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Is the end of AIDS in sight?

economist.com

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Re: Is the end of AIDS in sight?

#21

As an older millennial, it’s interesting to me observe the difference with which HIV/AIDS and COVID has been treated. While untreated HIV infection is more lethal than COVID, COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. My childhood was filled with warnings and media depicting the tragedy of HIV/AIDS, the surrounding bigotry, and the history of this pandemic still has some cache…

> …COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+.

Ok, so that’s wrong by an order of magnitude. AIDS has killed ~85.6 million [64.8 million–113.0 million] people, and it’s plausible that could be a huge undercount. COVID has killed ~7M people, which is also bad but nowhere near “more”.

There are also a lot of reasons these aren’t really comparable pandemics, and the responses to them are similarly difficult to compare, but I’m not going to bother with that conversation here.

[https://www.unaids.org/en/resources/fact-sheet], [https://www.worldometers.info/coronavirus/]

Re: Is the end of AIDS in sight?

#22

Earlier quoted context omitted.

It's also a self-balancing system. As HIV becomes rarer, fewer people will be concerned about it, and therefore fewer will bother taking Prep daily. In turn, HIV becomes more infectious, and more people contract it. It will probably stabilize with about 0.4% of humans being infected. Lots of things affect about 0.4% of people, because that's rare enough that most people don't have any friend or colleague affected, an…

Where did you get that 0.4% number? Is this a well-established statistic?

I'm curious too. I have actually heard that .04% number before when dealing with disease prevalence, but I don't remember where from.

Re: Is the end of AIDS in sight?

#23

As an older millennial, it’s interesting to me observe the difference with which HIV/AIDS and COVID has been treated. While untreated HIV infection is more lethal than COVID, COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. My childhood was filled with warnings and media depicting the tragedy of HIV/AIDS, the surrounding bigotry, and the history of this pandemic still has some cache…

> …COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. Ok, so that’s wrong by an order of magnitude. AIDS has killed ~85.6 million [64.8 million–113.0 million] people, and it’s plausible that could be a huge undercount. COVID has killed ~7M people, which is also bad but nowhere near “more”. There are also a lot of reasons these aren’t really comparable pandemics, and the responses to t…

OP was probably referring to the American experience, which is correct. AIDS has killed about 700,000 in the USA, vs 1.1 million Covid deaths.

Re: Is the end of AIDS in sight?

#24

As an older millennial, it’s interesting to me observe the difference with which HIV/AIDS and COVID has been treated. While untreated HIV infection is more lethal than COVID, COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. My childhood was filled with warnings and media depicting the tragedy of HIV/AIDS, the surrounding bigotry, and the history of this pandemic still has some cache…

> …COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. Ok, so that’s wrong by an order of magnitude. AIDS has killed ~85.6 million [64.8 million–113.0 million] people, and it’s plausible that could be a huge undercount. COVID has killed ~7M people, which is also bad but nowhere near “more”. There are also a lot of reasons these aren’t really comparable pandemics, and the responses to t…

Apologies, I should’ve clarified that I was referring to the US, where COVID has, in fact, killed more people than HIV/AIDS.

https://www.scientificamerican.com/article/why-covid-deaths-...

Re: Is the end of AIDS in sight?

#25

As a gay man well into middle age, whenever I get somewhat depressed about the state of human affairs, I think about the incredible improvements in AIDS treatment and prevention and I feel a little better. It's hard for people who didn't live through it to really understand what a terrifying time the 80s and 90s were. First off, the general message of sexual education was pretty much "If you have sex, it's probably g…

I often mention the whole Gen X trauma thing.

Part of it is literally seeing the ladder being pulled up just as we reached for it. Not just for jobs or college tuition, but also sexually -- the previous generation had a pretty good time and the worst that was on offer was herpes. Puberty starts rumbling around and we're wondering what the future looks like and suddenly "GRID." And we were flailing around, is it viral? (There was, most people do not know, a period wherein it was thought that this was some kind of weird immune reaction to getting semen, any semen, into the bloodstream, which seemed unlikely to me even as a tween) How transmissible is it? Okay so maybe kissing doesn't do anything. And by the time that we figured out that it isn't exactly Ebola in terms of transmissibility, some damage was done.

