Neurological complications of progressive HIV-1 infection remain a common cause of morbidity even during widespread use of antiretroviral therapy (ART). Long-term resistance to ART, drug compliance, untoward drug side effects, a myriad of opportunistic infection, depression and other psychiatric disease manifestations, concomitant drug abuse, neuropathies, and an inability to clear viral reservoirs, explain, in large measure, disease progression and immune deterioration. These are associated with a number of psychiatric, muscle, nerve, infectious, as well as cognitive, behavioral, and motor disturbances seen in infected people. Fully updated from the previous two editions and replete with color images, The Neurology of AIDS, Third Edition covers each of these neurological complications and more with a focus on molecular and viral disease processes, cellular factors influencing viral replication therapeutic challenges, and the changing epidemiological patterns of disease. From basic science to clinical care, to epidemiological disease patters, The Neurology of AIDS is the only complete textbook available on AIDS neurology and the only one comprehensive enough to stand alone in each segment of study in brain disorders affected by the human immunodeficiency virus. It is an indispensable resource for students, resident physicians, practicing physicians, and for researchers and experts in the HIV/AIDS field.

In the mid-1980s public health officials in North America, Europe, Japan, and Australia discovered that almost half of the haemophiliac population, as well as tens of thousands of blood transfusion recipients, had been infected with HIV-tainted blood. This book provides a comparative perspective on the political, legal, and social struggles that emerged in response to the HIV contamination of the blood supply of the industrialized world. It describes how eight nations responded to the first signs that AIDS might be transmitted through blood, how early efforts to secure the blood supply faltered, and what measures were ultimately implemented to resolve the contamination. The authors detail the remarkable mobilization of haemophiliacs who challenged the state, the medical establishment, and their own caregivers to seek recompense and justice. In the end, the blood establishments in almost all the advanced industrial nations were shaken. In Canada, the Red Cross was forced to withdraw from blood collection and distribution. In Japan, pharmaceutical firms that manufactured clotting factor agreed to massive compensation -- $500,000 per haemophiliac infected. In France, blood officials went to prison. Even in Denmark, where the number of infected haemophiliacs was relatively small, the struggle and litigation surrounding blood has resulted in the most protracted legal and administrative conflict in modern Danish history. Blood Feuds brings together chapters on the experiences of the United States, Japan, France, Canada, Germany, Denmark, Italy, and Australia with four comparative essays that shed light on the cultural, institutional, and economic dimensions of the HIV/blood disaster.

"It has long been a belief of the feminist academic community that personal voices and experiences must be validated and heard. This volume succeeds admirably in being true to that tradition."--"Canadia HIV/AIDS Policy and Law Newsletter"

Women now account for the majority of all new HIV/AIDS cases diagnosed in the United States. Yet, the resources allotted to women for research, health services, education, and outreach remain woefully inadequate. The Gender Politics of HIV/AIDS in Women fills crucial gaps in understanding the specific effects of HIV and AIDS on and in women's lives. It takes as its starting point the premise that it is vitally important for researchers, teachers, health service providers, public policy makers, and community-based organizers to begin taking gender-- especially as it intersects with race, class, and sexuality-- into consideration as they work with HIV-infected women.

The first comprehensive, interdisciplinary volume on this topic, The Gender Politics of HIV/AIDS in Women goes beyond tokenism, with a contributor's list made up of approximately 45% people of color, including African Americans, Latinos/as, Asian Americans and Pacific Islanders, and Native Americans. The volume emphasizes marginalized populations such as the homeless, sexworkers, youth, the elderly, intravenous drug users, transgendered people, lesbians, bisexuals, incarcerated women, and victims of sexual abuse and domestic violence.

The contributors, including Evelyn Hammonds, Risa Denenberg, Michelle Murrain, and Paul Farmer, are recognized experts in their diverse fields. From their posts at the center of the pandemic--in the laboratory, the academy, clinics, and communitybased organizations--they criticize blind spots in the recognition and treatment of HIV in women and articulate accessible and practical solutions to specific areas of difficulty.

