In 1998, approximately 30 million people worldwide were living with HIV/AIDS, about 5 million of whom became infected that year. The epidemic continues to expand, with an estimated doubling time of 10 years, making AIDS the leading infectious cause of death ahead of tuberculosis and malaria. Even in the U.S.A. where the death rate from AIDS is declining as a result of effective drug therapies, HIV infection rates continue to climb in several population groups. The prevalence of AIDS among people over the age of 50 is steadily increasing, and most older people are unprepared to address it for a number of reasons, including the widespread discomfort with matters sexual and homosexual and the belief that elderly people are not sexually active and therefore not at risk.
This guide for care providers seeks to educate and inform readers about the difficulties and complications that accompany the disease in older people. Thus, while the appendix includes technical descriptions of methodology, data, and results, the narratives in the chapters describing the findings and their practical implications are written in layman's language. Topics covered include biomedical aspects, demographics, sexuality, stressors, mental health, older women, and patient care, all of which are supported by case studies.

This title draws together the statistics and analyses on the impacts of the HIV/AIDS epidemic on the children of South Africa and provides an discussion of current interventions and their effectiveness to address the situation. This title has three main aims. One is to analyse the imipacts of the HIV/AIDS epidemic upon the children of South Africa, with a focus on the health, welfare and education implications. Another is to examine the responses of famlies, communities, civil society and especially governments to the crisis confronting the children. Impacts and interventions critiques those responses and offers alternatives which may assist in ameliorating the impacts on children.

"[A]n important book not only for the now but for the future of this epidemic and those to come."—Dr. Robert Gallo

When scientists proved in 1984 that HIV causes AIDS, a vaccine race spun into action. But the sprint to develop an AIDS vaccine now more closely resembles a crawl. Jon Cohen elucidates the forces that have hindered the search: unforeseen scientific obstacles, clashing personalities, the uncertain marketplace, haphazard political organization, and serious ethical dilemmas. Beyond a powerful critique, Cohen also offers specific recommendations for accelerating the effort. 6 pages of b/w photographs.

"Meticulously researched, cogently argued, and highly readable...the most important AIDS book since...And the Band Played On."—Seth Berkley, The International AIDS Vaccine Initiative

"[Cohen's] intimate knowledge of the thinking and personalities of the major players,... uniquely captures the real drama of science."—Barry R. Bloom, Harvard School of Public Health

"A wake-up call, a must-read for policy makers, scientific leaders, and everyone who is working to stop AIDS."—Bill Gates Sr., Bill & Melinda Gates Foundation

Over the past five centuries, waves of diseases have ravaged and sometimes annihilated Native American communities. The latest of these silent killers is HIV/AIDS. The first book to detail the devastating impact of the disease on Native Americans, Killing Us Quietly fully and minutely examines the epidemic and its social and cultural consequences among three groups in three geographical areas. Through a series of personal narratives, the book also vividly conveys the terrible individual and emotional toll the disease is taking on Native lives. Exploring Native urban, reservation, and rural perspectives, as well as the viewpoints of Native youth, women, gay or bisexual men, this study combines statistics, Native demography and histories, and profiles of Native organizations to provide a broad understanding of HIV/AIDS among Native Americans. The book confronts the unique economic and political circumstances and cultural practices that can encourage the spread of the disease in Native settings. And perhaps most important, it discusses prevention strategies and educational resources. A much-needed overview of a national calamity, "Killing Us Quietly" is an essential resource for Natives and non-Natives alike.

The face of AIDS at the end of the twentieth century is just as likely to belong to the homeless, the drug users, the poor and forgotten members of society as it is to gay men. Invisible to much of society and without the resources (political, emotional, and financial) to get help, these are the patients who end their days at the Spellman Center at St. Clare's Hospital in New York's Hell's Kitchen. But even in this carkest circumstance, in Spellman's chaotic and filthy hallways, redemption happens, life is reborn.

