How to Survive a Plague | |
---|---|
Directed by | David France |
Written by | David France Todd Woody Richman Tyler H. Walk |
Produced by | David France Howard Gertler |
Cinematography | Derek Wiesehahn |
Edited by | Todd Woody Richman Tyler H. Walk |
Music by | Stuart Bogie |
Production companies | |
Distributed by | Mongrel Media (Canada theatrical) Sundance Selects (USA theatrical) IFC |
Release dates |
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Running time | 109 min. |
Country | United States |
Language | English |
Box office | $132,055 [1] |
How to Survive a Plague is a 2012 American documentary film about the early years of the AIDS epidemic, and the efforts of activist groups ACT UP and TAG. It was directed by David France, [2] a journalist who covered AIDS from its beginnings. France's first film, it was dedicated to his partner Doug Gould [3] [4] [5] who died of AIDS-related pneumonia in 1992.
The documentary was produced using more than 700 hours of archived footage which included news coverage, interviews as well as film of demonstrations, meetings and conferences taken by ACT UP members themselves. France says they knew what they were doing was historic, and that many of them would die. The film opened in selected theatres across the United States on September 21, 2012, also includes footage of a demonstration during mass at St. Patrick's Cathedral in 1989. [6]
People featured in the film include:
Beginning at the start of the HIV/AIDS epidemic in New York City, the documentary follows a group of AIDS activists and founders of the AIDS group ACT UP, and follows their struggle for response from the United States government and medical establishment in developing effective HIV/AIDS medications. Activists took it upon themselves to convince the FDA to approve drugs which could slow or even halt the HIV virus, and demanded that drug trials (which would usually take 7–10 years) be shortened so potentially life-saving treatments could be made available. The film also documents the underground market for HIV drugs: many people relied on drugs imported from other countries, which were believed to potentially slow down the HIV virus despite not being FDA-approved.
At the time, the only drug available to slow the progression of HIV was AZT, which in many cases was toxic to HIV-infected people. The cost of AZT was about $10,000 per year in the late 1980s. ACT UP's efforts led to the creation of the International AIDS Conference. Eventually, DDI, an alternative to AZT that did not cause blindness, was released by the FDA despite not going through a full-length safety trial.
HIV activists also protested the immigration policies banning HIV-positive people from immigrating to the United States as being discriminatory and homophobic.
When existing drugs proved ineffective as treatment for HIV, TAG lobbied for more research into the HIV virus. In 1996, protease inhibitors were released. These consist of a combination of drugs which lower the HIV viral load in patients more than any drug had before. It was considered a breakthrough in HIV and AIDS research and continues to be used as a treatment for HIV and AIDS.
The documentary included interviews with HIV activists, physicians and members of underground organizations as well as clips of the protests, meetings and news coverage taking place during the 1980s and 1990s.
France's book of the same title, expanding on the material, events, and people covered in the film, was published in 2016 to critical acclaim. It was described as "the definitive book on AIDS activism", [7] was long-listed for the Andrew Carnegie Medal for Excellence [8] and was named to numerous best-of and top-ten lists, including the New York Times 100 Notable Books for 2016. [9]
Currently, the film has a rating of 98% on Rotten Tomatoes, and an average score of 8.40/10, based on 80 reviews. The website's critical consensus states, "Angry, powerful, and stirring, How to Survive a Plague is a brilliantly constructed documentary about the activists who pushed for action to combat the AIDS epidemic". [10] It also has a score of 86 out of 100 on Metacritic, based on 23 critics, indicating "universal acclaim". [11]
AIDS historian Sarah Schulman has criticized the film for its focus on wealthy, white activists over the "different kinds of people from every class and background" involved in ACT UP. [12]
How to Survive a Plague received awards for best documentary of 2012 from the Gotham Independent Film Awards, GALECA: The Society of LGBTQ Entertainment Critics, and from the Boston Society of Film Critics. [13] It was nominated for Best Documentary at the 30th Independent Spirit Awards. [14]
It was nominated for the Academy Award for Best Documentary Feature at the 85th Academy Awards. [15] [16] The film also won a GLAAD Media Award for Outstanding Documentary and a Peabody Award. [17] It was nominated for a Directors Guild Award and the Grand Jury Prize at the Sundance Film Festival. [18] Critic A. O. Scott of The New York Times named How to Survive a Plague one of the best five documentaries of 2012. [19] Fellow New York Times critic Stephen Holden called the documentary the eighth best film of 2012. [20]
The Duesberg hypothesis is the claim that AIDS is not caused by HIV, but instead that AIDS is caused by noninfectious factors such as recreational and pharmaceutical drug use and that HIV is merely a harmless passenger virus. The hypothesis was popularized by Peter Duesberg, a professor of biology at University of California, Berkeley, from whom the hypothesis gets its name. The scientific consensus is that the Duesberg hypothesis is incorrect and that HIV is the cause of AIDS. The most prominent supporters of the hypothesis are Duesberg himself, biochemist and vitamin proponent David Rasnick, and journalist Celia Farber. The scientific community generally contends that Duesberg's arguments in favor of the hypothesis are the result of cherry-picking predominantly outdated scientific data and selectively ignoring evidence that demonstrates HIV's role in causing AIDS.
Gaëtan Dugas was a Québécois Canadian flight attendant whose role in the early years of the AIDS epidemic attracted considerable attention. Initially identified as a central figure labeled "Patient Zero", Dugas faced allegations of being a primary source of HIV transmission to the United States. This narrative, popularized notably by Randy Shilts' 1987 book And the Band Played On, has been refuted through subsequent scientific scrutiny and historical re-evaluation. Dugas' story highlights the perils of misinformation and the stigma surrounding HIV/AIDS in the 1980s. Despite facing criticism in popular discourse, subsequent studies have provided a more nuanced understanding of Dugas' impact on the epidemic, emphasizing the importance of accuracy and empathy in public health narratives.
