BiblioVault - Books about HIV AIDS

Ancestors and Antiretrovirals

The Biopolitics of HIV/AIDS in Post-Apartheid South Africa

Claire Laurier Decoteau

University of Chicago Press, 2013

In the years since the end of apartheid, South Africans have enjoyed a progressive constitution, considerable access to social services for the poor and sick, and a booming economy that has made their nation into one of the wealthiest on the continent. At the same time, South Africa experiences extremely unequal income distribution, and its citizens suffer the highest prevalence of HIV in the world. As Archbishop Desmond Tutu has noted, “AIDS is South Africa’s new apartheid.”

In Ancestors and Antiretrovirals, Claire Laurier Decoteau backs up Tutu’s assertion with powerful arguments about how this came to pass. Decoteau traces the historical shifts in health policy after apartheid and describes their effects, detailing, in particular, the changing relationship between biomedical and indigenous health care, both at the national and the local level. Decoteau tells this story from the perspective of those living with and dying from AIDS in Johannesburg’s squatter camps. At the same time, she exposes the complex and often contradictory ways that the South African government has failed to balance the demands of neoliberal capital with the considerable health needs of its population.

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Black Women’s Health in the Age of Hip Hop and HIV/AIDS

A Narrative Remix

Nghana tamu Lewis

The Ohio State University Press, 2025

In Black Women’s Health in the Age of Hip Hop and HIV/AIDS, Nghana tamu Lewis chronicles the work of five black women creators to demonstrate how hip hop feminism operates as a vital tool for interpreting and building knowledge about the lived experiences of black women and girls. Between 1996 and 2006, novelists Sapphire and Sister Souljah, television producer Mara Brock Akil, and playwrights Nikkole Salter and Danai Gurira addressed the neglect of black women’s health in mainstream biomedical and public health discourses. At a time when responses to the HIV/AIDS epidemic largely focused on gay white men, Lewis argues, these creators deployed the strategies of hip hop feminism to frame and untangle issues of self-care, risk, and the ways that caregiving roles place black women and girls at disproportionate risk of adverse health outcomes. Building on previous intersectionality and social justice advocacy scholarship, Lewis argues that Sapphire, Souljah, Brock Akil, and Salter and Gurira both documented the effects of the epidemic on black women and girls and equipped the masses with solutions-oriented responses to the crisis, thus intervening in ways that mainstream biomedical and public health research has yet to do.

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Lethal Decisions

The Unnecessary Deaths of Women and Children from HIV/AIDS

Arthur J. Ammann

Vanderbilt University Press, 2017

This first-person account by one of the pioneers of HIV/AIDS research chronicles the interaction among the pediatric HIV/AIDS community, regulatory bodies, governments, and activists over more than three decades. After the discovery of AIDS in a handful of infants in 1981, the next fifteen years showed remarkable scientific progress in prevention and treatment, although blood banks, drug companies, and bureaucrats were often slow to act. 1996 was a watershed year when scientific and clinical HIV experts called for treating all HIV-infected individuals with potent triple combinations of antiretroviral drugs that had been proven effective. Aggressive implementation of prevention and treatment in the United States led to marked declines in the number of HIV-related deaths, fewer new infections and hospital visits, and fewer than one hundred infants born infected each year.

Inexplicably, the World Health Organization recommended withholding treatment for the majority of HIV-infected individuals in poor countries, and clinical researchers embarked on studies to evaluate inferior treatment approaches even while the pandemic continued to claim the lives of millions of women and children. Why did it take an additional twenty years for international health organizations to recommend the treatment and prevention measures that had had such a profound impact on the pandemic in wealthy countries? The surprising answers are likely to be debated by medical historians and ethicists.

At last, in 2015, came a universal call for treating all HIV-infected individuals with triple-combination antiretroviral drugs. But this can only be accomplished if the mistakes of the past are rectified. The book ends with recommendations on how the pediatric HIV/AIDS epidemic can finally be brought to an end.

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Modernizing Medicine in Zimbabwe

HIV/AIDS and Traditional Healers

David S. Simmons

Vanderbilt University Press, 2012

As subSaharan Africa continues to confront the runaway epidemic of HIV/AIDS, traditional healers have been tapped as collaborators in prevention and education efforts. The terms of this collaboration, however, are far from settled and continually contested. As Modernizing Medicine in Zimbabwe demonstrates, serious questions continue to linger in the medical community since the explosion of the disease nearly thirty years ago. Are healers obstacles to health development? Do their explanations for the disease disregard biomedical science? Can the worlds of traditional healing and modern medicine coexist and cooperate?

