‘Facing it Together’: Early Caregiving Responses to Vancouver's HIV/AIDS Epidemic

This article utilises oral history interviews with long-term survivors and caregivers in Vancouver, British Columbia to foreground the importance of gay men's early HIV/AIDS caregiving work. Caregiving was essential to the health and resilience of Vancouver's gay community and served as a political response to homophobic discourses that demonised gay men and devalued the lives of people living with HIV/AIDS. This analysis of the practical and political significance of HIV/AIDS caregiving demonstrates that historians must find better ways to recover the often-untold histories of men's caregiving and domesticity and appreciate their significance to the success of social movements.     

‘Let's talk about sex,baby…’: Conversing with Zimbabwean children about HIV/AIDS1

The lack of HIV/AIDS research with children under 15 in Zimbabwe indicates that most researchers believe children are too young to ‘talk about sex’. However, some are already sexually active, the rest soon will be and children constitute 45% of Zimbabwe's population. This mixed methods study surveyed 118 children and interviewed 36 about their understanding of sex and HIV/AIDS. The study revealed that the children had a range of knowledge levels about HIV/AIDS and sexual issues. It established that children can and want to discuss these sensitive issues, and that their attitudes towards safer sex are often more advanced than those of adults.     

Feminizing risk at a distance: critical observations on the constitution of a preventive technology for HIV/AIDS

Distance is a key idea in contemporary literatures on geography and the government of risk, and it is central to the work presented in this paper, which focuses on Western media representations of an innovative ‘first-generation’ non-contraceptive microbicide, Carraguard. A preventive technology that has been developed under the auspices of the US Population Council and the Bill and Melinda Gates Foundation, Carraguard is represented in the media in ways that produce certain noteworthy cultural geographies of HIV/AIDS. Via an analysis of a selection of such media representations of Carraguard, and focusing on sexual citizenship, political subjectivity and three socio-spatial orderings of risk (displacement, replacement and reorientation), we posit that Carraguard has effected a feminization of the government of risk at a distance. Specifically, we contend that HIV/AIDS has been displaced from the marginalized spaces of metropolitan centres of the West and replaced at the world's under-developed margins, being reoriented from dangerousness/deviance and the masculine to risk and the feminine in that process. In this work, we have taken up Dean's (1999) call to use an analytics of government to highlight the effects of certain ways of thinking and acting, and have also sought to respond to observations by Craddock (2000) that the silences in geography about HIV/AIDS and the regional coordinates of risk and vulnerability need to be addressed. In the final analysis, it appears that media representations of Carraguard reproduce and intensify much older geopolitical and socio-spatial orderings and relations of power that give effect to conceptions and practices of political obligation and sexual citizenship.     

Towards a jus in bello of Guerrilla Warfare

Abstract

Pentecostalism is the fastest growing form of Christianity in developing countries. Paralleling Pentecostalism's growth has been the HIV/AIDS pandemic. This paper examines how post-apartheid South Africans are responding to the conflicts born of the HIV/AIDS crisis. Fieldwork conducted in 2005 shows that Pentecostals who were not involved in efforts to address HIV/AIDS saw the church's mission as almost exclusively spiritual in nature. Pentecostals who were engaged in HIV/AIDS-related work were more likely to have an integrated worldview and to see the church's mission as relevant to the physical world. Beliefs about removing racism from the church and sin as structural as well as individual were also associated with this integrated worldview. These insights lay the foundation for constructing a Pentecostal social ethic for addressing HIV/AIDS.     

AIDS,speech and silence in South Africa (Respond to this article at http://www.therai.org.uk/at/debate)

Confessional technologies are frequently deployed to deal with the HIV/AIDS pandemic. In South Africa, these are most eagerly embraced by activists of the urban‐based Treatment Action Campaign, who use speech such as public confession and testimony to overcome pathos. However, fieldwork in the Bushbuckridge area of the South African lowveld shows wide resistance to direct speech about AIDS. In this article I explore reasons for such resistance. In addition to the stigma of labelling and poor treatment options, I argue that villagers feared the innate power of words such as ‘HIV’ and ‘AIDS’ to crystalize sickness, and bring fears of death into consciousness. In conclusion, I suggest that rather than insist upon confession, health providers could use speech and silence as alternative modes of dealing with AIDS.     

