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.

A well-informed portrait, part social critique, part memoir, of sexual mores and homosexuality in provincial Mexico.

Should a physician with AIDS be required to inform his or her patients? Does a physician have an obligation to warn the partner who wants this fact kept secret? Should all newborns and pregnant women be screened for HIV? Should insurance companies be required to insure patients who test positive for the disease? Professionals and society at large are confronted by a wide range of complex ethical issues produced by the AIDS health crisis.

"AIDS and Ethics" is the first major collection of essays on the complex ethical issues created by the AIDS crisis. The nation's leading bioethics experts from the fields of law, medicine, philosophy, political science, religion, and social work present original and accessible essays. They address current controversial issues related to the tension between civil rights and public health, mandatory HIV testing, human subjects research, health care insurance, AIDS education, militant AIDS activism, the physician-patient relationship, issues of privacy, and legal issues. This important book will provide philosophical and practical guidelines to health care and human service professionals, policy makers, scholars, and others affected by the AIDS crisis.

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

Le SIDA n'est qu'une maladie chronique parmi tant d'autres et il peut etre bien controle autant que les autres maladies chroniques le sont. La lecture de ce livre vous permettra d'avoir une idee Claire sur la maladie afin de la matriser.

Why is there so little HIV education at present directed towards bisexual men and women? This book offers a critical analysis of the issues in public health research and education that prevent adequate attention from being paid to bisexual realities. Addressing the implications of such limited knowledge, the authors raise important questions about the weaknesses of our current response to the HIV/AIDS pandemic. Through interviews with a variety of bisexual men and women, HIV Prevention and Bisexual Realities uncovers innovative, important directions to consider for more effective HIV prevention strategies. The authors' epistemological and methodological assessments of the current state of HIV/AIDS education will be indispensable for community health educators, policy makers, and those who study or work in public health.

Since the early days of the AIDS epidemic, many bizarre and dangerous hypotheses have been advanced as to the origins of the disease. In this compelling book, Nicoli Nattrass explores the social and political factors prolonging the erroneous belief that the American government manufactured the human immunodeficiency virus (HIV) to be used as a biological weapon, as well as the myth’s consequences for behavior, especially within African American and black South African communities.

Contemporary AIDS denialism, the belief that HIV is harmless and that antiretroviral drugs are the true cause of AIDS, is a more insidious AIDS conspiracy theory. Advocates of this position make a “conspiratorial move” against HIV science by implying its methods cannot be trusted, and that untested, alternative therapies are safer than antiretrovirals. These claims are genuinely life-threatening, as tragically demonstrated in South Africa when the delay of antiretroviral treatment resulted in nearly 333,000 AIDS deaths and 180,000 HIV infections thatcould have been prevented – a tragedy of stunning proportion.

Nattrass identifies four symbolically powerful figures ensuring the lifespan of AIDS denialism: the hero scientist (dissident scientists who lend credibility to the movement), the cultropreneur (alternative therapists who exploit the conspiratorial move as a marketing mechanism), the living icon (individuals who claim to be living proof of AIDS denialism’s legitimacy), and the praise-singer (journalists who broadcast movement messages to the public). Nattrass describes how pro-science activists have fought back by deploying empirical evidence and political credibility to resist AIDS conspiracy theories, which is part of the crucial project to defend evidence-based medicine.

The human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is one of the world's most pressing global health challenges. Since the beginning of the epidemic, more than 60 million people have been infected with HIV, approximately 30 million of whom have died of HIV-related causes. As of 2009, there were 33.3 million people living with the virus, the vast majority of whom live in sub-Saharan Africa. Expanded access to antiretroviral therapy over the past decade, due in large part to U.S. support, has contributed to declines in deaths among people living with HIV. Nonetheless, new infections continue to outpace access to treatment. This book provides information on key components of the HIV/AIDS epidemic and an examination of determining how, and to what extent, the United States should respond to the continued challenge of global HIV/AIDS.

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.

Acquired immune deficiency syndrome or acquired immunodeficiency syndrome (AIDS or Aids) is a set of symptoms and infections resulting from the damage to the human immune system caused by the human immunodeficiency virus (HIV). This condition progressively reduces the effectiveness of the immune system and leaves individuals susceptible to opportunistic infections and tumours. HIV is transmitted through direct contact of a mucous membrane or the bloodstream with a bodily fluid containing HIV, such as blood, semen, vaginal fluid, pre-seminal fluid, and breast milk. This transmission can involve anal, vaginal or oral sex, blood transfusion, contaminated hypodermic needles, exchange between mother and baby during pregnancy, childbirth, or breastfeeding, or other exposure to one of the above bodily fluids. This book presents important research in the field from around the globe.

