The seriousness, potential dimensions, and likely victims of the AIDS epidemic were known as early as 1981, yet the reaction of public and private organizations was shockingly slow and feeble and is even now woefully inadequate. Basing their analysis largely on the hardest hit city, New York, Charles Perrow and Mauro Guillen deliver a passionate, yet well-documented indictment of governmental and private groups for failing to provide the necessary education and care in response to this disaster. In this controversial book the authors describe the patterns of denial, avoidance, and segregation that various organizations exhibited toward the AIDS crisis and its victims. In so doing they extend our theories of organizational dynamics. It is well known that society has an aversion to the major groups threatened or afflicted with AIDS-male homosexuals and, more recently, intravenous drug users and their sexual partners-and that the poor and members of the minorities contribute most heavily to the ranks of the drug users. This situation, Perrow and Guillen argue, results in a stigma that makes AIDS unique among epidemics and contaminates the response of most organizations involved. Society's hostility toward the urban poor bears even more responsibility for the organizational mishandling of the crisis than the economic and ideological preoccupations of the Reagan era and the homophobia of lawmakers and establishment organizations. The second wave of the epidemic, affecting intravenous drug users, and through them, crack users, interacts fatally with growing problems of poverty in the inner cities, where homelessness, joblessness, rising tuberculosis and syphilis rates, crime, and the paucity of strong indigenous community agencies all foster the rapid spread of the disease. What is needed, the authors contend, is an all-out war on AIDS that attacks both sexual discrimination and poverty. The AIDS epidemic, they claim, presents an occasion for redressing long-standing social injustices.

Now! A macrobiotic, holistic regime, with no drugs or their inherent side-effects, that proves as effective as AZT in prolonging the lives of AIDS patients.

This first extensive study of the practice of blood transfusion in Africa traces the history of one of the most important therapies in modern medicine from the period of colonial rule to independence and the AIDS epidemic. The introduction of transfusion held great promise for improving health, but like most new medical practices, transfusion needed to be adapted to the needs of sub-Saharan Africa, for which there was no analogous treatment in traditional African medicine.
This otherwise beneficent medical procedure also created a "royal road" for microorganisms, and thus played a central part in the emergence of human immune viruses in epidemic form. As with more developed health care systems, blood transfusion practices in sub-Saharan Africa were incapable of detecting the emergence of HIV. As a result, given the wide use of transfusion, it became an important pathway for the initial spread of AIDS. Yet African health officials were not without means to understand and respond to the new danger, thanks to forty years of experience and a framework of appreciating long-standing health risks. The response to this risk, detailed in this book, yields important insight into the history of epidemics and HIV/AIDS.
Drawing on research from colonial-era governments, European Red Cross societies, independent African governments, and directly from health officers themselves, this book is the only historical study of the practice of blood transfusion in Africa.

A sparkling satire on international aid and celebrity, Looking for Bono charts one man's accidental quest to bring water to his community. Baba is a semi-literate man living a simple life centred on the local auto repair shop in Palemo, how he will find his next meal and an obsession with his disinterested, Nollywood star-wannabe wife Munira and her voluptuous body. Baba is acutely aware of the water corruption that has left him, on occasion, without so much as a drop to even brush his teeth. One day on the news, a story about international humanitarian Bono flashes onscreen. Bono is in Africa to do good and like a thunderbolt, Baba decides that Bono is the answer to all of his problems. Once Bono hears about the local water issues he will want to step in and convince the president of Nigeria to end the corruption. Once the water is flowing, Baba can clean up and Munira will set her sights a little closer to home. Before he knows it, Baba is a celebrity being feted by the Lagos media and Munira has turned into his virtuous wife. Will the ensuing media storm engulf Baba as he is launched into a world of high stakes foreign aid dealings and competing interests? Or will he return to his simple life with water for his community and the renewed affections of his Munira?

Speech and Song at the Margins of Global Health tells the story of a unique Zulu gospel choir comprised of people living with HIV in South Africa, and how they maintained healthy, productive lives amid globalized inequality, international aid, and the stigma that often comes with having HIV. By singing, joking, and narrating about HIV in Zulu, the performers in the choir were able to engage with international audiences, connect with global health professionals, and also maintain traditional familial respect through the prism of performance. The focus on gospel singing in the narrative provides a holistic viewpoint on life with HIV in the later years of the pandemic, and the author's musical engagement led to fieldwork in participants' homes and communities, including the larger stigmatized community of infected individuals. This viewpoint suggests overlooked ways that aid recipients contribute to global health in support, counseling, and activism, as the performers set up instruments, waited around in hotel lobbies, and struck up conversations with passersby and audience members. The story of the choir reveals the complexity and inequities of global health interventions, but also the positive impact of those interventions in the crafting of community.