Securitising HIV/AIDS in the Xinjiang Uyghur Autonomous Region

For the People's Republic of China, the localised HIV/AIDS epidemics in the Xinjiang Uyghur Autonomous Region are emerging as threats to those persons affected by the disease, but also to the stability of Xinjiang. This article examines the HIV/AIDS epidemic in Xinjiang and considers the impacts it may have on human and political security. The authors argue that due to its remote location and the religious, cultural and ethnic diversity of its population, and current political situation, Xinjiang poses difficult obstacles to effective programs in tackling HIV/AIDS, and the pandemic has disproportionately affected the minority nationalities in the region compared to their Han counterparts. If the HIV/AIDS pandemic among minority nationalities in Xinjiang continues to grow, it has the potential to further weaken social cohesion there, as well as Uyghur human security. Therefore, a HIV/AIDS pandemic in Xinjiang could tip the balance in terms of ethnic and regional stability.     

EPIDEMICS AND CONTAINMENT: Cuba and the HIV/AIDS epidemic

The Cuban response to a new and little understood disease, HIV/AIDS, was swift. A ban on imported blood was followed by mass testing of HIV antibodies, beginning with Cubans who had travelled abroad. In 1986, a sanatorium – ‘Los Cocos’ – was opened to treat Cuban soldiers who had returned with AIDS from Angola. Soon after, Cubans who had never left the country began testing HIV positive, most of whom were gay and bisexual. ‘Los Cocos’ was neither a hospital nor a prison. The campus was large, and duplex apartments and sports areas were built. The director, Dr Jorge Perez Avila, an infectious disease expert, stepped in as the Dr Fauci of Cuba. His goal was to continue his research on AIDS while simultaneously ensuring that the sanatorium formed a safe refuge for patients while awaiting antivirus medicines. Through his work, Dr Perez managed to transform the sanatorium into a place where sex and sexual differences were accepted, and where a gay community could emerge to produce theatre, arts and sex education for Cuba's public schools. In 1994, the sanatorium became a voluntary institution and many of the patients opted to remain.     

HIV/AIDS and security

The UN and its associated agencies have been among the most important players in increasing global AIDS awareness. But the intervention of the Security Council has been critical in securitizing HIV/AIDS. Moreover, the claims made by the Security Council have set the agenda for the subsequent debate on HIV/AIDS as a security issue. This article examines these claims—that HIV/AIDS poses a risk to internal stability, national security and peacekeepers, and that conflict is a vector for the spread of the disease. It argues that the evidence is less clear cut, more complex and case sensitive than the original claims suggested. Moreover, the causal links between HIV/AIDS and insecurity appear less robust. It concludes that the case made by the Security Council was somewhat speculative, while the snowballing of subsequent pessimistic thinking led these concerns to a position of orthodoxy that now appears less assured. HIV/AIDS remains a tragedy and a human security issue; whether it is a national security issue is more problematic.     

Privileging prevention,gendering responsibility: an analysis of the Ghanaian campaign against HIV/AIDS

This article focuses on the discourses around HIV/AIDS in the national Ghanaian ‘Stop AIDS Love Life!’ public health campaign, within non-governmental HIV/AIDS publications, and the Ghanaian national print media. I have used critical discourse analysis to interpret and deconstruct a range of these social texts collected between June and September of 2001 and 2003 in and around Greater Accra, Ghana. I argue, firstly, that these discourses are shaped by an international politics of funding for HIV/AIDS that privileges prevention through behaviour change over treatment action under the premise that prevention is a more cost-effective option for the Global South. I critique this stance, highlighting the emerging possibilities for integrated prevention–treatment efforts in resource-poor settings such as Ghana. Secondly, I argue that the discourses around HIV/AIDS presented in prevention campaign materials powerfully construct normative and gendered subjectivities with assigned roles and responsibilities. The fight against HIV/AIDS is constructed as a national project in which an idealized, and often very young, female citizen is positioned as educator, volunteer, carer and protector of herself and society. This discursive coding of responsibility places the many burdens of HIV upon some of the most vulnerable in society, ignoring the structural constraints of gender, generational and economic inequality. I conclude my paper by arguing that efforts to reduce transmission rates, stigma, and the burden of care for those living with HIV/AIDS in Ghana must integrate both preventative efforts and treatment action. Where prevention campaigns are utilized I suggest that these must recognize the limitations of behaviour change initiatives that primarily target women and acknowledge the gendered constraints faced by those very subjects identified as responsible for the protection and education of the nation.     

