The American public responded to the first cases of AIDS with fear and panic. Both policymakers and activists were concerned not only with stopping the spread of the disease, but also with guiding the public’s response toward those already infected. Fatal Advice is an examination of how the nation attempted, with mixed results, to negotiate the fears and concerns brought on by the epidemic. A leading writer on the cultural politics of AIDS, Cindy Patton guides us through the thicket of mass-media productions, policy and public health enterprises, and activist projects as they sprang up to meet the challenge of the epidemic, shaping the nation’s notion of what safe-sex is and who ought to know what about it.
There is the official story, and then there is another, involving local groups and AIDS activists. Going back to early government and activist attempts to spread information, Patton traces a slow separation between official advice and that provided by those on the front lines in the battle against AIDS. She shows how American anxieties about teen sex played into the nation’s inadequate education and protection of its young people, and chronicles the media’s attempts to encourage compassion without broaching the touchy subject of sex or disrupting the notion that AIDS was a disease of social and sexual outcasts. Her overview of the relationship between shifting medical perceptions and safe-sex advice reveals why radical safe-sex educators eventually turned to sexually explicit, including pornographic, representations to spread their message—and why even these extreme tactics could not overcome the misguided national teaching on AIDS.
Patton closes with a stirring manifesto, an urgent call to action for all those who do not want to see the hard lessons of AIDS education and activism wasted, or, with these lessons, the loss of so many more lives.

In 1901, Dr. Alfred Fournier committed an act both simple and revolutionary: he wrote ForOur Sons, When They Turn 18, a sexual and reproductive health treatise based on his clinical work at a leading Paris hospital. If this booklet aided adolescent understanding of health, it also encouraged reformers around the world to publish. By 1913, countless works on venereal disease prevention were available to adolescents.

During this period, authors wrestled with how to make still-developing scientific information available to a reader also in the process of maturing. What would convince a young person to avoid acting on desire? What norms should be employed in these arguments, when social and legal precedents warned against committing ideas about sex to print? How, in other words, could information about sex be made both decent and compelling? Health reformers struggled with these challenges as doctors' ability to diagnose diseases such as syphilis outpaced the production of medicines that could restore health. In this context, information represented the best and truest prophylactic. When publications were successful, from the perspective of information dissemination, they were translated and distributed worldwide.

What Adolescents Ought to Know explores the evolution of these printed materials—from a single tract, written by a medical researcher and given free to anyone, to a thriving commercial enterprise. It tells the story of how sex education moved from private conversation to purchased text in early twentieth-century America.