What does it mean to think of HIV/AIDS policy in a critical manner? Seeing Red offers the first critical analysis of HIV/AIDS policy in Canada. Featuring the diverse experiences of people living with HIV, this collection highlights various perspectives from academics, activists, and community workers who look ahead to the new and complex challenges associated with HIV/AIDS and Canadian society. In addition to representing a diversity of voices and perspectives, Seeing Red reflects on historical responses to HIV/AIDS in Canada. Among the specific issues addressed are the over-representation of Indigenous peoples among those living with HIV, the criminalization of HIV, and barriers to health and support services, particularly as experienced by vulnerable and marginalized populations. The editors and contributors seek to show that Canada has been neither uniquely compassionate nor proactive when it comes to supporting those living with HIV/AIDS. Instead, this remains a critical area of public policy, one fraught with challenges as well as possibilities.

Mema's house is in the poor quarter Nezahualcoyotl, a crowded urban space on the outskirts of Mexico City where people survive with the help of family, neighbours, and friends. This house is a sanctuary for a group of young homosexual men who meet to chat, flirt, listen to music, and smoke marijuana. Among the group are sex workers and transvestites with high heels, short skirts, heavy make-up, and voluminous hairstyles; and their partners, young, bisexual men, wearing T-shirts and worn jeans, short hair, and maybe a moustache. Mema, an AIDS educator and the leader of this gang of homosexual men, invited Annick Prieur, a European sociologist, to meet the community and conduct her fieldwork at his house. Prieur lived there for six months between 1988 and 1991, and she has kept in touch for more than eight years. As Prieur follows the transvestites in their daily activities - at their work as prostitutes or as hairdressers, at night having fun in the streets and in discos, on visits with their families and even in prisons, a story unfolds of love, violence, and deceit. Prieur analyzes the complicated relations between the effeminate homosexuals, most of them transvestites, and their partners, the masculine-looking bisexual men, asking why these particular gender constructions exist in the Mexican working classes, and how they can be so widespread in a male-dominated society, the very society from which the term "machismo" stems. Weaving empirical research with theory, Prieur presents new analytical angles on several concepts: family, class, domination, the role of the body, and the production of differences among men.

The HIV epidemic in Bolivia has received little attention on a global scale in light of the country's low HIV prevalence rate. However, by profiling the largest city in this land-locked Latin American country, Carina Heckert shows how global health-funded HIV care programs at times clash with local realities, which can have catastrophic effects for people living with HIV who must rely on global health resources to survive. These ethnographic insights, as a result, can be applied to AIDS programs across the globe. In Fault Lines of Care, Heckert provides a detailed examination of the effects of global health and governmental policy decisions on the everyday lives of people living with HIV in Santa Cruz. She focuses on the gendered dynamics that play a role in the development and implementation of HIV care programs and shows how decisions made from above impact what happens on the ground.

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.

Disorders in communication, hearing, or swallowing are almost universally associated with HIV/AIDS, making this book an indispensable resource for health care professionals, including physicians, nurses, speech-language pathologists, and audiologists. It combines the accumulated experience and knowledge of a multidisciplinary group of internationally recognized authors. Information is structured for easy access with concise updates on the current understanding of communication, hearing, and swallowing disorders associated with HIV/AIDS and includes clinical strategies for identification, diagnosis, and intervention across all ages. It also incorporates novel chapters on aspects such as HIV/AIDS-associated balance disorders, clinical ethics, psychosocial impact, and infection control, making it the complete reference and clinical resource in the field.

In 2003-2006, Patricia Henderson lived in the South African province of KwaZulu-Natal where she recorded the experiences of people living with HIV/AIDS. In this illuminating study, she recounts the concerns of rural people and explores local repertoires through which illness was folded into everyday life. The book spans a period when antiretroviral medication was not available, and moves on to a time when the treatment became accessible. Hope gradually became manifest in the recovery of a number of people through antiretroviral therapies and 'the return' of bodies they could recognise as their own. This research implies that protracted interaction with people over time, offers insights into the unfolding textures of everyday life, in particular in its focus on suffering, social and structural inequality, illness, violence, mourning, sensibility, care and intimacy.

