Building the plane on the runway: Formulating approaches to HIV prevention in the early days of the pandemic

PUBHLTH 405
Social History of Infectious Disease
University of Michigan School of Public Health

Jon Zelner
[email protected]
epibayes.io

Agenda

  • Review episode 2 of Fiasco

  • Project work time

Epigraph to “How to Have Sex in an Epidemic”

In small groups:

  • Discuss what you found most interesting or surprising in this episode.

  • Choose a group reporter and be ready to share your group’s take(s).

08:00

Epidemic Trajectory

Poll Everywhere Link

Fiasco Episode 2

An ominous environment

What other conceptualizations of disease might this remind you of?

What is the multi-factorial model of AIDS development?

From (Sonnabend et al., 1984)

A behavioral explanation that can bring a sense of control

(📽️ Until 18:00)

Relies on complex understanding of immune function

Explains both the acquisition phase as well as a transition to self-sustaining disease

“We know who we are”

  • Take ~10m to read “We know who we are” on your own.

  • Pair up and discuss your reactions to the piece.

  • Do you think the informaiton here is ultimately helpful or not? Why or why not?

  • Be prepared to share your thoughts afterwards.

What do you think your takeaway would have been if you were in the target audience for this piece when it was published in 1983?

Some additional questions to contemplate:

  1. What are some similarities and differences between the multi-factorial theory of AIDS and the miasma theory of Cholera?

  2. What parallels do you see between the controversy around pieces like “We Know Who We Are” and discourses about masking, vaccination and other aspects of personal choice during COVID-19?

The Denver Principles

  • How can we interpret the Denver Principles through the lens of stigma?

  • If these principles represented a watershed moment in AIDS activism, to what extent to you think that the multi-factorial theory and response to it led up to this?

Pathogen project work time 🦠

Next Time: Proposal Presentations!

  • We have just under 20m for each group including questions.

  • I will play the role of timekeeper to ensure we get to everyone.

  • Excited to see what you have come up with and to hear everyone’s feedback!

  • Malaria 1

  • Polio 1

  • Plague 1

  • STIs

References