Abstract
In fall 1987, Randy Shilts published his second book, “And the Band Played on: Politics, People, and the AIDS Epidemic.” The jacket proclaimed that “the epidemic spread widely because the federal government put budget ahead of the nation’s welfare; health authorities placed political expediency before the public health; and scientists were more often more concerned with international prestige than saving lives.” In the Prologue Shilts wrote, “The bitter truth was that AIDS did not just happen to America—it was allowed to happen by an array of institutions, all of which failed to perform their appropriate tasks to safeguard the public health.” This essay reviews the controversial book published by Randy Shilts 30 years ago in light of some of the events that have followed. First, the context and content of the book—and reactions to its publication—are summarized. Secondly, several major developments after publication of the book are noted. Thirdly, a critical assessment of the author and his work is offered in an era when some politicians and physicians in the United States are imagining “an AIDS-free generation.”
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References
Shilts R. And the band played on: politics, people, and the AIDS epidemic. New York: St. Martin’s Press; 1987.
Harvey D. A brief history of neoliberalism. Oxford: Oxford University Press; 2005.
Reagan RW. Inaugural address: January 20, 1981. https://reaganlibrary.archives.gov/archives/speeches/1981/12081a.htm.
Clendinen D, Nagourney A. Out for good: the struggle to build the gay rights movement in America. New York: Simon & Schuster; 1999.
Moore P. Beyond shame: reclaiming the abandoned history of radical gay sexuality. Boston: Beacon; 2004.
Wade DT, Halligan PW. Do biomedical models of illness make for good healthcare systems? BMJ. 2004;329(7479):1398–401.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.
Darrow WW. Community mobilization, community planning, and community-based research for HIV prevention in the United States. In: Smith RA, editor. Global HIV/AIDS politics, policy, and activism: persistent challenges and emerging issues. Santa Barbara: Praeger; 2013. p. 375–99.
Kayal PM. Bearing witness: gay men’s health crisis and the politics of AIDS. Boulder: Westview; 1993.
Darrow WW. A national HIV prevention strategy for the United States. In: Smith RA, editor. Global HIV/AIDS politics, policy, and activism: persistent challenges and emerging issues. Santa Barbara: Praeger; 2013. p. 225–48.
Darrow WW. In memoriam: Randy M. Shilts. J Sex Res. 1994;31:248–9.
Stoner AE. Reconsidering Randy Shilts: examining the reportage of America’s AIDS Chronicler. Dissertation. Fort Collins: Colorado State University; 2013.
Levine MP. Gay Macho: the life and death of the homosexual clone. New York: New York University Press; 1998.
Porter R. Epidemic of fear. New Soc. 1988;4:24–5.
McKay R. “Patient 0”: the absence of a patient’s view of the early North American AIDS epidemic. Bull Hist Med. 2014;87:161–94.
Moss AR. In response to: AIDS without end. N Y Rev Books. 1988;35(19):60.
Tasker F, Charles, J. Scientists trace AIDS through Haiti; findings draw anger. The Miami Herald. 2007:1A, 4A.
Gilbert MTP, Rambaut A, Wlasiuk G, Spira TJ, Pitchenik AE, Worobey M. The emergence of HIV/AIDS in the Americas and beyond. Proc Natl Acad Sci USA. 2007;104(47):18566–70.
Crimp D. Melancholia and moralism: essays on AIDS and queer politics. Boston: MIT Press; 2004.
Tiemeyer P. Plane queer: labor, sexuality, and AIDS in the history of male flight attendants. Berkeley: University of California Press; 2013.
Fettner AG, Check WA. The truth about AIDS: evolution of an epidemic. New York: Holt, Rinehart and Winston; 1984.
Babineau G. The prettiest one: Remembering Gaétan Dugas and the “AIDS Mary myth”. Xtra West. 2001:13–15. www.xtra.ca/public/National/Gaetan_Dugas_and_the_AIDS_Mary_myth-3885.aspx. Republished on 26 Apr 2011.
