Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.

On a cold February morning in 1987, amidst freezing rain and driving winds, a group of protesters stood outside of the Unitarian Universalist Church in Amherst, Massachusetts. The target of their protest was the minister inside, who was handing out condoms to his congregation while delivering a sermon about AIDS, dramatizing the need for the church to confront the seemingly ever-expanding crisis. The minister's words and actions were met with a standing ovation from the overflowing audience, but he could not linger to enjoy their applause. Having received threats in advance of the service, he dashed out of the sanctuary immediately upon finishing his sermon. Such was the climate for religious AIDS activism in the 1980s. In After the Wrath of God, Anthony Petro vividly narrates the religious history of AIDS in America. Delving into the culture wars over sex, morality, and the future of the American nation, he demonstrates how religious leaders and AIDS activists have shaped debates over sexual morality and public health from the 1980s to the present day. While most attention to religion and AIDS foregrounds the role of the Religious Right, Petro takes a much broader view, encompassing the range of mainline Protestant, evangelical, and Catholic groups--alongside AIDS activist organizations--that shaped public discussions of AIDS prevention and care in the U.S. Petro analyzes how the AIDS crisis prompted American Christians across denominations and political persuasions to speak publicly about sexuality--especially homosexuality--and to foster a moral discourse on sex that spoke not only to personal concerns but to anxieties about the health of the nation. He reveals how the epidemic increased efforts to advance a moral agenda regarding the health benefits of abstinence and monogamy, a legacy glimpsed as much in the traction gained by abstinence education campaigns as in the more recent cultural purchase of gay marriage. The first book to detail the history of religion and the AIDS epidemic in the U.S., After the Wrath of God is essential reading for anyone concerned with the intersection of religion and public health.

'Stages of Agency' is the first monograph to analyze the contributions of American stage drama to the discourse on AIDS in the United States from the mid-1980s through the late 1990s. This discourse provides a telling example of how the arts can become agents in socio-political debates. As the study shows, theater and drama played a unique role in educating the American public about AIDS, offering support for the sick and the grieving, and intervening in the mainstream societal perceptions and representations of the epidemic. Taking some of the best-known American AIDS plays as exemplary case studies, 'Stages of Agency' maps the diachronic development of this body of work in its increasing thematic, formal, and identity political heterogeneity. The study analyzes the strategies these plays employed to blend art with activism in order to establish a counter-discourse to the mainstream public debate about AIDS and provide social agency to the affected populations.

This volume addresses the interface of two major national problems: the epidemic of HIV-AIDS and the widespread use of illegal injection drugs. Should communities have the option of giving drug users sterile needles or bleach for cleaning needs in order to reduce the spread of HIV? Does needle distribution worsen the drug problem, as opponents of such programs argue? Do they reduce the spread of other serious diseases, such as hepatitis? Do they result in more used needles being carelessly discarded in the community? The panel takes a critical look at the available data on needle exchange and bleach distribution programs, reaches conclusions about their efficacy, and offers concrete recommendations for public policy to reduce the spread of HIV/AIDS. The book includes current knowledge about the epidemiologies of HIV/AIDS and injection drug use; characteristics of needle exchange and bleach distribution programs and views on those programs from diverse community groups; and a discussion of laws designed to control possession of needles, their impact on needle sharing among injection drug users, and their implications for needle exchange programs.

An investigative account of the medical, sexual, and scientific questions surrounding the spread of AIDS across the country.

Act Up-Paris became one of the most notable protest groups in France in the mid-1990s. Founded in 1989, and following the New York model, it became a confrontational voice representing the interests of those affected by HIV through openly political activism. Action=Vie, the English-language translation of Christophe Broqua’s study of the grassroots activist branch, explains the reasons for the group’s success and sheds light on Act Up's defining features—such as its unique articulation between AIDS and gay activism. Featuring numerous accounts by witnesses and participants, Broqua traces the history of Act Up-Paris and shows how thousands of gay men and women confronted the AIDS epidemic by mobilizing with public actions. Act Up-Paris helped shape the social definition not only of HIV-positive persons but also of sexual minorities. Broqua analyzes the changes brought about by the group, from the emergence of new treatments for HIV infection to normalizing homosexuality and a controversy involving HIV-positive writers’ remarks about unprotected sex. This rousing history ends in the mid-2000s before marriage equality and antiretroviral treatments caused Act Up-Paris to decline.