Reproduction rates in multiregion modeling systems for HIV / AIDS

The persistence of HIV/AIDS has seen a revival of academic interest in the development of modeling systems to assist understanding the population dynamics of this infection. Moreover, it has become increasingly recognized that a key component of these systems for interpreting disease prevention is their reproduction rate, which provides an indication of whether an epidemic might start in a community described by a particular set of epidemiological characteristics. The properties of these rates have been explored in detail for models of a single risk behavior but not for multiregion formats that allow for the transfer of infection between geographical units. Therefore, in this paper I derive reproduction rates for a multiregion HIV/AIDS model together with their associated critical thresholds that estimate the minimum population of susceptibles necessary for an epidemic to begin. These statistics are interpreted for a simplified global setting representing regional variations in the potential onset of HIV/AIDS. In the discussion I examine the potential applicability of these results to understanding HIV/AIDS prevention.     

After the Exception: HIV/AIDS Beyond Salvation and Scarcity

Abstract: Access to treatment for HIV/AIDS became a flashpoint for global justice struggles in the late 1990s. An expanding international response, premised to a significant extent on the idea of HIV/AIDS as an exceptional global problem, has since delivered treatment, care and prevention to growing numbers of people. HIV/AIDS exceptionalism, however, has increasingly been questioned, many aspects of the response have been critiqued and donor funding has started to decline. I argue that, having been framed as an exceptional humanitarian emergency, the question of HIV/AIDS as a global problem is increasingly located within a discourse of scarcity. Tracking the growing entanglement of global HIV/AIDS relief with neoliberal governmentality and the emergence of something I term therapeutic neoliberalism, I argue that the shift from a rationality of salvation to one of administration poses new challenges for global health activism. Questioning the discourse of scarcity remains essential to an alternative global health agenda.     

Knowledge,Morality and ‘Kastom’: SikAIDS among Young Yupno People,Finisterre Range,Papua New Guinea

ABSTRACT This paper investigates the extent of knowledge about HIV/AIDS among young Yupno women and men. Local understanding of sikAIDS is shaped by cultural, moral and religious concepts and processes that are based on social values and practices. Difficulties these young people face in accessing information about HIV/AIDS and using it to implement preventative measures — for example by obtaining condoms — have to be seen in the framework of ‘kastom’ and a moral discourse coined and influenced by the Lutheran Church. As the research shows, there is an urgent need for a broad and contextually sensitive approach to sexual health, including information about conception, family planning methods, and sexually transmitted diseases when planning awareness campaigns for teenagers in rural regions.     

Patterns of Vulnerability to AIDS Impacts in Zambian Households

Using household data from Northern Zambia, this article looks at HIV/AIDS impacts on different aspects of people's access to food. The findings draw particular attention to the variances in vulnerability among households burdened by illness and orphans that are headed by men, women and the elderly. It is argued that vulnerability levels to HIV/AIDS impact differ substantially among households and implicitly expose the underlying causal conditions that enable or disable people in their responsiveness. Households affected by HIV/AIDS cannot be treated as a homogeneous group and understanding the differences in vulnerability can play an important policy role in designing targeted support.     

South Africa,the world and AIDS (Respond to this article at http://www.therai.org.uk/at/debate)

South Africa has been at the centre of world history for over a century and it is now the focus of all eyes for the World Cup. The country has been a by‐word for racial inequality and more recently for crime and violence. But it is also notable for social progress and cultural vitality. The HIV/AIDS epidemic has claimed more victims there than anywhere else, a tragic sequel to apartheid. Successive political leaders highlight the contradictions of this historical moment in poignant, even Shakespearean ways. The author briefly reviews three books by anthropologists on AIDS there and suggests that South Africa is likely to remain a source of innovation for the discipline. But we need to take a broader view of world history than at present.     

In from the margins? The changing place of Africa in International Relations

This article surveys recent literature on Africa and International Relations (IR) and reviews the current place of Africa within the discipline. It notes that critical debates continue around claims of a mismatch between Africa and ‘mainstream’ IR theories and concepts. However, alongside this set of issues, there is in fact a burgeoning literature on many aspects of Africa's international relations. While some of these studies utilize existing IR theories, and others explore empirical cases that could deliver important lessons for the wider discipline, much of this promise goes unfulfilled. The article reviews literature on China's role and on HIV/AIDS governance in Africa to illustrate how the study of African international relations, the wider IR discipline and international policy could all benefit from a closer engagement between Africa and IR. The article concludes by setting out three challenges for a renewed agenda: a need to address the problematic relationship between universal analytical concepts and regional particularities; a need to give recognition to, and analyse, African agency in international politics; and a need to address inequalities in knowledge production in the field of Africa's international relations.     

