WINNER, 2017 RACHEL CARSON PRIZE, SOCIETY FOR THE SOCIAL STUDIES OF SCIENCE In 2002, Sierra Leone emerged from a decadelong civil war. Seeking international attention and development aid, its government faced a dilemma. Though devastated by conflict, Sierra Leone had a low prevalence of HIV. However, like most African countries, it stood to benefit from a large influx of foreign funds specifically targeted at HIV/AIDS prevention and care. What Adia Benton chronicles in this ethnographically rich and often moving book is how one war-ravaged nation reoriented itself as a country suffering from HIV at the expense of other, more pressing health concerns. During her fieldwork in the capital, Freetown, a city of one million people, at least thirty NGOs administered internationally funded programs that included HIV/AIDS prevention and care. Benton probes why HIV exceptionalism—the idea that HIV is an exceptional disease requiring an exceptional response—continues to guide approaches to the epidemic worldwide and especially in Africa, even in low-prevalence settings. In the fourth decade since the emergence of HIV/AIDS, many today are questioning whether the effort and money spent on this health crisis has in fact helped or exacerbated the problem. HIV Exceptionalism does this and more, asking, what are the unanticipated consequences that HIV/AIDS development programs engender?

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 the face of life-threatening news, how does our view of life change—and what do we do it transform it? Remaking a Life uses the HIV/AIDS epidemic as a lens to understand how women generate radical improvements in their social well being in the face of social stigma and economic disadvantage. Drawing on interviews with nationally recognized AIDS activists as well as over one hundred Chicago-based women living with HIV/AIDS, Celeste Watkins-Hayes takes readers on an uplifting journey through women’s transformative projects, a multidimensional process in which women shift their approach to their physical, social, economic, and political survival, thereby changing their viewpoint of “dying from” AIDS to “living with” it. With an eye towards improving the lives of women, Remaking a Life provides techniques to encourage private, nonprofit, and government agencies to successfully collaborate, and shares policy ideas with the hope of alleviating the injuries of inequality faced by those living with HIV/AIDS everyday.

Featuring the diverse experiences of people living with HIV, Seeing Red highlights various perspectives from academics, activists, and community workers who think ahead to the new and complex challenges associated with the condition.

This collection of essays provides a provocative critique of leadership on HIV/AIDS in Africa from the 1980s to the present. The book examines the rhetoric on HIV/AIDS which has influenced culture and behavior, service delivery, policy, the design of national interventions, and the varied success of different countries in containing the pandemic. African scholars put into context a host of public and scholarly disputes ranging from AIDS exceptionalism and Thabo Mbeki's 'denialism,' to the racist debates on 'African promiscuity' and the recent revival of assertions that homosexuality is not an 'African' behavior. The book refers to the records of governments in a wide range of African countries, with case studies drawing on the rhetoric of governments and the nature of government leadership in South Africa, The Gambia, Morocco, Zambia, and Ethiopia, as well as the African Union's declarations on HIV/AIDS. What emerges is that the rhetoric is diverse, occasionally logical, and effective in terms of informing systemic HIV/AIDS interventions that improve the welfare of people, and sometimes it is contradictory to the point of absurdity. *** "...the editors have put together a book that wil intrigue many readers... They address common myths, such as the belief that HIV/AIDS is part of a Western plot to destroy Africans. Credit is also given where it is due, as in the case of Morocco, where the government instituted initiatives at local, regional, and national levels as early as 1986 and now has a prevalence of HIV infection of 0.1 percent. Recommended." C. Apt., South Carolina State University, Choice, February 2013, Vol. 50, No. 6.

A people-centered approach to global health When People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach. Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast. When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.

Traditional definitions of public policy in Canada have been challenged in recent years by globalization, the transition to a knowledge-based economy, and the rise of new technologies. Critical Policy Studies describes how new policy problems such as border screening and global warming have been catapulted onto the agenda in the neo-liberal era. The book also surveys the recent evolution of critical approaches to policy studies, which have transformed decades-old issues. Contributors conceptualize the ways in which public policy questions cut across the traditional fields of policy. They cover both topical approaches such as Foucauldian and post-empiricist analysis and new applications of established perspectives, such as political economy. Conventional methodologies reveal new connotations when used to explore such topics as security issues, Canadian sovereignty, welfare reform, environmental protocol, Aboriginal policy, and reproductive technologies. Critical Policy Studies provides an alternative to existing approaches to policy studies, and will be welcomed by scholars, students, and practitioners of political science and public policy.

Thousands of HIV-positive women give birth every year. Further, because many pregnant women are not tested for HIV and therefore do not receive treatment, the number of children born with HIV is still unacceptably high. What can we do to eliminate this tragic and costly inheritance? In response to a congressional request, this book evaluates the extent to which state efforts have been effective in reducing the perinatal transmission of HIV. The committee recommends that testing HIV be a routine part of prenatal care, and that health care providers notify women that HIV testing is part of the usual array of prenatal tests and that they have an opportunity to refuse the HIV test. This approach could help both reduce the number of pediatric AIDS cases and improve treatment for mothers with AIDS. Reducing the Odds will be of special interest to federal, state, and local health policymakers, prenatal care providers, maternal and child health specialists, public health practitioners, and advocates for HIV/AIDS patients. January

This report presents three hypothetical case studies for how the AIDS epidemic in Africa could evolve over the next 20 years based on policy decisions taken today by African leaders and the rest of the world; and considers the factors likely to drive the future responses of African countries and the international community. The scenarios draw on the age-old tradition of story-telling, rather than using data projections, to explore the wider context of the AIDS epidemic, reflecting the complexity of the subject matter.

In this sobering analysis of American foreign policy under Trump, the award-winning economist calls for a new approach to international engagement. The American Century began in 1941 and ended in 2017, on the day of President Trump’s inauguration. The subsequent turn toward nationalism and “America first” unilateralism did not made America great. It announced the abdication of our responsibilities in the face of environmental crises, political upheaval, mass migration, and other global challenges. As a result, America no longer dominates geopolitics or the world economy as it once did. In this incisive and passionate book, Jeffrey D. Sachs provides the blueprint for a new foreign policy that embraces global cooperation, international law, and aspirations for worldwide prosperity. He argues that America’s approach to the world must shift from military might and wars of choice to a commitment to shared objectives of sustainable development. A New Foreign Policy explores both the danger of the “America first” mindset and the possibilities for a new way forward, proposing timely and achievable plans to foster global economic growth, reconfigure the United Nations for the twenty-first century, and build a multipolar world that is prosperous, peaceful, fair, and resilient.