AIDS ENCYCLOPEDIA OF POPULAR CULTURE
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plateau and with new medications on the market the death rate has
started to decline. Discussions now focus on AIDS as a chronic
manageable disease, rather than a fatal illness.
During the early years of the AIDS epidemic there was much
fear of the disease, misinformation about its transmission, and lack of
education covering prevention techniques. The United States closed
its borders to HIV positive individuals. Members of the gay commu-
nity became targets of homophobic attacks. The scientific community
both nationally and worldwide took the lead in devoting time and
research funds to unraveling the AIDS mystery, treatments for the
disease, and possible future vaccines. Unfortunately many of the
efforts have been dramatically underfunded, with university medical
schools and major pharmaceutical corporations performing the ma-
jority of the research.
The vast majority of scientists believe AIDS originates from the
human immunodeficiency virus (HIV). A number of forms of HIV
have been identified, but those most prevalent to the AIDS epidemic
are HIV1, globally disbursed, and HIV2, African in origin. HIV is
classified as a retrovirus which, opposite to normal function, converts
the RNA held in the virus core into DNA. Besides being a retrovirus,
HIV is also a lentivirus. While most viruses cause acute infections and
are cleared by the immune system, producing lifelong immunity,
lentiviruses are never completely removed from the immune system.
HIV’s primary function is to replicate itself, with the unintended side
effect of opportunistic infections in infected humans.
Scientists theorize that HIV originated from a virus which
already existed and was now appearing for the first time in humans.
Over the last decade there has been much contentious debate concern-
ing the relationship of the West African simian immunodeficiency
viruses (SIV) and a connection to HIV. A widely accepted theory is
that the syndrome was transmitted to humans by monkeys with a
different strain of the virus. Studies on the simian origin of HIV have
made some progress beyond genetic comparison showing a close
geographic relationship of HIV2 and SIV. Early in 1999 international
AIDS researchers confirmed the virus originated with a subspecies of
chimpanzee in West and Central Africa. This version was closely
related to HIV1. Exposure probably resulted from chimp bites and
exposure to chimp blood, but further research is still needed.
The rise of AIDS as a public health issue coincided with the
ascension of a conservative national government. President Ronald
Reagan established a political agenda based on decreased federal
responsibility for social needs. Thus at the onset of the AIDS
epidemic the issue was widely ignored by the federal government.
Ever since, policy makers on the national, state, and local levels have
been criticized for focusing upon prevention programs rather than the
need for health care. Only after political pressure was exerted by gay
activists, health care providers, and other concerned organizations
was more money and effort directed toward funding medical care
and research.
The AIDS epidemic has had a profound impact on gay and
lesbian identity, politics, social life, sexual practices, and cultural
expression. Many of those with AIDS were denied medical coverage
by insurance companies, harassed in the workplace, and not given
adequate treatment by medical practitioners. Meanwhile, there was a
call by some right wing politicians and religious clergy for the
quarantine or drastic treatment of AIDS patients. Gay-organized self
help groups quickly developed around the country. By the 1990s over
six hundred AIDS-related organizations were created nationwide.
One of the first organizations was the Gay Men’s Health Crisis in
New York City; they were later joined by the Karposi’s Sarcoma
Foundation (San Francisco), AIDS Project Los Angeles, Shanti
Foundation, and countless others. Many people responded, especially
those who had previously avoided gay movement work.
On the political front gay and lesbian activists waged a vigorous
campaign to obtain adequate funding to halt the AIDS epidemic.
Primarily through the media, activists waged a bitter campaign
against the United States government and drug manufacturers, urging
allocation of money and directing research for AIDS. The gay
community has charged the federal government with negligence and
inaction in response to the outbreak of AIDS. In the government’s
defense, it was the first time in years that industrialized nations had to
come to terms with a previously unknown disease that was reaching
epidemic proportions. Advancements in the analysis and treatment of
the syndrome were impeded by institutional jealousies and red tape,
and notable progress in the field did not start until the mid-1980s.
An unforeseen result of the epidemic was a renewed sense of
cooperation between lesbians and gay men. Lesbians were quick to
heed the call of gay men with AIDS in both the social service and
political arenas of the crisis. Among gay men AIDS helped to bring
together the community, but also encouraged the development of two
classes of gay men, HIV ‘‘positive’’ and ‘‘negative.’’ The sexually
charged climate of the 1970s, with its sexual experimentation and
unlimited abandon, gave way to a new sense of caution during the
1980s. Private and public programs were put into place urging the use
of safer sexual practices, and a move toward long term monogamous
relationships. The onslaught of AIDS made committed monogamous
relationships highly attractive.
The collective effects of AIDS can be observed in the perform-
ing arts, visual arts, literature, and the media. The decimation of a
generation of gay men from AIDS led to an outpouring of sentiment
displayed in many spheres. The theater made strong statements
concerning AIDS early on, and has continued ever since. Many
AIDS-related plays have been staged on Off-Broadway, Off-Off-
Broadway, and smaller regional theaters. Jeffrey Hagedorn’s one-
man play, One, which premiered in Chicago during August 1983, was
the first theatrical work to touch upon the disease. Other plays such as
William Hoffman’s As Is (1985) and Larry Kramer’s The Normal
Heart (1985) were successfully presented onstage to countless audi-
ences. Probably the most successful drama was Tony Kushner’s
Angels in America (1992).
Hollywood was a latecomer in the depiction of AIDS on the big
screen. Most of the initial film productions were from independent
filmmakers. Before Philadelphia (1993), the few other movies which
dealt openly with AIDS as theme were Arthur Bressan Jr.’s Buddies
(1985); Bill Sherwood’s Parting Glances (1986); and Norman Rene
and Craig Lucas’s Longtime Companion (1990). Lucas’s production
was rejected by every major studio and was eventually funded by
PBS’s American Playhouse. Many of those afflicted with AIDS in the
movie industry were treated as untouchables. Many times when AIDS
was depicted in a film it was exhibited as a gay, white middle class
disease. Meanwhile, photo documentaries produced outside Holly-
wood validated the lives of individuals with AIDS, revealing the
gravity and reality of the disease and helping to raise funds for AIDS
service organizations.
When the AIDS epidemic was first identified, the disease was
not considered newsworthy by national television networks. The first
mention of AIDS occurred on ABC’s Good Morning America during
an interview with the CDC’s James Curran. Since the inception of
CNN in 1980, the news network has provided continuous coverage of
AIDS. Broadcast and cable television stations could have been used