 Title page (back cover) of pamphlet | |
| Author | United States Public Health Service |
|---|---|
| Country | United States |
| Language | English, Spanish |
| Published | 1988 |
| 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.[ citation needed ]
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." [4]
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. [5]
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] [6]
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. [7] [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. [7] 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. [7]
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. He was a vice admiral in the U.S. Public Health Service Commissioned Corps, and 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.
This is a list of notable events in the history of LGBT rights that took place in the year 1986.
Men who have sex with men (MSM) are male persons who engage in sexual activity with members of the same sex. The term was created in the 1990s by epidemiologists to study the spread of disease among all men who have sex with men, regardless of sexual identity, to include, for example, male prostitutes. The term is often used in medical literature and social research to describe such men as a group for research studies. It does not describe any specific sexual activity, and which activities are covered by the term depends on context.
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The global epidemic of HIV/AIDS began in 1981, and is an ongoing worldwide public health issue. According to the World Health Organization (WHO), as of 2021, HIV/AIDS has killed approximately 40.1 million people, and approximately 38.4 million people are infected with HIV globally. Of these 38.4 million people, 75% are receiving antiretroviral treatment. There were about 770,000 deaths from HIV/AIDS in 2018, and 650,000 deaths in 2021. The 2015 Global Burden of Disease Study estimated that the global incidence of HIV infection peaked in 1997 at 3.3 million per year. Global incidence fell rapidly from 1997 to 2005, to about 2.6 million per year. Incidence of HIV has continued to fall, decreasing by 23% from 2010 to 2020, with progress dominated by decreases in Eastern Africa and Southern Africa. As of 2020, there are approximately 1.5 million new infections of HIV per year globally.
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, 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. 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.
HIV/AIDS in Nigeria was a concern in the 2000s, when an estimated seven million people had HIV/AIDS. In 2008, the HIV prevalence rate among adults aged between 15 and 49 was 3.9 percent, in 2018 the rate among adults aged between 15 and 65 was 1.5 percent. As elsewhere in Africa, women are statistically more likely to have HIV/AIDS. The Nigeria HIV/AIDS Indicator and Impact Survey was the world's largest and presented statistics which showed the overall numbers were lower than expected. Antiretroviral treatment is available, but people prefer to take the therapy secretly, since there is still noticeable discrimination against people with HIV/AIDS.
Since HIV/AIDS was first reported in Thailand in 1984, 1,115,415 adults had been infected as of 2008, with 585,830 having died since 1984. 532,522 Thais were living with HIV/AIDS in 2008. In 2009 the adult prevalence of HIV was 1.3%. As of 2016, Thailand had the highest prevalence of HIV in Southeast Asia at 1.1 percent, the 40th highest prevalence of 109 nations.
Discrimination against people with HIV/AIDS or serophobia is the prejudice, fear, rejection, and stigmatization of people with HIV/AIDS. Marginalized, at-risk groups such as members of the LGBTQ+ community, intravenous drug users, and sex workers are most vulnerable to facing HIV/AIDS discrimination. The consequences of societal stigma against PLHIV are quite severe, as HIV/AIDS discrimination actively hinders access to HIV/AIDS screening and care around the world. Moreover, these negative stigmas become used against members of the LGBTQ+ community in the form of stereotypes held by physicians.
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.
How to Have Sex in an Epidemic: One Approach is a 1983 manual by Richard Berkowitz and Michael Callen, under the direction of Joseph Sonnabend, to advise men who have sex with men (MSM) about how to avoid contracting the infecting agent which causes AIDS. It was among the first publications to recommend the use of condoms to prevent the transmission of STDs in men having sex with men, and has even been named, along with Play Fair!, as one of the foundational publications in the advent of modern safe sex.
Since reports of emergence and spread of the human immunodeficiency virus (HIV) in the United States between the 1970s and 1980s, the HIV/AIDS epidemic has frequently been linked to gay, bisexual, and other men who have sex with men (MSM) by epidemiologists and medical professionals. It 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. The first official report on the virus was published by the Center for Disease Control (CDC) on June 5, 1981 and detailed the cases of five young gay men who were hospitalized with serious infections. A month later, The New York Times reported that 41 homosexuals had been diagnosed with Kaposi's sarcoma, and eight had died less than 24 months after the diagnosis was made.
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