By Peter Piot, Laurence Garey
Peter Piot, founding govt director of the Joint United international locations Programme on HIV/AIDS (UNAIDS), recounts his adventure as a clinician, scientist, and activist battling the illness from its earliest manifestation to this present day. The AIDS pandemic was once not just catastrophic to the wellbeing and fitness of hundreds of thousands all over the world but additionally fractured diplomacy, international entry to new applied sciences, and public well-being rules in countries around the globe. As he struggled to get prior to the disorder, Piot discovered technology does little solid while it operates independently of politics and economics, and politics is valueless if it rejects clinical facts and recognize for human rights.
Piot describes how the epidemic altered international attitudes towards sexuality, the nature of the doctor-patient courting, the impact of civil society in diplomacy, and conventional partisan divides. AIDS thrust overall healthiness into nationwide and overseas politics the place, he argues, it rightly belongs. the worldwide response to AIDS over the last decade is the optimistic results of this partnership, exhibiting what might be accomplished while technology, politics, and coverage converge at the flooring. but it is still a delicate fulfillment, and Piot warns opposed to complacency and the results of lowered investments. He refuses to simply accept a global within which excessive degrees of HIV an infection are the norm. as a substitute, he explains tips to proceed to minimize the occurrence of the sickness to minute degrees via either prevention and therapy, till a vaccine is discovered.
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Extra resources for AIDS Between Science and Politics
In some populations men may have multiple concomitant relationships with much younger women, resulting in a greater probability to transmit HIV to their primary partners. The range of age differences between partners, the considerable rotation of partners of various matrimonial statuses (divorced, married, single, widowed), and concomitant partnerships all seem important characteristics of sexual networks that explain the dynamics of HIV over and above the mean number of sexual partners. It is therefore the synergy between several behavioral, biological, and social factors that determines the extent of the diffusion of HIV.
In France in 2009 some one hundred fifty thousand people had HIV. The proportion of recently acquired adult infections among newly diagnosed people was 30 percent. As in other European countries since 2003 there is a disturbing rise of new infections among gay men. Thus in 2009 a survey among homosexual men frequenting fourteen gay establishments in Paris (saunas, backrooms, and bars) revealed an HIV prevalence of 18 percent, 20 percent of whom were unaware of their infection. Sexual activity and high-risk behavior were rife.
19697'92—dc23 2014026530 A Columbia University Press E-book. edu. Jacket design by Chris Sergio References to websites (URLs) were accurate at the time of writing. Neither the author nor Columbia University Press is responsible for URLs that may have expired or changed since the manuscript was prepared. In memory of Joep Lange and Jacqueline van Tongeren CONTENTS Translator’s Note Acknowledgments INTRODUCTION 1. A HETEROGENEOUS AND STILL-EVOLVING EPIDEMIC Rapid global spread How are HIV numbers estimated?