Auerbach DM, Darrow WW, Jaffe HW, Curran JW. Cluster of cases of the acquired immune deficiency syndrome: patients linked by sexual contact. Am J Med. 1984;76:487–92.
Worobey M, Watts TD, McKay RA, et al. 1970s and ‘Patient 0’ HIV-1 genomes illuminate early HIV/AIDS history in North America. Nature. 2016;539(7627):98–101.
Darrow WW, Barrett D. Jay K, Young A. The gay report on sexually transmitted diseases. Am J Public Health. 1981;71(9):1004–11.
Rogers EM. Diffusion of innovations. 4th ed. New York: Free Press; 1995.
Holmberg SD. Scientific errors and controversies in the U.S. HIV/AIDS epidemic: how they slowed advances and were resolved. Westport: Praeger; 2008.
Colgrove J. Epidemic City: the politics of public health in New York City. New York: Russell Sage Foundation; 2011.
Haverkos HW. On the front lines of the AIDS pandemic. Saarbrucken: LAP Lambert; 2012.
Shilts R. Talking AIDS to death: have you heard the one about the waiter and the salad dressing? Esquire. 1989;111(3):123–33.
Jones C. When we rise: my life in the movement. New York: Hachette; 2017.
Wu J, Norris JL, Jia Y, Wang N. HIV treatment as prevention: contradictory perspectives from dynamic mathematical models. Sci World J. 2014;760734:1–9.
Centers for Disease Control and Prevention. HIV surveillance report. 2015;27:1–114. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Published Nov 2016. Accessed 26 March 2017.
Hall HI, Song R, Rhodes P, et al. Estimation of HIV incidence in the United States. JAMA. 2008;300(5):520–9. doi:10.1001/jama.300.5.520.
Arno PS, Feiden KL. Against the odds: the story of AIDS drug development, politics and profit. New York: Harper Collins; 1993.
UNAIDS. Global AIDS update: 2016. Geneva: Joint United Nations Programme on HIV/AIDS, 2016. http://www.unaids.org/sites/default/files/media_asset/global-AIDS-update-2016. Accessed 26 March 2017.
Bellah RN, Madsen R, Sullivan WM, Swidler A, Tipton SM. Habits of the heart: individualism and commitment in American life. Berkeley: University of California Press; 1985.
Centers for Disease Control and Prevention. Twenty-five years of HIV/AIDS—United States, 1981–2006. Morb Mort Wkly Rep (MMWR). 2006;55(21):585–9.
DeCock KM, Jaffe HW, Curran JW. Reflections on 30 years of AIDS. Emer Inf Dis. 2011;17(6):1044–8.
Fauci AS, Folkers GK. The world must build on three decades of scientific advances to enable a new generation to live free of HIV/AIDS. Health Aff. 2012;31(7):1529–36.
Fauci AS, Marston HD. Ending the HIV-AIDS pandemic—follow the science. N Engl J Med. 2015;373:2197–9.
France D. How to survive a plague: the inside story of how citizens and science tamed AIDS. New York: Knopf; 2016.
Acknowledgement
Earlier versions of this commentary were presented in a College of Arts and Sciences “Themester” event, “Connectedness: Networks in a Complex World,” at Indiana University in Bloomington, Indiana, on September 15, 2013, and in a plenary session at the Annual Meeting of the Association of Nurses in AIDS Care in Miami, Florida, on November 7, 2014. Author and journalist John-Manuel Andriote, professor emeritus of sociology Philip Kayal of Seton Hall University, and retired historian Sally Smith Hughes of the University of California, Berkeley, graciously accepted my invitation to review a prepublication copy of this essay and provided me with constructive comments.
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Darrow, W.W. And the Band Played on: Before and After. AIDS Behav 21, 2799–2806 (2017). https://doi.org/10.1007/s10461-017-1798-2
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DOI: https://doi.org/10.1007/s10461-017-1798-2