Aids and Local Government in South Africa studies the impact of HIV/AIDS on the political system of 12 local municipalities in South Africa. This exploratory study by democracy institute Idasa investigates the epidemic's effect on accountability, effectiveness and legitimacy amongst directly elected councillors, against a back-drop of extreme dissatisfaction with local government performance by historically disadvantaged South Africans.

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

The acquired immunodeficiency syndrome (AIDS) is caused by two retroviruses of the lentivirus subfamily, human immunodeficiency viruses types 1 (HIV-1) and 2 (HIV-2), which derive from cross-species transmissions of viruses naturally infecting two African primate species, the chimpanzee (Pan troglodytes) and the sooty mangabey (Cercocebus atys), respectively. Eleven transmission events of lentiviruses from these primate species to humans have been inferred from phylogenetic sequence analyses, although only four (which originated HIV-1 groups M and O, and HIV-2 groups A and B) have resulted in epidemic spread. One of these transmissions, corresponding to the common ancestor of the HIV-1 group M viruses, whose initial expansion in Central Africa has been dated by molecular clock analyses to around 1930, eventually originated the AIDS pandemic. How humans acquired the ancestors of the AIDS viruses from simians is uncertain, but natural infection of African non-human primates with lentiviruses is common, and contact with blood of these animals, which are frequently hunted in Africa for human consumption, is a plausible mechanism for virus acquisition. Sociodemograhic developments, including rapid urbanisation, large scale migrations, growth of prostitution, wars, and increase in travel, and, possibly, the widespread use of non-sterile injection material, may have promoted the emergence of the AIDS pandemic in Central Africa in the 20th century. Subsequent global propagation of HIV-1 derives from multiple introductions at different time points, often representing phylogenetically identifiable founder events. In areas in which diverse HIV-1 variants are cocirculating, these frequently recombine to generate mosaic forms, some of provided new insights on the origin and spread of AIDS viruses and may contribute to the efforts aimed at containing the pandemic which have propagated extensively. Phylogenetic sequence analyses and molecular epidemiology studies have.

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

Mother-to-child transmission of HIV-1 afflicts hundreds of thousands of children every year, especially in parts of the world such as sub-Saharan Africa, where HIV infection is prevalent and resources are limited. This tragic reality has spurred researchers to search for an effective, safe, and inexpensive treatment that could reduce the risk of perinatal HIV transmission. The HIVNET 012 trial was designed to provide preliminary information on the comparative safety and efficacy of two relatively simple and inexpensive short courses of oral antiretroviral treatment likely to be feasible in resource-limited settings. The resulting report identified some problems with procedures and documentation, but concluded that these issues did not compromise the results of the study. However, these issues have led to public scrutiny and continued controversy. Review of the HIVNET 012 Perinatal HIV Prevention Study critically and objectively evaluates the study's design and conduct, and assesses the impact of the initial procedural issues on the validity of the overall findings and conclusions of the trial. Table of Contents Front Matter Executive Summary 1 Introduction 2 Overview of HIVNET 012 3 Study Design, Treatment, Assignment, and Adherence to Study Regimens 4 Efficacy and Safety 5 Review of Ethical Issues 6 Response to the Charge to the Committee Appendix A: Agendas of Information-Gathering Meetings Appendix B: Comparisons to Other Perinatal HIV Prevention Studies Using NVP and AZT Appendix C: Committee Biographies

Everything you need to know about dealing with HIV/AIDS in one concise volume

Written by nurses for nurses, this thoroughly revised edition of ANAC's Core Curriculum for HIV/AIDS Nursing highlights the extraordinary improvements in clinical and symptom management in HIV/AIDS over the last 10 years.

Containing not only the essential information that every practitioner needs to know (such as taking a medical and social history, physical examination, symptomatic conditions and management, HIV testing, and laboratory and diagnostic evaluation), ANAC's Core Curriculum also covers specialized nursing information such as case management, ethical and legal concerns, infection control, and patient education.

Essential for those new to HIV/AIDS care as well as a refresher for those with years of experience in infectious diseases, ANAC's Core Curriculum is a concise, but thorough reference for clinical, symptomatic, and psychosocial management of adults, adolescents, children, and infants at different stages of HIV/AIDS.

ANAC's Core Curriculum presents key details of symptomatic conditions, AIDS indicator diseases, and comorbid complications. It also describes how to manage anorexia/weight loss, cognitive impairment, cough, dyspnea, dysphagia, oral lesions, fatigue, fever, insomnia, nausea, vomiting, diarrhea, sexual dysfunction, and vision loss. Most importantly, ANAC?s Core Curriculum offers suggestions about how to help clients handle their own health, including preventing transmission, health care follow-up, managing anti-retroviral therapy, and improved adherence to prescribed regimes.

