State of Denial | |
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Directed by | Elaine Epstein |
Produced by | Elaine Epstein |
Cinematography | Sven Cheatle, Carl DeHeer, Brian Green, Eddie Wes |
Edited by | Penny Hays |
Music by | Thomas DeRenzo |
Release date | 2003 |
Running time | 86 minutes |
Language | English |
State of Denial is a 2003 documentary film about AIDS in Africa, produced and directed by Elaine Epstein. The film highlights the errors of President Mbeki's government, which insists that there isn't enough evidence to show that HIV causes AIDS and refuses vital life-saving drugs to their people because of unknown long-term risks. The film follows the stories of HIV positive Africans and activists as well as their careers, interspersed with the harrowing statistics of the AIDS epidemic in Africa. It features various HIV positive patients coping with the disease in times when the use of ARV medicine was strongly discouraged by the South African government.
The film captures the desperation and growing discontent of average South Africans infected and affected by the disease. Some of the subjects interviewed make heartbreaking but inspirational statements about AIDS and how living with it is like. After the death of his brother who also succumbed to the disease, a young man is filmed saying the following:
For me, it was the most traumatic time in my life because I could see myself in him. You know, he didn’t really have to die as helplessly as he did. And not only him, but thousands and thousands of people are dying unnecessarily. It makes me sick.
The film also features Zackie Achmat, an HIV positive AIDS activist and co-founder of Treatment Action Campaign (TAC), who refused to take ARVs until they were made available to the general public. [2]
State of Denial was first shown at the 2003 Sundance Film Festival. It later aired on TV as part of the Acclaimed Point of View Documentary Film Series. [3] Four of the subjects interviewed died before the film was released. [4]
HIV/AIDS denialism is the belief, despite conclusive evidence to the contrary, that the human immunodeficiency virus (HIV) does not cause acquired immune deficiency syndrome (AIDS). Some of its proponents reject the existence of HIV, while others accept that HIV exists but argue that it is a harmless passenger virus and not the cause of AIDS. Insofar as they acknowledge AIDS as a real disease, they attribute it to some combination of sexual behavior, recreational drugs, malnutrition, poor sanitation, haemophilia, or the effects of the medications used to treat HIV infection (antiretrovirals).
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.
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Mantombazana "Manto" Edmie Tshabalala-Msimang was a South African politician. She was Deputy Minister of Justice from 1996 to 1999 and served as Minister of Health from 1999 to 2008 under President Thabo Mbeki. She also served as Minister in the Presidency under President Kgalema Motlanthe from September 2008 to May 2009.
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Alison L. Gertz was an American AIDS activist in the late 1980s and early 1990s. Gertz died of AIDS-related pneumonia.
Keep a Child Alive (KCA) is a nonprofit organization that provides healthcare, housing, and other support services to HIV/AIDS-affected communities in Africa and India. Co-founded by Leigh Blake and Alicia Keys, the organization aims to "realize the end of AIDS for children and families, by combating the physical, social and economic impacts of HIV." Keep a Child Alive organizes the annual fundraiser gala The Black Ball, established in 2004, where celebrities and philanthropists gather to support and raise awareness for the cause. Since the first Black Ball, the organization has raised over $28.7 million for HIV/AIDS treatment.
The situation with the spread of HIV/AIDS in Russia is described by some researchers as an epidemic. The first cases of human immunodeficiency virus infection were recorded in the USSR in 1985-1987. Patient zero is officially considered to be a military interpreter who worked in Tanzania in the early 1980s and was infected by a local man during sexual contact. After 1988—1989 Elista HIV outbreak, the disease became known to the general public and the first AIDS centers were established. In 1995-1996, the virus spread among injecting drug users (IDUs) and soon expanded throughout the country. By 2006, HIV had spread beyond the vulnerable IDU group, endangering their heterosexual partners and potentially the entire population.
Kenya has a severe, generalized HIV epidemic, but in recent years, the country has experienced a notable decline in HIV prevalence, attributed in part to significant behavioral change and increased access to ARV. Adult HIV prevalence is estimated to have fallen from 10 percent in the late 1990s to about 4.8 percent in 2017. Women face considerably higher risk of HIV infection than men but have longer life expectancies than men when on ART. The 7th edition of AIDS in Kenya reports an HIV prevalence rate of eight percent in adult women and four percent in adult men. Populations in Kenya that are especially at risk include injecting drug users and people in prostitution, whose prevalence rates are estimated at 53 percent and 27 percent, respectively. Men who have sex with men (MSM) are also at risk at a prevalence of 18.2%. Other groups also include discordant couples however successful ARV-treatment will prevent transmission. Other groups at risk are prison communities, uniformed forces, and truck drivers.
The Other Side of AIDS is a 2004 film by Robin Scovill. Through interviews with researchers and HIV-positive people who have refused anti-HIV medication, the film makes the claim that HIV is not the cause of AIDS and that HIV treatments are harmful, conclusions which are rejected by many in the scientific community. The film was reviewed in Variety and The Hollywood Reporter in 2004, and received additional attention in 2005, when Scovill's three-year-old daughter died of untreated AIDS.
House of Numbers: Anatomy of an Epidemic is a 2009 film directed, produced, and hosted by Brent Leung and described by him as an objective examination of the idea that HIV causes AIDS. The film argues that human immunodeficiency virus (HIV) is harmless and does not cause acquired immune deficiency syndrome (AIDS), a position known as AIDS denialism. The film's claims of impartiality have been widely rejected by scientists, and the film's claims about HIV and AIDS have been dismissed as pseudoscience and conspiracy theory masquerading as even-handed examination.
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.
Initial events and trends in the discussion of HIV and AIDS in mass media contributed to the stigma and discrimination against those affected with the disease. Later discussion, sometimes led by HIV+ individuals themselves, moved toward advocacy and education on disease prevention and management. The UNESCO report on Journalism Education says, "Well researched television content can create public awareness about HIV prevention, treatment, care and support can potentially influence the development and implementation of relevant policies."
Peter Ndimbirwe Mugyenyi, MBChB, DCH, FRCPI, FRCPE, ScD is a Ugandan physician, HIV/AIDS researcher, medical administrator and author. He is executive director and co-founder of the Joint Clinical Research Centre, and a leading authority on treatment of HIV/AIDS in Africa.
In South Africa, HIV/AIDS denialism had a significant impact on public health policy from 1999 to 2008, during the presidency of Thabo Mbeki. Mbeki criticized the scientific consensus that HIV is the cause of AIDS beginning shortly after his election to the presidency. In 2000, he organized a Presidential Advisory Panel regarding HIV/AIDS including several scientists who denied that HIV caused AIDS.
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