Pandemic Responses and the Strengths of Health Systems: A Review of Global AIDS Historiography in Light of COVID-19

Abstract

This paper surveys the historiography of the global response to HIV/AIDS. Since 1981, when the disease was first identified, there have been great strides in the medical and biological sciences in understanding the impact of the new virus on the human immune system. Although there is still no successful vaccine, antiretroviral (ART) treatment continues to improve the likelihood of HIV-positive people living long and healthy lives. We have also seen a few exciting cases of full recovery, which will allow scientists to explore new avenues towards a cure. Yet the AIDS pandemic is by no means over: 40 million have died and over 35 million individuals still live with HIV. More importantly, as historians and scholars in the humanities and social sciences have been pointing out since the early 1980s, HIV brought to light how non-medical factors play a critical role in a successful disease response. As the global community faces the aftermath of a new pandemic, it is timely to examine how broader social, economic, political, and cultural factors influence individual experiences of disease at local, national, international, and global scales. This essay examines how scholars have written historically about the HIV pandemic, using a variety of methods and approaches: from traditional histories of medicine to anthropologies of development. While HIV has sparked a massive corpus of historical reflection from a variety of disciplines, its contemporaneity means that “global AIDS historiography” cannot yet be described as a cohesive academic conversation. Yet what unites the scholarship, this essay argues, is its use of HIV to examine how and why post-war social and economic systems have achieved health objectives for some populations and not others.