Despite enormous efforts, over 100,000 papers and over $22 billion spent by the US taxpayer alone, the HIV-AIDS hypothesis has failed to produce any public health benefits, no vaccine, no effective drug, no prevention, no cure, not a single life saved. Is the science system to be blamed? Has science failed to reveal the truth about AIDS? In AIDS: Virus or Drug Induced?, two dozen scientists, scholars and journalists have investigated the status quo of AIDS research. Most of them have questioned the HIV-AIDS hypothesis before, but have since been censored, and sociologically excluded from AIDS research, politics and journalism. Here they are united for the first time to put on trial the HIV-AIDS hypothesis. There are those who acquit HIV entirely. Others who make a case for HIV as a necessary, but not a sufficient cause of AIDS. And one medical scientist who, together with the huge AIDS literature, defends the hypothesis that HIV is sufficient to cause AIDS. The book convincingly reveals that the scientific method could very well find a solution to AIDS, but only if ideas can be exchanged freely and if the HIV monopoly can be broken. AIDS: Virus or Drug Induced? illustrates that the solution to AIDS could be as close as one of several, very testable and very affordable alternatives to the unproductive HIV-AIDS hypothesis.

For gay men, the demands of the AIDS epidemic are enormous and unrelenting. Regardless of HIV status, all are called on to maintain vigilant safety with sex, to face down a cultural stigma greater even than homophobia, and to somehow find a way to go forward in a world heavy with loss. As exhaustion and grief threaten to overwhelm the activism and optimism of earlier years, and with new infections on the rise among young gay men, the challenge of finding meaning in a world turned upside down is more than an idle philosophical exercise. It is a matter of psychological and perhaps even physical survival.
In this poignant and uncompromising new book, Dr. Steven Schwartzberg offers a ground-breaking perspective on how gay men (and particularly HIV-positive gay men) find ways to rebuild a world of meaning amid the trauma and uncertainty of the AIDS crisis. Eschewing both glib prescriptions for turning tragedy into triumph, and theoretical abstractions, Schwartzberg grounds his insights in his own experiences as a gay man and as a practicing psychotherapist, and in in-depth interviews with nineteen men living with HIV. Ranging in age from twenty-seven to fifty, the men include a construction foreman, a physician, an art historian, a waiter, a librarian, and a licensed massage therapist. With candor, insight, eagerness, and a remarkable ability to share of themselves, they speak eloquently about how HIV has affected their views of the world, their senses of themselves, and how they live their lives. Interweaving the men's stories with observations from his research and clinical practice, Schwartzberg bears witness to the remarkable transformations some men have accomplished, and the anguish of meaninglessness that weighs others down. He strives to uncover why some view HIV as a catalyst for change or growth, while others see it only as punishment. And though he passes no judgment on the coping strategies he describes, Schwartzberg does insist on the vital necessity of balancing somber reality with healing, life-sustaining hope. He argues that men who opt for too much illusion and too little reality risk shoddy self-care and inadequate preparation for the future, while those who find no escape from reality may teeter into rage or suicidal despair.
Beautifully written, with piercing awareness of the enormity of the challenges confronting individuals with HIV, this book celebrates the resilience of the human spirit. It is both a keen psychological guide and an elegiac chronicle of what life for many has become. Gently pointing the way to an oasis of growth, strength, and love that exists amid the epidemic's bleak terrain of loss, it is essential reading for people living with HIV, for their friends, families, and the mental health professionals who care for them, and for all gay men grappling with the enormous changes AIDS has brought to a community under siege.

Facing up to AIDS is a novel and incisive study of a global plague which continues to threaten to engulf South Africa at this crucial moment in its history. Economists, demographers and health planners present a range of new methods of understanding the likely course of the disease, drawn from the most recent research and thinking by social scientists on the relationship between epidemic disease, economic growth and human resources. South Africa presents a unique opportunity for understanding AIDS, combining as it does Third World problems with a sophisticated infrastructure: the models of demographic projection and economic linkages which are explored here will be of major relevance for examining the socio-economic impact of AIDS in a range of countries in Asia and Latin America. Until medical science comes up with a miracle vaccine, the modification of behaviour is the only defence, and the essays in this volume make a powerful case for putting further resources into the research needed to bring this about.