Dispensing not only clinical help, ANAC?s Core Curriculum details psychological assessment and deals with the psychosocial concerns of both clients and their significant others, including partners, spouses, families and friends. These important sections include information on how to help clients deal with the initial diagnosis, transitional issues (safer sex, depression), and coming to acceptance.

Other important sections include discussions of the special needs of pediatric patients, including nutritional concerns, risks associated with treatments, and clinical problems such as developmental delay. ANAC?s Core Curriculum also briefly covers special populations, such as commercial sex workers, health care workers, older adults, pregnant women, and incarcerated people.

ANAC's Core Curriculum for HIV/AIDS Nursing, New Century Edition belongs in every nursing library and on the desk of every floor that deals with HIV/AIDS clients. Check it out today!

Today young adults are contracting HIV more rapidly than virtually any period during the past two decades. Young women, particularly those who are black and Latina, are bearing the brunt of this 'new wave' of infection. Putting Risk in Perspective explores the many factors associated with HIV infection among young black women. HIV infection often occurs as a result of high risk behavior. Understanding what causes a young woman to take sexual and reproductive risks requires a consideration of the kinds of life issues she faces. Drawing on ethnographic study and interviews, RenZe T. White introduces to the reader many young women who are dealing with economic pressures, family relationships, dating and courtship, intimate relationship issues, and questions of sexual identity. These along with the mythology surrounding HIV and AIDS_and knowledge about contraception_influence whether or not a black teenager will engage in risky activity. This powerful book shows why the fight against AIDS must incorporate a commitment to improving the social and economic opportunities available to young black women.

Synthesizing disparate information into a readily accessible format, this insightful volume presents state-of-the-art reviews on the basic and clinical features of pulmonary diseases in HIV-infected individuals-informing critical decision making as well as suggesting avenues for future research.
A beneficial compendium for those dealing with pulmonary complications of HIV infection, Human Immunodeficiency Virus and the Lung
surveys current knowledge on the epidemiology of HIV infection
examines HIV's effects on lung cells in addition to immune functions within the lung
details individual pulmonary infections in terms of etiology, clinical presentation, diagnosis, treatment, and prophylaxis
emphasizes the indications and limitations of various diagnostic techniques, including invasive and noninvasive testing and screening
considers noninfectious pulmonary complications from neoplastic and inflammatory to immunological disorders
advises on the management of individuals in intensive care with the aid of morbidity and mortality data
assesses common recommendations as well as provides clear guidelines for preventing the transmission of infectious pathogens
and more

Along with the distress associated with the diagnosis of a life-threatening disease, individuals with HIV also face huge social challenges based on reactions to their disease by other individuals and society. While there are numerous books covering research on risk of HIV infection and attitudes about the disease, limited empirical research on the social interaction process in coping with HIV exists. Carefully edited, HIV and Social Interaction explores the seropositive personAEs relationships with family, friends, intimate partners, and other members of his or her social network. The contributors present original theoretical models and research, derived from psychology and communication. Written with clarity, HIV and Social Interaction indicates how being HIV positive influences an individualAEs social interactions as well as interpersonal relationships. Chapters include the following topics: + The stigmatization of HIV and AIDS + Weighing the benefits and risks of self-disclosure about the HIV diagnosis + Accessing, finding, and maintaining quality social support + The value of group residence facilities for persons with AIDS + The effects of HIV on intimate relationships + The impact on volunteers who provide assistance to persons with AIDS In addition, the chapter authors discuss implications of their work for interventions and assisting HIV positive individuals, members of their social networks, health providers, and social services providers. A deeper understanding of these and related issues is vital for the comprehensive and empathetic delivery of services by healthcare professionals. HIV and Social Interaction is equally important for social scientists, students, as well as persons who are HIV-positive and anyone within their social network.

AIDS Alibis tackles the cultural landscape upon which AIDS, often accompanied by poverty, drug addiction, and crime, proliferates on a global scale. Stephanie Kane layers stories of individuals and events -- from Chicago to Belize City, to cyberspace -- to illustrate the paths of HIV infection and the effects of environment, government intervention, and social mores. Linking ordinary yet kindred lives in communities around the globe, Kane challenges the assumptions underlying the use of police and courts to solve health problems. The stories reveal the dynamics that determine how the policy decisions of white-collar health care professionals actually play out in real life. By focusing on life-changing social problems, the narratives highlight the contradictions between public health and criminal law. Look at how HIV has transformed our social consciousness, from intimate touch to institutional outreach. But, Kane argues, these changes are dwarfed by the United States's refusal to stop the war on drugs, in effect misdirecting resources and awareness. AIDS Alibis combines empirical and interpretive methods in a path-breaking attempt to recognize the extent to which coercive institutional practices are implicated in HIV transmission patterns. Kane shows how th e virus feeds on the politics of inequality and indifference, even as it exploits the human need for intimacy and release.