Pub Date : 2020-12-31DOI: 10.1515/9780822393504-003
{"title":"1. Testimonials That Bind","authors":"","doi":"10.1515/9780822393504-003","DOIUrl":"https://doi.org/10.1515/9780822393504-003","url":null,"abstract":"","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"42 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134140242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.1515/9780822393504-002
In, D. Esmel
In 1994, two years after he found out he was HIV positive, a young Abidjan law student named Dominique Esmel founded one of the first groups of people living with HIV in Africa, Light for AIdS. “We chose that name because we felt we were living in darkness,” Dominique told me; “we wanted to come out of the shadows of our isolation and live in the light of solidarity.” At the time, AIdS was already the leading cause of death in many parts of the continent, including in Côte-d’Ivoire’s bustling port metropolis, Abidjan.1 Few knew, or had been told, of their diagnosis— not that it would have made much difference then. HIV testing wasn’t readily available, and health care workers were reluctant to disclose a “hopeless” diagnosis. When Dominique “came out” publicly with his HIV diagnosis, the focus of the struggle against the epidemic in Africa had begun to shift away from epidemiological surveillance and public awareness campaigns aimed at increasing condom use. Worried that the campaigns weren’t working, international agencies bemoaned what they called a “culture of denial.” They emphasized the need to “put a face” to the disease. The number of Africans getting tested for HIV must increase, they insisted. More individuals like Dominique would need to “come out” publicly about being HIV positive. I first began to work in West Africa the same year Dominique testified. I remember first hearing about a mysterious and terrifying new epidemic, reported in gay men in 1982, in my first year of university.
1994年，一位名叫多米尼克·埃斯梅尔(Dominique Esmel)的年轻阿比让法律系学生在发现自己是艾滋病毒阳性两年后，成立了非洲首批艾滋病毒感染者组织之一，“艾滋病之光”(Light for AIdS)。“我们选择这个名字是因为我们觉得我们生活在黑暗中，”多米尼克告诉我;“我们希望走出孤立的阴影，在团结的光芒下生活。”当时，艾滋病已经是非洲大陆许多地区的主要死亡原因，包括在Côte-d科特迪瓦繁华的港口城市阿比让。很少有人知道或被告知他们的诊断结果——这在当时并没有多大影响。艾滋病毒检测并不容易获得，卫生保健工作者不愿透露“无望”的诊断结果。当多米尼克“公开”自己被诊断患有艾滋病毒时，非洲防治这一流行病斗争的重点已开始从流行病学监测和旨在增加避孕套使用的提高公众认识运动转移。由于担心这些运动不起作用，国际机构哀叹他们所谓的“否认文化”。他们强调有必要认清这种疾病的真面目。他们坚持认为，非洲接受艾滋病毒检测的人数必须增加。更多像多米尼克这样的人需要公开“出柜”自己是艾滋病毒阳性。多米尼克作证那年，我开始在西非工作。我记得第一次听说一种神秘而可怕的新流行病，是在1982年，在我大学一年级的时候。
{"title":"INTRODUCTION Côte-d’Ivoire and Triage in the Time of AIDS","authors":"In, D. Esmel","doi":"10.1515/9780822393504-002","DOIUrl":"https://doi.org/10.1515/9780822393504-002","url":null,"abstract":"In 1994, two years after he found out he was HIV positive, a young Abidjan law student named Dominique Esmel founded one of the first groups of people living with HIV in Africa, Light for AIdS. “We chose that name because we felt we were living in darkness,” Dominique told me; “we wanted to come out of the shadows of our isolation and live in the light of solidarity.” At the time, AIdS was already the leading cause of death in many parts of the continent, including in Côte-d’Ivoire’s bustling port metropolis, Abidjan.1 Few knew, or had been told, of their diagnosis— not that it would have made much difference then. HIV testing wasn’t readily available, and health care workers were reluctant to disclose a “hopeless” diagnosis. When Dominique “came out” publicly with his HIV diagnosis, the focus of the struggle against the epidemic in Africa had begun to shift away from epidemiological surveillance and public awareness campaigns aimed at increasing condom use. Worried that the campaigns weren’t working, international agencies bemoaned what they called a “culture of denial.” They emphasized the need to “put a face” to the disease. The number of Africans getting tested for HIV must increase, they insisted. More individuals like Dominique would need to “come out” publicly about being HIV positive. I first began to work in West Africa the same year Dominique testified. I remember first hearing about a mysterious and terrifying new epidemic, reported in gay men in 1982, in my first year of university.","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114466040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.1515/9780822393504-009
{"title":"7. Uses and Pleasures","authors":"","doi":"10.1515/9780822393504-009","DOIUrl":"https://doi.org/10.1515/9780822393504-009","url":null,"abstract":"","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132182662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.1515/9780822393504-005
{"title":"3. Soldiers of God","authors":"","doi":"10.1515/9780822393504-005","DOIUrl":"https://doi.org/10.1515/9780822393504-005","url":null,"abstract":"","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128643241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.1515/9780822393504-006
{"title":"4. Life Itself","authors":"","doi":"10.1515/9780822393504-006","DOIUrl":"https://doi.org/10.1515/9780822393504-006","url":null,"abstract":"","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128804841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-31DOI: 10.1515/9780822393504-010
{"title":"CONCLUSION Who Lives? Who Dies?","authors":"","doi":"10.1515/9780822393504-010","DOIUrl":"https://doi.org/10.1515/9780822393504-010","url":null,"abstract":"","PeriodicalId":220476,"journal":{"name":"The Republic of Therapy","volume":"43 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124971866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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