What does it mean to oppose AIDS, to be at odds with AIDS? What kind of rupture with history does AIDS represent? How does AIDS and what is said about AIDS relate to gay identity? How does AIDS relate to thinking and acting, particularly deconstructive thinking? The author confronts these questions from a broad philosophical background that ranges from Kant, Nietzsche, Kierkegaard, and Heidegger to contemporary thought concerning gay activism and AIDS research, all brought together in an effort to find a philosophical language capable of doing justice to the singularity of lived experience in the shadow of AIDS.
In examining what AIDS reveals about the conditions of existence, Garcia Duttmann develops the idea of the "dis-unity" or "at-odds-ness" of existence, of the "non-belonging" that characterizes the marginalized, outcast, or abandoned, and exposes human existence itself. He analyzes what AIDS reveals about the character of history through two intertwined issues. First, he examines arguments bearing on the epochal significance of AIDS, the idea that AIDS reveals something uniquely characteristic of our time, hence that the epidemic marks a historical caesura. Second, he develops a theory of historical witnessing suggesting that the phenomena of historical event and bearing witness are not at all separate, but instead are co-originary, inhering in the same complex.

As HIV/AIDS continue to plague societies around the world, more and more social workers encounter HIV-infected individuals and their families and friends who are searching for help and support. In HIV and Social Work: A Practitioner's Guide, experienced social workers share their practice wisdom, knowledge, and skills on a broad range of issues. Their words of wisdom will give you the willingness to follow problems through and the flexibility and creativity that are required when dealing with issues concerning HIV/AIDS. At the same time, you will achieve a sense of empowerment and optimism as you realize that there are things you can do--very specific kinds of help you can offer--that can make an enormous difference in the lives of people with HIV/AIDS and those who love and care for them.

HIV and Social Work is a practical, user-friendly resource for social workers who practice in a variety of settings and fields. You'll find it a rich and useful book if you're moving into HIV/AIDS work and want guidance, or if you're experienced and want to sharpen your skills, or if you just want to be prepared for when you find people with HIV or their family members in your office in need of help. Specifically, you'll gain valuable insight about:

basic psychosocial interventions for people with HIV/AIDS

in-depth practical suggestions for specific problem areas and specific groups of people with HIV/AIDS

better listening skills

how to know your own limitations and live your own life more fully in the face of sadness

the importance and challenge of returning to fundamental social work skills

You'll refer to HIV and Social Work time and time again as you confront new HIV-related situations in your practice for which you need easy-to-understand descriptions of what to do and how to do it. Acknowledging your busy schedule, the book is organized so that you may use it on a “knowledge as needed” basis or read it straight through. Written specifically by and for social workers, HIV and Social Work is highly recommended as required reading in social work programs at the Bachelor's and/or Master's levels.

