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 catastrophic 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 achieved 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.
While there is a growing list of publications devoted to the AIDS epidemic, Africa, with two-thirds of the world's cases, still receives scant attention. This book may change the way we think about AIDS and how it is being addressed in Africa and the rest of the world.
The book draws on first-hand research and in-depth investigations carried out by a team of researchers from Britain, Zambia and Tanzania, and focuses on the gendered aspect of the struggle against AIDS.
The authors study the severity of the epidemic and the threat it poses to the population and society in Tanzania and Zambia. They argue that the success of strategies against the spread of AIDS in Africa rests on their recognition of existing gendered power relations and that this success might be enhanced if the strategies are built on existing organisational skills and practices, especially among women. Their conclusions have repercussions for all countries around the world, and especially the rest of Africa.
Upon it's first publication twenty years ago, And The Band Played on was quickly recognized as a masterpiece of investigative reporting. An international bestseller, a nominee for the National Book Critics Circle Award, and made into a critically acclaimed movie, Shilts' expose revealed why AIDS was allowed to spread unchecked during the early 80's while the most trusted institutions ignored or denied the threat. One of the few true modern classics, it changed and framed how AIDS was discussed in the following years. Now republished in a special 20th Anniversary edition, And the Band Played On remains one of the essential books of our time.
For thousands of years boys known as "bleeders" faced an early, painful death from hemophilia. Dubbed "the Royal Disease" because of its identification with Queen Victoria, the world's most renowned carrier, hemophilia is a genetic disease whose sufferers had little recourse until the mid-twentieth century. In the first book to chronicle the emergence and transformation of the hemophilia community, Susan Resnik sets her story within our national political landscape-where the disease is also a social, psychological, and economic experience.
Blood Saga includes many players and domains: men with hemophilia and their families, medical personnel, science researchers, and the author herself, who was Director of Education of the National Hemophilia Foundation in the early 1980s. At that time the "miracle treatment" of freeze-dried pooled plasma blood products enabled men with hemophilia to lead full, normal lives. Then the AIDS virus infiltrated the treatment system and over fifty percent of the hemophilia community became HIV-positive. But rather than collapsing, this community refocused its priorities, extended its reach, and helped shape blood safety policies to prevent further tragedy.
The hemophilia community includes people from every socioeconomic and ethnic group, and Resnik's narrative and use of oral histories never lose touch with those affected by the disease. Her extensive informant interviewing allows much of this social history to be told by participants on all levels: parents, wives, nurses, doctors, government agency directors, health care providers, and many others.
Gene insertion therapy now holds the promise of a cure for hemophilia in the near future. Scientific breakthroughs inevitably become intertwined with the industry and academic medical centers that govern the national health care system. And in that system, says Resnik, costs and safety are sometimes contending issues. She makes clear that the lessons learned in Blood Saga apply to all of us.
This "tender and lyrical" memoir (New York Times Book Review) remains one of the most compelling documents of the AIDS era-"searing, shattering, ultimately hope inspiring account of a great love story" (San Francisco Examiner). A National Book Critics Circle Award finalist and the winner of the PEN Center West literary award.
Christian Churches and the Global AIDS Crisis More than twenty years into the global AIDS pandemic, the efforts of Christian congregations and denominations have been less than minimal. This book is aimed to awaken Christian compassion in the coming years to this fathomless tragedy. The worst health crisis in the world in 700 years, global HIV/AIDS epidemic is overwhelming in scale: 40 million people are infected worldwide (75% of them in Africa); 7000 people die daily; each day 1600 persons are infected. Some 26 million people have already died. ''At this unprecedented kairos moment in human history, '' says Messer, ''God is calling the church to a new mission and ministry.'' Drawing on his own involvement in global AIDS education in Asia, Latin America, and Africa, Messer uses stories, basic factual information, and theological insights to motivate lay and clerical Christians to assume leadership and form partnerships with Christians around the world in this struggle. Just as individuals must change their behavior to prevent and eliminate AIDS, so must congregations and church leaders. Compassion, not condemnation, is desperately needed, says Messer. But financial resources for education and prevention programs are also urgently required from churches. Messer shows how churches can partner with ecumenical organizations, relief agencies, volunteer mission programs, healthcare programs, and other agencies to engage global AIDS directly and effectively.
The real story of AIDS--how it originated with a virus in a chimpanzee, jumped to one human, and then infected more than 60 million people--is very different from what most of us think we know. Recent research has revealed dark surprises and yielded a radically new scenario of how AIDS began and spread. Excerpted and adapted from the book Spillover, with a new introduction by the author, Quammen's hair-raising investigation tracks the virus from chimp populations in the jungles of southeastern Cameroon to laboratories across the globe, as he unravels the mysteries of when, where, and under what circumstances such a consequential "spillover" can happen. An audacious search for answers amid more than a century of data, The Chimp and the River tells the haunting tale of one of the most devastating pandemics of our time.
A small group of scientists were doggedly working in the field of antiviral treatments when the AIDS epidemic struck. Faced with one of the grand challenges of modern biology of the twentieth century, scientists worked across the political divide of the Cold War to produce a new class of antivirals. Their molecules were developed by a Californian start-up together with teams of scientists at the Rega Institute of KU Leuven and the Institute of Organic Chemistry and Biochemistry (IOCB) of the Academy of Sciences in Prague. These molecules became the cornerstone of the blockbuster drugs now used to combat and prevent HIV. Cold War Triangle gives an insight into the human face of science as it recounts the extraordinary story of scientists in East and West who overcame ideological barriers and worked together for the benefit of humanity.
Based on major multi-centre research in the UK, Dying to Care identifies why work stress is a problem in health care generally, and in HIV health care in particular. The similarities and differences between work stress experienced in general health care settings and in HIV/AIDS are explored in a state-of-the-art review of research and experience in the field to date.
The book has a practical focus, and goes on to explore ways in which the unique stresses of patient advocacy in HIV/AIDS can be addressed, identifying the best approaches for management. Highlighting the practical importance of a clear distinction between the burnout and work stress for design of strategies for burnout prevention, the emergence of the concept of burnout is described and the general historical confusion between work stress and burnout examined. This will be a key handbook for managers, physicians, nurses, social workers, health advisors and counsellors working in or alongside healthcare.
In 1976 a deadly virus emerged from the Congo forest. As swiftly as it came, it disappeared, leaving no trace. Over the four decades since, Ebola has emerged sporadically, each time to devastating effect. It can kill up to 90 percent of its victims. In between these outbreaks, it is untraceable, hiding deep in the jungle. The search is on to find Ebola's elusive host animal. And until we find it, Ebola will continue to strike. Acclaimed science writer and explorer David Quammen first came near the virus while he was traveling in the jungles of Gabon, accompanied by local men whose village had been devastated by a recent outbreak. Here he tells the story of Ebola--its past, present, and its unknowable future.
Extracted from Spillover by David Quammen, updated and with additional material.