The reality of HIV/AIDS: It hasn't gone away

In a recent episode of the television show South Park, one of the
main characters is infected with HIV. In an attempt to find a cure,
he must continually deal with the public opinion that AIDS is no
longer a threatening condition. He is told that his disease is “a
disease of the 80s and 90s” and even that he is “retro” for being
infected with HIV. But has this retrovirus truly become retro to
Americans? If we take South Park as a social barometer, then it
seems that the disease has been marginalized in the public eye.
Public interest on the Internet regarding AIDS is declining as
well. A recent government blog about Google search hits for the
terms “HIV” or “AIDS” shows a declining trend over the past four
years. Each year, fewer people searched for the terms “HIV” or
“AIDS” on December 1st (World AIDS day) than the previous year. Why
has the US public marginalized this disease, which twenty years ago
was the terror of the nation?


Searches for “AIDS” and “HIV” have decreased for four years
running now. Have Americans stopped caring about this disease?
Photo courtesy of Google, Inc.
A simple reason may be that the media sensationalism of the disease
has settled down. As people become accustomed to news, it ceases to
be news, no matter how horrible the reality of the situation may
be. The early media coverage of the AIDS epidemic focused on the
fact that the disease seemed to infect only gay men. Some even
believed that AIDS was the punishment for the lifestyles of gay
men, and AIDS became known as the “gay cancer” by many after its
initial discovery. In this way, AIDS aided U.S. society in
demonizing the gay population in the early 1980s. AIDS was deemed a
gay problem, and the rest of society could forget about it. Ryan
White’s struggle against the disease helped dispel some of these
myths, but many fallacies have persisted regardless, even to the
present day. Many choose to ignore the AIDS epidemic, as they
believe that they will not come in contact with the disease if they
are not homosexual.

AIDS may also be ignored because its prevalence in the U.S. is
perceived to be decreasing. In South Park, the public seems
surprised when the main character is newly infected with AIDS. In
many regions of the U.S., taboo prevents open discussion about
AIDS, and if people aren’t hearing about a problem, they tend to
imagine that it is going away. In reality, 56,000 new cases of AIDS
are diagnosed in the U.S. every year. This figure only represents
the number of cases detected; the true occurrence is likely higher.
Why does the public believe, then, that AIDS is on the
decline?

The apparent decrease of infection rate is caused by the fact that
infected individuals generally live longer and healthier lives than
they would have in the 80s, when the average lifespan following
diagnosis was approximately three months. This fact is largely due
to the success of many drugs in delaying the onset of AIDS after
exposure to HIV. AIDS advocates are victims of their own success,
then, as the myth has arisen that AIDS will no longer kill infected
individuals. This belief is wrong; AIDS is a lethal disease. Drugs
do a great deal these days to slow its progress, but HIV has the
uncanny ability to develop resistance to these drugs and overwhelm
the body’s immune system, which invariably leads to death.

One additional aspect of fading public interest in AIDS, sadly
enough, may be the lack of infection of a public figure. The movie
star Rock Hudson was a famous AIDS victim in his time, and his
death helped shock the nation into action against HIV. Rock Hudson
is relatively unknown by today’s youth, who grew up after the
passing of the star. These days, when most people think of
celebrities with AIDS, Magic Johnson is the first name that pops to
mind. This former basketball superstar retired after being
diagnosed with HIV and began working towards a cure for the deadly
virus. Indeed, in the South Park episode, the character with AIDS
must travel to find Magic Johnson who may have the cure for AIDS.
Magic Johnson faded from public view when his basketball career
ended. The fact that no Hollywood star or public figure of great
significance has recently been diagnosed with AIDS means that the
disease is no longer the vogue disease it once was.



Rock Hudson (left) and Magic Johnson (right) are two of the
most famous AIDS patients. Neither are well-known by much of
today’s younger generation. Photos courtesy of
Wikipedia.
As is typical for the satirical style of South Park, the characters
discover that the cure for AIDS is to inject large quantities of
cash directly into the bloodstream. While there is no real cure for
AIDS, the biting commentary of this cartoon is telling. Wealthy
AIDS patients, like Magic Johnson, often live the longest and
healthiest lives following their infection. Many AIDS patients do
not have access to the resources that Magic Johnson enjoys, and are
therefore much more susceptible to the disease. The average cost of
a year’s supply of antiretroviral drugs is between $10,000 and
$15,000, which means that those living near the poverty line with
AIDS must devote an enormous portion of their income to their drug
regimen. Some of the hardest hit regions of the world with regards
to AIDS are also the poorest. Sub-Saharan Africa is among the worst
regions, with up to 30% infection rates in the population. The
disease is therefore easier to ignore for U.S. citizens, who are
more likely to be wealthy enough to afford treatment.

South Park offers one final shot at society, stating, “Americans
have forgotten that AIDS is a serious disease.” Decreasing public
interest in the AIDS epidemic is apparent, which is unfortunate
both for affected individuals and the general public alike. AIDS
continues to rage as a fearsome epidemic, and the number of
infected individuals continues to grow. Society needs to wake up
again and face the reality that AIDS is still here, and is still a
terrible disease.