Stories about HIV and AIDS fascinate me. They speak of our common humanity and our tragically all-too-common inhumanity towards each other. In fear, so many in power sought to sweep this disease and its victims under the rug, yet it pervaded to impact human life in almost every sphere. When AZT first showed promise and HAART later showed effectiveness, many breathed sighs of collective relief. Today, we live in an era of PEPFAR, where the…
Today is HIV Vaccine Awareness Day. As those around me have probably picked up on, making an HIV vaccine has become one of my causes. In the quickest vaccine development ever, we made a COVID vaccine in a number of months, but it’s been almost 40 years since AIDS came to light, you say… Why haven’t we developed an effective HIV vaccine when COVID’s was made so quickly? For one, COVID has significantly less mutations.…
I write this review sixteen years after the publication of this book – a lifetime for rapidly advancing scientific insights. Nonetheless, this book represents an early attempt to understand how to deal with the relationship of HIV infection and severe mental illness (bipolar disorder, schizophrenia, or major depressive disorder). This problem was noted early in HIV’s emergence and began to be systemically addressed more in the 1990s. HIV infection rates at the time of publication…
The discovery of Highly Active Anti-Retroviral Therapy (HAART) in the 1990s was a historical game-changer for those infected with HIV. Instead of dying with AIDS four years after diagnosis, patients infected could now live for decades going forward. While certainly a welcome happening, HAART opened up a new set of questions for those affected with HIV along with healthcare providers: How do we handle growing old with HIV? And how does medicine cope with an…
Today, December 1, is World AIDS Day. During my second year of medical school, I remember sitting in on a full day of presentations about AIDS. Gabriel Virella always organized an intricate set of lectures on World AIDS Day each year. That year, researchers had just failed (again) in a major trial of a vaccine. Along with immunology, we learned about social and cultural issues about HIV, the different medicines used to treat it, and…
Much has changed since HIV/AIDS first started spreading widely in America. Fortunately, we now have better drugs to treat HIV infections. The healthcare system focuses on prevention through PrEP. America is more accepting of homosexuality, though more progress can always be made. Some things remain similar, though. Preventative vaccines are still a hoped-for but not realized dream. The stigma of a diagnosis still exists, but not nearly as badly as it did in the 1980s…
I find the topic of HIV and AIDS absolutely fascinating – from the horrific sufferings of gay men to its origins in Haiti and Africa, from the elusiveness of the virus away from antivirals to biomedical efforts to limits its transmission, from AZT and HAART therapy to bone marrow transplants, from political stigma and oppression by GOP leaders to GOP efforts to cure the African epidemic, from the frustrating story of decades-long search for an…
This sociological work examines a niche group with a lot of social factors going on that impacts their health. First, there is gender as these are women. Regionally and racially, these women are from Puerto Rico but now live in the mainland US. They are impoverished, like many who come from the island. They have to deal with very real health issues like mental illnesses and the looming risk of HIV. They have risk factors,…
The prevalence of HIV and AIDS in Africa was a looming problem at the turn of the millennium, but heavy American investment in treatment for Africans under George W. Bush’s PEPFAR program addressed the acute symptoms. However, like much in life, smaller, no-less-significant problems exploded soon afterwards, particularly in the vein of post-colonialism. Was this a scientific partnership of equals or was it a contribution from a superior to an inferior? Does PEPFAR create a…
In 1991, HIV/AIDS was an immensely scary topic for the public. AZT had just been released, but no one saw it as a cure. Some were even frightened of the long-term side effects. In the decade following, multi-drug HAART therapy transformed HIV into a livable condition, at least for patients in the developed world. But in 1991, the fear the words “HIV” and “AIDS” invoked – especially in those given this diagnosis – needs to…