This is an examination of the Caribbean AIDS epidemic.

Of the more than 40 million people around the world currently living with HIV/AIDS, two million live in Latin America and the Caribbean. In an engaging chronicle illuminated by his travels in the region, Shawn Smallman shows how the varying histories and cultures of the nations of Latin America have influenced the course of the pandemic. He demonstrates that a disease spread in an intimate manner is profoundly shaped by impersonal forces. In Latin America, Smallman explains, the AIDS pandemic has fractured into a series of subepidemics, driven by different factors in each country. Examining cultural issues and public policies at the country, regional, and global levels, he discusses why HIV has had such a heavy impact on Honduras, for instance, while leaving the neighboring state of Nicaragua relatively untouched, and why Latin America as a whole has kept infection rates lower than other global regions, such as Africa and Asia. Smallman draws on the most recent scientific research as well as his own interviews with AIDS educators, gay leaders, drug traffickers, crack addicts, transvestites, and doctors in Cuba, Brazil, and Mexico. Highlighting the realities of gender, race, sexuality, poverty, politics, and international relations throughout Latin America and the Caribbean, Smallman brings a fresh perspective to understanding the cultures of the region as well as the global AIDS crisis.

Examine the biopsychosocial, environmental, spiritual, and policy issues that affect HIV/AIDS prevention/service delivery issues for Caribbean youth!This groundbreaking book provides an overview and informed discussion of HIV/AIDS as it affects children and adolescents in Antigua, Barbados, Grenada, Jamaica, and The Republic of Trinidad and Tobago. With contributions from noted HIV/AIDS experts in the region, it examines the biopsychosocial, environmental, spiritual, and policy issues that impact HIV/AIDS prevention/service delivery issues for Caribbean youth. HIV/AIDS and Children in the English Speaking Caribbean breaks the silence on this subject that has existed throughout the Caribbean--second only to Sub-Saharan Africa in terms of the number of people infected with the disease--by focusing attention on the issues, needs, perspectives, policies, and research that impact those affected by the epidemic in that region. This unique book gives special attention to the distinctive differences among Caribbean countries with varying customs based on colonial influences including language, culture, traditions, and religion. User-friendly tables and figures make the statistical information easy to understand.HIV/AIDS and Children in the English Speaking Caribbean discusses a diversity of topics, including: psycho-cultural issues and adolescents the impact of dance hall music on HIV and adolescents school programs evaluation of residential placements for children with AIDS sexual risk-taking behaviors of Jamaican street boys the inaugural lecture on AIDS at the University of the West Indies . . . and much more. Everyone whose professional life brings them into contact with this population, including social workers, psychologists, counselors, clinicians, nurses and other health care professionals, as well as educators and their students will find HIV/AIDS and Children in the English Speaking Caribbean a very useful resource for understanding the devastating impact of the HIV/AIDS virus on children and adolescents in that part of the world.

Europe's "Black Death" contributed to the rise of nation states, mercantile economies, and even the Reformation. Will the AIDS epidemic have similar dramatic effects on the social and political landscape of the twenty-first century? This readable volume looks at the impact of AIDS since its emergence and suggests its effects in the next decade, when a million or more Americans will likely die of the disease. The Social Impact of AIDS in the United States addresses some of the most sensitive and controversial issues in the public debate over AIDS. This landmark book explores how AIDS has affected fundamental policies and practices in our major institutions, examining: How America's major religious organizations have dealt with sometimes conflicting values: the imperative of care for the sick versus traditional views of homosexuality and drug use. Hotly debated public health measures, such as HIV antibody testing and screening, tracing of sexual contacts, and quarantine. The potential risk of HIV infection to and from health care workers. How AIDS activists have brought about major change in the way new drugs are brought to the marketplace. The impact of AIDS on community-based organizations, from volunteers caring for individuals to the highly political ACT-UP organization. Coping with HIV infection in prisons. Two case studies shed light on HIV and the family relationship. One reports on some efforts to gain legal recognition for nonmarital relationships, and the other examines foster care programs for newborns with the HIV virus. A case study of New York City details how selected institutions interact to give what may be a picture of AIDS in the future. This clear and comprehensive presentation will be of interest to anyone concerned about AIDS and its impact on the country: health professionals, sociologists, psychologists, advocates for at-risk populations, and interested individuals.

In recent years, the economy of the Caribbean has become almost completely dependent on international tourism. And today one of the chief ways that foreign visitors there seek pleasure is through prostitution. While much has been written on the female sex workers who service these tourists, Caribbean Pleasure Industry shifts the focus onto the men. Drawing on his groundbreaking ethnographic research in the Dominican Republic, Mark Padilla discovers a complex world where the global political and economic impact of tourism has led to shifting sexual identities, growing economic pressures, and new challenges for HIV prevention. In fluid prose, Padilla analyzes men who have sex with male tourists, yet identify themselves as “normal” heterosexual men and struggle to maintain this status within their relationships with wives and girlfriends. Padilla’s exceptional ability to describe the experiences of these men will interest anthropologists, but his examination of bisexuality and tourism as much-neglected factors in the HIV/AIDS epidemic makes this book essential to anyone concerned with health and sexuality in the Caribbean or beyond.

"Whilst a cure for HIV/AIDS continues to elude scientists, the number of HIV/AIDS cases continues to increase. Education becomes the key to curtailing the spread of the disease. Education and HIV/AIDS in the Caribbean describes the impact of HIV/AIDS on education in both the global and Caribbean contexts and outlines the lessons to be learnt from the global experience. The aim of the book is not only to highlight the role of education in HIV/AIDS prevention but also to look specifically at the education sector, its role and response, as well as the management of the response. It also intends to ensure that the education sector recognises the crucial role it must play in reducing the impact of HIV/AIDS. The text is complete with illustrations on the socioeconomic, health and gender aspects of the disease, and is a useful resource for anyone wanting to obtain precise information about the impact of the disease in the Caribbean. "

In this book ethnographic, historical and epidemiologic data are brought to bear on the subject of the Acquired Immune Deficiency Syndrome (AIDS) in Haiti. The forces that have helped to determine rates and pattern of spread of Human Immunodeficiency Virus (HIV) are examined, as are social responses to AIDS in rural and urban Haiti, and in parts of North America. History and its calculus of economic and symbolic power also help to explain why residents of a small village in rural Haiti came to understand AIDS in the manner that they did. Drawing on several years of fieldwork, the evolution of a cultural model of AIDS is traced. In a small village in rural Haiti, it was possible to document first the lack of such a model, and then the elaboration over time of a widely shared representation of AIDS. The experience of three villagers who died of complications of AIDS is examined in detail, and the importance of their suffering to the evolution of a cultural model is demonstrated. Epidemiologic and ethnographic studies are prefaced by a geographically broad historical analysis, which suggests the outlines of relations between a powerful center (the United States) and a peripheral client state (Haiti). These relations constitute an important part of a political-economic network termed the "West Atlantic system." The epidemiology of HIV and AIDS in Haiti and elsewhere in the Caribbean is reviewed, and the relation between the degree of involvement in the West Atlantic system and the prevalence of HIV is suggested. It is further suggested that the history of HIV in the Dominican Republic, Jamaica, Trinidad and Tobago, and the Bahamas is similar to that documented here for Haiti.

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

Providing an introduction to HIV/AIDS, this book explains the science, the international and local politics, the demographics and the devastating consequences of the disease. This book is aimed at general readers interested in the science, the epidemiology and the social effects of the disease which has killed 20 million.