Peter Piot, founding executive director of the Joint United
Nations Programme on HIV/AIDS (UNAIDS), recounts his experience as
a clinician, scientist, and activist fighting the disease from its
earliest manifestation to today. The AIDS pandemic was not only
disruptive to the health of millions worldwide but also fractured
international relations, global access to new technologies, and
public health policies in nations across the globe. As he struggled
to get ahead of the disease, Piot found science does little good
when it operates independently of politics and economics, and
politics is worthless if it rejects scientific evidence and respect
for human rights.
Piot describes how the epidemic altered global attitudes toward
sexuality, the character of the doctor-patient relationship, the
influence of civil society in international relations, and
traditional partisan divides. AIDS thrust health into national and
international politics where, he argues, it rightly belongs. The
global reaction to AIDS over the past decade is the positive result
of this partnership, showing what can be acheved when science,
politics, and policy converge on the ground. Yet it remains a
fragile achievement, and Piot warns against complacency and the
consequences of reduced investments. He refuses to accept a world
in which high levels of HIV infection are the norm. Instead, he
explains how to continue to reduce the incidence of the disease to
minute levels through both prevention and treatment, until a
vaccine is discovered.
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