporting on HIV in the last decade. The texts range from in-depth quantitative and qualitative research documents to radio and television transcripts and candid interviews. The title's first section contains research and news reporting reflecting on how the media has reported HIV-related issues, while the second section consists of reporting on pertinent aspects of HIV: stigma, denial, disclosure; PMTCT; orphans and vulnerable children; abstinence and faithfulness; and traditional healers. Each half informs and elucidates the other and works to, as journalism should, shine a light on one the world's most pressing concerns, both at the grassroots and higher levels, and give a voice to those whose voices are often not heard against the din of political controversy that surrounds HIV.

Critical health communication scholars point out that the acceptance of HIV risk prevention methods are bound inside inequitable structures of power and knowledge. Nicola Bulled's in-depth ethnographic account of how these messages are selected, transmitted and reacted to by young adults in the AIDS-torn population of Lesotho in southern Africa provides a crucial example of the importance of a culture-centered approach to health communication. She shows the clash between traditional western perceptions of how increased knowledge will increase compliance with western ideas of prevention, and mixed messages offered by local religious, educational, and media institutions. Bulled also demonstrates how structural and geographical forces prevent the delivery and acceptance of health messages, and how local communities shape their own knowledge of health, disease and illness. This volume will be of interest to medical anthropologists and sociologists, to those in health communication, and to researchers working on issues related to HIV.

As the HIV epidemic moves into its fourth decade, it is clear that the global response has failed to adequately address the needs of a wide range of vulnerable populations and groups. Chief among these are gay, bisexual and other men who have sex with men, and transgender persons, who globally face the disproportional burden of HIV infection. This volume rethinks HIV prevention and health promotion for sexual and gender minorities - in both the industrialised societies of the West, as well as in the developing nations of the Global South. The chapters it contains offer a critical analysis of past and present HIV research employing categories to designate gay and other men who have sex with men, transgender persons, and/or other persons and communities with diverse gender and sexual identities. Contributors question the politics of many of the existing classifications and categories in HIV research and argue for a more sophisticated analysis of gender and sexual diversity in order to tackle the social and political barriers that impede the design of successful HIV prevention and health promotion approaches. This book was originally published as a special issue of Global Public Health.

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.

Winner, 2021 Joseph W. Elder Prize in the Indian Social Sciences Winner, 2021 Ruth Benedict Prize, Association for Queer Anthropology Hijras, one of India's third gendered or trans populations, have been an enduring presence in the South Asian imagination-in myth, in ritual, and in everyday life, often associated in stigmatized forms with begging and sex work. In more recent years hijras have seen a degree of political emergence as a moral presence in Indian electoral politics, and with heightened vulnerability within global health terms as a high-risk population caught within the AIDS epidemic. Hijras, Lovers, Brothers recounts two years living with a group of hijras in rural India. In this riveting ethnography, Vaibhav Saria reveals not just a group of stigmatized or marginalized others but a way of life composed of laughter, struggles, and desires that trouble how we read queerness, kinship, and the psyche. Against easy framings of hijras that render them marginalized, Saria shows how hijras makes the normative Indian family possible. The book also shows that particular practices of hijras, such as refusing to use condoms or comply with retroviral regimes, reflect not ignorance, irresponsibility, or illiteracy but rather a specific idiom of erotic asceticism arising in both Hindu and Islamic traditions. This idiom suffuses the densely intertwined registers of erotics, economics, and kinship that inform the everyday lives of hijras and offer a repertoire of self-fashioning beyond the secular horizons of public health or queer theory. Engrossingly written and full of keen insights, the book moves from the small pleasures of the everyday-laughter, flirting, teasing-to impossible longings, kinship, and economies of property and substance in order to give a fuller account of trans lives and of Indian society today.

Sexual Cultures and Migration in the Era of AIDS is the first demographic anthropological study of what happens to sexual behaviour and the rules of risk-taking in sexual encounters when people migrate from countryside to city, from one city to another, or from one country to another culture. It represents a milestone in the study of cross-cultural sexuality and sexually transmitted diseases. At the foreground of the study are commercial sex and prostitution, sexual tourism, heterosexual marriage and social pressure, and homosexuality and bisexuality in emerging sexual cultures. The volume brings together quantitative and qualitative case studies by an international panel of anthropologists, demographers, and sociologists aimed at better understanding the impact of human movement and mobility on sexual change and fertility.

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.

