front cover of Ancestors and Antiretrovirals
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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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.

Illustration: ©iStockphoto.com/timeless

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