So, Sex = Death, rain is acid, the bees are coming, the nukes will eradicate us all. Gen X has been waiting for the other shoe to drop for decades and AIDS was just one facet of it.

Re: Is the end of AIDS in sight?

#26
post #17

Earlier quoted context omitted.

I've noticed the same thing, and I'm pretty sure it's because COVID no longer features as part of identity politics. It's the identity politics that drove the AIDS discussion, and it's been the identify politics that drove the COVID discussion. Now that has passed, COVID is no longer a topic people care to discuss regularly, while AIDS is still a forefront topic.

While this may be true to an extent, it doesn’t address why fighting AIDS outside the context of its impact on the LGBTQ community, e.g. in the developing world, still figures so prominently in American culture and public policy. I expect that the real reason is actually something more sinister, where the politics of the US have devolved to a point where almost everyone will accept the “they deserved it” narrative th…

Or possibly it’s like the hole in the ozone layer, which has also faded from public discourse, because thanks to that huge amount of press and action it’s been largely addressed.

You’re basically saying “why is this thing we’re all working so hard to prevent not happening enough to justify prevention?”.

Re: Is the end of AIDS in sight?

#27

As an older millennial, it’s interesting to me observe the difference with which HIV/AIDS and COVID has been treated. While untreated HIV infection is more lethal than COVID, COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. My childhood was filled with warnings and media depicting the tragedy of HIV/AIDS, the surrounding bigotry, and the history of this pandemic still has some cache…

> …COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. Ok, so that’s wrong by an order of magnitude. AIDS has killed ~85.6 million [64.8 million–113.0 million] people, and it’s plausible that could be a huge undercount. COVID has killed ~7M people, which is also bad but nowhere near “more”. There are also a lot of reasons these aren’t really comparable pandemics, and the responses to t…

You copied info from that first page incorrectly; 85.6M is their estimate on number of infections and 40.4 million [32.9 million–51.3 million] is their estimate on deaths.

Re: Is the end of AIDS in sight?

#28

As an older millennial, it’s interesting to me observe the difference with which HIV/AIDS and COVID has been treated. While untreated HIV infection is more lethal than COVID, COVID has killed more people in the past 4 years than HIV/AIDS did in the past 40+. My childhood was filled with warnings and media depicting the tragedy of HIV/AIDS, the surrounding bigotry, and the history of this pandemic still has some cache…

because one caused a moral panic, and one needed people to be moral.

[deleted]

Re: Is the end of AIDS in sight?

#29
post #6

"Is the End of Aids in Sight?" Short answer - no. Even if they achieve their ambitious plan, 5% is still a large number. Look at how hard it has been to eradicate the last of polio, and that has a lifelong vaccine.

> Short answer - no.

A tangent: if an article's title is a question, the answer, vast majority of time, is either "no", or not a clear answer at all. I'm sure articles that answer the title with "yes" exist, but I cannot even remember one.

> Betteridge's law of headlines is an adage that states: "Any headline that ends in a question mark can be answered by the word no." [0]

[0]: https://en.wikipedia.org/wiki/Betteridge%27s_law_of_headline...

Re: Is the end of AIDS in sight?

#30

Earlier quoted context omitted.

While this may be true to an extent, it doesn’t address why fighting AIDS outside the context of its impact on the LGBTQ community, e.g. in the developing world, still figures so prominently in American culture and public policy. I expect that the real reason is actually something more sinister, where the politics of the US have devolved to a point where almost everyone will accept the “they deserved it” narrative th…

Or possibly it’s like the hole in the ozone layer, which has also faded from public discourse, because thanks to that huge amount of press and action it’s been largely addressed. You’re basically saying “why is this thing we’re all working so hard to prevent not happening enough to justify prevention?”.

I’m not sure what’s been addressed? All the interventions beside vaccination have been taken apart and we’re on track to kill 200K people this year. I suppose that’s better than the outset, but would’ve been considered catastrophic for any other disease, prior to COVID. If HIV/AIDS was killing this many people in the US in 2023, it would be considered a national disgrace, for example.
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