The AIDS crisis reshaped life in Los Angeles in the 1980s and 1990s and radicalized a new generation of queer Asian Americans with a broad vision of health equity and sexual freedom. Even amid the fear and grief, Asian American AIDS activists created an infrastructure of care that centered the most stigmatized and provided diverse immigrant communities with the health resources and information they needed. Without a formal blueprint, these young organizers often had to be creative and agitational, and together they reclaimed the pleasure in sex and fostered inclusivity, regardless of HIV status. A community memoir, Love Your Asian Body connects the deeply personal with the uncompromisingly political in telling the stories of more than thirty Asian American AIDS activists. In those early years of the epidemic, these activists became caregivers, social workers, nurses, researchers, and advocates for those living with HIV. And for many, the AIDS epidemic sparked the beginning of their continued work to build multiracial coalitions and confront broader systemic inequities. Detailing the intertwined realities of race and sexuality in AIDS activism, Love Your Asian Body offers a vital portrait of a movement founded on joy.

This book argues that the AIDS pandemic is an international security issue because of its impact on the armed forces in Africa, and because of the growing social, political, and economic challenges that it is generating for state stability in the worst affected countries. The international community must devote more resources and more sustained efforts towards addressing the global AIDS pandemic.

***SHORTLISTED FOR THE RSL CHRISTOPHER BLAND PRIZE 2023*** 'I read the book in one go. I laughed and cried like a baby, and was transported back to a time of innocence, clouded by the enormity of the harsh reality . . . Just amazing' CATHERINE ZETA JONES 'As it happens, I was also a Jill in the eighties - but not half as good a Jill as real Jill' DAWN FRENCH 'Jill met the crisis head on . . . She held the hands of so many men. She lost them, and remembered them, and somehow kept going' RUSSELL T DAVIES A heartbreaking, life-affirming memoir of love, loss and cabaret through the AIDS crisis, from IT'S A SIN's Jill Nalder When Jill Nalder arrived at drama school in London in the early 1980s, she was ready for her life to begin. With her band of best friends - of which many were young, talented gay men with big dreams of their own - she grabbed London by the horns: partying with drag queens at the Royal Vauxhall Tavern, hosting cabarets at her glamorous flat, flitting across town to any jobs she could get. But soon rumours were spreading from America about a frightening illness being dubbed the 'gay flu', and Jill and her friends now found their formerly carefree existence under threat. In this moving memoir, IT'S A SIN's Jill Nalder tells the true story of her and her friends' lives during the AIDS crisis -- juggling a busy West End career while campaigning for AIDS awareness and research, educating herself and caring for the sick. Most of all, she shines a light on those who were stigmatised and shamed, and remembers those brave and beautiful boys who were lost too soon. 'Thank God for people like [Jill] . . . I cannot recommend this book highly enough' MICHAEL BALL 'An engaging, moving account' TIMES SATURDAY REVIEW 'Simultaneously devastating and uplifting' GRAZIA 'Engrossing, heart-breaking and inspiring' MATT CAIN

The care paradigm for people with HIV has shifted from managing progressive illness with a poor prognosis to managing a chronic condition. Despite this improvement, people living with HIV continue to experience considerable stresses, so promoting their holistic wellbeing is a key aspect of long-term care. This book provides an accessible introduction for healthcare professionals who work with people living with HIV. It is designed to help readers understand how care in practice can be more person-centred and psychologically focused, whilst promoting compassion, health and wellbeing. Topics covered include self-awareness, attachment theories and communication as well as key aspects of providing care for people living with HIV, such as stigma in young adults, neurocognitive issues, the sexualized use of drugs, managing neuropathic pain, and the needs of older adults living with HIV. Invaluable reading for health professionals working within multidisciplinary teams that provide care for people living with HIV, this book is also a core text for those studying in the area.

In 1992, Dr. Ross A. Slotten had the dubious distinction of signing more death certificates in the city of Chicago--and, by inference, the state of Illinois--than any other physician. As a family physician, he trained to care for patients from birth to death, but when he completed his residency in 1984, he had no idea that many of his future patients would be cut down in the prime of their lives. Among those patients were close friends, colleagues, and former lovers, who were shunned by most of the medical community because of their sexual orientation and HIV-positive status. Slotten wasn't an infectious disease specialist, but because of his unique position as a gay man and a young physician, he became an unlikely pioneer, swept up in the maelstrom of one of the greatest epidemics in modern human history. In Plague Years, Slotten offers a unique first-person account of the HIV/AIDS epidemic, drawing from private journals and notes from his thirty-plus years of practice. Spanning not just the city of Chicago, but four continents as well, Plague Years provides a comprehensive portrait of the epidemic, from its mystery-riddled early years through the reckless governmental responses of the United States and other nations that led to legions of senseless deaths and ruined lives to the discoveries of life-saving drug cocktails that transformed the disease into something potentially manageable. Unlike most other books on the subject, Slotten's story extends to the present day, when prevention of infection for those at risk and successful treatment of those already infected offer a ray of hope that HIV/AIDS can be stopped in its tracks. Alternating between Slotten's reactions to the crisis as a gay man and the demanding toll the disease took on his career and the world around him, Plague Years sheds light on some of the darkest hours in the history of the LGBT community in a way that no previous medical memoir has.