Health
Forty years after AIDS, progress has been made, but major problems remain.
William Brangham:
From the 1980s to the early 90s, the AIDS epidemic was characterized by two types of images. First, activists are out on the streets, seeking a basic perception that AIDS is a reality, rather than just acting. President Reagan’s administration often ignored the crisis. Reagan himself didn’t mention it publicly for years.
But the other was private, at home or in the hospital, many of the patients were gay men and were trying to escape AIDS. The LGBTQ community lost a huge number of friends and loved ones due to the virus. .. Infecting HIV at the time was often a death sentence, with heavy stigma and a blanket of denial, as there were no drugs or vaccines.
From the late 80’s to the early 90’s, some small improvements were made. Attitudes began to change as a famous American came forward with a positive reaction. And in the late 1980s, the first antiretroviral drugs to treat HIV infection appeared. Ten years later, the combination of multiple drugs proved to not only slow the progression of the virus, but also suppress it.
This major change meant that HIV was not a chronic but fatal condition and that people could survive. However, for many years, these drugs were expensive and not available to people in sub-Saharan Africa. Millions died before a new program was launched to make these drugs more affordable and more widely available.
Salim Abdool Karim operates one of South Africa’s leading HIV research centers.
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