AIDS and dying
Here's an interesting recap of the AIDS epidemic after 25 years. "In the United States, an estimated 1.1 million people are infected with HIV and more than half a million Americans have died of AIDS. The bad news is that the rate of HIV infection remains steady at about 40,000 per year and the good news is that number Americans dying from AIDS has dropped for 52,000 in 1995 to 15,800 in 2004." How does this compare with other "epidemics"? According to the Centers for Disease Control statistics, AIDS would be probably be 20th or so as a leading cause of death in the US. (see the top ten causes of death in the United States here). Even at its height, it would have been about 8th or 9th. That's bad, but diabetes kills 74,000 people a year (#6 on the chart), and 1.4 million new cases are diagnosed a year, adding to the estimated 21 million people who already have it. You never hear about the diabetes epidemic. Why is that? Where is the diabetes quilt? Is it because AIDS is much more politically loaded (the "gay disease")? AIDS seems more random? Is uncurable? Or is it that AIDS has a larger and more active advocacy group?

1 Comments:
Definitely the latter (the advocacy group explanation). To carry out your comparison, consider that diabetes affects people who have no pre-existing common characteristics that unify them. With AIDS, especially early when the epidemic broke, the affected population was almost exclusively gay men. This was a population that already felt oppressed and was ready to explode. The AIDS epidemic was the match that lit the powder keg. Furthermore, in the first few years of the epidemic (which was pre-Internet era, mind you), those affected were almost entirely concentrated in NYC and SF. Again, contrast with diabetes, where affected people are spread diffusely throughout the U.S.
If you want to read up on the succes of ACT-UP, the AIDS activist organization that was most vocal and most effective at getting the world's attention and Congress' purse strings, read Impure Science by Steve Epstein.
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