Daniel Baxter, who cared for the marginalized patients in conditions symbolic of their station in life, provides readers with an unprecedented profile of AIDS. Offering gritty details from his three-and-a-half years at Spellman, Baxter also passes along his memories of the hope that rises from AIDS's ashes -- the loving gesture where there was only hate, the lucidity where there was only confusion, the emotional connection where there was only alienation. Baxter tells the stories of patients living each day with grace in a place where people find a reason to care.

This is an examination of the Caribbean AIDS epidemic.

..". a coherent and fascinating social analysis of AIDS-related knowledge, examining the social facts of knowledge production and developments interior to communities of science." Medical Humanities Review

..". a multilayered, composite approach that involves multisited ethnographic research in different spheres of the collective responses to AIDS... " Choice

The response to AIDS from various groups in developing knowledge of and about this health crisis is the focus of this revealing work. Rio de Janeiro serves as an observation point for the study of the intersecting worlds of activism, clinical practice, and biomedical research."

This revised and updated edition of the pathbreaking report on the global AIDS epidemic outlines the strategic role that government must play in slowing the spread of HIV and mitigating the impact of AIDS. Drawing on the knowledge accumulated in the 17 years since the virus that causes AIDS was first identified, the report highlights policies that are most likely to be effective in managing the epidemic. These include early actions to minimize the spread of the virus, aiming preventive interventions at high risk groups, and evaluating measures that would assist households affected by AIDS according to the same standards applied to other health issues. This revised edition will a valuable resource for public health, policymakers, researchers, and anyone with an interest in this devastating global health crisis.

When a nursing facility for AIDS patients is planned for a city neighborhood, residents might be expected to respond, "Not in my backyard." But, as Jane Balin recounts in A Neighborhood Divided, when that community is known for its racial and ethnic diversity and liberal attitudes, public reaction becomes less predictable and in many ways more important to comprehend.An ethnographer who spent two years talking with inhabitants of a progressive neighborhood facing this prospect, Jane Balin demonstrates that the controversy divided residents in surprising ways. She discovered that those most strongly opposed to the facility lived furthest away, that families with young children were evenly represented in the two camps, and that African Americans followed a Jewish community leader in opposing the home while dismissing their own minister's support of it. By viewing each side sympathetically and allowing participants to express their true feelings about AIDS, the author invites readers to recognize their own anxieties over this sensitive issue. Balin's insightful work stresses the importance of uncovering the ideologies and fears of middle-class Americans in order to understand the range of responses that AIDS has provoked in our society. Its ethnographic approach expands the parameters of NIMBY research, offering a clearer picture of the multi-faceted anxieties that drive responses to AIDS at both the local and national levels.

When a nursing facility for AIDS patients is planned for a city neighborhood, residents might be expected to respond, "Not in my backyard." But, as Jane Balin recounts in A Neighborhood Divided, when that community is known for its racial and ethnic diversity and liberal attitudes, public reaction becomes less predictable and in many ways more important to comprehend.An ethnographer who spent two years talking with inhabitants of a progressive neighborhood facing this prospect, Jane Balin demonstrates that the controversy divided residents in surprising ways. She discovered that those most strongly opposed to the facility lived furthest away, that families with young children were evenly represented in the two camps, and that African Americans followed a Jewish community leader in opposing the home while dismissing their own minister's support of it. By viewing each side sympathetically and allowing participants to express their true feelings about AIDS, the author invites readers to recognize their own anxieties over this sensitive issue. Balin's insightful work stresses the importance of uncovering the ideologies and fears of middle-class Americans in order to understand the range of responses that AIDS has provoked in our society. Its ethnographic approach expands the parameters of NIMBY research, offering a clearer picture of the multi-faceted anxieties that drive responses to AIDS at both the local and national levels.

