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This ambitious book provides a comprehensive history of the World
Health Organization (WHO) Global Programme on AIDS (GPA), using it
as a unique lens to trace the global response to the AIDS pandemic.
The authors describe how WHO came initially to assume leadership of
the global response, relate the strategies and approaches WHO
employed over the years, and expound on the factors that led to the
Programme's demise and subsequent formation of the Joint United
Nations Programme on HIV/AIDS(UNAIDS). The authors examine the
global impact of this momentous transition, portray the current
status of the global response to AIDS, and explore the precarious
situation that WHO finds itself in today as a lead United Nations
agency in global health. Several aspects of the global response -
the strategies adopted, the roads taken and not taken, and the
lessons learned - can provide helpful guidance to the global health
community as it continues tackling the AIDS pandemic and confronts
future global pandemics. Included in the coverage: The response
before the global response Building and coordinating a
multi-sectoral response Containing the global spread of HIV
Addressing stigma, discrimination, and human rights Rethinking
global AIDS governance UNAIDS and its place in the global response
The AIDS Pandemic: Searching for a Global Response recounts the
global response to the AIDS pandemic from its inception to today.
Policymakers, students, faculty, journalists, researchers, and
health professionals interested in HIV/AIDS, global health, global
pandemics, and the history of medicine will find it highly
compelling and consequential. It will also interest those involved
in global affairs, global governance, international relations, and
international development.
Thirty years after AIDS was first recognized, the American South
constitutes the epicenter of the United States' epidemic. Southern
states claim the highest rates of new infections, the most
AIDS-related deaths, and the largest number of adults and
adolescents living with the virus. Moreover, the epidemic
disproportionately affects African American communities across the
region. Using the history of HIV in North Carolina as a case study,
Stephen Inrig examines the rise of AIDS in the South in the period
from the early spread and discovery of the disease through the late
nineties. Drawing on epidemiological, archival, and oral history
sources, Inrig probes the social determinants of health that put
poor, rural, and minority communities at greater risk of HIV
infection in the American South. He also examines the difficulties
that health workers and AIDS organizations faced in reaching those
communities, especially in the early years of the epidemic. His
analysis provides an important counterweight to most accounts of
the early history of the disease, which focus on urban areas and
the spread of AIDS in the gay community. As one of the first
historical studies of AIDS in a southern state, North Carolina and
the Problem of AIDS provides powerful insight into the forces and
factors that have made AIDS such an intractable health problem in
the American South and the greater United States.
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