AIDS: The Making of a Chronic Disease

AIDS: The Making of a Chronic Disease



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AIDS: The Making of a Chronic Disease by Elizabeth Fee

When AIDS was first recognized in 1981, most experts believed that it was a plague, a virulent unexpected disease. They thought AIDS, as a plague, would resemble the great epidemics of the past: it would be devastating but would soon subside, perhaps never to return. By the middle 1980s, however, it became increasingly clear that AIDS was a chronic infection, not a classic plague.

In this follow-up to AIDS: The Burdens of History, editors Elizabeth Fee and Daniel M. Fox present essays that describe how AIDS has come to be regarded as a chronic disease. Representing diverse fields and professions, the twenty-three contributors to this work use historical methods to analyze politics and public policy, human rights issues, and the changing populations with HIV infection. They examine the federal government's testing of drugs for cancer and HIV, and show how the policy makers' choice of a specific historical model (chronic disease versus plague) affected their decisions. A powerful photo essay reveals the strengths of women from various backgrounds and lifestyles who are coping with HIV. A sensitive account of the complex relationships of the gay community to AIDS is included. Finally, several contributors provide a sampling of international perspectives on the impact of AIDS in other nations.

Product Details

ISBN-13: 9780520075696
Publisher: University of California Press
Publication date: 12/02/1991
Pages: 417
Product dimensions: 6.30(w) x 9.25(h) x (d)

About the Author

Elizabeth Fee is Associate Professor of Health Policy and Management at the School of Public Health at The Johns Hopkins University in Maryland. Daniel M. Fox is President of the Milbank Memorial Fund and Professor of Social Sciences in Medicine at the State University of New York, Stonybrook.

Table of Contents

Introduction: The Contemporary Historiography of AIDS1
Part I.The Virus and Its Publics
AIDS and Beyond: Defining the Rules for Viral Traffic23
Causes, Cases, and Cohorts: The Role of Epidemiology in the Historical Construction of AIDS49
The Mass-Mediated Epidemic: The Politics of AIDS on the Nightly Network News84
Part II.Law, Ethics, and Public Policy
The Politics of HIV Infection: 1989-1990 as Years of Change125
The AIDS Litigation Project: A National Review of Court and Human Rights Commission Decisions on Discrimination144
The History of Transfusion AIDS: Practice and Policy Alternatives170
Scientific Rigor and Medical Realities: Placebo Trials in Cancer and AIDS Research194
Entering the Second Decade: The Politics of PRevention, the Politics of Neglect207
Part III.Affected Populations
Until That Last Breath: Women with AIDS229
Riding the Tiger: AIDS and the Gay Community245
The First City: HIV among Intravenous Drug Users in New York City279
Part IV.International Perspectives
AIDS Policies in the United Kingdom: A Preliminary Analysis299
Foreign Blood and Domestic Politics: The Issue of AIDS in Japan326
Medical Research on AIDS in Africa: A Historical Perspective346
AIDS and HIV Infection in the Third World: A First World Chronicle377
Notes on Contributors413

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