Last year, more African Americans were reported with AIDS than any other racial or ethnic group. And while African Americans make up only 13 percent of the U.S. population, they account for more than 55 percent of all newly diagnosed HIV infections. These alarming developments have caused reactions ranging from profound grief to extreme anger in African-American communities, yet the organized political reaction has remained remarkably restrained.
"The Boundaries of Blackness" is the first full-scale exploration of the social, political, and cultural impact of AIDS on the African-American community. Informed by interviews with activists, ministers, public officials, and people with AIDS, Cathy Cohen unflinchingly brings to light how the epidemic fractured, rather than united, the black community. She traces how the disease separated blacks along different fault lines and analyzes the ensuing struggles and debates.
More broadly, Cohen analyzes how other cross-cutting issues--of class, gender, and sexuality--challenge accepted ideas of who belongs in the community. Such issues, she predicts, will increasingly occupy the political agendas of black organizations and institutions and can lead to either greater inclusiveness or further divisiveness.
"The Boundaries of Blackness," by examining the response of a changing community to an issue laced with stigma, has much to teach us about oppression, resistance, and marginalization. It also offers valuable insight into how the politics of the African-American community--and other marginal groups--will evolve in the twenty-first century.

From the leading foundation for AIDS research, a comprehensive guide to help readers understand the complexities of HIV/AIDS and provide the latest information on combination therapy.

The AmFAR AIDS Handbook picks up where other books on AIDS leave off. It is the book you will turn to for a greater understanding of this disease, its causes and effects, and what new treatment options are being developed. How is HIV transmitted? When should antiviral treatment begin? Should treatment ever be stopped? How do protease inhibitors work? How does the disease differ in men, women, and children? This guide incorporates the latest research findings—including those on combination drug therapy—and answers all your questions in language comprehensible to nonscientists.

AmFAR (American Foundation for AIDS Research) is the leading nonprofit organization dedicated to the support of laboratory and clinical research on AIDS, AIDS prevention, and advocacy for sound AIDS-related public policy. It has given out over $140 million to more than 1700 research teams. Elizabeth Taylor is the founding national chairman and Dr. Mathilde Krim is the founding co-chair and chairman of the board.

Originally published in the "International Quarterly of Community Health Education", this work presents twenty-one chapters about the state of HIV/AIDS prevention programs in a global context.

Project Inform, the nation's leading community-based AIDS treatment information and advocacy organization, presents the first comprehensive, user-friendly guide to all the drugs most used by people with HIV/AIDS. This completely updated edition includes profiles of the newest and most recently approved drugs and laboratory tests, including protease inhibitors and viral load tests -- and in-depth discussions on how best to use these advances to create effective, long-term treatment strategies. Acclaimed for its accurate but nontechnical language, the handbook is easily accessible by way of an extensive master index. Features include:

• Drugs listed by brand or trade name, generic, popular, scientific and experiemental code name, for quick identification under any known name -- along with a full-color photo insert showing every drug listed
• Drugs grouped together by types of treatment: antiviral, anticancer, antifungal, experimental, immune-based therapy, psychoactive and more
• Treatment strategies for delaying or overcoming drug resistance, and achieving longterm success
• Side effects and drug interactions, possible reactions, and warnings
• An extensive glossary of HIV/AIDS related terms, clearly and concisely defined
• Unique indications for HIV treatment for children, women (with special cautions during pregnancy) and for the elderly
• Essential information on choosing a doctor, clinical trials, avoiding medical scams, nutritional strategies, assistance programs, buyers' clubs, hotline numbers including Project Inform's HIV/AIDS National Treatment Hotline (800-822-7422 or 415-558-9051), and much more.

The HIV Drug Book is written expressly for people with HIV/AIDS and their caregivers, friends and family members, and will be invaluable to physicians who must struggle with the overwhelming demands of this rapidly changing field.

Written by a team of nationally recognized African American social work professionals with extensive and distinguished backgrounds of HIV/AIDS service, the book examines the crisis facing African American communities. The editors strive to convey to academics, researchers, and students the magnitude of the crisis and that individuals and organizations serving African Americans need to be able to respond to the service delivery needs this crisis brings.