Table of Contents

Contents

About the Editors Contributors

Foreword

Preface

Acknowledgments

Section I: Introduction

Essential Facts Every Social Worker Needs to Know

Getting Started: Basic Skills for Effective Social Work with People with HIV

Multicultural Competence

Back to the Future: Survival, Uncertainty, and Hope

Section II: Practice Settings

Case Management in AIDS Service Settings

Part A: Services in Health Settings

Discharge Planning in Acute Care

Involving Family and Significant Others in Acute Care

Bereavement Work in the Acute Care Setting

Involving Families in Hospice and Home Care

Bereavement Work in Hospice and Home Care

Helping a Person with HIV/AIDS Get into Clinical Trials

Helping a Person with HIV/AIDS Prepare a Power of Attorney and a Living Will

Part B: Services in Mental Health Settings

Individual Clinical Issues

Disrupted Dialogues: Working with Couples

Clinical Issues in Groups for HIV-Infected Individuals

Clinical Issues for Families

HIV Risk Assessment in Mental Health Settings

Ethical Issues in Clinical Practice

HIV in Private Practice

Identifying and Treating HIV-Associated Dementia

Organizing Support Groups for People Affected by HIV

Section III: People in Special Circumstances

Addressing HIV Risks with Clients Who Use Drugs

Part A: Services for Children and Families

Counseling Parents and Children with HIV

Helping a Parent with HIV Tell His or Her Children

Talking with Parents About Creating a Legacy for Their Children

Talking with Parents About Permanency Planning

Working with Children with HIV in Day Care, Elementary, and Secondary Schools

Talking to Women with HIV About Childbearing Issues

Part B: Services for Special Populations

Services to Adolescents

Services to People with HIV in the Workplace

Providing Service to Gay Men

Providing Services to HIV-Positive Women

Providing Services to Elderly People with HIV

Social Work Practice with HIV-Positive People in Rural Settings

Providing Services to People with Preexisting Mental Illness

HIV Services in Correctional Facilities: Negotiating a Complex Environment

Section IV: Economic Supports and Housing

Economic Supports and Advocacy

Housing for People with HIV

Section V: Caring for the Professional Caregiver

Caring for Ourselves: Understanding and Minimizing the Stresses of HIV Caregiving

Meeting the Emotional Needs of Health Care Providers

Changing the System: Don't Mourn. . . Organize!

Index

Reference Notes Included

What does it mean to oppose AIDS, to be at odds with AIDS? What kind of rupture with history does AIDS represent? How does AIDS and what is said about AIDS relate to gay identity? How does AIDS relate to thinking and acting, particularly deconstructive thinking? The author confronts these questions from a broad philosophical background that ranges from Kant, Nietzsche, Kierkegaard, and Heidegger to contemporary thought concerning gay activism and AIDS research, all brought together in an effort to find a philosophical language capable of doing justice to the singularity of lived experience in the shadow of AIDS.
In examining what AIDS reveals about the conditions of existence, Garcia Duttmann develops the idea of the "dis-unity" or "at-odds-ness" of existence, of the "non-belonging" that characterizes the marginalized, outcast, or abandoned, and exposes human existence itself. He analyzes what AIDS reveals about the character of history through two intertwined issues. First, he examines arguments bearing on the epochal significance of AIDS, the idea that AIDS reveals something uniquely characteristic of our time, hence that the epidemic marks a historical caesura. Second, he develops a theory of historical witnessing suggesting that the phenomena of historical event and bearing witness are not at all separate, but instead are co-originary, inhering in the same complex.

This book offers detailed ethnographic studies from African and the Caribbean to explain AIDS in a global and comparative third-world context. The essays move beyond medical or epidemiological models, explaining the epidemic in its economic, social, political, and historical contexts.

Many of the questions related to the treatment of drug addiction originate from the confusion that still characterizes this issue, even though biology is irreversibly changing our outlook on the physiology and psychopathology of the mind. In fact, prejudices stemming from the archaic concept of mind-body dualism are so difficult to eradicate that even a skilled psychiatrist may find it hard to distinguish a psychiatric symptom from a socially transgressive behavior. The dilemma becomes even more salient for drug addiction, since many of the substances which induce abuse and dependence are illegal, and their production, trade and use are forbidden by law. If the use of heroin is connoted as a crime, it may become controversial to recognize its chronic sequelae as a disease. Hence, withdrawal symptoms may alternatively be attributed to drug effects, or labelled as immoral attitudes arising from a vicious personality. However, the physician's judgement, which has to be merely instrumental at improving the patient's quality of life, should never be influenced by such complex setting. In fact, the only concern of the physician must be that of ascertaining the causes of symptoms and of removing them: if symptoms are induced by the toxic effect of a drug, he has to use the most effective antidote, and then proceed towards a detoxification; if they are due to withdrawal, a substitutive substance should be given initially. In the case of narcotics, substitutive therapy on a maintenance basis may become mandatory.

