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During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
Groundbreaking narrative nonfiction for teens that tells the story of the AIDS crisis in America. Thirty-five years ago, it was a modern-day, mysterious plague. Its earliest victims were mostly gay men, some of the most marginalized people in the country; at its peak in America, it killed tens of thousands of people. The losses were staggering, the science frightening, and the government's inaction unforgivable. The AIDS Crisis fundamentally changed the fabric of the United States. Viral presents the history of the AIDS crisis through the lens of the brave victims and activists who demanded action and literally fought for their lives. This compassionate but unflinching text explores everything from the disease's origins and how it spread to the activism it inspired and how the world confronts HIV and AIDS today.
Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.
For young gay men who came of age in the United States in the 1980s, the HIV/AIDS epidemic was a formative experience in fear, hardship, and loss. Those who were diagnosed before 1996 suffered an exceptionally high rate of mortality, and the survivors -- both the infected individuals and those close to them -- today constitute a "bravest generation" in American history. The AIDS Generation: Stories of Survival and Resilience examines the strategies for survival and coping employed by these HIV-positive gay men, who together constitute the first generation of long-term survivors of the disease. Through interviews conducted by the author, it narrates the stories of gay men who have survived since the early days of the epidemic; documents and delineates the strategies and behaviors enacted by men of this generation to survive it; and examines the extent to which these approaches to survival inform and are informed by the broad body of literature on resilience and health. The stories and strategies detailed here, all used to combat the profound physical, emotional, and social challenges faced by those in the crosshairs of the AIDS epidemic, provide a gateway for understanding how individuals cope with chronic and life-threatening diseases. Halkitis takes readers on a journey of first-hand data collection (the interviews themselves), the popular culture representations of these phenomena, and his own experiences as one of the men of the AIDS generation. This riveting account will be of interest to health practitioners and historians throughout the clinical and social sciences -- or to anyone with an interest in this important chapter in social history. Cover photo courtesy of Fire Island Pines Historical Preservation Society.
HIV/AIDS is a catastrophe globally but nowhere more so than in sub-Saharan Africa, which in 2008 accounted for 67 percent of cases worldwide and 91 percent of new infections. The Institute of Medicine recommends that the United States and African nations move toward a strategy of shared responsibility such that these nations are empowered to take ownership of their HIV/AIDS problem and work to solve it.
The AIDS epidemic in Sub-Saharan Africa continues to affect all facets of life throughout the subcontinent. Deaths related to AIDS have driven down the life expectancy rate of residents in Zambia, Kenya, and Uganda with far-reaching implications. This book details the current state of the AIDS epidemic in Africa and what is known about the behaviors that contribute to the transmission of the HIV infection. It lays out what research is needed and what is necessary to design more effective prevention programs.
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.
Examines conspiracy theories surrounding HIV and AIDS, focusing on two main widely believed falsehoods--that America manufactured AIDS to be a biological weapon and the belief that HIV is harmless and the true cause of AIDS are antiretroviral drugs.