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In the 30 years since the HIV/AIDS epidemic began, questions remain about its origins. Pepin (microbiology & infectious diseases, Univ. de Sherbrooke, Quebec) combines history and epidemiology to build a detailed argument demonstrating how a virus that originated in chimpanzees could jump to humans and eventually become a global epidemic. He examines the social disruption of the colonial and postcolonial eras and identifies urbanization, the migration of young men to cities, and the resulting increase in prostitution as additional catalysts of the disease's spread. He then devotes several chapters to a number of public health programs in Africa that, while intended to combat various diseases, involved injecting large numbers of people with needles and syringes that were not properly sterilized. The last few chapters trace the spread of HIV/AIDS from Africa to Haiti, the United States, and beyond, with special emphasis on the role of the blood and plasma trade. VERDICT Pepin delivers a carefully reasoned academic treatise on the origins of AIDS; recommended for readers interested in the epidemiology of AIDS.—Janet A. Crum, City of Hope Lib., Duarte, CAFrom the Publisher
"Pepin's achievement is formidable. He has mastered a vast technical literature in French and English, exploited the archives and material remains of colonial and postcolonial Africa, and knows his African history to boot. He writes with grace and feeling, and makes accessible the scientific and clinical issues. Above all, he comes across as a humane and caring doctor. This is a major contribution to our understanding of the scourge that has defined our times." -TLS"The superb organization organization of the book is noteworthy; the reader is never left hanging, and the path to the next topic is always clear. Highly recommended." -Choice
"Pepin has written an absorbing analysis of the roots of the epidemic." -Nicolas van de Walle, Foreign Affairs
"The language of Pepin’s book is academic, yet easily accessible to a lay, educated readership. Graphics, charts and maps emphasize the text content. The Origins of AIDS offers, for the first time, an in-depth look into the pandemic prior to 1981 and, with that, the missing pieces that complete the story of AIDS." -Alina Oswald, A&U, America's AIDS magazine
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