Sexually Transmitted Diseases and AIDS covers all aspects of these diseases with extensive inclusion of dermatological conditions. The multiple choice questions and answers have been compiled by a highly experienced group of clinicians and researchers from two major STD/AIDS centres in the UK. These MCQs aim to help readers learn in an easy, effective and enjoyable way. The book is intended to make them think, to test themselves and check the standard of their knowledge in order to pass exams as well as to improve their clinical practice for their patients. It will be of use to all those in training in sexually transmitted diseases, doctors and nurses alike. The questions have been refined by representatives of these groups to provide interesting questions to test knowledge to different standards, whether to satisfy their own curiosity or their examiners'. It will be particularly helpful to those sitting examinations such as MRCP, MBBS, DipGUM as well as those attending specialist STD or AIDS courses.

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.

This comprehensive introduction to the problem of AIDS lays out the medical facts and social epidemiology of the disease and illuminates the complex social problems this disease poses for the United States and other nations. Each chapter introduces a key sociological approach that clarifies how social scientists understand and explain important social dimensions of the AIDS epidemic. The authors use of historical comparisons with other deadly epidemics sets in relief the social problems presented by AIDS today. AIDS has become the most vexing medical crisis of our time. But the social aspects of the epidemic are just as complex as the biomedical aspects of the disease, sharing sociological characteristics with the Black Death, cholera, and other devastating epidemics of earlier eras.This comprehensive introduction to the problem of AIDS lays out the medical facts and social epidemiology of the disease and illuminates the complex social problems this disease poses for the United States and other nations. Each chapter introduces a key sociological approach that clarifies how social scientists understand and explain important social dimensions of the AIDS epidemic. The authors use of historical comparisons with other deadly epidemics sets in relief the social problems presented by AIDS today.

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.

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 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."

Plague. The word itself is like a blow, connoting misery, miasma and death. Plague takes many forms: influenza, typhus, cholera, the Black Death, and, recently, AIDS. AIDS has reminded us that epidemic infectious disease is not simply a historical phenomenon--or one limited like famine to remote continents --and is a vivid and painful illustration of how epidemics take place at a number of levels --biological event, social perception, collective response, and, finally, the individual, the existential and the moral.

"In Time of Plague"examines the many ways in which catastrophic infectious and contagious diseases are both biologically and socially defined. In the politically charged age of AIDS, "In Time of Plague" analyzes what past epidemics tell us about this new, deadly virus: How has the definition of disease differed throughout history? How have new technologies and advances in epidemiology changed our perception and response to disease? When has quarantine been appropriate or effective? What norms should govern our thinking about responsibility, culpability, legality, and confidentiality? What does society owe the victims? What, in turn, are the responsibilities of the carrier population?

Featuring essays by such distinguished scholars as Lewis Thomas, Joshua Lederberg, Dorothy Nelkin, Sander Gilman, Barbara Guttmann Rosenkrantz, Baruch S. Blumberg, George Kateb, and David A. J. Richards, among others, from a wide range of disciplines, this work seeks to answer some of these pressing questions.

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.

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.

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.

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.

Health of HIV Infected People: Food, Nutrition and Lifestyle with Antiretroviral Drugs provides basic and applied knowledge on the supportive roles of bioactive foods, exercise, and dietary supplements on HIV/AIDS patients receiving antiretroviral drugs. Approaches include the application of traditional herbs and foods aiming to define both the risks and benefits of such practices. Readers will learn how to treat or ameliorate the effects of chronic retroviral disease using readily available, cheap foods, dietary supplements, and lifestyle changes with specific attention to the needs of patients receiving antiretroviral drugs. This work provides the most current, concise, scientific appraisal of the efficacy (or lack thereof) of key foods, nutrients, dietary plants, and behavioral shifts in preventing and improving the quality of life of HIV infected infants and adults, while also giving the needed attention to these complex and important side effects.