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HIV Interventions

Biomedicine and the Traffic between Information and Flesh

by Marsha Rosengarten

Publication Year: 2009

HIV has changed in the presence of recent biomedical technologies. In particular, the development of anti-retroviral therapies (ARVs) for the treatment of HIV was a significant landmark in the history of the disease. Treatment with ARV drug regimens, which began in 1996, has enabled many thousands to live with the human immunodeficiency virus without progressing to AIDS. Yet ARVs have also been fraught with problems of regimen compliance, viral resistance, and iatrogenic disease. Besides intensifying the technological and ethical complexities of medicine, the drugs have also affected conceptions of risk and risk practices, in turn presenting new challenges for prevention.

Published by: University of Washington Press

Contents

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pp. vii-

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Acknowledgments

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pp. ix-x

This book began some time ago without my realizing it, while I was working at the National Centre in HIV Social Research, University of New South Wales, with an energetic team of committed staff led by Susan Kippax, who remains an inspiration to me in many ways. Kane Race was one of the first people ...

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1. Introduction: HIV, Information, and Flesh

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pp. 3-17

Since the late 1990s, it has been apparent that a cocktail of antiretroviral drugs (ARVs), designed to intercept the replication of the human immunodeficiency virus (HIV) in vivo, can significantly halt or, at least, forestall the otherwise almost inevitable progression to Acquired Immunodeficiency Syndrome (AIDS).1 ...

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2. Imagination, Diagnostics, and the Materialization of HIV

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pp. 18-35

Within the HIV field, it is now well established that a varied and complex array of unwanted effects accompany the achievement of ARVs. Some of these so deemed “side” effects are known to be potentially lethal. They include heart disease, liver damage, diabetes, hypertension, nerve damage (peripheral neuropathy), ...

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3. H IV: A Synergy of Biological Matter, Technological Matter, and Publics

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pp. 36-58

Taking a lead from Treichler’s statement above and, further, her claim that “ultimately, the activities and ideas that we organize around the sign AIDS—including the chronicles that we write—have the power to change the fate of the epidemic,” I want to consider the potential of text to inform the substance of drugs.1 ...

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4. The “Informed Matter” of HIV Prevention

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pp. 59-81

In the introduction to this book I referred to the way the advent of antiretroviral therapies forged a decoupling of HIV from AIDS. In the previous chapters I have suggested that this decoupling is the matter of a significantly altered epidemic. Here I focus on what this might be understood to mean for HIV ...

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5. The Human Host: Performative and Relational Difference

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pp. 82-100

What does it mean to claim that AIDS has a woman’s face as Kofi Annan did while Secretary General of the United Nations? Or what might be concluded from various studies of pharmaceutical trials, including those for HIV, that find racial differences affect drug effectiveness? Such claims serve to highlight ...

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6. Conclusion

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pp. 101-108

The viral load test has been an important source of inquiry throughout this book, and recalling the above statement by a woman I interviewed some years ago, here named Leila, seems an especially poignant way to conclude. The statement was made in the context of a discussion about her experience of living ...

Notes

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pp. 109-130

Bibliography

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pp. 131-140

Index

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pp. 141-148


E-ISBN-13: 9780295990323
E-ISBN-10: 0295990325
Print-ISBN-13: 9780295989426
Print-ISBN-10: 0295989424

Page Count: 158
Publication Year: 2009

Series Title: In Vivo
Series Editor Byline: Edited by Phillip Thurtle and Robert Mitchell