The AIDS Disaster

The seriousness, potential dimensions, and likely victims of the AIDS epidemic were known as early as 1981, yet the reaction of both public and private organizations was slow. Basing their analysis largely on the hardest hit city, New York, the authors deliver an indictment of governmental and private groups for failing to provide the necessary education and care in response to this disaster. In this book the authors describe the patterns of denial, avoidance, and segregation that various organizations exhibited toward the AIDS crisis and its victims. It is well known that society has an aversion to the major groups threatened or afflicted with AIDS - male homosexuals and, more recently, intravenous drug users and their sexual partners - and that the poor and members of the minorities contribute most heavily to the ranks of the drug users. This situation, the authors argue, results in a stigma that makes AIDS unique among epidemics and contaminates the response of most organizations involved.
Society's hostility toward the urban poor bears even more responsibility for the organizational mishandling of the crisis than the economic and ideological preoccupations of the Reagan era and the homophobia of lawmakers and establishment organizations. The second wave of the epidemic, affecting intravenous drug users and, through them, crack users, interacts fatally with growing problems of poverty in the inner cities, where homelessness, joblessness, rising tuberculosis and syphilis rates, crime, and the paucity of strong indigenous community agencies all foster the rapid spread of the disease. What is needed, the authors contend, is an all out on AIDS that attacks both sexual discrimination and poverty. The AID's epidemic, they claim, presents an occasion for redressing, long-standing social injustices.