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This first-person account by one of the pioneers of HIV/AIDS
research chronicles the interaction among the pediatric HIV/AIDS
community, regulatory bodies, governments, and activists over more
than three decades. After the discovery of AIDS in a handful of
infants in 1981, the next fifteen years showed remarkable
scientific progress in prevention and treatment, although blood
banks, drug companies, and bureaucrats were often slow to act. 1996
was a watershed year when scientific and clinical HIV experts
called for treating all HIV-infected individuals with potent triple
combinations of antiretroviral drugs that had been proven
effective. Aggressive implementation of prevention and treatment in
the United States led to marked declines in the number of
HIV-related deaths, fewer new infections and hospital visits, and
fewer than one hundred infants born infected each year.
Inexplicably, the World Health Organization recommended withholding
treatment for the majority of HIV-infected individuals in poor
countries, and clinical researchers embarked on studies to evaluate
inferior treatment approaches even while the pandemic continued to
claim the lives of millions of women and children. Why did it take
an additional twenty years for international health organizations
to recommend the treatment and prevention measures that had had
such a profound impact on the pandemic in wealthy countries? The
surprising answers are likely to be debated by medical historians
and ethicists. At last, in 2015, came a universal call for treating
all HIV-infected individuals with triple-combination antiretroviral
drugs. But this can only be accomplished if the mistakes of the
past are rectified. The book ends with recommendations on how the
pediatric HIV/AIDS epidemic can finally be brought to an end.
This first-person account by one of the pioneers of HIV/AIDS
research chronicles the interaction among the pediatric HIV/AIDS
community, regulatory bodies, governments, and activists over more
than three decades. After the discovery of AIDS in a handful of
infants in 1981, the next fifteen years showed remarkable
scientific progress in prevention and treatment, although blood
banks, drug companies, and bureaucrats were often slow to act. 1996
was a watershed year when scientific and clinical HIV experts
called for treating all HIV-infected individuals with potent triple
combinations of antiretroviral drugs that had been proven
effective. Aggressive implementation of prevention and treatment in
the United States led to marked declines in the number of
HIV-related deaths, fewer new infections and hospital visits, and
fewer than one hundred infants born infected each year.
Inexplicably, the World Health Organization recommended withholding
treatment for the majority of HIV-infected individuals in poor
countries, and clinical researchers embarked on studies to evaluate
inferior treatment approaches even while the pandemic continued to
claim the lives of millions of women and children. Why did it take
an additional twenty years for international health organizations
to recommend the treatment and prevention measures that had had
such a profound impact on the pandemic in wealthy countries? The
surprising answers are likely to be debated by medical historians
and ethicists. At last, in 2015, came a universal call for treating
all HIV-infected individuals with triple-combination antiretroviral
drugs. But this can only be accomplished if the mistakes of the
past are rectified. The book ends with recommendations on how the
pediatric HIV/AIDS epidemic can finally be brought to an end.
Synopsis: As the world watched the biggest global epidemic in
history evolve, many anticipated that Christians would embrace
those who were affected just as Jesus during his time embraced
those who were sick and dying. Mostly, the Christian church stood
back and observed. Sometimes Christians responded with stigma and
discrimination. Many who sought refuge in the churches--churches
where they had served the sick and the poor--were turned away as
they now sought refuge for themselves and their children.
Individual authors address the critical issues related to the HIV
epidemic, women, and the Christian church: how the HIV epidemic
affected so many women and children; what the Old and New
Testaments teach about our responsibility to the poor, the needy,
the sick, the widow, and the orphan; and how difficult it should be
for Christians to ignore these teachings. The HIV epidemic
continues, and millions of women and children bear a
disproportionate share of the pain and suffering without a refuge.
Although HIV is a specific disease, it serves as a paradigm for all
Christians to ask what other needs they may be ignoring.
Endorsements: "I will never forget Joanna, the first woman I met
who was dying from AIDS. She was living under a tree, having been
expelled from her rural village in Mozambique because of stigma.
Where was the church of Jesus Christ in her terrible suffering?
Women, HIV, and the Church urgently calls us in the global church
to act on behalf of the millions of other 'Joannas' who desperately
need compassion and practical assistance from those who name his
name." --Kay Warren, Founder of HIV&AIDS Initiative, Saddleback
Church "Whether in the ghettos of America or the bush villages of
Africa, the church has failed to meet Jesus's standards for caring.
Ammann and colleagues alert us to the 'feminization of AIDS' and
call the church of Christ to meet their needs the way Jesus would."
--Diane M. Komp, MD, Professor Emeritus of Pediatrics at Yale
University "In the pages of this book, I found a compelling
invitation to go deep. The authors have successfully navigated the
delicate balance of solid, scholarly work and accessibility for
readers across a wide spectrum of the church who want practical,
tangible, and compassionate engagement with women living with HIV."
--Paul B. Tshihamba, Pastor of Mission Christ Presbyterian Church
Author Biography: Arthur J. Ammann is Clinical Professor of
Pediatrics at the University of California, San Francisco Medical
Center. He is the founder of Global Strategies for HIV Prevention.
Ammann became interested in HIV when it was discovered in 1981.
Throughout the world, and particularly in resource-poor countries,
he has conducted research and directed programs for women and
children on HIV prevention and care. Ammann has published numerous
articles and essays on these subjects. He is the coeditor (with
Arye Rubinstein) of Prevention and Treatment of HIV Infection in
Infants and Children. Julie Ponsford Holland has been a freelance
copyeditor and writer for 17 years, working for ad agencies,
publishers, and individuals. She earned an MA in orientation and
mobility, allowing her to teach travel skills to those with visual
impairments.
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