The crisis is evident in the fact that by year 2000 fully 50% of all AIDS cases will be among African Americans--who only constitute 12% of the nation's population. This book serves as a wake-up call and is designed to stimulate discussion and planning for new models of service to all African Americans and HIV prevention, education, and treatment.

The first personal documentary about AIDS to be published, "Borrowed Time" remains as vividly detailed as the best novel and as lucidly observed as the fiercest journalism. It is a cry from the heart against AIDS as it was in the early stages of the plague and against the intolerance that surrounded it. In equal parts, it is a supremely moving love story and a chronicle of the deep commitment and devotion that Paul Monette felt for Roger Horwitz from the night of their first meeting in Boston in the mid-1970s to Roger's diagnosis a decade later and through the last two years of his life, when fighting the disease together became a full-time occupation. This is not a book about death but a book about living while dying and the full range of emotions provoked by that transition -- sorrow, fear, anger, among them. It is a document essential to the history of the gay community; vital for anyone reading about AIDS; and one of the most powerful demonstrations of love and partnership to be found in print.

Choosing Unsafe Sex focuses on the ways in which condom refusal and beliefs regarding HIV testing reflect women's hopes for their relationships and their desires to preserve status and self-esteem. Many of the inner-city women who participated in Dr. Sobo's research were seriously involved with one man, and they had heavy emotional and social investments in believing or maintaining that their partners were faithful to them. Uninvolved women had similarly heavy investments in their abilities to identify or choose potential partners who were HIV-negative. Women did not see themselves as being at risk for HIV infection, and so they saw no need for condoms. But they did recommend that other women, whom they saw as quite likely to be involved with sexually unfaithful men, use them.

With the startling blend of satiric wit, pathos, and heroism found in his acclaimed and iconoclastic novels, Feinberg--who died in 1994 at the age of 37--charts a harrowing journey down that "HIV highway to hell". "This is AIDS literature for a new generation--funny, impertinent, sexy, and enlightening".--The Advocate.

Through the voices of people living with HIV or AIDS, this text explores the ways in which HIV affects personal, family and work relationships. It draws on the experinces of black and white, heterosexual and gay, women and men with or without symtoms who show how they work through everyday life.

Like a time bomb ticking away, hypertension builds quietly, gradually, placing unbearable strain on the body until it explodes--in heart attack, stroke, kidney failure, arterial disease, even death. But the disease does not have to progress that way. Here, in the third volume of the highly acclaimed "Preventive Medicine Program," Dr. Kenneth H. Cooper, one of the nations foremost experts in the field of preventive medicine, presents a medically sound, reassuringly simple program that help you lower you blood pressure--and keep it down, often without drugs. "Overcoming Hypertension" gives you:

--The latest facts on how cholesterol, cigarette smoking, obesity, and stress affect coronary risk levels.

--Your high blood pressure risk profile, with newly devised charts for men and women.

--A complete fitness program that lets you choose the sport that works for you. Plus a unique illustrated guide to aqua-aerobics.

--Tips on talking to your doctor that will help you become an active participant in your own recovery.

--A guide to anti-hypertensive drugs--the most up-to-date list of medications, their recommended daily doses, and ways to minimize side effects.

--Three distinct dietary programs, complete with menus, recipes, nutritional charts, healthy cooking tips, and much more.

--Take charge of your health and well-being with "Overcoming Hypertension."

"From the Paperback edition."

Camcorder AIDS activism is a prime example of a new form of political expression--an outburst of committed, low-budget, community-produced, political video work made possible by new accessible technologies. As Alexandra Juhasz looks at this phenomenon--why and how video has become the medium for so much AIDS activism--she also tries to make sense of the bigger picture: How is this work different from mainstream television? How does it alter what we think of the media's form and function? The result is an eloquent and vital assessment of the role media activism plays in the development of community identity and self-empowerment.
An AIDS videomaker herself, Juhasz writes from the standpoint of an AIDS activist and blends feminist film critique with her own experience. She offers a detailed description of alternative AIDS video, including her own work on the Women's AIDS Video Enterprise (WAVE). Along with WAVE, Juhasz discusses amateur video tapes of ACT UP demonstrations, safer sex videos produced by Gay Men's Health Crisis, public access programming, and PBS documentaries, as well as network television productions.
From its close-up look at camcorder AIDS activism to its critical account of mainstream representations, AIDS TV offers a better understanding of the media, politics, identity, and community in the face of AIDS. It will challenge and encourage those who hope to change the course of this crisis both in the 'real world' and in the world of representation.