Minding Your Peers and Queers: Female sex workers in the AIDS discourse in Australia and South-east Asia {1}

Sex workers have been incorporated into the Western AIDS discourse initially as a category of 'risk group'. The model of 'peer education' developed successfully by gay men in the West has been used with sex workers in Australia and is being exported to South-east Asia. This paper shows that the role of the 'peer educator' is paradoxical, and embedded in locally specific laws, cultural factors and power relations involving the sex industry. Ignoring the politico-cultural context can mean that peer workers are involved in their own surveillance and in reinforcing the stigma of sex work. The 'Asian prostitute' has been characterised both as an exotic commodity and as the focus of 'AIDS panic'; however, alternative voices express both complexity of the sex industry and more immediate concerns which need to be confronted before HIV/AIDS can be given meaning.     

Spaces of capability: Consumption geographies at an inner‐city university

Inner‐city universities are noteworthy in relation to food provisioning and consumption because of their locations and spatial characteristics. Among 18,500 university students surveyed by Universities Australia in 2017, one in seven reports being unable to eat in regular patterns. This finding suggests that it is important to explore how eating spaces at inner‐city universities intersect with students' eating practices. Ethnographic work conducted over three semesters in Melbourne at RMIT University's city campus revealed that around 100 microwaves installed there were used by students to prepare food in ways that may support regular eating. The research included observations, focus groups, and digital ethnography. Analysis of the findings suggests that the university's eating spaces and their material arrangements are related to students' on‐campus and off‐campus practices. Using both Walker's interpretation of Sen's capability approach—the social practice capability framework—and Schatzki's site ontology, I propose that this relationship produces spaces of capability, encouraging and enabling varied activities such as using leftovers, bulk cooking, and buying discretionary foods less impulsively. The study and its use of the idea of spaces of capability may foster new insights about the ongoing challenge to ensure student wellbeing and to consider the relationship of student wellbeing to broader issues such as sustainable consumption and environmental justice.     

‘Turning Sex into a Game’: Gogodala Men's Response to the AIDS Epidemic and Condom Promotion in Rural Papua New Guinea

ABSTRACT Rugby league is the national sport of Papua New Guinea and the game's huge popularity and international profile has been used in recent condom promotion campaigns in the nation's fight against the HIV/AIDS epidemic. In this paper, I argue that the promotion of condom use through rugby league requires a national campaign strategy that includes understandings of condom use and masculinity at the rural level. I demonstrate this through a study of Gogodala men's understandings of the epidemic and condom use in Western Province. The Gogodala are a Christian‐based society and many blame the national condom promotion strategy for an increase in promiscuity and for ‘turning sex into a game’. Condom availability in this rural area continues to be restricted to a family planning program that promotes Christian values and excludes unmarried men. I explore the male condom dilemma where young men are more concerned with avoiding accusations that their sexual behaviour puts them at risk of contracting HIV despite acknowledging the preventative value of using condoms. In this context young men disassociate themselves from the disease and condom use through a process of calculated risk or risk minimisation.     

Breastfeeding as custom not culture: Cutting meaning down to size (Respond to this article at http://www.therai.org.uk/at/debate)

Seeing breastfeeding as culturally constructed highlights its overall meaning only to hide the activity's inner dynamic and structural separateness. To study breastfeeding in its own terms, our paper flips culture as meaning on its head, asking how the whole (culture) fits the part (breastfeeding). Addressing that question to cultural, regional and cross‐cultural bodies of evidence, we find that what's viable bioculturally is nowhere near as malleable as what's imagined culturally. In understanding these arrangements, history and function need as much consideration as anthropologists currently give meaning.     

The Witch's Familiar and the Fairy in Early Modern England and Scotland

This paper is a preliminary study into the nature of popular belief in the witch's familiar in early modern England and Scotland. It illustrates some of the similarities to be found between beliefs in the witch's familiar and contemporary fairy beliefs and argues that the extent of these similarities suggests that in the period there must have been considerable confusion between the two kinds of spirit, particularly on a popular level. The paper then goes on to argue that fairy beliefs provided a matrix of thought which underpinned the whole construct of the witch's familiar in the popular mind, a construct which interacted with elite demonological theory in a coherent and dynamic way.