On a cold February morning in 1987, amidst freezing rain and driving winds, a group of protesters stood outside of the Unitarian Universalist Church in Amherst, Massachusetts. The target of their protest was the minister inside, who was handing out condoms to his congregation while delivering a sermon about AIDS, dramatizing the need for the church to confront the seemingly ever-expanding crisis. The minister's words and actions were met with a standing ovation from the overflowing audience, but he could not linger to enjoy their applause. Having received threats in advance of the service, he dashed out of the sanctuary immediately upon finishing his sermon. Such was the climate for religious AIDS activism in the 1980s. In After the Wrath of God, Anthony Petro vividly narrates the religious history of AIDS in America. Delving into the culture wars over sex, morality, and the future of the American nation, he demonstrates how religious leaders and AIDS activists have shaped debates over sexual morality and public health from the 1980s to the present day. While most attention to religion and AIDS foregrounds the role of the Religious Right, Petro takes a much broader view, encompassing the range of mainline Protestant, evangelical, and Catholic groups-alongside AIDS activist organizations-that shaped public discussions of AIDS prevention and care in the U.S. Petro analyzes how the AIDS crisis prompted American Christians across denominations and political persuasions to speak publicly about sexuality-especially homosexuality-and to foster a moral discourse on sex that spoke not only to personal concerns but to anxieties about the health of the nation. He reveals how the epidemic increased efforts to advance a moral agenda regarding the health benefits of abstinence and monogamy, a legacy glimpsed as much in the traction gained by abstinence education campaigns as in the more recent cultural purchase of gay marriage. The first book to detail the history of religion and the AIDS epidemic in the U.S., After the Wrath of God is essential reading for anyone concerned with the intersection of religion and public health.

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.

Here are stories and encouragements for people with AIDS / HIV. This powerful and inspiring book goes beyond the usual stereotypes of AIDS sufferers to impart the realities of ordinary people who have acquired the syndrome and of those who love and care for them. Selected as one of The 1993 Books for the Teen Age by The New York Public Library.

THE PIONEERING WORK IN HIV MEDICINE, COMPLETELY REVISED FOR THE FIRST TIME SINCE 2012 The 17th edition of Bartlett's Medical Management of HIV Infection offers the best-available clinical guidance for treatment of patients with HIV. Edited by preeminent and pioneering authorities in HIV research and clinical care, it has earned its status as the definitive work for physicians, physician assistants, nurse practitioners, pharmacists, and anyone working in the care of persons with HIV. Updated to reflect the most recent innovations in HIV prevention and therapy, this text balances new and old approaches to produce a guide to clinical management in any setting. Coverage includes: * New approaches to prevention of HIV and prevention of infection in patients with HIV * Laboratory protocols for screening and treatment * Antiretroviral therapies (including dosage and adverse effects and drug interactions ) * HIV treatment in resource-limited settings * Management of infections A portable, navigable guide to an exquisitely complex field, Bartlett's Medical Management of HIV Infection is the continuing standard for practice and education in the field of HIV.

In the decades since it was identified in 1981, HIV/AIDS has devastated African American communities. Members of those communities mobilized to fight the epidemic and its consequences from the beginning of the AIDS activist movement. They struggled not only to overcome the stigma and denial surrounding a "white gay disease" in Black America, but also to bring resources to struggling communities that were often dismissed as too "hard to reach." To Make the Wounded Whole offers the first history of African American AIDS activism in all of its depth and breadth. Dan Royles introduces a diverse constellation of activists, including medical professionals, Black gay intellectuals, church pastors, Nation of Islam leaders, recovering drug users, and Black feminists who pursued a wide array of grassroots approaches to slow the epidemic's spread and address its impacts. Through interlinked stories from Philadelphia and Atlanta to South Africa and back again, Royles documents the diverse, creative, and global work of African American activists in the decades-long battle against HIV/AIDS.

Preaching Prevention examines the controversial U.S. President's Emergency Plan for AIDS Relief (PEPFAR) initiative to "abstain and be faithful" as a primary prevention strategy in Africa. This ethnography of the born-again Christians who led the new anti-AIDS push in Uganda provides insight into both what it means for foreign governments to "export" approaches to care and treatment and the ways communities respond to and repurpose such projects. By examining born-again Christians' support of Uganda's controversial 2009 Anti-Homosexuality Bill, the book's final chapter explores the enduring tensions surrounding the message of personal accountability heralded by U.S. policy makers. Preaching Prevention is the first to examine the cultural reception of PEPFAR in Africa. Lydia Boyd asks, What are the consequences when individual responsibility and autonomy are valorized in public health initiatives and those values are at odds with the existing cultural context? Her book investigates the cultures of the U.S. and Ugandan evangelical communities and how the flow of U.S.-directed monies influenced Ugandan discourses about sexuality and personal agency. It is a pioneering examination of a global health policy whose legacies are still unfolding.