Combining anthropological, historical, and public health perspectives, Modernizing Medicine in Zimbabwe explores the intersection of African healing traditions and Western health development, emphasizing the role of this historical relationship in current debates about HIV/AIDS. Drawing on diverse sources including colonial records, missionary correspondence, international health policy reports, and interviews with traditional healers, anthropologist David S. Simmons demonstrates the remarkable adaptive qualities of these disparate communities as they try to meet the urgent needs of the people.

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Practices of Freedom

Selected Writings on HIV/AIDS

Simon Watney

Duke University Press, 1994

Since the mid-1980s, Simon Watney has been one of the leading voices in the international field of HIV/AIDS education. His monthly column on AIDS in Britain’s Gay Times is the longest-running column of its kind in Europe, and he is actively involved in HIV/AIDS issues in the United States. His work constitutes a unique dialogue between European and American perspectives on the epidemic. Practices of Freedom brings together for the first time Watney’s pioneering writings on topics ranging from gay men’s Safer Sex education to racist coverage of AIDS in Africa in the international media, from the ethics of clinical drug trials to governmental policies concerning AIDS.
Watney’s voice—neither neutral nor detached—is that of an active and influential participant in the fight against AIDS. He offers a unique view of the ways in which gay men working in community-based organizations have attempted to provide reliable and up-to-date services and information regarding AIDS treatment and health. A leader in insisting on gay men’s entitlements to education, care, and services, Watney was among the first to challenge the "de-gaying" of AIDS service organizations in the late eighties. He also devotes his attention to HIV/AIDS prevention work, research and treatment issues, and the wider cultural politics of the disease, including the role of language, television, and cinema. His analysis of the epidemic as it has unfolded provides a history of many of the major medical and political debates that have defined the course and extent of the crisis.
Practices of Freedom demonstrates the failure of national institutions, from the government to the press, to understand and effectively fight this epidemic, and directs attention to the most urgent needs in American and international AIDS work. It will be an important primary resource, particularly in the United States, where effective community-based HIV/AIDS education tragically has often been neglected.

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Viral Mothers

Breastfeeding in the Age of HIV/AIDS

Bernice L. Hausman

University of Michigan Press, 2010

"Long overdue . . . Hausman's focus on cultural representation rather than real mothers and practices is savvy and strategic in removing the debates from personal stories and investments to the ways in which this volatile topic becomes embedded in cultural values, language, and imagery."
---Alison Bartlett, University of Western Australia

Viral Mothers: Breastfeeding in the Age of HIV/AIDS addresses modern fears of dangerous motherhood, focusing on preoccupations with mothers' bodies as vectors for infection and contamination. The book examines how the maternal body is perceived as a conduit for disease, drugs, or contaminants that end up in the body of an innocent---and pure---infant. Paying special attention to HIV transmission through breastfeeding, Viral Mothers examines ideologies of maternal embodiment that influence public health protocols and mothers' behaviors worldwide.

The medical community has known since the late 1980s that HIV is passed through breast milk from infected mothers to their babies. In highly industrialized countries, HIV-positive mothers are advised not to breastfeed their babies, but in poor countries breastfeeding has continued to be a predominant and medically recommended practice as a partial solution to problems of infant health and welfare in resource-poor contexts. Now, in areas of high rates of HIV infection and high infant mortality, decisions concerning infant feeding are, literally, about life and death. Public health debates concerning breastfeeding and HIV transmission must consider both the mortality associated with not breastfeeding and the possibility of HIV infection from mother to child.

The transmission of HIV through breastfeeding is a medical and public health issue that touches on and augments contemporary concerns about bodies, germs, and the environment. These concerns affect all people around the globe as we struggle with the meanings of health, risk, and embodiment in modernity. Viral Mothers addresses and explores the dense cultural meanings evoked by mothers' postnatal transmission of HIV. In so doing, the book pays special attention to fears of contamination and contagion that emerge as consequences of a medicalizing modernity. The main themes of the book---risk, purity, denial, and choice---define the terms through which the viral mother is constituted in discourse and enacted publicly as a set of identifiable, culturally legible, concerns.

Bernice L. Hausman is Professor of English at Virginia Tech. She is also the author of Mother's Milk: Breastfeeding Controversies in American Culture.

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