Author | United States Public Health Service |
---|---|
Language | English, Spanish |
Published | 1988 |
Publication place | United States |
Pages | 8 |
Understanding AIDS is a pamphlet or brochure created by the United States government and mailed to every American household in 1988 as a response to the AIDS epidemic. [1] It was the largest mass mailing in American history. [2] The decision to create the pamphlet was made by Surgeon General C. Everett Koop, under a congressional mandate. [3]
The pamphlet contains simple information about AIDS and HIV, and factual descriptions of how it is transmitted through sexual contact and drug use. It advocates for abstinence, monogamy, condom use, and sex education for young people. It encourages the reader not to fear day-to-day contact with people with AIDS, but to instead offer them love and support. [4]
The pamphlet is introduced by Koop and includes passages by Anthony Fauci and James O. Mason.
Approximately 126 million copies of Understanding AIDS were distributed. Their printing and mailing cost about 20 cents per copy, [1] and the pamphlet was mailed to all 107 million households, "making it the largest public health mailing ever." [5]
One million advance copies of the brochure were sent to doctors, nurses, dentists, pharmacists, hospitals, and public health officials to prepare them for questions about AIDS from the public. [6]
The 1988 distribution of Understanding AIDS was of an English-language version of the brochure, with a Spanish version distributed in Puerto Rico. Only later would the brochure be translated into other languages or distributed electronically. [1]
A national survey found that at least 60 percent of people interviewed following the mailing remembered receiving Understanding AIDS. Of these, 80 percent read at least some of the pamphlet, and 40 to 50 percent reported discussing it with family or friends. [1] Call centers for AIDS-related questions, which were created or expanded in advance of the mailer, were flooded with calls. [2] [7]
As a result of preparatory research on how to make the pamphlet understandable to a wide audience, the authors avoided labels for people like "gay" or "drug addicts," and instead described behaviors like anal sex or needle sharing. This type of explicit description, pioneered by Understanding AIDS, would later become standard in sex education. [8] [1]
The frank descriptions of human sexuality in the pamphlet upset some American religious conservatives. Phyllis Schlafly remarked that the pamphlet looks "like it was edited by the Gay Task Force" because of its avoidance of the subject of homosexuality. [8] Jerry Falwell expressed skepticism of the pamphlet, saying a simple message of "no sex outside of marriage would have saved taxpayers' money." [2] Surgeon General Koop was himself an Evangelical Christian and a friend of Falwell's who believed the pamphlet was consistent with his religious beliefs on sexual morality. [8]
The AIDS epidemic, caused by HIV, found its way to the United States between the 1970s and 1980s, but was first noticed after doctors discovered clusters of Kaposi's sarcoma and pneumocystis pneumonia in homosexual men in Los Angeles, New York City, and San Francisco in 1981. Treatment of HIV/AIDS is primarily via the use of multiple antiretroviral drugs, and education programs to help people avoid infection.
Charles Everett Koop was an American pediatric surgeon and public health administrator who served as the 13th surgeon general of the United States under President Ronald Reagan from 1982 to 1989. According to the Associated Press, "Koop was the only surgeon general to become a household name" due to his frequent public presence around the HIV/AIDS crisis of the 1980s.
HIV/AIDS originated in the early 20th century and has become a major public health concern and cause of death in many countries. AIDS rates varies significantly between countries, with the majority of cases concentrated in Southern Africa. Although the continent is home to about 15.2 percent of the world's population, more than two-thirds of the total population infected worldwide – approximately 35 million people – were Africans, of whom around 1 million have already died. Eastern and Southern Africa alone accounted for an estimate of 60 percent of all people living with HIV and 100 percent of all AIDS deaths in 2011. The countries of Eastern and Southern Africa are most affected, leading to raised death rates and lowered life expectancy among adults between the ages of 20 and 49 by about twenty years. Furthermore, life expectancy in many parts of Africa is declining, largely as a result of the HIV/AIDS epidemic, with life-expectancy in some countries reaching as low as thirty-nine years.
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The Centers for Disease Control and Prevention, formed in 1946, is the leading national public health institute of the United States. It is a United States federal agency, under the United States Department of Health and Human Services. Its main goal is to protect public health and safety through the control and prevention of disease, injury, and disability in the US and internationally.
NMAC, formerly known as the National Minority AIDS Council, is a nonprofit organization that works for health equity and racial justice to end the HIV epidemic in America. The nonprofit organization, located in Washington, D.C. was founded in 1987. The organization changed its vision and mission in 2015 to reflect their efforts better. NMAC represents over 3,000 community and faith-based organizations across the US. The agency advances its mission by providing minority and minority-serving faith and community based organizations with capacity building assistance programs, online and classroom-based trainings, printed and electronic resources, grassroots organization and political advocacy. These activities improve the delivery of HIV/AIDS services, helping to mitigate the impact of HIV/AIDS in underserved and marginalized communities.
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