The AIDS epidemic soured the memory of the sexual revolution and gay liberation of the 1970s, and prominent politicians, commentators, and academics instructed gay men to forget the sexual cultures of the 1970s in order to ensure a healthy future. But without memory there can be no future, argue Christopher Castiglia and Christopher Reed in this exploration of the struggle over gay memory that marked the decades following the onset of AIDS. Challenging many of the assumptions behind first-wave queer theory, If Memory Serves offers a new perspective on the emergence of contemporary queer culture from the suppression and repression of gay memory. Drawing on a rich archive of videos, films, television shows, novels, monuments, paintings, and sculptures created in the wake of the epidemic, the authors reveal a resistance among critics to valuing-even recognizing-the inscription of gay memory in art, literature, popular culture, and the built environment. Castiglia and Reed explore such topics as the unacknowledged ways in which the popular sitcom Will and Grace circulated gay subcultural references to awaken a desire for belonging among young viewers; the post-traumatic (un)rememberings of queer theory; and the generation of "ideality politics" in the art of Felix Gonzalez-Torres, the film Chuck & Buck, and the independent video Video Remains. Inspired by Alasdair MacIntyre's insight that "the possession of a historical identity and the possession of a social identity coincide," Castiglia and Reed demonstrate that memory is crafted in response to inadequacies in the present-and therefore a constructive relation to the past is essential to the imagining of a new future.

In what circumstances and on what basis, should those who transmit serious diseases to their sexual partners be criminalised? In this new book Matthew Weait uses English case law as the basis of a more general and critical analysis of the response of the criminal courts to those who have been convicted of transmitting HIV during sex. Examining cases and engaging with the socio-cultural dimensions of HIV/AIDS and sexuality, he provides readers with an important insight into the way in which the criminal courts construct the concepts of harm, risk, causation, blame and responsibility. Taking into account the socio-cultural issues surrounding HIV/AIDS and their interaction with the law, Weait has written an excellent book for postgraduate and undergraduate law and criminology students studying criminal law theory, the trial process, offences against the person, and the politics of criminalisation. The book will also be of interest to health professionals working in the field of HIV/AIDS genito-urinary medicine who want to understand the issues that may face their clients and patients.

"Sullivan offers [a] profound, often beautiful appreciation of friendship. . . . [He can] fascinate us with the range and depth of his mind."--San Francisco Chronicle

A New York Times Notable Book of the Year  

"One of the great pleasures of this book lies in watching Sullivan's mind at work . . . [his essays] are filled with a passion and heat that most cultural criticism lacks." --Katie Roiphe, The Washington Post

When former New Republic editor Andrew Sullivan publicly revealed his HIV positive status in 1996, he intended "to be among the first generation that survives this disease." In this new book, a powerful meditation on the spiritual effect AIDS has on friendship, love, sexuality, and American culture, we follow Sullivan on his path to survival.  

A practicing Catholic, Sullivan reflects on his faith in God, and expresses his bittersweet joy upon learning about new AIDS treatments that he believes led to the virus's recent transformation from a plague into a chronic illness. He revisits Freud to seek the origins of homosexuality and reviews the works of Aristotle, St. Augustine, and W. H. Auden to define friendship for a contemporary, post-plague world. Sullivan's last essay extols the virtues of friendship, elevating platonic love over the romantic, as he memorializes his best friend, who died of AIDS.  Intensely personal and passionately political, Sullivan's essays are not just about his own experiences but also a powerful testament to human resilience, faith, hope, and love.  

