Monday, June 5th, 2006 - marked the 25th anniversary of the start of the AIDS epidemic.
Looking back over the past twenty-five years - in some ways, it seems like we've come a long way; in other ways, it seems like we're still standing at the same point.
Twenty-Five years ago, nobody knew anything about what was happening, but they knew it was going to be something big, something major. It started with a report from the Centers For Disease Control (CDC) about five gay men with Pneumocystis Pneumonia. Pneumocystis itself wasn't new, but an outbreak of people who shouldn't be getting it sure was.
Because it was thought, at first, that this was a disease plaguing only the gay community, at first, they called it GRID (Gay Related Immune Deficiency). In 1982, the CDC began to realize that half the reported cases were from heterosexual, not homosexual men - they changed its name to AIDS (Acquired Immune Deficiency Syndrome.)
Throughout the first several years, nobody knew very much about this or why it was happening. They realized it was a sexually transmitted disease, but nobody had any idea what kind of virus it was or how to fight it.
Between 1985 and 86, researchers began working with a drug called Azidothymidine - which had initially been intended as a cancer drug, but failed the initial tests. When they started using the drug on HIV, it showed a lot of promise. On March 20, 1987, the FDA (Food & Drug Administration) approved the use of Azidothymidine (or AZT) for use against HIV, AIDS, and ARC (AIDS-Related Complex - a term we no longer use today but used to mean pre-AIDS illnesses.) In 1990, it was approved as a preventative treatment.
AZT, tho, was not the miracle drug that everyone hoped it would be, but it was a start. The side effects were terrible and the drug turned toxic at the levels it was prescribed at - yet it was still better than the alternative.
So - how far have we come since those days? A long way. We now know a lot more about HIV and how the Virus operates. We know how it enters the system, and what it does once it gets there. We've been able to map how it takes over the immune system.
In 1995, a new class of medications came out called Protease Inhibitors. This was really teh first breakthrough since the AIDS epidemic began. By as early as 1997, an AIDS Diagnosis was no longer a life sentence.
Today, 2006, we have even more types of drugs for use on HIV and AIDS. We are still using AZT (although at a much lesser amount, and in combination with other medications) and Protease Inhibitors, but now we also have Reverse transcriptase inhibitors, Fusion inhibitors, Integrase inhibitors, plus several new drug classes on the not-so-distant horizon too.
We have also learned how to deal with many of the AIDS-related conditions - such as Pneumocystis Pneumonia, Kaposi sarcoma, Tuberculosis, Mycobacterium avium complex (MAC) and cytomegalovirus (CMV) colitis, just to name a few.
That doesn't mean that today there are no health worries with HIV or AIDS - only that we know more about how to prevent and treat these illnesses. We know more about how to fight the virus itself.
This also isn't to say that we still don't have a long way to go. We still have no cure. There are still quite a few unanswered (and unanswerable) questions.
While looking back at all the progress we've made, it saddens me to think that in other ways, we're no better off than we were twenty-five years ago.
Throughout the early years, we often heard about how HIV and AIDS was some form of punishment from God… God doesn't tolerate homosexuality. If you use drugs, Jesus isn't going to allow you to go to Heaven. You're only going to get this if you're immoral or do ungodly things.
It surprises me that even today, this attitude is still present. God doesn't punish anyone for having sex by giving them AIDS - just like He doesn't punish immoral New Orleans' people by throwing them a hurricane or two. And yet, this is what we hear when Fred Phelps and the Westburough Baptist Assholes (pardon my French) show up at the funeral for a (most likely heterosexual) soldier killed in the line of duty in Iraq.
Being open and honest about ones HIV status often leads to isolation. The HIV and AIDS stigma is just as bad now as it ever has been.
If you have HIV or AIDS, most people are still going to think you're either some perverted gay guy or some strung out drug addict. Many will even think its your own fault for getting this disease because if you didn't stick that needle in your arm or have sex with whomever it was that gave it to you - and if its your own damn fault, why should they care?
Even the gay community often turns its back on the HIV/AIDS Epidemic.
Granted, there are cities like New York City that offers so many options for HIV related housing, HIV related social services, HIV support groups, that it's hard to know where to start … and yet there are other cities that offer almost nothing. And the current political climate is only making this issue worse.
Barebacking (having sex without a condom or any form of protection) is big in the gay community right now. You can get barebacking videos at the local adult shops, lots of places have (private) bearbacking parties - it seems like you can see it everywhere. Do these people know this is exactly how you get HIV in the first place? Or is it just that they don't care?
You'd think we'd have learned to live with HIV by now - whether we have the disease or not. And that - that is why we still have a long way to go.