"Mommy, why can`t the doctors make you better?"..."You won`t be there, will you? Who`ll take care of me?"-Rachel, age 5 AIDS breaks the rules of dying. It strikes the young rather than the old, decimating families and devastating communities. It will leave as its legacy a generation of orphans-traumatized by multiple losses, isolation, stigma, and grief. By the turn of the century, more than a hundred thousand children and youth in the United States-and ten million worldwide-will lose their parents to AIDS.Written by professionals in medicine, law, social work, anthropology, psychiatry, and public policy, this volume is the first full-length look at the issues facing children whose parents and siblings are dying of AIDS: what children experience, how it affects them, how we can meet their emotional needs and help them find second families, how we counter the stigmas they face. Authors explore ways to promote resilience in these AIDS-affected children. Stories of the children and their caretakers, told in their own words, are woven throughout.Pioneering and practical, the book presents an action agenda and resource directory for our nation`s policymakers as well as for parents and those who work with children in both formal and informal settings. This book is produced in conjunction with a video, Mommy, Who`ll Take Care of Me? Forgotten Children of the AIDS Epidemic, which will be shown on PBS and is also available from Yale University Press.

For gay men who are HIV-negative in a community devastated by AIDS, survival may be a matter of grief, guilt, anxiety, and isolation. In the Shadow of the Epidemic is a passionate and intimate look at the emotional and psychological impact of AIDS on the lives of the survivors of the epidemic, those who must face on a regular basis the death of friends and, in some cases, the decimation of their communities. Drawing upon his own experience as a clinical psychologist and a decade-long involvement with AIDS/HIV issues, Walt Odets explores the largely unrecognized matters of denial, depression, and identity that mark the experience of uninfected gay men.
Odets calls attention to the dire need to address issues that are affecting HIV-negative individuals--from concerns about sexuality and relations with those who are HIV-positive to universal questions about the nature and meaning of survival in the midst of disease. He argues that such action, while explicitly not directing attention away from the needs of those with AIDS, is essential to the human and biological well-being of gay communities. In the immensely powerful firsthand words of gay men living in a semiprivate holocaust, the need for a broader, compassionate approach to all of the AIDS epidemic's victims becomes clear. In the Shadow of the Epidemic is a pathbreaking first step toward meeting that need.

AIDS strikes most heavily at those already marginalized by conventional society. With no immediate prospect of vaccination or cure, how can liberty, dignity, and reasoned hope be preserved in the shadow of an epidemic? In this humane and graceful book, philosopher Timothy Murphy offers insight into our attempts - popular and academic, American and non-American, scientific and political - to make moral sense of pain. Murphy addresses the complex moral questions raised by AIDS for health-care workers, politicians, policy makers, and even people with AIDS themselves. He ranges widely, analyzing contrasting visions of the origin and the future of the epidemic, the moral and political functions of obituaries, the uncertain value of celebrity involvement in anti-AIDS education, the functional uses of AIDS in the discourse of presidential campaigns, the exclusionary function of HIV testing for immigrants, the priority given to AIDS on the national health agenda, and the hypnotic publicity given to 'innocent' victims. Murphy's discussions of the many social and political confusions about AIDS are unified by his attempt to articulate the moral assumptions framing our interpretations of the epidemic. By understanding those assumptions, we will be in a better position to resist self-serving and invidious moralizing, reckless political response, and social censure of the sick and the dying.