"Sullivan has found meaning in chaos. . . . With its paradoxical sense of beauty amid pain, Love Undetectable has something of the quality of a war memoir."  --The New York Times Book Review  

"On display here are all of the author's many strengths--compelling, poetic prose style, some keen observations on faith. . . . Sullivan offers a moving defense of the open gay male urban sexual culture and his participation in it."  --The Boston Globe

Fifteen years ago the AIDS `epidemic' did not exist on the public agenda. In just over a decade the public and official response to the disease has resulted in the development of a whole network of organizations devoted to the study, containment, and practical treatment of AIDS. In this important and original analysis of AIDS policy, Virginia Berridge examines the speed and nature of the official (and unofficial) response to this new and critical historical event. The policy reaction in Britain passed through three stages. From 1981-1986 the outbreak of a new contagious disease led to public alarm and social stigmatization, with a lack of scientific certainty about the nature of the disorder. AIDS was a new and open policy area - there were no established departmental, local, or health authority mechanisms for dealing with the problem. This was a period of policy development from below, with relatively little official action and many voluntary initiatives behind the scenes. This phase was succeeded in 1986-1987 by a brief stage of quasi-wartime emergency, in which national politicians and senior civil servants intervened, and a high-level political response emerged. The response was a liberal one of `safe sex' and harm minimization rather than draconian notification or isolation of carriers. The author demonstrates that despite the `Thatcher revolution'in government in the 1980s, crisis could still stimulate a consensual response. The current period of `normalization' of the disease sees panic levels subsiding as the rate of growth slows and the fear of the unknown recedes. Official institutions have been established and formal procedures adopted and reviewed; paid professionals have replaced the earlier volunteers. The 1990s have seen change in the liberal consensus towards a harsher response and the partial repoliticization of AIDS. In this fascinating and scholarly account, Virginia Berridge analyses a remarkable period in contemporary British history, and exposes the reaction of the British political and medical elites, and of the British public to one of the most challenging issues of this century.

The most important public health problem of our time-AIDS-is also the most shrouded in myth and misinformation. To bring the facts out of the shadows of fear and hysteria, the first edition of Mobilizing against AIDS was published in 1986. This new edition, nearly double the size of the first, interprets the results of the latest research on the disease and possible methods of treatment. For the foreseeable future the vast majority of AIDS cases will occur among groups that have already experienced major losses: homosexual and bisexual men, intravenous drug abusers, people who received blood or blood products before techniques were developed to safeguard the blood supply, heterosexual partners of those at recognized risk of HIV infection, and infants born to infected mothers. Mobilizing against AIDS examines new data on the growth of the epidemic within these groups, as well as on successful and failed attempts to stop the spread of the disease. In addition, it explores the growing problem of AIDS among the urban poor. This new edition also presents up to date information on how the disease affects the body, including damage to immune cells, bone marrow cells, skin cells, and cells of the cervix and colon. It contains additional discussions of treatment (particularly drug therapy and prospects for a vaccine) and a searching examination of the implications of societal and individual stress caused by the epidemic. In summarizing the events that have taken place in the last few years, Eve K. Nichols has worked closely with the Institute of Medicine, National Academy of Sciences and other key players in the battle against AIDS. Maintaining the clear and nontechnical style that has been so widely acclaimed, Nichols has forged an extraordinarily thorough synthesis that carries an authoritative stamp, ensuring that this new edition will be an indispensable resource for everyone concerned with AIDS and its treatment.

In Stagestruck noted novelist and outspoken critic Sarah Schulman offers an account of her growing awareness of the startling similarities between her novel People in Trouble and the smash Broadway hit Rent. Written with a powerful and personal voice, Schulman's book is part gossipy narrative, part behind-the-scenes glimpse into the New York theater culture, and part polemic on how mainstream artists co-opt the work of "marginal" artists to give an air of diversity and authenticity to their own work. Rising above the details of her own case, Schulman boldly uses her suspicions of copyright infringement as an opportunity to initiate a larger conversation on how AIDS and gay experience are being represented in American art and commerce. Closely recounting her discovery of the ways in which Rent took materials from her own novel, Schulman takes us on her riveting and infuriating journey through the power structures of New York theater and media, a journey she pursued to seek legal restitution and make her voice heard. Then, to provide a cultural context for the emergence of Rent-which Schulman experienced first-hand as a weekly theater critic for the New York Press at the time of Rent's premiere-she reveals in rich detail the off- and off-off-Broadway theater scene of the time. She argues that these often neglected works and performances provide more nuanced and accurate depictions of the lives of gay men, Latinos, blacks, lesbians and people with AIDS than popular works seen in full houses on Broadway stages. Schulman brings her discussion full circle with an incisive look at how gay and lesbian culture has become rapidly commodified, not only by mainstream theater productions such as Rent but also by its reduction into a mere demographic made palatable for niche marketing. Ultimately, Schulman argues, American art and culture has made acceptable a representation of "the homosexual" that undermines, if not completely erases, the actual experiences of people who continue to suffer from discrimination or disease. Stagestruck's message is sure to incite discussion and raise the level of debate about cultural politics in America today.