Zidovudine (ZDV), also known as azidothymidine (AZT), was the first antiretroviral medication used to prevent and treat HIV/AIDS. It is generally recommended for use in combination with other antiretrovirals. It may be used to prevent mother-to-child spread during birth or after a needlestick injury or other potential exposure. It is sold both by itself and together as lamivudine/zidovudine and abacavir/lamivudine/zidovudine. It can be used by mouth or by slow injection into a vein.
AIDS Coalition to Unleash Power is an international, grassroots political group working to end the AIDS pandemic. The group works to improve the lives of people with AIDS through direct action, medical research, treatment and advocacy, and working to change legislation and public policies.
Michael Callen was an American singer, songwriter, composer, author, and AIDS activist. Callen was diagnosed with AIDS in 1982 and became a pioneer of AIDS activism in New York City, working closely with his doctor, Dr. Joseph Sonnabend, and Richard Berkowitz. Together, they published articles and pamphlets to raise awareness about the correlation between risky sexual behaviors and AIDS.
Elizabeth Glaser was an American AIDS activist and child advocate married to actor and director Paul Michael Glaser. She contracted HIV very early in the AIDS epidemic after receiving an HIV-contaminated blood transfusion in 1981 while giving birth. Like other HIV-infected mothers, Glaser unknowingly passed the virus to her infant daughter, Ariel, who died in 1988.
This is a timeline of HIV/AIDS, including but not limited to cases before 1980.
Indinavir is a protease inhibitor used as a component of highly active antiretroviral therapy to treat HIV/AIDS. It is soluble white powder administered orally in combination with other antiviral drugs. The drug prevents protease from functioning normally. Consequently, HIV viruses cannot reproduce, causing a decrease in the viral load. Commercially sold indinavir is indinavir anhydrous, which is indinavir with an additional amine in the hydroxyethylene backbone. This enhances its solubility and oral bioavailability, making it easier for users to intake. It was synthetically produced for the purpose of inhibiting the protease in the HIV virus.
Cleve Jones is an American AIDS and LGBT rights activist. He conceived the NAMES Project AIDS Memorial Quilt, which has become, at 54 tons, the world's largest piece of community folk art as of 2020. In 1983 at the onset of the AIDS pandemic, Jones co-founded the San Francisco AIDS Foundation, which has grown into one of the largest and most influential advocacy organizations empowering people with AIDS in the United States.
Joseph Adolph Sonnabend was a South African physician, scientist and HIV/AIDS researcher, notable for pioneering community-based research, the propagation of safe sex to prevent infection, and an early multifactorial model of AIDS.
The Prescription Drug User Fee Act (PDUFA) was a law passed by the United States Congress in 1992 which allowed the Food and Drug Administration (FDA) to collect fees from drug manufacturers to fund the new drug approval process. The Act provided that the FDA was entitled to collect a substantial application fee from drug manufacturers at the time a New Drug Application (NDA) or Biologics License Application (BLA) was submitted, with those funds designated for use only in Center for Drug Evaluation and Research (CDER) or Center for Biologics Evaluation and Research (CBER) drug approval activities. In order to continue collecting such fees, the FDA is required to meet certain performance benchmarks, primarily related to the speed of certain activities within the NDA review process.
Treatment Action Group (TAG) is a U.S.-based organization that has been prominent within the movement of HIV/AIDS activism. Being formed in 1991, it has possessed the goals of working with worldwide efforts to increase research on treatments for HIV and for deadly co-infections that affect individuals with HIV, such as hepatitis C and tuberculosis, as well as spur on greater access to and efficient usage of already available treatments. The group additionally monitors research on a possible HIV vaccine and on fundamental science aimed at understanding the pathogenesis of HIV/AIDS.
And the Band Played On: Politics, People, and the AIDS Epidemic is a 1987 book by San Francisco Chronicle journalist Randy Shilts. The book chronicles the discovery and spread of the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) with a special emphasis on government indifference and political infighting—specifically in the United States—to what was then perceived as a specifically gay disease. Shilts's premise is that AIDS was allowed to happen: while the disease is caused by a biological agent, incompetence and apathy toward those initially affected allowed its spread to become much worse.
We Were Here is a 2011 American documentary film about the HIV/AIDS crisis in San Francisco. The film, produced and directed by David Weissman with editor and co-director Bill Weber, premiered at the Sundance Film Festival in January 2011, with its international festival premiere following at the Berlin International Film Festival in February 2011. The theatrical premiere took place at the Castro Theatre in San Francisco on February 25, 2011.
David France is an American investigative reporter, non-fiction author, and filmmaker. He is a former Newsweek senior editor, and has published in New York magazine, The New Yorker, The New York Times Magazine, GQ, and others. France, who is gay, is best known for his investigative journalism on LGBTQ topics.
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United in Anger: A History of ACT UP is a 2012 documentary film directed by Jim Hubbard and produced by Hubbard and Sarah Schulman about the beginning and progress of the AIDS activist movement from the perspective of the people fighting the epidemic. Archival footage with oral histories of members of ACT UP depicts the history of civil disobedience against corporate greed, social indifference, and government negligence in the face of AIDS. The film captures the efforts of ACT UP to remove the stigma associated with AIDS, push the prioritization of experimental drug research and testing, and provide a context for the devastating effects of the epidemic. The film includes several actions by ACT UP: Seize Control of the FDA, Stop the Church, and Day of Desperation.
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